Information processing device, control method for information processing device, and computer program

Abstract

This information processing apparatus comprises: an acquisition means that acquires subject's biometric information acquired by a sensor provided in a first terminal attached to the subject, and terminal information including the type of the first terminal; a storage means that stores the biometric information and the terminal information that have been acquired; a display control means that displays the biometric information and the terminal information on a display means of a second terminal different from the first terminal; an acceptance means that accepts control information with respect to the first terminal from the second terminal; and an instruction means that instructs the first terminal to control the first terminal on the basis of the control information that has been accepted.

Description

[Technical Field]

[0001] The present invention relates to an information processing device, a control method for an information processing device, and a computer program. [Background technology]

[0002] Conventionally, there is a technology for online medical treatment of patients residing in remote locations, in which patient health information is collected by a doctor's computer via an intermediary server (for example, Patent Document 1). [Prior art documents] [Patent documents]

[0003] [Patent Document 1] Japanese Patent Publication No. 2022-16085 Summary of the Invention [Problem to be solved by the invention]

[0004] In face-to-face medical consultations, doctors can accurately obtain biometric information from patients by properly operating various medical equipment, but in online medical consultations, doctors and patients are separated, making it difficult for doctors to accurately obtain biometric information from patients.

[0005] The present invention has been made in consideration of the above circumstances, and aims to provide a technology that enables medical professionals and the like to accurately obtain biometric information of patients and the like in online medical consultations and the like. [Means for solving the problem]

[0006] In order to achieve the above object, one aspect of the present invention is to an acquisition means for acquiring biometric information of the subject acquired by a sensor provided in a first terminal worn by the subject, and terminal information including a type of the first terminal; a storage means for storing the acquired biometric information and the acquired terminal information; a display control means for displaying the biometric information and the terminal information on a display means of a second terminal different from the first terminal; a receiving means for receiving control information for the first terminal from the second terminal; an instruction means for instructing the first terminal to control the first terminal based on the received control information; The information processing device has the following. [Effects of the Invention]

[0007] According to the present invention, medical professionals and the like can accurately obtain biological information of patients and the like during online medical consultations and the like. [Brief explanation of the drawings]

[0008] [Figure 1] FIG. 1 is a diagram illustrating an overview of the present embodiment. [Figure 2] FIG. 1 is a diagram illustrating an outline of the configuration of a biometric information acquisition system. [Figure 3] FIG. 2 is a block diagram showing the hardware configuration of a server. [Figure 4] FIG. 2 is a functional block diagram illustrating an example of a functional configuration of a server. [Figure 5] 10 is a flowchart illustrating an example of a biometric information acquisition process. [Figure 6] FIG. 1 is a diagram showing an example of application (1) in online medical consultations in internal medicine. [Figure 7] FIG. 10 is a diagram showing an example of application (2) in online medical consultations in internal medicine. [Figure 8] FIG. 10 is a diagram showing an example of application (3) in online medical consultations in internal medicine. [Figure 9] FIG. 10 is a diagram illustrating an example of application in online ophthalmology consultations. [Figure 10] FIG. 10 is a diagram showing an example of application in online otolaryngology consultations. [Figure 11] FIG. 10 is a diagram showing an example of application in online dermatology consultations. DETAILED DESCRIPTION OF THE INVENTION

[0009] (Embodiment) <Summary> Currently, when conducting online medical consultations, patients acquire biometric information using various devices such as blood pressure monitors, and then communicate the acquired results (e.g., blood pressure measurements displayed on the blood pressure monitor) to a doctor via a web conferencing system. Some of these devices automatically transmit the patient's biometric information to the doctor's terminal via a network, but the specifications vary depending on the application and manufacturer. Therefore, in order for a doctor to automatically acquire the patient's biometric information, the patient must use a device specified by the doctor. This embodiment describes an example of acquiring a patient's biometric information without relying on a device, by using an information protocol, API, and SDK that can be installed on any device.

[0010] Additionally, the amount of biometric information (patient information) that can be obtained through online medical consultations is currently limited, and it is not possible to listen to heart sounds, breathing sounds, or abdominal sounds as desired by the doctor. This creates the risk of misdiagnosis, and ultimately necessitates face-to-face consultations in order to accurately obtain the patient's biometric information.

[0011] In contrast, the biometric information acquisition system according to this embodiment acquires a patient's biometric information in real time during online medical consultations. The doctor can select the type of biometric information he or she wants to acquire (e.g., blood pressure, heart sounds, etc.) or select a sensor for acquiring the biometric information. The system also instructs the patient's wearable device to acquire the selected biometric information. By exchanging data in this way, it is possible to acquire biometric information (accurate) in online medical consultations to the same extent as in face-to-face medical consultations. Hereinafter, this embodiment will be described with reference to the drawings.

[0012] 1 is a diagram showing an overview of a biometric information acquisition system to which a server 1 (information processing device) according to this embodiment is applied. In this embodiment, an example will be described in which a patient and a doctor (medical facility) acquire a patient's biometric information according to the doctor's wishes when conducting online medical consultation using a predetermined web conference system. The example in FIG. 1 shows an example of exchange of various data among a server 1, a wearable device 2, a patient terminal 3, and a medical facility terminal 4 of the biometric information acquisition system of this embodiment.

[0013] As indicated by the symbol G1, the patient's biological information is acquired by a predetermined sensor provided in the wearable device 2 worn by the patient. The acquired biological information is transmitted to the patient terminal 3 via short-range communication. There are no particular limitations on the communication method for short-range communication, but for example, communication methods such as Bluetooth (registered trademark) and Wi-Fi (registered trademark) can be used. As indicated by the symbol G2, the patient terminal 3 transmits the biological information acquired by the wearable device 2 to the server 1. As indicated by the symbol G3, the server 1 displays the biological information on the display unit (display means) of the medical facility terminal 4 (dashboard) operated by the doctor. This allows the doctor to obtain accurate biological information of the patient in a timely manner by referring to the biological information of the patient displayed on the medical facility terminal 4. In addition to grasping the biological information of the patient, the doctor can also select the sensor in the wearable device 2 to use for obtaining the biological information. As indicated by the symbol G4, when an instruction to select a sensor is received, the medical facility terminal 4 transmits operation information corresponding to the instruction to the server 1. Note that the patient's biological information is not only displayed on the medical facility terminal 4 but also accumulated in the memory of the server 1. As indicated by the symbol G5, when the server 1 receives the operation information from the medical facility terminal 4, it transmits the operation information to the patient terminal 3. As indicated by the symbol G6, the patient terminal 3 controls the wearable device 2 in accordance with the above-mentioned operation information.

[0014] Biometric information is information about a living organism (patient) that is used in medical treatment, examinations, etc., and is a concept that includes various data such as sounds emitted by the organism (abdomen, embryo, heart, etc.), pulse waves, body temperature, heart rate, electrocardiogram, blood pressure, respiratory rate, hearing, brain waves, information on the surface (e.g., skin) or inside (e.g., oral cavity) of the organism (visual information, etc.), fundus of the eye, cornea, intraocular pressure, eyesight, weight, height, muscle mass, BMI, basal metabolism, blood glucose level, blood oxygen amount (concentration), etc. Biometric information also includes the results of various analyses of the above data. In order to acquire the above-mentioned biometric information, the wearable device 2 (device) is provided with at least one of a variety of sensors, such as a sound sensor, a temperature sensor, a pressure sensor, a light sensor, an ultrasonic sensor, an electroencephalogram sensor, a pulse wave sensor, an electrocardiogram sensor, a pressure sensor, and an imaging sensor.

[0015] Examples of wearable devices 2 include devices 2a to 2e. Each of devices 2a to 2e is provided with a module that transmits biometric information acquired by the device. It is assumed that devices 2a to 2e will be purchased by patients for online medical consultations, or loaned or leased from designated institutions.

[0016] Device 2a is a clothing-type device equipped with various sensors. It may also be a device (including sensors) that can be attached (e.g., stuck) to ordinary clothing. Device 2a is primarily intended for use in online medical consultations in internal medicine, and serves the functions of, for example, a stethoscope, blood pressure measuring device, electrocardiogram measuring device, etc., used in face-to-face medical consultations. Device 2a uses various sensors to acquire at least some of the biometric information, such as lung, abdominal, and heart sounds, body temperature, blood pressure, electrocardiogram, heart rate, and respiratory rate. Device 2a is not limited to the short-sleeved T-shirt type shown in FIG. 1 , but may also be a long-sleeved shirt type, and may take various forms, such as a head-mounted, lower-body, or whole-body type.

[0017] Device 2b is a goggle-type device. Device 2b is intended to be used primarily in online ophthalmology consultations, and is a device that plays the role of an ophthalmic examination machine (e.g., an autorefractometer) in face-to-face consultations, for example. Device 2b uses various sensors to acquire at least some of the biological information, such as the fundus, cornea, and intraocular pressure. Device 2b is equipped with a light source unit and can also control the ON / OFF of the light. Device 2b may also be equipped with a display unit and can control the image displayed on the display unit.

[0018] Device 2c is a headphone-type device. Device 2c is intended for use primarily in online medical consultations in otolaryngology, and plays the role of an otoscope in face-to-face consultations, for example. Device 2c uses various sensors to acquire at least some of the biometric information indicating the state of the eardrum, outer ear, tympanometry, and hearing. Note that device 2c is not limited to a headphone-type device, and may also be capable of acquiring biometric information from the nasal cavity, oral cavity, laryngopharynx, and other parts of the nose and oral cavity in addition to the ear. Note that device 2c is equipped with a light source unit and can control the on / off of the light. Device 2c can also be fitted with a disposable cover, allowing for more detailed acquisition of the state of the eardrum, etc.

[0019] Device 2d is a wristwatch-type device. Device 2d is primarily intended for use in online medical consultations in internal medicine, and serves the functions of, for example, a blood pressure monitor, pulse oximeter, blood glucose meter, etc. in face-to-face consultations. Device 2d uses various sensors to acquire at least some of the biometric information, such as blood pressure, blood glucose level, heart rate, blood oxygen level (concentration), pulse, physical load, number of steps, number of falls, location information, calorie consumption information, sleep information, voice information, respiratory sounds, and heartbeat sounds.

[0020] Device 2e is a body composition monitor. Device 2e is primarily intended for use in online medical consultations in internal medicine, and serves the same purpose as a body composition monitor in face-to-face consultations, for example. Device 2e uses various sensors to acquire at least some of the biometric information, such as blood glucose level, skeletal muscle percentage, bone mass, BMI, body fat percentage, weight (ideal weight and fat-free weight), water content, basal metabolic rate, protein content, skeletal muscle percentage, muscle weight, fat weight, visceral fat grade, subcutaneous fat grade, body age, fat-burning heart rate, nutritional level, and body shape. Device 2e may be combined with a wristwatch-type device, such as device 2d (by transmitting data to device 2d), to acquire and store biometric information. This allows the combination of device 2d and device 2e to be considered a wearable device.

[0021] <System configuration> 2 is a diagram showing an outline of the system configuration of the biometric information acquisition system according to this embodiment. The biometric information acquisition system according to this embodiment is configured by interconnecting a server 1 that performs processing, a patient terminal 3 operated by a patient, and a medical facility terminal 4 that displays biometric information via a predetermined network N such as the Internet. In addition, a wearable device 2 that acquires biometric information and the patient terminal 3 are interconnected using predetermined short-range communication.

[0022] The server 1 executes various processes in cooperation with the wearable device 2, the patient terminal 3, and the medical facility terminal 4. The wearable device 2 may transmit the acquired biological information to the server 1 without going through the patient terminal 3.

[0023] <Hardware configuration> 3 is a block diagram showing the hardware configuration of the server 1 according to this embodiment. The server 1 includes a CPU (Central Processing Unit) 11, a ROM (Read Only Memory) 12, a RAM (Random Access Memory) 13, a bus 14, an input / output interface 15, an output unit 16, an input unit 17, a storage unit 18, a communication unit 19, and a drive 20.

[0024] The CPU 11 executes various processes in accordance with programs recorded in the ROM 12 or programs loaded from the storage unit 18 into the RAM 13. The RAM 13 also stores data and the like required for the CPU 11 to execute various processes. The CPU 11, the ROM 12, and the RAM 13 are interconnected via a bus 14. An input / output interface 15 is also connected to this bus 14.

[0025] The input / output interface 15 is connected to an output unit 16, an input unit 17, a storage unit 18, a communication unit 19, and a drive 20. The output unit 16 is composed of a display, a speaker, etc., and outputs various information as images and sounds. The input unit 17 is composed of a keyboard, a mouse, etc., and inputs various information. The storage unit 18 is composed of a hard disk, a DRAM (Dynamic Random Access Memory), etc., and stores various data. The communication unit 19 communicates with other devices via a network N including the Internet.

[0026] Removable media 21, such as a magnetic disk, optical disk, magneto-optical disk, or semiconductor memory, is appropriately attached to the drive 20. Programs read from the removable media 21 by the drive 20 are installed in the storage unit 18 as needed. The removable media 21 can also store various data stored in the storage unit 18 in the same way as the storage unit 18.

[0027] Although not shown, the wearable device 2, the patient terminal 3, and the medical facility terminal 4 have the hardware configuration shown in Fig. 3. Also, although not shown, the medical facility terminal 4 has the hardware configuration shown in Fig. 3 and further includes a display monitor (dashboard) that displays the patient's biological information. Also, the wearable device 2 includes a transmitter that transmits the acquired biological information to the server 1 or the patient terminal 3, a receiver that receives control information from the medical facility terminal 4, and a controller that controls various sensors based on the control information.

[0028] <Functional configuration> FIG. 4 is a functional block diagram showing an example of the functional configuration of the server 1 according to this embodiment.

[0029] In the CPU 11 of the server 1, an acquisition unit 31, an association unit 32, an alert unit 33, a display control unit 34, a control information reception unit 35, and a control information transmission unit 36 ​​function when the server 1 is operating.

[0030] The acquisition unit 31 acquires biological information of the patient (subject) acquired by a sensor provided in the wearable device 2 (first terminal) worn by the patient, and terminal information including the type of the wearable device 2. As described above, biological information is information about a living body (patient) that is used for medical treatment, examinations, and the like. The terminal information is information indicating the type of the wearable device 2 (for example, which of the above-mentioned devices 2a to 2e it is, or information indicating the manufacturer, product number, etc.) and at least one of the number, type, position, etc. of sensors in the wearable device 2. Note that the terminal information may also include information indicating whether a camera, light, etc. is provided. The acquired biometric information is stored in the biometric information DB 41. The acquired terminal information is stored in the terminal information DB . In this embodiment, an example in which a plurality of biosensors are provided in the wearable device 2 will be described, but the number of sensors provided in the wearable device 2 is not particularly limited and may be one. Also, in this embodiment, an example in which bioinformation is acquired using the wearable device 2 worn by a patient will be described, but this is not limited thereto, and for example, a device provided with sensors may be attached to the patient's clothing or the like to acquire the patient's bioinformation.

[0031] The association unit 32 associates the above-mentioned biometric information with the position of the sensor that acquired the biometric information in the above-mentioned wearable device 2. This allows the display control unit 34, which will be described later, to display on the medical facility terminal 4 an image showing the wearable device 2 and an image showing the position of the sensor in the wearable device 2 that acquired the biometric information.

[0032] The alert unit 33 presents an alert to the medical facility terminal 4 (second terminal). For example, the alert unit 33 issues an alert when the biological information is outside a predetermined range. The predetermined range is, for example, a range that is considered normal for blood pressure (which may differ depending on age, etc.). The predetermined range is assumed to be stored in the storage unit 18 described above. The alert unit 33 may also use a classifier generated by machine learning to determine whether or not the biological information is within the predetermined range. For example, in the case of lung sounds, the alert unit 33 may determine whether or not the lung sounds are normal breathing sounds (whether or not noise is occurring), and if the lung sounds are not normal (if they are not within the predetermined range), an alert may be issued. Furthermore, for example, the alert unit 33 may present an alert based on the patient's past biological information. Since normal values ​​of biological information are expected to differ for each patient, for example, the alert unit 33 may record the biological information of the same patient in the storage unit 18, and present an alert when a difference of a predetermined value or more occurs from the average value (or statistical value such as the median or mode) of the past biological information. The method of presenting the alert is not particularly limited. For example, the alert unit 33 may cause the output unit of the medical facility terminal 4 to display the content of the alert, output an alert sound, or the like. Furthermore, for example, the alert unit 33 may cause the output unit of the patient terminal 3 to display the alert content, display advice based on the alert content, output an alert sound, or the like. Furthermore, for example, the alert unit 33 may output an alert not only to the medical facility terminal, but also to a terminal of an administrator of the biometric information acquisition system according to this embodiment or to a terminal of an affiliated institution other than the medical facility. Then, for example, when an error (alert) is received, the administrator or the like may take action based on the error. For example, if a bedridden elderly person or a user of a nursing home wears the wearable device 2 and a predetermined error occurs, the administrator (service representative) or a person in charge of the affiliated institution (for example, a caregiver or nurse) may escalate the situation based on the error content received (for example, contacting a guarantor or guardian, or contacting an emergency doctor).

[0033] The display control unit 34 controls the display (display means) of the medical facility terminal 4 to display the biological information and the terminal information. In this embodiment, the display control unit 34 displays, on the display described above, an image showing the wearable device 2, an image (item) showing the position of the sensor of the wearable device 2, and the biometric information acquired by the sensor, based on the biometric information and the terminal information. For example, in the case of a clothing-type wearable device 2, the image showing the wearable device 2 is an item showing the shape of the clothing. Furthermore, the display control unit 34 controls the display unit to display operation units (touch buttons, etc.) corresponding to operations that can be controlled by the medical facility terminal 4 (for example, turning lights on / off, etc.) based on the terminal information. The display control unit 34 may display the biological information and terminal information not only on the doctor's side but also on the patient's terminal 3. This allows the doctor and the patient to have a conversation while looking at the same data (for example, biological information), thereby enabling the patient to understand their own symptoms more deeply. There may be multiple patient terminals 3 on the patient side and multiple medical facility terminals 4 on the doctor side. This allows, for example, a patient to receive online medical treatment on a tablet PC while viewing data on another PC or mobile terminal.

[0034] The control information receiving unit 35 receives control information for the wearable device 2 from the medical facility terminal 4. For example, the control information receiving unit 35 receives, from the medical facility terminal 4, a designation of one or more sensors from among the multiple sensors in the wearable device 2. Furthermore, for example, the control information receiving unit 35 receives information relating to various controls in the wearable device 2 from the medical facility terminal 4. Examples of the information relating to various controls include turning on / off the lights, the imaging position and zooming in / out, and the selection of the type of biometric information to acquire. There may be multiple medical facility terminals 4. For example, when an internist examines a patient in cooperation with a specialist, the specialist may perform operations (e.g., designating a sensor) and the internist may view biological information, etc. It is also possible that trainees may view the status of operations being performed by specialists. Specific operating procedures and timing can be recorded or the procedures can be recorded, so that similar procedures can be performed next time based on the optimal procedure record or information registered as a case study, or procedures can be created using machine learning to more accurately understand the patient's condition.

[0035] The control information transmitter 36 instructs the wearable device 2 to control the wearable device 2 based on the control information received by the control information receiver 35 (transmits instruction information). For example, the control information transmitter 36 instructs the wearable device 2 to acquire biological information corresponding to a designated sensor. The wearable device 2 that has received the control information controls various sensors, etc. based on the control information. The control information of the wearable device 2 may also be transmitted to the wearable device 2 via the patient terminal 3.

[0036] In addition, the storage unit 18 of the server 1 shown in FIG. 4 is provided with a biometric information DB 41 and a terminal information DB 42. The biological information DB 41 and the terminal information DB 42 may store information not only from within the company but also from an external DB specific to the testing device via an API connection. For example, if data such as MRI or X-ray data is to be viewed using the dashboard function according to this embodiment, information from a database not stored on the company's server may be read.

[0037] The biometric information DB 41 is a database that stores the biometric information acquired by the acquisition unit 31. The stored biometric information is managed, for example, for each patient (identification ID) in association with the type of sensor, the value of the biometric information (blood pressure, etc.), the acquisition date and time, etc. This information may be stored in an encrypted state. In this case, it is decrypted based on information of a specific decryption key.

[0038] The terminal information DB 42 is a database that stores the terminal information acquired by the acquisition unit 31. The stored terminal information is managed by linking, for example, the product number, the type and position of the sensor, and the installed functions (for example, light, camera, etc.) for each terminal (wearable device 2). This information may be stored in an encrypted state. In this case, it is decrypted based on information of a specific decryption key.

[0039] <Processing content> Fig. 5 is a diagram showing an example of a biological information acquisition process according to this embodiment. Fig. 5 shows the process in the server 1, but the wearable device 2, the patient terminal 3, the medical facility terminal 4, etc. also perform processes in conjunction with the process of the server 1 as appropriate.

[0040] In step S1, the acquisition unit 31 acquires the patient's biometric information acquired by a sensor provided in the wearable device 2 (first terminal) worn by the patient (subject) and terminal information including the type of the wearable device 2.

[0041] In step S2, the association unit 32 associates the above-mentioned biological information with the position of the sensor in the wearable device 2 at which the biological information was acquired (the position corresponding to the part of the patient's body).

[0042] In step S3, the alert unit 33 determines whether the above-mentioned biological information is normal. For example, the alert unit 33 determines the biological information to be "normal" if it is within a predetermined range, and determines the biological information to be "abnormal (not normal)" if it is outside the predetermined range. Furthermore, for example, the alert unit 33 determines that the patient is "normal" if there is a difference of less than a predetermined value from the average value of the past biometric information based on the patient's past biometric information, and determines that the patient is "abnormal" if there is a difference of more than a predetermined value from the average value of the past biometric information.

[0043] In step S4, the alert unit 33 determines whether the determination in step S3 is "abnormal." If it is "abnormal," the process proceeds to step S5, and if not (if it is "normal"), the process proceeds to step S6.

[0044] In step S5, the alert unit 33 presents an alert to the medical facility terminal 4. The alert unit 33 may display the above-mentioned alert on the display units of both the medical facility terminal 4 and the patient terminal 3, or on multiple medical facility terminals 4 or multiple patient terminals 3 as necessary. The content of the alert is recorded in the biological information DB.

[0045] In step S6, the display control unit 34 displays the biological information and the terminal information on the display of the medical facility terminal 4.

[0046] In step S7, the control information receiving unit 35 receives control information for the wearable device 2 from the medical facility terminal 4.

[0047] In step S8, the control information transmitter 36 transmits instruction information to the wearable device 2 to control the wearable device 2 based on the control information received by the control information receiver 35 described above. It is assumed that the wearable device 2 that has received the instruction information acquires the patient's biological information in accordance with the instruction information and transmits it to the server 1. The subsequent processing is the same as steps S1 to S8 described above.

[0048] <Application example> 6 to 11 are diagrams showing application examples of the biometric information acquisition system according to this embodiment. A doctor can check the biological information acquired by the wearable device 2 shown in Figures 6 to 11 on the medical facility terminal 4 (vital information dashboard). In addition, by specifying various sensors, the doctor can check the biological information (numerical information, sound information, etc.) acquired by the specified sensor.

[0049] <Function for Internal Medicine 1> FIG. 6 is a diagram showing an application example (1) in online medical consultation for internal medicine. As shown in Figure 6, by having a patient wear a clothing-type wearable device 2 equipped with various sensors, the functions of a stethoscope used in face-to-face medical consultations can be provided in real time in online medical consultations. That is, by using the wearable device 2 shown in FIG. 6, the following effects can be obtained. - You can hear the sound of the selected location on the screen of the medical facility terminal 4. - Ability to grasp the patient's ventral and dorsal vital signs · Information that can be obtained with a stethoscope in face-to-face medical treatment can also be obtained through online medical treatment.

[0050] Examples of biological information acquired by the wearable device 2 shown in FIG. 6 include lung sounds, abdominal sounds, back sounds, heart sounds, body temperature, and electrocardiograms. In the example of FIG. 6, sound sensors, temperature sensors, electrocardiogram sensors, etc. are provided at positions indicated by symbols V1 to V9. Furthermore, items indicated by symbols D1 to D9 are displayed on the medical facility terminal 4 at positions corresponding to symbols V1 to V9. By selecting a desired sensor (for example, by touching a display unit equipped with a touch panel), a doctor can grasp (confirm) the biological information acquired by the corresponding sensor. Furthermore, by selecting (for example, by touching) a ventral button B1 or a dorsal button B2 displayed on the display unit of the medical facility terminal 4, the doctor can switch between the ventral and dorsal sides of the clothing-side wearable device 2. (It is assumed that various sensors are provided on the dorsal side as well as the ventral side of the wearable device 2.) The doctor can check the patient's vital signs in the area indicated by the symbol D10. The type and number of sensors provided in wearable device 2 are not particularly limited, and multiple sensors of each type may be provided.

[0051] In the example of Figure 6, the following specifications are used, taking into consideration the items necessary for a doctor to make an accurate diagnosis. The chest is divided into right and left -Sensors are installed to listen to the sounds of the upper, middle, and lower lung fields (12 locations in front, back, left, and right) Regarding the heart, sensors are installed to listen to the base (right and left), apex, and center of the heart.

[0052] The doctor can listen to the sound of the selected part by clicking on the part he or she wants to hear on the medical facility terminal 4 (tablet, PC, etc.). It is assumed that the images of the wearable device 2 and the sensor displayed on the medical facility terminal 4 match the positions of the actual wearable device 2 and the sensor. In addition, actual stethoscopes come in bell and diaphragm types, and some are designed to listen mainly to low tones and others to listen mainly to high tones, so it would be good to have a function to switch between them as needed. Also, an auto mode may be provided so that sounds are acquired in a pre-set order. Furthermore, when the alert unit 33 determines that an abnormality has occurred, it may suggest, "Would you like to listen again to the sound from the area where the abnormality is suspected?" Furthermore, if past biological information (e.g., breathing sounds) of the target patient is available, the previous sound and the current sound may be output alternately for comparison with the previous sound (e.g., previous sound), thereby indicating whether or not there is improvement. The doctor may be allowed to choose whether or not to allow audio recording. Furthermore, wearable device 2 may be made of a stretchy fabric so that the position of the sensor can be adjusted to some extent even when worn by an overweight person. The positions of the patient's heart and lungs may be identified based on biological information acquired by a plurality of sensors.

[0053] <Internal Medicine Function 2> FIG. 7 is a diagram showing an application example (2) in online medical consultation for internal medicine. As shown in Figure 7, by having a patient wear a clothing-type wearable device 2 equipped with various sensors, the functions of a blood pressure monitor used in face-to-face medical treatment can be provided in real time in online medical treatment. That is, by using the wearable device 2 shown in FIG. 7, the following effects can be obtained. - Patient's blood pressure and heart rate can be monitored in real time - Blood pressure can be measured at any desired position, such as the arm or wrist. - Biometric information (blood pressure) can be checked on the medical facility terminal 4

[0054] Examples of biological information acquired by the wearable device 2 shown in FIG. 7 include blood pressure at various positions. 7, pressure sensors for measuring blood pressure are provided at positions indicated by symbols V11 to V14. Furthermore, the medical facility terminal 4 displays items indicated by symbols D11 to D14 at positions corresponding to symbols V11 to V14.

[0055] The position of the blood pressure sensor may be remotely operated (controlled) by a doctor. Also, if the sensor electrodes are weak, a function may be provided that allows the doctor to remotely change the electromagnetic field. Also, a function that allows a doctor to adjust the sensitivity remotely may be provided, since the sensor may not react to an overweight person at normal sensitivity. In addition, since there may be a difference in blood pressure between the right and left sides, it is preferable that blood pressure sensors are attached to both sides. Note that an alert may be issued if the difference in blood pressure between the left and right sides exceeds a specified value.

[0056] <<Function for Internal Medicine 3>> FIG. 8 is a diagram showing an application example (3) in online medical consultation for internal medicine. As shown in Figure 8, by having a patient wear a clothing-type wearable device 2 equipped with various sensors, the functions of an electrocardiogram measuring device used in face-to-face medical treatment can be provided in real time in online medical treatment. That is, by using the wearable device 2 shown in FIG. 8, the following effects can be obtained. - Real-time electrocardiogram monitoring For example, it is possible to obtain an electrocardiogram in a 12-lead electrocardiogram test (it can also be obtained at three points: the right shoulder, left shoulder, and abdomen). - Biometric information (electrocardiogram) can be checked on the medical facility terminal 4

[0057] Examples of biological information acquired by the wearable device 2 shown in FIG. 8 include an electrocardiogram. In the example of FIG. 8, electrocardiogram sensors are provided at positions indicated by symbols V21 to V29 (including some). Items indicating electrocardiograms indicated by symbols D21 to D22 are also displayed on the medical facility terminal 4. Note that, although nine sensors are displayed as an example in the example of FIG. 8, for example, 20 sensors may be provided and the doctor may decide which sensor to use. This allows the doctor to use the sensor provided at the position corresponding to the doctor's desired part (part of the patient's body) regardless of the body shape of the patient wearing the wearable device 2. The medical facility terminal 4 may display items for the doctor to specify at positions corresponding to symbols V21 to V29.

[0058] As above, there may be a feature that allows a physician to remotely change the electromagnetic field if the sensor electrodes are weak. As mentioned above, a function may be provided that allows a doctor to remotely adjust the sensitivity. Note that a function may also be provided that allows a doctor to remotely change the electromagnetic field if the sensor electrodes are weak. In addition, the application on the patient terminal 3 may provide guidance on how to wear the wearable device 2 (for example, "Please wear the left side more closely"), and in this case, an alert may be displayed to the patient to let them know whether the device is being worn correctly. In addition, when a device malfunctions (for example, a voltage drop, etc.), the malfunction may be automatically detected and an alert may be issued. In addition, by attaching a pad equipped with an electrocardiogram sensor to the patient's own clothing, the patient's clothing may be used as the wearable device 2. In this case, biological information is transmitted from the pad to the patient terminal 3.

[0059] <Functions for ophthalmology> FIG. 9 is a diagram showing an application example in online ophthalmology consultation. As shown in Figure 9, by having a patient wear a goggle-type wearable device 2 equipped with various sensors, the functions of an ophthalmic examination device used in face-to-face medical consultations can be provided in real time in online medical consultations. That is, by using the wearable device 2 shown in FIG. 9, the following effects can be obtained. - Real-time information specific to ophthalmology can be obtained -Performs detailed operations and light control

[0060] Examples of biological information acquired by the wearable device 2 shown in FIG. 9 include information on the fundus, slit lamp, corneal scars, visual acuity, intraocular pressure, and corneal condition. 9, an image of the eye indicated by the symbol D31, the intraocular pressure (not shown), etc. are displayed on the medical facility terminal 4. Examples of the image of the eye that may be displayed include the sclera, iris, cornea, anterior chamber, crystalline lens, and vitreous body (including a part thereof). Furthermore, the doctor can change the type of image shown in symbol D31 by selecting one of the buttons shown in symbols B31 to B33. Furthermore, the doctor can control the ON / OFF of the illumination (light) in the wearable device 2 by pressing (or touching) the button indicated by the reference symbol B34. Furthermore, the doctor can change the range and position included in the image shown by reference symbol D31 by pressing (or touching) the button shown by reference symbol B35. Note that, for example, the doctor can also control the display of the wearable device 2 to display an image for a visual acuity test or the like.

[0061] It is also possible to recognize the position of the patient's eyelashes, etc., to check whether the patient is wearing the wearable device 2 correctly, and to output an alert if the patient is not wearing the device correctly.

[0062] <Functions for Internal Medicine and Otolaryngology> FIG. 10 is a diagram showing an example of application in online otolaryngology consultations. As shown in Figure 10, by having a patient wear a headphone-type wearable device 2 equipped with various sensors, the functions of an otoscope used in face-to-face medical consultations can be provided in real time even in online medical consultations. That is, by using the wearable device 2 shown in FIG. 10, the following effects can be obtained. - Visual information specific to ENT clinics can be grasped in real time -Performs detailed operations and light control -Can be zoomed in or out

[0063] Examples of biological information acquired by the wearable device 2 shown in FIG. 10 include visual images (tympanic membrane, outer ear, nasal cavity, etc.), tympanometry (pressure), hearing, the state of the oral cavity, the larynx, and the like. 10, a disposable cover indicated by reference symbol V41 can be attached. The disposable cover is provided with, for example, a camera (imaging unit), a light, etc. Also, an image indicating tympanometry indicated by reference symbol D41 is displayed on the medical facility terminal 4. Furthermore, the doctor can change the type of image (visual image, hearing, tympanometry, etc.) shown at D41 by selecting buttons B41 to B43. When a visual image is displayed, a button for controlling ON / OFF of illumination (light) in the wearable device 2 may be displayed. For hearing, for example, a button for controlling the wearable device 2 to emit a predetermined sound for testing hearing may be displayed. Furthermore, by the doctor pressing (or touching) the button indicated by reference symbol B44, the range and position included in the image indicated by reference symbol D41 can be changed.

[0064] It is also possible to recognize and display whether the biological information is from the left or right ear. In this case, when wearing the wearable device 2, the patient should distinguish between the left and right ears. Also, an auto mode may be provided, in which the left and right sides are diagnosed in turn, for example. Also, an alert may be presented when the surrounding noise is loud (for example, above a certain decibel level). For example, if the volume of the television is loud, an alert such as "Please turn it off" may be presented.

[0065] <Dermatology features> FIG. 11 is a diagram showing an application example in online medical consultations in dermatology. As shown in Fig. 11, by having a patient wear (operate) a wearable device 2 equipped with various sensors, the dermoscopy function used in face-to-face medical consultations can be provided in real time in online medical consultations. The wearable device 2 shown in Fig. 11 is assumed to be equipped with, for example, a camera (imaging unit), a light, etc. That is, by using the wearable device 2 shown in FIG. 11, the following effects can be obtained. - Visual information specific to dermatology can be grasped in real time -Performs detailed operations and light control -Can be zoomed in or out

[0066] Examples of biological information acquired by the wearable device 2 shown in FIG. 11 include information related to a visual image (such as an image of the surface of the skin). In the example of FIG. 11, the medical facility terminal 4 displays a visual image of skin indicated by reference numeral D51. Furthermore, the doctor can change the type of image shown by reference symbol D41 by selecting the button shown by reference symbol B51. When a visual image is displayed, a button for controlling ON / OFF of the illumination (light) in the wearable device 2 may be displayed. Furthermore, by the doctor pressing (or touching) the buttons indicated by the symbols B52 to B54, the range and position included in the image indicated by the symbol D41 can be changed or enlarged / reduced.

[0067] Other features In addition to the functions shown in FIGS. 6 to 11, for example, it is possible to grasp in real time biological information acquired by the following devices (equipped with a communication function). Fetal heart rate, fetal movement, and uterine contraction pressure in online obstetric consultations (Wearable device 2 was an NST measurement device equipped with an ultrasound transducer.) Biometric information obtained by combining a body composition monitor and a wristwatch-type device (e.g., weight, body fat, basal metabolism, muscle mass, BMI, blood sugar level, etc.) Biometric information acquired by a wristwatch-type device (e.g., systolic blood pressure, diastolic blood pressure, heart rate, etc.) - Biological information obtained by a pulse oximeter (e.g., oxygen saturation, heart rate, etc.) Biological information obtained by blood glucose measurement devices (e.g., random blood glucose, continuous blood glucose, etc.) Biometric information obtained by electroencephalogram (EEG) measurement devices (e.g., brain waves, etc.) Biometric information obtained by other designated contactless devices

[0068] <Advantageous Effects of the Present Embodiment> According to the above-described embodiment, in online medical consultations, doctors can obtain a patient's biometric information in real time. It is also possible to compare the obtained information with the patient's past biometric information. Using a wearable device can reduce the burden on the patient (user) and allow biometric information to be obtained over a long period of time without interfering with measurement operations. Furthermore, by obtaining a patient's biometric information in real time during online medical consultations, patients can receive a diagnosis from a specialist regardless of their location. This enables early detection of symptoms and flexible prevention of recurrence, leading to reduced medical costs and improved quality of life for citizens.

[0069] Furthermore, according to the above-described embodiment, the doctor can remotely control the wearable device 2, thereby obtaining the biological information that the doctor intends, in the same way as in face-to-face medical treatment.

[0070] Furthermore, according to the above-described embodiment, by using an information protocol, API, and SDK that can be installed on any device (wearable device 2; hardware communication device), it is possible to acquire a patient's biometric information without depending on the device. It is also possible to indirectly acquire medical information remotely by reading information stored in a storage area of ​​the device itself using a reading terminal connected to a computer. For example, a blood pressure monitor may include a recording medium such as FeliCa (registered trademark), and the patient's condition may be ascertained by reading the recording medium. Furthermore, steps instructed by a doctor via remote control may be stored in advance on the recording medium, and the contents of the recording medium may be read into a specific hardware device, thereby reading the patient's biometric information according to the steps specified by the doctor. The recording medium may be either a contactless type or a contact type.

[0071] Furthermore, according to the above-described embodiment, abnormalities in biological information detected by the alert unit (for example, AI) are presented to a doctor, so that an accurate diagnosis can be made without overlooking the abnormalities.

[0072] Furthermore, according to the above-described embodiment, the acquired biological information can be stored in a storage unit and accumulated as an electronic medical record. The accumulated data can be checked by the patient himself / herself using a patient terminal or the like. The accumulated data can also be used as various research data.

[0073] Furthermore, according to the above-described embodiment, by lending or leasing the wearable device 2 for use in online medical consultations, accurate online medical consultations can be widely and generally spread.

[0074] Although one embodiment of the present invention has been described above, the present invention is not limited to the above-described embodiment, and modifications, improvements, etc. within the scope of achieving the object of the present invention are included in the present invention.

[0075] (Variation) In the above embodiment, an example was described in which the alert unit detects abnormalities in biological information and presents them on the medical facility terminal, but the alert unit (AI) may learn the test patterns in online medical consultations and issue an alert if a test is missed from the next time onwards.Furthermore, the patient may acquire biological information at home every day, and the alert unit may present suggestions for improving lifestyle habits based on the biological information.

[0076] Furthermore, in the above-described embodiment, no particular mention is made of the size of the wearable device, but the wearable device may be used in sizes that fit the patient's body shape, such as S, M, L, etc. Also, various sensors may be made detachable and attached to existing clothing (for example, they may be attached to clothing).

[0077] In the above embodiment, an example has been described in which a doctor and a patient at a medical facility conduct online medical consultations, but the present invention is not limited to this and can also be applied to, for example, periodic medical checkups (e.g., eye examinations) at nursing care facilities. In this case, it is preferable that a caregiver, nurse, or the like is present on-site to support the operation of the wearable device 2.

[0078] In the above embodiment, an example was described in which biological information and the like is transmitted when instructions from a user, a doctor, or the like are received, but even without receiving instructions, the acquired biological information can be automatically stored in a memory area set in the wearable device by simply wearing the wearable device and turning it on, and the information stored in the memory area of ​​the wearable device can be saved to a server via the patient terminal (such as a mobile phone) when it is connected to a patient terminal via a network. This is in consideration of the need to handle wearable device terminals that require 24-hour monitoring due to communication environment interruptions, for example.

[0079] Furthermore, in the above-described embodiments, the wearable device may include an NST (Non-Stress Test) measurement device equipped with an ultrasound transducer used in online obstetric consultations.

[0080] In addition, in the above-described embodiments, the wearable device may include at least one of a measurement device that measures biological information including body shape information when worn, and a measurement device that measures facial color. Here, an example of a measurement device that is worn to measure biological information including body shape information is a full-body suit type device. Furthermore, an example of a measuring device for measuring facial color is a device that measures facial color based on image information captured while a user is wearing eyeglasses with frames that display multiple colors.

[0081] In the above-described embodiment, the control information receiving unit 35 (receiving means) may receive diagnostic information relating to a specific diagnosis (for example, asthma). At this time, the display control unit 34 (display control means) may highlight and display information corresponding to diagnostic information from at least one of the biometric information, drug information, and medical records on the display (display means) of the medical facility terminal 4 (second terminal). For example, when the information "asthma" is received from a doctor as diagnostic information, the medical facility terminal 4 may display information such as "breath sounds" which is biological information corresponding to "asthma" and "steroids" which is drug information.

[0082] In addition, in the above-described embodiment, in the case of an initial online medical consultation, the display control unit 34 (display control means) may display information corresponding to the above-described diagnostic information on the display (display means) of the medical facility terminal 4 (second terminal). Specifically, it is advisable to group by medical department, and, for example, pick out those related to blood pressure and display them as information corresponding to the diagnosis information.

[0083] (others) Furthermore, for example, the above-described series of processes can be executed by hardware or software. In other words, the above-described functional configuration is merely an example and is not particularly limited. That is, it is sufficient for the information processing system to have the function of executing the above-described series of processes as a whole, and the type of functional block used to realize this function is not particularly limited to the above example. Furthermore, the location of the functional block is not particularly limited to that shown in FIG. 4 and may be arbitrary. For example, the functional block of a server may be transferred to another terminal, device, etc. Conversely, the functional block of another terminal or device may be transferred to a server, etc. Furthermore, one functional block may be configured as a single piece of hardware, a single piece of software, or a combination thereof.

[0084] When a series of processes is executed by software, the programs constituting the software are installed onto a computer or the like from a network or a recording medium. The computer may be a computer incorporated into dedicated hardware. The computer may also be a computer capable of executing various functions by installing various programs, such as a server, a general-purpose smartphone, or a personal computer.

[0085] The recording medium containing such a program may be configured as a removable medium (not shown) that is distributed separately from the device main body in order to provide the program to users, etc., or may be configured as a recording medium that is pre-installed in the device main body and provided to users, etc. Since the program can be distributed via a network, the recording medium may be installed in or accessible from a computer that is connected or connectable to the network.

[0086] In this specification, the steps describing the program recorded on the recording medium include not only processes that are performed in chronological order, but also processes that are not necessarily performed in chronological order but are performed in parallel or individually. Also, in this specification, the term "system" means an overall device composed of multiple devices or multiple means, etc.

[0087] In other words, the information processing device to which the present invention is applied can take various forms having the following configurations. That is, (1) it is an information processing device having an acquisition means (e.g., acquisition unit 31) that acquires biometric information of a subject acquired by a sensor (including an imaging sensor) provided on a first terminal worn by the subject and terminal information including the type of the first terminal, a storage means (e.g., storage unit 18) that stores the acquired biometric information and the terminal information, a display control means (e.g., display control unit 34) that displays the biometric information and the terminal information on a display means of a second terminal different from the first terminal, a receiving means (e.g., control information receiving unit 35) that receives control information for the first terminal from the second terminal, and an instruction means (e.g., control information transmitting unit) that instructs the first terminal to control the first terminal based on the received control information. This allows medical professionals to accurately obtain biometric information of patients during online medical consultations, etc.

[0088] Also, (2) the display control means may display, on the display means, an image showing the first terminal, an image showing the position of the sensor of the first terminal, and the biometric information acquired by the sensor, based on the biometric information and the terminal information. This allows a doctor or the like to accurately know, for example, which wearable device acquired the biological information and from which position (site).

[0089] Also, (3) the first terminal is provided with a plurality of the sensors, the receiving means receives designation of one or more of the plurality of sensors from the second terminal, and the instruction means instructs the first terminal to acquire biometric information corresponding to the designated sensor. This allows a doctor or other medical professional to instruct the sensor at a desired position to acquire biometric information corresponding to the sensor, thereby enabling biometric information to be acquired according to the doctor or other medical professional's wishes, just as in face-to-face medical treatment.

[0090] Also, (4) the terminal information includes information regarding the position of the sensor in the first terminal, and the device may further include a matching means (e.g., a matching unit 32) that matches the biometric information with the position of the sensor in the first terminal from which the biometric information was acquired. This allows a doctor or other medical professional to check the medical facility terminal and understand which sensor in the wearable device is acquiring the corresponding biological information.

[0091] (5) It is preferable that the device further includes a first alert means (for example, an alert unit 33) that presents an alert to the second terminal when the biometric information is outside a predetermined range. This allows the patient to receive appropriate medical treatment when an abnormality occurs in the biological information without overlooking the abnormality.

[0092] (6) It is preferable that the device further comprises a second alert means for presenting an alert to the second terminal based on past biological information of the subject. This allows a comparison with the patient's past information to reveal any abnormalities in the patient's biological information, allowing the patient to receive appropriate medical treatment without overlooking the abnormality.

[0093] Also, (7) the first terminal may include an NST (Non-Stress Test) measuring device equipped with an ultrasonic transducer used in online obstetric consultations. This will enable non-stress test information to be sent, stored, viewed, etc. in online obstetric consultations.

[0094] Also, (8) the first terminal may include at least one of a measurement device that measures the biometric information including body shape information when worn, and a measurement device that measures facial color. This makes it possible to acquire information such as body shape and complexion, which could not be acquired with conventional biometric information acquisition devices.

[0095] Also, (9) the receiving means may receive diagnostic information relating to a specific diagnosis, and the display control means may highlight and display on the display means of the second terminal information corresponding to the diagnostic information from at least one of the biometric information, drug information, and medical records. This allows diagnostic information relating to the diagnosis to be automatically displayed.

[0096] Also, (10) in the case of an initial online medical consultation, the display control means may display information corresponding to the diagnostic information on the display means of the second terminal. This allows patient information to be displayed to doctors and others in advance, like a medical questionnaire.

[0097] In addition, (11) this can also be considered as a control method for an information processing device having an acquisition step of acquiring biometric information of a subject acquired by a sensor (including an imaging sensor) provided on a first terminal worn by the subject and terminal information including the type of the first terminal, a display control step of displaying the biometric information and the terminal information on a display means of a second terminal different from the first terminal, a receiving means of receiving control information for the first terminal from the second terminal, and an instruction step of instructing the first terminal to control the first terminal based on the received control information.

[0098] (12) an acquisition step of acquiring biometric information of the subject acquired by a sensor (including an image sensor) provided in a first terminal worn by the subject, and terminal information including a type of the first terminal; a display control step of displaying the biometric information and the terminal information on a display means of a second terminal different from the first terminal; a receiving means for receiving control information for the first terminal from the second terminal; an instruction step of instructing the first terminal to control the first terminal based on the received control information; It can also be considered as a computer program for causing a computer to execute the above. [Explanation of symbols]

[0099] 1: Server 2: Wearable device 3: Patient terminal 4: Medical facility terminal 11: CPU 18: Memory unit 19: Communication unit 31: Acquisition unit 32: Correspondence unit 33: Alert unit 34: Display control unit 35: Control information reception unit 36: Control information transmission unit

Claims

1. an acquisition means for acquiring biometric information of the subject acquired by a sensor provided in a first terminal worn by the subject, and terminal information including a type of the first terminal; a storage means for storing the acquired biometric information and the acquired terminal information; a display control means for controlling the biometric information and the terminal information to be displayed on a display means of a second terminal different from the first terminal; a receiving means for receiving control information for the first terminal from the second terminal; an instruction means for instructing the first terminal to control the first terminal based on the received control information; and the receiving means receives diagnostic information relating to a specific diagnosis; The display control means is an information processing device that controls the display means of the second terminal to highlight and display information corresponding to the diagnostic information from at least one of the biological information, drug information, and medical records.

2. The first terminal is provided with a plurality of the sensors, the accepting means accepts designation of one or more sensors from the second terminal; the instruction means instructs the first terminal to acquire biometric information corresponding to a designated sensor; The information processing device according to claim 1 .

3. the terminal information includes information about a position of the sensor in the first terminal; The device further includes an association unit that associates the biometric information with a position of the sensor in the first terminal identified based on the terminal information. The information processing device according to claim 1 .

4. The device further includes a first alert means for presenting an alert to the second terminal when the biological information is outside a predetermined range. The information processing device according to claim 1 .

5. The method further includes a second alert means for presenting an alert to the second terminal based on past biological information of the subject. The information processing device according to claim 1 .

6. The first terminal includes an NST (Non-Stress Test) measuring device equipped with an ultrasound transducer used in online obstetric consultations. The information processing device according to claim 1 .

7. the first terminal includes at least one of a measurement device that measures the biometric information including body shape information when worn, and a measurement device that measures facial color; The information processing device according to claim 1 .

8. The display control means controls the display means of the second terminal to display information corresponding to the diagnosis information in the case of an initial online medical consultation. The information processing device according to claim 1 .

9. an acquisition step of acquiring biometric information of the subject acquired by a sensor provided in a first terminal worn by the subject and terminal information including a type of the first terminal; a display control step of controlling the biometric information and the terminal information to be displayed on a display means of a second terminal different from the first terminal; a receiving step of receiving control information for the first terminal from the second terminal; an instruction step of instructing the first terminal to control the first terminal based on the received control information; and In the receiving step, diagnostic information relating to a specific diagnosis is received; A control method for an information processing device, in which, in the display control step, information corresponding to the diagnostic information from at least one of the biological information, drug information, and medical records is controlled to be displayed in an emphasized manner on the display means of the second terminal.

10. an acquisition step of acquiring biometric information of the subject acquired by a sensor provided in a first terminal worn by the subject and terminal information including a type of the first terminal; a display control step of controlling the biometric information and the terminal information to be displayed on a display means of a second terminal different from the first terminal; a receiving step of receiving control information for the first terminal from the second terminal; an instruction step of instructing the first terminal to control the first terminal based on the received control information; A computer program for causing a computer to execute the above. In the receiving step, diagnostic information relating to a specific diagnosis is received; In the display control step, control is performed so that information corresponding to the diagnostic information among at least one of the biological information, the drug information, and the medical record is displayed in an emphasized manner on the display means of the second terminal. Computer program.

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