Information processing device, information processing method, and program

The information processing device automates the matching of clinical trials with insurance claim information to provide users with relevant trials, addressing the challenge of manual selection and improving suitability.

JP7734223B2Active Publication Date: 2025-09-04THE TOKIO MARINE & FIRE INSURANCE CO LTD +3
View PDF 1 Cites 0 Cited by

Patent Information

Application Number
JP2024022038
Authority / Receiving Office
JP · JP
Patent Type
Patents
Current Assignee / Owner
Filing Date
2024-02-16
Publication Date
2025-09-04
Estimated Expiration
2044-02-16

AI Technical Summary

Technical Problem

Existing systems require users to manually select clinical trials, which can be challenging due to a lack of awareness among doctors and difficulty in finding suitable trials for a user's condition.

Method used

An information processing device that acquires insurance claim information, extracts clinical trials with predetermined correlations, and displays relevant trials on a user's terminal, considering diagnosis, location, medical history, and participation eligibility.

Benefits of technology

Facilitates easier access to suitable clinical trials by automating the matching process based on insurance claim information, reducing the user's search effort and improving relevance to their condition.

✦ Generated by Eureka AI based on patent content.

Smart Images

  • Figure 0007734223000001
    Figure 0007734223000001
  • Figure 0007734223000002
    Figure 0007734223000002
  • Figure 0007734223000003
    Figure 0007734223000003
Patent Text Reader

Abstract

To make it easier to provide a user with clinical trial-related information suitable for the condition of the user.SOLUTION: An information processing device 1 according to an embodiment of the present invention comprises an acquisition unit 131 for acquiring insurance claim information regarding a claim for an insurance payment for treatment of a disease suffered by a user under an insurance policy subscribed by the user, an extraction unit 132 configured to extract clinical trials having certain relevance to the insurance claim information as relevant clinical trials from among multiple clinical trials shown by pre-stored clinical trial information, and a display control unit 133 for displaying information indicating the relevant clinical trials on an information terminal.SELECTED DRAWING: Figure 2
Need to check novelty before this filing date? Find Prior Art

Description

[Technical Field]

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

[0002] Patent Document 1 describes a system that displays a list of clinical trials on an information terminal used by a user and accepts an application from the user to participate in one of the displayed clinical trials. [Prior art documents] [Patent documents]

[0003] [Patent Document 1] Japanese Patent Publication No. 2022-48633 Summary of the Invention [Problem to be solved by the invention]

[0004] Conventionally, a doctor in charge of a patient user may suggest a clinical trial to the user, but not all doctors are necessarily aware of information about various clinical trials. The system described in Patent Document 1 requires the user to select the clinical trial in which they wish to participate, which poses a problem in that it is not easy for the user to find a clinical trial that is suitable for the user's own condition.

[0005] The present invention has been made in consideration of these points, and aims to make it easier to provide users with information about clinical trials that is appropriate for their condition. [Means for solving the problem]

[0006] An information processing device according to a first aspect of the present invention includes an acquisition unit that acquires insurance claim information relating to claims for insurance payments for treatment of an illness suffered by a user under an insurance policy subscribed to by the user, an extraction unit that extracts, from among a plurality of clinical trials indicated by pre-stored clinical trial information, clinical trials that have a predetermined correlation with the insurance claim information as related clinical trials, and a display control unit that displays information indicating the related clinical trials on an information terminal.

[0007] The extraction unit may extract the clinical trial as the related clinical trial on the condition that the diagnosis name of the subject of the clinical trial indicated in the clinical trial information matches or is similar to the diagnosis name indicated in the insurance claim information.

[0008] The extraction unit may extract the clinical trial as the related clinical trial, provided that the user's address or the location of the medical institution where the user received treatment is included within a specified range based on the facility where the clinical trial indicated by the clinical trial information is conducted.

[0009] The extraction unit may extract, from among the multiple clinical trials indicated by the clinical trial information, clinical trials that have a predetermined correlation with the multiple pieces of insurance claim information previously received from the user as the related clinical trials.

[0010] The extraction unit may extract, as the related clinical trial, a clinical trial that has a predetermined correlation with multiple pieces of insurance claim information previously received from the user and that corresponds to the user's treatment at multiple medical institutions.

[0011] The extraction unit may extract the clinical trial as the related clinical trial on the condition that the medical history or treatment history of the user indicated in the plurality of pieces of insurance claim information matches the criteria of the clinical trial indicated in the clinical trial information.

[0012] The extraction unit may identify whether the disease is a first-time occurrence or a recurrence for the user based on multiple pieces of insurance claim information, and extract the clinical trial as the related clinical trial on the condition that the identification result of whether the disease is a first-time occurrence or a recurrence matches the criteria indicated by the clinical trial information.

[0013] The acquisition unit may further acquire insurance contract information indicating the contents of the contract between the user and the business providing the insurance, and the extraction unit may extract, from among the multiple clinical trials indicated by the clinical trial information, clinical trials that have a predetermined correlation with the insurance claim information and the insurance contract information as the related clinical trials.

[0014] The acquisition unit may further acquire clinical trial history information indicating whether other users different from the user have been permitted to participate in any of the multiple clinical trials indicated by the clinical trial information in the past, the extraction unit may determine whether the user is likely to be permitted to participate in the related clinical trial based on the clinical trial history information, and the display control unit may display information indicating the related clinical trial on the information terminal, on the condition that the extraction unit determines that the user is likely to be permitted to participate in the related clinical trial.

[0015] The extraction unit may determine the probability that the user will be allowed to participate in the related clinical trial based on the clinical trial history information, and the display control unit may associate information indicating the related clinical trial with information indicating the probability and display the information on the information terminal.

[0016] The information processing device may further include an update unit that updates extraction conditions used by the extraction unit to extract the related clinical trials based on the clinical trial history information.

[0017] The acquisition unit may acquire additional information regarding the user's body that is entered into the information terminal used by the user after the insurance claim has been made, and the extraction unit may extract clinical trials that have a predetermined correlation with the insurance claim information and the additional information as the related clinical trials.

[0018] The information processing device may further include a detection unit that detects differences between the insurance claim information and the additional information by comparing the insurance claim information and the additional information.

[0019] An information processing method of a second aspect of the present invention includes the steps of: acquiring insurance claim information regarding a claim for insurance money for treatment of an illness suffered by a user under an insurance policy to which the user has subscribed; extracting, from among multiple clinical trials indicated by pre-stored clinical trial information, clinical trials that have a predetermined correlation with the insurance claim information as related clinical trials; and displaying information indicating the related clinical trials on an information terminal.

[0020] A third aspect of the program of the present invention causes a processor to execute the steps of acquiring insurance claim information regarding claims for insurance payments for treatment of an illness suffered by a user under an insurance policy to which the user has subscribed; extracting, from among multiple clinical trials indicated by pre-stored clinical trial information, clinical trials that have a predetermined correlation with the insurance claim information as related clinical trials; and displaying information indicating the related clinical trials on an information terminal. [Effects of the Invention]

[0021] The present invention has the effect of making it easier to provide users with information about clinical trials that is suited to their condition. [Brief explanation of the drawings]

[0022] [Figure 1] 1 is a schematic diagram of an information processing system according to an embodiment. [Figure 2] 1 is a block diagram of an information processing system according to an embodiment. [Figure 3] FIG. 2 is a schematic diagram of exemplary insurance claim and policy information. [Figure 4] FIG. 1 is a schematic diagram of exemplary clinical trial information and clinical trial history information. [Figure 5] FIG. 1 is a schematic diagram for explaining a method by which an information processing device according to an embodiment extracts related clinical trials. [Figure 6] FIG. 1 is a schematic diagram of a user terminal displaying exemplary related clinical trial information. [Figure 7] FIG. 10 is a flowchart illustrating an exemplary information processing method executed by an information processing apparatus according to an embodiment. [Figure 8] FIG. 10 is a schematic diagram for explaining a method in which an information processing device according to a modified example extracts related clinical trials. [Figure 9] 10 is a schematic diagram for explaining a method in which an update unit according to a modified example updates extraction conditions. FIG. DETAILED DESCRIPTION OF THE INVENTION

[0023] 1 is a schematic diagram of an information processing system S according to this embodiment. The information processing system S includes an information processing device 1 and a user terminal 2. The information processing system S may also include other terminals, devices, etc.

[0024] The information processing device 1 is a computer that performs processing to provide users with information about clinical trials. The information processing device 1 may be a single device or multiple devices. The information processing device 1 may also be one or multiple virtual servers operating on a cloud, which is a collection of computer resources.

[0025] The user terminal 2 is an information terminal used by a user. The user is a person who has filed an insurance claim in response to a predetermined illness in the past. The user has an insurance contract with a predetermined business (such as an insurance company) for treatment of the illness that the user has contracted. The insurance contracted by the user includes, for example, medical insurance, life insurance, and special provisions regarding illness in non-life insurance. If the user contracts a predetermined illness, the user can receive the insurance money specified in the insurance contract by filing an insurance claim with the business.

[0026] The user terminal 2 is, for example, an information terminal such as a smartphone, a tablet terminal, or a personal computer. The user terminal 2 has a display unit such as a liquid crystal display for displaying information and an operation unit such as a touch panel for receiving operations. The user terminal 2 transmits and receives information to and from the information processing device 1 via communication. In addition, an information terminal used by a business operator who has a contract with a user may have a configuration similar to that of the user terminal 2.

[0027] An outline of the processing executed by the information processing system S according to this embodiment will be described below. The information processing device 1 acquires insurance claim information related to the claim for insurance money for treatment of an illness suffered by the user under the insurance to which the user has subscribed. The insurance claim information includes, for example, the date of the insurance claim, the name of the illness (diagnosis) for which the insurance claim is made, the name of the medical institution where the user received treatment, etc.

[0028] The information processing device 1 extracts, from among multiple clinical trials indicated by pre-stored clinical trial information, clinical trials that have a predetermined correlation with the acquired insurance claim information as related clinical trials related to the user's condition (medical condition, physical condition, etc.). Related clinical trials are, for example, clinical trials that target a diagnosis that matches or is similar to a diagnosis indicated in the insurance claim information. The information processing device 1 displays information indicating the extracted related clinical trials on a user terminal 2 or other information terminal used by the user.

[0029] With this configuration, the information processing system S extracts clinical trials related to the user's insurance claim information and displays information about the extracted clinical trials on the information terminal. This allows the information processing system S to suggest clinical trials that correspond to the insurance claim information without the user having to search for the clinical trial themselves, making it easier to provide the user with information about clinical trials that are suitable for the user's condition.

[0030] [Configuration of Information Processing System S] FIG. 2 is a block diagram of an information processing system S according to this embodiment. In FIG. 2, arrows indicate main data flows, and data flows other than those shown in FIG. 2 may also exist. In FIG. 2, each block indicates a functional configuration rather than a hardware (device) configuration. Therefore, the blocks shown in FIG. 2 may be implemented in a single device, or may be implemented separately in multiple devices. Data may be exchanged between blocks via any means, such as a data bus, a network, or a portable storage medium.

[0031] The information processing device 1 has a communication unit 11, a storage unit 12, and a control unit 13. The communication unit 11 has a communication controller for transmitting and receiving data to and from the user terminal 2 via a network. The communication unit 11 notifies the control unit 13 of data received from the user terminal 2 via the network. The communication unit 11 also transmits data output from the control unit 13 to the user terminal 2 via the network.

[0032] The storage unit 12 is a storage medium including a ROM (Read Only Memory), a RAM (Random Access Memory), a hard disk drive, etc. The storage unit 12 may be provided outside the information processing device 1, in which case data may be exchanged between the storage unit 12 and the control unit 13 via a network.

[0033] The storage unit 12 pre-stores programs to be executed by the control unit 13. The storage unit 12 also includes an insurance claim information database that stores insurance claim information, an insurance contract information database that stores insurance contract information, a clinical trial information database that stores clinical trial information, and a clinical trial history information database that stores clinical trial history information.

[0034] At least some of the insurance claim information, insurance contract information, clinical trial information, and clinical trial history information may be stored as character string data or the like, rather than in a database. At least some of the insurance claim information, insurance contract information, clinical trial information, and clinical trial history information may be stored in a storage device different from the information processing device 1. Two or more pieces of information from the insurance claim information, insurance contract information, clinical trial information, and clinical trial history information may be combined in advance as a single piece of data.

[0035] FIG. 3(a) is a schematic diagram of exemplary insurance claim information. The insurance claim information is information related to an insurance claim for treatment of an illness suffered by a user under an insurance policy to which the user has subscribed. The insurance claim information includes, for example, the claim date, reason for claim, diagnosis, illness code (identification information for identifying the illness), medical institution, length of hospitalization, medical fee details, medical certificate, etc., registered when the user claims insurance from the business operator. The insurance claim information database stores, for example, user identification information (user ID (identifier)) for identifying each of multiple users and one or more pieces of insurance claim information for the user, in association with each other.

[0036] FIG. 3(b) is a schematic diagram of exemplary insurance contract information. Insurance contract information is information indicating the details of the contract between the user and the business that provides the insurance. The insurance contract information includes, for example, the name, age, gender, address, contact information, proxy claimant, insurance product, enrollment date, contract status, etc., registered for the contract between the user and the business. The insurance contract information database stores, for example, a user ID for identifying each of multiple users and the insurance contract information of the user in association with each other.

[0037] FIG. 4(a) is a schematic diagram of exemplary clinical trial information. The clinical trial information is information indicating a clinical trial for which participants are being recruited. The clinical trial information includes, for example, the recruitment status, the phase of the clinical trial, information about the site of the trial, information about the drug or treatment being tested, participant inclusion criteria, and participant exclusion criteria. Participant inclusion criteria include, for example, age, location, diagnosis, whether or not the case is new, and mutant genotype. Participant exclusion criteria include, for example, medications used, treatments, and physical conditions.

[0038] The clinical trial information database stores, for example, clinical trial identification information (clinical trial ID) for identifying each of multiple clinical trials and the clinical trial information for that clinical trial in association with each other. The clinical trial information stored in the clinical trial information database is updated regularly or irregularly based on, for example, publicly available information and information provided by pharmaceutical companies and the like conducting the clinical trials.

[0039] FIG. 4(b) is a schematic diagram of exemplary clinical trial history information. The clinical trial history information is information indicating whether other users different from the user have been permitted to participate in any of the multiple clinical trials indicated in the clinical trial information in the past. The clinical trial history information includes, for example, information about the subject (other users), information about the clinical trial, application date and time, participation availability, treatment results, etc. The clinical trial history information database stores, for example, user IDs for identifying each of the multiple other users and the clinical trial history information of the other users in association with each other. The clinical trial history information stored in the clinical trial history information database is updated regularly or irregularly, for example, based on information registered in the information processing system S and information provided by pharmaceutical companies or the like that conducted the clinical trials.

[0040] The insurance claim information, insurance contract information, clinical trial information, and clinical trial history information are not limited to the specific information shown in Figures 3(a), 3(b), 4(a), and 4(b), and may include other information.

[0041] 2, the control unit 13 has an acquisition unit 131, an extraction unit 132, a display control unit 133, a detection unit 134, and an update unit 135. The control unit 13 is a processor such as a CPU (Central Processing Unit), and functions as the acquisition unit 131, the extraction unit 132, the display control unit 133, the detection unit 134, and the update unit 135 by executing a program stored in the storage unit 12.

[0042] The following describes in detail the processing executed by the information processing system S. The acquisition unit 131 acquires the user's insurance claim information and insurance contract information from the storage unit 12 or another storage device. The acquisition unit 131 also acquires clinical trial history information of other users different from the user from the storage unit 12 or another storage device.

[0043] The extraction unit 132 extracts, from among multiple clinical trials indicated by clinical trial information pre-stored in the storage unit 12 or other storage devices, clinical trials that have a predetermined correlation with the insurance claim information as related clinical trials. The related clinical trials are suggested to the user as clinical trials that are related to the user's condition.

[0044] 5 is a schematic diagram illustrating a method for extracting related clinical trials by the information processing device 1 according to this embodiment. The extraction unit 132 extracts related clinical trials by comparing clinical trial information stored in advance in the storage unit 12 or another storage device with the insurance claim information acquired by the acquisition unit 131, in accordance with extraction conditions stored in advance in the storage unit 12. The extraction unit 132 may also extract related clinical trials using insurance contract information in addition to the insurance claim information.

[0045] The extraction unit 132 extracts related clinical trials using, for example, any one of the following conditions or a combination of two or more of them as extraction conditions: The extraction unit 132 is not limited to the specific conditions shown here, and may extract related clinical trials based on other information included in the insurance claim information, insurance contract information, and clinical trial information.

[0046] The extraction unit 132 may extract a clinical trial as a related clinical trial, for example, on the condition that the diagnosis name (disease name, symptom name, etc.) of the clinical trial indicated in the clinical trial information matches or is similar to the diagnosis name indicated in the insurance claim information. The extraction unit 132 may extract a clinical trial as a related clinical trial, for example, on the condition that the user's address or the location (address) of the medical institution where the user received treatment is included within a predetermined range (area, distance, etc.) based on the facility where the clinical trial indicated in the clinical trial information is conducted.

[0047] This allows the information processing system S to automatically extract relevant clinical trials by comparing the clinical trial information with the insurance claim information, making it possible to easily suggest clinical trials that are suitable for the user's condition.

[0048] The extraction unit 132 may extract, as related clinical trials, clinical trials that have a predetermined correlation with multiple pieces of insurance claim information previously received from a single user. In this case, the extraction unit 132 extracts the clinical trial as a related clinical trial, for example, on the condition that the medical history or treatment history of the user indicated in the multiple pieces of insurance claim information matches the criteria of the clinical trial indicated in the clinical trial information (meets the inclusion criteria or does not meet the exclusion criteria). This allows the information processing system S to easily identify the user's medical history or treatment history using the user's multiple pieces of past insurance claim information and propose clinical trials suitable for the user's condition.

[0049] The extraction unit 132 may identify whether the user's illness is initial or recurrent based on multiple pieces of insurance claim information, and extract the clinical trial as a related clinical trial on the condition that the identification result of whether the illness is initial or recurrent matches the clinical trial criteria indicated by the clinical trial information (initial or recurrent as indicated by the selection criteria). This allows the information processing system S to easily identify whether the user's illness is initial or recurrent using multiple pieces of past insurance claim information for the user, and propose clinical trials suitable for the user's condition.

[0050] The extraction unit 132 may extract, as related clinical trials, clinical trials that have a predetermined correlation with multiple pieces of insurance claim information corresponding to the user's treatment at multiple medical institutions. This eliminates the need for the information processing system S to exchange information between multiple medical institutions even if the user receives treatment at multiple medical institutions, thereby reducing the effort required to propose clinical trials suitable for the user's condition using information on the user's treatment at multiple medical institutions.

[0051] Furthermore, the extraction unit 132 may determine whether or not the user is likely to be permitted to participate in one or more extracted related clinical trials, based on the clinical trial history information acquired by the acquisition unit 131. In this case, the extraction unit 132 refers to the clinical trial history information to determine whether other users with attributes that match or are similar to the user's attributes (age, sex, diagnosis, etc.) are permitted to participate in each of the one or more related clinical trials.

[0052] For example, for each of one or more related clinical trials, if the clinical trial history information indicates that other users with attributes that match or are similar to the user's attributes were able to participate, the extraction unit 132 determines that the user is likely to be permitted to participate in the related clinical trial, and if not, determines that the user is unlikely to be permitted to participate in the related clinical trial or that it is unclear. This allows the information processing system S to automatically determine whether the user is likely to be able to participate in the related clinical trial based on whether other users different from the user are able to participate in the related clinical trial.

[0053] Furthermore, the extraction unit 132 may determine the probability that the user will be permitted to participate in the related clinical trial. In this case, for each of one or more related clinical trials, the extraction unit 132, for example, tallies the number of other users with attributes that match or are similar to the user's attributes and whose clinical trial history information indicates that they were eligible to participate, and determines that the greater the number or percentage of tallied other users, the higher the probability, and vice versa. This allows the information processing system S to automatically determine the probability that the user will be able to participate in the related clinical trial based on the eligibility of other users different from the user to participate in the related clinical trial.

[0054] The display control unit 133 displays on an information terminal related clinical trial information indicating one or more related clinical trials extracted by the extraction unit 132. The display control unit 133 transmits the related clinical trial information to, for example, at least one of the user terminal 2 used by the user and another information terminal used by a business operator that has a contract with the user. The user terminal 2 or another information terminal displays the related clinical trial information transmitted by the information processing device 1 on a display unit.

[0055] 6 is a schematic diagram of a user terminal 2 displaying exemplary related clinical trial information. The related clinical trial information is, for example, at least a portion of the clinical trial information stored in the memory unit 12 or other storage device for each of one or more related clinical trials extracted by the extraction unit 132. It is desirable that the related clinical trial information does not include certain items (such as inclusion criteria and exclusion criteria) of the clinical trial information that have been designated in advance as confidential. This allows the information processing system S to automatically notify the user or business operator of related clinical trials related to the user's condition.

[0056] The display control unit 133 may display the related clinical trial information on the user terminal 2 or another information terminal, on the condition that the extraction unit 132 determines that the user may be permitted to participate in the related clinical trial. This allows the information processing system S to present only related clinical trials in which the user may be able to participate.

[0057] The display control unit 133 may associate the related clinical trial information with information indicating the degree of probability determined by the extraction unit 132 and display it on the user terminal 2 or another information terminal. This allows the information processing system S to present the degree of probability that the user can participate in the related clinical trial.

[0058] Thereafter, the user may perform an operation on the user terminal 2 to indicate whether or not they will participate in any of the related clinical trials, based on the related clinical trial information displayed on the user terminal 2. The acquisition unit 131 acquires information indicating whether or not the user will participate in the related clinical trial, which is specified on the user terminal 2 that is displaying the related clinical trial information. A business operator that has a contract with the user may notify the user of the related clinical trial information displayed on other information terminals by a predetermined method (email, phone call, etc.).

[0059] [Information processing method flow] 7 is a flowchart illustrating an exemplary information processing method executed by the information processing device 1 according to this embodiment. In the information processing device 1, the acquisition unit 131 acquires the user's insurance claim information and insurance contract information from the storage unit 12 or another storage device (S11). The acquisition unit 131 acquires clinical trial history information of other users different from the user from the storage unit 12 or another storage device (S12).

[0060] The extraction unit 132 extracts, as related clinical trials, clinical trials that have a predetermined correlation with the insurance claim information from among multiple clinical trials indicated by the clinical trial information pre-stored in the memory unit 12 or another storage device (S13). Here, the extraction unit 132 may extract related clinical trials using insurance contract information in addition to the insurance claim information. The extraction unit 132 may determine, based on the clinical trial history information, at least one of whether the user is likely to be permitted to participate in the related clinical trial and the probability that the user will be permitted to participate in the related clinical trial.

[0061] The display control unit 133 causes the information terminal to display related clinical trial information indicating one or more related clinical trials extracted by the extraction unit 132 (S14). The display control unit 133 transmits the related clinical trial information to, for example, at least one of the user terminal 2 used by the user and another information terminal used by a business operator that has a contract with the user. The user terminal 2 or another information terminal displays the related clinical trial information transmitted by the information processing device 1 on a display unit.

[0062] [Effects of the embodiment] According to the information processing system S of this embodiment, the information processing device 1 extracts clinical trials related to the user's insurance claim information and displays information about the extracted clinical trials on an information terminal. This allows the information processing system S to suggest clinical trials that correspond to the insurance claim information without the user having to search for the clinical trial themselves, making it easier to provide the user with information about clinical trials that are suitable for the user's condition.

[0063] <First Modification> The information processing device 1 according to this modification extracts relevant clinical trials based on additional information input by the user in addition to the insurance claim information. The following mainly describes the differences from the above-described embodiment.

[0064] 8 is a schematic diagram illustrating a method by which the information processing device 1 according to this modification extracts related clinical trials. After filing an insurance claim, the user inputs additional information into the user terminal 2. The additional information is information about the user's body, such as at least some of the items included in the above-mentioned insurance claim information and insurance contract information, or items not included in the insurance claim information and insurance contract information.

[0065] The acquisition unit 131 acquires additional information input on the user terminal 2 used by the user after the insurance claim has been filed. The extraction unit 132 extracts, as related clinical trials, clinical trials that have a predetermined correlation with the insurance claim information and additional information acquired by the acquisition unit 131 from among multiple clinical trials indicated by clinical trial information pre-stored in the storage unit 12 or other storage devices, in accordance with extraction conditions pre-stored in the storage unit 12. This allows the information processing system S to extract related clinical trials using not only the insurance claim information but also the information input by the user.

[0066] For example, if the user has not filed an insurance claim for some illnesses he or she has had in the past, there may be a discrepancy between the insurance claim information and the additional information. Therefore, the detection unit 134 may detect differences between the insurance claim information and the additional information by comparing the insurance claim information acquired by the acquisition unit 131 with the additional information acquired by the acquisition unit 131. The detection unit 134 compares each item of the insurance claim information with the item of the additional information corresponding to that item, and if there is no match or similarity, detects that item as a difference.

[0067] The display control unit 133 displays difference information indicating one or more differences detected by the detection unit 134 on the user terminal 2 or another information terminal. This enables the information processing system S to notify the user or the business operator that there is a difference between the information regarding the insurance claim and the information entered by the user.

[0068] <Second Modification> The information processing device 1 according to this modification updates the extraction conditions used by the extraction unit 132 to extract related clinical trials based on the clinical trial history information. Below, differences from the above-described embodiment will be mainly described.

[0069] 9 is a schematic diagram illustrating a method for updating the extraction conditions by the update unit 135 according to this modification. After the acquisition unit 131 acquires the clinical trial history information from the memory unit 12 or another storage device, the update unit 135 updates the extraction conditions based on the clinical trial history information.

[0070] For example, the update unit 135 adds, as an exclusion condition to the extraction conditions, the attributes (age, sex, diagnosis, etc.) of users that the extraction unit 132 has determined to have no or a low probability of being permitted to participate in related clinical trials based on the clinical trial history information. When extracting related clinical trials at a later point in time, the extraction unit 132 will not extract the related clinical trials for users with the attributes (users who meet the exclusion conditions included in the extraction conditions).

[0071] This allows the information processing system S to dynamically update the extraction conditions based on the clinical trial history information that is updated regularly or irregularly.

[0072] The present invention has been described above using embodiments, but the technical scope of the present invention is not limited to the scope described in the above embodiments, and various modifications and changes are possible within the scope of the gist of the present invention. For example, all or part of the device can be configured by functionally or physically distributing or integrating any unit. Furthermore, new embodiments resulting from any combination of multiple embodiments are also included in the embodiments of the present invention. The effects of the new embodiments resulting from the combination also have the effects of the original embodiments. [Explanation of symbols]

[0073] S Information Processing System 1. Information processing equipment 11 Communications Department 12 Storage section 13 Control Unit 131 Acquisition Department 132 Extraction part 133 Display control unit 134 Detector 135 Update Department 2. User terminal

Claims

1. an acquisition unit that acquires insurance claim information regarding a claim for insurance money for treatment of an illness suffered by the user under an insurance policy to which the user has joined; an extraction unit that extracts, from among a plurality of clinical trials indicated by pre-stored clinical trial information, clinical trials that have a predetermined correlation with the insurance claim information as related clinical trials; a display control unit that displays information indicating the related clinical trial on an information terminal; An information processing device having the above.

2. The extraction unit extracts the clinical trial as the related clinical trial on the condition that the diagnosis name of the clinical trial indicated in the clinical trial information matches or is similar to the diagnosis name indicated in the insurance claim information. The information processing device according to claim 1 .

3. The extraction unit extracts the clinical trial as the related clinical trial on the condition that the address of the user or the location of the medical institution where the user received treatment is included within a predetermined range based on the facility where the clinical trial indicated by the clinical trial information is conducted. The information processing device according to claim 2 .

4. The extraction unit extracts, from among the plurality of clinical trials indicated by the clinical trial information, clinical trials that have a predetermined correlation with the plurality of pieces of insurance claim information previously received from the user, as the related clinical trials. The information processing device according to claim 1 .

5. the extraction unit extracts, as the related clinical trial, a clinical trial that has a predetermined correlation with a plurality of pieces of insurance claim information previously received from the user and that corresponds to treatment of the user at a plurality of medical institutions; The information processing device according to claim 4 .

6. The extraction unit extracts the clinical trial as the related clinical trial on the condition that the medical history or treatment history of the user indicated by the plurality of pieces of insurance claim information matches the criteria of the clinical trial indicated by the clinical trial information. The information processing device according to claim 4 .

7. The extraction unit identifies whether the disease in the user is a first-time occurrence or a recurrence based on the plurality of pieces of insurance claim information, and extracts the clinical trial as the related clinical trial on the condition that the identification result of whether the disease is a first-time occurrence or a recurrence matches the criteria indicated by the clinical trial information. The information processing device according to claim 4 .

8. The acquisition unit further acquires insurance contract information indicating the details of a contract between the user and a business that provides the insurance, the extraction unit extracts, from among the multiple clinical trials indicated by the clinical trial information, clinical trials that have a predetermined correlation with the insurance claim information and the insurance contract information as the related clinical trials; The information processing device according to claim 1 .

9. The acquisition unit further acquires clinical trial history information indicating whether other users different from the user have been permitted to participate in any of the multiple clinical trials indicated by the clinical trial information in the past; The extraction unit determines whether the user is likely to be permitted to participate in the related clinical trial based on the clinical trial history information; The display control unit causes the information terminal to display information indicating the related clinical trial, on the condition that the extraction unit determines that the user may be permitted to participate in the related clinical trial. The information processing device according to claim 1 .

10. The extraction unit determines a probability that the user will be permitted to participate in the related clinical trial based on the clinical trial history information; the display control unit causes the information indicating the related clinical trial and the information indicating the degree of probability to be displayed on the information terminal in association with each other; The information processing device according to claim 9 .

11. an update unit that updates extraction conditions used by the extraction unit to extract the relevant clinical trials based on the clinical trial history information; The information processing device according to claim 9 .

12. the acquisition unit acquires additional information about the user's body that is input into the information terminal used by the user after the insurance claim has been made, The extraction unit extracts, as the related clinical trial, a clinical trial that has a predetermined correlation with the insurance claim information and the additional information. The information processing device according to claim 1 .

13. The processor executes obtaining insurance claim information regarding a claim for insurance money for treatment of an illness suffered by the user under an insurance policy held by the user; extracting, from among a plurality of clinical trials indicated by pre-stored clinical trial information, clinical trials that have a predetermined correlation with the insurance claim information as related clinical trials; displaying information indicating the related clinical trial on an information terminal; An information processing method comprising:

14. The processor obtaining insurance claim information regarding a claim for insurance money for treatment of an illness suffered by the user under an insurance policy held by the user; extracting, from among a plurality of clinical trials indicated by pre-stored clinical trial information, clinical trials that have a predetermined correlation with the insurance claim information as related clinical trials; displaying information indicating the related clinical trial on an information terminal; A program that executes.

Citation Information

Patent Citations

  • Clinical trial management support system

    JP2022048633A