JP7181509B2 - ANALYSIS SUPPORT PROGRAM, ANALYSIS SUPPORT METHOD, AND ANALYSIS SUPPORT SYSTEM - Google Patents

Description

The present invention relates to names of an analysis support program, an analysis support method, and an analysis support system.

Care supporters interview the target person, analyze the living situation, extract problems related to daily activities, and overcome the problem so that the target person such as the elderly can live independently. It is done to give advice to do. Further, the care service support device disclosed in Patent Literature 1 provides information on service providers who meet the needs of the support recipient based on the input of information on the support recipient who needs support.

JP-A-11-53455

In the assessment, as a method of objectively and systematically revealing the condition of the subject based on the responses collected through interviews, etc., classification based on the life function model of ICF (International Classification of Functioning, Disability and Health) is known. . ICF is a concept adopted by the WHO (World Health Organization) in 2001 to understand the health conditions of people and the factors that affect their health. conditions, mind-body functions, activities, participation, environmental factors, and personal factors).

In previous assessments, the work of classifying the collected responses into each category of ICF was entrusted to the examiner who conducted the assessment. there were.

The present invention has been made to solve such problems, and it is possible to objectively and systematically clarify the condition of the subject without causing variations due to the knowledge and experience of the examiner. It provides an analysis support program that can be used.

The analysis support program in the first aspect of the present invention includes an obtaining step of obtaining the subject's answer to a question about life function; A computer is caused to execute a classification step of classifying into six categories of mind-body functions, activities, participation, environmental factors, and personal factors, and a display step of displaying the answers classified for each category on a display for each category.

By going through these steps, the examiner who is the user can stably view the condition of the examinee regardless of his/her own knowledge and experience. As a result, the condition of the examinee can be analyzed and evaluated by the assessment regardless of the knowledge and experience of the examiner, so the quality of the assessment can be improved. As an incidental effect, by recognizing the classified results, the examiner can learn which category of the ICF classification correlates with each answer obtained through interviews, etc. .

In the above analysis support program, the display step clearly indicates whether each answer classified by category belongs to positive evaluation, negative evaluation, or reference information in the classified category. good. With such a display, it is possible to further improve the visibility of the display result.

In the display step, the analysis support program causes the computer to execute a reception step of receiving entry of characteristics regarding the subject for each category, and the display step adds the characteristics received in the reception step and lists may be displayed. Even if it is an item that does not correspond to the answers that are automatically classified in this way, if it is possible to add information obtained through interviews, etc., it is possible to clarify the condition of the subject more systematically. .

In addition, in the above analysis support program, even before the acquisition of all answers by the acquisition step is completed, if an instruction from the user is received in the display step, the classification step will perform The classified answers may be displayed on the indicator for each category. If the list is displayed by the ICF classification even in the middle of the process, the examiner can confirm how the input answer is classified even during the assessment. You can modify the policy of the subsequent hearing and understand the significance of the question.

In the above analysis support program, the display step may display the attribute information attached to the question and the answers by category. By displaying in this manner, the examiner can easily determine which UI screen to call when calling the question UI screen to look back on the details after confirming the display for each category. can.

An analysis support method according to a second aspect of the present invention is an analysis support method using an analysis support system, comprising: an acquisition step in which an acquisition unit acquires a subject's answers to questions about living functions; , a classification step of classifying responses into six categories of health condition, psychosomatic function, activity, participation, environmental factor, and personal factor classified by ICF (International Classification of Functioning, Disability and Health); and a display step of displaying the answers classified by category on a display device.

In addition, the analysis support system in the third aspect of the present invention includes an acquisition unit that acquires a subject's answer to a question about life function, and a health system that classifies the answer by ICF (International Classification of Functioning, Disability and Health). It has a classifier that classifies into six categories: state, mind-body function, activity, participation, environmental factor, and personal factor, and a display control part that displays the answers classified for each category on a display device.

Even in the second mode and the third mode, the examiner can stably view the condition of the subject regardless of his or her skill.

According to the present invention, it is possible to provide an analysis support program or the like that can objectively and systematically clarify the condition of an examinee without causing variations due to the knowledge and experience of the examiner.

It is a figure which shows a mode that the analysis support system which concerns on this embodiment is utilized. 4 is a main hardware configuration diagram of an analysis support server; FIG. 2 is a main hardware configuration diagram of an analysis support terminal; FIG. FIG. 10 is a diagram showing the concept of processing in which the classification unit classifies responses from subjects according to the ICF classification; It is an example of a UI screen showing how to accept answers to basic questions about daily life. It is an example of a UI screen showing how answers to questions about health information are accepted. It is an example of a UI screen showing how to accept answers to questions about basic body movements. It is an example of UI screen which shows a mode that the answer is received in the daily activity assessment. It is an example of a UI screen showing how to accept designation of task candidates for a target daily activity. It is an example of a list display of answers classified by ICF category. It is an example of a UI screen showing a state in which additional feature items are accepted. FIG. 3 is a flow diagram showing the flow of assessment processing for ICF classification;

BEST MODE FOR CARRYING OUT THE INVENTION Hereinafter, the present invention will be described through embodiments of the invention, but the invention according to the scope of claims is not limited to the following embodiments. Moreover, not all the configurations described in the embodiments are essential as means for solving the problems.

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

In the following, an embodiment will be described in which the analysis support terminal 300 independently executes display control of information to be presented to the examiner, acquisition control of acquiring answers from the subject, and the like. The analysis support program executed in the analysis support terminal 300 acquires information necessary for processing from the analysis support server 100 and receives instruction commands from the analysis support server 100 as necessary. The display control, acquisition control, and the like described below may be performed by the analysis support server 100 operating the analysis support terminal 300 by remote control, or the analysis support server 100 and the analysis support terminal 300 may may be implemented in cooperation with each other.

In the analysis support system according to the present embodiment, the examiner interviews the examinee, analyzes the living situation, and assesses the condition of the examinee so that the examinee can live independently. It supports assessment that is objectively and systematically manifested. Here, the examiner is generally a person with specialized knowledge such as a care supporter, a physical therapist, a care manager, a nurse, or the like. The subject can be assumed to be an elderly person, a handicapped person, or other person who is anxious about living a daily life independently. The examiner conducts an interview with the examinee in accordance with the questions displayed on the analysis support terminal 300, obtains the analysis/evaluation results, and can give advice required by the examinee and formulate a support plan. can. In this embodiment, as an example of analysis/evaluation results, target answers among the answers obtained through interviews are classified by ICF category and displayed on the display of the analysis support terminal 300 . Configurations of the analysis support server 100 and the analysis support terminal 300 that realize such display, examples of user interface (UI) screens, and processing procedures will be sequentially described.

FIG. 2 is a main hardware configuration diagram of the analysis support server 100. As shown in FIG. The analysis support server 100 is mainly composed of a system control section 110 , a communication unit 140 and a storage device 150 . In this embodiment, a display monitor 120 and an input device 130 are also provided so that the user can directly input information to the analysis support server 100 and perform operations such as updating programs.

The system control unit 110 is a processor (CPU: Central Processing Unit) that controls the analysis support server 100 and executes programs. The processor may be configured to cooperate with an arithmetic processing chip such as an ASIC or GPU. The display monitor 120 is, for example, a monitor having a liquid crystal panel, and visibly displays the personal information of the subject and the analysis/evaluation results sent from the analysis support terminal 300, for example. The input device 130 is, for example, a keyboard or a mouse, and receives inputs for collectively managing personal information of a plurality of subjects.

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

The storage device 150 is a nonvolatile storage medium, and is configured by, for example, an HDD (Hard Disk Drive). The storage device 150 accumulates various parameters used for control and calculation, personal information of subjects registered as users, and the like, in addition to programs for executing control and processing of the analysis support server 100 . The storage device 150 particularly includes an assessment information database 151 (hereinafter referred to as "assessment information DB 151") and a classification table database 152 (hereinafter referred to as "classification table DB 152").

The assessment information DB 151 is a database that stores past assessment information and collected/analyzed assessment information. In addition, questions and their options regarding life functions are also stored. In addition, although the details will be described later, for each living activity stipulated in ADL and IADL, a tree structure that defines elemental processes and problem candidates associated with each elemental process, and an obstacle that causes the problem candidate problem A related table summarizing factor candidates is also stored as part of the questions and their options.

The classification table DB 152 defines which of the six categories classified by the ICF, health condition, psychosomatic function, activity, participation, environmental factors, and personal factors, each of the expected responses of the subject is classified. It is a database organized into a table structure. Various forms can be adopted for the table structure, but in this embodiment, it is defined in which of six categories the answer is classified for each of the questions prepared in advance regarding life functions. . Specifically, for each question, it may be defined in which category the answer is classified, and for a specific group of questions, all those answers should be classified in the same category. may be defined. As a group of specific questions, for example, it is conceivable to give the same attribute information to the questions forming the group. In the present embodiment, although details will be described later, categories in the assessment of life functions and elemental processes related to daily activities can be adopted as "attributes." If attribute information is added to questions in this way, it can be defined that all answers to questions to which certain attribute information is added are classified into the same category.

In addition, if the answer is subject to judgment such as promoting or hindering the maintenance/improvement of the subject's condition, conditions to be evaluated as affirmative according to the expected answer, The content of how to display the answer is stipulated along with the conditions that are evaluated as negative. On the other hand, if the answer is to be used as reference information for examining the subject's condition, the contents of how the answer should be displayed are stipulated along with the conditions for handling it as reference information. Note that the storage device 150 may not be composed of a single piece of hardware, and for example, a storage medium for storing programs and a storage medium for accumulating respective databases may be composed of separate hardware.

FIG. 3 is a main hardware configuration diagram of the analysis support terminal 300. As shown in FIG. The analysis support terminal 300 mainly includes a terminal control section 310 , a display panel 320 , a touch panel 330 , a communication unit 340 and a storage section 350 . The terminal control unit 310 is a processor (CPU) that controls the analysis support terminal 300 and executes programs. The processor may be configured as an arithmetic processing chip such as an ASIC (Application Specific Integrated Circuit) or a GPU (Graphics Processing Unit). The terminal control unit 310 executes various processes according to instructions from the analysis support program. Specifically, in addition to the processing described below, processing related to analysis and evaluation of the subject is executed according to information and instruction commands sent from the analysis support server 100 .

The display panel 320 is an example of a display device, and includes, for example, a liquid crystal display panel, and visually displays a user interface screen generated by the terminal control unit 310, a moving image explaining how to use the device, and the like. The touch panel 330 is an input device superimposed on the display panel 320, and generates an input signal according to the position and motion of the fingertip in contact. For example, operations such as tapping, swiping, and pinching are accepted.

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

The storage unit 350 is a non-volatile storage medium such as a solid state drive. The storage unit 350 stores various parameter values and the like used for control and calculation in addition to programs for executing control and processing of the analysis support terminal 300 . In particular, it temporarily stores a classification table 351 generated by partially downloading from the classification table DB 152 of the analysis support server 100 according to the subject to be examined. For example, when the classification table DB 152 includes a classification table for elderly people and a classification table for young people, if the subject is an elderly person, the terminal control unit 310 extracts the classification table for elderly people from the classification table DB 152. to construct the classification table 351 . In addition, when the classification table DB 152 does not include a plurality of classification tables according to the characteristics of the subject, the terminal control unit 310 may download the entire classification table DB 152 and use it as the classification table 351 as it is. . Further, in the present embodiment, an example in which the classification table 351 is constructed and classification processing is executed will be described. The analysis support server 100 may execute the processing such as In this case, the analysis support terminal 300 may receive the processing result by the analysis support server 100 and display it on the display panel 320 .

The terminal control unit 310 also serves as a functional calculation unit that executes various calculations according to the processing instructed by the analysis support program. The terminal control unit 310 can function as an acquisition unit 311, a reception unit 312, a classification unit 313, and a display control unit 314, in particular. After explaining the concept of the process of classifying the subject's answers according to the ICF classification for the specific calculation processing of these functional calculation units, through an example of the UI screen displayed on the display panel 320 of the analysis support terminal 300, I will explain step by step.

FIG. 4 is a diagram showing the concept of processing in which the classification unit 313 classifies the subject's answers according to the ICF classification. In this embodiment, the assessment regarding life function is mainly divided into "basic check", "health", "basic movement", "ADL", "IADL", "nutrition" and "oral cavity". For example, ADL (Activities of Daily Living) is a concept of activities of daily living that are minimally necessary for a person to live, including daily activities such as walking, excretion, eating, bathing, and dressing. IADL (Instrumental Activities of Daily Living) is a concept that includes daily activities such as cleaning, washing, shopping, and cooking, which are also complex and sophisticated daily activities. The examiner calls out questions prepared in relation to each category, and conducts an interview with the examinee according to the questions.

The examiner inputs the subject's answers obtained through the hearing into the analysis support terminal 300 . Input of answers is, in principle, realized by selecting options displayed adjacent to the question or inputting text into the input box. Acquisition unit 311 accepts the input answer and stores the answer in association with the question.

In the assessment, as a method of objectively and systematically revealing the condition of the subject from the answers collected, the classification by the life function model of ICF (International Classification of Functioning, Disability and Health) is known. ICF is a concept for understanding human health conditions and factors that affect health. individual factors). The examiner can easily grasp the subject's condition objectively and systematically when the target answers among the collected answers are arranged and displayed for each ICF category.

Therefore, the classifying unit 313 reads the target answer among the answers stored in the storage unit 350 in association with the question by the acquiring unit 311, refers to the classification table 351, and classifies it into at least one of six categories. do. As described above, the classification table 351 indicates whether each expected subject's answer is classified into which category of health condition, psychosomatic function, activity, participation, environmental factor, or personal factor classified by ICF. stipulates. "Health condition" refers to health problems that cause or affect disease, trauma, pregnancy, aging, stress, and the like. "Physical and mental functions" refer to physical and mental functions that are directly related to the maintenance of life. "Activities" are all the actions necessary to lead a life and are related to the activities of living. “Participation” refers to roles, ways of involvement, and involvement in family and society. "Environmental factors" refer to factors due to the physical environment, human environment, and social environment in life. "Individual factor" refers to a unique characteristic attributed to an individual subject.

The display control unit 314 arranges the classified answers for each ICF category and displays them on the display panel 320 . A specific example of a series of these processes will be described by showing some UI screens.

FIG. 5 is an example of a UI screen showing how answers to basic questions about daily life are accepted. More specifically, it is a state of the UI screen immediately after the input operation of the information on the examinee who is the person to be examined is completed and the assessment regarding the "basic check" is started.

The display control unit 314 mainly corresponds to a subject name 501 which is the input subject name, an assessment button 511, an ICF button 512, a command button 513, a question 521 regarding "basic check", and each question. The display panel 320 displays an option 522 to select. The assessment button 511 is provided according to each of the assessments related to life functions classified as described above ("basic check", "health", "basic movement", "ADL", "IADL", "nutrition", and "oral cavity"). It is a selectable button. The examiner can start the assessment by tapping any assessment button 511 . The figure shows that "basic check" is selected.

The ICF button 512 is a button for switching to a display in which the input answers are classified by ICF category (hereinafter referred to as "ICF classification display"). The examiner can switch to the ICF classification display by tapping the ICF button 512 not only after all the assessments have been completed, but also during the execution of any life function assessment. Command buttons 513 are provided with "return", "temporary save", and "complete", and the inspector can execute each command. Specifically, tapping "Return" returns to the input screen for inputting the subject information, and tapping "Temporary save" stores the work history up to that point in the storage unit, and taps "Complete". Tap to end the assessment process.

A plurality of questions 521 related to the selected life function and options 522 corresponding to each question 521 are arranged and displayed in the lower area of the assessment buttons 511 and ICF buttons 512 arranged in the horizontal direction. In the example shown in the figure, five questions of "basic life function" prepared as the first item in the "basic check" and three questions of "motor function" prepared as the second item are Each is displayed with a corresponding option "yes" and "no". For example, the question 521 "06. Do you climb the stairs without using the handrail or wall?" there is The "basic check" questions conform to the basic checklist, which is a form recommended by the Ministry of Health, Labor and Welfare for local governments and business operators to grasp and check the daily life of the subject. However, the questions employed in this embodiment are not limited to the basic check items described in the form.

The examiner confirms the displayed questions, asks the questions to the examinee so that the examinee can easily answer them, and listens. That is, the examiner paraphrases the question or adjusts the tone of the question according to the subject's characteristics. The inspector taps one of the options 522 according to the content heard. Acquisition unit 311 receives a tapped position signal from touch panel 330 , acquires an option corresponding to the position, and stores the option in storage unit 350 . The display control unit 314 displays the answer index 531 superimposed on the selected option. The answer indicator 531 is, for example, a rectangle surrounding an option as shown in the figure. A mode of enlarging and emphasizing the character string may also be used. The figure shows the examiner tapping the option "1. No" of the question "04. Are you visiting a friend's house?"

At the bottom of the screen, a forwarding indicator 591 is displayed to indicate that more questions are to be asked and to prompt the user to update the screen. By tapping the forwarding indicator 591, the inspector can transition the screen to the next question group. Of course, the forwarding indicator 591 may be another display indicator, such as a vertical scroll bar, as long as it allows the user to recognize that the group of questions is continuing.

FIG. 6 is an example of a UI screen showing how answers to questions about health information are accepted. When the examiner taps "Health" among the assessment buttons 511, the examiner can start the assessment regarding "Health". In the figure, "disease information" of the examinee is displayed as a question, and it shows how the examiner inputs the input items set based on the contents heard from the examinee.

Specifically, when the inspector taps the add button 532, a new input window 540 opens, and input of input items becomes possible. The input window 540 includes the “year and month” when the disease developed, the “disease name” of the disease, the “medical institution/doctor name” at which the patient consulted, the current state “progress”, specific “details”, current ongoing An input box 541 is provided for each item of "medication" that is being performed. The inspector inputs text into the input box 541 using a software keyboard (not shown), a keyboard connected to the analysis support terminal 300, or the like. The content to be input is not limited to the content obtained from the subject. For example, the subject's personal information stored in the storage device 150 of the analysis support server 100 may be referenced and input. The inspector can confirm the input by tapping the OK button 595 . The acquisition unit 311 acquires the confirmed text as a response to disease information, and stores it in the storage unit 350 . On the other hand, if the examiner taps the cancel button 596, the input up to that point can be discarded.

FIG. 7 is an example of a UI screen showing how answers to questions about basic body movements are accepted. When the examiner taps the "basic action" among the assessment buttons 511, the examiner can start the assessment regarding the "basic action". Similar to the UI screen for "basic check", the "basic action" UI screen has a plurality of questions 521 in the lower area of the horizontally arranged assessment button 511 and the ICF button 512, each of which corresponds to a question 521. Options 522 to select are arranged and displayed.

Here, the options 522 are not "yes" and "no", but options corresponding to the question are prepared. For example, for the question "01. duration" about "standing on one leg", three options 522 are prepared: "5 seconds or less", "5 to 10 seconds", and "10 seconds or more". When the acquisition unit 311 receives from the touch panel 330 the position signal indicating that “5 seconds or less” has been tapped by the examiner, the acquisition unit 311 acquires the contents of the position signal as an answer to the question “standing on one leg—duration”, and stores the information. Store in 350.

FIG. 8 is an example of a UI screen showing how responses are received in the daily activity assessment. The daily activity assessment is an assessment classified into "ADL" and "IADL", and since responses are collected by the same UI screen for both, "IADL" will be explained as an example here. By tapping "IADL" among the assessment buttons 511, the examiner can start the assessment regarding "IADL". The "IADL" UI screen displays a living activity group 550, an elemental process group 560, a task group 570, and a hindrance factor group 580 arranged in a lower area of the horizontally arranged assessment button 511 and ICF button 512. be.

The assessment information DB 151 stores, as described above, a tree structure that defines elemental processes and task candidates associated with each elemental process for each daily activity defined by ADL and IADL. In addition, obstructive factor candidates that can be assumed to be factors causing the issues of these issue candidates are defined as a relation table associated with the tree structure. The terminal control unit 310 acquires the tree structure and related tables from the assessment information DB 151 when starting these assessments.

Element processes are step-by-step elements to be executed in order to complete the life activity defined for each life activity defined in ADL and IADL. For example, for ``cleaning'', which is a daily activity, ``get the tools'', ``prepare the tools'', ``move to the target location'', ``change posture'', ``clean'', ``return posture'', and ``clean''. It is associated with the elemental process of "Put away the tools". A problem candidate is a candidate that is expected to hinder the execution of each elemental process. For example, the elemental process "cleaning" is associated with task candidates such as "I can't recognize dirty places," "I don't know how to use tools," and "I can't take a stable standing position." there is Candidate factors that cause the problems of these candidate problems are relatively common, such as "decreased trunk muscle strength", "decreased muscle strength and extensibility", "limited joint range of motion", and "decreased finger dexterity". , ``Decreased cognitive function'', ``Decreased vitality/motivation'', and ``Decreased endurance'' are stipulated as possible inhibitory factors.

In FIG. 8, in a living activity group 550, a plurality of living activities 551 represented by CG combining text and icons are arranged in a row along the vertical direction. FIG. 8 shows that the daily activity 551 of "cleaning" is tapped and selected. In the elemental process group 560, the selected elemental processes 561 of "cleaning" are arranged in a vertical direction surrounded by boxes. A return index 592 displayed at the upper end of the group of elemental processes 560 indicates that there is an elemental process ordered before "1-02 Prepare tools". By flicking the element process group 560 downward or tapping the return indicator 592, the inspector can display "1-01 Go get tools" which is not displayed. Here, when the inspector taps "1-05 Clean", which is one of the elemental processes 561, the display control unit 314 switches to a UI screen showing task candidates corresponding to the elemental process.

FIG. 9 is an example of a switched UI screen, and more specifically, an example of a UI screen showing how assignment candidate designation is accepted. The display control unit 314 refers to the acquired tree structure, and selects task candidates branching from "cleaning" such as "I can't recognize a dirty place", "I don't know how to use tools", and "I can't stand in a stable position". "Can't get on all fours" "Can't sit on the floor" "Can't use upper limbs well" "Can't use fingers well" "Can't reach far" indicate. Specifically, the display in FIG. 8 is grayed out, a task check window 573 is superimposed thereon, and these task candidates are arranged and displayed within the window. A check box 542 is placed at the head of each problem candidate so that the examiner can recognize that it can be selected.

For example, when the examiner taps "I don't know how to use tools" among them, the display control unit 314 changes the check box 542 of the candidate to the selection indicator 543 . The selection indicator 543 is an indicator indicating that the subject candidate has been specified.

When one of the problem candidates is tapped by the examiner, the display control unit 314 superimposes a factor check window for designating factors causing the problem of the specified problem candidate in the same way as the problem check window 573 . (not shown). In the factor check window, inhibiting factors such as the above-mentioned "decrease in trunk muscle strength" and "decrease in muscle strength and extensibility" are displayed so as to be selectable. When the factor check window accepts the designation of the obstructing factor, the display control unit 314 returns the display to the problem check window 573 shown in FIG. 9 . In this way, the designation of the problem candidate and the designation of the obstacle causing the problem are received as a set.

When returning to the display of the task check window 573, the inspector can specify another task candidate. In that case, the factor check window is further opened to accept the designation of the obstructing factor for the newly designated task candidate. When the OK button 595 is tapped on the assignment check window 573, the UI screen in FIG. 8 is displayed again.

Returning to the description of FIG. When the task candidates and blocking factors specified in this manner are determined, the task group 570 includes a specified task 571 which is a determined task candidate, and the blocking factor group 580 includes a specified blocking factor 581 which is a determined blocking factor. are displayed in association with the corresponding elementary processes.

Note that the UI screen of FIG. 8 shows a state in which the assessment for "cleaning"→"cleaning" is completed as described above. The inspector can similarly assess other elemental processes 561 connected to "cleaning", and further assess other living activities 551 after "cleaning". By tapping or flicking the living activity group 550 and the elemental process group 560 for the completed assessment, the examiner selects the living activity 551, the elemental process 561, the designated task 571, and the designated impeding factor 581 that the examiner wants to view. can be arranged and displayed in a list.

A series of combinations of these lifestyle activities - elemental processes - designated tasks - designated obstacles collected from the subjects through interviews by the examiner are responses to the assessment of living activities. The acquisition unit 311 acquires a series of these combinations as the subject's answers, and stores them in the storage unit 350 .

FIG. 10 is an example of a list display of answers classified by ICF category. Specifically, the acquisition unit 311 acquires the subject's answers to the questions about life functions as described above, and then the ICF button 512 is tapped by the examiner. is a UI screen displayed by the display control unit 314. FIG.

The display control unit 314 displays six buttons corresponding to each ICF category (health condition, psychosomatic function, activity, participation, environmental factor, personal factor) in the lower area of the assessment button 511 and the ICF button 512 arranged in the horizontal direction. The category windows 610 are arranged and displayed. The category window 610 has tabs 611, in which the ICF categories are specified.

Of the answers acquired by the acquisition unit 311 through assessment, answers to be classified are classified by the classification unit 313 and described in at least one of the category windows 610 . How the obtained answers are described is defined in advance in the classification table 351. For example, the disease information obtained through the UI screen in FIG. The month, disease name, progress, and medication are briefly described. For windows of other categories, in principle, a character string indicating which life function the answer is about and the contents of the answer are briefly described. Attributes related to which life function are determined, for example, based on the title that indicates the category of information collected in the question. , and if the IADL is a daily activity of "cleaning", it is defined as "cleaning". Then, for example, when an answer of "500 ml or less" is obtained for a question about water intake having the attribute of "nutrition", the classification table 351 classifies the answer into "individual factor", The content is defined as "insufficient water for inoculation". That is, the answer "500 ml or less" regarding water intake is described in the category window 610 of "personal factors" along with the attributes of the question, such as "nutrition-inoculation water shortage". The display control unit 314 describes and displays each answer in the category window 610 in accordance with the category classification and description rules of the classification table 351 as described above. Since the answer is displayed together with the attribute information attached to the question in this way, the examiner can call any UI screen when calling the question UI screen to look back on the details after confirming the display of FIG. You can easily decide if it's okay.

In the present embodiment, for responses to be described in mind-body functions, activities, participation, environmental factors, and personal factors, clearly indicate whether the content belongs to positive evaluation, negative evaluation, or reference information in each category. displayed. Specifically, a positive icon (P icon) 621 is placed at the beginning of the answer text when the answer is evaluated as positive, and a negative icon (N icon) 622 is similarly placed when the answer is evaluated as negative. If it is merely reference information, an information icon (I icon) 623 is similarly displayed. For example, in the above example, a water intake of "500 ml or less" can be evaluated as lack of water for inoculation, so it is negatively evaluated, and the N icon 622 is attached to the top of it. In addition, when the subject has the problem of "difficulty sitting on the floor" in the daily activity of "cleaning", it is evaluated negatively as being unable to perform the "cleaning" task satisfactorily. Therefore, the N icon is added to the head of "Cleaning-Difficulty sitting on the floor" classified in the "Activity" category.

Also, the answer to the "basic check", "house: own house (single-family house)", is not subject to quality judgment, and is merely reference information. Accordingly, an I icon 623 is attached to the head of "basic-housing: owned house (detached house)" classified into the category of "environmental factor". On the other hand, as for the daily activity "washing", there are no task candidates specified for any of the elemental steps, so the subject is evaluated positively as being able to perform the "washing" task without any problems. Therefore, "laundry" classified into the category of "activity" is prefixed with a P icon 621 without a description of the task. By displaying such an icon indicating the evaluation, it is possible to further improve the visibility of the display result.

In this way, if the attributes of the evaluation of good or bad are displayed in addition to the answers described in the psychosomatic functions, activities, participation, environmental factors, and personal factors, the examiner can promote the maintenance and improvement of the condition of the life functions of the examinee. It is possible to immediately grasp whether the information is to cause or hinder. That is, such a display can reveal the condition of the subject more systematically. In addition, as an incidental effect, it is possible to separate and analyze the content to be maintained as a strength and the content to be considered as a problem and to improve the function, so that the analysis can be made more efficient.

When the examiner taps the expansion indicator 593, the display control unit 314 expands the category window 610 in the vertical direction to display the answers that have been hidden until then. The expansion index 593 is displayed at the left end of each column. For example, when the examiner taps the expansion index 593 displayed at the left end of the columns of "environmental factor" and "individual factor", each category is displayed. Window 610 is stretched upward to expand. Then, in addition to the answers displayed up to that point, the answers following each of "oral cavity - tool (toothbrush)" and "nutrition - make your own meals" are displayed.

An additional indicator 594 is displayed at the lower left of each category window 610 . By tapping any of the additional indicators 594, the inspector can change the display to a UI screen that accepts additional feature items.

FIG. 11 is an example of a UI screen showing how additional features are accepted. When the additional indicator 594 is tapped, the display control unit 314 grays out the display in FIG. 10 and superimposes the input window 630 thereon. A radio button 631 , an input box 632 , an OK button 595 and a cancel button 596 are arranged in the input window 630 . The radio button 631 is a button for selecting whether the characteristic item to be added from now on belongs to positive evaluation, negative evaluation, or reference information. The reception unit 312 receives the attribute selected by the radio button 631 and the text that the examiner inputs into the input box 632 using a software keyboard (not shown), a keyboard connected to the analysis support terminal 300, or the like. When the OK button 595 is tapped, the input feature items are confirmed, and the attributes and text received by the receiving unit 312 are transferred to the display control unit 314 . The display control unit 314 additionally displays the icon and text corresponding to the transferred attribute in the corresponding category window 610 of FIG. In the example shown in the figure, "Serving as an officer of a community association" is added to the category window 610 of "participation" together with a P icon 621. FIG. If the Cancel button 596 is tapped, the entered features are discarded.

Even if it is an item that does not correspond to the answers that are automatically classified in this way, if it is possible to add information obtained through interviews, etc., it is possible to clarify the condition of the subject more systematically. . For example, it is difficult to set questions in advance, such as highly individualized information of the elderly (hobbies, tastes, etc.) and information unique to the area where the elderly live (regional weather, altitude, undulations, etc.). Since information specific to the examinee can be entered, the condition of the examinee can be revealed more systematically, taking into consideration the individuality of the examinee.

In this way, if the responses obtained through the assessment are classified into six categories classified by ICF as shown in the example of FIG. It is possible to view the subject's condition comprehensively. Furthermore, it is possible to learn the interrelationship between each answer obtained and the category of the ICF classification. Further, by tapping the ICF button 512, it is possible to switch to the list display shown in the example of FIG. 10 at any time. You can check whether the question is classified, correct the policy for subsequent hearings, and understand the significance of the question.

Next, the flow of assessment processing using the analysis support terminal 300 will be described. FIG. 12 is a flow chart focusing particularly on the flow of processing relating to ICF classification. The flow starts when the analysis support terminal 300 receives an instruction to start a series of examinations.

The acquisition unit 311 receives input of subject information in step S101. The terminal control unit 310 performs various initial preparations before starting the assessment of the input subject. For example, as described above, the tree structure and the like regarding question groups and living activities are acquired from the assessment information DB 151 of the analysis support server 100 and stored in the storage unit 350 . Also, the classification table 351 generated by partially downloading from the classification table DB 152 according to the subject to be examined is stored in the storage unit 350 .

In step S102, the display control unit 314 displays a question corresponding to the instruction of the examiner on the display panel 320. FIG. In step S103, the obtaining unit 311 detects the input of the inspector and obtains the answer to the question. In step S104, the display control unit 314 reflects the acquired answers in the display by superimposing and displaying the answer indicators 531, for example.

The acquisition unit 311 confirms whether or not the ICF button 512 has been tapped in step S105. If tapped, the process proceeds to step S106, and if not tapped, the process proceeds to step S110.

When proceeding to step S106, the classification unit 313 refers to the classification table 351 and classifies the target answer among the answers obtained by the obtaining unit 311 so far into the ICF category. In addition, for responses classified into psychosomatic functions, activities, participation, environmental factors, and personal factors, the classification table 351 is referred to, and each attribute (positive evaluation, negative evaluation, reference information) is given.

In step S107, the display control unit 314 displays the answers classified for each category as in the example of FIG. The reception unit 312 confirms whether or not the additional indicator 594 has been tapped in step S108. If tapped, the process proceeds to step S109, the display control unit 314 displays the input window 630 in a superimposed manner, and the reception unit 312 receives the input characteristic item. When the acceptance of the characteristic item is completed, the process returns to step S107, and the display control unit 314 adds the accepted characteristic item to the corresponding category window 610 and displays it.

When proceeding to step S110, the obtaining unit 311 confirms whether or not "complete" of the command buttons 513 has been tapped. If not tapped, the process returns to step S102 (or step S107). If tapped, the series of processing ends.

Although the present embodiment has been described above using specific examples of UI screens, the display layout and design are not limited to these specific examples. An animation, a photograph, or a moving image may be adopted, or a display mode in which a plurality of display devices are linked may be adopted. Moreover, the specific element items described above are not necessarily required or limited to them, and can be appropriately changed according to the specifications required for the analysis support system.

Here, the main configurations of the analysis support program, analysis support method, and analysis support system described above will be summarized.
[Appendix 1]
an obtaining step of obtaining the subject's answer to the question about life function;
A classification step of classifying the answers into six categories of health condition, psychosomatic function, activity, participation, environmental factor, and personal factor classified by ICF (International Classification of Functioning, Disability and Health);
an analysis support program for causing a computer (310) to execute a display step of displaying the answers classified for each category on a display (320) for each category;
[Appendix 2]
The display step according to appendix 1, wherein each of the answers classified into the categories clearly indicates whether it belongs to a positive evaluation, a negative evaluation, or reference information in the classified categories. Analysis support program.
[Appendix 3]
causing the computer (310) to execute a receiving step of receiving entry of characteristic items related to the subject for each of the categories in the displaying step;
3. The analysis support program according to appendix 1 or 2, wherein the display step adds and displays a list of the characteristic items received in the reception step.
[Appendix 4]
In the display step, even before the acquisition of all the answers in the acquisition step is completed, if an instruction from the user is received, the answers have been classified into the categories by the classification step until then. 4. The analysis support program according to any one of Appendices 1 to 3, wherein the answers are displayed on a display (320) for each category.
[Appendix 5]
5. The analysis support program according to any one of Appendices 1 to 4, wherein the display step displays the answers for each category together with the attribute information attached to the question.
[Appendix 6]
An analysis support method using an analysis support system (300),
an acquisition step in which the acquisition unit (311) acquires the subject's answers to the questions about life functions;
a classification step in which the classification unit (313) classifies the answers into six categories classified by ICF (International Classification of Functioning, Disability and Health): health condition, mental and physical function, activity, participation, environmental factor, and personal factor; ,
and a display step in which a display control unit (314) displays the answers classified for each category on a display (320) for each category.
[Appendix 7]
an acquisition unit (311) that acquires the subject's answers to the questions about life functions;
A classification unit (313) that classifies the responses into six categories of health condition, psychosomatic function, activity, participation, environmental factor, and personal factor classified by ICF (International Classification of Functioning, Disability and Health);
An analysis support system (300) comprising a display control section (314) for displaying the answers classified for each category on a display (320) for each category.

DESCRIPTION OF SYMBOLS 100... Analysis support server, 110... System control part, 120... Display monitor, 130... Input device, 140... Communication unit, 150... Storage device, 151... Assessment information database, 152... Classification table database, 300... Analysis support terminal, 310 terminal control unit 311 acquisition unit 312 reception unit 313 classification unit 314 display control unit 320 display panel 330 touch panel 340 communication unit 350 storage unit 351 classification table , 501... Subject name, 511... Assessment button, 512... ICF button, 513... Command button, 521... Question, 522... Choice, 531... Answer index, 532... Add button, 540... Input window, 541... Input box , 542...check box, 543...selection index, 550...daily activity group, 551...daily activity, 560...element process group, 561...element process, 570...task group, 571...designated task, 573...task check window, 580 Blocking factor group, 581 Specified blocking factor, 591 Feed index, 592 Return index, 593 Development index, 594 Add index, 595 OK button, 596 Cancel button, 610 Category window, 611 Tab, 621... positive icon (P icon), 622... negative icon (N icon), 623... information icon (I icon), 630... input window, 631... radio button, 632... input box, 900... network, 910... wireless unit

Claims (7)

an obtaining step of obtaining, through an input operation, an examiner's answer to a question about life functions displayed on a display device by an examiner who conducts a hearing of the question to the examinee;
A classification step of classifying the answers into six categories of health condition, psychosomatic function, activity, participation, environmental factor, and personal factor classified by ICF (International Classification of Functioning, Disability and Health);
an analysis support program for causing a computer to execute a display step of arranging the answers classified according to the categories in separate display areas for each category and displaying a list on the display. 2. The display step according to claim 1, wherein each of the answers classified into the categories clearly indicates whether the answers belong to positive evaluation, negative evaluation, or reference information in the classified categories. analysis support program. causing the computer to execute a receiving step of receiving entry of characteristic items related to the subject for each of the categories in the displaying step;
3. The analysis support program according to claim 1 or 2, wherein said displaying step additionally displays said characteristic items received in said receiving step as a list. In the display step, even before the acquisition of all the answers in the acquisition step is completed, if an instruction from the user is received, the answers have been classified into the categories by the classification step until then. 4. The analysis support program according to any one of claims 1 to 3, wherein the answers are displayed on a display for each category. 5. The analysis support program according to any one of claims 1 to 4, wherein said display step displays said answers for each of said categories together with attribute information attached to questions. An analysis support method using an analysis support system,
an acquisition step in which an acquisition unit acquires a subject's answer to a question about life functions displayed on a display device through an input operation by an examiner who conducts a hearing of the question to the subject;
A classification step in which the classification unit classifies the answers into six categories classified by the International Classification of Functioning, Disability and Health (ICF): health condition, psychosomatic function, activity, participation, environmental factors, and personal factors;
and a display step in which the display control unit arranges the answers classified by the categories in separate display areas for each category and displays the list on the display device. an acquisition unit that acquires a subject's answer to a question about life functions displayed on a display device through an input operation by an examiner who conducts a hearing of the question to the subject;
A classification unit that classifies the responses into six categories of health condition, psychosomatic function, activity, participation, environmental factor, and personal factor classified by ICF (International Classification of Functioning, Disability and Health);
an analysis support system comprising: a display control unit for arranging the answers classified according to the categories in separate display areas for each category and displaying a list on the display.

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