JP2003091588A - Method and system for supporting medical examination business - Google Patents

Abstract

PROBLEM TO BE SOLVED: To achieve efficiency of medical examination businesses by automatically grasping proceeding situations of the businesses based on data input and output specified to the businesses, totally grasping progress of a plurality of medical examination businesses, and precisely grasp the situations of progress of the medical examination businesses. SOLUTION: This invention is provided with a step of forming management information for medical examination schedule in a management file in a work situation grasping device through a medical examination business terminal in forming medical examination schedule for medical diagnosis at the medical examination business terminal, a step to record output situations in the management file when prescribed documents are outputted in an output device, and a step to record reading situations in the management file.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a method for supporting a health checkup work for automatically grasping the progress of work of a health checkup work performed in a medical institution or similar institutions (medical health facilities attached to schools and factories). And the system.

[0002]

2. Description of the Related Art Conventionally, as a technique for managing the progress of health checkup work, for example, one disclosed in Japanese Patent Laid-Open No. 8-233825 is known. Further, as a general work progress management method, those described in JP-A-7-230501 and JP-A-2000-242713 are known. The technique described in JP-A-8-233825 relates to a data management device that is connected to an analyzer used in a medical institution or the like and manages data obtained by the analyzer.
This is the integrated management of multiple analyzers. It consists of a data management device that manages multiple analyzers with a means for distinguishing between normal and abnormal measurement results represented by the input measurement data.
In addition to displaying on one process control screen across a plurality of analyzers in association with each analyzer and each sample, a display means for sequentially updating the display of the progress status in the process control screen is provided. Data management device.

The technique described in Japanese Patent Laid-Open No. 7-230501 discloses that the system side automatically extracts the record data required for progress management and reflects it in the record management calculation and graph creation. When the program creation tool is started in each process of program design, manufacturing, and testing, the system operation time and the number of steps in each process are extracted as actual man-hours and managed in the library. The performance management device is characterized in that various performance data is automatically extracted from the program creation tool, and automatic performance management calculation, performance management graphs, and charts are created.

The technique described in Japanese Patent Laid-Open No. 2000-242713 is a business management support system constructed by connecting a management server and a terminal server via a network, and is input according to standard format data such as a daily business report. By accumulating information data and grasping the update history of report data, the progress status can be grasped, and when requesting work by sending and receiving work request forms etc. through the network, the work request forms This is a business management support system that enables business management by grasping the transfer history.

[0005]

However, the technique disclosed in Japanese Unexamined Patent Publication No. 8-233825 is a data management device that integrally manages a plurality of analyzers that store the measurement results of the examinees regarding the inspection action in the health checkup work. And
Although it is possible to grasp the progress status of the examinees and specimens and to manage data management and normality / abnormality of data in an integrated manner, the scope of managing the progress is limited to only the inspection act, and it is used for medical examinations. It cannot be managed in the same way as other progress management such as accompanying preparations and report of inspection results, and the fact that progress information is acquired is limited to the measuring device. There is a problem that there is no.

Further, in the technique disclosed in Japanese Patent Laid-Open No. 7-230501, the program start time, operation time and its program development step are automatically acquired as performance information, and the current progress is automatically calculated. However, it is possible to obtain progress information only from the start, usage status and usage time collected by the program development tool. There is a problem in that the output of and the input of customer information are not enough to be used as important progress information.

Further, in Japanese Patent Laid-Open No. 2000-242713, the progress status can be automatically calculated by managing the history of each of the creation and update of the fixed form data and the transfer using the network in the server. However, what obtains the progress status is limited to the specific format data handled as a result of the use of the program, and the result of the work performed by the progress management target person is used as the information source as in the above-mentioned Japanese Patent Laid-Open No. 7-230501. However, there is a problem that it is not enough to use it for grasping the progress of health checkup work.

An object of the present invention is to automatically grasp the progress of work at a facility for carrying out a health check from the input and output of data peculiar to the work, and also to grasp the progress of a plurality of health check works at once. Therefore, it is to provide a method and system for supporting the health checkup work, which can accurately grasp the progress of the health checkup work and contribute to the efficiency of the health checkup work.

[0009]

In order to achieve the above-mentioned object, the present invention provides a medical examination work terminal for conducting a medical examination plan and advance preparation plan and post-processing of a plurality of medical examination works connected by a network, and a form. An output device that outputs, an information reading device that reads information on the target person who undergoes a medical examination, a reception terminal that accepts the medical examinee, a measuring device that automatically examines the medical examinee, A medical examination work support method in a medical examination work system configured by an analysis device that automatically analyzes a collected sample and a work situation grasping device that grasps the work situation of the medical examination work, and in the medical examination work terminal A step of creating management information of the medical examination plan in the management file in the work status grasping device from the medical examination work terminal when creating a medical examination plan of the medical examination; When outputting the specified form in the output device, the step of recording the output condition in the management file, and the step of recording the reading condition in the management file when reading the information of the specified recording medium in the information reading device Is characterized by.

[0010] Further, at the time of receiving the examinees at the reception terminal, a step of recording the number of the examinees in the management file, and the number of examinees who have been examined at the time of the examination of the examinees by the measuring device in the management file The method is further provided with a step of recording and a step of recording the number of analyzes in the management file when the sample is analyzed by the analyzer.

Further, the work progress status of all the medical examination work in the management file is inspected at every predetermined time, and the warning information is created for the work overdue, and the work delayed for the scheduled time. Create cautionary information about
It is characterized by further comprising a step of notifying a person concerned.

Further, the health examination service support system according to the present invention comprises a health examination service terminal for performing health examination plans and advance preparation plans and post-processing of a plurality of health examination services connected by a network, and an output device for outputting a form. An information reading device that reads the information of the person who receives the medical examination, a reception terminal that accepts the medical examination recipient, a measuring device that automatically examines the medical examinee, and an automatic sample collection from the medical examinee. A health check service support method in a health check service system configured by an analysis device for performing analysis and a work condition checking device for checking the work condition of the health check work, wherein the health check service terminal is a health check service. A means for creating management information of the medical examination plan in a management file in the work status grasping device at the time of creating a medical examination plan, and the output device,
When outputting the prescribed form, a means for recording the output situation in the management file and a means for recording the reading situation in the management file when the information reading device reads the information on the prescribed recording medium are provided. And

[0013] Further, the reception terminal records the number of examinees in the management file at the time of reception of the examinees, and the measuring device records the number of examinees inspected in the examination of the examinees in the management file. And a means for recording the analysis number in the management file when the sample is analyzed.

Further, the work status grasping apparatus inspects the work progress status of all the health check jobs in the management file at every predetermined time, and creates warning information for the work which is over the deadline, and schedules it. It is characterized by the provision of means for creating caution information and notifying relevant persons regarding work that is behind schedule.

[0015]

BEST MODE FOR CARRYING OUT THE INVENTION Hereinafter, one mode for carrying out the present invention will be specifically described with reference to the drawings. Figure 1
[Fig. 1] is a system configuration diagram showing an embodiment of a health examination service support system to which the present invention is applied. The medical examination work support system of the present embodiment includes a medical examination work work situation grasping apparatus 1 for performing various information processing for grasping the work situation of the medical examination work, a management file 1A for storing work information, and a medical examination work. A display device 1B for displaying information managed by the work status grasping device 1, a medical examination work terminal 2 for conducting a medical checkup plan preparation and a preparatory work plan preparation and post information processing, and a print for outputting a form relating to the medical examination work. Device 3, information reading device 4 for reading the information of the person who undergoes the medical examination
And a reception terminal 5 for accepting the examinee in carrying out the medical examination, a measuring device 6 for automatically measuring the examinee, and an analyzer 7 for automatically analyzing a sample collected from the examinee, The device and the terminal are connected via a wired or wireless network 8.

FIG. 2 is a diagram showing the configuration of FIG. 1 as a concrete device configuration. Here, the management file 1A is stored in the storage device 1C. The printing device 3 is composed of a printing device main body 3A and a printing control device 3B. The information reading device 4 includes a mark sheet reading device 4A and a floppy disk reading device (FDD).
4B and its control device 4C. Further, the measuring device 6 includes a measuring instrument 6A for automatically or semi-automatically measuring health checkup items such as height and weight and a control device 6B therefor.
It consists of and. Further, the analyzer 7 is composed of an analyzer 7B for analyzing a sample such as blood and a controller 7A thereof. The medical examination work status recognizing device 1, the storage device 1C, the print control device 3B, the reading control device 4C, the measurement control device 6B, and the analysis control device 7A are connected by a network 8.

The information stored in the management file 1B includes examination information, company group information, medical examination result information, medical examination contract information, and the like, and the storage device 1C includes a medical examination work terminal 2, a printing device control device 3, and Information related to physical examination is stored and stored between the reading control device 4C, the reception terminal 5, the measurement control device 6B, and the analysis control device 7A.

FIG. 3 is a flow chart showing the flow of the medical examination work. The following flow shows the flow of general health checkup work. First, for one health checkup work, first a health checkup plan is created (step 301), then preliminary preparations necessary for the health checkup execution (step 302), then a health checkup execution (step 303), and then Post-processing after the health check is performed (step 304). FIG. 4 is a diagram showing the contents of the medical examination management plan stored in the management file. The management file 1A stores medical examination plan information corresponding to a plurality of medical examinations. Process information (process 1 to process 1) for grasping the work status is included in one medical examination plan.
n) is stored, and one process information needs to store the process code indicating the process content, the process start date, the process end date, the process man-hour and progress, and the previous process information required before the process. It is composed of each information of a process and a work status of the corresponding process, which indicates that the work has not been started or is in the process of being completed.

The process information in FIG. 4 is defined as a process having a period by setting a start date, an end date, and man-hours, and records the work status of the process by describing the progress with respect to the man-hour. is there. In contrast,
In some cases, a start date, a man-hour, and a progress are not used, and thus a process is defined as a deadline only process that has no period.

FIG. 5 is a diagram for explaining the process of grasping the work status and displaying the work status of the medical examination work. The medical examination work status recognizing device 1 determines the contents of the management file 1A at predetermined time intervals, and is behind the work progress required by the process or calculation for which the work deadline has passed for the work of the health examination work. In this case, caution information or warning information is created and displayed on the display device 1B, and the current health check work status is displayed on the display device 1B.

FIG. 6 is a diagram showing a display example of the medical examination status.
The screen information output by the medical examination work work status grasping device 1 includes a medical examination status display section 21A for displaying the work status of the medical examination work as shown in the figure, and a caution information display section 21B showing the delay of the medical examination work. , And a warning information display section 21C indicating that the work of the health checkup work is overdue. The medical examination status display unit 21A can display work statuses of a plurality of designated medical examination tasks, and the caution information display unit 21B and the warning information display unit 21C can collectively display information on all medical examination tasks. ing.

FIG. 7 is a diagram showing the details of the health checkup status display section 21A, and here shows an example in which the work status in the health checkup work is displayed in association with the date. First, the information on the start date and end date of each medical examination plan in the management file 1A shown in FIG. 4 is read out, and the information is sorted in order from the earliest start date,
A line connecting the start date and the end date of each medical examination plan is drawn in the process control chart 22 with the horizontal axis as the time axis.

The line indicating the process in FIG. 7 is displayed by distinguishing the number of man-hours that have been worked or the number of work remaining depending on the work status of the process as indicated by 22A. The status of these works is shown in the management file shown in FIG. Based on the start date and end date in 1A, the man-hours, and the progress of the man-hours, the display is performed by using the ratio of the progress man-hours to the total man-hours of the work period. For example, the percentage of completed processes is represented by hatching in a strip-shaped frame line, and the percentage of remaining processes is represented by inserting dots in a strip-shaped frame line.

FIG. 8 is a diagram showing another example of the medical examination status display portion 21A of FIG. This shows an example in which the process A is designated as a necessary process that needs to be performed before the process D, and the process D requires the completion of the process A. 23A for drawing.

FIG. 9 is a flow chart showing the work judging process for the health check work status. First, the medical examination plan information of 1A in the management file is acquired (step 901), the process information in the acquired medical examination plan information is acquired (step 902), and whether or not the work of the relevant process is completed. A judgment is made (step 903). If the status of the process is not yet completed or is in the process of being processed, it is judged whether the date of the relevant date in the system is past the process completion date (step 904), and if the date has passed, a warning is issued. Information is created (step 905), and if it is before the process completion date, the scheduled progress of the process date in the management file 1A is calculated as a ratio from the total man-hour based on the start date and end date and the man-hour and progress. (Step 90
6). It is judged whether or not there is a delay from the scheduled progress (step 907), and if there is a delay, caution information is created (step 908). If the determination process of one of these processes is completed, the determination process of the remaining processes of the medical examination plan is performed (step 908), and if the determination of all the processes of the medical examination plan is performed, the next medical examination plan is performed. (Step 909) By repeating these processes, the determination process for all medical examination plans is performed.

Next, the work grasping process of the health checkup work state grasping apparatus 1 of FIG. 1 in the flow of the health examination work of FIG. 3 will be described. Stage of medical examination plan creation in Figure 3 (Step 3
01) is performed by using the medical examination work terminal 2 of FIG. 1. When a new medical examination plan is created, the health checkup program is executed by the business processing program on the medical examination work terminal 2 when the new medical examination plan is created. Medical examination plan information is created in the management file 1A in the medical examination work status grasping apparatus 1. At this time, the inspection content, the inspection method, the number of examinees, and the date of the medical examination are recorded as a medical examination plan defined in the medical examination plan creation work, and at the same time, the necessary steps associated with these inspection contents and the inspection method are managed in the management file 1A. It is recorded as the process information in the applicable medical examination plan.

The above-mentioned necessary steps are defined in advance as a medical examination information master file in association with the medical examination plan, and the medical examination operation terminal 2 needs to refer to the medical examination information master file when creating the medical examination plan. The process is recorded in the management file 1A. Here, the start date, end date, and man-hour of the required process can be automatically determined if the process has a period determined from the medical examination plan information, but if automatic calculation is not possible, a deadline input is required. And At the same time, the process of the health checkup regulation work such as the submission or receipt of documents and recording media necessary for the health checkup is also recorded in the management file 1A as a process of only the start date and the end date with no man-hours. .

FIG. 10 and FIG. 11 are diagrams showing necessary steps of the above-mentioned medical examination plan. As shown in FIG. 10, when the medical examination plan 34 is created by the medical examination work terminal 2, the medical examination execution date, the number of examinees, and the examination content are registered at the same medical examination, and the examination to be performed at the same time. Accordingly, the required process information is stored in the process information 36 in the management file 1A of FIG. 11 by referring to the medical examination information master file 35. Similarly, with respect to the necessary forms specified in the medical examination plan and the process related to the necessary information reading, the information specified in the medical examination information master file 35 is referred to as the process information of the medical examination plan in the management file 1A. Store.

Pre-preparation stage of FIG. 3 (step 302)
Is a task to perform the necessary preparations for the health checkup using the health checkup terminal 2, creating an inspection schedule for the health checkup, preparing inspection equipment, and scheduling the staff for the health checkup. Also, at the same time, the personal information of the examinees who undergo the medical examination is read. At this time, when the specified form defined as the preparatory process of the relevant medical examination plan, for example, the work instruction sheet, is output by the printing device 3 in FIG. 1, the print control device 3B causes the corresponding health information in the management file 1A. By recording the status of the relevant process in the examination plan as "completed", the work status information of the relevant process is managed.

Further, in the process of taking in the information of the target person who receives the medical examination, the man-hours of the work of the relevant process are set as the number of target persons, and the information reading device 4 fetches the target person information of the relevant medical examination plan. In this case, the work status of the relevant process is managed by advancing the progress of the relevant process, and the status of the relevant process is completed when the progress becomes equal to the work man-hour. Here, the total number of target persons is automatically recorded in the corresponding process of the management file 1A when setting the number of target persons during the medical examination plan creation processing in the medical examination work terminal 2.

Further, also in the work of outputting the medical examination sheet necessary for conducting the medical examination, the number of persons to be examined is set as the man-hour of the relevant process at the time of the medical examination plan preparation, and the number of sheets of the medical examination sheet output by the printing apparatus 3 is determined by the printing apparatus 3. Management file 1 as progress
By recording in A, the work status of the relevant process is managed,
When all the output sheets have reached the number of printed sheets set as the man-hour, the corresponding process status is set to “completed”.

At the stage of the medical examination shown in FIG. 3, the physical examination is actually performed, and the medical examination is performed such as reception of the subject, measurement and examination of the subject, or examination by a doctor. At this time, the man-hours of the reception process at the reception terminal 5 of the relevant medical examination plan are taken as the number of people receiving the corresponding medical examination, and the man-hours of the measuring process at the measuring device 6 of the relevant medical examination plan is taken as the number of measurement subjects,
In addition, the number of analysis subjects in the analysis device 7 of the relevant medical examination plan is recorded in the management file 1A by the medical examination work terminal 2 when the corresponding medical examination plan is created.

When the person who receives the medical examination receives the information at the reception terminal 5, the reception terminal 5 advances the progress of the corresponding process by one, and when the progress reaches the number of people to be examined set as the man-hour, The status is “completed”. Similarly, the measuring device 6 and the analyzing device 7 also manage the work status of the relevant work by recording the number of measurement and analysis performed by the target person as the progress, and the progress reaches the target number set as the man-hour. If so, the status of the relevant process is set to “complete”.

At the stage of the post-processing shown in FIG. 3, there are processes such as information processing of various types of health checkup information at the stage of health checkup, output of information processing results and sending of the results to the examinee, and request for health checkup. To do. At this time, the number of examinees in the relevant medical examination plan is set as the information processing man-hour of the medical examination information, and at the same time, set as the man-hour of the information processing result output. As a medical examination work terminal 2 at the time of making a medical examination plan
Records in the management file 1A.

Further, every time the health checkup information of the health checkup examiner is processed by the health checkup operation terminal 2 shown in FIG.
The progress of the corresponding process in the management file 1A is recorded every time the health checkup result of the examinee is output by the printing apparatus 3 in FIG. When the progress reaches the number of targets set as man-hours, the status of the relevant process is set to “complete”. Also,
When the procedures such as the shipping of these results and the billing accompanying the implementation of the medical examination plan are completed, the status of the corresponding process in the management file 1A is changed to "completed".

Regarding the status of the above-mentioned process information, preparation of a medical examination plan, output of a form accompanying the advance preparation and information input in the information reading device 4, reception and measurement and analysis of a sample accompanying the execution of the physical examination, and Regarding post-processing health check information processing and output of health check results, the status is automatically recorded in the relevant process of management file 1A at the same time as progress is made, but delivery of other documents or negotiation regarding health check contracts, etc. Regarding the management of the process that cannot automatically grasp the work, the progress of the relevant process is artificially recorded in the management file 1A, and the health check work work situation grasping device 1 makes the work situation based on the recorded progress information. To understand.

As described above, according to the present embodiment, the work status of the health check job is automatically identified by grasping the work status of the health check job focusing on the input and output of the data peculiar to the health check job. It becomes possible to grasp.
In addition, the work status of the health checkup plan is displayed on the display screen as an easy-to-understand process control chart, and the work status of multiple health checkup plans can be compared to facilitate the progress management of multiple health checkup plans. The output (display) of the caution information and the warning information indicating the delay of the process facilitates the discovery of the delayed process. In addition, for processes such as delivery and meetings of documents for which the work status cannot be automatically grasped, by manually entering the progress status, these processes can also be subject to management. It is possible to grasp the progress of multiple health checkups collectively, such as by being able to grasp the work status, thereby accurately grasping the progress of health checkups and contributing to the efficiency of health checkups. be able to.

[0038]

As described above, according to the present invention,
Automatically grasp the progress of work from the input and output of data specific to the work, and collectively grasp the progress of multiple health checkups, thereby accurately grasping the progress of health checkups It can contribute to the efficiency of diagnostic work.

[Brief description of drawings]

FIG. 1 is a system configuration diagram showing an embodiment of the present invention.

FIG. 2 is a diagram showing a specific device configuration in the configuration of FIG.

FIG. 3 is a diagram showing a flow of health checkup work.

FIG. 4 is a diagram showing an example of information used for a health checkup management plan.

FIG. 5 is an explanatory diagram of a process of grasping the work status of the medical examination work.

FIG. 6 is a diagram showing a display example of a medical examination status.

FIG. 7 is a diagram showing details of a medical examination status display unit in FIG.

8 is a diagram showing another example of the medical examination status display unit of FIG.

FIG. 9 is a flowchart showing work determination processing for health check work status.

FIG. 10 is a diagram showing process information related to a medical examination plan creation in the medical examination work terminal.

FIG. 11 is a diagram showing an example of information storage in a management file.

[Explanation of symbols]

1 ... Medical checkup work status grasping device, 1A ... Management file,
1B ... Display device, 2 ... Medical checkup terminal, 3 ... Printing device, 4
... information reading device, 5 ... reception terminal, 6 ... measurement device, 7 ... analysis device, 8 ... network, 10 ... medical examination service terminal, 11
A ... Printing device, 21A ... Health checkup status display section, 21B ... Attention information display section, 21C ... Warning information display section.

Claims (6)

[Claims] 1. A health checkup terminal for conducting a health checkup plan and preparatory plan and post-processing for a plurality of health checkups connected by a network, an output device for outputting a form, and information on a person who receives a health checkup. An information reading device to read, a reception terminal for receiving medical checkups, a measuring device that automatically examines the medical examinee, an analyzer that automatically analyzes the samples collected from the medical examinee, and a medical examination service. A method for supporting a health checkup work in a health checkup work system configured with a work situation checker for checking the work situation, wherein management in the work situation checker at the time of creating a health checkup plan for the health checkup at the checkup work terminal A step of creating management information of the medical examination plan in a file from the medical examination work terminal; And recording the serial management file, when reading information specified recording medium in the information reading apparatus, medical examination service support method characterized by comprising the step of recording the read status to the management file. 2. A step of recording the number of examinees in the management file at the time of accepting the examinees at the reception terminal, and the number of examinees who have been examined at the time of the examination of the examinees by the measuring device in the management file. The steps to record,
The method according to claim 1, further comprising the step of recording the number of analyzes in the management file when the sample is analyzed by the analyzer. 3. The work progress status of all the medical examination work in the management file is inspected at predetermined time intervals, warning information is created for the work overdue, and work behind the scheduled time 3. The method according to claim 1 or 2, further comprising a step of creating caution information and notifying relevant persons. 4. A health checkup terminal for conducting a health checkup plan and advance preparation plan and post-processing for a plurality of health checkups connected by a network, an output device for outputting a form, and information on a target person for a health checkup. An information reading device to read, a reception terminal for receiving medical checkups, a measuring device that automatically examines the medical examinee, an analyzer that automatically analyzes the samples collected from the medical examinee, and a medical examination service. A method for supporting health checkup work in a health checkup work system configured with a work situation checker for checking the work situation, wherein the health checkup work terminal has a function A means for creating management information of the medical examination plan in a management file is provided, and the output device records the output status in the management file when the prescribed form is output. When the information reading device, medical examination service support system, characterized in that it comprises at reading information specified recording medium, and means for recording the read status to the management file. 5. The means for the reception terminal to record the number of examinees in the management file at the time of reception of the examinees, and the number of the examinees examined by the measuring device during the examination of the examinees in the management file. 5. The medical examination work support method according to claim 4, further comprising means for performing the analysis, and means for recording the analysis number in the management file when the analysis device analyzes the sample. 6. The work status ascertaining device inspects the work progress statuses of all the health check jobs in the management file at predetermined time intervals, creates warning information for the work that is overdue, and schedules the work. The health check service support system according to claim 4 or 5, further comprising means for creating caution information for a work that is behind the time and notifying the concerned person.