JP2006260251A - Medical examination reservation system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a medical examination reservation system capable of preventing examination omission of an examination receiver resulted from forgetting to reserve a close examination. <P>SOLUTION: This system comprises a close examination necessity information acceptance part 11a accepting input of close examination necessity information from a medical examination report system 4; a schedule storage part 20 storing examination schedules of a medical institution which performs the close examination; a temporary reservation information generation part 11b retrieving a time not scheduled for close examination in reference to the schedule storage part 20, and generating temporary reservation information showing temporary reservation of this time; a temporary reservation part 11c transmitting the temporary reservation information to the medical institution; and a report part 11d reporting, when the medical institution accepts the temporary reservation, temporarily reserved information showing completion of the temporary reservation to the examination receiver. <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

  The present invention relates to a screening appointment system, and more particularly, to a screening appointment system for conducting a detailed examination when an abnormality is found in a primary examination.

  Conventionally, various examination reservation systems have been invented.

Patent Document 1 discloses a medical institution reservation method capable of transmitting a medical institution list to a patient terminal connected to a network and selecting a predetermined medical institution from the medical institution list. Thereby, even when the medical institution list is updated, it is possible to select a desired medical institution from the latest medical institution list and make a reservation for examination. Patent Document 2 discloses a reservation system that stores a time zone in which a medical device can be used and a time zone in which a laboratory technician can work, and determines a time in which the medical device can be reserved. Thereby, it is possible to make a reservation for a medical device in consideration of a schedule of an inspection engineer who operates the medical inspection device.
JP 2002-197199 A JP-A-5-197768

  If an abnormality is found during a primary screening such as a mass screening or a medical checkup, the patient is notified of a close examination, and the patient makes a reservation for a detailed examination at a later date. For this reason, there has been a problem of omission of screening due to the forgotten person forgetting appointment for the detailed examination. According to Patent Document 1, although the examinee can select a medical institution, it has not been possible to prevent omission in the consultation due to the examiner forgetting to make a reservation for a close examination. Moreover, since the said patent document 2 was a screening reservation system which considered the convenience of the laboratory technician, the convenience of the examinee was not reflected.

  The present invention has been made in view of the above problems, and an object of the present invention is to provide a screening reservation system that prevents a screening failure caused by forgetting a reservation for a close examination of a medical checkup person.

  In order to achieve the above-described object, the examination reservation system according to the present invention includes a precise examination information receiving means for accepting input of precise examination information indicating the type of the detailed examination recipient and the type of fine examination from the examination report system, Schedule storage means storing an inspection schedule of at least one medical institution performing the inspection, and when the precise inspection information receiving means accepts the input of the detailed inspection information required, reservation of the detailed examination is made with reference to the schedule storage means A temporary reservation information generating means for searching for a time in which no preliminary inspection is included, and generating temporary reservation information indicating that a temporary reservation for a fine inspection included in the fine inspection information required at that time is to be performed; Temporary reservation means to be transmitted to a medical institution that makes a temporary reservation for examination, and indicates that the temporary reservation has been completed when the medical institution accepts the temporary reservation. The reserved information comprises a notification unit which notifies the at least one doctor or examinees, the.

  Further, the medical examination recipient further includes desired medical institution storage means for storing desired medical institution information indicating a medical institution that wishes to undergo the detailed examination, and the temporary reservation means includes the desired medical institution storage means. And referring to the schedule storage means, the examiner transmits the provisional reservation information to a medical institution that wishes to receive the detailed examination.

  According to the present invention, when the required detailed examination information is input to the examination report system, a temporary examination for the detailed examination is automatically made. Therefore, it is possible to prevent omissions due to the patient's forgetting to make an appointment for the detailed examination. . Furthermore, if there is a medical institution desired by the examinee, a temporary reservation for a close examination can be made to the desired medical institution, and the convenience of the examinee can be improved.

  Hereinafter, preferred embodiments of a screening reservation system according to the present invention will be described in detail with reference to the accompanying drawings. Note that components having the same function are denoted by the same reference symbols throughout the drawings for describing the embodiment of the invention, and the repetitive description thereof is omitted.

  FIG. 1 is a hardware configuration diagram showing the configuration of a screening appointment system according to an embodiment of the invention.

  The examination appointment system 1 in FIG. 1 includes an examination appointment apparatus 10 that makes a provisional appointment for a fine examination, an examination schedule DB 20 that stores examination schedules of medical institutions A and B that can carry out a fine examination, and a examination for a fine examination. The examination reservation apparatus 10, the examination schedule DB 20, and the recipient information DB 25 are connected to each other by the in-hospital LAN 5. The in-hospital LAN 5 further includes a medical imaging apparatus 2, an inspection apparatus 3 that performs blood tests and tissue examinations, and a medical examination report system 4 that creates a medical examination report based on the medical images and the examination results of the examination apparatus 3. Connected. The LAN 5 is connected to a communication network 6 such as the Internet or a dedicated line. Connected to the communication network 6 are in-hospital systems 21 and 22 of medical institutions A and B capable of performing detailed examinations, and a patient terminal device 30 operated by a person undergoing detailed examination.

  The examination schedule DB 20 stores an examination schedule indicating the reservation status of each medical institution and examination type. In the present embodiment, the examination schedule DB 20 is configured as a database that acquires examination schedule information from the hospital systems 21 and 22 of the medical institutions A and B and centrally manages examination schedule information of a plurality of medical institutions. The schedule DB 20 may be provided in the in-hospital systems 21 and 22, respectively, and the examination reservation apparatus 10 may be configured to inquire to the in-hospital systems 21 and 22 every time a detailed examination is performed.

  The examinee information DB 25 stores the name and address of the examinee, the e-mail address of the examinee terminal device 30, the examination report, the name of the medical institution that receives the detailed examination desired by the examinee, and the like.

  The medical image capturing apparatus 2 is configured by an apparatus capable of capturing an image of a subject such as an X-ray CT apparatus, an MR apparatus, a US apparatus, an X-ray apparatus, and a nuclear medicine apparatus.

  The examination reservation apparatus 10 mainly includes a central processing unit (CPU) 11 that controls the operation of each component, a main memory 12 that stores a control program for the apparatus and serves as a work area when the program is executed, an operating system (OS ), A peripheral device drive, a magnetic disk 13 storing various application software including a program for performing inspection reservation processing, which will be described later, a display memory 14 for temporarily storing display data, and a display memory 14 A monitor 15 such as a CRT monitor or a liquid crystal monitor that displays an image based on data, a keyboard 16, a mouse 17 as a position input device, and the state of the mouse 17 are detected, and the position of the mouse pointer on the monitor 15 and the state of the mouse 17 are detected. The controller 171 outputs a signal such as. When, and a communication interface (I / F) 19 for connecting to LAN 5, the respective components are connected to each other by a common bus.

  Next, a program executed by the CPU 11 of the examination reservation apparatus 10 will be described with reference to FIG. FIG. 2 is a block diagram showing the configuration of the program.

  The CPU 11 executes a precise inspection information receiving unit 11a, a provisional reservation information generation unit 11b, a provisional reservation unit 11c, and a notification unit 11d, which are programs. The required detailed inspection information receiving unit 11 a receives the required detailed inspection information from the screening report system 4 via the LAN 5. The provisional reservation information generation unit 11b, when receiving the detailed examination information, refers to the examinee information DB 25 and extracts the name of the medical institution that the examinee who needs the fine examination desires to receive the fine examination. Then, with reference to the schedule of the medical institution name stored in the examination schedule DB 20, temporary reservation information is generated. The provisional reservation unit 11c notifies the provisional reservation information to the medical institution that makes the provisional reservation for the detailed examination, and makes the provisional reservation. The notification unit 11d notifies temporary reserved information indicating that the temporary reservation is completed to at least one of the examinee (examinee terminal device 30) or a doctor (doctor terminal device not shown). The notification may be sent out to a doctor or examinee by temporarily printing out information on provisional reservation by the printer 18. These programs are stored in the magnetic disk 13, and the CPU 11 reads out to the main memory 12 and executes them as appropriate.

  Next, based on FIG. 3, an example of the examination schedule table and the examinee information table stored in the examination schedule DB 20 and the examinee information DB 25 will be described.

  FIG. 3A shows an example of an inspection schedule table 20A stored in the inspection schedule DB 20. The examination schedule table 20A includes a “medical institution name record”, an “examination type record”, and a “date / time record”, and stores a reservation status of a predetermined date and time for each examination type of each medical institution.

  FIG. 3B shows an example of the examinee information table 25A stored in the examinee information DB 25. The examinee information table 25A includes “name record”, “address record”, “e-mail address”, “examination No. code”, and “desired medical institution name”, and the name, address, and examinee of the examinee are displayed. The e-mail address of the examinee terminal device 30 to be operated (for example, the mobile phone or personal computer owned by the examinee) is the name of the medical institution that wishes to receive a detailed examination, and the examination number for uniquely identifying the examination result report. Is stored.

  FIG. 4 shows an example of an interpreting doctor screen operated by an interpreting doctor of medical images and an examination report for a close examination. In the present embodiment, the screening report system 4 is configured by a screening report system in which an interpretation doctor creates a screening report based on an image captured by the X-ray CT apparatus 2.

  FIG. 4A shows a screen display example 40 displayed in this examination report system, in which a checklist 41 for checking and selecting the contents judged by the interpretation doctor and a case where it is judged that a close examination is necessary. A “necessary detailed inspection icon” 42 for inputting necessary detailed inspection information is displayed. If the interpretation doctor determines that there is a suspicion of lung cancer as a result of looking at the medical image, he / she checks “suspected lung cancer” in the check list 41. Then, the detailed inspection icon 42 is clicked, and detailed inspection information is input.

  FIG. 4B is a diagram showing an example of a screening report created by this screening report system. Two types of screening reports are created: a screening report 45 for medical personnel and a screening report 46 for medical examinees. The medical examination report 45 for medical personnel and the medical examination report 46 for medical examinees describe “examination No.” stored in the “examination No.” record of the medical examinee information table 25A. The examination report for the examinee includes provisional reservation information 47 for the detailed examination and how to spend until the examination day. The examinee looks at the contents of the provisional reservation information 47 and, if the contents of the provisional reservation are acceptable, notifies the medical institution of the provisional reservation destination of the reservation. Also, when changing the date / time and location of a temporary reservation, the contents of the temporary reservation are changed or canceled.

  Next, based on FIG. 5, the examination reservation process according to the present embodiment will be described. FIG. 5 is a flowchart showing the procedure of the examination reservation process according to the present embodiment. This will be described in the order of steps in FIG.

(Step S501)
When the radiogram interpretation doctor determines that a close examination is necessary by looking at the medical image, the interpreting doctor clicks the close check required icon 42 (S501). The examination report system 4 transmits the required detailed inspection information to the inspection reservation device 10 when the required detailed inspection icon 42 is clicked. The detailed inspection information includes contents indicating the name of the examinee and the type of the detailed inspection. The required detailed examination information receiving unit 11a of the examination reservation apparatus 10 receives the required detailed examination information.

(Step S502)
The temporary reservation information generation unit 11b searches the examinee information DB 25 and extracts the name of the medical institution desired by the examinee included in the received close examination information (S502).
This step is not essential, and this step may be omitted when the name of the medical institution desired by the examinee is not registered.

(Step S503)
The provisional reservation information generation unit 11b refers to the examination schedule DB 20, determines the date and time at which a provisional examination can be provisionally reserved based on the medical institution name schedule extracted in S502, and determines the name of the medical institution, the type of fine examination, and the date and time. Temporary reservation information including the information indicating is generated (S503). When S502 is omitted, the examinee information DB 25 is searched, a medical institution close to the address of the examinee is extracted, or the examination schedule DB 20 is searched directly without searching the examinee information DB. It is also possible to determine a medical institution and date / time that can be reserved.

(Step S504)
The provisional reservation unit 11c notifies the provisional reservation information to the provisional reservation destination medical institution and makes a provisional reservation provisional reservation (S504). This notification is performed by the temporary reservation unit 11c transmitting temporary reservation information to the hospital systems 21 and 22 of the medical institutions A and B via the communication I / F 19. These medical institutions A and B receive provisional reservation information, and return information about whether or not to accept provisional reservation to the examination reservation apparatus 10. The provisional reservation is established when the provisional reservation unit 11c receives information indicating that the provisional reservation is received. When the provisional reservation unit 11c receives information indicating that the provisional reservation is not received, the provisional reservation information generation unit 11b searches the examination schedule DB 20 again to search for other dates and times when a provisional reservation can be made at another medical institution. To do. The provisional reservation information and the information indicating whether or not to accept the provisional reservation are transmitted and received by an electronic medium such as an electronic mail.

(Step S505)
The notification unit 11d notifies the tentative reservation information to the examinee and the doctor performing the close examination (S505). The notification to the examinee is obtained by the notification unit 11d acquiring the electronic address of the examinee from the examiner information DB 25 and transmitting an e-mail describing the provisionally reserved information to the examinee terminal 30 via the communication I / F 19. Do. This e-mail may include a note for detailed inspection. Notification to the doctor is performed by sending an e-mail describing provisionally reserved information to the hospital systems 21 and 22 of the medical institutions A and B. The doctor who has received the provisional reserved information prepares for a detailed examination, for example, searches, creates, and transfers a medical chart. In addition to the above-mentioned e-mail, the notification unit 11d may output the provisional reserved information to the printer 18 on paper and mail it to the examinee and doctor. Alternatively, the notification unit 11d may transmit provisional reserved information to the examination report system 4 and describe the provisional reserved information 47 in the examination reports 45 and 46 output by the examination report system 4.

  The examinee should see the examination report 46 or the electronic mail in which the provisional reserved information 47 is described, and accept or change the provisional reservation in consideration of his / her convenience.

  In this embodiment, the screening report system 4 is configured as a system for creating a medical image interpretation result screening report. However, when an abnormal value is detected in the inspection device 3, detailed inspection information from the inspection device 3 is automatically obtained. You may comprise so that it may transmit to the examination reservation apparatus 10, and a temporary reservation process may be started. In addition, whether or not a detailed examination is necessary may be determined based on a result of an inquiry performed in a medical examination. In this case, the temporary appointment process may be started by a doctor who has made an inquiry by inputting detailed examination information.

The hardware block diagram which shows the structure of the examination reservation system which concerns on one embodiment of invention Block diagram for explaining the system configuration of the examination reservation system 1 Schematic diagram explaining examples of examination schedule table and examinee information table Schematic diagram explaining an example of an interpretation doctor screen operated by an interpretation doctor of medical images and an examination report for a close examination Flow chart showing the flow of screening appointment process

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 ... Examination reservation system, 2 ... Medical imaging device, 3 ... Examination apparatus, 4 ... Examination report system, 5 ... LAN, 6 ... Communication network, 10 ... Examination reservation apparatus, 11 ... CPU, 12 ... Main memory, 13 ... Magnetic disk, 14 ... display memory, 15 ... monitor, 16 ... keyboard, 17 ... mouse, 171 ... controller, 18 ... printer, 19 ... communication I / F, 20 ... examination schedule DB, 21 ... hospital system, 23 ... hospital system , 30 ... Patient terminal

Claims (2)

Requiring information on precise inspection information that accepts the input of precise inspection information indicating the type of the detailed examination and the examinee of the detailed examination from the examination report system,
A schedule storage means in which an inspection schedule of at least one medical institution performing a close examination is stored;
When the precision inspection information receiving means accepts the input of the precision inspection information required, the schedule storage means is referred to search for a time when there is no reservation for precision inspection, and that time is included in the precision inspection information. Provisional reservation information generating means for generating provisional reservation information indicating that a tentative reservation for fine inspection is to be performed;
Temporary reservation means for transmitting the temporary reservation information to a medical institution that makes a temporary reservation for the fine examination;
A notification means for notifying at least one of a doctor or a patient of temporary reserved information indicating that the temporary reservation has been completed when the medical institution accepts the temporary reservation;
A screening appointment system characterized by comprising: The medical examination recipient further comprises a desired medical institution storage means for storing desired medical institution information indicating a medical institution that desires to undergo the fine examination,
The temporary reservation means refers to the desired medical institution storage means and the schedule storage means, and the examiner transmits the temporary reservation information to a medical institution that wishes to receive the detailed examination,
The examination reservation system according to claim 1, wherein:

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