JP2008165704A - Medical examination reservation device, reservation screen display method and schedule management device - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To automatically update a reservation screen for medical examination while suppressing the load of a server or a network. <P>SOLUTION: A doctor displays an examination reservation screen 50 on a client terminal 22 when reservation application or reservation state confirmation for medical examination is performed. A CPU 40 of the client terminal 22 includes a monitoring command issuing part 44 and an update data requesting part 45. The monitoring command issuing part 44 periodically issues a monitoring command inquiring whether schedule data 33 is updated or not after displaying the inspection reservation screen 50. The update data requesting part 45 acquires, when update of the schedule data 33 is confirmed, update data formed based on an updated part from a server computer 26. The CPU 40 updates, upon acquisition of the update data, a reservation state display area 52 of the examination reservation screen 50 to the latest state based on the update data. <P>COPYRIGHT: (C)2008,JPO&INPIT

Description

  The present invention relates to a medical examination reservation apparatus that performs confirmation and reservation application of a medical examination performed at a specific medical facility, a reservation screen display method thereof, and a schedule management apparatus that manages schedule data representing the reservation situation. .

  A medical network system having a server computer connected to client terminals installed in a plurality of medical facilities via a communication network such as an IP (Internet Protocol) network and providing various application services in response to requests from each client terminal Is known (see, for example, Patent Document 1).

  For example, the server computer is installed and maintained in a data center that operates the server computer. The data center and the medical facility, for example, sign a use contract such as a membership contract, and the service is used by the medical facility that has become a member. The server computer stores an image management program for storing and managing medical images uploaded from each client terminal, and schedule management for performing reservation management of medical examinations of specific medical facilities having examination facilities for CT examinations and MRI examinations. An application program such as a program (called a net scheduler or a web scheduler) is installed.

  In small-scale medical facilities such as clinics, it is a big burden to prepare a large amount of data storage equipment such as medical images by yourself, so by using the image management service of the medical network system as described above, Such a burden can be reduced.

  In addition, the schedule management program distributes schedule data representing the medical examination reservation status of the specific medical facility to the client terminal, accepts the examination reservation from the client terminal, and updates the schedule data based on the reservation information. A specific medical facility that accepts examination reservations can use the schedule management service to obtain merits such as eliminating the need for data management and application maintenance. On the other hand, in other medical facilities, etc., there are merits such as being able to make a test reservation outside the consultation hours of a specific medical facility or on a closed day.

JP 2005-301383 A

  Each medical facility that receives the schedule management service accesses the server computer via a Web browser installed in the client terminal, and receives schedule data from the server computer. Then, a reservation screen is displayed on the Web browser based on the received schedule data, and a predetermined examination information is input by designating a vacant date and time, thereby reserving a medical examination at a specific medical facility.

  When reservation information is input from each medical facility, the server computer updates schedule data based on the reservation information. At this time, in other medical facilities that have already displayed the reservation screen, the updated information is not displayed unless new schedule data is received by clicking the update button provided in the Web browser. There is. For this reason, doctors at each medical facility may mistakenly make a reservation for an examination when a reservation has already been made but it is not available. In such a case, it is noticed that a reservation has already been made after inputting the reservation information, which causes an extra time and trouble for a doctor or the like.

  As a solution to the above-described problem, a technique in which a client terminal periodically accesses a server computer and automatically updates the screen of a Web browser regardless of the operation of a doctor or the like is commonly used in Web servers, for example. Has been done. However, since such technology periodically requests all of the schedule data regardless of whether or not there is an update, in a medical network system in which multiple medical facilities participate, the load on the server computer and the network increases. However, there is a concern that the operation of the system may be hindered.

  The present invention has been made in view of the above problems, a medical examination reservation apparatus capable of automatically updating a medical examination reservation screen while suppressing a load on a server and a network, a reservation screen display method, and It is an object to provide a schedule management device.

  In order to achieve the above object, the medical examination reservation apparatus of the present invention that performs reservation confirmation and reservation application via a reservation screen accepts a medical examination reservation application performed at a specific medical facility and represents the reservation situation. A communication interface for accessing a schedule management device for medical examinations for managing schedule data via a network, a reservation screen display unit for displaying a reservation screen including a reservation status display area configured based on the schedule data, and the reservation When displaying the reservation status display area on the reservation screen based on the page data requesting section for requesting delivery of page data composed of the screen layout data defining the screen layout and the schedule data In addition, the schedule data is updated by a new reservation application. A monitoring command issuing unit for issuing a monitoring command for inquiring whether or not the schedule data has been updated, and when the schedule data has been updated, the update data including the portion updated after the page data distribution of the schedule data is distributed. An update data requesting unit for requesting and a reservation screen updating unit for updating the reservation status display area based on the update data without newly acquiring the page data.

  The page data requesting unit preferably executes processing in synchronization with a user operation, and the monitoring command issuing unit and the update data requesting unit execute processing asynchronously with the user operation.

  Moreover, it is preferable that the monitoring command issuing unit periodically issues the monitoring command to the schedule management device.

  Further, the reservation status display area displays a plurality of reservation acceptance frames in a calendar format, and the reservation screen update unit only includes the reservation acceptance frames corresponding to the update data in the reservation status display area. Is preferably updated.

  In addition, it is preferable that the reservation screen includes a plurality of reservation status display areas corresponding to the types of medical examinations, and the reservation status display areas can be selectively switched between display and non-display. In this case, it is preferable that there is an informing means for notifying that the non-displayed reservation status display area is updated when the reservation acceptance frame corresponding to the update data belongs to the non-displayed reservation status display area. .

  In addition, a medical examination schedule management device that accepts a medical examination reservation application performed at a specific medical facility and manages schedule data representing the reservation status is accessed via a network, and the reservation is configured based on the schedule data. The reservation screen display method of the present invention for displaying a reservation screen including a status display area on the reservation screen display unit is a page for requesting delivery of page data composed of screen layout data defining the layout of the reservation screen and the schedule data. A data request step, and a monitoring command for inquiring whether or not the schedule data has been updated by a new reservation application when the reservation status display area is displayed on the reservation screen based on the page data. A monitoring command issue step to be issued, and the schedule Update data request step for requesting delivery of update data consisting of a portion updated after delivery of the page data in the schedule data, and without newly obtaining the page data, And a reservation screen update step for bringing the reservation status display area into the latest state based on the update data.

  Furthermore, it is connected via a network to a client terminal installed in each of a plurality of medical facilities including a specific medical facility that conducts a medical examination, and accepts a reservation request for a medical examination performed at the specific medical facility from each of the client terminals. The schedule management apparatus of the present invention for managing schedule data representing the reservation status is stored in the data storage unit for storing the schedule data and in the data storage unit in accordance with the reservation application from each client terminal. A data update unit for updating the schedule data, page data representing a reservation screen for confirming the reservation status and the reservation application, based on the screen layout data defining the layout of the reservation screen and the schedule data The page data creation section to be created and the schedule Of the data, an update data creating unit that creates update data from a portion updated by a new reservation application received after distributing the page data, the page data according to the request content from each client terminal, A data distribution unit that distributes one of the update data is provided.

  Whether or not the schedule data has been updated from the update status recording unit for recording the update status of the schedule data and the client terminal displaying the reservation screen after delivering the page data to the client terminal It is more preferable to provide a response unit that responds to whether or not there is an update based on the update status when a monitoring command for inquiring is received.

  In the present invention, when the reservation screen is updated, only the update data consisting of the portion updated after the page data distribution is acquired, so the reservation screen is automatically updated while suppressing the load on the server and the network. can do.

  FIG. 1 is an explanatory diagram schematically showing the configuration of the medical network system 2. The medical network system 2 is configured by connecting a plurality of medical facilities such as a hospital 10 and a clinic 12 and a data center (schedule management device) 14 via an IP network 16. The data center 14 concludes a membership contract with a medical facility such as the hospital 10 or each clinic 12, and provides various application services to each medical facility that has become a member.

  The IP network 16 is a closed network in which, for example, a dedicated wide area IP network owned by a communication carrier is used as a base network, and a VPN (Virtual Private Network) is constructed on the wide area IP network. By doing so, it is possible to ensure data security so that data passing through the IP network 16 does not leak outside the medical network system 2.

  Examples of application services provided by the data center 14 include a data storage service and a schedule management service. The data storage service is a service for storing various medical information acquired at the hospital 10 and the clinics 12. The hospital 10 and each clinic 12 transmit various medical information such as information on the patients to be hospitalized and medical images acquired at the time of diagnosis to the data center 14 via the IP network 16. The data center 14 stores the medical information sent from the hospital 10 or each clinic 12 and transfers the stored medical information in response to a request from the hospital 10 or each clinic 12.

  As a result, medical information generated in the hospital 10 and each clinic 12 is collectively managed as electronic data in the data center 14. Therefore, storage space such as medical records and medical image films can be reduced from the hospital 10 and each clinic 12. Can do. In addition, the data center 14 performs management and search operations for medical information, thereby making it possible to improve the efficiency of operations at the hospital 10 and the clinics 12. Furthermore, by sharing the medical information of the hospital 10 and each clinic 12 via the data center 14, the cooperation between the hospital 10 and each clinic 12 can be strengthened.

  The hospital 10 is a specific medical facility including a modality device 20 that performs a medical examination. The hospital 10 performs medical examinations of patients who go to its own clinic, accepts reservation applications from the clinics 12, and also conducts medical examinations of patients who visit the clinics 12. The modality device 20 includes known medical imaging such as an ultrasonic diagnostic apparatus, a CR (Computed Radiography) apparatus, a CT (Computed Tomography) apparatus, an MRI (Magnetic Resonance Imaging) apparatus, and the like. An apparatus may be used.

  The schedule management service provided by the data center 14 is a service for managing the reservation status of medical examinations by the hospital 10. The data center 14 accepts a reservation application for the modality device 20 from the hospital 10 or each clinic 12, and manages the reservation status so that a plurality of examination reservations do not overlap at the same date and time. As described above, the data center 14 manages the reservation status of the modality device 20, thereby reducing data management work and application maintenance work in the hospital 10. In addition, since the data center 14 accepts the reservation application, it is possible to make a reservation for examinations outside the medical hours of the hospital 10 or on closed days, so that it is possible to improve the work efficiency of each clinic 12 or the like.

  In addition to the modality device 20, the hospital 10 is provided with a communication interface 21 and a client terminal (medical examination reservation device) 22. These units are connected to each other via, for example, a LAN in the hospital 10. The communication interface 21 connects the LAN of the hospital 10 and the IP network 16 by converting the data format between the format corresponding to the LAN of the hospital 10 and the format compatible with the IP network 16. The communication interface 21 is, for example, a modem or a router, and is appropriately selected in accordance with the LAN of the hospital 10 or the IP network 16 standard.

  The client terminal 22 includes, for example, a known personal computer or workstation, and is provided with a monitor for displaying various information, medical images, and the like, an input device for inputting various information, and the like. The doctor displays a medical image captured by the modality device 20 and various information related to the patient on the monitor to perform image diagnosis, or uses the medical image displayed on the monitor to explain the diagnosis result to the patient. Or do. In addition, input of various medical information obtained by medical examination, reservation application for the modality device 20 and the like are also performed via the client terminal 22.

  Each of the clinics 12 is also provided with a client terminal 24 similar to that of the hospital 10. Since the function / configuration of each client terminal 24 is the same as that of the client terminal 22 of the hospital 10, detailed description thereof is omitted.

  Each client terminal 22, 24 is installed with a Web browser that accesses the data center 14 and downloads and displays various data from the data center 14. For example, when applying for a reservation for the modality device 20, the doctor of the hospital 10 or each clinic 12 activates the Web browser of the client terminals 22 and 24 to access a predetermined URL, and the examination reservation screen 50 (see FIG. 4). ) Is displayed on the monitor. The doctor confirms the reservation status or inputs a new reservation application while looking at the examination reservation screen 50. In addition, the hospital 10 which is a specific medical facility performs in-hospital operations such as preparation and arrangement of a medical examination while confirming a medical examination reservation status on the examination reservation screen 50.

  The data center 14 is provided with a server computer 26, a communication interface 27, and a storage unit (data storage unit) 28. These units are connected by, for example, a LAN in the data center 14. The server computer 26 provides various application services by executing the installed program. The storage unit 28 stores various medical information such as medical images and diagnostic records in a database. Since the communication interface 27 is the same as the communication interface 21 provided in the hospital 10, detailed description thereof is omitted.

  When the medical information is uploaded from each of the client terminals 22 and 24, the server computer 26 sorts and classifies the medical information for each ID such as a patient ID and a medical facility ID, and can be searched with various search keys. Stored in the storage unit 28. When the server computer 26 receives a data transfer request from each of the client terminals 22 and 24, the server computer 26 checks the access authority and searches the storage unit 28 according to the content of the request, and corresponds to the requested content. The data is transferred to the requesting client terminals 22 and 24.

  FIG. 2 is a functional block diagram schematically showing the configuration of each of the client terminals 22 and 24 and the data center 14. The server computer 26 is provided with a CPU (data update unit, page data creation unit, update data creation unit, data distribution unit, response unit) 30 for overall control of each unit of the server computer 26. The CPU 30 reads out various programs from the HDD of the server computer 26 and the like, and centrally controls each unit of the server computer 26 by sequentially processing the read programs.

  In the storage unit 28, a schedule database (DB) 31 and an update status record DB 32 are constructed. In the schedule DB 31, schedule data 33 representing the reservation status of the modality device 20 and screen layout data 34 defining the layout of the examination reservation screen 50 are recorded. The schedule data 33 and the screen layout data 34 are used for creating page data for displaying the examination reservation screen 50.

  As shown in FIG. 3, the schedule data 33 is configured by reservation information 35 indicating an already accepted examination reservation. The reservation information 35 indicates the examination content of one examination. For example, various kinds of information such as date, time, patient name, patient ID, name of the reservation source hospital 10 or clinic 12, a part for which examination is requested, etc. Is included. The reservation information 35 is set for each reception frame for medical examination performed by the hospital 10. Therefore, in the schedule data 33, a plurality of reservation information 35 set for each reception frame is arranged in order of date.

  The CPU 30 of the server computer 26 reads the schedule data 33 and the screen layout data 34 with reference to the schedule DB 31 in response to requests from the client terminals 22 and 24. Then, the CPU 30 creates page data in a predetermined format based on the read data 33 and 34 and transfers it to the requested client terminals 22 and 24. The page data is distributed to each client terminal 22 and 24 as a text file described in a markup language such as an HTML format or an XML format. Each of the client terminals 22 and 24 displays an examination reservation screen 50 on the Web browser according to the description of the received page data.

  When a medical examination by the modality device 20 is necessary, the doctor of the hospital 10 or each clinic 12 inputs the reservation information 35 via the examination reservation screen 50 and transmits the input reservation information 35 to the data center 14. . When the CPU 30 of the server computer 26 receives the reservation information 35 from each of the client terminals 22, 24, the date and time included in the reservation information 35 is referred to, and the new reservation information 35 received so as to be arranged in the order of the date / time is stored in the schedule data 33. To record the schedule data 33.

  The schedule DB 31 is constructed for each specific medical facility when a plurality of specific medical facilities participate in the medical network system 2. Further, when a plurality of modality devices 20 are installed in each specific medical facility, each modality device 20 is further subdivided and constructed in each specific medical facility. That is, the schedule DB 31 is constructed for each medical examination performed by each specific medical facility and represents the reservation status of each medical examination.

  As shown in FIG. 4, the update status record DB 32 includes an update flag 36 and an update data recording area 37. The update flag 36 and the update data recording area 37 are set for each medical facility displaying the examination reservation screen 50 on the monitor of each client terminal 22, 24. When another medical facility has applied for a reservation while the examination reservation screen 50 is already displayed on the monitor (when new reservation information 35 is input), the page is updated by clicking the update button on the Web browser. The contents of the added reservation information 35 are not reflected on the examination reservation screen 50 unless the data is acquired again.

  The update flag 36 indicates whether or not there is newly added reservation information 35 after the examination reservation screen 50 is displayed. For example, the update flag 36 is set to “0” (see FIG. 4A) in a state where there is no added reservation information 35, and “1” is set in response to the addition of new reservation information 35. Setting is made (see FIG. 4B). In the update data recording area 37, update data including the added reservation information 35 is recorded. That is, when the server computer 26 receives the reservation information 35 from each of the client terminals 22 and 24, the server computer 26 records the reservation information 35 in the schedule data 33 and creates update data from the reservation information 35 to update each medical facility. The data is recorded in the data recording area 37 and the update flag 36 is set.

  Further, when a plurality of reservation information 35 is added after the examination reservation screen 50 is displayed, the update data recording area 37 is created from each of the reservation information 35 as shown in FIG. Update data is accumulated sequentially. The update data recorded in the update data recording area 37 is deleted when the examination reservation screen 50 displayed on each of the client terminals 22 and 24 is updated to the latest information (see FIG. 4C). . At this time, the update flag 36 is lowered together with the deletion of the update data. Thus, the update flag 36 and the update data are managed independently for each medical facility.

  As shown in FIG. 2, each client terminal 22, 24 is provided with a CPU (reserved screen update unit) 40, a monitor (reserved screen display unit) 41, and an input device 42. Similar to the CPU 30 of the server computer 26, the CPU 40 controls each part of the client terminals 22 and 24 in an integrated manner by sequentially processing the program. The monitor 41 displays various screens such as the examination reservation screen 50 according to the processing of the CPU 40. The monitor 41 may be a known display device such as a CRT display or a liquid crystal display. The input device 42 is a known input device such as a mouse or a keyboard, for example, and receives an operation instruction from the user and inputs a signal corresponding to the operation instruction to the CPU 40.

  The CPU 40 includes a page data request unit 43, a monitoring command issue unit 44, and an update data request unit 45. For example, the page data request unit 43 transmits a page data distribution request to the server computer 26 in response to an instruction from the user to display or update the examination reservation screen 50. When the page data request unit 43 receives the page data transferred from the server computer 26, the CPU 40 displays the examination reservation screen 50 on the monitor 41 based on the page data. At this time, the CPU 40 determines the layout of the examination reservation screen 50 based on the screen layout data 34 and displays a reservation status display area 52 corresponding to the schedule data 33 on the examination reservation screen 50. In addition to the reservation status display area, for example, a selection box for selecting a medical facility and a tab for selecting a medical test to be performed at the medical facility are displayed on the examination reservation screen 50.

  When the examination reservation screen 50 is displayed on the monitor 41, the monitoring command issuing unit 44 periodically sends a monitoring command for inquiring whether or not the schedule data 33 has been updated after the examination reservation screen 50 is displayed. 26. The update data request unit 45 transmits an update data distribution request to the server computer 26 when the monitoring command issuing unit 44 confirms the update of the schedule data 33. When the update data request unit 45 receives the update data transferred from the server computer 26, the CPU 40 updates the reservation status display area 52 based on the update data.

  For example, Ajax (Asynchronous Java (registered trademark) Script + XML) is known as a communication technique asynchronous with user operations performed by the monitoring command issuing unit 44, the update data requesting unit 45, and the like. Ajax is a web application development technology that uses XMLHttpRequest objects in JavaScript, communicates with the server asynchronously with the loading of the entire page, and rewrites only the necessary parts of the page using dynamic HTML. It is.

  FIG. 5 is an explanatory diagram showing an examination reservation screen 50 displayed on the monitor 41 of each client terminal 22, 24. A medical examination reservation application, confirmation of the reservation status, and the like are performed through the examination reservation screen 50. The examination reservation screen 50 is provided with a medical facility selection box 51 for selecting a medical facility to be examined, and a reservation status display area 52 for displaying the reservation status in a calendar format.

  The medical facility selection box 51 is a selection unit that selects a specific medical facility that accepts a reservation for a medical examination. When a plurality of specific medical facilities are participating in the medical network system 2, the name of each specific medical facility is selected by designating and clicking the inverted triangle mark at the right end of the medical facility selection box 51 with the pointer 53. Listed in a pull-down menu format. When one specific medical facility (for example, “A hospital”) is selected from these, the reservation status of the specific medical facility is displayed in the reservation status display area 52.

  The reservation status display area 52 is provided with a monthly display area 55 in which the monthly reservation status can be listed in a calendar format, and a daily display area 56 for displaying the daily reservation status specified in the monthly display area 55. It has been. In the monthly display area 55, for example, a reservation-available day that has a vacant reception frame is displayed without a mark. Then, “x” is displayed on holidays, and hatching is displayed on days when reservations are already filled. Such a display distinguishes between the days when reservations can be made and the days when reservations cannot be made.

  When a desired day in the monthly display area 55 is designated with the pointer 53 and clicked, the reception frame 58 for the day designated in the daily display area 56 is displayed in a timetable. A reservation button 58a is displayed in the reception frame 58 that can receive a reservation among the reception frames 58. On the other hand, in the reception frame 58 that has already been received, the name of the patient undergoing the examination and the name of the medical facility that reserved the examination are displayed, and a detail button 58b for displaying the details of the appointment is displayed. . When the reservation button 58a is designated with the pointer 53 and clicked, an input screen for inputting reservation information 35 such as a patient name and a patient ID is displayed in a pop-up manner. Reservation application is performed by inputting the reservation information 35 on this input screen and transmitting the input reservation information 35 to the server computer 26.

  In addition, the reservation status display area 52 is selectively displayed for each type of medical examination that can be received at a specific medical facility such as CT examination, MRI examination, abdominal echo examination, isotope examination, arteriosclerosis examination, etc. It has become. The display is switched by the tab 60. FIG. 5 shows an example in which CT examination is selected.

  Next, the operation of the medical network system 2 configured as described above will be described with reference to the flowcharts shown in FIGS. When a doctor belonging to a medical facility such as the hospital 10 or each clinic 12 needs to apply for a medical examination reservation using the modality device 20 or confirm the reservation status, the doctor starts the Web browser of the client terminals 22 and 24 and inputs it. By specifying the URL of the examination reservation screen 50 via the device 42, the CPU 40 is instructed to display the examination reservation screen 50. The page data request unit 43 of the CPU 40 transmits a page data distribution request to the server computer 26 of the data center 14 in response to an instruction to display the examination reservation screen 50.

  The CPU 30 of the server computer 26 that has received the page data distribution request refers to the schedule DB 31 constructed in the storage unit 28, and checks the examination reservation screen 50 based on the schedule data 33 and the screen layout data 34 stored in the schedule DB 31. Create page data. The CPU 30 that created the page data distributes the page data to the requesting client terminals 22 and 24. When the page data request unit 43 receives the page data, the CPU 40 of the client terminals 22 and 24 configures the examination reservation screen 50 according to the description of the page data (see FIG. 5) and displays it on the monitor 41. Thereby, the doctor of each medical facility can confirm the reservation application and reservation status of the medical examination while looking at the examination reservation screen 50.

  The CPU 30 of the server computer 26 distributes the page data to the requesting medical facility, and creates an update flag 36 and an update data recording area 37 of the medical facility in the update status recording DB 32 (see FIG. 4). The CPU 30 that created the update flag 36 and the update data recording area 37 records the reservation information 35 in the schedule data 33 when the reservation information 35 is added by a new reservation application from each of the client terminals 22 and 24. Update data is created from the reservation information 35. Then, the created update data is recorded in the update data recording area 37 of each medical facility, and an update flag 36 is set. At this time, when a plurality of reservation information 35 is added from each of the client terminals 22 and 24, each update data created from each of the reservation information 35 is recorded in the update data recording area 37. .

  The CPU 40 of the client terminals 22 and 24 that has displayed the examination reservation screen 50 on the monitor 41 causes the monitoring command issuing unit 44 to start processing. The monitoring command issuing unit 44 periodically transmits a monitoring command to the server computer 26 asynchronously with the user operation. The CPU 30 of the server computer 26 that has received the monitoring command confirms the state of the update flag 36 of the medical facility that has transmitted the monitoring command with reference to the update status record DB 32, and uses the confirmation result as the update status to send the client terminal 22 of the transmission source. , 24.

  The monitoring command issuing unit 44 that has received the response from the server computer 26 checks whether or not the update flag 36 is set based on the response. When the update flag 36 is off, the monitoring command issuing unit 44 repeats transmission of the monitoring command with a predetermined interval. It should be noted that the interval for transmitting the monitoring command is preferably set arbitrarily.

  On the other hand, when the update flag 36 is set, the monitoring command issuing unit 44 determines that there is update data. When the monitoring command issuing unit 44 confirms that there is update data, the update data request unit 45 transmits an update data distribution request to the server computer 26. The CPU 30 of the server computer 26 that has received the update data distribution request reads the update data from the update data recording area 37 of the requesting medical facility with reference to the update status record DB 32 and sends the update data to the requesting client terminal 22. , 24. The CPU 30 that has delivered the update data deletes the update data of the requesting medical facility from the update data recording area 37 and lowers the update flag 36 (see FIG. 4C).

  When the update data request unit 45 receives the update data, the CPU 40 updates the examination reservation screen 50 to the latest state based on the update data. The examination reservation screen 50 is updated, for example, by rewriting the part of the table tag corresponding to the reception frame 58 of the added reservation information 35 in the schedule data described in the markup language based on the update data. . Thereby, only the reception frame 58 of the added reservation information 35 is updated, and the examination reservation screen 50 is brought to the latest state.

  For example, when the client terminal 22 of the hospital 10 displays the examination reservation screen 50 shown in FIG. 5, the examination reservation is placed in the reception frame 58 at 15:30 to 16:00 where the clinic 12 is free. . The client terminal 22 periodically sends a monitoring command from the monitoring command issuing unit 44 to monitor the state of the update flag 36, and sends an update data distribution request to the server computer 26 in response to the update flag 36 being set. Send. The server computer 26 transfers the update data created from the reservation information 35 in the reception frame 58 from 15:30 to 16:00 input by the clinic 12 to the client terminal 22. The client terminal 22 that has received the update data reconfigures the portion of the reception frame 58 from 15:30 to 16:00 based on the received update data and previously acquired schedule data.

  As a result, as shown in FIG. 8, the examination reservation screen 50 is updated to the latest state in which the examination reservation is entered in the reception frame 58 from 15:30 to 16:00. Thus, according to this example, since it is only necessary to transfer the updated data amount for the reception frame 58, when the examination reservation screen 50 is automatically updated, the load on the server computer 26 and the IP network 16 is increased. Can be suppressed. In addition, by reducing the load, it will be possible to carry out automatic updates in a shorter cycle, so doctors, etc. may make mistakes when appointments are already available but they are available, making double examination appointments. It is possible to more reliably prevent problems such as

  Although omitted in the flowcharts of FIG. 6 and FIG. 7, after the examination reservation screen 50 is displayed on the monitor 41, if an update is instructed directly from the user via the input device 42, A page data distribution request is transmitted from the page data request unit 43. As a result, the page data is reacquired, and the entire inspection reservation screen 50 is updated according to the page data.

  The CPU 40 of the client terminals 22 and 24 deletes the examination reservation screen 50 from the monitor 41 in response to an instruction to end the display from the user. The end of the display is instructed, for example, by closing the web browser itself or inputting another URL into the web browser. The CPU 40 that has finished displaying the examination reservation screen 50 transmits an end instruction to the server computer 26. The CPU 30 of the server computer 26 that has received the termination instruction deletes the source update flag 36 and the update data recording area 37 from the update status record DB 32. Thus, by creating only the update flag 36 and the update data recording area 37 of the medical facility displaying the examination reservation screen 50, the memory of the storage unit 28 can be used efficiently.

  By the way, the reservation information 35 added by the new reservation application is not necessarily the inspection reservation on the day displayed in the daily display area 56. For this reason, when new reservation information 35 is added on a different day, the CPU 40 of the client terminals 22 and 24 puts a mark (notification means) 70 on the corresponding day in the monthly display area 55 as shown in FIG. Display and inform that a new examination reservation has been added on that day. Similarly, the newly added reservation information 35 is not necessarily an examination reservation for the same medical examination. Therefore, when new reservation information 35 is added to a different medical examination, the CPU 40 displays a mark (notification means) 72 on the tab 60 of the corresponding medical examination as shown in FIG. Notify that a new examination reservation has been added.

  As described above, when a new reservation application is added to the reception frame 58 not displayed on the examination reservation screen 50, the CPU 40 displays the marks 70 and 72 so that there is a newly added reservation application. This is notified to the user. As a result, it is possible to quickly notify the user that an examination reservation has been added to the reception frame 58 that is not displayed. For example, preparation or arrangement of a medical examination can be performed while checking the reservation status on the examination reservation screen 50. It is possible to improve the operational efficiency of the specified medical facility. In FIG. 9, marks 70 and 72 are shown as notification means, but the notification means is not limited to this, and for example, a message box pop-up displayed on the examination reservation screen 50 may be used. However, it is also possible to use a device that provides notification by sound or light. Furthermore, the notification may be performed by changing the display mode of the corresponding portion (such as the tab 60) such as hatching, highlight display, and color change.

  In the above embodiment, the update flag 36 is used to check whether the schedule data 33 has been updated. However, the check of the update is not limited to this, and after the examination reservation screen 50 is displayed, a new one is displayed. Any mode may be used as long as it can indicate whether there is a reservation application. Further, without using the update flag 36 or the like, for example, the time when the reservation information 35 is recorded in the schedule data 33 and the time when the page data is distributed are recorded, and each time is compared. It may be confirmed whether there is a reservation application.

  Moreover, in the said embodiment, although the client terminals 22 and 24 installed in each medical facility as a medical examination reservation apparatus were shown, a medical examination reservation apparatus is not restricted to this, For example, PC installed in the home etc. The present invention may be applied when a patient who visits each medical facility makes a reservation application.

  Furthermore, in the above embodiment, the data center 14 provided in the medical network system 2 is shown as the schedule management device. However, the schedule management device is not limited to this, and is provided, for example, in a specific medical facility that accepts medical examinations. It may be a server. Further, the present invention may be configured in the form of a program.

It is explanatory drawing which shows the structure of a medical network system roughly. It is a functional block diagram which shows roughly the structure of each client terminal and a data center. It is explanatory drawing which shows the structure of schedule data roughly. It is explanatory drawing which shows the structure of update status record DB roughly. It is explanatory drawing which shows an example of a test | inspection reservation screen. It is a flowchart which shows roughly operation | movement of a client terminal. It is a flowchart which shows roughly operation | movement of a server computer. It is explanatory drawing which shows the test | inspection reservation screen updated. It is explanatory drawing which shows the example which displayed the mark on the examination reservation screen.

Explanation of symbols

2 Medical network system 10 Hospital (specified medical facility, medical facility)
12 clinics (medical facilities)
14 Data Center (Schedule Management Device)
16 IP network (network)
22, 24 Client terminal (medical examination reservation device)
26 server computer 28 storage unit (data storage unit)
30 CPU (data update unit, page data creation unit, update data creation unit, data distribution unit, response unit)
32 Update status record DB (update status record section)
33 Schedule data 34 Screen layout data 36 Update flag 40 CPU (reserved screen update unit)
41 Monitor (reservation screen display part)
43 Page data request section 44 Monitoring command issuing section 45 Update data request section 50 Reservation screen 52 Reservation status display area 70, 72 Mark (notification means)

Claims (9)

A communication interface that accepts a medical examination schedule application performed at a specific medical facility and manages schedule data representing the reservation status of the medical examination via a network, and a communication interface that is configured based on the schedule data In a medical examination reservation device that includes a reservation screen display unit that displays a reservation screen including a reservation status display area, and performs confirmation of the reservation status and the reservation application via the reservation screen,
A page data requesting unit for requesting delivery of page data composed of screen layout data defining the layout of the reservation screen and the schedule data;
When the reservation status display area is displayed on the reservation screen based on the page data, a monitoring command issuance for issuing a monitoring command for inquiring whether or not the schedule data has been updated by a new reservation application And
When the schedule data has been updated, an update data requesting unit that requests distribution of update data consisting of a portion of the schedule data that has been updated after the page data distribution;
A medical examination reservation apparatus, comprising: a reservation screen update unit that updates the reservation status display area based on the update data without newly acquiring the page data.   The page data requesting unit executes processing in synchronization with a user operation, and the monitoring command issuing unit and the update data requesting unit execute processing asynchronously with a user operation. Item 1. A medical examination reservation apparatus according to Item 1.   The medical examination reservation apparatus according to claim 2, wherein the monitoring command issuing unit periodically issues the monitoring command to the schedule management apparatus. The reservation status display area displays a plurality of reservation reception frames in a calendar format,
The medical examination reservation according to any one of claims 1 to 3, wherein the reservation screen update unit updates only the reservation acceptance frame corresponding to the update data in the reservation status display area. apparatus.   The reservation screen includes a plurality of reservation status display areas corresponding to types of medical examinations, and each of the reservation status display areas can be selectively switched between display and non-display. The medical examination reservation apparatus according to any one of claims 1 to 4.   The information processing apparatus according to claim 1, further comprising a notifying unit that notifies that the non-displayed reservation status display area is updated when the reservation acceptance frame corresponding to the update data belongs to the non-displayed reservation status display area. Item 6. The medical examination reservation device according to Item 5. A medical examination schedule management device that accepts a medical examination reservation application performed at a specific medical facility and manages schedule data representing the reservation status is accessed via a network, and a reservation status display configured based on the schedule data In the reservation screen display method for displaying the reservation screen including the area on the reservation screen display section,
A page data requesting step for requesting delivery of page data comprising the screen layout data defining the layout of the reservation screen and the schedule data;
When the reservation status display area is displayed on the reservation screen based on the page data, a monitoring command issuance for issuing a monitoring command for inquiring whether or not the schedule data has been updated by a new reservation application Steps,
When the schedule data has been updated, an update data request step for requesting distribution of update data consisting of a portion of the schedule data updated after the page data distribution;
A reservation screen update method comprising: a reservation screen update step for bringing the reservation status display area to the latest state based on the update data without newly acquiring the page data. A client terminal installed in each of a plurality of medical facilities including a specific medical facility that performs a medical examination is connected via a network, accepting a medical examination reservation application performed at the specific medical facility from each of the client terminals, In a medical examination schedule management apparatus that manages schedule data representing the reservation status,
A data storage unit for storing the schedule data;
A data update unit that updates the schedule data stored in the data storage unit in response to a reservation application from each client terminal;
A page data creating unit that creates page data representing a reservation screen for performing the reservation status confirmation and the reservation application based on the screen layout data defining the layout of the reservation screen and the schedule data;
Of the schedule data, an update data creation unit that creates update data from a portion updated by a new reservation application received after distributing the page data;
A schedule management apparatus comprising: a data distribution unit that distributes one of the page data and the update data in accordance with a request content from each client terminal. After delivering the page data to the client terminal, an update status recording unit that records the update status of the schedule data;
A response unit that responds to the presence or absence of an update based on the update status when receiving a monitoring command inquiring whether or not the schedule data has been updated from the client terminal that has displayed the reservation screen; The schedule management apparatus according to claim 8, wherein:

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