JP2004078498A - Medical examination institution reservation system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a medical examination institution reservation system realizing a doctor's support and a function of preventing a medical accident in a medical examination institution. <P>SOLUTION: In this medical examination institution reservation system, an information management server of a reservation center to which terminals 2A, 2B of consulting persons and a terminal 1 of the medical examination institution are connected through a network N, is provided with a medical examination institution database 12 storing information on the medical examination institution, and a reservation condition database 13 storing the reservation condition of the medical examination institution. A medical examination reservation request from the consulting person to the medical examination institution is made on the network through the information management server. A contraindicated medicine determining means 15 for acquiring contraindicated medicine information is provided in the information management, and the information is sent out to the medical examination institution where a reservation is made, when making the reservation. <P>COPYRIGHT: (C)2004,JPO

Description

[0001]
TECHNICAL FIELD OF THE INVENTION
The present invention relates to a medical institution reservation system that allows a patient to search for a medical institution or make a medical appointment using a terminal such as a personal computer or a mobile phone using a network such as the Internet, and is particularly suitable for a reservation of a dental medical institution. About the system.
[0002]
[Prior art]
With the spread of the Internet, a large number of systems have been proposed in which a patient makes a reservation for medical treatment at a medical institution using a terminal such as a personal computer or a mobile phone instead of a conventional telephone. In addition to this, in addition to a system in which each medical institution has its own reservation receiving server (for example, Japanese Patent Laid-Open No. 2000-7563 as a well-known example), an information management server of a reservation center independent of each medical institution has In addition, there is also a system that discloses information on the reservation status of medical institutions, accepts reservations for individual medical institutions from patients, and allows patients to search for information on individual medical institutions stored in the information management server. Japanese Patent Application Laid-Open Nos. 2001-306691, 2001-222618, 2001-222627 and the like have been proposed.
[0003]
[Problems to be solved by the invention]
According to the above-mentioned known system, by using a terminal such as a personal computer or a mobile phone, the examinee can search for a specialty field, a feature, a location, and a medical treatment time of each medical institution while staying at home to find an optimal medical institution. The user can make a selection and can enjoy the advantage of being able to make a reservation by searching the reservation status.
[0004]
However, the above merits are the result of replacing the exchange (medical appointment) and the search of the telephone directory (search for medical institution) by humans with the IT technology of computer and the Internet. Certainly, quantitative progress such as reduction of time and improvement of search efficiency will occur, but there is still room for study on qualitative progress that truly utilizes IT technology.
[0005]
The inventor of the present application has created the present invention in view of the above situation, and in addition to the above-described known advantages, the present invention provides a medical institution reservation system that realizes a function of supporting a doctor in a medical institution and preventing a medical accident. The purpose is to provide.
[0006]
[Means for Solving the Problems]
That is, a medical institution reservation system according to the present invention includes a medical institution database storing accumulated medical institution information and a medical institution database in an information management server of an appointment center to which a terminal of a patient and a terminal of the medical institution are to be connected via a network. The database is provided with a reservation status database that stores the reservation statuses of these, which are updated based on the data sent from the connected medical institution and are provided for browsing of the connected patients, and are further performed by the patients via the information management server. In a medical institution appointment system in which a medical appointment request to a medical institution is executed on a network, an information management server is provided with a contraindicated drug determination unit, and the information on the body of the patient and the drug being taken disclosed by the patient is described above. The contraindicated drug determination means acquires and calculates contraindicated drug information for the patient by taking in and calculating Sometimes that feature that sends the information to the medical institutions of the reservation destination.
[0007]
BEST MODE FOR CARRYING OUT THE INVENTION
Hereinafter, specific embodiments of the present invention will be described with reference to the accompanying drawings. Although this embodiment assumes a system intended for dental clinics, the system of the present invention can be widely applied to other clinics. FIG. 1 is a block diagram showing a hardware configuration of the medical institution reservation system of the present invention. In the figure, reference numeral 11 denotes a server of the reservation center 10, where terminals of medical institutions and terminals of patients are connected via a web page published on the Internet N, and the patients and the medical institutions are displayed on the web page. Performs various operations of the system of the present invention. PCs 1 and 2A each having a browser function and an e-mail function are assumed as the terminal of the medical institution and the terminal of the examinee, respectively. Here, the terminal is connected to the Internet N via the mobile telephone network TN as the terminal of the examinee. A mobile phone 2B with a browser function and an e-mail function is also assumed.
[0008]
The information management server 10 stores various programs and files necessary for the operation of the system, a medical institution database 12 storing information on each medical institution participating in the system, and the reservation status of medical examinations at each medical institution. , An appointment database 13 storing information on each participant participating in this system, and a contraindicated drug determination unit 15 for obtaining contraindicated drug information for the patient. Note that reference numeral 16 in the figure denotes a contraindicated drug database on which the contraindicated drug determination unit 15 makes a determination. Although not shown, a terminal of a system administrator is connected to the information management server 10.
[0009]
Next, the entire procedure of the system according to the present invention will be described with reference to the flowchart of FIG.
[0010]
(Member registration of medical institution)
Procedure 1 (S1)
In order to participate in this system, a medical institution applies for membership registration in a predetermined form to a system administrator.
[0011]
Procedure 2 (S2)
The above application is automatically distributed to the system administrator.
[0012]
Procedure 3 (S3)
The system administrator examines the application for membership registration of the medical institution. If the registration is permitted, the information disclosed by the medical institution is taken into the medical institution database. The information includes, for example, a specialty field, a characteristic, a location, and a medical treatment time of each medical institution.
[0013]
Procedure 4 (S4)
The examination result is notified to the medical institution by e-mail.
[0014]
(Member registration of the examinee)
Procedure 5 (S5)
The examinee applies for membership registration to use this system in a predetermined form.
[0015]
Procedure 6 (S6)
When registered as a member, the information disclosed by each examinee is taken into the examinee database, and the examinee is notified by e-mail of the registration completion. In this system, when a patient makes an application for medical treatment reservation to a medical institution via an information management server, it is necessary to authenticate that he / she is a member. You will be notified of your membership number and password.
[0016]
(Search for medical institutions)
Procedure 7 (S7)
The examinee who accesses the information management server can search for an optimal medical institution using the medical institution database. The search items include, for example, the specialty field, characteristics, location, and medical hours of each medical institution. Further, the medical institution database is also linked to the reservation status database, and a desired medical treatment date and time can be specified as a condition search item. That is, it is possible to search for a medical institution in a desired area where the examinee can receive a medical examination at a desired date and time. In this embodiment, the access to the medical institution database is set so that a patient other than the member can access the medical institution database.
[0017]
(View reservation status)
Procedure 8 (S8)
Further, the examinee can access the reservation status database, and can browse the details of the reservation status of the desired medical institution on the browser screen of the terminal (hereinafter simply referred to as “screen”). FIG. 3 shows an example of the screen 20 in this case. Here, a case is shown in which the reservation status is displayed in a weekly table format in which the horizontal axis 21 indicates the day (day of the week) and the vertical axis 22 indicates the time. In a column where reservations are not filled, a display 23 indicating that reservation is possible is given.
[0018]
(Reservation)
Procedure 9 (S9)
The examinee who has confirmed the reservation status of the medical institution applies for a reservation to the information management server in a predetermined form.
[0019]
Procedure 10 (S10)
The information management server that has received the reservation application registers the reservation in the reservation status database as a provisional reservation, and transmits an e-mail confirming receipt to the examinee.
[0020]
Procedure 11 (S11)
At the same time, the information management server sends a reservation request e-mail to the medical institution.
[0021]
Procedure 12 (S12)
The medical institution that has received the e-mail for the reservation request confirms the reservation, and notifies the information management server of acceptance or rejection of the reservation. FIG. 4 shows an example of the screen 30 on the terminal of the medical institution regarding the reservation status. Here, an example is shown in which the appointment status is displayed in a tabular format in which the abscissa 33 indicates minutes and the ordinate 32 indicates hours, and the name of the examinee is displayed in the column where the appointment is confirmed. The provisional reservation, that is, the column of the stage of receiving the reservation application, is displayed with the provisional reservation display 34. Note that reference numeral 31 in the figure denotes a calendar.
[0022]
Step 13 (S13)
The information management server, which has accepted or rejected the reservation from the medical institution, registers or cancels the provisional reservation of the reservation in the reservation status database as the main reservation, and transmits an e-mail of the reservation result to the examinee. FIG. 6 shows an example of a screen 50 of a consultation ticket image displayed on the terminal of the examinee as a means for confirming his / her own reservation when the examinee accesses the information management server. The reservation record 51 recorded on the server is displayed.
[0023]
Procedure 14 (S14)
When canceling the reservation, the examinee notifies the information management server in a predetermined form.
[0024]
Procedure 15 (S15)
The information management server that accepts the cancellation of the reservation cancels the reservation in the reservation status database and sends an e-mail for canceling the reservation to the medical institution.
[0025]
Procedure 16 (S16)
The medical institution can directly access the reservation status database to change / delete the registration of the reservation in order to reflect, for example, the reservation at the time of hospital visit or the telephone reservation received by other than this system in the reservation status database of this system.
[0026]
(Contraindicated drug judgment)
Next, determination of contraindicated drugs constituting a feature of the present invention will be described. With respect to the use of drugs, so-called contraindicated drugs such as those that should not take more than a certain amount of the same drug, those that cause side effects depending on constitution and health status, and those that cause side effects when used in combination with other drugs Exists. Therefore, when a doctor administers a drug to a patient, he or she must fully understand the patient's constitution and health condition, as well as the medicine being taken, and take care not to administer contraindicated drugs. However, this is not the case with any clinical institution that routinely administers medication using specialized staff and has established a standard check system for contraindicated drugs, as well as dental clinics that have few opportunities to administer patients. In most cases, a simple check system has not been established, and every time a physician administers a drug, he / she has to check whether it is a contraindicated drug, and the burden is enormous.
[0027]
In view of the above problems, the system of the present invention has a function of supporting the reservation work of a medical institution as well as a function of supporting the determination of contraindicated medicines, and the body of the examinee disclosed by the examinee and the medicine being taken Has the function of acquiring contraindicated drug information for the relevant examinee by acquiring and calculating the information on the contraindicated drug, and transmitting the information to the medical institution at the time of reservation. Specifically, in the above-described series of procedures, at the time when the patient has applied for a reservation to the information management server, the determination unit acquires the contraindicated drug name using the contraindicated drug database (step 17-S17-), When the reservation request e-mail is transmitted to the medical institution, the contraindicated drug name is transmitted (step 18-S18-). FIG. 7 is a diagram showing an example in which the names of contraindicated drugs are displayed on the screen of the terminal of the medical institution in this case. In this case, the medical examination is displayed on the terminal as a means for knowing the information of the patient who made a reservation at the medical institution. An example of a ticket image screen 60 is shown, in which a contraindicated drug name 63 is displayed together with a reservation record 61 and personal information 62 of the examinee recorded in the information management server.
[0028]
When determining contraindicated drugs, information on the body of the examinee and the medicine being taken is premised. However, when registering as a member or applying for a reservation, fill out an inquiry table as shown in FIG. 5 on the screen of the examinee's terminal. We will use the information obtained. Here, the names of medicines 41 being taken, the names 42 of medicines that have experienced hypersensitivity and shock symptoms in the past, and the health status 43 are illustrated as the inquiry items. In this embodiment, the above information obtained from the examinee is stored in the examinee database 14 together with the individual information of the examinee, and the contraindicated drug determination means 15 also fetches information from the examinee database to make the determination.
[0029]
In this embodiment, the contraindicated drug determination unit 15 fetches information from the contraindicated drug database 16 to generate a contraindicated drug determination table (table), and obtains the contraindicated drug name from the information of the examinee using this table.
[0030]
FIG. 11 illustrates Table 1 in which the names of contraindicated drugs are obtained based on the health status (medical history, presence or absence of pregnancy, etc.) and age (adult or child) of the examinee. , The corresponding contraindicated drug names are arranged on the vertical axis.
[0031]
FIG. 12 illustrates Table 2 in which the name of a drug having the same component is obtained for a drug having hypersensitivity or shock symptoms and a drug being administered, and the horizontal axis in the table indicates sensitivity, shock symptom, etc. For the item of constitution and medication, a vertical axis is provided with a drug name and a group code indicating a group of the same components, and when applicable, an intersection is marked with a circle.
[0032]
FIG. 13 illustrates Table 3 for obtaining contraindicated drug names that are also likely to become hypersensitive when the drug is hypersensitive to a certain drug. The name of the changed drug is placed on the vertical axis, with the corresponding contraindicated drug name.
[0033]
FIG. 14 illustrates Table 4 for acquiring contraindicated drug names for which concomitant use of drugs is prohibited. In the table, the horizontal axis indicates the name of the drug being administered, and the vertical axis indicates the corresponding contraindicated drug name. Is done.
[0034]
The procedure for acquiring the contraindicated drug name using Table 1 will be described based on the flowchart of FIG.
[0035]
Procedure S10
The drug name on the vertical axis with a circle is searched for the health condition (medical history, presence or absence of pregnancy, etc.) or age (adult or child) selected by the examinee in the questionnaire.
[0036]
Procedures S11, S12, S13
Acquire the relevant drug as a contraindicated drug name. For example, when the examinee selects “heart” (cardiac dysfunction) on the horizontal axis in Table 1, drugs L, M, N, and O with a circle on the vertical axis are acquired as contraindicated drug names.
[0037]
The procedure for acquiring the contraindicated drug name using Tables 2 and 4 will be described based on the flowchart of FIG.
[0038]
Step S20
From Table 2, the medicine under administration selected by the examinee in the medical questionnaire (those with a circle in the “throw” on the horizontal axis) is searched.
[0039]
Procedure S21, S22
Acquire the relevant drug as a contraindicated drug name while taking the drug (prevention of erroneous administration of a certain amount or more by repeated administration).
[0040]
Step S23
From Table 4, the drug in administration selected by the examinee in the questionnaire is searched to see if there is a corresponding drug name on the vertical axis.
[0041]
Step S24
Acquisition of the applicable drug as a contraindicated drug name prohibiting combination use.
[0042]
Step S25
All acquired drug names are contraindicated drugs.
[0043]
The procedure for acquiring the contraindicated drug name using Tables 2 and 3 will be described based on the flowchart of FIG.
[0044]
Step S30
From Table 2, the drug with the hypersensitivity or shock symptom selected by the examinee in the questionnaire (the one with "○" in "excess" or "shi" on the horizontal axis) is searched.
[0045]
Procedure S31, S32
Acquire the relevant drug as a contraindicated drug name.
[0046]
Step S33
Using Table 2, a drug having the same group code as the contraindicated drug is searched.
[0047]
Procedure S34, S35
Acquisition of a relevant drug as a contraindicated drug name of the same component.
[0048]
Step S36
From Table 3, the drug with hypersensitivity selected by the examinee in the questionnaire is searched, and it is checked whether there is a corresponding drug name on the vertical axis.
[0049]
Procedure S37, S38
Acquire the relevant drug as a contraindicated drug name.
[0050]
Step S39
All acquired drug names are contraindicated drugs.
[0051]
【The invention's effect】
According to the medical institution appointment system of the present invention having the above configuration, the system automatically obtains the contraindicated drug name based on the information on the body and the drug being taken disclosed by the patient and notifies the medical institution. In addition, a double check on the judgment of the doctor regarding the contraindicated drug is realized, and the effect of preventing a medical accident is obtained.
[0052]
In addition, since information on the body and medicines being taken disclosed by the examinee is stored in the examinee database together with the examinee's personal information, the information is inherited even when the examinee visits multiple medical institutions. As a result, appropriate contraindications can be determined, and the risk of double medication and concomitant use of contraindications is further reduced.
[Brief description of the drawings]
FIG. 1 is a block diagram showing a hardware configuration of a medical institution reservation system of the present invention.
FIG. 2 is a flowchart showing an outline of the overall procedure.
FIG. 3 is a front view of a reservation status display screen in the terminal of the examinee.
FIG. 4 is a front view of a reservation status display screen in the terminal of the medical institution;
FIG. 5 is a front view of an inquiry form screen on the terminal of the examinee.
FIG. 6 is a front view of a consultation ticket screen on the terminal of the examinee.
FIG. 7 is a front view of a consultation ticket screen on a terminal of a medical institution;
FIG. 8 is a flowchart showing a procedure for determining contraindicated drugs.
FIG. 9 is a flowchart showing a procedure for determining contraindicated drugs.
FIG. 10 is a flowchart showing a procedure for determining contraindicated drugs.
FIG. 11 is a conceptual diagram of a table (judgment table) in the judgment means.
FIG. 12 is a conceptual diagram of a table (determination table) in the determination means.
FIG. 13 is a conceptual diagram of a table (judgment table) in the judgment means.
FIG. 14 is a conceptual diagram of a table (determination table) in the determination means.
[Explanation of symbols]
N Network 1 Medical institution terminal 2A Patient terminal 2B Patient terminal 10 Reservation center 11 Information management server 12 Medical institution database 13 Reservation status database 14 Patient database 15 Determination means 16 Contraindicated drug database

Claims (6)

In the information management server of the appointment center to which the terminal of the examinee and the terminal of the medical institution to be connected via the network, the medical institution database storing the information of the medical institution and the reservation status database storing the reservation status of the medical institution are stored. These are updated based on the data transmitted from the connected medical institution and are provided for browsing of the connected medical examinee. Further, a medical treatment reservation request from the medical examinee to the medical institution through the information management server is made on the network. In the medical institution reservation system executed in the above, the information management server is provided with a contraindicated drug determining means, and the contraindicated drug determining means takes in information on the body of the examinee disclosed by the examinee and the medicine being taken, and calculates. To obtain contraindicated drug information for the relevant patient and send that information to the medical institution at the time of reservation Medical institutions reservation system that features Rukoto. The information according to claim 1, wherein the information on the body of the examinee and the medicine being taken disclosed by the examinee is stored in the examinee database together with the personal information of the examinee, and the contraindicated drug determination means also acquires information from the examinee database. Medical institution reservation system. 3. The medical institution reservation system according to claim 1 or 2, wherein the examinee requires authentication when applying for a medical appointment reservation to a medical institution via the information management server, and requires a membership registration in advance to obtain the authentication. . 4. The medical institution reservation system according to claim 1, wherein the terminals of the examinee and the medical institution are personal computers or mobile phones with a browser function and an e-mail function connected to the information management server. When the e-mail for the reservation request is sent to the medical institution in the information management server that has received the request for reservation of the examinee, and the reservation is registered as a temporary reservation in the reservation status database, and the acceptance of the reservation is received from the medical institution. The medical institution reservation system according to any one of claims 1 to 4, wherein the provisional reservation in the reservation status database is determined as a final reservation, and an e-mail for accepting the reservation is transmitted to the examinee. The medical institution reservation system according to any one of claims 1 to 5, wherein the medical institution is a dental medical institution.

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