JP2007011702A - Hospital information management system and consultation ticket - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a hospital information management system and a consultation ticket applicable to the system capable of attaining work efficiency, shortening a waiting time, and the like by dealing with a series of flow from a patient's visit to a hospital to accounting processing after taking medical advice, by data processing in a computer. <P>SOLUTION: The hospital information management system comprises at least a server 22 for managing medical charts and various ordering; a system 23 of a medical accounting department regarding patient acceptance and accounting, connected to the server through a network; and a system 24 of an out-patient department which deals with reception of each section and various orders based on medical examination contents. The system 24 of the out-patient department displays the number of appointments on medical examination days on duty of a physician, day by day in a bar chart on a screen of a terminal 34 operated by the physician, and the displayed bar chart is indicated on the screen to display a screen with the number of appointments written in each time zone on the indicated medical examination day. A re-examination appointment of a patient into the time zone can be input by specifying the displayed time zone. <P>COPYRIGHT: (C)2007,JPO&INPIT

Description

  The present invention includes a server for managing electronic medical records and various orderings, a system of a medical accounting department related to patient reception and accounting, connected to this server via a network, and an outpatient handling various orders based on each department reception and medical treatment contents. The present invention relates to a hospital information management system including at least a department system, and a medical examination ticket applicable to the system.

In general, a hospital receives a patient who visits the hospital, guides the patient to a corresponding medical department, examines a doctor, dispenses according to a doctor's prescription, and then performs accounting processing. Conventionally, the flow of documents in hospitals has been performed with paper documents centered on medical records. However, in recent years, it has been proposed to digitize the flow of information, handle the information by a computer system, and improve the efficiency and speed of information transmission (see, for example, Patent Document 1).
JP 2003-271732 A

  Until now, there were many partial hospital systems, such as those centered on orders by doctors, those related to electronic medical records, and those related to prescription of drugs.

  The purpose of the present invention is to improve the efficiency of the work and shorten the waiting time by handling a series of processes from receiving a patient's visit to accounting and performing accounting processing by computer data processing. The object is to provide an information management system and an examination ticket applicable to this system.

The hospital information management system according to the present invention includes a server for managing electronic medical records and various orderings, a system of a medical accounting department related to patient reception and accounting, connected to this server via a network, each department reception and medical treatment contents. This is an information management system for hospitals that has at least an outpatient department system that handles various orders, and the outpatient department system displays the number of appointments on the doctor's assigned examination day on the screen of the terminal operated by the doctor. Reservation status display means to be displayed as a bar graph, and a screen in which the number of reservations for each time zone on the date of examination indicated by instructing the displayed bar graph on the screen is displayed. It is provided with a reexamination appointment means capable of inputting a reexamination appointment of a patient for this time period by being designated.

  In the present invention, the outpatient department system displays on the screen of the terminal handled by the doctor, an out-of-frame reservation display means for displaying the number of reservations on the consultation date of other doctors as a bar graph for each examination date, and the displayed bar graph on the screen. Display the screen with the number of appointments for each time period on the date of the examination indicated by instructing the patient. There is a reexamination appointment means outside the frame where the appointment can be entered.

  Further, in the present invention, the reexamination reservation means can instruct the reexamination patient about the contents of the examination to be received before the reexamination and medical information to be prepared. Can be output on the reservation slip.

  In the present invention, the reexamination reservation means includes reservation change restriction means that can restrict the authority to change reservation contents to a specific person or group.

  In addition, the information management system of the hospital according to the present invention is that the medical accounting department system issues an examination ticket if the visited patient is a new patient, and makes a revisit appointment if the visited patient is a revisit. It has a reception means for discriminating whether it is a patient or not, attaching a receipt number corresponding to the examination ticket in the order received, including the new patient, and issuing a receipt slip indicating this receipt number to the patient. When the system accepts the receipt slip brought by the patient for each department, the patient obtains information about whether the patient is due to a reexamination appointment or otherwise from the accepting means, classifies it, and registers for waiting for medical treatment. The waiting number registration means for registering the patient selected from the patients who are registered as waiting for medical care as waiting patients, and the acceptance number of the patient registered as waiting patient among the preset number of minutes on the waiting display monitor Waiting When a patient to be examined is designated from the displayed waiting patients, the patient's receiving number is moved to the patient to be examined column and the next registered item is displayed. And a waiting-for-diagnosis display means for displaying the waiting patient's reception number in the waiting-for-waiting patient display column.

  In the present invention, when the system of the outpatient department accepts the examination ticket brought by the patient for each department, the registered doctor and the doctor in charge at the time of appointment if this patient is a re-examination appointment patient together with the acceptance number. There is a medical department arrival form issuing means for issuing a medical department arrival form that displays the contents of the preliminary examination instructed by the medical department.

  Further, in the present invention, the waiting list registration means obtains information about the presence / absence of contents to be communicated to the outpatient staff before the diagnosis for each patient from the server, and if there is, the contents to be transmitted are displayed in the patient column of the waiting list registration screen. There is provided icon display means for displaying an icon to be represented, and icon content display means for displaying the details of the content to be transmitted represented by the icon by indicating the displayed icon on the screen.

  Further, in the present invention, the content to be communicated to the outpatient staff before medical treatment is the presence / absence of a concurrent examination for receiving a plurality of departments, the presence / absence of a pre-medical examination, or the presence / absence of pre-medical preparations, When the instruction is given, the icon contents display means displays the contents of the concurrent examination, the contents of the pre-treatment examination, or the contents of the preparations.

  In the present invention, the waiting list registration unit displays the display color of each patient column on the list screen of the patients registered for waiting for medical treatment in different colors according to the elapsed time from the reception time of each department. Have means.

  In the hospital information management system according to the present invention, the system of the medical accounting department confirms whether or not there is a receivable of the revisited patient who visits the hospital, and if there is a receivable, provides guidance for encouraging accounting without accepting it. Has uncollected collection means.

  In the examination ticket of the present invention, patient information is stored in different locations on the ticket surface by two types of storage means having different information storage methods.

  According to the present invention, the flow from reception of a patient to medical examination, handling of reexamination appointments and accounting processes by a computer system can improve efficiency without errors in each operation and The waiting time can be shortened.

  Hereinafter, an embodiment of a hospital information management system according to the present invention will be described in detail with reference to the drawings.

  First, a series of flows in the hospital after the patient visits will be described with reference to FIG. In FIG. 2, section A shows the patient's own flow, section B shows the screen that the patient uses on the system of the present invention, section C shows what the patient receives from the system, and section D shows the patient. The screen used by the outpatient staff is shown, and E shows what the outpatient staff receives from the system.

  There are new patients (hereinafter referred to as new patients) who come to the hospital for the first time, and patients who have visited previously (hereinafter referred to as revisited). There are things without. New patients will be registered at the reception. At this time, you will be issued an examination ticket for the next visit. The examination ticket is issued by a later-described examination ticket issuing machine. In the case of re-examination, since you have an examination ticket, you will receive an application using this examination ticket. At this time, information on whether or not there is a reservation is held by the hospital system. The revisited patient is provided with a revisit reception device, which will be described later, and the reception process is automatically performed by inserting an examination ticket.

  For both the new case and the reexamination, the patient receives a receipt 11 from the system. This receipt slip 11 is given a receipt number corresponding to the examination ticket in the order of visit. The patient brings this receipt slip 11 to the department and uses the examination ticket 10 at the department to receive each department reception. Do. When each department is accepted, the system outputs a medical department arrival slip 12 from the system to an outpatient staff (such as a nurse). This medical department arrival slip 12 contains information such as the reception number of the patient (hereinafter referred to as patient information: patient ID, name, etc.), pre-medical examination, etc. The When each department reception is performed, each department reception screen 13 is displayed for the patient, and it is confirmed that the patient has been received. Further, among the patients who have received each department reception, new patients and patients who have not been revisited are displayed to the outpatient staff on the unreserved list screen 14. This screen 14 is used when allocating a patient who has no appointment to an examination room.

  After receiving each department, the patient is in a waiting state for a medical examination in the medical department. From the outside waiting state, the patient enters a waiting state in the middle of the examination, and is called into the examination room from this waiting state. For the patient, the patient waiting screen 15 displays the waiting patient and the patient who is called from the waiting patient to the examination room. At this time, the nurse of the outpatient staff grasps all the patients waiting for the examination on the examination waiting list screen 16 and selects the waiting patient based on the order of reception, the patient's medical condition, and the like. By this selection operation, the reception number of the waiting patient is displayed on the patient call screen 15.

  On the terminal used by the doctor, as a doctor screen 17, a diagnosis waiting screen, a diagnosis start screen, a prescription screen, a reexamination appointment screen, and a diagnosis end screen are displayed. The doctor selects the earliest patient from the waiting patients on the examination waiting list screen, and gives an instruction on the screen. As a result of this operation, the corresponding patient's receipt number shifts to the entry room for entering the clinic on the patient call screen 15. Therefore, the corresponding patient enters the examination room and is examined by a doctor.

  The doctor enters the status of the examination using the examination start screen or prescription screen, and if a reexamination is necessary, the doctor makes a reservation for the reexamination using the reexamination appointment screen, and ends the examination for the patient on the examination end screen. To do. When the revisit reservation is made, a revisit reservation slip 18 is output from the system to the patient.

  When the medical treatment is completed, the patient moves to the accounting reception and performs accounting processing. For this accounting process, an automatic settlement machine or a manual payment settlement machine is used. With this payment, a receipt (+ revisit appointment form if there is a reexamination appointment) 19 and a medicine voucher (+ outpatient prescription in the case of outpatient prescription) 20 are output to the patient.

  A system configuration enabling such a series of processing will be described with reference to FIG. The hospital information management system according to this embodiment includes a server 22 that manages an electronic medical record and various orderings. As hospital organizations, there are at least a department that handles medical accounting related to reception and accounting of visiting patients and an outpatient department that conducts examinations for outpatients. In each of these departments, a medical accounting department system 23 and an outpatient department system 24 are constructed for each department.

  In addition to this, a system 25 of an examination department for performing various examinations and a drug system 26 are constructed for in-hospital prescription.

  The systems 23, 24, 25, and 26 of each department are connected to the server 22 via a network, or may be directly connected between the systems.

  The system 23 of the medical accounting department is provided with an examination ticket issuing machine 28 that issues an examination ticket 10 for a new patient. The receptionist performs new patient registration using the terminal 29 by a computer when a new patient comes to the hospital. Patient information obtained by this new patient registration is stored in the server 22 and also provided to the examination ticket issuing machine 28. The examination ticket issuing machine 28 obtains patient information (name, age, sex, address, patient ID managed by the server 22) related to the new patient from the terminal 29, and issues the examination ticket 10 in which this patient information is stored. . Further, although not shown, a receipt slip with a visit number in the same order as the receipt slip 11 is also issued from the terminal 29, and the new patient brings this receipt slip to the department.

  The examination ticket 10 has a structure in which patient information is stored in different locations on the ticket surface by two types of storage means having different information storage methods. For example, storage by magnetic recording and an information storage method by bar code are used, and all patient information is stored in the magnetic recording, and a part of patient information (for example, patient ID) is recorded in the bar code. And magnetic recording is formed along the long side direction of a ticket surface, and a barcode is formed along the short side direction of a ticket surface.

  In this way, using two types of recording formats, barcode and magnetic recording, for example, in the case of a simple reception operation operated by a patient, it is only necessary to be able to confirm only the person, so a barcode with a small amount of information but easy to operate Is used. Thereby, it is possible to prevent an operation error and simplify the operation. On the other hand, if more patient information is required, the person in charge at the hospital usually operates the examination ticket, so even if it takes some time to obtain information from the magnetic recording, it will be done without any problems. be able to.

  The medical accounting department system 23 is provided with a revisiting machine 30. This revisit reception machine 30 accepts revisited patients who have visited the hospital, is connected to the server 22, and is automatically accepted by inserting the examination ticket 10 brought by the revisited patient. A receipt slip 11 with a number is issued. At this time, when receiving a plurality of departments, each receiving department is designated. As the reception operation is performed, the navigation information 31 for guiding the patient's future behavior is displayed. Therefore, the patient receives the reception slip 11 and moves to the medical department according to the navigation information 31.

  In order to accept the above, the re-accepting device 30 confirms whether or not the re-examination patient into which the examination ticket 10 has been inserted has any uncollected money, and if there is any uncollected money, provides guidance for encouraging accounting without accepting it. Has an uncollected function. That is, the re-accepting machine 30 has uncollected collection means as its function realizing means.

  In addition, there are accounting-related facilities as the system 23 of the medical accounting department, which will be described later.

  As the outpatient department system 24, each department receiving machine 32 by a computer is provided. That is, when a patient who has brought the reception slip 11 arrives at a consultation department, reception is performed at the consultation department. This is called each department reception. Each department reception is performed by inputting information into each department reception machine 32 based on the examination ticket 10 brought by the patient, and each department reception data is stored in the server 22.

  Further, after the reception process, each department reception machine 32 outputs a medical department arrival slip 12 as shown in FIG. 3 to an outpatient staff (for example, a nurse). This medical department arrival slip 12 displays the reception number and patient information, information on the concurrent department when receiving multiple departments, etc. Furthermore, at the time of appointment after the previous examination, an examination ( If it is designated as a pre-diagnosis examination) or a preparation, the information is stored in the server 22, and the information is also output. For this reason, this medical department arrival slip 12 is also called a mini chart and can be used by the outpatient staff for delivery of the clinical chart and can prompt the patient to perform a pre-examination examination.

  Further, each department accepting machine 32 can display the non-reserved list screen 14 described with reference to FIG. 2 using each department accepting data stored in the server 22. As described above, this screen 14 is used when allocating patients who have no appointment to the examination room.

  In addition, the outpatient department system 24 is provided with a nurse terminal equivalent to each department reception machine 32 (not shown), and will be described with reference to FIG. 2 using each department reception data stored in the server 22. The examination waiting list screen 16 can be displayed. The examination waiting list screen 16 can be displayed not only on a nurse terminal and a reception clerk terminal (not shown) but also on a doctor terminal 34 described later. Since all the patients waiting for the examination are displayed on the examination waiting list screen 16, the nurse of the outpatient staff grasps the waiting state for the examination, and selects the waiting patient based on the order of reception, the medical condition of the patient, and the like. As a result of this selection operation, the patient call screen 15 displaying the reception number of the waiting patient is displayed on the patient call panel 33 installed near the waiting seat of each department. These will be described in detail later.

  Further, the outpatient department system 24 is provided with a computer terminal 34 handled by a doctor. The terminal 34 includes a main processing unit 34a that executes main functions related to medical examinations, a report system 34b, and an examination browsing system 34c.

  The main processing unit 34a is connected to the server, performs a call operation to the patient's examination room, makes a re-examination appointment (to be described later) of the patient after diagnosis, prescription order based on the examination, radiation order, specimen order, physiological Orders, endoscopes, pathological orders, etc. It is also possible to output the reservation slip 18 based on the above-mentioned patient reexamination reservation, or to output the prescription 20a based on the prescription order.

  The report system 34 b is connected to the server 22 and the image system 36 in the examination department system 25, and the examination browsing system 34 c is also connected to the sample system 37 in the examination department system 25.

  As the examination department system 25, an endoscope system 40, a pathological system 41, and a radiation work system 42 are provided in addition to the image system 36 and the specimen system 37.

  The endoscope system 40 and the pathological system 41 receive an endoscope / pathological order from the doctor terminal 34 via the server 22, reserve and accept an endoscopic examination, create an execution record, and report a pathological examination. And the like are stored in the server 22.

  The radiation work system 42 manages CT, MRI, CR, echo, and other inspection devices 45 provided in the examination department. Based on the internal radiation order from the doctor's terminal 34, the examination schedule is prepared and the patient's Accepts and calls and creates an implementation record. The image system 36 takes in the image data from the CT, MRI, CR, and echo, and the external interpretation result from the interpretation machine 46, and outputs these image information to the report system 34b of the terminal 34.

  Based on the sample order from the doctor terminal 34, the sample system 37 creates an examination record, accepts and calls a patient, and creates an execution record. Then, the inspection result is output to the inspection browsing system 34c of the terminal 34.

  The doctor can obtain various test results from the server 22 through the terminal 34 and can directly grasp the image information from the image system 36 and the test results from the sample system 37.

  The drug system 26 for performing in-hospital prescription includes a computer terminal 47 and a call panel 48. The terminal 47 inputs the prescription order from the doctor terminal 34 via the server 22. The receipt number of the patient who has finished dispensing is displayed on the calling panel 48. Accordingly, the corresponding patient can receive the medicine dispensed according to the display of this panel 48.

  The medical accounting department system 23 is provided with accounting-related equipment as described above, and one of them is an automatic checkout machine 50. This automatic checkout machine 50 is connected to a terminal 29 for medical accounting processing, and calculates the amount paid by the patient based on the examination data, prescription data, and examination data stored in the server 22 via this terminal 29. Present to the patient. When the patient pays this presentation amount (payment by credit card is also possible), receipt 19 (revisit appointment ticket + revisit appointment ticket 19a) and medicine voucher 20 for in-hospital prescription (in the case of out-of-hospital prescription) Is an out-of-hospital prescription (not shown), and the patient receives this. In addition, the statement of payment 51 can be output from the terminal 29 as necessary.

  The patient can receive the medicine in exchange for the medicine voucher 20 according to the display on the calling panel 48 in the medicine department of the hospital prescription described above after payment by the automatic checkout machine 50. In the case of out-of-hospital prescription, a prescription medicine can be received by presenting an out-of-hospital prescription to an external dispensing pharmacy instead of the medicine voucher 20.

  Next, the reexamination appointment described above will be described in detail. The main processing unit 34a of the doctor terminal 34 provided in the outpatient department system 24 is provided with reservation status display means and revisit reservation means as functions.

  The reservation status display means displays a bar graph screen 54 shown in FIG. 4 on a display panel (not shown) of the terminal 34. The bar graph screen 54 is a screen that displays the number of appointments on the doctor's assigned medical examination date as a bar graph for each medical examination date. The reexamination reservation means displays a screen in which the number of reservations for each time period on the indicated medical examination date is entered by the doctor instructing the bar graph on the display screen 54. Furthermore, the doctor can input a reexamination appointment for this time zone by designating a convenient time zone among the displayed time zones.

  The above function will be described in detail below. In making a reexamination appointment, the doctor A in charge operates the terminal 34 to first display the appointment status screen 53 shown in FIG. The appointment status screen 53 displays the name of the patient who will make a reexamination appointment, a calendar 53a including the examination date, an appointment status button 53b, and an out-of-frame reservation button 53c.

  In the calendar 53a, if the examination date is June 10, a monthly calendar including the examination date (in the example shown in the figure, the calendar for June) is displayed. Depending on the type of illness, when a reservation is made 4 weeks, 8 weeks or 12 weeks after the examination date, the calendar 53a for each month including the reserved week can be operated by operating each designation button 53d. Is displayed. For example, when the designation button 53d after 4 or 8 weeks from the examination date (June 10) is operated, the July calendar 53a is displayed, and the designation button after 12 weeks from the examination date (June 10). When the user operates 53d, the August calendar 53a is displayed. The medical examination date of Doctor A is displayed in color so that it can be identified, and in the example shown in the figure, every Monday and Friday.

  Next, when the doctor A operates the reservation status button 53b on the reservation status screen 53, the bar graph screen 54 described above is opened. In this bar graph screen 54, the days of the calendar 53a in June are expanded horizontally, and the number of reserved patients for each day is displayed as a bar graph. As described above, since Doctor A is in charge of the examination every Monday afternoon and Friday morning, the bar graph rises only on Monday and Friday, indicating that there is a reservation.

  In the bar graph screen 54, for example, in the morning of Friday (24th) two weeks later, it indicates that 13 reservations have been made for 35 reservation slots. Since there is still a sufficient number of reservations on this examination day (24th), a bar graph on the 24th is indicated (clicked) on the screen 54 in order to make a reservation on this day. As a result of this operation, as shown in FIG. 5, a reservation screen 55 for the designated examination date (24th) is opened.

  Since this reservation screen 55 displays a reservation time zone table 55a in which the number of reservations in each time zone of the reservation date (24th) is entered, doctors and patients can conveniently use the time zone table 55a. To specify a time zone, click the time zone and register for reservation. In the reservation time zone table 55a, a number displayed as a minus signifies that there is a reservation beyond the reservation frame for that time zone. For example, -1 indicates that one more person is reserved than the reservation frame in the corresponding time zone. Even in such a minus display time zone, a reservation may be further made at the discretion of the doctor A in charge.

  In this way, the doctor A in charge can display the revisit reservation status on his / her scheduled diagnosis date by a bar graph for each day on a monthly basis, so that the revisit reservation status for one month can be grasped at a glance. Further, by clicking the bar graph of the day, the number of reservations in each time zone of the day is displayed, so that it is possible to make a detailed reexamination appointment reflecting the convenience of the patient.

  The main processing unit 34a of the doctor terminal 34 is provided with an out-of-frame reservation display function as a function. This out-of-frame reservation display means operates by operating an out-of-frame reservation button 53c on the reservation status screen 53 shown in FIG. 4, and indicates the number of reservations on the consultation date of the doctor other than the doctor A in charge. This is a function to display a bar graph for each.

  For example, when making a reexamination appointment, the doctor A and the patient may not meet the convenience. At this time, the doctor A in charge operates the out-of-frame reservation button 53c. By this operation, a bar graph screen (equivalent to 54) of another doctor, for example, doctor B, having a different examination date in the same department is displayed. Doctor A extracts a day of the week with a sufficient number of reservations from Doctor B's bar graph screen, and clicks the corresponding bar graph to make a reservation on the day of the week when the patient meets his / her convenience. As a result of this operation, the reservation screen 55 shown in FIG. 5 is opened, so that a time zone that is convenient for the patient is designated from the time zone slip 55a, and reservation registration is performed. At this time, since a reservation is made with respect to another doctor B, it is possible to make a reservation only in a time zone in which the number of reservations is sufficient in the displayed time zone. In other words, reservations during the minus time zone are prohibited.

  By operating the out-of-frame reservation button in this way, even when the doctor A and the patient do not meet, the reservation status of other doctors in the same department can be displayed and the reservation can be made at a convenient date and time with the patient. Therefore, the reservation work becomes easy and can be carried out efficiently.

  The reexamination reservation means realized by the main processing unit 34a of the doctor terminal 34 processes reservation registration using the reexamination appointment screen 55 shown in FIG. 5 as described above. You can instruct the content of medical examinations and medical information to be prepared before the medical examination. Then, this instruction content can be registered in the server 22 and outputted to the appointment slip 18 for the patient. In addition, this reexamination reservation means has a reservation change restriction means that can restrict the authority to change the reservation contents to a specific person or group as a function.

  These will be described in detail below. The reservation screen 55 shown in FIG. 5 displays an inspection item 55b to be inspected before the examination at the reexamination and an item 55c of a preparation to be prepared before the examination. Therefore, the doctor in charge can check items necessary for revisiting the patient, specify them at the time of reservation, and store them in the patient information column of the server 22.

  In addition, the appointment date may be changed after the appointment depending on the convenience of the patient. This change operation can be performed by anyone in principle by reading the patient information from a terminal connected to the server 22. However, since the change of the appointment date is related to the doctor's examination date and medical condition, a problem may arise if anyone can change the appointment date. Therefore, the reservation change restriction means has an item column 55d on the reservation screen 55 shown in FIG. 5 that can restrict the reservation change authority so that a doctor who makes a reservation can specify a person or group that can be changed in advance. In the example in the figure, “no restriction”, “only the same department group”, “only the doctor in charge” are displayed for the change authority, and the change authority can be restricted by selecting one of these.

  As described above, the system 23 of the medical accounting department shown in FIG. 1 issues an examination ticket 10 if the visited patient is a new patient, and makes a reservation for a revisit if the visited patient is a revisit. It has a receiving means for discriminating whether it is a patient or the other and issuing a receipt slip 11 in which the receipt numbers are written in the order of acceptance, including the new patient. This accepting means is realized as a function of the medical accounting terminal 29, the examination ticket issuing machine 28, and the revisit accepting device 30.

  Moreover, each department reception machine 32 of the system 24 in the outpatient department has a function of waiting for registration for examination. When this examination waiting registration means receives the examination ticket 10 brought by the patient for each department, as shown in the examination waiting list screen 57 (16 in FIG. 2) of FIG. Any other reservations on the day (including new cases) or classification will be registered for waiting for medical care. In this way, a plurality of waiting patients who are close to the examination are selected from the patients who are classified and registered for waiting for medical care, and the waiting waiting registration is performed.

  The examination waiting list screen 57 is displayed only on each department reception device 32 shown in FIG. 1, a nurse terminal (not shown), a reception clerk terminal, and a doctor terminal 34 so as not to be seen by the patient. It has become. Further, information on whether or not the above-mentioned reexamination appointment is made is obtained from the receiving means via the server 22.

  Hereinafter, the function of the examination waiting registration means will be described in detail using the examination waiting list screen 57 of FIG. After receiving each department, patients who come to the hospital after making a revisit appointment are registered in the revisit appointment column 57a. Other patients including the new patient are registered in the same day reservation column 57b. From these, the name of the patient to wait for is selected and moved to the waiting patient column 57c. For the selection of the waiting patient, the patient who made the re-examination reservation is preferentially selected in the reservation time zone, and is moved to the waiting queue column 57c. However, even if the patient is reserved on the day, the patient whose early medical examination is desirable due to the medical condition or the like is moved to the middle waiting column 57c in the early time zone. The movement operation to the middle waiting column 57c is performed by a nurse who can determine a medical condition or the like.

  Among the patients registered in the middle waiting column 57c in this way, the upper few (for example, three) reception numbers are the examination waiting display means provided as functions in each department reception device 32 and the doctor terminal 34. Is displayed on the patient call screen 15 on the patient call panel (diagnosis waiting display monitor) 33 shown in FIG. The patient call screen 15 is provided near a waiting seat that can be seen by the patient. In the example shown in the figure, a patient column 15a to be examined and a plurality of (in the example shown in FIG. 3) waiting patient display fields 15b Have

  The examination waiting display means sequentially displays the reception numbers of the top three waiting patients in the waiting patient display field 15b of the patient calling screen 15 from the left in the figure. When a patient to be examined is designated from among the three waiting patients displayed, the reception number of the designated patient is transferred to the examination subject person column 15a and the waiting patient registered in the next rank is displayed. The accession number is displayed in the waiting patient column.

  In the example of the figure, the patient with the reception number “12” is designated as the examination target, and the reception numbers “10”, “25”, and “26” of the top three patients registered in the middle waiting column 57 c of the list screen 57. Is displayed in the waiting patient display column 15b of the patient call screen 15. In this display state, when the patient with the reception number “12” enters the examination room and the examination is completed, the doctor calls the next patient, and therefore the middle waiting column 57a of the examination waiting list screen 57 displayed on the terminal 34. Instruct (click) the top-level patient displayed on the screen. By this operation, the receipt number “10” of the highest patient is moved to the examination subject column 15a. Therefore, the reception numbers “25” and “26” in the waiting patient display column 15b sequentially move to the left, and the receiving number “27” of the next waiting patient is the lowest in the waiting patient display column 15b. It is displayed at the position (the right end in the figure).

  In this way, since the waiting patient display is performed, it is possible to notify the patient waiting for the examination that the examination is approaching, and the burden on the patient waiting for the examination can be reduced. In addition, since the nurse or the like is uniquely determined to move to the waiting state on the basis of the registration order or the medical condition of the patient, no unnecessary trouble occurs in the order of examination.

  In addition, each department accepting machine 32 of the system 24 in the outpatient department receives the examination ticket 10 brought by the patient for each department as described above, and issues the department arrival card 12 to the outpatient staff. An arrival slip issuing means is provided as a function. As shown in FIG. 3, the medical department arrival slip 12 includes an acceptance number, patient information registered for the patient, and, if this patient is a revisit patient, a pre-examination instructed by the doctor in charge at the time of appointment. If you have entered that you want to see more than one department at the time of admission, you will be shown a department. Therefore, as described above, it also functions as a mini chart and can smoothly handle outpatient staff before the examination.

  The medical treatment waiting registration means in the outpatient department system 24 displays icon display means for displaying an icon 59 in the patient column of the medical examination waiting registration screen 57 as shown in FIG. 7, and displays the contents of the icon 59 in detail. Icon content display means to function. This icon 59 represents the content to be communicated to the outpatient staff before the examination, and means, for example, the presence / absence of a parallel examination for receiving a plurality of departments, the presence / absence of a pre-medical examination, or the presence / absence of a pre-medical preparation. The icon display means obtains information on the presence / absence of the content to be transmitted to the outpatient staff from the server 22 and, if there is, displays an icon 59 representing the content to be transmitted in the patient column.

  The icon content display means has a function of opening a screen explaining the meaning of the icon 59 by instructing the displayed icon 59 on the screen. In FIG. 7, by clicking the icon 59 representing the concurrent ant, a screen 60 displaying a list of the concurrent departments of the patient is opened. Further, if the icon 59 represents a pre-medical examination or a preparation, clicking on the icon displays a list of pre-medical examination items and items for the patient.

  In this way, in the patient column of the examination waiting registration screen 57, the icon 59 representing the contents to be communicated to the outpatient staff before the examination is displayed, and by clicking on the icon, the icon 59 is specifically communicated. Can understand the contents. Accordingly, an outpatient staff such as a nurse can accurately grasp the contents to be conveyed by the patient and take a prior action before the examination, thereby enabling an efficient examination.

  Furthermore, the medical waiting registration means has as its function a color-coded display means for displaying each patient column in the patient list screen 57 registered for medical waiting in a color according to the elapsed time from each department reception time point. This color-coded display means displays, for example, color-coded so that the patient column of the patient who has passed 30 minutes from the reception of each department is yellow, and the patient column that has passed 1 hour is red.

  Thus, when the patient column of the examination waiting registration screen 57 is color-coded and displayed, the outpatient staff can accurately grasp the waiting time state of the patient and can take an appropriate response.

1 is a system diagram illustrating an embodiment of a hospital information management system according to the present invention. FIG. It is a flowchart which shows the patient's flow in 1 embodiment same as the above, and the system state relevant to it. It is a figure which shows the reception table used by one embodiment same as the above. It is a screen figure showing the reexamination reservation status in one embodiment same as the above. It is a reexamination reservation screen figure in one embodiment same as the above. It is a medical examination waiting registration screen figure in one embodiment same as the above. It is a screen figure which shows the relationship between the examination waiting registration screen in one Embodiment same as the above, and the icon description screen opened by operating the icon.

Explanation of symbols

DESCRIPTION OF SYMBOLS 10 Examination ticket 11 Reception form 12 Medical department arrival form 22 Server 23 Medical accounting department system 24 Outpatient department system 29 Medical accounting terminal 32 Each department reception machine 34 Doctor's terminal

Claims (11)

A system that manages electronic medical records and various orderings, a system for medical accounting departments related to patient reception and accounting, and a system for outpatient departments that handles various orders based on each department reception and medical treatment, connected to this server via a network. At least a hospital information management system,
The system of the outpatient department indicates on the screen the reservation status display means for displaying the number of reservations on the doctor's assigned medical examination date as a bar graph for each examination date on the screen of the terminal operated by the doctor, and the displayed bar graph on the screen Revisit reservation means that displays a screen on which the number of appointments for each time period on the examination date specified by is entered, and that allows the user to enter a revisit appointment for the patient during this time period When,
A hospital information management system characterized by comprising: The outpatient department system indicates on the screen the out-of-frame reservation display means for displaying the number of reservations on the examination date of other doctors on the examination day of the doctor in a bar graph for each examination date on the screen of the terminal handled by the doctor, and the displayed bar graph on the screen Displays the screen on which the number of appointments for each time period on the examination date instructed by is entered, and can enter the patient's re-examination appointment only for the time period in which the number of appointments can be reserved. Re-examination appointment means outside the frame,
The hospital information management system according to claim 1, further comprising:   The reexamination appointment means can instruct the reexamination patient about the contents of the examination to be received before the reexamination and the medical information to be prepared. This instruction can be registered in the server and output to the appointment form for the patient. The hospital information management system according to claim 1, wherein the information management system is a hospital information management system.   The hospital information management system according to claim 2, wherein the reexamination reservation unit includes a reservation change restriction unit that can restrict an authority to change the reservation contents to a specific person or a group. A system that manages electronic medical records and various orderings, a system for medical accounting departments related to patient reception and accounting, and a system for outpatient departments that handles various orders based on each department reception and medical treatment, connected to this server via a network. At least a hospital information management system,
The system of the medical accounting department issues a medical examination ticket if the visited patient is a new patient. If the visited patient is a revisit, the system determines whether the patient is a revisit appointment or not, and identifies the new patient. Including a reception means for issuing a receipt slip with a receipt number corresponding to the examination ticket in the order received and writing the receipt number to the patient,
When the system of the outpatient department accepts the examination ticket brought by the patient for each department, this patient obtains information on whether it is due to a reexamination appointment or otherwise from the accepting means and divides and registers for waiting for medical care, A waiting-for-diagnosis registration means for registering a patient selected as a waiting-for-patient selected from these divided and waiting-for-medicine registered patients,
The acceptance number of the patient registered as a waiting patient is sequentially displayed in the waiting patient display column for a predetermined number of minutes on the examination waiting display monitor, and a patient to be examined is designated from the displayed waiting patients. Then, the designated patient acceptance number is moved to the examination subject field, and the examination waiting display means for displaying the next registered waiting patient acceptance number in the middle waiting patient display field,
A hospital information management system characterized by comprising:   The system in the outpatient department accepts the examination ticket brought by the patient for each department, the information registered about the patient together with the acceptance number, and the doctor in charge instructed at the time of appointment if this patient is a revisit appointment patient. 5. The hospital information management system according to claim 4, further comprising a medical department arrival form issuing means for issuing a medical department arrival form for displaying the contents of the examination. The waiting-for-medicine registration means obtains information about the presence / absence of contents to be communicated to the outpatient staff before the diagnosis for each patient from the server, and if there is an icon for displaying an icon representing the contents to be communicated in the patient column of the waiting-for-diagnosis registration screen A display means, and an icon content display means for displaying the details of the content to be transmitted represented by the icon by indicating the displayed icon on the screen;
The hospital information management system according to claim 4, further comprising:   The contents to be communicated to the outpatient staff before medical treatment are the presence / absence of concurrent examinations for multiple departments, the presence / absence of pre-medical examinations, and the presence / absence of pre-clinical preparations. The hospital information management system according to claim 7, wherein the display means displays a concurrent department display, a pre-treatment examination content display, or a preparation content display.   The waiting for medical registration means has color-coded display means for displaying the display color of each patient column in the list screen of patients registered for waiting for medical care in a color according to the elapsed time from the reception time of each department. The hospital information management system according to claim 4. A system that manages electronic medical records and various orderings, a system for medical accounting departments related to patient reception and accounting, and a system for outpatient departments that handles various orders based on each department reception and medical treatment, connected to this server via a network. At least a hospital information management system,
The system of the medical accounting department has a non-collection collection means that confirms whether or not there is any receivables of the revisited patient who visits the hospital, and if there is any receivable, it has a non-collection collection means that provides guidance to encourage accounting without accepting Information management system.   An examination ticket in which patient information is stored in different locations on the ticket surface by two types of storage means having different information storage methods.