JP2010218104A - Medical examination support device and medical examination appointment system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To cancel an appointment in an appointment management server upon a medical institution's request. <P>SOLUTION: Upon an appointment request from a user's terminal, the appointment management server records information about a medical examination appointment in an appointment information database, together with an appointment ID for identifying the appointment, and sends this appointment information to a medical institution's terminal. The medical institution's terminal receives the appointment information from the appointment management database and records the information in a hospital visit information database, and, upon the input of a cancellation request for the appointment information recorded, sends medical examination appointment cancellation information to the appointment management server, together with the appointment ID of the appointment. According to the medical examination appointment cancellation information from the medical institution's terminal, the appointment management server performs a processing for canceling the appointment information on the appointment information database which corresponds to the appointment ID contained in the cancellation information. <P>COPYRIGHT: (C)2010,JPO&INPIT

Description

  The present invention relates to a medical appointment reservation system for a patient to make medical appointment reservations and ordering of medical institutions etc. via a web such as the Internet, etc. It relates to medical institution terminals.

  There is a hospital reservation system in which a hospital medical reservation can be made via an information communication network such as the Internet (see Patent Document 1). This is done by accessing the reservation management center server with a terminal device on the patient's side such as a mobile phone equipped with a display device, specifying the desired consultation date and hospital on the displayed reservation application screen, and entering the examination ticket number. And apply for a reservation. The center server has a table for registering reception conditions for a plurality of hospitals, a reservation reception table for registering received reservation contents, and an examination ticket table for registering a patient's examination ticket number, name, and telephone number, The contents entered by the patient on the reservation application screen are registered in the reservation reception table. When the medical institution accesses the center server from the personal computer terminal of the hospital, the contents of the reservation reception table of the hospital are downloaded, and the hospital prints them and uses them as a consultation reservation list.

  In addition, the devices described in Patent Document 2 and Patent Document 3 both connect a reservation management server (medical institution server) that manages reservations, a user terminal of a patient who requests a reservation, and a medical institution terminal via the Internet. System for reservation management.

  The reservation management server is configured to register and change a reservation in response to a reservation request from the user terminal.

JP2002-318854 JP2002-49690 JP2002-109046

  In a conventional reservation management system, a user can register a reservation remotely via an information communication network such as the Internet, and can change the reservation.

  However, reservation information in the reservation management server cannot be canceled from the medical institution terminal side. The reservation management server may count reservations for the purpose of charging medical institutions that use the reservation system or for the purpose of grasping reservation trends by department, etc. However, when a reservation was canceled at a medical institution, it was not possible to collect data reflecting the situation.

  The present invention is a medical assistance apparatus for inputting medical information of a patient at a medical institution and registering it in a medical information database, and receiving information related to a medical appointment from a reservation management server for managing medical appointments of the medical institution In the medical support device designed to display, the hospital reception means for receiving the patient and registering the patient, the scheduled diagnosis time, the waiting state for the medical examination, the state of medical examination, etc. in the hospital information database, and the hospital information database Receiving reservation reception information including a display means for displaying visit information registered in the reservation information, a reservation ID for identifying a reservation, a reservation time, a new registration or a change from the reservation management server, and based on the reservation reception information And a reservation cooperation means for registering the visit information related to the reservation in the visit information database, and for the patient visit information displayed on the display means. When the cancellation request is input, the visit acceptance means cancels the visit information in the visit information database, and the reservation cooperation means cancels the visit information in the visit information database when the visit information is canceled. It is determined whether the processed visit information is for a reserved patient or a patient who has visited directly without a reservation, and if it is for a reserved patient, information for canceling the medical reservation corresponding to the reservation ID is stored in the reservation management server. The above-mentioned problem is solved by canceling the reservation on the reservation management server side.

  According to the present invention, since the reservation management server is notified that the reservation has been canceled on the side of the medical institution terminal using the medical reservation system, the reservation can be canceled or deleted in the reservation management server. . This allows the reservation management server to reserve the actual visit status of the reserved patient at the medical institution, such as making it possible to collect data excluding reservations for patients who have made a reservation but did not actually visit the hospital. It becomes possible to accurately reflect in the management server database. As a result, more accurate tabulation and statistical processing of reservation data becomes possible.

It is a figure which shows the block configuration of the medical institution terminal of this embodiment. It is a figure which shows the block configuration of the reservation management server of this embodiment. It is a figure which shows schematic structure of the medical treatment reservation system of this embodiment. It is a figure which shows the record structure of the reservation information database of this embodiment. It is a figure which shows the record structure of the visit information database of this embodiment. It is a figure which shows the example of a display of the visit patient screen of this embodiment. It is a figure which shows the example of a display of the context menu of this embodiment.

  FIG. 3 shows a schematic configuration of the medical appointment reservation system according to the embodiment of the present invention. Reference numeral 1 denotes a medical institution, which includes a medical institution terminal 10 constituted by a medical assistance device such as a so-called electronic medical record and a reservation management server 20, which are connected by a hospital LAN (local area network) 2. One medical support device which is the medical institution terminal 10 may be used, or a plurality of medical support devices may be connected depending on the medical subject. The reservation management server 20 is also connected to the user terminal 3 on the patient side via an open wide area communication network 4 such as the Internet.

  Then, the patient accesses the appointment management server 20 using the user terminal 3 and transmits a request for registering, changing or canceling the appointment for the medical institution 1. In response to this, the reservation management server 20 registers, changes or cancels the reservation at the designated date and time, and transmits the information to the medical institution terminal 10 as reservation reception information. On the other hand, the medical institution terminal 10 receives the reservation acceptance information from the reservation management server 20 and registers it in a database that manages its own visiting patients.

  FIG. 1 is a block diagram of the medical institution terminal 10, a visit reception means 17 for receiving and processing a patient who has visited the hospital, a visit information database 15 for recording information on the patient received by the visit reception means 17, and visit information. Receiving reservation acceptance information including a reservation ID for identifying a reservation, a reservation time, a new registration or change instruction from the reservation management server 20 and displaying a display device 18 that displays information on a reception patient registered in the database 15; The reservation reception information is temporarily recorded in the reservation reception information database 14, and the reservation cooperation means 11 is provided for registering the visit information in the visit information database 15 based on the reservation reception information.

  The medical institution terminal 10 also inputs the patient information database 16 for recording the patient's medical information, that is, the patient's electronic medical record, and the patient's medical information to be recorded in the database, or refers to the medical information in the patient information database 16. And medical support means 19 for displaying on the display device 18. That is, the medical institution terminal 10 is configured to function also as a medical assistance device, a so-called electronic medical record device.

  FIG. 2 is a block diagram of the reservation management server 20, and includes a reservation information database 24 that records patient reservation information, and reservation processing means 21 that records registration, change, and cancellation of reservations in the reservation information database 24. ing. The reservation processing means 21 comprises a reservation accepting means 22 and a reservation canceling means 23. The reservation accepting means 22 accepts access from the user terminal 3 via the wide area communication network 4, and makes a reservation in the user terminal 3. A reception screen is displayed, and reservations having conditions such as the date and time specified there are registered in the reservation information database 24, changed, or cancelled. Then, the received reservation acceptance information is transmitted to the medical institution terminal 10 via the in-hospital LAN 2. On the other hand, when the cancellation of the reservation is instructed from the medical institution terminal 10 via the in-hospital LAN 2, the reservation cancellation means 23 performs a process of canceling the reservation stored in the reservation information database 24 accordingly.

  The medical institution terminal 10, the reservation management server 20, and the user terminal 3 are each configured by a computer, and the database is provided on a storage device such as a hard disk device or a semiconductor memory device. Further, the functional means such as the reservation cooperation means 11, the reservation processing means 21, and the medical assistance means 19 are realized and executed by a program.

  FIG. 4 shows a record configuration example of the reservation information database 24. The reservation ID for identifying each reservation, the name of the reserved patient, the patient code, the reservation date, the reservation time, the state, and the reason for the visit are recorded in one record. The reservation ID is a unique symbol or number assigned by the reservation management server 20 every time a new reservation is accepted, and is used when referring to, changing, or canceling a reservation. “Patient code” is an identification symbol of the patient who inputs from the reservation screen of the user terminal 3, and uses a number and a symbol written on the examination ticket. When this patient code is not input, it is regarded as a new patient who has not been visited by the medical institution 1, that is, a so-called new patient. “Status” indicates a reception status such as waiting for a visit, waiting for a diagnosis, having been examined. When a reservation is canceled and canceled, the record of the reservation is not deleted, but “cancel” is recorded here. The “reason for visiting” is selected and input from the appointment screen by the patient, and includes “medicine” for receiving only medicine and “treatment” for receiving treatment.

  Next, the operation of the present medical appointment system will be described. When the patient accesses the reservation management server 20 using the user terminal 3, a reservation screen is displayed on the terminal 3 on the patient side, and the desired date, time, reason for visiting, name, and patient code are input. In the case of a patient who visits the medical institution 1 for the first time, only the name is entered without entering the patient code. Further, at this time, for example, a 15-minute medical examination frame may be displayed on the appointment screen, and the appointment time may be selected therefrom. Alternatively, an hourly frame may be provided so that, for example, up to four people can be registered for each.

  When the reservation management server 20 receives a reservation request from the user terminal 3, the reservation management server 20 registers the information shown in FIG. Then, information including these reservation IDs is transmitted to the medical institution terminal 10 as reservation acceptance information.

  The reservation cooperation unit 11 of the medical institution terminal 10 includes a server cooperation unit 12 and a reception cooperation unit 13 and operates asynchronously with each other. The server cooperation means 12 receives the reservation reception information from the reservation management server 20 and records it in the reservation reception information database 14, and monitors the reservation reception information database 14, and if there is a change, the reservation management server 20 It has a function to notify. When the reservation acceptance information is received, the reservation acceptance information database 14 is first searched with the reservation ID, and if it is not registered, it is newly registered, and if it is registered, the record is updated with the received information. As the contents of the update, for example, there is a change in the reservation time.

  On the other hand, the reception cooperation unit 13 has a function of monitoring the reservation reception information database 14 and the visit information database 15 and updating the registered contents by reflecting the change in the other database when there is a change. When the server cooperation unit 12 registers a new reservation in the reservation reception information database 14 or updates an existing reservation, this is detected, and is registered or updated as visit information in the visit information database 15 based on the contents. Conversely, when the hospital reception means 17 registers new reception information in the hospital information database 15 or updates the existing reception information, this is detected, and as reservation reception information in the reservation reception information database 14 based on the detected contents. Register or update. At that time, the reception cooperation unit 13 uses the reservation ID to take correspondence between the information in the reservation reception information database 14 and the visit information database 15. The reservation reception information database 14 registers future reservations on the current day and the following day, but only the information for the current day is registered in the visit information database 15.

  Here, a record configuration example of the visit information database 15 is shown in FIG. Compared to the reservation acceptance information database 14 shown in FIG. 4, the basic place is the same, but the name of Kana, the visit time, a memo and a comment are added. Conversely, the reservation date is excluded. This is because only the information for the day is registered in the visit information database 15.

  When the patient visits, the hospital reception means 17 performs reception processing. FIG. 6 shows a display example of the visit patient screen 60 displayed by the visit acceptance means 17. On this screen, the visit information registered in the visit information database 15 is read and displayed. At the left end of the screen is a status column 61 that displays the acceptance status for each patient. If the reserved patient has not yet visited, the “state” registered in the visit information database 15 is the initial state of “waiting for visit”, so that the state “waiting for visit” is displayed in the state column 61. To do. A patient whose patient code is not registered, that is, a patient who has not entered a patient code when making a reservation, is displayed as “new patient”.

  Therefore, when the state “waiting for visit” is instructed by clicking with the mouse, a context menu 71 is displayed as shown in FIG. When the “reception” is instructed in response to the patient coming to the hospital, the display changes to “waiting for medical examination”. At this time, the state of the visit information record in the visit information database 15 is also changed to “waiting for a medical examination”. After that, by specifying the patient waiting for the examination and displaying the medical record, entering the medical information and registering the medical chart update, and performing the accounting process, the examination has been completed from the examination, and it has been accepted from the accounting Can be advanced.

  Here, reservation cancellation can also be instructed by using the context menu 71 displayed by clicking the state “waiting for visit” with a mouse. In response to this, the visit receiving means 17 changes the state of the visit information record in the visit information database 15 to “cancel”.

  Of course, the visit receiving means 17 can receive patients who have visited without reservation. In that case, a new record is additionally registered in the visit information database 15. The patient's condition is “waiting for medical examination”. However, there is no reservation ID information because it is not a reservation. Therefore, the presence or absence of the reservation ID can be used to determine whether the patient is a reserved patient or a patient who has visited directly without a reservation. Then, depending on the presence or absence of the reservation ID, the hospital reception means 17 displays a “preliminary” mark indicating whether or not the patient is a reserved patient in the status column 61 of the visiting patient screen 60. As a result, the user can know at a glance whether the patient is a reserved patient or a patient who has visited directly without a reservation.

  The reception cooperation unit 13 constantly monitors the visit information database 15, and when a new record is added or a record is updated, the registration contents are updated by reflecting the change in the reservation reception information database 14. However, if there is no reservation ID information in the record, the reservation reception information database 14 is not reflected. That is, do nothing.

  For example, on the visit patient screen 60, when the status column 61 is a mouse click on a patient waiting for a new visit or a new patient, the visit acceptance means 17 displays the context menu 71 shown in FIG. 7, and selects cancel. In response to this, the visit receiving means 17 changes the state of the visit information record in the visit information database 15 to “cancel”.

  The reception cooperation unit 13 detects when the record of the visit information database 15 is updated, and if there is information on the reservation ID in the record, the change is reflected in the reservation reception information database 14 to update the registration contents. . In the above example, the state of the reservation information record on the reservation reception information database 14 corresponding to the reservation ID is updated to “cancel”.

  Similarly, since the server cooperation unit 12 has a function of monitoring the reservation reception information database 14 and notifying the reservation management server 20 of any change, the state of the record on the reservation reception information database 14 is “cancel”. When it is updated, it is detected, and the reservation management server 20 is notified that the reservation of the reservation ID has been canceled. In the present embodiment, the entire record, that is, the reservation ID shown in FIG. 4 or the information on the reason for visiting the hospital is transmitted to the reservation management server 20, but only the information indicating the reservation ID and cancellation may be transmitted. .

  In the reservation management server 20, the reservation canceling means 23 receives this information and cancels the record on the reservation information database 24 corresponding to the reservation ID. At this time, in this embodiment, the “state” of the record is set to “cancel”, but the present invention is not limited to this, and the record itself may be deleted. By canceling the reservation of the reservation ID notified from the medical institution terminal 10 in this way, it is possible to perform processing excluding the canceled reservation when the reservation data is aggregated or statistically processed thereafter. Become. As a result, the data of the patient who has made a reservation once, but eventually the appointment is invalidated without visiting the hospital can be tabulated and more accurate tabulation and statistical processing can be performed.

  By the way, in the above-mentioned example, the reservation cooperation means 11 determines whether it is that of a reserved patient or a patient who has visited directly without reservation depending on the presence or absence of a reservation ID. The server 20 is notified, but this may be determined on the server side. That is, when there is a change in the visit information database 15, the reservation cooperation unit 11 always notifies the reservation management server 20 of the change, and the reservation management server 20 refers to the received information to determine whether it is that of the reserved patient or It is determined whether the patient is a patient who has come directly without a reservation. If the patient is a reserved patient, that is, if the corresponding reservation information exists in the reservation information database 24, the necessary processing may be performed.

1 Medical institution 2 Hospital LAN
3 User terminal 4 Wide area network 10 Medical institution terminal 11 Reservation cooperation means 12 Server cooperation means 13 Reception cooperation means 14 Reservation reception information database 15 Visit information database 16 Patient information database 17 Visit reception means 18 Display device 19 Medical support means 20 Reservation Management server 21 Reservation processing means 22 Reservation acceptance means 23 Reservation cancellation means 24 Reservation information database 60 Visit patient screen 61 Status column 71 Context menu

Claims (10)

A reservation management server for managing medical appointments of medical institutions, and a user terminal and a medical institution terminal connected to the reservation management server via a communication network,
The reservation management server records information on a medical reservation in accordance with a reservation request from a user terminal in a reservation information database together with a reservation ID for identifying the reservation, and transmits the information on the reservation to a medical institution terminal,
The medical institution terminal receives the reservation information from the reservation management server and records it in the visit information database. When the cancellation request is input to the recorded reservation information, the reservation information on the visit information database is displayed. Cancel, send the cancellation information to the reservation management server together with the reservation ID of the reservation,
The reservation management server cancels the reservation information on the reservation information database corresponding to the reservation ID included in the cancellation information according to the cancellation information of the medical reservation from the medical institution terminal. A medical assistance apparatus for inputting medical information of a patient in a medical institution and registering it in a medical information database, and receiving and displaying information related to a medical appointment from a reservation management server that manages medical appointments of the medical institution In the made medical support device,
A hospital reception means for receiving the patient and registering the patient and the scheduled diagnosis time and the state of waiting for the medical examination and the state of the medical examination as the hospital information in the hospital information database;
Display means for displaying visit information registered in the visit information database;
Reservation reception information including a reservation ID for identifying a reservation, a reservation time, an instruction for new registration or change is received from the reservation management server, and the visit information related to the reservation is registered in the visit information database based on the reservation reception information. A reservation cooperation means,
In response to the cancellation request being input for the patient visit information displayed on the display means, the visit acceptance means cancels the visit information in the visit information database,
In response to the cancellation of the visit information in the visit information database, the reservation linking means transmits information for canceling the medical reservation corresponding to the reservation ID to the reservation management server, thereby canceling the reservation on the reservation management server side. A medical assistance device characterized by what has been done. When the visit acceptance means accepts a patient who has visited directly without making a medical appointment, the visit information without a reservation ID is registered in the visit information database,
The cooperation means includes server cooperation means for receiving reservation reception information from the reservation management server, reception cooperation means for registering visit information in the visit information database based on the reservation reception information, and reservation reception information database for storing reservation reception information. The server cooperation means records the reservation reception information received from the reservation management server in the reservation reception information database, the reception cooperation means reads the newly received reservation reception information with reference to the reservation reception information database, and 3. The medical assistance apparatus according to claim 2, wherein visit information including a reservation ID is registered in the visit information database based on the visit information. The reception coordinating means periodically refers to the visit information database to determine whether there is a canceled visit information, and whether the canceled visit information is for a reserved patient or a patient who has visited directly without reservation. If it is that of the reservation patient, the reservation reception information recorded in the reservation reception information database corresponding to the reservation ID is canceled, and the server cooperation unit periodically updates the reservation reception information database. It is determined whether there is reservation acceptance information that has been canceled by referring to the information, and if there is reservation acceptance information that has been canceled, information for canceling the medical appointment corresponding to the reservation ID is transmitted to the reservation management server. The medical care support apparatus according to claim 3. The reservation cooperation means refers to a reservation ID when determining whether the canceled visit information is for a reserved patient or a patient who has visited directly without reservation, and makes a determination based on the information. The medical assistance device according to any one of claims 2 to 4. A reservation management server for managing medical appointments of a medical institution, and a user terminal and a medical institution terminal connected to the reservation management server via a communication network;
The reservation management server includes a reservation information database for recording information related to a medical reservation including at least a patient ID, a reservation time and a reservation ID for identifying a reservation, and registration of a reservation in response to a reservation request from a user terminal, Reservation receiving means for performing operations such as change and cancellation on the reservation information database, and transmitting information such as registration, change and cancellation of the reservation together with the reservation ID to the medical institution terminal,
The medical institution terminal receives a visit patient, and the visit acceptance means for registering the patient and its scheduled examination time, a waiting state for the examination and a state of being examined in the visit information database as visit information,
Display means for displaying visit information registered in the visit information database;
Reservation reception information including a reservation ID for identifying a reservation, a reservation time, an instruction for new registration or change is received from the reservation management server, and the visit information related to the reservation is registered in the visit information database based on the reservation reception information. A reservation cooperation means,
In response to the cancellation request being input for the patient visit information displayed on the display means, the visit acceptance means cancels the visit information in the visit information database,
In response to the cancellation of the visit information in the visit information database, the reservation cooperation means transmits information for canceling the medical reservation corresponding to the reservation ID to the reservation management server,
The reservation management server further includes reservation cancellation means for canceling the reservation recorded in the reservation database corresponding to the reservation ID included in the cancellation information in accordance with the medical reservation cancellation information received from the medical institution terminal. A medical appointment reservation system characterized by this. The medical appointment reservation system according to claim 6,
The hospital reception means of the medical institution terminal registers visit information without a reservation ID in the visit information database when accepting a patient who has visited directly without making a medical appointment,
The cooperation means includes a server cooperation means for receiving reservation reception information from the reservation management server, a reception cooperation means for registering visit information in the visit information database based on the reservation reception information, and a reservation for temporarily storing reservation reception information. It consists of a reception information database, the server cooperation means records the received reservation reception information in the reservation reception information database, the reception cooperation means reads the newly received reservation reception information with reference to the reservation reception information database, based on it A medical appointment reservation system for registering visit information including an appointment ID in a visit information database. The medical appointment reservation system according to claim 7,
The reception cooperation means of the medical institution terminal refers to the visit information database periodically to determine whether there is the canceled visit information. If there is the canceled visit information, the visit information is stored in the reservation patient's It is determined whether the patient is a patient who has visited directly without reservation, and if the patient is a reserved patient, the reservation reception information recorded in the reservation reception information database corresponding to the reservation ID is canceled, The server cooperation means periodically refers to the reservation reception information database to determine whether there is any reservation reception information that has been canceled. If there is reservation reception information that has been canceled, the server cooperation means determines the medical reservation corresponding to the reservation ID. A medical appointment system characterized by transmitting information to be canceled to an appointment management server. The reservation cooperation means refers to a reservation ID when determining whether the canceled visit information is for a reserved patient or a patient who has visited directly without reservation, and makes a determination based on the information. The medical care appointment system according to any one of claims 6 to 7. The medical appointment reservation system according to claim 6,
The reservation cancellation means determines whether the reservation to be canceled is for a reserved patient or a patient who has visited directly without reservation based on the cancellation information of the medical reservation received from the medical institution terminal. If it is, the medical reservation system which cancels the reservation recorded in the reservation database corresponding to the reservation ID included in the cancellation information.

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