JP2011008517A - Medical examinee guidance system and server for the same - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a medical examinee guidance system that achieves smooth guidance of a specific person or group without a mistake, not based on a simple and typical rule.SOLUTION: In the medical examinee guidance system 11, predetermined examination is allocated as a plurality of stages in an examination stage information registration part 21, and guidance permission information from a certain stage to another stage is set and is registered in a medical examination database 23. A class indicating a guidance class of a medical examinee is acquired from the medical examination database 23 in a medical examinee information acquisition part 24, examination stage information of the medical examinee is acquired in an examination stage information acquisition part 25, and information on a destination to which the medical examinee is guided is acquired in a guidance destination information acquisition part 26. A guidance destination decision part 27 determines whether to permit guidance from the current stage to another stage based on the current examination stage of the medical examinee and the guidance destination information to the examination stage. A guidance destination presentation part 28 presents a guidance destination permitted based on the decided guidance destination, to the medical examinee.

Description

  The present invention relates to a health management support system, and more particularly to a patient guidance system and its server used for the purpose of patient guidance.

  In the health checkup center, experienced nurses and Clarke guide the examinee (which test will be performed next). Unlike the hospital, the health check center is a complete service industry, so it is sensitive to the complaints of the examinees, and the patient complaints are most likely to make complaints. Therefore, good patient guidance is essential. For this reason, a system for the purpose of guiding a patient has been proposed.

  Patent Document 1 below describes a system that reads out each data stored in an electronic chip and a patient guidance database, and calculates and presents the waiting time of the patient.

  Patent Document 2 below describes a system that receives progress information regarding medical work input from a worker and presents a medical schedule for each subject 1 to the subject.

JP 2002-123603 A JP 2004-110238 A

  By the way, from the viewpoint of prevention of mistakes, reduction of load, and improvement of management efficiency, it is desired to automate the guidance of the nurses and the doctors who Clark handles. There are several automatic guidance systems that cooperate with the medical examination system, but all of them are simple rules. For example, put in a free test, don't do a blood test before stomach x-rays, etc.

  However, in reality, if the examinee is in a group (couple, co-worker, etc.), it is considered to act together as much as possible, the arrangement of the laboratory, the order of coming to the medical examination center (from the order of reception) Judgment must be made in consideration of atypical rules such as important persons. For this reason, the simple routine rules described above cannot smoothly guide a specific person or group.

  In addition, in the system described in Patent Document 1, the content of calculating and presenting the waiting time of a patient is described, but priority guidance is not mentioned.

  In other words, there is a problem that simple regular rules are not good guidance. Moreover, it is necessary to guide a specific person or group smoothly without mistakes.

  Therefore, the present invention has been made in view of the above circumstances, and its purpose is not a guidance based on a simple routine, but a patient who can smoothly guide a specific person or group without mistakes. It is to provide a guidance system and its server.

  That is, the present invention provides an examination stage information storage means for memorizing examination stage information relating to the progress of examination in a examinee guidance system for guiding the examinee based on the progress status of each examination in the medical examination, and the examinee Class information storage means for storing the guidance class information, guidance destination determination means for determining the guidance destination for obtaining the guidance destination information of the examinee based on the examination stage information and the guidance class information, and the guidance destination determination And a guide destination presenting means for presenting the guide destination to the examinee based on the guide destination determined by the means.

  Further, the present invention provides an examination stage information storage means for storing examination stage information relating to the progress of examination in a server of the examinee guidance system for guiding the examinee based on the progress status of each examination in the medical examination, Class information storage means for storing the examinee's guidance class information, and guidance destination determination means for determining a guidance destination for acquiring the examinee's guidance destination information based on the examination stage information and the guidance class information. It is characterized by doing.

  ADVANTAGE OF THE INVENTION According to this invention, it is not the guidance based on a simple fixed rule, but the examinee guidance system and its server which can guide a specific person and a group smoothly without a mistake can be provided.

It is a block block diagram which shows the basic composition of the consultant guidance system which concerns on one Embodiment of this invention. It is a block diagram which shows the basic composition of the examiner guidance system server of FIG. 2 shows an example of a screen displayed on the menu display unit of FIG. 2, (a) shows a display example of a business menu screen, and (b) shows an example of a display screen of a health management support system. FIG. 2 is a diagram showing an example of the configuration of a group information table, (b) is a diagram showing an example of the configuration of a patient information table, and (c) is a medical examination. The figure which showed the other structural example of the person information table, (d) is the figure which showed the structural example of the examination result table. FIG. 2 shows an example of a database structure of inspection stage information, in which (a) shows a management table of management example 1 and (b) shows a management table of management example 2. FIG. It shows an example of the database structure of examination stage information, (a) is a diagram showing a reservation frame management table for the examinee class 1, (b) is a diagram showing a reservation frame management table for the examinee class 2 It is. It is the figure which showed the example of the guidance destination notice card | curd for examinees.

  Hereinafter, embodiments of the present invention will be described with reference to the drawings.

  First, the health management support system will be described.

  This health management support system is used to manage health checkup result data and health management of health checkup subjects in health checkups regularly conducted by companies, municipalities, etc. It is a system that supports.

  The health management support system is equipped with a health checkup database in which attribute information such as the names of health checkup examinees and health checkup result data including the past of the subject are registered. The medical examination result data is displayed, or the latest and past medical examination result data of the medical examination examinee are switched and displayed in accordance with a predetermined procedure. The medical examination result data refers to the examination response data, the examination result data relating to at least one examination item, the examination result data, and the examination value determination threshold data set for each examination item in advance, to determine whether there is an abnormality. It consists of any or all of the determined abnormality determination result data and instruction data based on the abnormality determination result.

  Next, referring to FIG. 3 and FIG. 4, a screen example of a business menu of the health management support system, a display screen example, group information, examinee information, consultation information, and a medical examination result are stored in a medical examination database. A table configuration example will be described.

  The business menu 31 of the health management support system is, for example, as shown in FIG. 3A, reservation work, reception work, data input work, data processing work, data output / display work, billing work, statistical work, maintenance It is assumed that it consists of business. Then, the individual data 32 in the health care support system is displayed on the screen as shown in FIG.

  As shown in FIG. 4A, the group information table includes a group number (company identification code) of a group (company) to which the examinee belongs, a group name (kanji, katakana, etc.), a group address, a zip code, It includes items such as a telephone number, a FAX number, an E-MAIL address, a representative name, and a contract number for identifying a medical examination course provided to the organization.

  As shown in FIG. 4B, the examinee information table includes a personal number (personal identification code), name (kanji, katakana, etc.), gender, date of birth, age, address, It includes items such as a zip code, a telephone number, a FAX number, an E-MAIL address, an organization number to which the examinee belongs, and an employee number (employee code) for identifying the examinee in the organization.

  In addition, as shown in FIG. 4 (c), the consultation information table includes a consultation number (a code identifying the appointment or reception of each examinee), the name of the examinee (kanji, katakana, etc.), and the individual number of the examinee. , Scheduled checkup date, scheduled checkup time, checkup course number, group number, status, reception date / time, data update date / time, data updater, etc.

  As shown in FIG. 4 (d), the medical checkup result table includes the personal number for identifying the medical examinee, the name of the medical examinee (kanji, katakana, etc.), the medical examination date, the medical examination location, and the medical examination result. It consists of the items shown.

  Results of physical examination include items related to body measurements such as height, weight, obesity, BMI, blood pressure measurement, electrocardiogram, heart rate, fundus examination, intraocular pressure examination, visual acuity examination, hearing examination, lung function examination, etc. Items related to examination, items related to X-ray and ultrasound examinations such as chest X-ray, upper digestive tract X-ray, abdominal ultrasound, total protein, A / G, albumin, creatinine, uric acid, total cholesterol, HDL cholesterol, LDL cholesterol , Neutral fat, total bilirubin, AST (GOT), ALT (GPT), γ-GTP, ALP, blood glucose (fasting), HbAlc, and other items related to biochemical tests, red blood cells, white blood cells, hemoglobin, hematocrit, platelet count , Items related to hematology tests such as MCV, MCH, MCHC, CRP, blood group (ABO), blood group (Rh), glass plate method or coagulation method, H Items related serology such as S antigen, protein, urine glucose, sediment, occult blood, items related to urine test specific gravity such item of stool tests such as occult blood, configured to include an item concerning interview result.

  Basically, the reservation work, reception work, data input work, data processing work, data output / display work, and billing work shown in FIG. And statistical work is a workflow that is carried out regularly, such as monthly and annual. The business menu is divided into these two types.

  For reservation work, a group registration program for registering information about the group to which the patient belongs, a patient registration program for registering the patient information such as the name of the patient, a medical examination course and the date and time of the medical examination, etc. It consists of a reservation registration program that registers information. When a reservation is newly made, a consultation number is newly issued, necessary items are registered, and the status becomes “reserved”. In addition, the data updater and update date and time are entered.

  The reception work is composed of a reception registration program which receives a reception when the examinee visits a medical examination facility. The reception registration program rewrites the status in the consultation information table from “reserved” to “accepted J” and updates the reception date and time. Further, the data updater and the update date and time are updated.

  In the data entry work, the examinee performs the examination corresponding to the examination course selected at the time of appointment / reception and the examination result registration program for registering the examination result at the examination facility, and registers the examination result. Consists of an inspection result registration program. Interview information includes current health status (name of illness, current symptoms, etc.), past disease information, genetic information (eg, “Father is high blood pressure”, “Mother is diabetes”, etc.), lifestyle information (meal, Smoking, sleep, exercise, labor, leisure, etc.). These inquiry results are also stored in the medical examination result data in the medical examination database.

  Data processing operations include determination support programs that perform abnormality determination, etc. by determining the presence or absence of abnormalities by referring to test value determination threshold data set for each inspection item in advance for the calculation of obesity and test result data, Consists of an interpretation support program for finding input by doctors.

  Data output and display work includes a gradebook program that creates and prints a gradebook (notification form for health checkup results, etc.) for notifying and explaining the results of medical examinations to the examinees, and the medical examination results on the screen. It consists of a data display program for explanation, a legal form creation program for creating and printing a form (such as a health checkup personal form) in a legal form stipulated in the Labor Standards Law.

  The billing service is composed of a billing program for calculating a charge and a billing program for creating a bill for each group.

  The statistical work consists of a statistical program that creates and prints a statistical table, such as the number of regular health check-ups per department, the rate of medical check-ups, and the number of people present.

  The maintenance work consists of programs for setting various masters of the health management support system and managing accounts for user authentication.

  The health management support system can take the form of a stand-alone (operating on one computer) and the form of a client / server (a plurality of computers are connected via a network and operate in a distributed manner).

  In the case of the client / server format, it can be divided into a server that operates a database management system that manages a medical examination database and a client that accesses the database and performs business. A computer in which a database management system (DBMS) is operated on one computer is used as a server, and the database management system manages the medical examination database. A client is a computer that operates a business application group that accesses a medical examination database via a data pace management system that operates on the server.

  For example, the server and the client lay a network based on a network standard such as 10BASE-T / 100BASE-TX / 1000BASE-T based on a standard such as Ethernet (registered trademark) and a network standard such as TCP / IP. It is a form that connects to the LAN. The same business application may be installed on all clients, or only the business application required for each client may be installed. The business application accesses the server via the LAN.

  The basic configuration of each computer includes a computer main body such as a personal computer, an input device such as a keyboard and mouse connected to the computer main body, an output device such as a printer, an external storage device such as a display device and a magnetic disk device. , And an internal storage device such as a memory.

  Next, a patient guidance system according to an embodiment of the present invention will be described.

  In addition, this examinee guidance system can take a stand-alone format and a client / server format, similar to the health management support system described above. In the present embodiment, a client / server format will be described as an example, but it is needless to say that the present invention can also be applied to a client / server format.

  FIG. 1 is a block configuration diagram showing a basic configuration of a patient guidance system according to an embodiment of the present invention.

  Referring to FIG. 1, in this patient guidance system 10, one patient guidance system server 11 and a plurality of patient guidance system clients 13 a, 13 b, 13 c,... Are connected via a network 15. . Among these, the examinee guidance system server 11 manages the health examination schedule of the entire system. Further, the examiner guidance system clients 13 a, 13 b, 13 c,... Perform schedule management of each examinee based on an instruction from the examiner guidance system server 11.

  FIG. 2 is a diagram showing the configuration of the examinee guidance system server 11 described above.

  The examinee guidance system server 11 includes an examination stage information registration unit 21, a menu display unit 22, a medical examination database 23, a examinee information acquisition unit 24, an examination stage information acquisition unit 25, and a guidance destination information acquisition unit 26. And a guidance destination determination unit 27 and a guidance destination presentation unit 28.

  The examination stage information registration unit 21 assigns each examination of the medical examination transmitted from the examinee guidance system clients 13a, 13b, 13c,... As a stage, and sets guidance permission information from one stage to another stage. And register. The medical examination database 23 corresponds to an examination stage information storage unit that stores examination stage information related to the progress of the examination registered by the examination stage information registration unit 21 and a class information storage unit that stores the guidance class information of the examinee. Storage means.

  The menu display unit 22 is for displaying the examination stage information input by the examination stage information registration unit 21 and the examinee table information stored in the medical examination database 23.

  The examinee information acquisition unit 24 acquires a class indicating the guidance class of the examinee from the medical examination database 23. The examination stage information acquisition unit 25 acquires examination stage information of the examinee from the medical examination database 23. Further, the guide destination information acquisition unit 26 as a guide destination information acquisition unit acquires the guide destination information of the examinee from the medical examination database 23 based on the class of the examinee acquired by the examinee information acquisition unit 24. To do.

  Then, the guidance destination determination unit 27 is based on the current examination stage of the examinee acquired from the examination stage information acquisition unit 25 and the guidance destination information for the current examination stage acquired from the guidance destination information acquisition unit 26. For the examinee, it is determined whether or not guidance from the current stage to another stage is permitted, and corresponds to the guidance destination determination means.

  The guide destination posting unit 28 presents a permitted guide destination to the examinee based on the guide destination determined by the guide destination determination unit 27, and corresponds to a guide destination posting unit.

  Next, the operation of the patient guidance system according to an embodiment of the present invention will be described.

  First, the inspection stage information registration unit 21 registers inspection stage information. That is, the examination stage information registration unit 21 assigns each examination of the medical examination transmitted from the examinee guidance system clients 13a, 13b, 13c,... As the stage, and the guidance permission information from one stage to another stage. It is set and registered in the medical examination database 23.

  FIG. 5A is a diagram showing an example of a management table 35 of registered information. In this management table 35, each inspection is assigned as a stage. For example, inspection items such as height, weight, and electrocardiogram are considered as inspection stages.

  In the example shown in FIG. 5A, each examination is directly assigned as a stage. However, as shown in the management table 36 shown in FIG. 5B, a set of examinations may be assigned as a stage. good. In the management table 36, for example, examination items for height and weight are assigned as a stage called body measurement. Similarly, the electrocardiogram is assigned as an electrocardiogram stage, and the white blood cell count and red blood cell count are assigned as blood test stages. This is because some inspection items are diagnosed by the same examination and others are diagnosed at the same place.

  For such an examination stage, in the medical examination database 23, information on a reservation frame, that is, the number of waiting persons is held.

  As shown in FIG. 6 (a), in the reserved space management table 38 for general examinees, there are 3 persons at the height inspection stage, 0 persons at the body weight inspection stage, 2 persons at the electrocardiogram inspection stage, Is reserved. In the guidance system, this information is acquired to grasp the current congestion situation, and guidance is performed according to a predetermined rule. For example, the examination stage with the fewest reserved items is searched for as reserved and presented to the examinee. When the inspection is completed, the information is updated.

  In the present embodiment, this reservation frame information is classified and held by the class of the examinee. The class here refers to the guided class of the examinee. For example, if class 1 and class 2 are set for the examinee and class 2 is higher than class 1, it is defined that the class 2 examinee is superior.

  Here, the reservation frame management table 38 of FIG. 6A described above is for class 1 examinees, and the reservation frame management table 39 shown in FIG. 6B is for patient class 2. Then, it can be seen that there are no class 1 examinees in the weight inspection stage, whereas one class 2 examinee has been reserved.

  Next, examinee information, examination stage information, and guide destination information are acquired from the medical examination database 23.

  First, acquisition of patient information will be described.

  In the examinee information obtaining unit 24, a class indicating the examinee's guidance class is obtained from the medical examination database 23. Since the medical checkup database 23 includes the information on the examinee, the class is determined from this information. For example, it may be possible to use a medical examination course number or a group number. Usually, there are courses for medical examinations, and the contents of medical examinations differ for each medical examination course. For example, overnight dock, one-day dock, preventive health checkup, various health checkups (lung function test, electrocardiogram test, medical checkup, etc.), comprehensive cancer checkup, standard cancer checkup, basic cancer checkup, checkup for women, etc. In general, each is divided into classes.

  Each class is identified from the examination course number, and the class corresponding to it is acquired. In the above example, if the general cancer screening is class 3, the standard cancer screening is class 2, and the basic cancer screening is class 1, the screening course number indicates standard cancer screening. Class 2 information is acquired. Further, the class may be determined by an organization number or the like. The organization A is defined as class 1, the organization B is defined as class 2, and if the organization number indicates the organization A, class 1 information is acquired.

  In addition, the examinee information for determining the class is not limited to the medical examination course number or the group number, but may be decided by the item of the examinee information or a combination thereof.

  Next, acquisition of inspection stage information will be described.

  The examination stage information acquisition unit 25 acquires the examination stage information of the examinee from the medical examination database 23. Since the examination database 23 includes information on the examinee, it is determined from this information which examination stage is currently in progress and which examination stage is completed or not completed.

  One method of determining which examination stage is currently based on information specified from the location of the examinee. As a method for specifying the position, GPS, an IC tag, a magnetic card, manual input, or the like can be considered. If there is information storing the current state of the examinee from these information, it is acquired. As another method, the determination is made from the input result of the medical examination result. For example, if there is an item of height in the latest updated medical checkup result, it is determined that the current examination stage is height and the result is acquired.

  The information for determining the current stage is not limited to the above method, and may be determined by data items or a combination thereof.

  Next, acquisition of guide destination information will be described.

  In the guide destination information acquisition unit 26, the guide destination information of the examinee is acquired from the medical examination database 23. Here, the waiting number for each examination stage is acquired for each examinee class, weighted for each examinee class, and finally the waiting number for each examination stage is obtained.

  If weighting is not performed, as shown in the example of the management table in FIGS. 6A and 6B, three persons are at the height inspection stage, one is at the weight inspection stage, and one is at the ECG inspection stage. Two people are acquired as reserved.

  Here, for example, it is assumed that a weight of 5 is given to a person of the examinee class 2 with respect to a person of the examinee class 1. In this case, as shown in the example of the management table in FIGS. 6A and 6B, from the standpoint of the examinee class 1, three persons are in the height inspection stage, five are in the weight inspection stage, and the electrocardiogram inspection stage is 2 people are acquired as reserved. On the other hand, from the standpoint of the examinee class 2, three persons are acquired for the height inspection stage, one person for the weight inspection stage, and two persons for the ECG inspection stage are reserved.

  When the examinee information, the examination stage information, and the guide destination information are acquired in this way, the guide destination determination unit 27 determines the guide destination of the examinee.

  That is, in the guidance destination determination unit 27, based on the current examination stage of the examinee acquired from the examination stage information acquisition unit 25 and the guidance destination information for the current examination stage acquired from the guidance destination information acquisition unit 26, It is determined whether guidance from the current stage to another stage is permitted.

  Here, the determination rule is set such that an inspection stage with the least reservation is searched and guided. From the standpoint of the examinee class 1, it is determined by the above-described weighting that three people are reserved for the height examination stage, five are for the weight examination stage, and two are for the electrocardiogram examination stage. Therefore, in this case, it is determined to guide to the examination stage of the electrocardiogram.

  On the other hand, from the standpoint of the examinee class 2, it is determined that 3 persons are reserved for the height inspection stage, 1 person is for the body weight inspection stage, and 2 persons are reserved for the electrocardiogram inspection stage. Therefore, in this case, it is determined to guide to the weight inspection stage.

  In the example described above, two classes of examinees are described, but the present invention is not limited to this, and three or more classes may be set to support guidance by class. In this case, it is possible to cope by changing the weight for each class.

  In the above-described example, the inspection stage to be guided is described by only one of the following, but the determination may be made across a plurality of stages that are two or more ahead. In this case, the system makes a determination of a plurality of stages, but only one guidance destination needs to be posted for the examinee. These can be dealt with by reserving a plurality of stages and setting a weight for each.

  When the guide destination is determined in this way, the guide destination is then presented.

  Here, the guidance destination permitted based on the guidance destination determined by the guidance destination determination unit 27 is presented to the examinee by the guidance destination presentation unit 28.

  As shown in FIG. 7, the next reserved examination stage determined by the guide destination determination unit 27 is presented to the examinee in an easy-to-understand manner by the guide destination display unit 40 for the examinee. In this case, since the notation “Next is here” is in the position of the weight inspection stage, it is understood that the next guided inspection stage is the weight inspection stage.

  As the guide destination posting unit 40 for the examinee, for example, a monitor of a portable device carried by the examinee is displayed on the screen. Alternatively, it may be presented on paper or a card medium for the examinee instead of the monitor screen.

  In the example, explanation is given by presenting the current recipient's guidance destination, but not only presenting but also the reservation system itself may be limited in cooperation with the reservation system. It is also possible to control the total number of patients by restricting reception.

  Further, the guidance destination notice unit 28 may be presented by displaying it on a display or the like instead of the card carried by the examinee.

  In the above-described embodiment, the waiting number is updated every time each inspection stage is completed. However, the present invention is not limited to this. For example, the waiting number may be updated periodically.

  Thus, according to the examiner guidance system according to the present embodiment, appropriate guidance can be performed under suitable conditions according to the class of the examinee.

  In addition, considering that the examinee acts together in the case of a group, or in the case of an atypical rule based on the layout of the laboratory, etc. It is possible to guide smoothly.

  Although the embodiments of the present invention have been described above, the present invention is not limited to the above-described embodiments, and various modifications can be made without departing from the scope of the present invention.

  Further, the above-described embodiments include inventions at various stages, and various inventions can be extracted by appropriately combining a plurality of disclosed constituent elements. For example, even if some constituent requirements are deleted from all the constituent requirements shown in the embodiment, or some constituent requirements shown in the embodiment are combined, it is described in the column of the problem to be solved by the invention. When the problem can be solved and the effect described in the column of the effect of the invention can be obtained, the configuration from which this constituent requirement is deleted can be extracted as the invention.

  ADVANTAGE OF THE INVENTION According to this invention, the patient guidance system and its server which can guide a specific person and group smoothly without a mistake are obtained instead of the guidance based on a simple routine.

  DESCRIPTION OF SYMBOLS 10 ... Examiner guidance system, 11 ... Examiner guidance system server, 13a, 13b, 13c, ... Examiner guidance system client, 15 ... Network, 21 ... Examination stage information registration part, 22 ... Menu display part, 23 ... Healthy Examination database, 24 ... examinee information acquisition unit, 25 ... examination stage information acquisition unit, 26 ... guidance destination information acquisition unit, 27 ... guidance destination determination unit, 28 ... guidance destination presentation unit, 31 ... business menu, 32 ... examinee Separate data, 35, 36... Management table, 38, 39... Reservation space management table, 40.

Claims (5)

In the patient guidance system that guides the patient based on the progress of each examination in the medical examination,
Inspection stage information storage means for storing inspection stage information relating to the progress of the inspection;
Class information storage means for storing the guided class information of the examinee;
Based on the examination stage information and the guidance class information, guidance destination determination means for determining a guidance destination for obtaining the guidance destination information of the examinee;
Based on the guidance destination determined by the guidance destination judgment means, guidance destination presentation means for presenting the guidance destination to the examinee;
A system for guiding a patient, characterized by comprising:   The examinee guidance system according to claim 1, wherein the guidance destination determination unit supports guidance by determining according to the guidance class information of the examinee.   3. The examinee guidance system according to claim 1 or 2, wherein the guidance destination determination unit supports guidance by determining over a plurality of examination stages.   The medical examination according to claim 2, further comprising guidance destination information obtaining means for obtaining a guidance destination information of the examinee by performing a predetermined weighting according to the guidance class information of the examinee. Person guidance system. In the server of the patient guidance system that guides the patient based on the progress status of each examination in the medical examination,
Inspection stage information storage means for storing inspection stage information relating to the progress of the inspection;
Class information storage means for storing the guided class information of the examinee;
Based on the examination stage information and the guidance class information, guidance destination determination means for determining a guidance destination for obtaining the guidance destination information of the examinee;
A server for a patient guidance system, comprising:

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