JP2012053638A - Medical examination appointment system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a medical examination appointment system capable of displaying an outpatient list screen showing not only patients who came to the hospital and was registered on the day but also patients with appointment.SOLUTION: The examination appointment system includes a server device 10 installed in an appointment center for receiving and managing examination appointments, and a terminal device 21 in each medical institution 20 and user terminal devices 30 which are all connected via a communication network 40 so as to transmit and receive information among them. The terminal device in each medical institution has an outpatient list display means 22 for displaying a outpatient list screen which is a list of outpatients to be examined on the day. Upon displaying the outpatient list screen, the outpatient list display means accesses the server device to acquire appointment data, and displays the outpatient list screen where outpatients who have an appointment for the day but have not yet presented themselves at reception are indicated as outpatients expected to arrive.

Description

  The present invention relates to a diagnosis reservation system for a patient to make a reservation for a medical institution or the like via a web such as the Internet.

  There is a hospital reservation system that can make medical appointments for hospitals via 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 recent years, so-called electronic medical record devices that record medical information of patients are becoming popular, and this electronic medical record device also displays a list of patients coming to the hospital for patient waiting time, examination / inspection / The contents of medical treatment such as medication can be confirmed.

JP2002-318854

  In general, a reservation system for taking a diagnosis reservation of a medical institution from the outside of the medical institution is constructed as a system separate from the electronic medical chart apparatus in the medical institution. The reason is to secure the security of the electronic medical chart apparatus in the hospital and to enable the reservation system to accept external access for 24 hours. By the way, the list of visiting patients that can be displayed by the electronic medical chart apparatus is only those patients who have visited the hospital on the same day and have accepted it. Moreover, it is necessary to input a patient code, a medical examination ticket number, etc. in the case of the reception. Therefore, the present application provides a diagnosis reservation system that allows a reservation patient on the day reserved by the reservation system to be displayed as a patient waiting for a visit in the list of visit patients even if the patient does not visit the hospital. With the goal.

  The present invention is a medical reservation system in which a reservation center server device that receives and manages medical reservations, and a medical institution terminal device and a user terminal device are connected via a communication network so as to be able to transmit and receive. The apparatus includes a patient database in which patients that may be used for each medical institution are registered, and reservation management means. The reservation management means downloads and uses a reservation application screen when accessed from a user terminal device. The reservation data for each medical institution is recorded from the medical person, and when there is an access from the medical institution terminal device, the reservation data related to the medical institution is downloaded, and the medical institution terminal device is a list of patients scheduled to be examined on the day A visitor list display means for displaying a visit list screen is provided, and the visit list display means is a server device for displaying the visit list screen. To get the access to the reservation data, for it to be displayed on the visit list screen its status as a patient of the hospital waiting patients a reservation patient has not yet been accepted, is intended to solve the above problems.

  According to the present invention, since the reservation patients for the day reserved by the reservation system can be displayed as patients who are not yet accepted, that is, patients who are waiting for a visit, it is possible to accurately grasp the examination schedule on that day. Become. In addition, the reception process can be simplified because it is possible to immediately wait for a medical examination if a patient visits the hospital.

It is a figure which shows the structure of the medical treatment reservation system of embodiment. It is a figure which shows the record structure of the patient database classified by medical institution of embodiment. It is a figure which shows the record structure of the name database of embodiment. It is a figure which shows roughly the structure which displays a patient's name on a screen. It is a figure which shows the example of a display of a hospital patient list screen.

  FIG. 1 shows the configuration of the examination reservation system according to the embodiment of the present invention. Reference numeral 10 denotes a reservation center server composed of computers installed in the reservation center. The reservation center manages reservations for a plurality of medical institutions, and includes a patient database 12 for each medical institution and a reservation database 13 for each medical institution. A patient who is a user accesses the reservation center server 10 using a mobile terminal such as a mobile phone on which browser software runs, a terminal such as a PDA or a personal computer, and schedules a diagnosis according to a reservation application screen displayed. Therefore, the reservation center server 10 downloads the reservation application screen to the user terminal 30 and stores information such as the desired medical institution, the desired date and time, the medical department, and the contents of the examination (for example, examination, examination, medication, injection) entered by the user. Web reservation management means 11 is provided for acquiring reservation data and registering it in the reservation database 13. Actually, the web reservation management means 11 is realized by a program, and the reservation center server 10 functions as an ASP (application service provider) server by executing this program.

  FIG. 2 shows the record structure of the patient database 12 by medical institution. The patient ID for identifying the patient, the date of birth of the patient, and information on the last visit month including the date when the patient last visited the hospital are recorded for each patient. Here, the examination ticket number of the medical institution is used as the patient ID. Since the serial number is often used for the examination ticket number, it may overlap with that of a patient outside the outside medical institution, but if it is unique within the medical institution, it may overlap with that of the outside medical institution. There is no problem. In this way, personal information such as patient names and addresses that can identify individual patients is not recorded in the patient database 12 by medical institution. The data in the patient database 12 by medical institution is provided and registered in advance from the medical institution to the reservation center.

  Returning to FIG. 1, reference numeral 20 denotes a medical institution, which includes a medical assistance device so-called electronic medical record device 21 for recording medical information of a patient. The electronic medical chart device 21 includes a visit list display means 22 and displays a list of patients scheduled to be examined on the day (visit patient list screen) including patients who have been visited and received on the day. On this list screen, the patient who has received the status is displayed as “waiting for medical examination”, and according to the predetermined operation on the screen, the status is “under medical examination”, “end of medical examination”, “waiting for checkout” and “finished” Is displayed.

  When displaying the visit patient list screen, the visit list display means 22 displays the visit patient list screen reflecting the reservation status of the medical institution by accessing the server 10 of the reservation center via the Internet 40. It is. At this time, the web reservation management unit 11 of the reservation center server 10 reads and downloads the reservation data relating to the accessed medical institution from the medical institution reservation database 13. However, at that time, the data related to the patient downloaded from the reservation center server 10 is only the patient ID, that is, the examination ticket number and the last visit month, and does not include any personal information such as name.

  The visit list display means 22 further includes a name database 24 and a name acquisition means 23. As shown in FIG. 3, the name database 24 registers patient IDs, names and genders in kanji notation for patients who have been issued a medical examination ticket at the medical institution. On the other hand, the name acquisition means 23 is specifically a program described in ACTIVEX or the like. Then, the name acquisition means 23 is activated by the visit list display means 22, searches the name database 24 by the received patient ID, and returns the name and sex data of the corresponding patient. Thus, the visit list display means 22 completes and displays the list by embedding the name and sex data of the reserved patients based on the reservation information downloaded from the reservation center server 10. At that time, for a patient who is a reserved patient and has not yet been accepted, the status is displayed as a patient who is scheduled to visit, that is, a patient who is “waiting for visit”.

  The electronic medical record apparatus 21 includes a patient attribute database 26 in which patient-specific information such as a patient's name and address, date of birth, sex, insurance card number, medical record number, and examination ticket number are registered. The patient's examination ticket number, name, and sex data are read from the patient attribute database 26 and registered in advance in the name database 24 of the visit list display means 22. This speeds up the display of the patient list. The patient attribute database 26 cannot be easily accessed from the outside.

  Reference numeral 30 denotes a user terminal used by a patient who is a user. As the user terminal 30, a mobile phone, PDA, personal computer or the like on which browser software operates can be used. Reference numeral 40 denotes a communication network represented by the Internet.

  As described above, in the examination reservation system of the present embodiment, the electronic medical chart devices 21 of a plurality of medical institutions and the terminals 30 of a plurality of users access the server 10 of the reservation center via the Internet 40. The reservation center manages reservations of a plurality of medical institutions, and downloads reservation data of the medical institutions in response to requests from the accessing medical institutions. In addition, when a patient accesses through the user terminal 30, a reservation application screen is downloaded. The patient selects one desired hospital and applies a medical appointment by inputting a medical examination ticket number by referring to a medical examination ticket of the hospital. At that time, the reservation center server 10 may confirm whether the user is a genuine user by inputting the date of birth in addition to the examination ticket number.

  FIG. 4 schematically shows a mechanism in which the visit list display means 22 of the electronic medical chart apparatus 21 displays the name of the reserved patient. Reservation data is downloaded from the reservation center server 10, but only the patient ID is downloaded as information relating to the individual patient who has applied for a medical appointment. Even if this patient ID is leaked, a third party cannot identify the individual patient. Therefore, the visit list display means 22 transfers the patient ID to the name acquisition means 23. The name acquisition means 23 searches the name database 24 with the received patient ID, and returns the name of the corresponding patient to the visit list display means 22. The visit list display means 22 embeds and displays the patient's kanji name on the visit patient list screen.

  FIG. 5 shows a display example of the visit patient list screen. In the electronic medical chart device 21, the patient's name and gender are supplemented to complete the screen, and the patient who has not yet received the appointment is displayed as “Waiting for Visit”. In addition, the patient who has received and received a visit is displayed as “Waiting for medical examination”. In this way, in addition to the patient who received the visit and the name of the reserved patient, the name of the appointment patient is also displayed, so that the examination schedule on the day can be accurately and easily grasped, which is convenient. In addition, when a reserved patient visits, the patient is immediately changed to “waiting for medical examination” by operating the status column on this patient list screen without entering the patient's examination ticket number and patient code and receiving it. can do. Therefore, the reception process is simplified. Further, since the name information is not included when the reservation data is downloaded from the server, personal information can be protected.

  By the way, in this embodiment, although the examination ticket number is used as patient ID, it is not restricted to this. The patient code or patient number used in the receipt computer 25 may be used, or a medical record number may be used. In short, it may be a unique number or symbol that can identify an individual patient in the medical institution, and may be independent from personal information that can identify an individual such as a name.

DESCRIPTION OF SYMBOLS 10 Reservation center server 11 Web reservation management means 12 Patient database 21 according to medical institution Reservation web terminal 22 Visit list display means 23 Name acquisition means 24 Name database 30 User terminal 40 Communication network

Claims (4)

A medical reservation system in which a reservation center server device that receives and manages medical reservations, and a terminal device of a medical institution and a user terminal device are connected to be able to transmit and receive via a communication network,
The server device includes a patient database in which patients who may be used for each medical institution are registered, and a reservation management unit. The reservation management unit downloads a reservation application screen when accessed from a user terminal device, Record the reservation data for each medical institution from the user, download the reservation data related to the medical institution when accessed from the medical institution terminal device,
The medical institution terminal device includes a visit list display means for displaying a visit list screen that is a list of patients scheduled to be examined on the day, and the visit list display means accesses the server device when displaying the visit list screen to make reservation data A medical appointment reservation system characterized in that, for a patient who is an appointment patient and has not yet been accepted, the status is displayed on the visit list screen as a patient waiting for an appointment.   The server device includes a patient database in which a unique patient ID is registered for each medical institution independent of personal information such as a name for a patient that may be used for each medical institution, and when there is an access from a medical institution terminal device. 2. The medical appointment reservation system according to claim 1, further comprising appointment management means for downloading appointment data relating to a medical institution and downloading a patient ID as information indicating a patient who has applied for an appointment at that time.   The medical institution terminal device displays a name database in which a patient ID and a patient name are registered, name acquisition means for searching the name database to acquire the patient name, and reservation data downloaded by accessing the server device. 3. At that time, it has a patient list display means for passing the downloaded patient ID to the name acquisition means, acquiring the patient name from the name database, and displaying the acquired patient name. Medical appointment system.   The medical institution terminal device displays on the visit list screen the patient who has received and visited the hospital on the day, and waits for a diagnosis according to a predetermined operation for the patient displayed in the hospital waiting state. The medical reservation system according to claim 1, wherein the medical reservation system is displayed in a changed manner.