JP2018010567A - Visit medical examination schedule management system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a visit medical examination schedule management system or a visit dental treatment schedule management system for facilitating time adjustment at a visit destination from an assembly of a visit medical examination schedule, and for facilitating the report preparation of medical examination content or the like and the grasp and correction/change of information on required time.SOLUTION: A portable input/output device to be used for visit medical examination comprises: schedule setting means for setting a visit medical examination schedule including medical examination time from a calendar display screen; and time change means for correcting and changing the medical examination time. The medical examination time set by the schedule setting means is corrected and changed in accordance with actual medical examination time at a visit destination.SELECTED DRAWING: Figure 2

Description

  The present invention relates to a home visit medical schedule management system, and more particularly to a home visit dental medical schedule management system.

  Conventionally, doctors, dentists, etc. in medical care etc. have been performing medical care for patients based on the doctor's own knowledge, experience, etc. based on the contents of the patient's declaration. In addition, in prescribed facilities such as hospitals, doctors and dentists, etc., extract precautions during treatment based on the details of patient declarations in advance, ask the patient necessary questions, and collect various information. Based on a comprehensive analysis, treatment is determined by determining the optimal treatment policy for the patient.

  On the other hand, with the increase of patients who need treatment and patients who need care, not only in-hospital treatment but also visiting medical treatment is being performed. Therefore, it is necessary in the hospital because necessary doctors, dentists, nurses, dental hygienists, etc. visit homes and nursing homes in order to conduct appropriate medical care for patients through home-visit nursing and home-care. It is necessary to make adjustments such as the consultation hours required at the place of visit and the consultation hours. It is necessary to make a visit schedule in advance, including such time adjustment. For example, regarding home medical care, Patent Document 1 discloses a technique for displaying visit schedule information on a screen and displaying a map of a patient's home position in conjunction with the visit schedule.

  Also, Patent Document 2 discloses that home nursing care is assigned to a patient who needs home nursing in consideration of travel time between each visiting site and compatibility with each other when creating and providing a home nursing schedule. Yes.

JP 2010-176371 A Japanese Patent Laid-Open No. 10-105611

  Conventionally, as seen in Patent Document 1 and Patent Document 2, it is known to perform schedule adjustment related to advance staff arrangements, but schedule management associated with medical practice such as medical treatment and real-time grasp management Is not taken into account.

  However, with the increase in the number of cases that require treatment and stay at home or in facilities, etc., it is necessary to adjust the schedules of patient examinations and medical treatments and visiting medical treatments in hospitals, etc. In addition, it is necessary to accurately grasp the time of medical treatment at the facility.

  In addition, when visiting dentists and dental hygienists at homes and facilities, etc., in this home-visit clinic, etc., assembling patients scheduled for visits is different from conducting patient examinations and medical treatments in hospitals. At the same time, preparations for information on patients to be visited, etc. are made in advance, and the procedures for compiling the ex-post report, including the actual treatment contents and actual time, are placing a heavy burden on dentists and dental hygienists. . In particular, the complexity of time adjustment in the setting of a visit schedule and the grasping and summarizing of medical hours etc. have not been automated, resulting in a great load. Moreover, in visiting medical care, etc., as a result of visiting each home, each facility, etc. after the visit, there is a difficulty in collecting the medical treatment contents, treatment contents, etc. by reflecting the medical treatment time etc. in the provided documents and report documents.

  The present invention solves such a problem, and makes it easy to adjust the time at the visiting site from the assembly of the visiting medical treatment schedule, and makes it easy to grasp the information about the required time and change the correction along with the creation of a report on the medical treatment contents etc. The purpose of this study is to provide a visiting clinical schedule management system and a visiting dental medical schedule management system.

  In order to achieve the above object, the present invention provides a portable input / output device used for visiting medical care, a schedule setting means for setting a visiting medical care schedule including a medical care time from a calendar display screen, and a modification of the medical care time. There is provided a visiting medical treatment schedule management system characterized in that the medical treatment time set by the schedule setting device is corrected and changed in accordance with the actual medical treatment time at the visited site.

  In the present invention, the schedule setting means includes a display of a selection screen for a visit destination, a display of a selection screen for a patient, and a display for a setting screen for a medical treatment time. The visit destination and the patient are selected from a display list. It is input.

  Further, the present invention is characterized in that the time setting by the display of the setting screen for the medical treatment time is set by a pre-registered timetable pattern.

  Further, the present invention is characterized in that the time is set by automatic calculation based on the time (minute) set by the time schedule pattern.

  Further, in the present invention, when the day on which the visit medical treatment schedule is entered is specified on the calendar display screen, the visit schedule on the day is displayed as a timetable, and the timetable includes at least a patient name, a visited name, It is characterized by displaying the visit time.

  The present invention further includes a visit medical navigation means, wherein the medical care time changing means changes the medical care time displayed in the document creation screen of the visiting medical care navigation means.

  Further, the present invention provides that the visiting medical navigation means includes guide means for sequentially displaying the question items on the screen, and document creating means for displaying a screen for directly inputting data corresponding to the question and guiding the document creation. A first mode that reaches the document creation means through the second mode, and a second mode that reaches the document creation means without going through the guidance means, and the first mode and the second mode set in advance. The screen guidance is performed in any one of the modes.

  According to the present invention, it is possible to accurately grasp the time of medical treatment at a facility or the like during a visit medical treatment or the like. Therefore, it is possible to easily adjust the time at the visiting site from the assembly of the visiting medical schedule, and to provide a report on the medical treatment contents, etc., and to provide a visiting medical schedule management system that makes it easy to grasp information about the required time and modify it. be able to.

  The present invention also provides schedule setting means for setting a visit dental treatment schedule including a treatment time and / or a guidance time from a calendar display screen on a portable input / output device used for visit dental treatment, Or a time changing means for correcting and changing the instruction time, and correcting and changing the medical treatment time and / or the instruction time set by the schedule setting means in accordance with the actual medical treatment time and / or the actual instruction time at the visited place. A feature of this system is to provide a visiting dental care schedule management system.

  In the present invention, the schedule setting means includes a display of a selection screen of a visit destination, a display of a selection screen of a patient, and a display of a setting screen of a dentist and a consultation time and / or guidance time. The destination and the patient are selected and input from the display list.

  In addition, the present invention is characterized in that the setting of the time by displaying the setting screen for the examination time and / or the guidance time is set by a pre-registered timetable pattern.

  Further, the present invention is characterized in that the time is set by automatic calculation based on the time (minute) set by the time schedule pattern.

  The present invention further includes a visit medical navigation means, and the medical time and / or guidance time changing means changes the medical time displayed in the document creation screen of the visiting medical navigation means. It is characterized by that.

  According to the present invention, when visiting dental care, etc., it is possible to accurately grasp the time of treatment at the facility, etc., and a dentist or dental hygienist visits each home, each facility, etc. during the visit dental care, etc. As a result, it becomes easy to collect the contents of medical treatment, treatment, etc. by reflecting the medical hours in the documents provided and reported after the visit. Therefore, the visit dental treatment schedule management system that facilitates the time adjustment at the visit site from the assembly of the visit dental treatment schedule, the creation of reports on the contents of treatment, etc., and the easy grasp of the information on the required time and the correction change Can be provided.

  According to the present invention, it is possible to easily set a medical examination time and the like of a visit medical treatment schedule, and it is easy to adjust the time at the visiting site from the assembly of the schedule. I can grasp it. In addition, when visiting dentists and dental hygienists at homes and facilities, etc., in this home-visit clinic, etc., assembling patients scheduled for visits is different from conducting patient examinations and medical treatments in hospitals. At the same time, preparations for information on patients to be visited are made in advance, and procedures for compiling the ex-post report including the actual medical treatment contents and actual time are also facilitated.

  In addition, as a result of visiting each home, each facility, etc. in visiting medical care, it is easy to collect medical treatment contents, treatment contents, etc. after reflecting the medical treatment time etc. in documents etc. to be provided and reported. Therefore, the visit medical treatment schedule management system that facilitates the time adjustment at the visited site from the assembly of the home medical treatment schedule, the creation of reports on the contents of medical treatment, etc. A visit dental care schedule management system can be provided.

1 is a configuration example diagram of a visiting dental practice schedule management system according to an embodiment of the present invention. It is a figure which shows the example of the transition of the screen regarding the setting of a schedule management screen of the portable input / output device (tablet) used with the visiting dental care schedule management system which concerns on one Embodiment of this invention, and a display. It is an input processing flow figure from the main menu screen (initial screen) used as the premise of the visiting dental examination schedule management system concerning one embodiment of the present invention. It is a figure of the example of an initial screen of the portable input / output device (tablet) used with the visiting dental examination schedule management system which concerns on one Embodiment of this invention. FIG. 5 is a process flow diagram of “visit schedule management” related to FIG. 4 according to an embodiment of the present invention. FIG. 5 is a process flow diagram of the schedule information setting process of “visit schedule management” related to FIG. 4 according to an embodiment of the present invention. It is a figure of the example of a calendar display screen as a schedule plan regarding the visit schedule of the input / output device (tablet) used with the visit dental treatment schedule management system which concerns on one Embodiment of this invention. It is a figure of the example of a screen which displays the visit schedule which changed from "visit schedule management" of the initial screen of the visit dental treatment schedule management system which concerns on one Embodiment of this invention, or the calendar display screen regarding a visit schedule as a visit timetable. is there. It is a figure of the example of a screen of the visit destination selection regarding the visit schedule which concerns on one Embodiment of this invention. It is a figure of the example of a screen of the visit setting regarding the visit schedule which concerns on one Embodiment of this invention concerning one Embodiment of this invention. It is a figure of the example of a screen of patient selection regarding the visit schedule which concerns on one Embodiment of this invention. It is a figure of the example of a setting screen of the timetable pattern concerning the visit schedule of the visit dental treatment schedule management system which concerns on one Embodiment of this invention. It is a processing flow figure of "road guidance mode" and "standard mode" regarding the mode selection control of "visit dentistry navigation" of the visiting dental examination schedule management system which concerns on one Embodiment of this invention. It is a figure of the example of an initial screen displayed in "road guidance mode" at the time of selecting "visit dental care navigation" of the visit dental care schedule management system which concerns on one Embodiment of this invention. It is a figure which shows the example of the screen transition of "the road guidance mode" of "visit dental navigation" concerning one Embodiment of this invention. It is a processing flow diagram of search and display that are commonly used from a plurality of screen inputs when searching and displaying “patient information” of the visiting dental care schedule management system according to an embodiment of the present invention. FIG. 7 is a display and guide processing flow chart for guiding visit contents and the like including medical hours and the like in “visit dental navigation” of the visiting dental practice schedule management system according to one embodiment of the present invention. Basic screen (platform) for creating a provided document including medical time information and the like used in “way guidance mode” and “standard mode” of “visit dental navigation” of the visiting dental care schedule management system according to one embodiment of the present invention It is an example. It is a change processing flowchart which enables adjustment of the medical treatment time etc. in the platform of "visit dentistry navigation" of the visiting dentistry medical care schedule management system which concerns on one Embodiment of this invention. It is a figure of the example of a screen which can change medical treatment time etc. in the basic screen (platform) of provision document creation containing the medical treatment time information etc. in the visiting dental medical treatment schedule management system which concerns on one Embodiment of this invention. It is explanatory drawing of the import of patient information and the export of visit data including the visit schedule information in the visit dental treatment schedule management system which concerns on one Embodiment of this invention. It is explanatory drawing of the operation | use form of the visiting dental examination schedule management system which concerns on one Embodiment of this invention.

  The present invention provides a visit schedule management system related to time management for a case where a person lives at home or in a facility and needs treatment, and can be applied to visiting nursing or visiting care. The medical treatment contents referred to in the present invention collectively refer to all medical practices such as treatment, nursing, and nursing care. Therefore, in the following, as an embodiment of the present invention, a visit schedule management system is described by taking a dentist and a dental hygienist as an example, but it is not necessary to exclude visit schedules related to care and nursing.

  Embodiments of the present invention will be described below with reference to the drawings.

  FIG. 1 shows a configuration example of a visiting dental practice schedule management system according to an embodiment of the present invention. Reference numeral 1 denotes a processing unit CPU that performs display control processing on the screen and other input / output control, 2 denotes a memory MM that can be written and read, 3 denotes a read-only memory ROM, and 4 denotes a display DSP. It consists of a unit 1, a memory 2, a memory 3, and a display 4. Under the control of the processing unit 1, a program or the like is read from the memory 3, a predetermined screen is displayed on the display 4 by program processing, an input instruction from the display 4 is detected, and necessary data is expanded and edited in the memory 2. Etc. are performed. Also provided are a USB interface 5 for interfacing with external devices, and an input / output interface 6 such as a camera and a writing / reading pen. Furthermore, you may provide the wireless interface 7 as needed.

  As will be apparent later, the system configuration of the present invention can be integrated into a portable input / output device that is easy to carry. This portable input / output device may be a tablet, a notebook pad, a mobile terminal, or a notebook personal computer, as long as it is easy to carry and can perform input / output processing while viewing a display screen at a visited place. In the following description, the portable input / output device is described as a tablet.

  The present invention is exemplified and explained as a visiting dental care schedule management system. However, the present invention may be used not only as a visiting schedule management but also as a visiting care support system. It should not be construed as a separate and independent system, but may have both functions or may be incorporated into one system.

  FIG. 2 is a diagram showing a transition example related to setting and display of a schedule management screen in the visiting dental care schedule management system according to an embodiment of the present invention. As a portable input / output device used in this system, for example, guidance of a tablet -The example of a transition of a display screen is shown. Each transition screen illustrates a schematic configuration.

  In the transition diagram of FIG. 2, the main screen (selection item) is displayed on the initial screen A. The main selection items include “visit schedule management” A1, “patient information management” A2, “visited dental navigation (Dr: dentist, DH: for visiting dental hygienist)” A3, and “visited dental navigation (DH: It consists of four icons (options) “A4 for dental hygienist visit”, and detects that a predetermined icon is instructed to input and transitions to each screen.

  Hereinafter, a case will be described in which the “visit schedule management” icon displayed on the tablet screen is input. From the initial screen A in FIG. 2, there are two display routes as a visit schedule display, a calendar display screen A11 and a visit schedule screen A15. This is based on the mode designation of whether the visit schedule is directly displayed as the visit schedule or the calendar display together with the setting of the medical data of the tablet used for the visit. When the mode for directly displaying the visit schedule is set, the visit schedule for the current day is displayed on the tablet according to the set date and time information (A15). If the calendar display mode is set, the calendar for the current month is displayed (A11).

  In the calendar display screen A11, as will be described later, by designating (clicking) a date, if the date has a visit schedule, the screen shifts to the visit schedule display screen A15. When a date without a visit schedule is designated and selected, the process proceeds to the visit destination selection screen A12 and a procedure for setting a visit schedule is entered. A designated facility such as a nursing care facility is designated and selected as a visit destination, and then the process proceeds to a visit setting screen A13. On the visit setting screen A13, the visit information of the visiting dentist, dental hygienist, etc. is input. After entering the visit information on the visit setting screen A13, the display transits to the patient selection screen A14 for the visit destination. In addition, when the home is designated and selected as the facility destination selection on the previous visit destination selection screen A12, the screen directly transits to the patient selection screen A14. After selecting a patient on the patient selection screen A14, the entire visit schedule on the specified date is displayed as a visit schedule (A15). In the case of home patient selection on the patient selection screen A14, a transition is made to the visit setting screen A13 'as corresponding to the home patient, and after entering the settings, a transition is made to the visit schedule screen A15.

  Transition between the visit schedule screen A15 and the patient selection screen A14 can be appropriately made by adding a patient or the like.

  When a visit patient is designated and selected on the visit schedule screen A15, a transition is made to a visit dental navigation described below.

  As described above, according to the present invention, the visit schedule can be set in order from the calendar display, the visit destination selection, the patient selection, the visit information setting, and the like can be sequentially set by switching the screen, and the visit schedule can be easily constructed.

  Note that the screen configuration and screen transition in FIG. 2 are examples, and should not be construed as being limited to this diagram, and there can be many variations.

  Hereinafter, the information input process according to the visit schedule management of the present invention will be described in detail with reference to a process flow diagram and each transition screen.

  FIG. 3 is a flowchart of an input process from the main menu screen (initial screen) which is a premise of the visiting dental practice schedule management system according to the embodiment of the present invention. As an example of the initial screen corresponding thereto, screen A shown in FIG. 2 is shown as an example of an initial screen of a portable input / output device (tablet) used in the visiting dental care schedule management system according to the embodiment of the present invention shown in FIG. Show.

  3 and 4, when an input designated from each icon displayed on the initial screen A is detected (step S11), processing corresponding to each icon A1, A2, A3, A4 is performed. When the “Arrival Schedule Management” icon A1 relating to the visit schedule management of the present invention is instructed, the process branches to a visit schedule management process (step S12). When the “patient information management” icon A2 is instructed, the process branches to a process for inputting / acquiring patient information (step S13). Further, as an example of the visiting medical navigation function, when any of “visiting dental navigation (DrDH)” A3 and “visiting dental navigation (DH)” A4 indicating the navigation function of the visiting dental medical service is designated and input, The process branches to the process (step S14, step S15).

  “Patient information management” A2 is for displaying, registering, and editing patient information to visit. In addition to basic patient information such as patient number and name, etc. You can manage the items necessary for visiting clinics. In addition, a monthly visit result calendar is displayed, and past visit medical treatment contents can be referred to.

  As for “visited dental navigation” as a navigation function for visiting dental care, as described later, “visited dental navigation (Dr: dentist, DH: for visiting dental hygienist)” A3 and “visited dental navigation (DH: dental) For hygienist visits) "There are two entrances to A4. It is a guide to what should be done in daily visits, what documents are necessary, etc. There are cases where a dentist and a dental hygienist visit together or only a dental hygienist visits. It is not always necessary to provide two instruction inputs. However, when visiting only by a dental hygienist, it is possible to narrow down and guide the target to be treated only by the dental hygienist.

  This “Visit Dental Navi” guides you through what you need to do during your daily visit as a visiting dental practice navigation, and what documents you need to provide. It is equipped with a “way guidance mode” that can be easily advanced even in medical practice. In addition, in the screen example of FIG. 4, an icon A01 as a print function for a document such as a report sentence, an icon A02 as a clinic setting function as a clinic system such as a mode setting of this system, and a screen end button An icon A03 and the like are provided.

  FIG. 5 is a process flow diagram of “visit schedule management” according to an embodiment of the present invention, and FIG. 6 is a process for setting each schedule information of “visit schedule management” according to an embodiment of the present invention. FIG. FIG. 5 and FIG. 6 both explain details of the processing in step S12 in FIG.

  In addition, FIGS. 7 to 11 show screens that transition in accordance with the processing flows of FIGS. 5 and 6. FIG. 7 is a diagram showing an example of a calendar display screen as a schedule for the visit schedule of the input / output device (tablet) used in the visit dental treatment schedule management system according to one embodiment of the present invention, and FIG. 8 is a visit dental treatment schedule management system. It is a figure of the example of a screen which displays the visit schedule which changed from "visit schedule management" of the initial screen of this, or from the calendar display screen regarding a visit schedule as a visit timetable. FIG. 9 is a diagram of a screen example for selecting a visit destination, and FIG. 10 is a diagram of a screen example for setting visit information. FIG. 11 is an example of a patient selection screen.

  Hereinafter, the processing flow diagrams of FIGS. 5 and 6 and the display screen examples of FIGS. 7 to 11 will be described.

  In FIG. 5, as a visit schedule management process, calendar display setting mode information is extracted (step S21), the presence / absence of calendar display setting is determined (step S22), and if there is no setting, the process branches to step S27. If the calendar display is set, the visit schedule is displayed on the calendar (step S23), and the tablet screen displays the calendar as the visit schedule screen A11 as shown in FIG. In the illustrated example, it can be seen that there is a schedule A111 to visit the visiting facility 1 and the visiting facility 2 on July 6. Further, in this example, when there is third or more information, it is displayed as other A112, indicating that there are a plurality of schedules. As a calendar display, a schedule within each date is displayed within 3 lines from a limited screen display, and if there are 3 or more schedules, up to 2 lines are displayed and the rest are collected as other A112. The details of the visit schedule may be displayed on a separate screen, and the calendar display is based on the idea that it is only necessary to know which day the schedule is in. In addition, there is a “return” icon A113 and a “forward” icon A114 on the left and right of the year and month display in the upper row, for example, confirmation of the schedule before the past six months and schedule confirmation after August are possible. It is said. Further, if it is only to confirm whether or not there is a schedule on this screen, the calendar is displayed, and after confirming, the screen is closed by inputting the “close” icon A115 on the upper right.

  Here, when confirming the details of the scheduled visit on July 6, when the designated input (click) is made within the frame of July 6, the input of the date instruction is detected in the processing flow of FIG. 5 (step S24). Then, it is determined that there is a schedule display on the designated day (step S25), and the process proceeds to the display process of the timetable of the scheduled visit in step S27. On the screen, as described with reference to FIG. 2, the screen transits to the screen A15 for the visit timetable scheduled to be visited in FIG. 8.

  As will be described later, the visit schedule that is automatically calculated by the system according to the set time schedule pattern is allocated and displayed together with the patient list.

  In addition, in the calendar display of FIG. 7, if 7th July or the like without a plan is designated (clicked), it is determined that there is no plan display on the designated date (step S25), and a visit schedule is set. It progresses to a process (step S26). The setting process in step S26 will be described with reference to FIGS. 6 and 9 to 11. FIG.

  In the processing flow of FIG. 5, when the calendar display is not set in advance (step S22, decision branch), or when there is a plan on the specified date (step S25, decision branch), the visit schedule setting processing at step S26 In step S27, the timetable scheduled to be visited is displayed. The timetable display for this visit is automatically calculated, arranged and displayed by the system based on the specified input information. On the screen of the tablet, as shown in the example of FIG.

  In FIG. 8, the detailed visit timetable as the visit schedule is as shown in the description in the upper row, from the left column, visit destination A151 such as facilities, patient name A152, visit date A153, dentist A154, dental hygienist A155, Along with the name, information such as the start time, the end time, and the time (minutes) required between them is listed in the lower row.

  In the illustrated example of FIG. 8, there are plans to visit a plurality of places, such as the visiting facility 1 and the visiting facility 2, and the estimated travel time A156 between the facilities is estimated.

  By changing the designation of the visit date A153 in the upper row, the visit schedule (or actual result) on the designated date is displayed. In addition, by inputting (clicking) the update icon A157 in the lower row, the data whose setting has been changed on the visit time screen is updated and reflected in the system. The system automatically calculates a random time for each patient's medical treatment / instruction time according to a timetable pattern (described later) and displays it in a time series or the like. When the icon is clicked again, the time other than the actual data is recalculated and displayed.

  When the schedule plan icon A158 is designated (clicked), a calendar screen A11 as shown in FIG. 7 is displayed.

  When the “add patient” icon A159 is designated (clicked), a patient selection screen A14 can be displayed to add a patient.

  In FIG. 8, when there are a plurality of facility information and patient information that cannot be displayed on one screen, the page is switched by the icon A160 for switching the page to “next page” and the icon A161 for switching the page to “previous page”. It can be displayed. Note that scrolling may be performed instead of page switching.

  Further, in the example illustrated in FIG. 8, there are portions where time is overlapped between the first and second patients and the third and fourth patients. In the system, according to the time schedule pattern set in advance, the medical hours, guidance time, etc. are first calculated for each patient, and random time is displayed according to the specified patient information. This eliminates the complexity of manually assigning. The list can be corrected and deleted, and a predetermined patient can be deleted, a line can be moved, and a dentist and a dental hygienist can be deleted and changed.

  In this example, one dental hygienist is shown. However, when there are a plurality of dental hygienists in charge, it can be dealt with by listing them horizontally or vertically.

  Next, in the display of the calendar screen A11 shown in FIG. 7 described above, in the process flow of FIG. 5 when a date without a schedule is designated (clicked), a visit schedule setting process (step S26) will be described with reference to FIGS. 6 and 9 to 11. FIG.

  In the display of the calendar screen A11 in FIG. 7, for example, when July 8th without a plan is designated (clicked), the screen shifts to a visiting destination selection screen A12 as shown in FIG. In this visit destination selection screen A12, all of the objects to be visited can be displayed as the initial screen, or a plurality of visiting care facilities can be selected and displayed by search processing as shown in the example of the drawing. If, for example, the facility 1 is selected on the screen as a visit target in FIG. 9, the process enters the visit destination selection process in the processing flow of FIG. 6 (step S31), and if the visit destination is a facility, it is determined that it is not home (step The process proceeds to S32), visit setting processing (step S33), and patient selection processing (step S34). In the visit setting process of step S33, as shown in FIG. 10, the screen transits to a visit information setting screen A13, and visit date A131, timetable pattern A132, dentist A133, dental hygienist A134, visit time A135, number of people A136. The visit setting process is performed by inputting such as. The timetable pattern set here is pre-registered in the system with the allocation of the timetable assigned by the dentist and the dental hygienist as the pattern for the examination time and guidance time (this registration is shown in FIG. 12). Explain).

  Subsequently, the screen shifts to a patient selection screen A14 shown in FIG. When a patient at each visiting facility is selected, the screen transits to the time schedule screen A15 as the visit schedule shown in FIG. 8 through the previous step S27 in FIG.

  Although illustration is omitted on the screen as a visit target in FIG. 9, in the home example, the home patient designation is performed on the patient selection screen A <b> 14 in FIG. 11 before the visit setting, and thereafter Transition is made to the visit setting screen A13 in FIG. 10, and the visit information is set (step S36 in FIG. 6).

  FIG. 12 is a diagram showing an example of a time schedule pattern setting screen related to the visit schedule of the visit dental care schedule management system according to the embodiment of the present invention.

  In the screen A16 shown in FIG. 12, by inputting the display order A161 for specifying the order, the timetable name A162, the medical treatment time A163, the guidance time A164, the preparation time A165, the takeover time A166, the inter-patient movement A167, etc. As a time schedule pattern, it is registered and managed as system master data. In the example of FIG. 12, both the medical treatment time and the guidance time are examples of a reference unit with 20 minutes as a unit, and this time (minute) is a name that can be easily identified. This time (minute) may be set arbitrarily, or may be the time unit name in the case of nursing care other than dental care, for example. In addition, as the elapsed time that requires or is predicted to be necessary, such as medical examination time and instruction time, it can be arbitrarily set, for example, from 21 minutes to 25 minutes.

  Therefore, by selecting and specifying this time schedule pattern of the registered data, the one specified in the visit information setting is used for automatic calculation of the visit time schedule. Here, the range of time (minutes) in which the dentist performs medical treatment is set as the medical treatment time, the range of time (minutes) in which the dental hygienist is instructed as the guidance time, and the preparation time is the dentist or dental hygienist. The time range for preparation (minutes) is set, the takeover time is set for the time period (minutes) taken from the dentist to the dental hygienist, and the travel time is set by the dentist or dental hygienist for the next patient. The range of time (minutes) to move to is set.

  Accordingly, it is not necessary to input setting values such as a medical treatment time and a guidance time for each patient, and the complexity of setting time allocation can be eliminated. By setting and registering this visit timetable as a timetable pattern, patient-assigned time assignment is automatically calculated at random, set to be automated, and if adjustment changes etc. are necessary, list and report It can be changed as appropriate on the display screen of a document or the like.

  In this way, the visit schedule is confirmed or set, and the dentist and dental hygienist visit the clinic.

  Next, the following explains how the results are reflected in the management of the visiting medical schedule when there is a change in the medical treatment time, guidance time, etc., as a result of the home medical treatment performed according to the processing screen of “Visit Dental Navi” To do.

  FIG. 13 is a process flow diagram of “standard mode” and “road guidance mode” regarding mode selection control of “visit dental navigation” of the visiting dental practice schedule management system according to one embodiment of the present invention.

  When the “visit dental navigation” icons A3 and A4 in FIG. 4 are instructed, the processing in FIG. 13 is entered. A setting mode is extracted as to whether the mode set and registered in advance in this system is the “road guide mode” or the “standard mode” (S41). If the setting mode is 0/1, for example, branch processing is performed (S42). When the setting is “direction guidance mode”, a confirmation screen for the visited place is displayed (S43), and the necessary provision is made through the visited place input detecting process S44, the care authorization input detecting process S45, etc. in order. The process proceeds to document display processing S46.

  If the branch process S42 is in the “standard mode”, the process on each navigation screen is omitted, and the process proceeds to a process S47 for displaying a necessary provided document. In the case of the “standard mode”, no special navigation is required, and the process proceeds to the necessary provided document display process S46, where the tablet user sets necessary patient data on the provided document creation display screen. Will do.

  FIG. 14 is a diagram showing an example of an initial screen displayed in the “road guidance mode” when “visit dental navigation” is selected in the visiting dental practice schedule management system according to one embodiment of the present invention. When you visit, you will be guided through what to do and what you need to provide.

  In FIG. 14, a patient number A511, a patient name A512, and an icon A513 for exiting the screen are arranged as patient information registered in advance in the upper part of the screen A5.

  Information to be entered in sequence is provided along with the title “Where to visit?” On the screen. A plurality of options are provided, and A51 is accompanied by a guide for a detached house, a condominium, etc. as a presentation in the case of “home (home)”. A52 is related to “home-use facilities (residential facilities / special facilities)”, and guides such as specific nursing homes, pay nursing homes with care, etc. are added to the screen. A53 relates to "care insurance facility", A54 relates to "hospital", and a guide is added to each. By selecting a desired one from these options and clicking the “Next” A514 icon, the user is guided to the next screen.

  FIG. 15 is an explanatory diagram of the screen transition of the “road guidance mode” of “visiting dental navigation” according to an embodiment of the present invention.

  From the initial screen A5 shown in FIG. 14, the question screen changes sequentially, for example, a screen for inputting care certification information on the screen A6. Input information such as physical condition input information on the screen 7, etc. And the screen transitions. In this way, it is possible to navigate the visit medical treatment based on the information selected and inputted in the question on each screen. The selected and entered information and items are reflected on the visiting dental navigation screen, and as a result, displayed as screen A8. In this screen A8, the basic screen (platform) that reflects the medical treatment time, guidance time, etc. inputted as the visit schedule described above, and guides the medical treatment contents, provided documents that need to be created, etc. It becomes. Further, by selecting a patient, an existing setting can be displayed as an initial value in the patient attribute (visit destination, nursing care certification, etc.). Details of the basic screen (platform) A8 will be described later with reference to FIG.

  Note that the description items of the transition screen illustrated in FIG. 15 are examples, and are not limited to the transition screen described here, and are provided in many other questions and many transition screens. When the “standard mode” is set for the screen transition in the “direction guidance mode” of the “visit dental navigation” described with reference to FIGS. 14 and 15, the icon displays A3 and A4 in FIG. When “Visit Dental Navi” is selected, the screen A8 in FIG. 15 is displayed. This screen will be described later with reference to FIG. In addition, although the beginner's product was described as the “road guidance mode”, it is of course possible for professionals to use it, and there is no limitation on how to use it.

  FIG. 16 is a search and display process commonly used from a plurality of screen inputs when searching and displaying from “patient information management” of the visiting dental practice schedule management system according to an embodiment of the present invention. FIG.

  When the “Patient Information Management” icon A2 is instructed on the screen A in FIG. 4, the control processing flow in FIG. 16 is entered, and the patient number, name, etc. are input or the basic information is detected (S51). When acquisition of patient information is selected, patient information acquisition processing is performed (S52). When the search for patient information is selected, the predetermined patient information is searched (S53), and the acquisition process of the patient information input as an instruction is performed (S54). Then, the acquired patient information is displayed on the screen (S55).

  The process of FIG. 16 is not limited to the branch process from the initial screen, but is also commonly used in “visiting dental navigation” or the like. This process is also entered from the patient information acquisition icon and patient search icon instructions on each screen.

  FIG. 17 is a display and guide processing flow chart for guiding visit contents and the like including the examination time and the like in the “visit dental navigation” of the visiting dental practice schedule management system according to one embodiment of the present invention. FIG. 18 is a provision document creation including medical time information and the like used in “road guidance mode” and “standard mode” of “visit dental navigation” of the visiting dental practice schedule management system according to one embodiment of the present invention. This is an example of the basic screen (platform) and is the position of the platform of the visiting dental practice navigation.

  The processing flow of FIG. 17 corresponds to the screen A8 of FIG. 18 and the like, displays data such as the doctor in charge, the number of patients to be treated, and the time (S61), displays the execution items at the time of visit (S62), and performs the visit Is displayed (S63), and the display is changed upon detection of a change in medical treatment date (S64).

  In the screen A8 of FIG. 18, the patient number A811, patient name A812, medical treatment date A813, dentist display column A814, dental hygienist display column A815, etc. are arranged and displayed as patient information on the upper part of the screen. In addition to the “close” icon A827, a search icon such as the patient information management icon of the initial screen A (FIG. 4) may be provided. On the left side of the screen, care authorization information, the number of medical treatments A817, the contents to be implemented such as the contents of medical care are displayed as a list A818, items that have been implemented can be selected and entered, and the medical hours related to the visit schedule When there is a difference from the schedule in the actually taken medical treatment time and guidance time at A8181, guidance time A8182, etc., it is possible to input for correcting and changing the time.

  In the lower part of the screen, the visit results in monthly units are displayed as icons, and the date of the last visit by the dentist is displayed in A821. Further, the provision destination of the provision document can be displayed in A822. As a result, it is possible to grasp who the document is provided to.

  On the right side of the middle of the screen, the notation of treatment contents, treatments, and the like A823, and the medical remuneration score associated with the contents can be displayed in the field of A824. A document that can be referred to for each item is displayed in A825.

  Thus, by selecting items to be instructed, time, etc., calculation items and necessary documents can be created. By various reports, selectable items are automatically displayed, and the calculation points regarding visits can also be displayed automatically. In addition, by displaying a monthly visit result calendar, it is possible to refer to past visit medical treatment contents.

  Further, it is saved as input data by the “save” icon A 826 at the bottom of FIG.

  FIG. 19 is a change process flow diagram that enables a modification change of medical hours and the like on the basic screen (platform) of the “visit dental navigation” of the visiting dental practice schedule management system according to one embodiment of the present invention. 20 is a diagram showing an example of a screen that can change the examination time and the like. FIG. 20 shows an example of modification and modification of the examination time A8181 in the basic screen (platform) shown in FIG. 18, and the time change screen is displayed as a pop-up screen (another window).

  With reference to the processing flow of FIG. 19 and the screen example of FIG.

  In the basic screen (platform) for creating a provision document including the medical examination time information of FIG. 18 and the like, for example, when the actual medical examination time is changed and needs to be corrected, the corresponding part of “medical examination time” is indicated (clicked). Then, a time change input is detected in step S71 of FIG. 19, and the type of change input is determined in step S72. The type of change input is determined to be a medical treatment time, and on the basic screen (platform) in FIG. 20, a medical treatment time correction input screen is displayed as a pop-up screen A9. In this example, an example of changing the medical treatment time is shown, but the same applies to the case of the guidance time A8182 in the basic screen (platform) as the type of change input.

  When the correction time is input to the pop-up screen of FIG. 20 and is detected, the corresponding time, in this example, the medical time is changed in step S73. That is, the basic screen (platform) for creating the provided document including the medical hours information and the like is changed.

  In addition, when this medical treatment time information is changed, it is reflected in the change of the score A824 in accordance with the time taken for the medical treatment. As described above, the time planned as a visit schedule as a system can be changed according to the transportation system, the road condition, and the condition of the patient.

  In addition, about the change process of medical treatment time etc., when the change in a visit schedule is required, it can be corrected and changed on the confirmation screen of a visit schedule as demonstrated previously.

  Therefore, the scheduled medical hours and guidance hours, etc. planned for the visit can be changed in advance and changed to actual medical hours and guidance hours, etc., and can be reflected as necessary submission documents. Can be greatly improved. In the example in FIG. 18, the time change screen A9 is a pop-up screen, but it may be switched and displayed as a separate screen instead of on the basic screen (platform).

  FIG. 21 is an explanatory diagram of patient information import and visit data export including visit schedule information in the visit dental care schedule management system according to an embodiment of the present invention. The portable input / output device of the present invention has been described with a tablet. However, provided documents and patient information created here are provided documents and patients created elsewhere such as a doctor's office and other device terminals, for example. It enables information sharing with information. In FIG. 21, the tablet body 21 has a function of importing (importing) patient basic information 22 from the outside as a CSV data format, and the medical data created by the body as a visit medical data 23 in the CSV data format. (Export) function to output to outside. It is also possible to output a provision document created in the main body in the PDF format 24.

  FIG. 22 is an explanatory diagram of an operation mode of a visiting dental practice schedule management system according to an embodiment of the invention, which is a system including a function of visiting dental practice navigation. In FIG. 22, for example, a CCD intraoral camera 211 can be connected to a tablet main body 21 as a portable input / output device, and image information can be captured as an external photograph or a moving image. In addition, it is connected to the printer 212 to enable printing of documents such as provided documents. It is also possible to output documents and data created by the main body to the external storage device 221 and save them as a backup.

  Also, by providing a wireless function, it is connected to the external network 200, and communicates with, for example, an in-hospital processing device 222 (for example, a server device) via an in-hospital interface 224, to the storage device 223 on the processing device side. Data transfer is also possible.

  The screen configuration, the document example, and the like as the embodiment described above are not limited to this, and are not limited to the screen arrangement order. In addition, the control processing flowchart is exchanged between various data in the computer, and should not be limitedly interpreted with the flowchart.

  Each embodiment described above is illustrated for understanding of the present invention, and the present invention is not limited to the embodiment but is defined by the description of the scope of claims. Further, unless it departs from the technical idea of the present invention, those equivalent to the configurations described in the claims are also included in the scope of protection of the present invention.

  According to the present invention, it is possible to easily assemble a visit diagnosis schedule in a visit diagnosis, particularly a visit dental diagnosis, and to easily change and correct the examination time etc. of the result of the actual visit diagnosis, and to deal with patients. As a system that supports dentists, etc., it is increasingly possible to use as a guide and support for the creation of various documents.

DESCRIPTION OF SYMBOLS 1 ... Processing part 2, 3 ... Memory 4 ... Display 5, 6, 7 ... Interface apparatus A ... Initial screen, main menu A1 ... "Visit schedule management" icon display A2 ... "Patient information" icon display A3 ... "Visit dental navigation "DrDH" icon display A4 ... "Visit Dental Navi DH" icon display

Claims (16)

A portable input / output device used for visiting medical treatment includes a schedule setting means for setting a visiting medical treatment schedule including a medical treatment time from a calendar display screen, and a time changing means for correcting and changing the medical treatment time,
A visiting medical treatment schedule management system for correcting and changing the medical treatment time set by the schedule setting means in accordance with an actual medical treatment time at a visited place.   The schedule setting means includes a display of a selection screen for a visit destination, a display of a selection screen for a patient, and a display for a setting screen for a medical treatment time. The visit destination and the patient are selected and input from a display list. The visiting medical treatment schedule management system according to claim 1.   3. The visiting medical treatment schedule management system according to claim 1, wherein the time setting by displaying the setting screen of the medical treatment time is set by a pre-registered timetable pattern.   4. The visiting medical treatment schedule management system according to claim 3, wherein the setting of the time is set by the time schedule pattern and is set by automatic calculation based on time (minutes).   In the calendar display screen, when a date on which a visit medical treatment schedule is entered is specified, the visit schedule on that day is displayed as a timetable, and the timetable includes at least a patient name, a visit destination name, and a visit time. The visiting medical treatment schedule management system according to any one of claims 1 to 3. In addition, there is a means of visiting medical navigation,
2. The visiting medical treatment schedule management system according to claim 1, wherein the medical treatment time changing means changes a medical treatment time displayed in a document creation screen of the visiting medical care navigation means. The visiting medical care navigation means includes a guidance means for displaying the question items on the screen in order, and a document creation means for displaying a screen for directly inputting data suitable for the question and guiding the document creation,
A first mode leading to the document creation means via the guidance means, and a second mode reaching the document creation means without passing through the guidance means,
The visiting medical treatment schedule management system according to claim 6, wherein screen guidance is performed in any one of the first mode and the second mode set in advance.   The visiting medical assistance system according to any one of claims 1 to 7, wherein the visiting medical care is a visiting dental medical care. A schedule setting means for setting a visit dental treatment schedule including a treatment time and / or a guidance time from a calendar display screen on a portable input / output device used for a visit dental treatment, and the medical treatment time and / or the guidance time are modified and changed. Time changing means to
A visiting dental care schedule management system, wherein the medical treatment time and / or guidance time set by the schedule setting means is modified and changed in accordance with actual medical treatment time and / or actual guidance time at a visited place.   The schedule setting means includes a display of a selection screen of a visited place, a display of a selection screen of a patient, and a display of a setting screen of a dentist and a consultation time and / or a guidance time. 10. The visiting dental practice schedule management system according to claim 9, wherein the system is selected and inputted from the following.   11. The visiting dental practice schedule management system according to claim 10, wherein the setting of the time by displaying the setting screen of the examination time and / or the guidance time is set by a pre-registered timetable pattern.   12. The visiting medical treatment schedule management system according to claim 11, wherein the setting of the time is set by the time schedule pattern and is set by automatic calculation based on time (minutes).   In the calendar display screen, when a date on which a visit medical treatment schedule is entered is specified, the visit schedule on that day is displayed as a timetable, and the timetable includes at least a patient name, a visit destination name, and a visit time. 12. The visiting dental practice schedule management system according to any one of claims 9 to 11. In addition, there is a means of visiting medical navigation,
10. The visiting dental practice schedule according to claim 9, wherein the changing means for the medical treatment time and / or the guidance time is for changing a medical treatment time displayed in a document creation screen of the visiting medical care navigation means. Management system. The visiting medical care navigation means includes a guidance means for displaying the question items on the screen in order, and a document creation means for displaying a screen for directly inputting data suitable for the question and guiding the document creation,
A first mode leading to the document creation means via the guidance means, and a second mode reaching the document creation means without passing through the guidance means,
15. The visiting dental practice schedule management system according to claim 14, wherein the screen guidance is performed in any one of the first mode and the second mode set in advance.   The visiting dental practice schedule management system according to any one of claims 1 to 15, wherein the portable input / output device is a tablet.

Images