JP2020027364A - Medical institution reception system, medical institution reception device, and program - Google Patents

Abstract

To provide a medical institution reception system capable of automatically changing inquiry contents or a guidance method according to conditions of a patient.SOLUTION: A medical institution reception system for managing reception of a patient consulting a doctor in a medical institution includes a reception terminal for receiving an input of information on the patient to be received and a management server which receives information on the patient to be received from the reception terminal and registers reception information of the patient on a reception list. The management server includes: a symptom measurement information acquisition section for acquiring measurement information on symptoms of the patient to be received from the reception terminal; a question item determination section for determining question items to be presented to the patient on the basis of the acquired measurement information; an answer information acquisition section for acquiring answer contents for the presented question items through the reception terminal; and a reception information creation section for registering the reception information of the patient on the reception list on the basis of the measurement information and the answer contents.SELECTED DRAWING: Figure 3

Description

  The present invention relates to a medical institution reception system, a medical institution reception device, and a program.

  2. Description of the Related Art In recent years, a medical institution uses a system that manages a series of operations from patient reception to medical examination and accounting.

  For example, Patent Literature 1 describes a system that, at the time of reception, creates medical chart data based on information on a medical examination ticket and an insurance card, acquires a patient's inquiry result and a measurement result of basic data, and determines the order of medical treatment. Have been. In addition, it describes that a medical treatment cost is calculated based on the medical treatment result recorded in the medical record data and a settlement process is performed.

JP-A-2004-348214

  In the conventional system, the contents of an inquiry to a patient at the time of reception are determined uniformly. For example, for patients with severe symptoms, answering each question individually was burdensome.

  The present invention has been made in view of the circumstances described above, and an object of the present invention is to provide a medical institution reception system capable of automatically changing the contents of an interview and guidance in accordance with the condition of a patient. One.

A medical institution reception system according to an embodiment of the present invention is a medical institution reception system that manages reception of patients to be examined in a medical institution,
A reception terminal that receives input of information on a patient who performs reception,
A management server that receives information about the patient who performs the reception from the reception terminal, and registers reception information of the patient in a reception list,
The management server,
From the reception terminal, a symptom measurement information obtaining unit that obtains measurement information regarding the symptom of the patient performing the reception,
Based on the acquired measurement information, a question item determination unit that determines a question item to be presented to the patient,
Via the reception terminal, an answer information acquisition unit for acquiring the answer content for the presented question item,
A reception information creating unit that creates reception information of the patient based on the measurement information and the answer content and registers the reception information in the reception list.

  Further, the symptom measurement information acquisition unit acquires information on the patient's body temperature measured by a temperature sensor, and the question item determination unit performs temperature measurement when the patient's body temperature satisfies a predetermined condition. A question asking whether or not to confirm may be presented to the patient.

  Further, the symptom measurement information obtaining unit obtains voice data near the reception terminal picked up by a microphone, and the question item determining unit determines that the coughing sound is not included when the voice data does not include a coughing sound. A question about the presence / absence is presented to the patient, and if the voice data includes a coughing sound, the question about the presence / absence of the cough is omitted, and the reception information creating unit includes a coughing sound in the voice data. May be recorded as cough in the patient's reception information.

  Further, the symptom measurement information acquisition unit acquires a face image of the patient captured by a camera, the question item determination unit analyzes the color of both eyes from the face image, and that the eyes are not reddened. If determined, present a question about the presence or absence of eye redness to the patient, if it is determined that the eyes are reddened, omit the question about the presence or absence of redness of the eyes, When it is determined from the face image that the eyes are reddened, the reception information creating unit may record the presence of redness in the reception information of the patient.

  In addition, a waiting queue management unit that changes a waiting sequence of patients registered in the reception list based on the acquired measurement information may be provided.

  Further, based on the obtained measurement information, it is determined whether there is a suspicion of an infectious disease, and when it is determined that there is a suspicion of an infectious disease, the guidance for displaying a guidance at the time of suspecting an infectious disease on the reception terminal. A presentation unit may be provided.

  According to the present invention, it is possible to provide a medical institution reception system capable of automatically changing the contents of an inquiry and guidance in accordance with the state of a patient.

FIG. 1 is a diagram showing a schematic configuration of a medical institution reception system 1000 according to an embodiment of the present invention. FIG. 2 is a block diagram showing a main configuration of the reception terminal 200. 9 is a flowchart of a reception registration process in the medical institution reception system 1000 according to the embodiment of the present invention. The figure which illustrates the inquiry screen displayed on the reception terminal 200 which concerns on embodiment of this invention.

  Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings. Note that the same components are denoted by the same reference numerals, and redundant description will be omitted.

  FIG. 1 is a diagram showing a schematic configuration of a medical institution reception system 1000 according to the present embodiment. As shown in FIG. 1, the medical institution reception system 1000 includes a management server (medical institution reception device) 100 installed in a management center or the like, and a reception terminal 200 installed near an entrance of a medical institution (facility). In. The management server 100 is connected to the reception terminal 200 via the communication network N.

  The management server 100 manages the reception information of the patient registered via the reception terminal 200 for each facility. Although only the reception terminal 200 of one facility is illustrated in the example of FIG. 1, the management server 100 is actually connected to the reception terminals 200 installed in a plurality of facilities via the communication network N, and Manages the reception information. The management server 100 is configured by a general-purpose computer, and realizes a server function by executing a predetermined server program on the computer. The computer that constitutes the management server 100 does not necessarily need to be one, and may be composed of a plurality of computers distributed on the communication network N.

  The management server 100 includes a management database 110 for managing the reception terminal 200 of each facility, and a processor (a symptom measurement information acquisition unit, a question item determination unit, an answer information acquisition unit, a reception information creation unit, a waiting queue management unit, a guidance (Presentation unit) 120. The management database 110 has a client management table TA1 and a status management table TA2.

  In the client management table TA1, a unique ID and a passcode (account) assigned to the reception terminal 200 are registered for each facility. For example, as a record of “medical institution A”, “ID: A1...”, “Passcode: AA2. These pieces of information are set by, for example, an administrator of each facility when the system is introduced. When a plurality of reception terminals 200 are used in one facility, the same ID and passcode may be used, or a plurality of IDs and passwords may be used separately.

  In the status management table TA2, a reception list at each facility is registered. In the reception list, for example, for each patient waiting for a consultation, a consultation ticket number, a health insurance card number, a medical department to be examined, status information indicating a waiting state, and symptoms registered at the time of reception. Includes information, urgency, suspected infectious disease, etc. For example, one record of the reception list includes a reception number "1", a reception time "13:03", a medical examination ticket number "A1001", an insurance card number "123456", a medical department "internal medicine", a status "calling", It contains information such as body temperature "38.0 degrees", presence or absence of cough "presence", presence or absence of redness in eyes "no", urgency "no", and suspected infection "no". In addition, a name, a contact mail address, a telephone number, and the like may be included.

  The medical department is information that is selected at the time of registration for reception, and may be selected by the patient himself or may be automatically determined from medical inquiry information or measurement information.

  The status includes "waiting", which is the state before the turn has arrived, "ringing", which indicates that the turn has arrived, and "guidance", which is the state in which the patient whose turn has come is actually guided to the consultation room. "Canceled", and "canceled", which is a state in which the waiting queue is canceled. What item is set as the status is appropriately set by a manager of each facility, and can be changed.

  Information on symptoms (body temperature, presence / absence of cough, presence / absence of redness of eyes) is registered based on answers to the questions input at the time of reception and on the basis of measurement values measured by various sensors. For example, as the body temperature, a value measured by a non-contact thermometer installed in the reception terminal 200 or a value input by the patient through the reception terminal 200 is registered. The presence / absence of a cough is registered as “Yes” when the cough is detected by a microphone installed in the reception terminal 200 or when the patient himself inputs “cough” through the reception terminal 200. The presence or absence of redness of the eyes is determined based on the image of the eyes taken by the camera installed at the reception terminal 200, or when the patient himself inputs redness via the reception terminal 200. "Yes" is registered. Details of a method for registering such information will be described later.

  Urgency and suspected infection are determined based on the content of information on symptoms. For example, if the body temperature is 39 ° C. or higher, the condition can be set such as urgency “Yes”, and if the body temperature is 40 ° C. or higher, a suspected infection “Yes”.

  The information and setting method to be included in the reception list can be appropriately set and changed by an administrator of each facility or the like. The content of the record of the reception list is updated based on new registration information to the reception list transmitted from the reception terminal 200 or status update information (details will be described later).

  The processor 120 includes an arithmetic and logic operation unit (such as a CPU) that processes arithmetic operations, logical operations, bit operations, and the like, and various registers. The processor 120 executes various programs stored in storage means such as a ROM to execute the management server. Centrally control each part of 100. The processor 120 also executes a computer program (order management application) for managing reception information in cooperation with the reception terminal 200.

  The communication network N includes a communication network capable of mutually transmitting and receiving information between the management server 100, the reception terminal 200, and the user terminal 300. The communication network N is, for example, any of the Internet, a LAN, a dedicated line, a telephone line, a company network, a mobile communication network, Bluetooth (registered trademark), WiFi (Wireless Fidelity), other communication lines, a combination thereof, and the like. And it may be wired or wireless.

  The reception terminal 200 is any terminal device that can exchange data with the management server 100 via the communication network N, such as a tablet terminal, a personal computer (PC), a notebook PC, a smartphone, a mobile phone, and a personal digital assistant (PDA). Can be used. Note that a plurality of reception terminals 200 can be used in one facility.

  FIG. 2 is a block diagram illustrating a main configuration of the reception terminal 200. The reception terminal 200 includes a processor 210, an input device 215, a display device 216, a communication interface 220, a storage resource 230, a camera 240, a microphone 250, and a non-contact thermometer 260. The reception terminal 200 receives an input such as registration to a reception list or update of a record when a patient or an employee directly operates the input device 215 such as a touch panel.

  The processor 210 includes an arithmetic and logic operation unit (such as a CPU) for processing an arithmetic operation, a logical operation, a bit operation, and the like, and various registers. The processor 210 executes various programs stored in the storage resource 230 to execute the operation of the reception terminal 200. Each part is controlled centrally. The various registers are, for example, a program counter, a data register, an instruction register, a general-purpose register, and the like.

  The input device 215 includes various operation buttons and a touch panel 215a for receiving an input such as reception to the waiting list and application from the waiting list.

  The display device 216 is a device for displaying a waiting list, a reception screen, and a status management screen, and is configured by, for example, a liquid crystal display.

  The communication interface 220 is a hardware module for connecting to the communication network N and communicating with other devices via the communication network N. The communication interface 220 is a modulation / demodulation device such as an ISDN modem, an ADSL modem, a cable modem, an optical modem, and a soft modem.

  The storage resource 230 is, for example, a logical device provided by a storage area of a physical device. The physical device is, for example, a computer-readable recording medium such as a disk drive or a semiconductor memory (ROM, RAM, etc.). The storage resource 230 may be constructed by mapping a plurality of physical devices to one logical device, or may be constructed by mapping one physical device to a plurality of logical devices.

  The storage resource 230 stores an operating system program, a driver program, various data, and the like. The driver program includes, for example, a communication interface driver program for controlling the communication interface 220. In addition to the various programs and various data, the storage resource 230 has a computer program (order management application) for executing the processor 210 and managing the waiting queue in cooperation with the management server 100 and the user terminal 300. AP1 is stored.

  The camera 240 automatically captures a face image (especially near the eyes) of a patient standing in front of the reception terminal 200. The captured image data is transmitted to the management server 100.

  The microphone 250 picks up the sound around the reception terminal 200 and transmits the sound data to the management server 100.

  The non-contact thermometer 260 uses a temperature sensor such as an infrared sensor, for example, and measures the temperature of a patient standing in front of the reception terminal 200. The measured body temperature is transmitted to the management server 100.

  Next, the reception registration process of the medical institution reception system 1000 according to the present embodiment will be described with reference to the flowchart of FIG.

  The display device 216 of the reception terminal 200 displays information such as the number of patients waiting for an examination in each medical department and the waiting time. These pieces of information are periodically acquired from the management server 100 and updated.

  When the patient to be registered for reception stands in front of the reception terminal 200, the reception terminal 200 takes a photograph of the patient's face with the camera 240 and transmits the image data to the management server 100 (step S101). In addition, in order to obtain a clear image especially near the eyes of the patient, a message such as having the user approach the face in front of the camera 240 or alerting the user to avoid blinking is displayed on the display device 216, You may make it output with a sound from a speaker.

  The microphone 250 picks up surrounding sounds and transmits the sound data to the management server 100 (step S102).

  Further, the non-contact thermometer 260 measures the patient's body temperature and transmits it to the management server 100 (step S103). In order to accurately measure the patient's body temperature, a message such as alerting the patient to approach the non-contact thermometer 260 may be displayed on the display device 216, or may be output as a voice from a speaker. .

  The management server 100 determines a question item to be displayed on the inquiry screen of the reception terminal 200 based on the data received from the reception terminal 200. First, the management server 100 determines whether to ask a question about the body temperature based on the patient's body temperature measured by the non-contact thermometer 260 (step S104). For example, when the body temperature is equal to or higher than a certain value (for example, 38 degrees or higher), a question about the body temperature (eg, "Did you measure your body temperature this morning?" You may.

  In addition, the management server 100 determines whether to ask a question about the presence or absence of cough based on the voice data picked up by the microphone 250 (Step S105). When the voice data includes a coughing sound, the management server 100 omits a question about the presence or absence of a cough (eg, "Do you have a cough?"). More specifically, the management server 100 may analyze the voice data picked up by the microphone 250 and determine that a coughing sound is included when a component specific to the coughing sound is detected.

  Next, the management server 100 determines whether or not to ask a question about the presence or absence of redness of the eyes based on the photograph of the patient's face taken by the camera 240 (step S106). The management server 100 analyzes the image data of the face photograph, and when it is determined that the eyes are reddened, the question about the presence or absence of redness of the eyes (“Is there reddening of the eyes?”) Is omitted. . Specifically, the information of both eyes is extracted from the face image, and the color of the white eye is determined. Alternatively, it may be determined that the eyes are congested.

  The management server 100 creates an inquiry screen based on the determined question items, and causes the reception terminal 200 to display the screen (step S107). FIG. 4 is a view exemplifying an inquiry screen displayed on the reception terminal 200. In the example of FIG. 4, since the measured body temperature is 38 degrees or more, a question about the body temperature is displayed. Further, since a coughing sound was detected from the voice data, the question about the presence or absence of coughing is omitted. On the other hand, since the redness of the eyes was not confirmed from the image data, the question about the presence of redness of the eyes is displayed without omitting it.

  When the patient performs an input operation of an answer to the question displayed on the inquiry screen, the content of the input answer is transmitted to the management server 100 (step S108). Further, the management server 100 inputs, via the reception terminal 200, information on a medical examination ticket, an insurance card, and other necessary items (whether or not a call is desired, a telephone number or an e-mail address of a contact at the time of the call). Accept. The information on the consultation ticket and the insurance card may be obtained by decoding the number written on the surface by reading an image or by reading data recorded on an IC chip.

  The management server 100 adds a new record to the reception list and updates the status management table TA2 based on the received answer contents and necessary items (step S109). For example, as a new record, the reception number “1”, the reception time “13:03”, the consultation ticket number “A1001”, the insurance card number “123456”, the medical department “internal medicine”, the status “waiting”, and the body temperature “38.2” Records such as “degree”, presence / absence of cough “presence”, presence / absence of redness of the eyes “no”, urgency “no”, and suspected infection “no” are registered. As for the presence or absence of cough, “Yes” is registered as a result of the analysis of the voice data. If it is determined that the voice data does not include a coughing sound, a question about the presence or absence of cough is made on the inquiry screen, and the selected answer result is registered. Regarding the presence or absence of eye redness, “absence” is registered because “absence” is selected as the answer to the question on the inquiry screen. If it is determined that the eyes are reddened as a result of the analysis of the face image data, “yes” is registered without asking a question.

  As for the body temperature, the value input on the inquiry screen is registered. When a question about the body temperature is not made, or when the patient does not perform the temperature measurement, the information may be left unregistered, or the value measured by the non-contact thermometer 260 may be registered.

  Urgency and suspected infection may be determined based on registered body temperature values and symptoms (presence / absence of coughing, presence / absence of redness of eyes).

  The management server 100 causes the reception terminal 200 to display a reception completion screen (Step S110). On the reception completion screen, a reception number, an expected waiting time at the present time, and the like are displayed. In addition, a message prompting to receive the order ticket is displayed, and the patient can receive the order ticket printed from the printer connected to the reception terminal 200.

  A two-dimensional code associated with the reception number is printed on the order ticket. The patient reads the two-dimensional code printed on the ticket using his / her own portable terminal, and the current waiting state (the current number of waiting groups, the estimated waiting time, etc.) is displayed on the portable terminal. In addition, when the patient enters the telephone number or e-mail address according to the guidance displayed by reading the two-dimensional code, the patient receives a message by telephone or e-mail when the order of the examination arrives, or approaches the order. You can receive a reminder message when you are.

  If the urgency or the suspected infectious disease is “Yes”, a guide screen may be displayed separately. For example, if the suspected infection is “Yes”, it may be possible to take measures such as guiding to another room, such as “Please wait on the spot” or “Please wait in the waiting room B”. .

  If the urgency is “Yes”, the priority of the consultation may be increased, such as by registering at the top of the reception list.

  The data acquired by the camera 240 and the microphone 250 may be managed in association with the reception data of the patient so that a doctor or the like can view the data in the examination room.

(Update of reception list)
The contents of each record registered in the reception list are described as “cancel”, “change”, “call”, “guide” by the facility employee (doctor, nurse, medical clerk, etc.) using the reception terminal 200. It is updated when an operation such as is performed. “Cancel” means canceling the waiting queue, and “Change” means changing the contents of the waiting queue once input. In addition, "call" means that the patient who has come to the turn is called verbally or notified by telephone or call mail, and "guidance" means that the patient who has come to the turn is actually sent to the examination room. It means that you are in a guided state.

  The employee selects a patient record to be updated from the reception list displayed on the reception terminal 200, and performs one of the update operations of “call”, “cancel”, and “change” on the selected record. I do. Information specifying the record to be updated (for example, the reception number “1”) and information on the update operation (for example, “call”) are uploaded from the reception terminal 200 to the management server 100 via the communication network N. The management server 100 updates the reception list of the facility based on the received information. For example, when the “call” operation is performed on the reception number “1”, the status of the record of the reception number “1” is updated to “ringing”.

  As described above, according to the present embodiment, at the time of reception, measurement information on a patient's symptoms is acquired via the reception terminal 200, and a question item to be presented to the patient is determined based on the acquired measurement information. Therefore, the content of the interview can be automatically changed according to the patient's symptoms. In particular, if the presence or absence of a cough or redness of the eyes can be detected with a microphone or a camera, the question can be omitted, so that the burden on the patient at the time of reception can be reduced.

  In addition, when the temperature sensor detects that the body temperature is high, it is checked whether or not the temperature has been detected, and the user is asked to input information on the body temperature. It can be performed. As a result, the number of question items can be reduced to a necessary minimum, and the burden on the patient can be reduced.

  In addition, based on the acquired measurement information on the patient's symptoms, the priority of patients suspected to be severe is raised, so that the patient's symptoms can be predicted to some extent based on the measurement information, and urgent patients can be responded immediately. can do.

  Also, based on the acquired measurement information on the patient's symptoms, guide the patient suspected of infectious disease to a separate room, etc., and take appropriate measures for patients suspected of infectious disease by changing the guidance be able to.

  Note that the present invention is not limited to the above-described embodiment, and can be implemented in various other forms without departing from the spirit of the present invention. Therefore, the above-described embodiment is merely an example in all aspects, and is not to be construed as limiting. For example, the above-described processing steps can be arbitrarily changed in order or a parallel execution within a range that does not cause inconsistency in the processing contents.

1000 medical institution reception system 100 management server 110 management database 120 processor 200 reception terminal 210 processor 215 input device 215a touch panel 216 display device 220 communication interface 230 storage resource 240 camera 250 microphone 260 ... non-contact thermometer TA1 ... client management table TA2 ... status management table N ... communication network AP1 ... order management application

Claims (8)

In a medical institution, a medical institution reception system that manages reception of patients to be examined,
A reception terminal that receives input of information on a patient who performs reception,
A management server that receives information about the patient who performs the reception from the reception terminal, and registers reception information of the patient in a reception list,
The management server,
From the reception terminal, a symptom measurement information obtaining unit that obtains measurement information regarding the symptom of the patient performing the reception,
Based on the obtained measurement information, a question item determination unit that determines a question item to be presented to the patient,
Via the reception terminal, an answer information acquisition unit for acquiring the answer content for the presented question item,
A medical institution reception system comprising: a reception information creation unit that creates reception information of the patient based on the measurement information and the answer content and registers the reception information in the reception list. The symptom measurement information acquisition unit acquires information on the patient's body temperature measured by the temperature sensor,
The medical institution reception system according to claim 1, wherein the question item determination unit presents, to the patient, a question for confirming whether or not the temperature has been measured, when the patient's body temperature satisfies a predetermined condition. The symptom measurement information acquisition unit acquires audio data near the reception terminal picked up by a microphone,
The question item determining unit, when the voice data does not include a cough sound, presents a question about the presence or absence of cough to the patient, and when the voice data includes a cough sound, Omit the question about the presence or absence of the cough,
3. The medical institution reception system according to claim 1, wherein the reception information creating unit records that the patient has cough in the reception information of the patient when the voice data includes a coughing sound. 4. The symptom measurement information acquisition unit acquires a face image of the patient captured by a camera,
The question item determination unit analyzes the color of both eyes from the face image, and when it is determined that the eyes are not reddened, presents a question about the presence or absence of redness to the patient, If determined to be hyperemic, omit the question about the presence or absence of hyperemia in the eyes,
The reception information creating unit according to any one of claims 1 to 3, wherein when it is determined from the face image that the eyes are reddened, the reception information of the patient records that the eyes are reddened. The medical institution reception system described.   The medical institution reception system according to any one of claims 1 to 4, further comprising a queue management unit that changes a queue of patients registered in the reception list based on the acquired measurement information.   Based on the obtained measurement information, determine whether there is a suspicion of an infectious disease, and when it is determined that there is a suspicion of an infectious disease, a guidance presenting unit that displays guidance for suspected infectious disease on the reception terminal. The medical institution reception system according to any one of claims 1 to 5, further comprising: In a medical institution, a medical institution reception device that manages reception of patients to be examined,
From a reception terminal receiving input of information on the patient performing the reception, a symptom measurement information obtaining unit that obtains measurement information regarding the symptom of the patient performing the reception,
Based on the obtained measurement information, a question item determination unit that determines a question item to be presented to the patient,
Via the reception terminal, an answer information acquisition unit for acquiring the answer content for the presented question item,
A medical institution receiving apparatus comprising: a reception information creating unit that creates reception information of the patient based on the measurement information and the answer content and registers the reception information in the reception list. Computer
From a reception terminal receiving input of information on the patient performing the reception, a symptom measurement information obtaining unit that obtains measurement information regarding the symptom of the patient performing the reception,
Based on the obtained measurement information, a question item determination unit that determines a question item to be presented to the patient,
Via the reception terminal, an answer information acquisition unit for acquiring the answer content for the presented question item,
A program that creates reception information of the patient based on the measurement information and the response content, and functions as a reception information creation unit that registers the reception information in the reception list.

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