JP2020190789A - Device for assisting consultation reservation - Google Patents

Abstract

To assist a patient in having a consultation with a doctor in a medical institution at appropriate timing.SOLUTION: A device for assisting consultation reservation pertaining to an embodiment comprises an acquisition unit, a first estimation unit, a second estimation unit, a determination unit and an output unit. The acquisition unit acquires inquiry information that indicates the inquiry result of a patient. The first estimation unit estimates the disease name of the patient on the basis of the inquiry information. The second estimation unit estimates the diagnosable time of the patient on the basis of the estimated disease name. The determination unit determines consultation timing at which the patient visits a medical institution for consultation with a doctor in accordance with the estimated disease name and diagnosable time. The output unit outputs the determined consultation timing.SELECTED DRAWING: Figure 1

Description

An embodiment of the present invention relates to a consultation appointment support device.

Conventionally, medical institutions such as hospitals have used a technique for managing the acceptance of patient reservations. For example, there is known a technique for adjusting the appointment time according to the patient's disease name, examination site, and the like. However, in such a conventional technique, it may be difficult to sufficiently support a patient to visit a medical institution at an appropriate timing according to the disease he / she is suffering from.

Japanese Unexamined Patent Publication No. 2005-44210

The problem to be solved by the present invention is to support a patient to visit a medical institution at an appropriate time.

The consultation reservation support device according to the embodiment includes an acquisition unit, a first estimation unit, a second estimation unit, a determination unit, and an output unit. The acquisition department acquires interview information indicating the interview result of the patient. The first estimation unit estimates the patient's disease name based on the interview information. The second estimation unit estimates the time when the patient can be diagnosed based on the estimated disease name. The decision-making department determines the timing of the patient's visit to the medical institution according to the estimated disease name and the time when the diagnosis can be made. The output unit outputs the determined consultation timing.

FIG. 1 is a block diagram showing an example of the configuration of the consultation support system according to the first embodiment. FIG. 2 is a diagram showing an example of diagnostic enable time information according to the first embodiment. FIG. 3 is a flowchart showing an example of the flow of processing executed by the consultation reservation support device according to the first embodiment. FIG. 4 is a block diagram showing a configuration of a consultation reservation support system according to the second embodiment. FIG. 5 is a flowchart showing an example of the flow of processing executed by the consultation reservation support device according to the second embodiment. FIG. 6 is a block diagram showing an example of the configuration of the consultation reservation support system according to the third embodiment.

Hereinafter, embodiments of the consultation appointment support device will be described in detail with reference to the drawings.

(First Embodiment)
FIG. 1 is a block diagram showing an example of the configuration of the consultation reservation support system S1 according to the present embodiment. As shown in FIG. 1, the consultation reservation support system S1 includes a consultation reservation support device 100 and a terminal device 200. The consultation reservation support device 100 and the terminal device 200 are connected by a network 300 such as the Internet.

Further, the consultation reservation support device 100 is connected to the electronic medical record storage device 400 via a network 310 such as an in-hospital LAN (Local Area Network). The consultation reservation support system S1 may include an electronic medical record storage device 400.

The electronic medical record storage device 400 is installed as a part of an electronic medical record system introduced in, for example, a hospital or the like, and stores medical data generated by the electronic medical record system. The electronic medical record storage device 400 is realized by a computer device such as a DB (Database) server, and stores vital data in a semiconductor memory element such as a RAM (Random Access Memory) or a flash memory or a storage circuit such as a hard disk or an optical disk. Let me.

The terminal device 200 is, for example, a smartphone owned by a patient, a tablet terminal, or the like. The terminal device 200 includes an interface that can be connected to the network 300, an input device such as a touch panel, a storage device (storage circuit) such as a flash memory, a display, and a control device (processing circuit) such as a processor. Although one terminal device 200 is shown in FIG. 1, the number of terminal devices 200 included in the consultation reservation support system S1 is not limited.

The control device of the terminal device 200 displays the inquiry screen transmitted from the consultation reservation support device 100 or the inquiry screen generated based on the transmitted information on the display.

The interview screen is a screen on which the patient's interview information can be input.

The interview information is information indicating the result of the interview, and includes, for example, the patient's subjective symptom, the start time of the subjective symptom, and the patient's attribute information.

Subjective symptoms include, but are not limited to, fever, abdominal pain, headache, rash, vomiting, chills, dizziness, and the like.

The patient's attribute information is age, gender, medical history, and the like. A medical history is information about an injury or illness or various allergies that the patient has had in the past. It should be noted that these items are examples, and the interview information may include other information.

Further, the control device of the terminal device 200 transmits the interview information input on the inquiry screen to the consultation reservation support device 100 via the network 300.

The consultation reservation support device 100 is, for example, a server device or a PC (Personal Computer) installed in a medical institution such as a hospital, and includes a NW (network) interface 110, a storage circuit 120, an input interface 130, and a display 140. , And a processing circuit 150.

The NW interface 110 is connected to the processing circuit 150 and controls the transmission and communication of various data performed between the consultation reservation support device 100 and the terminal device 200. The NW interface 110 is realized by a network card, a network adapter, a NIC (Network Interface Controller), or the like.

The storage circuit 120 stores various types of information used in the processing circuit 150 in advance. In the present embodiment, the storage circuit 120 stores disease information, medical practice guidelines, reservation information, local infection control information, and diagnostic time information. Further, the storage circuit 120 stores various programs.

The disease information is, for example, information in which the name of the disease, whether or not the name of the disease is an epidemic infectious disease, the content of the subjective symptom, the incubation period, and the complications that may occur with the name of the disease are associated with each other. Is. The disease information may further include other information.

In the present embodiment, the epidemic infectious disease is an infectious disease that is transmitted from person to person. For example, epidemic infections include, but are not limited to, influenza (epidemic sensation), chickenpox, hand-foot-and-mouth disease, measles, rubella, viral gastroenteritis, tuberculosis, and the like. Viral gastroenteritis targets, for example, infection with norovirus, but also includes gastroenteritis caused by other viruses. The type of human-to-human transmission route is not particularly limited, and examples thereof include airborne infection, droplet infection, contact infection, and oral infection. Mumps is also called a mumps.

The clinical practice guideline is a guideline that defines the treatment policy for each disease according to the attributes of the patient. The medical treatment guidelines may be those established by public institutions, academic societies, etc., or may be independently formulated by medical institutions. The clinical practice guidelines are associated with, for example, the name of the disease, the subjective symptoms, the necessity of follow-up or symptomatic treatment by a medical institution for each age, sex, or pre-existing disease of the patient suffering from the disease, and the content of the symptomatic treatment. ing. The clinical practice guideline may include other information.

The reservation information indicates a time frame (reservation frame) for patient consultation reservation, identification information of the patient reserved in the reservation frame, and whether or not the reservation frame is a dedicated reservation frame for patients with epidemic infections. This is the information associated with the flag. Details of epidemic infections will be described later.

Infection control information in the area is information indicating the presence or absence of infection control equipment of other medical institutions in the area. The regional infection control information includes, for example, identification information of a plurality of other medical institutions existing in the same area as the medical institution where the consultation reservation support device 100 is installed, and infection control equipment in each of the plurality of medical institutions. This is information associated with the presence / absence. In addition, in the regional infection control information, the inventory status of equipment or consumables used for medical treatment of epidemic infectious diseases at each of a plurality of other medical institutions is associated with the identification information of a plurality of medical institutions. Is also good. Further, the area in the present embodiment is, for example, the range of the same municipality as the medical institution provided with the consultation reservation support device 100, but is not limited to this. For example, a plurality of cities, wards, towns and villages may be treated as one land location, or one city, ward, town and village may be divided into a plurality of areas and handled.

The diagnosticable time information is information in which the diagnoseable time corresponding to the disease name is associated with each of the plurality of disease names.

FIG. 2 is a diagram showing an example of the diagnostic enable time information 1201 according to the present embodiment.

The diagnosable time is, for example, the time when a patient's test result becomes positive when the patient suffers from each of a plurality of disease names. For example, in the case of influenza, it is defined as "n hours after the onset" and the like. The onset is, for example, at the onset of subjective symptoms. The definition of the diagnoseable time is not limited to this, and may be defined as, for example, "n2 hours after the infection time" depending on the disease name. The time of infection shall be the time retroactive from the start of the subjective symptom to the incubation period of the disease name. In addition, for diseases such as pollinosis and asthma, in which the name of the disease can be diagnosed at any time after the subjective symptoms appear, the diagnosisable time is "always". The content of the diagnostic enable time information 1201 shown in FIG. 2 is an example, and is not limited to this.

Returning to FIG. 1, the input interface 130 is, for example, a mouse, a keyboard, or the like, receives various input operations from the operator, converts the received input operations into electrical signals, and outputs the received input operations to the processing circuit 150. Further, the processing circuit of the electric signal that receives the electric signal corresponding to the input operation from the external input device provided separately from the consultation reservation support device 100 and outputs the electric signal to the processing circuit 150 is also the input interface 130. Included in the example.

The display 140 is a liquid crystal display or a CRT display.

The processing circuit 150 is a processor that realizes a function corresponding to each program by reading a program from the storage circuit 120 and executing the program. The processing circuit 150 of the present embodiment has an acquisition function 151, a reception function 152, a reservation frame setting function 153, a first estimation function 154, a second estimation function 155, a determination function 156, and a specific function 157. And an output function 158. The acquisition function 151 is an example of an acquisition unit. The reception function 152 is an example of the reception unit. The reservation frame setting function 153 is an example of the reservation frame setting unit. The first estimation function 154 is an example of the first estimation unit. The second estimation function 155 is an example of the second estimation unit. The determination function 156 is an example of a determination unit. The specific function 157 is an example of a specific unit. The output function 158 is an example of an output unit.

Here, for example, the acquisition function 151, which is a component of the processing circuit 150, the reception function 152, the reservation frame setting function 153, the first estimation function 154, the second estimation function 155, and the determination function 156. The specific function 157 and the output function 158 are stored in the storage circuit 120 in the form of a program that can be executed by a computer. The processing circuit 150 reads each program from the storage circuit 120 and executes each read program to realize a function corresponding to each program. In other words, the processing circuit 150 in the state where each program is read out has each function shown in the processing circuit 150 of FIG. In FIG. 1, a single processing circuit 150 has an acquisition function 151, a reception function 152, a reservation frame setting function 153, a first estimation function 154, a second estimation function 155, a determination function 156, and a specific function. Although each processing function of 157 and the output function 158 has been described as being realized, each processing function is realized by combining a plurality of independent processors to form a processing circuit 150 and executing each program by each processor. It may be something to do.

The word "processor" used in the above description means, for example, a CPU (Central Processing Unit), a GPU (Graphics Processing Unit), an application specific integrated circuit (ASIC), or a programmable logic device (for example, a programmable logic device). It means a circuit such as a simple programmable logic device (SPLD), a complex programmable logic device (CPLD), and a field programmable gate array (FPGA). Instead of storing the program in the storage circuit 120, the program may be directly incorporated in the circuit of the processor. In this case, the processor realizes the function by reading and executing the program embedded in the circuit.

The acquisition function 151 acquires interview information from the terminal device 200 via the network 300 and the NW interface 110. The acquisition function 151 transmits the acquired interview information to the first estimation function 154, the second estimation function 155, and the determination function 156.

In addition, the acquisition function 151 acquires the diagnosis disease name of the patient diagnosed by the doctor at the medical institution from the electronic medical record storage device 400 after the patient visits the medical institution. In addition, the acquisition function 151 sends the acquired diagnosis disease name to the reservation frame setting function 153.

In addition, the acquisition function 151 acquires from an external device the operating status of the infection control equipment at the medical institution where the consultation reservation support device 100 is installed, and the inventory status of equipment or consumables used for medical treatment of epidemic infectious diseases. .. The acquisition function 151 sends the acquired operation status of the infection control equipment and the inventory status of equipment or consumables used for medical treatment of epidemic infections to the determination function 156.

The reception function 152 receives information on the epidemic of an epidemic infectious disease from a doctor, a nurse, a clerk of a medical institution, or the like from the input interface 130.

Information on epidemics of epidemic infections is, for example, the name of the epidemic infection that is currently or is expected to be epidemic, and the degree of epidemic of the epidemic infection. The degree of epidemic of an epidemic infection shall be represented, for example, by a level depending on the current number of infected persons or the expected number of infected persons. The epidemic of an epidemic infection may be, for example, an epidemic in an area where a medical institution where a consultation reservation support device 100 is installed is located, or an epidemic on a nationwide scale. The reception function 152 sends the received information on the epidemic infectious disease to the reservation frame setting function 153.

The reservation frame setting function 153 sets one or more dedicated reservation frames for a patient suffering from an epidemic infection, depending on the degree of epidemic of the epidemic infection. The dedicated reservation frame is an example of the first dedicated reservation frame in the present embodiment.

For example, when an influenza epidemic is occurring, the reservation slot setting function 153 determines the number and time of influenza-only reservation slots according to the degree of influenza epidemic.

Further, the reservation frame setting function 153 sets as many reservation frames as the degree of epidemic to the dedicated reservation frame for the epidemic infectious disease. Further, when a plurality of epidemic infectious diseases are prevalent, the reservation frame setting function 153 may set a dedicated reservation frame for each epidemic infectious disease, or is common to the plurality of epidemic infectious diseases. A dedicated reservation frame may be set.

The reservation frame setting function 153 stores the set dedicated reservation frame in the storage circuit 120. For example, the reservation frame setting function 153 sets the flag indicating whether or not the reservation frame is determined to be the dedicated reservation frame among the reservation frames included in the reservation information stored in the storage circuit 120 to “1”. change. Hereinafter, reservation slots other than the dedicated reservation slots for epidemic infectious diseases will be referred to as general reservation slots.

In addition, the reservation frame setting function 153 provides a ventilation time of a predetermined time or more between the dedicated reservation frame for epidemic infectious diseases and the general reservation frame. For example, the reservation frame setting function 153 may secure ventilation time by disabling one or more vacant reservation frames between the dedicated reservation frame for epidemic infectious diseases and the general reservation frame. good. Further, the reservation frame setting function 153 may allocate a consultation room different from the general reservation frame to the dedicated reservation frame for epidemic infectious diseases. The examination room assigned to the dedicated reservation frame for epidemic infections is provided with, for example, an examination room isolated for epidemic infections such as a passage for patients with epidemic infections, and exhaust or ventilation equipment such as air conditioning. It may be an examination room, an isolated examination room for epidemic infections, an examination room near the doorway for patients with epidemic infections, an examination room facing a passage for patients with epidemic infections, etc. ..

Further, the reservation frame setting function 153 may provide a ventilation time of a predetermined time or longer between the dedicated reservation frame for the epidemic infection and the dedicated reservation frame for the epidemic infection. This is because if there is a patient who is presumed to have an epidemic infection based on the interview information and is not actually infected with the epidemic infection, the patient will receive an epidemic infection from another patient. This is to reduce the probability of infection.

Further, the reservation frame setting function 153 examines the patient in the examination room used for the examination of the patient who has been diagnosed with the disease name when the diagnosis disease name acquired by the acquisition function 151 is an epidemic infectious disease. Change the medical appointment so that it will not be used for the specified time from the end of.

For example, if the patient does not input the interview information from the terminal device 200 in advance, he / she may visit a medical institution in a general reservation frame. Therefore, the reservation frame setting function 153 of the present embodiment is, for example, when the reservation frame for which the patient diagnosed as having an epidemic infection is examined is not the exclusive reservation frame for the epidemic infection. Change the medical appointment so that it will not be used for the specified time after the patient's examination is completed.

In addition, the reservation frame setting function 153 uses the examination room used for the examination of the patient who has been diagnosed with the epidemic infection to examine the patient regardless of whether or not the reservation frame is a dedicated reservation frame for the epidemic infection. The medical appointment may be changed so that it will not be used for a predetermined time from the end.

The first estimation function 154 estimates the patient's disease name based on the interview information. For example, the first estimation function 154 searches for the disease name associated with the subjective symptom included in the interview information from the disease information stored in the storage circuit 120, and uses the disease name obtained as the search result as the patient's disease name. Estimate as. The method of estimating the disease name of a patient is not limited to this. Hereinafter, in the present embodiment, the disease name estimated by the first estimation function 154 is referred to as "estimated disease name". The first estimation function 154 sends the estimated disease name to the second estimation function 155 and the determination function 156.

In addition, the second estimation function 155 estimates the diagnosisable time of the patient based on the estimated disease name. More specifically, the second estimation function 155 can diagnose the patient based on the estimated disease name, the diagnosable time information 1201 stored in the storage circuit 120, and the start time of the subjective symptom included in the interview information. Estimate the time. For example, when the estimated disease name is influenza, the second estimation function 155 acquires the diagnosable time of influenza from the diagnosable time information 1201. Further, when the diagnoseable time changes based on the start time of the subjective symptom, such as the diagnoseable time of influenza, the second estimation function 155 is based on the start time of the subjective symptom and the diagnoseable time information 1201. Then, the date and time when the diagnosis is possible is calculated. Further, the second estimation function 155 may presume that the estimated disease name is a disease that can be diagnosed at all times when the diagnoseable time of the estimated disease name is not registered in the diagnoseable time information 1201. In addition, the second estimation function 155 estimates that when the estimated disease name is not an epidemic infectious disease, the estimated disease name is a disease that can always be diagnosed regardless of whether or not the diagnoseable time information 1201 is registered. Is also good.

In the present embodiment, the second estimation function 155 estimates the diagnostic time for all the estimated disease names, while the second estimation function 155 estimates the time when the estimated disease name is an epidemic infection. Only the diagnostic time may be estimated. The second estimation function 155 sends the estimated diagnosis possible time to the determination function 156.

The determination function 156 determines the timing at which the patient visits a medical institution according to the estimated disease name and the time when the diagnosis can be made. More specifically, the determination function 156 sets the consultation timing to the time when the diagnosis can be made or later.

Specifically, when the presumed disease name is an epidemic infection, the determination function 156 determines the timing of the patient's consultation to be one or a dedicated reservation frame for one or more epidemic infections after the diagnoseable time. To do. For example, when the presumed disease name is epidemic infection, the determination function 156 sets the patient with the empty reservation frame closest to the current time among the empty reservation frames for the epidemic infection after the diagnoseable time. It is decided as the consultation timing of.

For example, even if the patient actually suffers from influenza or the like, the test result may be negative before the time when the diagnosis can be made. Even if the patient visits a medical institution at such a time, the doctor cannot confirm the name of the disease, so the patient may be revisited after a while. Therefore, the determination function 156 reduces the number of unnecessary visits by setting the consultation timing to be after the diagnosisable time. In addition, the determination function 156 may set the consultation timing to or after the diagnosisable time only when the presumed disease name is an epidemic infectious disease. Alternatively, the determination function 156 may set the consultation timing to or after the diagnosisable time even when the presumed disease name is other than the epidemic infectious disease.

In addition, for example, if the patient is an elderly person or an infant with low resistance, or if the patient has other illnesses, even before the diagnosisable time, he / she should see a medical institution at an early stage. It may be better to have a follow-up or symptomatic treatment by a medical institution.

Therefore, the determination function 156 determines whether the patient needs an early consultation based on, for example, the clinical practice guideline stored in the memory circuit 120, the estimated disease name, the attribute information of the patient included in the interview information, and the subjective symptom. Judge whether or not. For example, the decision function 156 searches the clinical practice guidelines based on the patient's estimated disease name, subjective symptoms, age, gender, and pre-existing illness, and when the search result is obtained that follow-up by a medical institution or symptomatic treatment is required, the patient Judge that early consultation is required.

When the determination function 156 determines that the patient needs an early consultation, the determination function 156 determines the consultation timing regardless of the diagnosisable time. For example, the determination function 156 determines the vacant reservation frame closest to the current time among the dedicated reservation frames for epidemic infectious diseases as the consultation timing. In addition, the decision function 156 moves the reservation of a patient with low urgency to another reservation frame among the reservation frames for epidemic infectious diseases that have already been filled, and makes an early consultation in the reservation frame vacated by the movement. Appointments for patients determined to be required may be registered.

The determination function 156 sends a dedicated reservation frame for epidemic infectious diseases or a general reservation frame selected as a patient reservation frame to the output function 158 as a consultation timing. The above-mentioned criteria for determining the necessity of early consultation are an example, and the present invention is not limited to this.

The determination function 156 also determines whether to recommend a patient visit based on the presumed disease name, subjective symptoms, age, gender, or medical history of the patient. For example, when the presumed disease name is a disease that can be treated such as medication or surgery, the determination function 156 determines that consultation is recommended. In addition, for example, among epidemic infections, there are diseases such as measles that do not have an effective treatment method such as a silver bullet and recover by spontaneous healing of the patient. If it is presumed to be such an epidemic infection, the decision function 156 determines that consultation is not recommended.

However, even for epidemic infections for which there is no effective treatment such as a silver bullet, elderly people or infants with low resistance, patients suffering from other diseases, or complications may occur. In some cases, it may be urgent. Therefore, the decision function 156 determines whether the patient is elderly or infant and whether the patient has other illnesses, based on the patient's age, gender, and pre-existing illness. If the patient is elderly or infant, or if the patient is suffering from another disease, it is recommended to see the patient even if it is an epidemic infection for which there is no effective treatment such as a silver bullet. judge. Further, the determination function 156 determines whether or not the patient has complications based on, for example, the disease information stored in the memory circuit 120, the estimated disease name, and the subjective symptom included in the interview information. When the determination function 156 determines that the patient has complications, it determines that consultation is recommended even for epidemic infections for which there is no effective treatment such as a silver bullet.

When the determination function 156 determines that the consultation is not recommended, the output function 158 is notified that the determination is not recommended. The criteria for determining whether or not the above-mentioned consultation is recommended is an example, and the present invention is not limited to this.

In addition, the determination function 156 determines, when the presumed disease name is epidemic infectious disease, depending on the operating status of infection control equipment at a medical institution or the stock status of equipment or consumables used for medical treatment of epidemic infectious disease. , Determine the acceptance of the patient at the medical institution. Infection control equipment includes, for example, exhaust or ventilation equipment such as air conditioning, an isolated examination room for epidemic infections, entrances and exits for patients with epidemic infections, passages for patients with epidemic infections, and the like. In addition, consumables used for medical treatment of epidemic infectious diseases are, for example, influenza test kits and the like. These are just examples, and the equipment or consumables used for the treatment of infection control equipment and epidemic infections are not limited to these.

The decision function 156 is used, for example, when the infection control equipment is not provided, the infection control equipment is not in operation, or the equipment or consumables used for the medical treatment of epidemic infections are in short supply. , Judge that the patient cannot be accepted. When the determination function 156 determines that the patient cannot be accepted, the determination function 156 notifies the specific function 157 that the patient cannot be accepted.

The specific function 157 identifies another medical institution that can accept the patient if it is determined that the patient cannot be accepted. For example, the specific function 157 identifies another medical institution equipped with an infection control facility based on the local infection control information stored in the storage circuit 120. The specific function 157 sends the specified other medical institution to the output function 158.

The output function 158 outputs the consultation timing determined by the determination function 156. For example, the output function 158 outputs a dedicated reservation frame for epidemic infections or a general reservation frame determined by the determination function 156 to the terminal device 200 via the NW interface 110 and the network 300.

Further, the output function 158 outputs a notification recommending home medical treatment to the terminal device 200 when it is determined by the determination function 156 that the consultation is not recommended.

Further, when the determination function 156 determines that the patient cannot be accepted, the output function 158 outputs another medical institution that can accept the patient specified by the specific function 157 to the terminal device 200. ..

Further, the output function 158 outputs an inquiry screen to the terminal device 200 when the terminal device 200 accesses the consultation reservation.

Next, the flow of processing executed by the consultation reservation support device 100 configured as described above will be described.

FIG. 3 is a flowchart showing an example of the flow of processing executed by the consultation reservation support device 100 according to the present embodiment. The processing of this flowchart starts, for example, when the terminal device 200 accesses the consultation reservation. Further, it is assumed that a dedicated reservation frame for epidemic infectious diseases has already been set by the reservation frame setting function 153 before the start of processing of this flowchart.

First, the output function 158 outputs the inquiry screen to the terminal device 200 via the NW interface 110 and the network 300 (S1).

Next, the acquisition function 151 acquires the inquiry information input to the inquiry screen from the terminal device 200 via the network 300 and the NW interface 110 (S2). The acquisition function 151 transmits the acquired interview information to the first estimation function 154 and the determination function 156.

Next, the first estimation function 154 estimates the patient's disease name based on the interview information (S3). The first estimation function 154 sends an estimated disease name to the second estimation function 155. Further, when the estimated disease name is not an epidemic infection, the first estimation function 154 sends the estimated disease name and the estimated disease name not being an epidemic infection to the determination function 156. Further, when the estimated disease name is an epidemic infectious disease, the first estimation function 154 sends the estimated disease name and the estimated disease name to the epidemic infectious disease to the determination function 156.

Next, the second estimation function 155 estimates the diagnosisable time of the patient based on the diagnoseable time information 1201 and the estimated disease name (S4). The second estimation function 155 sends the estimated diagnosis possible time to the determination function 156.

Then, the determination function 156 determines whether or not the estimated disease name is an epidemic infectious disease based on the information acquired from the first estimation function 154 (S5).

When the determination function 156 determines that the presumed disease name is not an epidemic infectious disease (S5 “No”), the determination function 156 selects one of the vacant reservation slots among the general reservation slots as the patient's consultation timing (S5 “No”). S6). As an example, the determination function 156 selects, among the vacant reservation frames of the general reservation frame, the vacant reservation frame after the diagnosisable time as the patient's consultation timing. Further, the determination function 156 may select the vacant reservation frame closest to the current time among the vacant reservation frames of the general reservation frame as the patient consultation timing. The determination function 156 sends a general reservation frame selected as a patient reservation frame to the output function 158 as a consultation timing.

The output function 158 outputs the selected reservation frame to the terminal device 200 via the NW interface 110 and the network 300 as the consultation timing (S7). The control device of the terminal device 200 notifies the patient of the consultation timing by displaying the reservation frame received from the consultation reservation support device 100 on the display.

In addition, when the presumed disease name is determined to be an epidemic infectious disease (S5 “Yes”), the determination function 156 determines the presumed disease name, the subjective symptoms included in the interview information, the patient's age, gender, medical history, and It is determined whether or not to recommend the patient to see the patient based on the clinical practice guideline (S7).

For example, if the presumed disease name is an epidemic infectious disease that recovers from the patient's spontaneous cure without an effective treatment such as a silver bullet, the patient is not an elderly person or an infant and suffers from another disease. If no complications have occurred, the decision function 156 determines that consultation is not recommended (S8 “No”). In this case, the determination function 156 notifies the output function 158 that it has determined that the consultation is not recommended.

Then, the output function 158 outputs a notification recommending home medical treatment to the terminal device 200 (S9). In addition, the output function 158 may also output precautions such as consulting a medical institution when the medical condition changes.

In addition, when it is determined that consultation is recommended (S8 “Yes”), the determination function 156 determines the operating status of the infection control equipment at the medical institution or the stock status of equipment or consumables used for medical treatment of epidemic infections. Accordingly, the acceptance / rejection of the patient at the medical institution is determined (S10).

When the determination function 156 determines that the patient cannot be accepted (S10 “No”), the determination function 156 notifies the specific function 157 that the patient cannot be accepted. In this case, the specific function 157 identifies another medical institution that can accept the patient (S11). The specific function 157 sends the specified other medical institution to the output function 158.

Then, the output function 158 outputs another medical institution that can accept the patient specified by the specific function 157 to the terminal device 200 (S12). The output function 158 may output the name and contact information of another medical institution that can accept the patient, or links to the reservation reception screen of the website of the other medical institution that can accept the patient. It may be output.

Further, when the determination function 156 determines that the patient can be accepted (S10 “Yes”), the determination function 156 determines whether or not an early consultation is necessary (S13).

For example, if the patient is an elderly or toddler with low resistance, if the patient has other illnesses, or if the patient has complications, the decision function 156 is that the patient is early. It is determined that a medical examination is required (S13 “Yes”). In this case, the determination function 156 selects the reservation frame closest to the current time as the consultation timing among the vacant reservation frames of the dedicated reservation frame for the epidemic infectious disease regardless of the diagnosisable time (S14). The determination function 156 sends the selected reservation frame to the output function 158.

In addition, when the determination function 156 determines that the patient does not need an early consultation (S13 “No”), the determination function 156 sets the reservation frame after the diagnosisable time among the empty reservation frames of the dedicated reservation frame for the epidemic infectious disease. , Select as the consultation timing (S15). The determination function 156 sends the selected reservation frame to the output function 158.

The output function 158 outputs the selected reservation frame to the terminal device 200 as a consultation timing (S16). The control device of the terminal device 200 notifies the patient of the consultation timing by displaying the reservation frame received from the consultation reservation support device 100 on the display. At this point, the processing of this flowchart ends.

As described above, the consultation reservation support device 100 of the present embodiment acquires the interview information indicating the interview result of the patient, and the estimated disease name estimated based on the interview information and the diagnoseable time estimated based on the estimated disease name. The patient's consultation timing is determined according to the above, and the determined consultation timing is output. Therefore, according to the consultation reservation support device 100 of the present embodiment, the patient visits a medical institution at an appropriate timing by informing the patient of an appropriate consultation timing according to the estimated disease name and the diagnoseable time. Can help you.

More specifically, the consultation reservation support device 100 of the present embodiment has the diagnostic possibility time information 1201 in which the estimated disease name and the diagnoseable time corresponding to the disease name are associated with each of the plurality of disease names. Estimate the time when diagnosis is possible based on. Therefore, according to the consultation reservation support device 100 of the present embodiment, it is possible to easily specify the time when the patient can be diagnosed.

Further, the consultation reservation support device 100 of the present embodiment estimates the diagnosisable time of the patient based on the diagnosisable time information 1201, the start time of the subjective symptom included in the interview information, and the estimated disease name. The patient's consultation timing should be after the time when diagnosis is possible. For example, even if a patient actually suffers from an epidemic infectious disease such as influenza, the test result may be negative before the diagnosisable time. Even if the patient visits a medical institution at such a time, the doctor cannot confirm the name of the disease, so the patient may have to return to the clinic after a while. On the other hand, according to the consultation reservation support device 100 of the present embodiment, the number of unnecessary consultations can be reduced by setting the consultation timing so that the patient visits a medical institution after the diagnosis is possible. The burden on the patient can be reduced.

Further, the consultation reservation support device 100 of the present embodiment sets a dedicated reservation frame for a patient suffering from an epidemic infection according to the degree of epidemic of the epidemic infection, and the estimated disease name of the patient is an epidemic infection. In the case of a venereal disease, the patient's consultation timing is determined to be one of the dedicated reservation frames after the diagnosisable time. Therefore, according to the consultation reservation support device 100 of the present embodiment, it is possible to reduce the transmission of epidemic infections to patients other than epidemic infections in medical institutions. In addition, the number of patients with epidemic infections varies greatly depending on the time of year, but according to the consultation reservation support device 100 of the present embodiment, epidemic infections become epidemic infections according to the degree of epidemic. By setting a dedicated reservation frame for affected patients, it is possible to respond to an increase or decrease in the number of patients with epidemic infections.

Further, the consultation reservation support device 100 of the present embodiment uses the consultation room used for the consultation of the patient for a predetermined time from the end of the consultation of the patient when the diagnosis disease name of the patient is an epidemic infectious disease. Change the medical appointment so that it does not. According to the consultation reservation support device 100 of the present embodiment, the consultation room used by the patient infected with the epidemic infection is not used for the examination of other patients until the examination room is ventilated for a predetermined time, so that the epidemic infection in the medical institution The transmission of epidemic infections to non-symptomatic patients can be further reduced.

In addition, the consultation reservation support device 100 of the present embodiment determines whether or not to recommend the consultation of the patient based on the estimated disease name, the subjective symptom, and the sex, age, or medical history of the patient, and determines whether or not to recommend the consultation of the patient. If it is determined that consultation is not recommended, a notification recommending home medical treatment is output. For example, among epidemic infections, there are diseases such as measles that have no effective treatment such as a silver bullet and recover by spontaneous healing of the patient. If a patient has such an epidemic infection, going out to see a medical institution may be a burden to the patient and may spread to the people around him. On the other hand, according to the consultation reservation support device 100 of the present embodiment, when it is determined that the consultation of the patient is not recommended, the patient is output a notification recommending home medical treatment according to the patient's medical condition. It is possible to reduce the burden on the patient and the spread of infection.

Further, in the consultation reservation support device 100 of the present embodiment, when the presumed disease name is epidemic infectious disease, the operating status of the infection control equipment in the medical institution, or the equipment or consumables used for medical treatment of the epidemic infectious disease. It is determined whether or not the patient can be accepted at the medical institution according to the stock status of the patient, and if it is determined that the patient cannot be accepted, another medical institution that can accept the patient is output. Therefore, according to the consultation reservation support device 100 of the present embodiment, by reducing the number of patients with epidemic infections coming to the hospital in a state where the acceptance system is not ready, other than epidemic infections in medical institutions The transmission of epidemic infections to patients can be further reduced.

Further, according to the consultation reservation support device 100 of the present embodiment, it is possible to reduce the number of patients with epidemic infections visiting the hospital when the stock of equipment or consumables used for medical treatment of epidemic infections is insufficient. As a result, it is possible to reduce the occurrence of a situation in which the patient visits the medical institution once and then visits another medical institution again, and the burden on the patient can be reduced. For example, the consultation reservation support device 100 of the present embodiment guides a patient who is presumed to have influenza to visit another medical institution when the influenza test kit is out of stock at the medical institution. Therefore, the number of unnecessary consultations can be reduced and the burden on the patient can be reduced.

In the present embodiment, the determination function 156 uses the empty reservation frame after the diagnosisable time, which is the closest to the current time, as the patient's consultation timing among the dedicated reservation frames for epidemic infectious diseases. Although it is decided, the method of determining the reservation frame is not limited to this. For example, the determination function 156 may determine a plurality of empty reservation slots as a plurality of consultation date and time candidates when there are a plurality of empty reservation slots after the diagnosis possible time. When this configuration is adopted, the output function 158 outputs a plurality of consultation date / time candidates to the terminal device 200.

Further, in the present embodiment, the reception function 152 receives information on the epidemic of the epidemic infectious disease input by a doctor or the like, but the acquisition function 151 relates to the epidemic of the epidemic infectious disease from an external device or the like. It may be used to acquire information.

In addition, the determination function 156 may also determine the means of transportation of the patient. For example, the determination function 156 determines the necessity of emergency transportation based on the medical practice guideline stored in the memory circuit 120, the estimated disease name, the patient attribute information included in the interview information, and the content of the subjective symptom. You may. Further, when it is determined that ambulance transportation is required, the output function 158 outputs a notification recommending that an ambulance be called to the terminal device 200. Alternatively, the output function 158 may adopt a configuration for notifying the fire department of an ambulance request, and the output function 158 accepts the patient to a medical institution that can accept ambulance transportation. You may output the requested notification.

In addition, the determination function 156 may determine that it is recommended to avoid the use of public transportation when the patient's own medical condition is not serious but there is a high possibility of infecting the surroundings. In this case, the output function 158 outputs a notification to the terminal device 200 recommending avoiding the use of public transportation as a means of transportation at the time of consultation.

When the presumed disease name is epidemic infectious disease, the determination function 156 depends on the operating status of the infection control equipment at the medical institution or the stock status of equipment or consumables used for medical treatment of epidemic infectious disease. , The acceptance / rejection of the patient at the medical institution is determined, but the acceptance / rejection may be further determined according to the type of epidemic infectious disease. For example, medical institutions that can handle epidemic infectious diseases with few cases in Japan and epidemic infectious diseases with particularly strong infectivity may be limited. For example, the storage circuit 120 may store a list of disease names of epidemic infectious diseases that can be handled by the consultation reservation support device 100. In this case, the determination function 156 may determine acceptance / rejection based on the presumed disease name and the list.

Further, the reservation frame setting function 153 may decide that when the diagnosis disease name of the patient is an epidemic infectious disease, the payment processing of the medical expenses of the patient is settled on the Internet. By adopting this configuration, it is possible to prevent a patient diagnosed with an epidemic infection from coming into contact with another patient at the time of accounting, and it is possible to reduce the chance of infection to another patient. In addition, when the medical institution provided with the consultation reservation support device 100 does not support Internet payment, the reservation frame setting function 153 accelerates the accounting order of patients diagnosed with epidemic infectious diseases. Patients may spend less time in contact with other patients.

Further, the output function 158 may preferentially output a medical institution capable of Internet payment when outputting a notification for guiding a medical examination of another medical institution.

In the present embodiment, the terminal device 200 is a smartphone or tablet terminal owned by the patient, but a laptop PC, desktop PC, or the like may be adopted as the terminal device 200.

(Second Embodiment)
In the first embodiment described above, the consultation reservation support device 100 is provided in a medical institution such as a hospital, but in this second embodiment, the consultation reservation support device is provided on the cloud and a plurality of medical treatments are provided. Used by institutions.

FIG. 4 is a block diagram showing a configuration of the consultation reservation support system S2 according to the present embodiment. As shown in FIG. 4, the consultation reservation support system S2 includes a consultation reservation support device 1100, a terminal device 200, and medical information treatment devices 500a and 500b (hereinafter, unless otherwise specified, simply referred to as a medical information treatment device 500. ) And.

The medical information treatment device 500 is a server device or a PC or the like provided in a medical institution such as a hospital, and is connected to the consultation reservation support device 1100 via the network 300. For example, the medical information treatment device 500a is provided in "Hospital A", and the medical information treatment device 500b is provided in "Hospital B". Although two medical information treatment devices 500 are shown in FIG. 3, the number of medical information treatment devices 500 included in the consultation reservation support system S2 is not particularly limited.

The consultation reservation support device 1100 is, for example, a server device or the like provided on the cloud, and is connected to the terminal device 200 and the medical information treatment device 500 via the network 300. Further, the consultation reservation support device 1100 has a NW interface 110, a storage circuit 120, and a processing circuit 150. The consultation reservation support device 1100 does not have to be composed of one server device, and may be composed of a plurality of computers. Further, the means for realizing the consultation reservation support device 1100 is not limited to the cloud, and may be provided on the network by other means.

The storage circuit 120 of the present embodiment stores disease information, medical practice guidelines, common reservation information, infection control information, payment means information, diagnostic enable time information 1201, and various programs.

The common reservation information is reservation information of a plurality of medical institutions (hospital A and hospital B in the example shown in FIG. 1) equipped with the medical information treatment device 500. The common reservation information is, for example, the identification information of each of a plurality of medical institutions, the reservation frame, the identification information of the patient reserved in the reservation frame, and whether the reservation frame is a dedicated reservation frame for patients with epidemic infections. It is the information associated with the flag indicating whether or not.

The infection control information of the present embodiment is infection control information of each of a plurality of medical institutions including the medical information treatment device 500. For example, the infection control information of the present embodiment is information indicating the operating status of each infection control facility of a plurality of medical institutions and the inventory status of equipment or consumables used for medical treatment of epidemic infectious diseases.

The payment means information is information indicating whether or not each of the plurality of medical institutions equipped with the medical information treatment device 500 supports payment of medical expenses by Internet payment.

The processing circuit 150 of the consultation reservation support device 1100 has an acquisition function 151, a reception function 152, a reservation frame setting function 153, a first estimation function 154, and a second estimation function, as in the first embodiment. It includes 155, a determination function 1156, a specific function 1157, and an output function 158. The acquisition function 151, the reception function 152, the reservation frame setting function 153, the first estimation function 154, the second estimation function 155, and the output function 158 have the same functions as those in the first embodiment. ..

In addition, the specific function 1157 of the present embodiment specifies one or a plurality of medical institutions that can accept a patient according to a presumed disease name while having the function of the first embodiment. For example, the specific function 1157 identifies a medical institution that can deal with the epidemic infection based on the infection control information stored in the storage circuit 120 when the presumed disease name is the epidemic infection.

Further, the determination function 1156 of the present embodiment is provided with the function of the first embodiment, and based on the common reservation information stored in the storage circuit 120, a dedicated reservation frame for epidemic infectious diseases or a general reservation The frame is determined as the patient's consultation timing. More specifically, the determination function 1156 sets up a dedicated reservation frame for epidemic infections at a medical institution identified by the specific function 1157 as a medical institution that can accept the patient if the presumed disease name is epidemic infection. , Determined as the patient's consultation timing.

Further, when the presumed disease name is an epidemic infectious disease, the determination function 1156 of the present embodiment preferentially determines a medical institution capable of Internet payment among one or a plurality of medical institutions as a patient's consultation destination. ..

Next, the flow of processing executed by the consultation reservation support device 1100 configured as described above will be described.

FIG. 5 is a flowchart showing an example of the flow of processing executed by the consultation reservation support device 1100 according to the present embodiment. The process from the output of the inquiry screen of S1 to the process of outputting the notification recommending home medical treatment in S9 is the same as that of the first embodiment.

In addition, the specific function 1157 of the present embodiment identifies an acceptable medical institution when it is determined by the determination function 1156 that consultation is recommended (S8 “Yes”) (S200). The specific function 1157 sends the specified medical institution to the determination function 1156.

The process of determining the necessity of early consultation in S13 is the same as that of the first embodiment. Further, in the present embodiment, the determination function 1156 preferentially selects the reservation frame of the medical institution capable of Internet payment in the process of selecting the dedicated reservation frame for the epidemic infectious diseases of S14 and S15. The output process of S16 is the same as that of the first embodiment. At this point, the processing of this flowchart ends.

As described above, the consultation reservation support device 1100 of the present embodiment identifies one or a plurality of medical institutions that can accept patients according to the estimated disease name, and if the estimated disease name is an epidemic infectious disease, the specified 1 Alternatively, among multiple medical institutions, the medical institution that can make payments via the Internet is preferentially determined as the patient's consultation destination. Therefore, according to the consultation reservation support device 1100 of the present embodiment, it is possible to prevent a patient with an epidemic infection from coming into contact with another patient at the time of accounting, and reduce the chance of infection to another patient. Can be done.

(Third Embodiment)
In this third embodiment, the consultation appointment support device manages the travel route of a patient who is presumed to have an epidemic infection in a medical institution.

FIG. 6 is a block diagram showing an example of the configuration of the consultation reservation support system S3 according to the present embodiment. As shown in FIG. 6, the consultation reservation support system S2 includes a consultation reservation support device 2100, a terminal device 200, and a dedicated terminal device 600a to 600n (hereinafter, simply referred to as a dedicated terminal device 600 unless otherwise specified). including. The number of dedicated terminal devices 600 is not particularly limited.

The dedicated terminal device 600 is, for example, a tablet terminal or the like that can be used in a medical institution, and is connected to the consultation reservation support device 2100 by wireless communication. The dedicated terminal device 600 includes an interface capable of wireless communication, an input device such as a touch panel, a storage device (storage circuit) such as a flash memory, a display, and a control device (processing circuit) such as a processor. Further, the dedicated terminal device 600 acquires position information from, for example, a transmission device installed in a medical institution, and transmits the acquired position information to the consultation reservation support device 2100. The dedicated terminal device 600 may acquire position information by GPS or the like.

The dedicated terminal device 600 is distributed to all patients who visit the medical institution at the reception of the medical institution, for example. Patients to be distributed shall not be limited to those who are presumed to have an epidemic infection. If the terminal device 200 can be used in the medical institution, the dedicated terminal device 600 does not have to be distributed to the patient having the terminal device 200.

The consultation reservation support device 2100 includes a NW interface 110, a storage circuit 120, an input interface 130, a display 140, and a processing circuit 150. It is assumed that the NW interface 110 of the present embodiment has the functions of the first embodiment and is capable of communicating with the dedicated terminal device 600. The consultation reservation support device 2100 may be provided with another interface capable of communicating with the dedicated terminal device 600.

Similar to the first embodiment, the processing circuit 150 of the consultation reservation support device 1100 has an acquisition function 2151, a reception function 152, a reservation frame setting function 153, a first estimation function 154, and a second estimation function. It includes 155, a determination function 2156, a specific function 1157, and an output function 2158. The reception function 152, the reservation frame setting function 153, the first estimation function 154, the second estimation function 155, and the specific function 1157 have the same functions as those in the first embodiment.

In addition, the acquisition function 2151 of the present embodiment acquires the position information of the dedicated terminal device 600 from the dedicated terminal device 600 after providing the functions of the first embodiment. The acquisition function 2151 sends the acquired position information to the determination function 2156.

In addition, the determination function 2156 of the present embodiment has the function of the first embodiment and determines the movement route of the patient in the medical institution according to the estimated disease name. For example, when the presumed disease name is epidemic infection, the determination function 2156 provides an operating status of infection control equipment in a medical institution (that is, exhaust or ventilation equipment such as air conditioning, an examination room isolated for epidemic infection). , Doorways for patients with epidemic infections, passageways for patients with epidemic infections, etc.) and the location information of other patients, determine the movement route of the patient.

For example, the determination function 2156 allows a patient with a presumed disease name of an epidemic infection to enter a medical institution through a doorway for a patient with an epidemic infection and pass through a passage for a patient with an epidemic infection for an epidemic infection. Determine the route of travel to enter the isolated examination room. Further, for example, the determination function 2156 has a presumed disease name of an epidemic infection so as to avoid a position where there is a patient whose estimated disease name is not an epidemic infection based on the position information of the dedicated terminal device 600 possessed by each patient. The patient's path of travel may be determined. The above-mentioned movement route is an example, and is not limited thereto. The determination function 2156 sends the determined movement route to the output function 2158.

The output function 2158 outputs the determined movement route to the dedicated terminal device 600 or the terminal device 200 owned by the patient. The output function 2158 may output the position information indicating the current position of the dedicated terminal device 600 possessed by the patient to the dedicated terminal device 600 or the terminal device 200 together with the movement route.

The dedicated terminal device 600 or the control device of the terminal device 200 guides the patient to use the movement route by displaying the movement route received from the consultation reservation support device 2100 on the display. When the output function 2158 outputs the position information to the dedicated terminal device 600 or the terminal device 200, the control device of the dedicated terminal device 600 or the terminal device 200 determines the current position of the dedicated terminal device 600 held by the patient. It may be displayed on the display together with the movement route.

As described above, according to the consultation reservation support device 2100 of the present embodiment, the epidemic infection is transmitted between patients by determining the movement route in the medical institution of the patient according to the estimated disease name and outputting the movement route. It is possible to reduce the chance of getting infected with.

In the present embodiment, the estimated disease name manages the movement route of the patient with the epidemic infection, but the determination function 2156 estimates so that the estimated disease name avoids the position where the patient with the epidemic infection is present. The migration route of patients whose disease name is not an epidemic infection may be determined.

(Modification example)
In each of the above-described embodiments, the reservation frame setting function 153 sets a dedicated reservation frame for epidemic infectious diseases, but the type of the dedicated reservation frame is not limited to this.

In this modification, the reservation frame setting function 153 sets one or more dedicated reservation frames for patients suffering from diseases other than epidemic infections, depending on the degree of epidemic of epidemic infections. The reservation frame is an example of a second dedicated reservation frame.

For example, a patient who has been examined for a less severe disease (mild disease) such as pollinosis may be infected with the epidemic infection by contacting a patient with the epidemic infection in a medical institution. Therefore, the reservation frame setting function 153 may set a dedicated reservation frame for a disease having a low severity when an epidemic infectious disease is prevalent. Further, when the disease subject to the dedicated reservation frame is seasonal, the reservation frame setting function 153 may increase or decrease the number of the dedicated reservation frame according to the degree of epidemic of the disease.

In addition, the reservation frame setting function 153 sets a dedicated reservation frame for a patient suffering from a disease that is likely to become severe when the epidemic infection is prevalent. You may. For example, since a patient suffering from asthma or pneumonia is likely to become severely infected with influenza, the reservation frame setting function 153 may set a dedicated reservation frame for patients with these diseases. It should be noted that the diseases that are likely to become severe when suffering from an epidemic infection are not limited to the above-mentioned examples, and include, for example, diseases accompanied by symptoms of decreased immune function.

In addition, when the epidemic of an epidemic infection is high, the reservation frame setting function 153 is not limited to a disease having a low severity or a disease having a high possibility of becoming severe when suffering from an epidemic infection. A dedicated reservation frame for all diseases other than epidemic infections may be set.

The reservation frame setting function 153 stores the set dedicated reservation frame in the storage circuit 120.

In addition, the determination function 156 of the present modification determines the patient's consultation timing to either one or a plurality of second dedicated reservation frames when the presumed disease name is a disease other than the epidemic infectious disease. In addition, the determination function 156 sets the patient's consultation timing to one or more of the second dedicated reservation frames when the disease subject to the dedicated reservation frame is defined and the estimated disease name is the disease. Decide on one.

According to the consultation reservation support device 100 of this modified example, one or a plurality of dedicated reservation frames for patients suffering from diseases other than epidemic infections are set according to the degree of epidemic of epidemic infections. By reducing the chances of patients other than epidemic infections coming into contact with patients with epidemic infections in medical institutions, the spread of epidemic infections can be reduced.

In addition, according to the consultation reservation support device 100 of this modified example, by providing a dedicated reservation frame for patients with low-severity illnesses, patients who receive medical examinations for low-severity illnesses can be referred to as patients with epidemic infections. Opportunities for contact can be reduced.

In addition, according to the consultation reservation support device 100 of this modified example, the patient suffered from an epidemic infection by providing a dedicated reservation frame for a patient with a disease that is likely to become severe when suffering from an epidemic infection. It is possible to reduce the transmission of epidemic infections to patients with diseases that are likely to become severe in some cases.

According to at least one embodiment described above, it is possible to support the patient to visit a medical institution at an appropriate time.

Although some embodiments of the present invention have been described, these embodiments are presented as examples and are not intended to limit the scope of the invention. These embodiments can be implemented in various other forms, and various omissions, replacements, and changes can be made without departing from the gist of the invention. These embodiments and modifications thereof are included in the scope and gist of the invention, as well as in the scope of the invention described in the claims and the equivalent scope thereof.

100, 1100, 2100 Consultation reservation support device 150 Processing circuit 151,2151 Acquisition function 152 Reception function 153 Reservation frame setting function 154 First estimation function 155 Second estimation function 156, 1156, 2156 Decision function 157, 1157 Specific function 158 , 2158 Output function 200 Terminal device 500, 500a, 500b Medical information treatment device 600, 600a to 600n Dedicated terminal device 1201 Diagnosis possible time information S1, S2, S3 Consultation reservation support system

Claims (11)

The acquisition department that acquires interview information showing the results of interviews with patients,
A first estimation unit that estimates the disease name of the patient based on the interview information, and
A second estimation unit that estimates the diagnostic time of the patient based on the estimated disease name, and
A decision unit that determines the timing of the patient's visit to a medical institution according to the estimated disease name and the diagnoseable time.
An output unit that outputs the determined consultation timing and
A consultation reservation support device equipped with. The second estimation unit is based on the estimated disease name and the diagnoseable time information in which the diagnoseable time corresponding to the disease name is associated with each of the plurality of disease names. Estimate the time when diagnosis is possible,
The consultation reservation support device according to claim 1. The interview information includes the subjective symptom of the patient and the start time of the subjective symptom.
The diagnosticable time is a time when the test result of the patient becomes positive when the patient suffers from each of the plurality of disease names.
The second estimation unit estimates the diagnoseable time of the patient based on the diagnoseable time information, the start time of the subjective symptom included in the interview information, and the estimated disease name.
The determination unit sets the consultation timing to after the diagnosis possible time.
The consultation reservation support device according to claim 2. Further provided with a reservation frame setting unit for setting one or more first dedicated reservation frames for patients suffering from the epidemic infection according to the degree of epidemic of the epidemic infection.
When the presumed disease name is the epidemic infectious disease, the determination unit determines the consultation timing of the patient to either one or a plurality of the first dedicated reservation frames after the diagnosisable time. To do
The consultation reservation support device according to any one of claims 1 to 3. Further provided with a reservation frame setting unit for setting one or a plurality of second dedicated reservation frames for patients suffering from diseases other than the epidemic infection according to the degree of epidemic of the epidemic infection.
When the presumed disease name is a disease other than the epidemic infectious disease, the determination unit determines the consultation timing of the patient in either one or a plurality of the second dedicated reservation frames.
The consultation reservation support device according to any one of claims 1 to 4. Diseases other than the epidemic infectious disease that are subject to the one or more second dedicated reservation slots are likely to become more severe when suffering from a less severe disease or the epidemic infection. Illness
The consultation reservation support device according to claim 5. The acquisition unit acquires the diagnosis disease name of the patient diagnosed at the medical institution after the patient visits the medical institution.
When the diagnosis disease name is the epidemic infectious disease, the reservation frame setting unit makes a medical appointment so that the examination room used for the examination of the patient is not used for a predetermined time from the end of the examination of the patient. change,
The consultation reservation support device according to any one of claims 4 to 6. The interview information further includes the age, gender, or medical history of the patient.
The determination unit determines whether or not to recommend the consultation of the patient based on the estimated disease name, the subjective symptom included in the interview information, the sex, age, or medical history of the patient.
When it is determined that the patient's consultation is not recommended, the output unit outputs a notification recommending home medical treatment.
The consultation reservation support device according to any one of claims 1 to 7. When the presumed disease name is an epidemic infection, the determination unit determines the operating status of the infection control equipment at the medical institution or the inventory status of equipment or consumables used for medical treatment of the epidemic infection. Depending on the situation, the medical institution determines whether or not the patient can be accepted.
Further provided with a specific unit, which identifies another medical institution that can accept the patient when it is determined that the patient cannot be accepted.
The output unit outputs another medical institution that can accept the patient.
The consultation reservation support device according to any one of claims 1 to 8. Further comprising a specific unit, which identifies one or more medical institutions that can accept the patient according to the presumed disease name.
When the presumed disease name is an epidemic infectious disease, the determination unit preferentially determines, among the one or more medical institutions, a medical institution capable of Internet payment as a medical institution for the patient.
The consultation reservation support device according to any one of claims 1 to 9. The determination unit determines the movement route of the patient in the medical institution according to the estimated disease name.
The output unit outputs the movement path.
The consultation reservation support device according to any one of claims 1 to 10.

Images