JP2022075754A - Ophthalmologic examination system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide an ophthalmologic examination system that can improve efficiency of ophthalmologic care.

SOLUTION: An ophthalmologic examination system 1 comprises an ophthalmologic examination device 10, etc., a subject terminal 100 to be used by a subject in a facility in which the ophthalmologic examination device 10, etc. are installed, and waiting terminals 300a-300i installed in a waiting space of an examination room in which the ophthalmologic examination device 10, etc. are installed, and connected to the subject terminal 100 in a communicable manner. When communication is performed via a short-distance communication technique between the subject terminal 100 and the waiting terminals 300a-300i, the waiting terminals 300a-300i receive identification information assigned to the subject and positional data for indicating a current position of the subject terminal 100.

SELECTED DRAWING: Figure 1

COPYRIGHT: (C)2022,JPO&INPIT

Description

The present invention relates to an ophthalmologic examination system.

There are many types of ophthalmic appliances used in the field of ophthalmology, and it is complicated to operate each of these ophthalmic appliances individually. Therefore, it has been proposed that a plurality of ophthalmic appliances can be operated with one terminal or the like (). For example, Patent Document 1).
On the other hand, a subject such as a patient who visits an ophthalmologist needs to perform an examination using a plurality of ophthalmology devices. Further, depending on the device, a plurality of ophthalmic devices may be arranged in one room, but on the other hand, if it is necessary to perform in a dark room or a semi-dark room, all the ophthalmic devices are the same. It may be divided into multiple rooms instead of being placed in a room.
Therefore, when a subject undergoes an examination of a plurality of ophthalmic appliances, it is necessary to visit the ophthalmic appliances in the same room in order or to visit different rooms in order.

Japanese Unexamined Patent Publication No. 2017-29369

However, it is difficult for the subject to know the order in which the examinations are performed for multiple ophthalmic appliances in the same room, and especially when the ophthalmic appliances are divided into different rooms, they enter the room to undergo the examination. It is more difficult for the subject to know the order of the rooms. Therefore, there is a problem that the subject cannot quickly arrive at the room where the ophthalmic device to be examined is located, and it is difficult to improve the efficiency of ophthalmic medical care. In addition, the examiner who is in charge of the operation of the ophthalmologic examination cannot grasp the room where the ophthalmologic device is waiting for the examinee to take turns, and guides the examinee to the room where the ophthalmologic examination should be examined. It was difficult. In this respect as well, there is a problem that it is difficult to improve the efficiency of ophthalmic medical care.

The present invention has been made to solve the above problems, and an object of the present invention is to provide an ophthalmic examination system capable of improving the efficiency of ophthalmic medical care.

According to the present invention, the subject is waiting for an ophthalmic examination device, a subject terminal used by a subject in a facility where the ophthalmic examination device is installed, and an examination room where the ophthalmic examination device is installed. A waiting terminal installed in a space and connected to the subject terminal so as to be communicable is provided, and the waiting terminal communicates between the subject terminal and the waiting terminal via a short-range communication technique. Is solved by an ophthalmic examination system characterized by receiving identification information assigned to the subject and position data indicating the current position of the subject terminal.

According to the above configuration, when the waiting terminal installed in the waiting space of the examination room where the ophthalmologic examination device is installed communicates between the subject terminal and the waiting terminal via the short-range communication technique, Receives the identification information assigned to the subject and the position data indicating the current position of the subject terminal. As a result, the waiting terminal can recognize which subject is waiting for the examination by the ophthalmologic examination device. In addition, the waiting terminal can recognize the current position of the subject waiting for the examination by the ophthalmologic examination device from the identification information and the position data. This makes it possible to improve the efficiency of ophthalmic medical care.

Preferably, the subject terminal and the management device connected to the standby terminal so as to be communicable via a communication line are further provided, and the standby terminal or the management device is the identification information received from the subject terminal. It is characterized in that the number of the subject waiting for the examination by the ophthalmologic examination apparatus is calculated based on the above.

According to the above configuration, the waiting terminal or the management device calculates the number of subjects waiting for the examination by the ophthalmologic examination device based on the identification information received from the subject terminal. Thereby, for example, the examiner can grasp the standby state (congestion status) of the subject who is waiting for the examination by the ophthalmologic examination device from the waiting terminal. This makes it possible to improve the efficiency of ophthalmic medical care.

Preferably, a plurality of the ophthalmologic examination devices are provided in the plurality of examination rooms, a plurality of the waiting terminals assigned to each of the plurality of examination rooms are provided, and the management device is a unit of the plurality of waiting terminals. According to the number of the subjects waiting at the first waiting terminal, they are assigned to the examination room in which an ophthalmic examination device other than the ophthalmic examination device corresponding to the first waiting terminal is installed. It is characterized in that guidance information for guiding the subject is generated in the second waiting terminal and the guidance information is transmitted to the subject terminal.

According to the above configuration, the management device is an ophthalmology other than the ophthalmology examination device corresponding to the first waiting terminal, depending on the number of subjects waiting at the first waiting terminal among the plurality of waiting terminals. Guidance information for guiding the subject to the second waiting terminal assigned to the inspection room where the inspection device is installed is generated. That is, the management device guides the subject to a second waiting terminal different from the first waiting terminal according to the number of subjects waiting for the examination by the ophthalmologic examination device in the first waiting terminal. Generate guidance information. Then, the management device transmits the generated guidance information to the subject terminal. As a result, if there are many subjects waiting for an examination by the ophthalmologic examination device in the examination room where the first waiting terminal is installed (when the examination room where the first waiting terminal is installed is crowded), The management device can guide the subject to the second waiting terminal in the vacant examination room rather than the examination room in which the first waiting terminal is installed. Therefore, it is possible to further improve the efficiency of ophthalmic medical care.

Preferably, the subject terminal has a display unit for displaying various information, and the management device has the current position and the current position based on the position data and the identification information assigned to the second waiting terminal. It is characterized in that the positional relationship with the second waiting terminal is displayed on the display unit, and the route from the current position to the second waiting terminal is displayed on the display unit.

According to the above configuration, the management device has a current position of the subject terminal (current position of the subject) and a second standby based on the position data and the identification information assigned to the second waiting terminal. The positional relationship between the terminal and the subject is displayed on the display unit of the subject's terminal. Further, the management device causes the display unit of the subject terminal to display the route from the current position of the subject terminal (current position of the subject) to the second waiting terminal. As a result, even if the subject is guided to a second waiting terminal different from the first waiting terminal, the subject does not get lost in the facility where the ophthalmologic examination device is installed, and the first one is performed in a relatively short time. You can move from the waiting terminal to the second waiting terminal.

Preferably, the examiner terminal used by the examiner in the facility where the ophthalmologic examination apparatus is installed is further provided with the waiting terminal and the examiner terminal communicably connected to the management device, and the examiner terminal is provided. When communication is performed between the subject terminal and the waiting terminal via the short-range communication technique, the identification information and the position data assigned to the subject are transferred to the waiting terminal and the management device. It is characterized by receiving from at least one of.

According to the above configuration, when the examiner terminal used by the examiner in the facility where the ophthalmologic examination device is installed communicates between the examinee terminal and the waiting terminal via the short-range communication technique, The identification information and location data assigned to the subject are received from at least one of the waiting terminal and the management device. As a result, the examiner can grasp from the examiner terminal which subject is waiting for the examination by the ophthalmologic examination device. In addition, the examiner can grasp the current position of the examinee who is waiting for the examination by the ophthalmologic examination device by the examiner terminal.

Preferably, the examiner terminal is characterized in that the number of persons to be examined calculated by the waiting terminal or the management device is received from at least one of the plurality of waiting terminals and the management device.

According to the above configuration, the examiner can grasp the number of examinees calculated by the waiting terminal or the management device (the number of examinees waiting for the examination by the ophthalmologic examination device) by the examiner terminal. .. In addition, the examiner can grasp the number of examinees waiting at each of the plurality of waiting terminals by the examiner terminal.

According to the present invention, it is possible to provide an ophthalmic examination system capable of improving the efficiency of ophthalmic medical care.

It is a schematic diagram which shows the main structure of the ophthalmologic examination system which concerns on embodiment of this invention. It is a schematic diagram which shows an example of the arrangement of the room equipped with each ophthalmology apparatus in an ophthalmology hospital. It is a schematic block diagram which shows the main structure of the tablet 100 for a subject (tablet 200a for a subject, etc.) of FIG. It is a schematic block diagram which shows the main structure of the management server 40 shown in FIG. It is a schematic block diagram which shows the main structure of the waiting terminal 300a and the like shown in FIG. It is a schematic block diagram which shows the main structure of the ophthalmic apparatus shown in FIG. It is a sequence chart which shows the 1st operation example of the ophthalmologic examination system which concerns on this embodiment. It is a sequence chart which shows the 2nd operation example of the ophthalmologic examination system which concerns on this embodiment. It is a sequence chart which shows the 3rd operation example of the ophthalmologic examination system which concerns on this embodiment.

Hereinafter, preferred embodiments of the present invention will be described in detail with reference to the drawings.
Since the embodiments described below are suitable specific examples of the present invention, various technically preferable limitations are added, but the scope of the present invention is particularly limited to the present invention in the following description. Unless otherwise stated, the present invention is not limited to these aspects. Further, in each drawing, the same components are designated by the same reference numerals, and detailed description thereof will be omitted as appropriate.

FIG. 1 is a schematic diagram showing a main configuration of an ophthalmologic examination system according to an embodiment of the present invention.
FIG. 2 is a schematic view showing an example of the arrangement of rooms equipped with each ophthalmology device in an ophthalmology hospital.

(Ophthalmology equipment installed in ophthalmology hospitals, etc.)
As shown in FIG. 1, the ophthalmologic examination system 1 has a plurality of rooms (examination rooms) of an ophthalmology hospital, for example, "objective measurement room (1)", "subjective examination room (2)", and "imaging examination room (imaging examination room). It has an ophthalmologic examination device arranged in "3)", "dark room examination / special examination room (4)", "visual examination room (5)" and "examination rooms 1 to 4". In the following description, the ophthalmologic examination device may be simply referred to as an "ophthalmic device".

Specifically, in the "objective measurement room (1)", for example, "refractometer, keratometer 10", "tonometer 11" and "specular microscope 12", which are ophthalmic devices, are arranged.
Further, in the "subjective examination room (2)", for example, an ophthalmic device such as a "visual acuity test device 13", a "folopter 14", and an "optometry system 15" are arranged.
Further, in the "imaging examination room (3)", for example, an ophthalmologic device such as a "fundus camera 16" and an "OCT device 17" are arranged.
Further, in the "darkroom examination / special examination room (4)", for example, an ophthalmic apparatus, for example, a "visual function examination apparatus 18" is arranged.
Further, in the "visual field examination room (5)", for example, "microperimeter 19" and "visual field meter 20", which are ophthalmic devices, are arranged.
Further, in the "examination rooms 1 to 4", for example, "slit lamps 21a to 21d" which are ophthalmic devices are arranged.

Further, as shown in FIG. 1, the tonometer 11 and the like such as the “objective measurement room (1)” are communicably connected to the communication line 2. A "management server 40" (an example of "another device") that manages various information of the ophthalmologic examination system 1 is also communicably connected to the communication line 2. The management server 40 of the present embodiment is an example of the "management device" of the present invention.
Therefore, the tonometer 11 and the like such as the “objective measurement room (1)” are arranged so as to be able to communicate with the management server 40.

("Tablets for subjects", etc.)
As shown in FIG. 1, the tablet for a subject (subject terminal) 100 has, for example, a "tablet side display 101" which is a display unit on the surface thereof, and the "tablet side display 101" has various types. Information is displayed. The subject tablet 100 of the present embodiment is an example of the "subject terminal" of the present invention.
Further, the tablet 100 for the subject has a communication function. Specifically, wireless communication with a short reach, the communication area is an extremely short distance of about several centimeters to about 1 meter, and "near field communication" such as Bluetooth (registered trademark) and infrared communication, which are also called "non-contact communication". It is configured to enable "communication".

Further, the tablet 100 for a subject is also configured to be capable of wireless communication with a LAN (local area network) that can be used in an ophthalmic hospital.
Therefore, as will be described later, the subject enters the “tablet 100 for subject” into, for example, the “objective measurement room (1)” in FIG. 1 and brings it closer to the “tonometer 11” to “eye”. It is configured to be able to communicate with the pressure gauge 11.
Further, by operating the "tablet 100 for the subject", the subject or the examiner (examiner) can easily control the measurement operation of the target tonometer 11 or the like. ..
That is, the subject can independently start the measurement of the tonometer 11 or the like even when the examiner is not nearby.

Further, the "tablet 100 for a subject" is provided with a "position information acquisition device 102" (see FIG. 3). This "location information acquisition device 102" acquires location information from the distance between the position of the LAN access point that can be used in the hospital and the tablet 100 for the subject.
Then, the position information of the "tablet 100 for the subject" is acquired and displayed on the tablet side display 101.

In the present invention, the above-mentioned "position information acquisition device 102" is a GPS device (Global Positioning System, GPS, Global Positioning System) that measures position information at a distance from a satellite. May be there.

Further, the "position information acquisition device 102" of the present invention may be a device using the high-precision position information providing technique. This is a device that can acquire position information with high accuracy even indoors, unlike a GPS device or the like, and specifically, it is as follows.
This "high-precision position information provision" device combines three technologies of highly directional beacon, high-precision autonomous navigation (PDR: Pedestrian Dead Reckoning) and "high-precision map matching (PMM: Pedestrian Map Matching)". , Highly accurate position information (for example, position error of 3 m or less) is acquired.
Here, the "beacon" means a radio wave (or a high-frequency electromagnetic wave such as infrared rays) emitted from a radio station or the like and equipment or the like that emits such a radio wave.

Specifically, the tablet 100 for the subject is used to measure the signal strength from the beacon having high directivity and the absolute position from the position of the beacon. Then, this absolute position is processed by PDR and displayed on a map using PMM.

Further, as shown in FIG. 1, the system 1 has tablets 200a to 200f for examiners. The configurations of the examiner tablets 200a to 200f are the same as those of the subject tablet 100 described above, but the examiner tablets 200a to 200f are placed in each room such as the "objective measurement room (1)". It is a terminal possessed by an examiner (inspector) who operates a device such as an arranged "tonometer 11".
The examiner tablets 200a to 200f are examples of "inspector terminals".

("Waiting terminal" etc.)
As shown in FIGS. 1 and 2, waiting terminals 300a to 300i are provided in the waiting spaces of a plurality of rooms (examination rooms) in which a plurality of ophthalmic devices are installed. Each of the waiting terminals 300a to 300i recognizes the ID (identification information) of each room such as the "objective measurement room (1)". That is, each of the waiting terminals 300a to 300i is associated with each room such as the "objective measurement room (1)". Alternatively, each of the waiting terminals 300a to 300i may recognize the ID (identification information) of each ophthalmic device such as the "objective measurement room (1)". In this case, each of the waiting terminals 300a to 300i is associated with each ophthalmic device such as the "objective measurement room (1)".

As shown in FIG. 2, the waiting terminal 300a or the like may be set at a waiting chair installed near the entrance of each room such as the “objective measurement room (1)”. Alternatively, the waiting terminal 300a or the like may be installed in each room such as the “objective measurement room (1)”. The waiting terminal 300a or the like has a communication function and is capable of communicating with the tablet 100 for a subject. Specifically, short-distance wireless communication and communication area are extremely short distances of several centimeters to about 1 meter, and "short-range wireless communication" such as Bluetooth (registered trademark) and infrared communication, which are also called "non-contact communication". Is possible.

The subject tablet 100 has a communication function. Specifically, wireless communication with a short reach, the communication area is an extremely short distance of about several centimeters to about 1 meter, and "near field communication" such as Bluetooth (registered trademark) and infrared communication, which are also called "non-contact communication". It is configured to enable "communication". Examples of the "short-range wireless communication" of the present embodiment include wireless LAN communication such as Bluetooth (registered trademark) and infrared communication, but the "short-range wireless communication" of the present embodiment is a non-contact magnetic. Communication may be performed using a card, a non-contact IC card, or the like.

(Explanation of "refractometer, keratometer 10", etc., which are ophthalmic devices)
Next, the main devices such as the "refractometer, keratometer 10", which are ophthalmic devices arranged in the above-mentioned ophthalmology hospital, will be described.

(Related to objective measurement room (1))
-The "refraction meter, keratometer 10" (hereinafter referred to as "refraction meter, etc. 10") is an ocular refraction inspection device for measuring the refraction characteristics of the eyeball.
-The "tonometer 11" is a device for measuring intraocular pressure. Specifically, the tonometer 11 has, for example, an intraocular pressure measuring unit and has a function as a non-contact type or contact type tonometer.
In the case of a non-contact tonometer, the tonometry unit is, for example, an optical system for photographing the anterior segment of the eye to be inspected E (see FIG. 6) and an eye to be inspected from a nozzle provided coaxially with the optical system. It includes an airflow blowing portion that blows airflow onto the optometry and a fixative optical system that presents a fixative to the eye to be inspected. Further, the intraocular pressure measuring unit includes a processor that obtains the intraocular pressure value of the eye to be inspected based on the deformed state of the cornea in the state where the air flow is blown.
On the other hand, in the case of a contact-type tonometer, the intraocular pressure measuring unit is, for example, for pressing an optical system for observing the anterior eye portion of the eye to be inspected E and a member having a flat surface of a certain area against the cornea of the inspected eye. Including flat part.
Further, the intraocular pressure measuring unit includes a processor that detects the pressure required to flatten the fixed area of the cornea and obtains the intraocular pressure value of the eye to be inspected.
-The "Specular Microscope 12" is a device for inspecting the characteristics of the cornea (corneal thickness, cell distribution, etc.).
Some of the devices arranged in the "objective measurement room (1)" are automated.

(Related to the subjective examination room (2))
-The "visual acuity test device 13" is a device that measures visual acuity based on the response to the presented optotype. This visual acuity test tends to be time consuming.

(Related to photography inspection room (3))
-The "fundus camera 16" is a camera for taking a picture of the fundus.
Specifically, the fundus camera 16 has a fundus photography unit, and the fundus photography unit has a function as a fundus camera. This fundus imaging unit is, for example, an illumination optical system for irradiating the fundus of the eye to be inspected with illumination light, an optical system for guiding the return light of the illumination light from the fundus to an image sensor (area sensor), and the eye to be inspected. Includes a fixative optical system that presents a fixative.
-The "OCT device 17" is an optical coherence tomography to obtain cross-sectional images of the fundus and anterior segment of the eye, three-dimensional data, and analysis data using optical interference.
Specifically, the OCT is, for example, an optical coherence tomography using a so-called Spectral Domain type OCT equipped with a low coherence light source and a spectroscope, or a type other than the spectral domain, for example, Swept Source (Swept). There is an optical coherence tomography using the Source) type OCT method.
Swept source OCT scans the wavelength of the light shining on the subject (wavelength sweep), and sequentially detects the interference light obtained by superimposing the reflected light of the light of each wavelength and the reference light, and the spectral intensity. This is a method of imaging a subject by acquiring a distribution and applying a Fourier transform to it.

(Darkroom inspection / special inspection room (4) related)
-The "visual function test device 18" includes not only a visual function test device but also a visual acuity display device that presents a visual acuity target (Randolt ring or the like) for visual acuity measurement. It has a function to measure the visual acuity of the eye to be inspected.

(Related to examination rooms 1 to 4)
-In the examination rooms 1 to 4, "slit lamps 21a to 21d" are arranged, doctors are present, and each doctor has a "tablet for examiner".
The "slit lamps 21a-21d" are also called slit lamps and are microscopes for optometry that are viewed by both eyes.

Further, the management server 40, the subject tablet 100, the examiner tablet 200a, etc., the tonometer 11 and the like shown in FIG. 1 have a computer, and the computer includes a CPU (Central Processing Unit) and a RAM (not shown). It has a Random Access Memory), a ROM (Read Only Memory), and the like, and these are connected via a bus or the like.

(Main configurations of tablet 100 for subjects, etc.)
FIG. 3 is a schematic block diagram showing a main configuration of the subject tablet 100 (examiner's tablet 200a and the like) of FIG.
Since the configuration of the examiner's tablet 200a and the like is the same as the configuration of the examinee's tablet 100, only the configuration of the examinee's tablet 100 will be described below.
As shown in FIG. 3, the tablet 100 for a subject has a “tablet control unit 103”, and as described above, the tablet 100 for a subject communicates with an ophthalmic device such as a tonometer 11 and the like. It has a "tablet-side communication device 104" used for this purpose and the above-mentioned position information acquisition device 102.

Further, the tablet 100 for a subject has the above-mentioned tablet-side display 101, various tablet-side information input units 105 such as a keyboard for inputting various information, and various tablet-side information storage units 106 for storing various information. are doing.
The tablet control unit 103 is configured to control the tablet-side communication device 104 and the like.

(Main configuration of management server 40)
FIG. 4 is a schematic block diagram showing a main configuration of the management server 40 shown in FIG.
As shown in FIG. 4, the management server 40 has a "server control unit 41", a "server-side communication device 42" for communicating with other devices, a "server-side display 43" for displaying various information, and various information. It has a "server-side various information input unit 44" such as a keyboard for inputting, and can communicate with an ophthalmology device, a tablet 100 for a subject, a tablet 200a for a subject, a waiting terminal 300a, etc. via a communication line 2. Has been done.

Further, as shown in FIG. 4, the management server 40 has a “patient X information storage unit 45”, a “guidance information generation unit 46”, a “hospital layout information storage unit 47”, and the like. It will be described later.
The server control unit 41 of FIG. 4 is connected to the server-side communication device 42 and the like shown in FIG. 4 and is configured to control them.

(Main configuration of waiting terminal 300a, etc.)
FIG. 5 is a schematic block diagram showing a main configuration of the waiting terminal 300a and the like shown in FIG.
As shown in FIG. 5, the configurations of the waiting terminals 300a to 300i are similar to each other. The waiting terminal 300a or the like includes a "waiting terminal control unit 301", a "waiting terminal communication unit 302" for communicating with other devices, a "waiting terminal display 303" for displaying various information, a keyboard for inputting various information, and the like. It has a "waiting terminal input unit 304". The waiting terminal control unit 301 has a number calculation unit 308 that calculates the number of subjects waiting for an examination by an ophthalmologic device.

Further, the waiting terminal 300a and the like include a "patient X information transmission / reception unit 305" for transmitting / receiving information on the patient X (subject), a "position information transmission / reception unit 306" for transmitting / receiving the position information of the tablet 100 for the subject, and various types. It has a "waiting terminal storage unit 307" for storing information.
The standby terminal control unit 301 is configured to control the standby terminal communication unit 302 and the like.

(Main configuration of ophthalmic appliances)
FIG. 6 is a schematic block diagram showing a main configuration of the ophthalmic apparatus shown in FIG.
There are various main configurations such as "refractometer, keratometer 10" which is an ophthalmology device arranged in an ophthalmology hospital. Here, the main configurations of the ophthalmic apparatus of this embodiment will be described.

The ophthalmic appliance of the present embodiment includes an "ophthalmic appliance control unit 31", an "inspection unit 32", a "user interface (UI) unit 33", and an "ophthalmic apparatus communication unit 34". The ophthalmic apparatus control unit 31 executes various controls and calculations. The examination unit 32 executes the examination of the eye to be inspected E under the control of the ophthalmic apparatus control unit 31. The examination unit 32 has a configuration according to the type of the ophthalmologic examination device. The user interface unit 33 has a function of outputting information to the subject (and the examiner) and a function of inputting information and giving an operation instruction. The ophthalmic device communication unit 34 performs data communication with other devices (management server 40, subject tablet 100, examiner tablet 200a, etc., waiting terminal 300a, etc.).

(Main operation example of ophthalmic examination system)
FIG. 7 is a sequence chart showing a first operation example of the ophthalmologic examination system according to the present embodiment.
In the present embodiment, the case where the patient X, who is the subject, visits an ophthalmology hospital, receives a medical examination as the first medical examination, and undergoes an examination using various ophthalmic devices and the like will be described below as an example.

Patient X visits an ophthalmology hospital and accepts at the reception desk shown in FIG. At that time, personal information such as one's name will be presented. Then, the person in charge of the hospital generates ID information and the like of patient X (an example of "identification information"), and manages the information that "the patient is the first visit" and the information that the visit destination is "the consultation room 1". Register in the "patient X information storage unit 45" of FIG.

Next, since the receptionist has the "tablet 100 for the subject" possessed by the visiting patient in the hospital, the ID information of the patient X (patient ID: identification information) is stored in the tablet 100 for the subject. ), The information that "the patient is the first visit" and the information that the visit destination is "the examination room 1" are input to the "tablet 100 for the subject" and lent to the patient X.

Next, when the patient X activates the received "tablet 100 for subject", the "hospital layout" shown in FIG. 2 is displayed on the tablet side display 101.
As shown in FIG. 4, this hospital layout is stored in the "hospital layout information storage unit 47" of the management server 40, and this hospital layout is examined at the reception desk or the like before being lent to patient X. The personal tablet 100 receives from the management server 40.

Further, in step S11, the tablet 100 for the subject generates position data (position information) indicating the current position of the tablet 100 for the subject. Specifically, the "position information acquisition device 102" of the tablet 100 for the subject operates, and the position of the "tablet 100 for the subject" is determined. As a result, position data (position information) indicating the current position of the tablet 100 for the subject is generated.

The position data indicating the current position of the tablet 100 for the subject is not limited to being created by the tablet 100 for the subject, and may be created by the waiting terminal 300a or the like. That is, the waiting terminal 300a or the like may generate position data indicating the current position of the tablet 100 for the subject based on the position information acquired by the tablet 100 for the subject. In the present embodiment, a case where the tablet 100 for the subject generates position data indicating the current position of the tablet 100 for the subject will be given as an example.

The current position of the tablet 100 for the subject may be indicated by a circle P on the “hospital layout” as shown in FIG. Further, the voice "Please go to the examination room 1" may be output from the speaker of the "tablet 100 for the subject".

According to this, the patient X can clearly grasp that he / she is going to the “examination room 1” first, and at the same time, he / she can clearly grasp the positional relationship between his / her current position (circle P) and the “examination room 1”. It can be clearly grasped. Therefore, the patient X can easily and without hesitation to go to the “examination room 1”.

On the other hand, in step S12, the ophthalmologic device such as the tonometer 11 transmits the device ID (identification information) to the waiting terminal 300a or the like in advance. That is, each of the waiting terminals 300a to 300i recognizes the device ID (identification information) of each ophthalmic device such as the "objective measurement room (1)". As a result, each of the waiting terminals 300a to 300i is associated with each ophthalmic device such as the "objective measurement room (1)". Alternatively, each of the waiting terminals 300a to 300i recognizes the room ID (identification information) of each room such as the "objective measurement room (1)". As a result, each of the waiting terminals 300a to 300i is associated with each room such as the "objective measurement room (1)".

Subsequently, in step S13, when the patient X brings the subject tablet 100 closer to the waiting terminal 300f installed in the waiting space of the "examination room 1", the patient X is placed between the subject tablet 100 and the waiting terminal 300f. Communication is performed via short-range communication technology. Then, communication is started between the tablet 100 for the subject and the waiting terminal 300f (step S13).

If it is found that the patient X has not arrived at the target location, the information may be changed in an easy-to-understand manner and displayed on the "tablet side display 101" of the "tablet 100 for the subject", or the staff may be voiced. It is also configured to be displayed on the "tablet side display 101" so as to be applied. Further, it may be configured to automatically call the "tablet 100 for the subject" from the monitoring device (not shown) or from the examiner who noticed it.

When the communication between the subject tablet 100 and the waiting terminal 300f is started, in step S14, the subject tablet 100 has the identification information (subject ID) assigned to the patient X and the subject. The position data indicating the current position of the examiner tablet 100 and the position data indicating the current position are transmitted to the waiting terminal 300f. As a result, the waiting terminal 300f receives the identification information (subject ID) assigned to the patient X by the patient X information transmission / reception unit 305, and the position data indicating the current position of the tablet 100 for the subject is transmitted / received. Received by unit 306.

Subsequently, in step S15, the waiting terminal 300f is waiting for an examination (medical examination in the examination room 1) by the slit lamp 21a based on the identification information (examinee ID) received from the tablet 100 for the examinee. The number of examiners is calculated by the number calculation unit 308.

According to the first operation example of the present embodiment, the waiting terminal 300a or the like can recognize which subject is waiting for the examination by the ophthalmologic device (or the medical examination in the examination room). Further, the waiting terminal 300a or the like can recognize the current position of the subject waiting for the examination by the ophthalmologic apparatus from the identification information (examinee ID) and the position data of the tablet 100 for the examinee. This makes it possible to improve the efficiency of ophthalmic medical care.

Further, the waiting terminal 300a or the like determines the number of subjects who are waiting for an examination (or medical examination in a doctor's office) by an ophthalmologic device based on the identification information (examinee ID) received from the tablet 100 for the examinee. Calculated by the number of people calculation unit 308. Thereby, for example, the examiner can grasp the standby state (congestion status) of the subject who is waiting for the examination by the ophthalmologic apparatus by the waiting terminal 300a or the like. This makes it possible to improve the efficiency of ophthalmic medical care.

FIG. 8 is a sequence chart showing a second operation example of the ophthalmologic examination system according to the present embodiment.
Steps S21 to S25 shown in FIG. 8 are the same as the operations of steps S11 to S15 described above with respect to FIG. 7.

The number of subjects waiting for an examination by an ophthalmology device (or medical examination in a doctor's office) may be calculated by the management server 40 instead of the waiting terminal 300a or the like. That is, for example, the management server 40 waits for an examination (or medical examination in a doctor's office) by an ophthalmic apparatus based on the identification information (examinee ID) received from the tablet 100 for the subject via the waiting terminal 300a or the like. The number of subjects may be calculated. In the description of FIG. 8, a case where the waiting terminal 300a or the like calculates the number of subjects waiting for an examination (or medical examination in a doctor's office) by an ophthalmologic device will be taken as an example.

Further, as described above with respect to FIG. 7, the position data indicating the current position of the tablet 100 for the subject is not limited to being created by the tablet 100 for the subject, such as the waiting terminal 300a or the management server 40. May be created by. In the present embodiment, a case where the tablet 100 for the subject generates position data indicating the current position of the tablet 100 for the subject will be given as an example.

In step S26 following step S25, the waiting terminal 300f (first waiting terminal) determines the number of subjects waiting for the examination by the slit lamp 21a (medical examination in the examination room 1) via the waiting terminal communication unit 302. Send to the management server 40. The waiting terminal 300f in the second operation example is an example of the "first waiting terminal" of the present invention.

Subsequently, in step S27, the management server 40 performs an inspection by the slit lamp 21a (in the examination room 1) based on the number of subjects (examinees waiting at the waiting terminal 300f) received from the waiting terminal 300f. It is determined whether or not the number of subjects waiting for medical examination) is large, that is, whether or not the examination by the slit lamp 21a (medical examination in the examination room 1) is congested. Specifically, the management server 40 determines whether or not the number of subjects received from the waiting terminal 300f is equal to or greater than a predetermined number.

When the number of subjects waiting for the examination by the slit lamp 21a (medical examination in the examination room 1) is large (step S27: YES), in step S28, the management server 40 is guided by the guidance information generation unit 46. Generate information. For example, the management server 40 is a waiting room assigned to an examination room (for example, an objective measurement room (1)) in which an ophthalmic device (for example, a tonometer 11) other than the slit lamp 21a on which the patient X is waiting is installed. The patient X is guided to the terminal 300a (second waiting terminal). The waiting terminal 300a in the second operation example is an example of the "second waiting terminal" of the present invention. That is, the guidance information generated by the guidance information generation unit 46 of the management server 40 is the second waiting terminal assigned to the examination room in which the ophthalmic device other than the ophthalmic device associated with the first waiting terminal is installed. This is information for guiding the subject.

In step S29, the management server 40 transmits the guidance information generated in step S28 to the subject tablet 100 via the server-side communication device 42. Subsequently, in step S30, the management server 40 is assigned to the position data of the tablet 100 for the subject received from the tablet 100 for the subject and the second waiting terminal (for example, a waiting terminal 300a other than the waiting terminal 300f). Based on the identification information, the positional relationship between the current position of the tablet 100 for the subject and the second waiting terminal (for example, the waiting terminal 300a) is displayed on the tablet side display 101 of the tablet 100 for the subject. .. Further, the management server 40 causes the tablet-side display 101 of the tablet 100 for the subject to display the route from the current position of the tablet 100 for the subject to the second waiting terminal (for example, the waiting terminal 300a).

In other words, when the subject tablet 100 receives guidance information from the management server 40 via the tablet-side communication device 104, the current position of the subject tablet 100 and the second waiting terminal (for example, the waiting terminal 300a) And, the positional relationship is displayed on the tablet side display 101. Further, the tablet 100 for the subject displays the route from the current position of the tablet 100 for the subject to the second waiting terminal (for example, the waiting terminal 300a) on the tablet side display 101.

In step S27 following step S26, when the number of subjects waiting for the examination by the slit lamp 21a (medical examination in the examination room 1) is small (step S27: NO), the management server 40 provides guidance information. End the operation without generating it.

According to the second operation example of the present embodiment, the ophthalmic apparatus (slit lamp) of the examination room (“examination room 1” in the second operation example) in which the first waiting terminal (waiting terminal 300f in the second operation example) is installed. When there are many subjects waiting for the examination (medical examination) by 21a) (when the examination room where the first waiting terminal is installed is crowded), the management server 40 is installed with the first waiting terminal. The patient X can be guided to the second waiting terminal (waiting terminal 300a in the second operation example) of the examination room (objective measurement room (1) in the second operation example) which is more vacant than the examined examination room. Therefore, it is possible to further improve the efficiency of ophthalmic medical care.

Further, the management server 40 displays the positional relationship between the current position of the tablet 100 for the subject and the second waiting terminal (waiting terminal 300a) on the tablet side display 101, and the current position of the tablet 100 for the subject. The tablet side display 101 displays the route from the position to the second waiting terminal (waiting terminal 300a). As a result, even if the patient X is guided to a second waiting terminal (waiting terminal 300a) different from the first waiting terminal (waiting terminal 300f), the patient X does not get lost in the ophthalmology hospital for a relatively short time. It is possible to move from the first waiting terminal (waiting terminal 300f) to the second waiting terminal (waiting terminal 300a).

The following are examples of cases where the laboratory is congested. That is, for example, at present, because another subject has cataract, it is difficult to measure the "refractometer, keratometer 10" in the "objective measurement room (1)" in FIG. 1, and it takes a long time to measure. The device may be "crowded" with frequent errors. Further, at present, an error occurs in which the xenon lamp of the "fundus camera 16" of the "imaging examination room (3)" does not emit light. For example, one of the two "fundus cameras 16" becomes unusable, and " It may be "crowded". For example, in such a case, the management server 40 can guide the patient X to the second waiting terminal in the examination room, which is vacant than the examination room in which the first waiting terminal is installed. Therefore, it is possible to further improve the efficiency of ophthalmic medical care.

FIG. 9 is a sequence chart showing a third operation example of the ophthalmologic examination system according to the present embodiment.
Steps S41 to S45 shown in FIG. 9 are the same as the operations of steps S11 to S15 described above with respect to FIG. 7.

As described above with respect to FIG. 8, the number of subjects waiting for an examination by an ophthalmic device (or medical examination in a doctor's office) may be calculated by the management server 40 instead of the waiting terminal 300a or the like. That is, for example, the management server 40 waits for an examination (or medical examination in a doctor's office) by an ophthalmic apparatus based on the identification information (examinee ID) received from the tablet 100 for the subject via the waiting terminal 300a or the like. The number of subjects may be calculated. In the description of FIG. 9, a case where the waiting terminal 300a or the like calculates the number of subjects waiting for an examination (or medical examination in a doctor's office) by an ophthalmologic device will be taken as an example.

In step S46 following step S45, the waiting terminal 300f transmits the identification information (examinee ID) assigned to the patient X to the examiner tablet 200a or the like via the patient X information transmission / reception unit 305, and the examinee. The position data indicating the current position of the tablet 100 for examination is transmitted to the tablet 200a for examiner or the like via the position information transmission / reception unit 306. Further, in step S46, the waiting terminal 300f transmits the number of subjects calculated in step S45 to the examiner tablet 200a or the like via the waiting terminal communication unit 302. In other words, when the examiner's tablet 200a or the like communicates between the examinee's tablet 100 and the waiting terminal 300f via the short-range communication technique, the identification information assigned to the patient X (examinee). The ID) is received from the waiting terminal 300f, and the position data generated by the tablet 100 for the subject is received from the waiting terminal 300f. Further, the examiner tablet 200a or the like receives the number of examinees calculated by the number calculation unit 308 of the waiting terminal 300f from the waiting terminal 300f. Alternatively, the examiner tablet 200a or the like may receive the number of subjects calculated by the plurality of waiting terminals 300a or the like from the plurality of waiting terminals 300a or the like.

Subsequently, in step S47, the examiner's tablet 200a and the like calculate the identification information (examinee's ID) assigned to the patient X, the position data indicating the current position of the examinee's tablet 100, and step S45. The number of examinees and the number of examinees are displayed on the tablet side display 101 such as the examiner's tablet 200a.

According to the third operation example of the present embodiment, the examiner can grasp which subject is waiting for the examination by the ophthalmologic device (or the medical examination in the examination room) by the examiner's tablet 200a or the like. can. In addition, the examiner can grasp the current position of the subject waiting for the examination by the ophthalmologic apparatus from the identification information (examinee ID) and the position data of the tablet 100 for the examinee. This makes it possible to improve the efficiency of ophthalmic medical care.

Further, the examiner's tablet 200a or the like displays the number of examinees waiting for the examination by the slit lamp 21a (medical examination in the examination room 1) on the tablet side display 101 of the examiner's tablet 200a or the like. Thereby, the examiner can grasp the number of examinees calculated by the waiting terminal 300f (the number of examinees waiting for the inspection by the slit lamp 21a) by the examiner tablet 200a or the like. When the examiner's tablet 200a or the like receives the number of subjects calculated by the plurality of waiting terminals 300a or the like from the plurality of waiting terminals 300a or the like, the examiner may use each of the plurality of waiting terminals 300a or the like. The number of examinees waiting in the above can be grasped by the examiner tablet 200a or the like.

In addition, in FIG. 9, the examiner's tablet 200a and the like are the identification information (examinee's ID) assigned to the patient X, the position data of the examinee's tablet 100, and the examination by the ophthalmic apparatus (or in the examination room). The number of subjects waiting for medical examination) is received from the waiting terminal 300a or the like, but the present invention is not limited to this, and may be received from the management server 40. That is, the management server 40 receives the identification information (examinee's ID) assigned to the patient X and the position data of the subject's tablet 100 from the waiting terminal 300a or the like, and the examiner's tablet 200a or the like receives the identification information (examinee's ID) from the waiting terminal 300a or the like. , The management server 40 may receive the identification information (subject ID) and the position data received from the waiting terminal 300a or the like. Further, the management server 40 calculates the number of subjects waiting for an examination by an ophthalmic apparatus (or medical examination in a doctor's office), and the examiner tablet 200a or the like calculates the number of subjects calculated by the management server 40. The number of people may be received from the management server 40.

The embodiment of the present invention has been described above. However, the present invention is not limited to the above embodiment, and various modifications can be made without departing from the scope of claims. The configuration of the above embodiment may be partially omitted or may be arbitrarily combined so as to be different from the above.
In the present embodiment, the laboratory of an ophthalmology hospital has been described as an example, but the present invention is not limited to this, and the present invention is not limited to this, and is applicable to other facilities such as accounting, hospitalization office work, in-hospital dispensing, etc. Also applies.

1 ... Ophthalmology examination system, 2 ... Communication line, 10 ... Refractometer, Keratometer, 11 ... Tonometer, 12 ... Specular microscope, 13 ... Vision test equipment, 14.・ ・ Foropter, 15 ・ ・ ・ Eye examination system, 16 ・ ・ ・ Funds camera, 17 ・ ・ ・ OCT device, 18 ・ ・ ・ Visual function test device, 19 ・ ・ ・ Microperimeter, 20 ・ ・ ・ Perimeter, 21a ～ 21d ... Slit lamp, 31 ... Ophthalmology device control unit, 32 ... Inspection unit, 33 ... User interface unit, 34 ... Ophthalmology equipment communication unit, 40 ... Management server, 41 ...・ Server control unit, 42 ・ ・ ・ server side communication device, 43 ・ ・ ・ server side display, 44 ・ ・ ・ server side various information input unit, 45 ・ ・ ・ patient X information storage unit, 46 ・ ・ ・ guidance information generation Department, 47 ... Hospital layout information storage unit, 100 ... Tablet for subject, 101 ... Tablet side display, 102 ... Position information acquisition device, 103 ... Tablet control unit, 104.・ ・ Tablet side communication device, 105 ・ ・ ・ Tablet side various information input unit, 106 ・ ・ ・ Tablet side various information storage unit, 200a ～ 200f ・ ・ ・ Examiner tablet, 300a ～ 300i ・ ・ ・ Waiting terminal, 301・ ・ ・ Waiting terminal control unit, 302 ・ ・ ・ Waiting terminal communication unit, 303 ・ ・ ・ Waiting terminal display, 304 ・ ・ ・ Waiting terminal input unit, 305 ・ ・ ・ Patient X information transmission / reception unit, 306 ・ ・ ・ Position information Transmission / reception unit, 307: Waiting terminal storage unit, 308: Number of people calculation unit, E: Eye to be examined, X: Patient

Claims (6)

Ophthalmic examination equipment and
The subject terminal used by the subject in the facility where the ophthalmologic examination device is installed,
A waiting terminal installed in the waiting space of the examination room where the ophthalmologic examination device is installed and connected to the subject terminal so as to be communicable with the subject terminal.
Equipped with
When communication is performed between the subject terminal and the waiting terminal via the short-range communication technique, the waiting terminal has identification information assigned to the subject and the current position of the subject terminal. An ophthalmologic examination system characterized by receiving position data indicating. Further equipped with a management device connected to the subject terminal and the standby terminal so as to be able to communicate with each other via a communication line.
The claim is characterized in that the waiting terminal or the management device calculates the number of subjects waiting for an examination by the ophthalmologic examination device based on the identification information received from the subject terminal. The ophthalmologic examination system according to 1. A plurality of the ophthalmologic examination devices are provided in the plurality of the examination rooms.
A plurality of the waiting terminals assigned to each of the plurality of examination rooms are provided, and the waiting terminals are provided.
The management device is used for ophthalmic examinations other than the ophthalmologic examination device corresponding to the first waiting terminal, depending on the number of subjects waiting at the first waiting terminal among the plurality of waiting terminals. 2. Ophthalmic examination system described in. The subject terminal has a display unit for displaying various information.
The management device causes the display unit to display the positional relationship between the current position and the second waiting terminal based on the position data and the identification information assigned to the second waiting terminal, and from the current position. The ophthalmologic examination system according to claim 3, wherein the route to the second waiting terminal is displayed on the display unit. An examiner terminal used by an examiner in a facility where the ophthalmologic examination device is installed, further including a waiting terminal and an examiner terminal communicably connected to the management device.
When the examiner terminal communicates between the subject terminal and the waiting terminal via the short-range communication technique, the examiner terminal uses the identification information and the position data assigned to the subject to the waiting terminal. The ophthalmologic examination system according to any one of claims 2 to 4, wherein the ophthalmologic examination system is received from at least one of the management devices. The fifth aspect of claim 5, wherein the examiner terminal receives the number of subjects calculated by the waiting terminal or the management device from at least one of the plurality of waiting terminals and the management device. Ophthalmic examination system.

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