JP2809335B2 - Automatic return visitor system and return visitor device - Google Patents

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an automatic return reception system and a return reception apparatus for automatically receiving a re-examined patient.

[0002]

2. Description of the Related Art Conventionally, for reception at a hospital counter, a consultation ticket (card) is issued at the first consultation, and this consultation card is submitted at the subsequent re-examination, and related work is performed based on the contents stored on the card. Is going. Reception services for re-examined patients include notification of the order of reception corresponding to the details of examinations, such as departments for re-examination, drug administration, examinations, and examinations, which were notified by the re-examiner verbally or through application forms, and recording and recording of records. There is a chart release process for storage, etc.

[0003] In recent years, as the number of patients has increased, the time and labor required for reception work has also increased significantly, and it has become impossible to carry out efficient consultation processing. In particular, this tendency is remarkable in hospitals with many departments such as general hospitals. For this reason, an apparatus for automating re-examination reception has been proposed and is being put to practical use. For example,
Japanese Patent Application Laid-Open No. Sho 60-116070 discloses a technique of inputting a consultation card, referring to a consultation history already stored, assigning a receipt number for each consultation department, and issuing a consultation receipt slip. Also, JP-A-63-219064 discloses that
In addition to the above technology, there is disclosed a technology for displaying a reception number of a patient to be called into a doctor's office to inform a waiting patient.

[0004]

However, in the above-mentioned conventional technique, the latter requires the patient to repeat the reception operation by the number of consultation departments. In the former, a plurality of consultation departments can be selected. There is an inconvenience that you have to try to enter the desired department.

[0005] In addition, the reception number of the first examiner and the reception number of the re-examiner cannot be assigned in common, which may lead to confusion at the time of medical examination. In addition, hospitals check for health insurance cards (hereinafter referred to as health insurance cards) on a monthly basis, etc., but it is also a problem how to handle patients who need to show them or how to assign a reception number. .

The present invention eliminates the above-mentioned drawbacks, and allows each patient to easily select a desired department from re-examined departments that have been selected with reference to the history of departments that have been examined. Provided is an automatic return reception system and a return reception device that can simplify a patient reception procedure.

[0007]

In order to solve this problem, an automatic return admission system of the present invention comprises: a consultation ticket reading means for reading patient identification information relating to a patient who owns the consultation ticket from the consultation ticket; A storage information search unit that searches for patient storage information corresponding to the patient identification information read from the consultation ticket by the consultation ticket reading unit, and the patient stored in the patient storage information searched by the storage information search unit is By referring to the history of the departments that have been consulted, at least among the departments where the patient has already undergone the first consultation, the condition that today is not closed and the re-examination time is within today's consultation time is satisfied. The department to be re-examined, the re-examineable department determining means for determining that the patient can be re-examined, and the re-examineable department that informs the patient of the re-examineable department determined by the re-examineable department decision means. Department reporting means and the re-examination The re-examination department determining means for determining a re-examination desired department input from the input means as a re-examination department in the re-examination department notified by the Noka notification means, Re-examination receiving means for performing a re-examination reception process for the determined re-examination department, and, after the examination of the patient, the history of the department in which the patient was examined in the patient accumulation information corresponding to the patient identification information. Patient information storage means for storing. Here, the medical examination system further includes a medical leave setting unit that is externally set to be medical leave and outputs medical leave information.
The re-examination-possible department determining means is a re-examination of the patient as a department which has been closed due to any of the rest information stored in the storage means and the rest information set by the rest setting means. Determine possible families.

[0008] Further, the return admission apparatus of the present invention comprises a consultation ticket reading means for reading patient identification information relating to a patient who owns the consultation ticket from the consultation ticket, and the patient ticket read by the consultation ticket reading means from the consultation ticket. Patient identification information transmitting means for transmitting identification information to the host, and in response to the transmission of the patient identification information, a response returned from the host, at least in a department where the patient has already undergone the first consultation, A re-examination-possible department receiving means for receiving information on a re-examination-possible department for the patient, which satisfies the condition that the re-examination time is within today's medical treatment time without being closed, and the re-examination-possible department reception Means for notifying the patient of a re-examineable department by the patient received by the means; and re-examination in the re-examineable department of the patient notified by the re-examineable department notifying means. Re-examination desired department input to enter the desired department A re-examination desired department transmitting means for transmitting to the host a department desired to be re-examined input from the re-examination desired department input means; And a reception number receiving means for receiving the reception number of the re-examination department returned from the side, and a reception number output means for outputting the reception number received by the reception number receiving means. Here, it is further provided with a non-examination department setting means that is externally set to be a non-examination corresponding to the consultation department, and outputs information corresponding to the non-examination department, and the re-examination-possible department notification means includes A department that is a possible department and is not a department that has been set by the above-mentioned department that has not been set as a closed department is reported as a department that can be re-examined.

[0009]

DESCRIPTION OF THE PREFERRED EMBODIMENTS FIG. 1A is a block diagram showing the configuration of the automatic return admission system of this embodiment. Where 10-1 to 10-n
Is a return receipt machine that issues a receipt with a receipt number based on the input of the consultation card, and 20 is a plurality of return receipt machines 10-1.
A re-visited system controller that manages and controls reception departments and reception numbers by communicating with -10 to 10-n (hereinafter, represented by the re-reception reception machine 10), 30 is a printer that outputs the reception status, 40-1 to 40-n Is a monitor for notifying the patient of the reception status, and 50 is a host computer connected to the system controller for re-establishment of the entire hospital, such as management of consultation departments and management of medical records.

The automatic return visit receiving system basically includes a return visit receiving machine 10 and a return visit system controller 20, and sends updated data of a patient to the host computer 50, and receives data of a first visitor from the host computer 50.

FIG. 1B is an external perspective view of the re-acceptance device 10. Numeral 11 denotes a consultation ticket insertion slot into which a patient inserts a consultation card, which comprises a magnetic card reader. Reference numeral 12 denotes a reception slip issuance port for issuing a reception slip with a re-examination department and its reception number, and has a reception slip printer. 13 is a speaker for notifying the patient of operation instructions and operation results by voice, 14 is a display for displaying operation instructions and operation results, 15 is an operation panel consisting of a group of keys operated by the patient, and 17 is used in the second embodiment. Image reading unit (for example, CC) that reads the image of the insurance card presented by the patient
D).

FIG. 1C shows an operation panel 15 for selecting a department to be re-examined.
Is shown in a schematic top view.

Reference numeral 15a denotes a key group for selecting a re-examination department.
The patient can push the desired department from the lit re-examineable department. Pressing an unlit department does not work. Reference numeral 15b denotes a group of keys for selecting examination contents, for example, examination, examination, injection or medicine. 15c is a cancel key for interrupting the operation, and 15d is a confirmation key for proceeding the operation. Reference numeral 15e denotes an insurance card key used in the second embodiment, which instructs the image reading unit 17 to start reading an insurance card.

FIG. 2A shows a first embodiment of FIG.
FIG. 4 is a diagram showing an operation of a patient at the re-examination reception device 10 of FIG. Here, the operation for the first visitor is also shown.

First, a patient inserts a consultation card from the card insertion slot 11. The return visitor 10 reads the registration number, name, date of birth, gender, and the like from the consultation card, and sends a part or all of the information to the return system controller 20 as patient information. The re-visit system controller 20 determines the departments that can be consulted based on the accumulated patient history information, consultation time (including the information on the absence of the hospital), etc.
Send to 0. In the re-acceptance device 10, the department that can be re-examined is lit from the key group 15a. At this time, the return visitor 1 described later
Reference is also made to the back panel 0.

The patient selects a desired department from among the lit departments that can be re-examined and makes a key input. When the consultation department information is sent from the return visit reception unit 10 to the return visit system controller 20, the conditions for presenting the insurance card of each consultation department (based on the last consultation date)
Is given in consideration of the above, and the stored current reception number is incremented by one. The host computer 50
Also, when the first visitor is registered, the returning system controller 20 returns the receipt number to the host computer 50 and adds one to the stored number.

The return system controller 20 returns the reception number information to the return reception device 10, updates the accumulated patient information, for example, the last consultation date, and sends the updated information to the host computer 50. Host computer 5
At 0, the database of all patients is updated based on the transmitted information.

The return accepting machine 10, which has received the receipt number information,
A reception slip in which a reception number is entered is output from the reception slip issuing port 12 for each consultation department. It should be noted that a reception time zone predicted from the reception number may be written in the reception slip. Also, the reception slip may list the departments to be consulted on one sheet, or issue one sheet for each department and fill in the multiple examination information so that the patient's whereabouts can be found and the consultation can proceed smoothly. It is convenient.

FIG. 2B is a diagram showing a second embodiment of FIG.
FIG. 4 is a diagram showing an operation of a patient at the re-examination reception device 10 of FIG. Here, the operation for the first visitor is also shown.

2A will be described. When the department information is sent from the re-receipt accepting machine 10 to the re-visiting system controller 20, it is examined whether or not an insurance card is required. Receipt receiving machine 10
To return. The return visitor 10 notifies the patient of the presentation of the insurance card and waits for the presentation, reads the image of the insurance card presented to the insurance card reader 17 and sends the image or the extracted features to the system controller 20 again. . The insurance card is collated by the system controller 20 again,
If it is OK, the reception number is returned to the return reception machine 10. If it is not necessary to present an insurance card, the receipt number is returned to the return receipt machine 10 immediately, as in FIG. 2A. On the other hand, in the case of a first-time visitor, only the image of the insurance card is stored, and the other points are the same as those in FIG. 2A. FIG. 3A is a block diagram showing an example of the configuration of the re-acceptance device 10. 100 is an operation / control for controlling the entire re-acceptance machine.
A control CPU 101 is a ROM for storing a program to be executed by the CPU 100.
a and the voice information storage unit 101b. Reference numeral 102 denotes a RAM for auxiliary storage, and the ROM 102 stores patient and consultation department information shown in FIG. 3B.

In FIG. 3B, reference numeral 102a denotes a patient registration number, 1
02b stores the name, 102c stores the date of birth and gender, and 102d stores the departments that can be examined and the corresponding department selection flag, insurance card presentation flag, reception contents, etc., and the reception number corresponding to each department. There is an area. In addition, a time zone in which medical treatment is possible is stored as the reception time. Also multiple department information 10
In 2e, the departments to be received at the same time are stored in association with each other. At the time of inserting the examination card, the registration number 102a,
The name 102b, the date of birth, and the sex 102c are written, and 102d and later are created based on the receivable department information and the reception number information from the re-visited system controller 20.

Returning to FIG. 3A, reference numeral 103 denotes an input / output interface, which is a magnetic card reader 11, a reception slip printer 1
2. It controls input and output with the speaker 13, the display 14, the operation panel 15, the rear operation panel 16 and the insurance card reading unit. Here, the rear operation panel 16 is a panel for performing processing when the storage contents of the system cannot be changed due to an emergency medical stoppage or the like. Used for processing except. A communication interface 104 controls communication with the system controller 20 again.

FIG. 4A is a block diagram showing an example of the structure of the recurrent system controller 20. Reference numeral 200 denotes a CPU for arithmetic control, 201 denotes a ROM for storing a control program of the CPU 200, and 202 denotes a RAM for auxiliary storage. A reception patient storage information storage unit 222 that stores the storage data of the reception patient.

FIGS. 4B and 4C show the re-examination department reception number storage unit 2.
12 and a configuration example of the reception patient accumulated information storage unit 222.
In FIG. 4B, reference numeral 212a denotes the number of the re-accepting machine, and indicates from which re-accepting machine the information came. Reference numeral 212b denotes a registration number of the patient, and 212c denotes an area corresponding to 102d in FIG. 3B for storing re-examination department information that can be consulted, a reception number of each department, and the like. This information is sent to the return visitor 10, and based on this information, the reception patient information storage unit 112 of the return visitor 10
Is formed. Reference numeral 212d denotes concurrent medical department information. In FIG. 4C, 222a is a patient registration number, 222b is a name,
Reference numeral 222c denotes an area for storing the date of birth and gender, and 222d, an area for storing a pair of a department and a physician or the last consultation date which have been registered once. In the second embodiment, 222e is used as an area for storing the insurance card pattern.

Referring back to FIG. 4A, reference numeral 203 denotes a large-capacity storage unit such as a disk, in which an all-patient information storage area 203a for accumulating information of all patients in a searchable manner by a registration number and a date of consultation of all departments. And a general reception information storage area 203b for storing the time and the current reception number. FIG. 4D shows a configuration example of the entire department reception information storage area 203b. Note that the information structure of each patient in the all patient information storage area 203a is similar to FIG. 4C.

Reference numeral 204 denotes an input / output interface with the host computer 50. In the case of a first-time examiner, patient information is transmitted from the host computer 50 to the system controller 20 again and newly stored in the entire patient information storage area 203a. After registration, the reception number of the consultation department in the all-department reception information storage unit 203b is updated. <Operation of the First Embodiment> FIG.
7 is a flowchart showing a processing procedure of No. 0. First, in step S10, the process waits for the insertion of a magnetic card. When there is an insertion, the process proceeds to step S11 to read patient information from the magnetic stripe. The registration number is sent to the system controller 20 again in step S12, and a reply is waited in step S13. If there is a reply, this reply information includes information on the departments that can be consulted. In step S14, the departments that can be consulted are determined again by taking into account the contents of the back operation panel 16 of the user.
In step S15, the departments that can be examined in the key group 15a are turned on.

Next, in step S16, the process waits for the patient to press the desired department from the lit available departments.
When the button is pressed, the consultation flag is set in step S17, and the consultation department is stored. Next, in step S18, a key input of the contents of the consultation is waited, and if there is an input, the contents of the consultation are stored in step S19. In step S20, an input of a confirmation key is waited. If there is an input, the process proceeds to step S21, where the department and contents of the consultation are sent to the system controller again.

In step S22, a reply is waited. When there is a reply, the reply information includes a reception number for each department (or each consultation content). In step S23, this is stored in the reception number area of each department. The received information is stored and printed out in step S24 based on this information. When the printing is normally completed, the system controller 20 is notified of the completion of the issuance of the receipt in step S25.

FIG. 6 is a flowchart showing the processing procedure of the re-visited system controller 20 of the first embodiment. First, in step S30, S35 or S45, the host computer 50, the return reception machine 10 or the monitor 4
Check if the consultation from 0 was successful. When receiving from the host computer 50, step S
In step S32, the process proceeds to step S32, where it is checked whether the information is the first consultation information or not.
Is registered, and the reception number of each consultation department is incremented in step S33. If it is not the first consultation information, step S3
Other processing corresponding to 4 is performed.

In the case of reception from the re-acceptance accepting machine 10, the number of the accepting machine is stored in step S36 for a reply, and in steps S37, S41, S43, a request for a diagnosable department or a request for a receipt number is processed. It is determined whether the process is completed. If the request is a possible department, the process proceeds to step S38, where the patient information is searched from all the patient information by the registration number, and the department that can be consulted is determined in step S39. The determination of a possible consultation department is determined on the condition that at least (the department that has been consulted once) * (not a close). Here, * indicates a logical product. The information of the possible consultation department determined in step S40 is returned to the corresponding return visitor 10. In the case of a request for a receipt number, the process proceeds to step S42, and the receipt number of the desired consultation department is returned to the return receipt machine 10 in consideration of the presentation conditions of the insurance card. If the processing is completed, the flow advances to step S44 to send the updated patient information to the host computer 50.

Next, if the data is received from the monitor 40, the current reception information or the medical examination status is displayed on the monitor in step S46. <Operation of the Second Embodiment> FIG.
7 is a flowchart showing a processing procedure of No. 0. In the figure, FIG.
Only the parts that differ from are shown. Step S21, S
At 22, the receiving department and the contents are returned to the system controller 2
When a reply is received after sending 0, whether or not the insurance card is presented is checked in step S51. If the insurance card is not presented, the process proceeds to step S23, where the reception number is stored, and the same processing as FIG. Do.

If it is an instruction to present an insurance card, step S52
After waiting for the presentation of the insurance card by the patient at step S53, the image of the insurance card is read by the insurance card reader 17 at step S53, and the feature is extracted at step S54.

Here, two examples of the feature extraction method employed in this embodiment will be described. These methods are examples of the advantage that a small amount of data has the advantage that the difference can be clarified in accordance with the image of the insurance card. 1. Feature extraction by appearance frequency (a) Obtain the density distribution of the read image.

(B) determining a threshold value based on the density distribution,
Store the threshold.

(C) According to the threshold value determined in (b), 2
Obtain quantified data.

(D) The frequency of pixels having a value of "1" in the binarized image is obtained and stored as a feature parameter.

9A and 9B show examples of the above feature extraction. 2. Feature extraction by histogram projected in a predetermined direction (a) 1. A binary image is obtained in the same manner as in.

(B) projecting the binary image data in the vertical direction,
Pixels having a value of “1” are counted to obtain a histogram.

(C) The same operation as in (b) is performed in the horizontal direction.

(D) The histograms obtained in (b) and (c) are stored as feature parameters.

FIGS. 10A and 10B show examples of the above feature extraction. Note that feature extraction is not limited to this example.

Returning to FIG. 7, the features extracted in step S55 are transmitted to the system controller 20 again.
Wait for the reply of the reception number in step S56, and then in step S2
Execute step 3 and subsequent steps. It should be noted that the process in the case where the image is not OK in the image verification of the insurance card is omitted because it is not important.

FIG. 8 is a flow chart showing the processing procedure of the second system controller 20 of the second embodiment. This figure also shows only parts different from FIG. Step S4
If it is determined in step 1 that the department and contents have been received from the return visitor 10, it is determined in step S61 whether or not an insurance card is required based on the last consultation date for each department.
Steps S62 to S63 if necessary for one department
Then, the request for presenting the insurance card is sent to the return reception machine 10.

If the content is not the same as the consultation department in step S41, it is checked in step S64 whether or not the feature of the image of the insurance card has been sent. If the feature of the image of the insurance card has been sent, it is stored in advance in step S65. Compare and match the features of the image. If the collation is not OK, error processing is performed. If the collation is OK, the reception number is transmitted in step S42.

FIGS. 11A to 11C are diagrams showing examples of reception slips issued in this embodiment. FIG. 11A shows an example in which all reception departments are entered in one reception slip.
FIG. 11C shows an example in which a reception slip is issued for each department.
In (c), concurrent examination information is entered. In this way, if there is no patient even at the consultation number, an inquiry to another department can be made.

In this embodiment, after the patient has selected the department to be examined, the insurance card presentation request is notified, and the insurance card is presented and collated. The departments that need to be presented may also be notified at the same time. For example, a configuration is also conceivable in which the key group 15a is illuminated as a department that can receive a medical examination when it is green and does not need to present an insurance card, and a department that can receive a medical examination but presents an insurance card when it is red.

Further, in this embodiment, the processing by the cancel key or the error processing is not shown, but the cancel key is all-mighty, and it goes without saying that an error check is performed during each communication processing. . Further, the communication information between the re-accepting device and the re-visiting system controller is not limited to this example, and various configurations of the accumulated information can be considered. Furthermore, it is natural that management such as data storage / correction and confidentiality is performed.

[0048]

According to the present invention, it is possible to easily select a desired consultation department from re-examineable departments selected by referring to the history of the department in which each patient has been consulted. , An automatic return reception system and a return reception device can be provided.

[Brief description of the drawings]

FIG. 1A is a block diagram illustrating a configuration of an automatic return visit reception system according to an embodiment.

FIG. 1B is an external perspective view of the return visitor.

FIG. 1C is a top view of the operation panel.

FIG. 2A is a diagram illustrating a process of the automatic return visit acceptance system of the first embodiment.

FIG. 2B is a diagram illustrating a process of the automatic return visit reception system according to the second embodiment.

FIG. 3A is a block diagram showing an example of a configuration of a return visitor.

FIG. 3B is a diagram showing a configuration example of a reception patient information storage unit.

FIG. 4A is a block diagram illustrating a configuration example of a re-visited system controller.

FIG. 4B is a diagram showing a configuration example of a re-examination department reception number storage unit.

FIG. 4C is a diagram showing a configuration example of a reception patient accumulated information storage unit.

FIG. 4D is a diagram showing a configuration example of an all-department reception information storage area.

FIG. 5 is a flowchart showing a processing procedure of the return receipt machine of the first embodiment.

FIG. 6 is a flowchart showing a processing procedure of the re-visited system controller of the first embodiment.

FIG. 7 is a flowchart showing a processing procedure of a return receipt machine of the second embodiment.

FIG. 8 is a flowchart showing a processing procedure of a re-visited system controller of the second embodiment.

FIG. 9A is a diagram showing a first example of feature extraction.

FIG. 9B is a diagram showing a first example of feature extraction.

FIG. 10A is a diagram showing a second example of feature extraction.

FIG. 10B is a diagram showing a second example of feature extraction.

FIG. 11A is a diagram illustrating an example of a reception slip issued in the present embodiment.

FIG. 11B is a diagram illustrating an example of a reception slip issued in the present embodiment.

FIG. 11C is a diagram showing an example of a reception slip issued in the present embodiment.

[Explanation of symbols]

10: return machine, 20: system controller,
30 printer, 40 monitor, 50 host computer

Claims (4)

(57) [Claims] 1. A consultation ticket reading means for reading patient identification information relating to a patient who owns the consultation ticket from a consultation ticket, and a patient storage corresponding to the patient identification information read from the consultation ticket by the consultation ticket reading means Stored information search means for searching for information, and referring to the history of the department in which the patient has been examined in the patient stored information searched by the stored information search means,
At least in the departments where the patient has already been consulted,
A re-examination-possible department determining means for deciding a department that satisfies the condition that today is not closed and the re-examination time is within today's medical hours as a department that the patient can re-examine, A re-examination-possible department notification means for notifying the patient of a re-examination-possible department to which the patient determined by the department-determining means is located; Re-examination department determining means for deciding the department desired to be re-examined from the means as a re-examination department; and re-examination reception for performing re-examination reception processing for the re-examination department determined by the re-examination department determining means. Means for storing a history of the department in which the patient was examined in the patient accumulation information corresponding to the patient identification information after the examination of the patient. 2. The medical examination system according to claim 1, further comprising a medical examination setting means for setting the medical examination closed from the outside and outputting medical examination information, wherein said re-examination-possible department determining means includes medical examination information and medical examination setting stored in advance in storage means. 2. The system for accepting an automatic return visit according to claim 1, wherein a department that has been closed by any one of the medical leave information set by the means is set as a closed department, and a department that can be re-examined by the patient is determined. 3. A consultation ticket reading means for reading patient identification information relating to a patient having the consultation ticket from the consultation ticket, and transmitting the patient identification information read from the consultation ticket by the consultation ticket reading means to a host. Patient identification information transmitting means, In response to the transmission of the patient identification information, at least in the department where the patient has already undergone the first consultation, which is returned from the host, today is not closed and re-examination time Satisfies the condition that it is within today's consultation time, the re-examineable department receiving means for receiving the information of the department that the patient can re-examine, Re-examination-possible department informing means for informing the patient of a possible department; and inputting a department in which re-examination by the patient informed by the re-examination-possible department informing re-examination is desired. Re-examination desired department input means, and re-examination desired department input Re-examination desired department transmission means for transmitting the department desired to be re-examined from the stage to the host side; and in response to the transmission of the information of the re-examined desired department, the re-examination department returned from the host side A return reception apparatus, comprising: a reception number reception unit that receives a reception number; and a reception number output unit that outputs the reception number received by the reception number reception unit. 4. A medical examination department setting means for externally setting that medical examination is to be closed in response to a medical examination department and outputting information corresponding to the medical examination department, wherein the re-examination-possible department notification means is provided 4. The re-receipt device according to claim 3, wherein a department which is a re-examination department and which is not a re-examination department set by the non-examination department setting means is notified as a re-examination department.