JP2809336B2 - 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, in the latter case, it is necessary to repeat the reception operation by the number of consultation departments where the patient wants to be re-examined. Although the department can be selected, whether the selected department can be re-examined, that is, whether the patient has already been examined for the first time, whether a monthly health insurance card (hereinafter referred to as insurance card) is presented, Or, it was inconvenient that the doctor in charge was in the hospital and had to enter the desired department once.

[0005] In addition, the reception number of the first visitor and the reception number of the second visitor cannot be commonly assigned. In some cases, confusion at the consultation was caused. Further, in hospitals, verification is performed on a monthly basis, etc., for the presentation of insurance illness, but it is also a problem how to treat patients who need to present or how to assign a reception number.

The present invention eliminates the above-mentioned drawbacks, notifies the patient of the necessity of presenting an insurance card, and updates the expiration date for reading and presenting the insurance card, thereby automatically managing the insurance card. Provide a system and a return receipt device.

[0007]

In order to solve this problem, an automatic return visit reception system according to the present invention comprises a medical examination ticket reading means for reading patient identification information from a medical examination ticket, and the patient read by the medical examination ticket reading means. Stored information searching means for searching patient stored information corresponding to identification information; and department information stored in the patient stored information searched by the stored information searching means and department information desired to be re-examined input from the input means. Re-examination department determining means for determining a re-examination department based on the re-examination department based on the patient identification information; Based on the consultation record stored in the patient accumulation information retrieved by the information retrieval means, an insurance card presentation determination means for determining whether or not to present an insurance card, and the insurance card presentation determination means determines that an insurance card presentation is necessary. Place In addition, insurance card presentation notifying means for notifying a request to present an insurance card, insurance card reading means for reading an insurance card, and insurance card information already registered in the patient accumulation information and new insurance card reading means read by the insurance card reading means. Insurance card matching means for matching insurance card information; and presentation time limit updating means for updating a consultation record indicating a time limit for presenting the insurance card when approved by the insurance card matching means of the insurance card matching means. It is characterized by. Here, the re-examination department determining means is means for notifying the department information stored in the patient accumulation information retrieved by the accumulated information retrieving means as department information that can be re-examined by the patient; Means for determining a department to be re-examined based on the relevant department information and the department information desired to be re-examined inputted from the input means.

[0008] Further, the return admission apparatus of the present invention comprises: a consultation ticket reading means for reading patient information from a consultation ticket; an input means for selecting and inputting department information desired to be revisited; Re-examination information transmission means for transmitting to the host the patient information read from the consultation ticket and the re-examination desired department information input from the input means, and transmission of the patient information and the re-examination desired department information Receiving number output means for receiving and outputting the re-examination reception number returned from the host side; and responding to the transmission of the patient information and the re-examination desired department information, the host The insurance card presentation notifying means for receiving and notifying the insurance card presentation information returned from the side, the insurance card reading means for reading the insurance card, and transmitting the insurance card information read by the insurance card reading means to the host side. Having insurance card information transmitting means. The features. Here, further comprising a re-examination-possible department notifying means for notifying re-examination-possible department information of the patient returned from the host side based on the patient information, wherein the re-examination information transmitting means is configured to read the consultation ticket. A patient information transmitting means for transmitting the patient information read from the consultation ticket by the means, and a re-examination selected from the re-examineable department information notified by the re-examineable department notifying means and inputted from the input means. Re-examination department transmission means for transmitting desired department information.

[0009]

[0010]

An embodiment of the present invention will be described below with reference to the accompanying drawings. FIG. 1A is a block diagram showing the configuration of the automatic return visit reception system of this embodiment. Here, 10 _-1
10- _n is a return receipt machine that issues a receipt with a receipt number based on the input of the consultation card, 20 is a plurality of return receipt machines 10 _-1 to 10- _n (hereinafter, represented by the return receipt machine 10). A communication system controller that manages and controls reception departments and reception numbers, 30 is a printer that outputs the reception status, 40 _-1 to 40 _-n are monitors that notify the reception status to the patient, and 50 is a monitor. It is a host computer connected to the re-visited system controller and managing the entire hospital such as management of consultation departments and management of medical records.

The automatic repeat visitor reception system basically includes a return visitor 10 and a return visitor 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 return visitor 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 1 for selecting a re-examination department.
5 is a schematic top view. Reference numeral 15a denotes a key group for selecting a re-examination department, and the patient can press a desired department from the lit re-examination departments. 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 the first embodiment in the first embodiment.
It is a figure which shows the operation | movement of the patient in the re-examination reception machine 10 of FIG. Here, the operation for the first visitor is also shown. First, a patient inserts an examination card from the card insertion slot 11. Return visitor 10
Reads the registration number, name, date of birth, gender, etc. from the consultation card and sends a part or all of the information to the system controller 20 again as patient information. Recurrence system
The controller 20 determines a department that can be consulted based on the accumulated patient history information and consultation time (including the information on the absence of a doctor's office), and sends the determined department to the re-receipt receiving machine 10 that has received the department. In the re-acceptance device 10, the department that can be re-examined is lit from the key group 15a. At this time, the user also refers to the back panel of the return arrival machine 10 described later.

The patient selects a desired department from the relittable departments that are lit 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 re-visiting system controller 20 transmits the receipt number information to the re-visit receiving machine 1
0 and update the accumulated patient information, for example, the date of the last consultation, and update the updated information to the host computer 50.
Also send. The host computer 50 updates the database of all patients based on the transmitted information.

The return accepting machine 10 receiving 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 shows the first embodiment in the second embodiment.
It is a figure which shows the operation | movement of the patient in the re-examination reception machine 10 of FIG. Here, the operation for the first visitor is also shown. 2A, when the consultation department information is sent from the re-receipt accepting machine 10 to the re-visiting system controller 20, it is determined whether or not an insurance card is required. The presentation information is returned to the returning machine 10. The return visitor 10 informs 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. send. Recurrence system controller 2
If it is 0, the insurance card is collated, and if it is OK, the receipt number is returned to the return receipt 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 structure of the return visitor 10. Reference numeral 100 denotes a CPU for calculation and control for controlling the entirety of the re-acceptance device, and 101 denotes a ROM for storing a program executed by the CPU 100, and also has a display screen storage unit 101a and a voice information storage unit 101b. 1
Reference numeral 02 denotes a RAM for auxiliary storage, and the ROM 102 stores patient and consultation department information shown in FIG. 3B.

In FIG. 3B, 102a is a patient registration number,
102b is name, 102c is date of birth and gender, 102d
Has an area for storing the departments that can be consulted, the corresponding consultation selection flag, the insurance card presentation flag, the reception information corresponding to the received content, and the reception number corresponding to each department. In addition, a time zone in which medical treatment is possible is stored as the reception time. In addition, department information 1
02e stores a department that the user wants to receive at the same time. At the time of inserting the examination card, the registration number 102
a, name 102b, date of birth and gender 102c are written, and 102d and later are created based on the receivable department information and the accession number information from the returning system controller 20.

Referring back to FIG. 3A, reference numeral 103 denotes an input / output interface, which includes a magnetic card reader 11, a reception slip printer 12, a speaker 13, a display 14, an operation panel 15, a rear operation panel 16, and an insurance card reader. Control input and output. Here, the rear operation panel 16 is a panel for performing processing when the storage contents of the system cannot be changed in the case of urgent medical treatment discontinuation or the like. Used for processing excluding departments. A communication interface 104 controls communication with the system controller 20 again.

FIG. 4A shows the recurring system controller 2.
FIG. 4 is a block diagram showing an example of the configuration of a 0. 200 is a CPU for arithmetic control, 201 is a ROM for storing a control program for the CPU 200, 202 is a RAM for auxiliary storage,
It has a re-examination department reception number storage unit 212 that stores data for communication with the return visitor 10 and a reception patient accumulation information storage unit 222 that stores accumulation data on reception patients.

FIG. 4B and FIG. 4C show examples of the configuration of the re-examination department reception number storage unit 212 and the reception patient accumulation information storage unit 222. In FIG. 4B, reference numeral 212a denotes a number of a re-accepting machine, and indicates from which re-accepting machine the information came. 212
Reference numeral b denotes a patient registration number, and 212c denotes an area corresponding to 102d in FIG. 3B in which information on re-examination departments that can be consulted, reception numbers for each department, and the like are stored. This information is sent to the return visitor 10, and the reception patient information storage unit 112 of the return visitor 10 is formed based on this information. Reference numeral 212d denotes concurrent medical department information.

In FIG. 4C, 222a is the registration number of the patient, 222b is the name, 222c is the date of birth and gender, 2
Reference numeral 22d denotes an area for storing a paired department and the attending physician or the last consultation date once a consultation has been performed. In the second embodiment, 222e is used as an area for storing the insurance card pattern. Returning to FIG. 4A, reference numeral 203 denotes a large-capacity storage unit such as a disk, in which an all-patient information storage area 2 for storing information of all patients in a searchable manner by a registration number.
03a and an all-department reception information storage area 203b for storing the date and time of consultation of all the departments and the current reception number. FIG. 4D shows an example of the configuration of the entire department reception information storage area 203b.
The information structure of each patient in the all patient information storage area 203a is similar to that of FIG. 4C.

Reference numeral 204 denotes an input / output interface with the host computer 50. In the case of a first-time visitor, information on a patient is sent from the host computer 50 to the system controller 20 again, and the entire patient information storage area 203a
Is newly registered, and the reception number of the consultation department in the all-department reception information storage unit 203b is updated. <Operation of First Embodiment> FIG. 5 is a flow chart showing the processing procedure of the re-acceptance device 10 of the first embodiment.

First, in step S10, the process waits for the insertion of a magnetic card, and if inserted, 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 patient. Key group 1 in S15
The available departments in 5a are turned on.

Next, in step S16, the process waits for the patient to press a desired department from among 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 the confirmation key is waited. If there is an input, the process proceeds to step S21, where the consultation department and the contents of the consultation are sent to the system controller again.

At step S22, a reply is waited. When there is a reply, since the reply information includes the reception number for each department (or each consultation content), this is stored in the reception number area of each department at step S23. 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 steps S30, S35 or S45, it is checked whether a consultation has been received from the host computer 50, the re-acceptance device 10 or the monitor 40, respectively. When the information is received from the host computer 50, the flow advances to step S31 to check whether or not the information is the first consultation information.
In step S33, the registration number of each consultation department is incremented. If it is not the first consultation information, Step S
At 34, other corresponding processing is performed.

If it is a reception from the return 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 reception number is made. 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 decision of the possible consultation departments is made on the condition of at least (the department that has been consulted once) * (not closed). 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 it 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 the processing procedure of the re-acceptance device 10 of the second embodiment. In the figure, only the parts different from FIG. 5 are shown.

In steps S21 and S22, when the reply is received after the receiving department and the contents have been sent again by the system controller 20, it is checked in step S51 whether or not the insurance card is presented. Proceeding to step S23, the reception number is stored, and the same processing as in FIG. 5 is performed. If the instruction is to present a health insurance card, the system waits for the patient to present the insurance card in step S52, and reads the image of the insurance card by the insurance card reader 17 in step S53.
At 54, the feature is extracted.

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 density distribution of read image. (b) Determine a threshold value based on the density distribution and store the threshold value. (c) Binarized data is obtained using the threshold value determined in (b). (d) The frequency of pixels having a value of “1” in the binarized image is obtained and stored as a feature parameter. Examples of the above feature extraction are shown in FIGS. 9A and 9B.

2. Feature extraction by histogram projected in a predetermined direction (a) A binary image is obtained by the same method as (1). (b) Binary image data is projected in the vertical direction, and pixels having a value of "1" are counted to obtain a histogram. (c) Do the same for (b) 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.
Shown in the figure. 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, and the process returns to step S56.
And waits for a reply of the reception number, and executes the steps after step S23. 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 flowchart showing the processing procedure of the re-visited system controller 20 of the second embodiment.
This figure also shows only parts different from FIG. If it is determined in step S41 that the consultation department and the content have been received from the return visit reception machine 10, it is determined in step S61 whether or not an insurance card is required based on the last consultation date for each consultation department. If there is a need for even one department, the process proceeds from step S62 to S63, and a request for presentation of an insurance card is sent to the return receipt machine 10. If it is not the content of the consultation department in step S41,
Next, in step S64, it is checked 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, in step S65, it is compared with the feature of the image stored in advance. If the collation is not OK, error processing is performed. If the collation is OK, the reception number is transmitted in step S42.

FIGS. 11 (a) to 11 (c) are diagrams showing examples of reception slips issued in this embodiment. FIG. 11 (a) shows an example in which all reception departments are entered in one reception slip, and FIGS. 11 (b) and (c) show 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, he / she is notified of the request for presentation of the insurance card, and presented / collated the insurance card. 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.

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-receipt acceptor and the re-visited 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.

[0038]

According to the present invention, an automatic re-receipt reception system and a re-receipt reception system for automatically managing a health insurance card by notifying the necessity of presenting a health insurance card by a patient and updating the expiration date of reading and presenting the insurance card. Equipment can be provided.

[Brief description of the drawings]

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

FIG. 1B is a perspective view of the appearance of a return visitor,

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

FIG. 2A is a view for explaining processing of the automatic return visit reception system according to the first embodiment;

FIG. 2B is a view for explaining the processing 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 showing 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 flow chart showing a processing procedure of the returning machine of the first embodiment;

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

FIG. 7 is a flowchart showing a processing procedure of a return visitor of the second embodiment;

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

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

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

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

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

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 Receiving machine 20 Recurrence system controller 30 Printer 40 Monitor 50 Host computer.

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Claims (4)

(57) [Claims] 1. A consultation ticket reading unit for reading patient identification information from a consultation ticket; a storage information search unit for searching patient storage information corresponding to the patient identification information read by the consultation ticket reading unit; Based on the department information accumulated in the patient accumulation information retrieved by the means and the department information of the re-examination desired input from the input means, re-examination department determination means for determining a re-examination department, A re-examination accepting unit that performs a re-examination department accepting process determined by the re-examination department determining unit, based on the consultation record stored in the patient accumulation information searched by the accumulated information search unit, Insurance card presentation determining means for determining the necessity of presentation of an insurance card; insurance card presentation notifying means for notifying a request for insurance card presentation when the insurance card presentation determining means determines that insurance card presentation is necessary; Read Insurance card reading means, insurance card matching means for matching the insurance card information already registered in the patient accumulation information with new insurance card information read by the insurance card reading means, and insurance card of the insurance card matching means And a presentation expiration date updating means for updating a consultation record indicating the expiration date of the presentation of the insurance card when the verification is approved by the collation. 2. The re-examination department determination means: means for notifying the department information accumulated in the patient accumulation information retrieved by the accumulation information retrieval means as department information re-examined by the patient; 2. The automatic return visit reception system according to claim 1, further comprising: means for determining a re-examination department based on the department information that can be examined and the department information desired to be re-examined input from the input unit. 3. A consultation ticket reading means for reading patient information from a consultation ticket, an input means for selecting and inputting department information desired to be re-examined, and the patient read from the consultation ticket by the consultation ticket reading means. Re-examination information transmitting means for transmitting the information and the re-examination desired department information input from the input means to the host side, in response to the transmission of the patient information and the re-examination desired department information,
A reception number output unit that receives and outputs a reception number of the re-examination department returned from the host side, and in response to the transmission of the patient information and the department information of the re-examination desired,
Insurance card presentation notifying means for receiving and notifying insurance card presentation information returned from the host side; insurance card reading means for reading an insurance card; and insurance card information read by the insurance card reading means to the host side. A return receipt apparatus comprising: insurance card information transmitting means for transmitting. 4. The re-examination information transmission means for notifying the re-examination possible department information of the patient returned from the host side based on the patient information, Patient information transmitting means for transmitting the patient information read from the consultation ticket by the ticket reading means, and re-examineable department information notified by the re-examineable department notifying means selected from the input means and input from the input means. 4. The return visit receiving device according to claim 3, further comprising: a re-examination department transmitting unit for transmitting department information of a re-examination request.