JP5395452B2 - Health guidance support device, health guidance support system, reservation processing method, and program - Google Patents

Description

  The present invention relates to a health guidance support system that performs reservation registration processing for specific health guidance.

  Public health nurses and the like provide health guidance to health check-ups who are medical checkups to lead a healthier life. The health guidance is given to a medical examiner who has a result of a pre-examined medical examination or an inquiry exceeding a predetermined standard. In addition, according to the necessity of health guidance, it is hierarchized to appropriate health guidance levels such as “active support” and “motivation support”. As described above, the health check result information and the health checker attribute information about the person (hereinafter referred to as the target person) who has been certified as the specific health guidance target person is registered in the health check system together with the above-described hierarchical information (health guidance level). The In the medical examination system, management of medical examination information, management of guidance information, management of receipt information, and the like are performed.

  Patent Document 1 discloses a mechanism for supporting health guidance in cooperation with such a medical examination system. Patent Document 1 discloses a technique for calculating a guidance effect in time series for each group obtained by combining item conditions from medical examination information, guidance information, and receipt information, and determining a guidance method suitable for an individual. Yes.

JP 2007-257565 A

  By the way, in the actual operation, the above health guidance is not implemented for all target persons. For example, while narrowing down the target person according to the conditions presented by the insurer, or determining the target person based on the original criteria of the medical examination facility, while balancing the cost required for health guidance and the inspection burden of the facility, Efforts are being made to increase the effectiveness of health guidance. Therefore, various conditions and standards will be set for the target person, and it will be necessary to check multiple forms etc. with those conditions and standards when receiving consultation (reservation) for health guidance. There was a problem of complication. In particular, there are many subjects who wish to receive health guidance on the day of the medical examination, and in this case, reception (reservation) has to be performed more quickly and accurately.

  The present invention has been made in view of the above-described problems, and its purpose is to provide a health guidance support system and the like that can reduce the burden of office work in the reservation or reception process of health guidance. That is.

In order to achieve the above-described object, a first invention of the present invention is a health guidance support apparatus that manages information related to reservation, reception, or guidance of health guidance , and health by facility or insurer. Qualification condition setting means for setting a combination of a plurality of conditions among the attribute condition, the condition regarding the contract contents with the insurer, the condition regarding the health examination result information, and the condition regarding the consultation history of the health guidance as conditions regarding the qualification for consultation When, among the checkup who received medical examination, attribute information about the subject which the health guidance level certified based on a predetermined certification criteria, checkup result information, and data acquisition for acquiring the health guidance level information means, for each subject to the health guidance level is certified, and conditions whether the visit qualified health guidance, set by the medical examination qualifications setting means, said de The attribute information acquired by the data acquisition unit, checkup result information or a determination unit by collating the health guidance level information, the subject is determined that there is a consultation qualified by the determining means, the reservation process A health guidance support device comprising: a reservation processing means for receiving.

Here, it is preferable that the condition relating to the medical examination result information is a test value standard different from the certification standard for authorizing the health guidance level information .

Moreover, it is desirable that the condition regarding the consultation history of the health guidance is an exclusion condition from the current guidance target .

Further, as a narrowing-down display condition for narrowing down and displaying the target person for whom the specific health guidance level is authorized, narrowed-down display condition input means for inputting at least one of the specific health guidance level information and the attribute information; It is desirable to further comprise a filter processing means for narrowing down persons who satisfy the narrowing display condition input by the narrowing display condition input means, and a display means for displaying a narrowing result by the filter processing means. .

In addition, the image processing apparatus further includes selection means for selecting whether to display all the target persons narrowed down by the filter processing means or only those who have a medical qualification, and the display means is selected to display all persons by the selection means. If it is selected to display only those who have the medical qualification by the selection means, regardless of the presence or absence of medical examination qualification, the filtering process means It is desirable to extract and display a subject who has been determined to have medical examination qualification by the determination means .

In addition, it is desirable that the display means identify and display a target person who is determined not to have a medical examination qualification by the determination means when displaying all the target persons of the narrowing down result .

It is desirable that the conditions regarding the examination qualification further include a priority order based on age, a difference from the test value standard, or the presence or absence of the person's desire to visit .

According to a second aspect of the present invention, there is provided a health guidance support server that manages health guidance reservation, reception, or guidance implementation information, a plurality of health guidance clients connected to the health guidance support server via a network, and a health guidance support server. to be connected via a network, the attribute information of the medical examination's checkup result information, and a health guidance support system consisting of a medical examination database stores health guidance level information, the healthcare clients facilities As a condition regarding the health guidance consultation qualification according to different or insurers , a combination of attribute conditions, conditions regarding the contract contents with the insurer, conditions regarding the health examination result information, and conditions regarding the health care consultation history are combined. set, equipped with a medical examination qualifications setting and transmission means for transmitting to the health guidance support server, the health guidance support server, a medical examination Data acquisition means for acquiring attribute information, medical examination result information, and health guidance level information about a subject whose specific health guidance level is certified based on a predetermined certification standard from among the health examination patients And for each subject whose specific health guidance level is certified, whether or not there is a health guidance consultation qualification, conditions set by the consultation qualification condition setting / transmission means, and attribute information acquired by the data acquisition means, The judgment means for judging by checking the medical examination result information or the health guidance level information, and the judgment result by the judgment means or the information about the subject who is judged to have the medical qualification is transmitted to the health guidance client. And the health guidance client is determined to have a determination result by the determination unit or a medical qualification. Receive information about elephant's from the health guidance support server, a health practitioner support system comprising: a reservation processing means for accepting a reservation process.

The third invention is a reservation processing method for health guidance using a computer , wherein the computer has attribute conditions, contents of contract with the insurer as conditions regarding health qualification for health guidance by facility or insurer. A reception qualification condition setting step in which a plurality of conditions are set in combination among a condition regarding health check result information, and a condition related to health care consultation history , A data acquisition step for acquiring attribute information, medical examination result information, and health guidance level information about a subject who has been certified with a specific health guidance level based on the certification standards, and the computer is certified with the specific health guidance level. was for each subject, and the conditions under which the presence or absence of consultation qualification of health guidance, set by the consultation qualification condition setting step, the Day Attribute information obtained by the obtaining step, checkup result information or a determination step by collating the health guidance level information, the computer, subject it is determined that there is a consultation qualified by the determining step, booking And a reservation processing step for accepting the processing.

  A fourth invention is a program for causing a computer to function as the health guidance support device of the first invention.

  With the health guidance support system of the present invention, it is possible to reduce the burden of office work in the reservation or reception process of health guidance.

The figure which shows schematic structure of the health guidance support system 1 The figure which shows an example of the data which concern on the insurer attribute table 11 The figure which shows an example of an insurer registration screen 21 The figure which shows an example of the data which concern on the consultation qualification table 12 The figure which shows an example of consultation qualification setting screen 22 The figure which shows an example of the data which concern on the medical examination result condition table 13 The figure which shows an example of the medical examination result condition setting screen 23 The figure which shows an example of the data which concern on the medical examiner attribute table 14 The figure which shows an example of the data which concern on the medical examiner result table 15 The figure which shows an example of the data which concern on the consultation qualification determination table 16 Flow chart explaining the flow of reservation registration processing The figure which shows an example of the health guidance object display screen 24 The figure which shows an example of the reservation registration screen 25 The figure which shows an example of the target setting screen 26

  Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings.

  First, the schematic configuration of the health guidance support system of the present invention will be described with reference to FIG. FIG. 1 is a diagram showing a schematic configuration of a health guidance support system 1. As shown in FIG. 1, the health guidance support system 1 includes a network 10 including a health guidance support system server 7, a health guidance client 8, a printer 9, and the like, a health examination system server 3, a database server 4, and a health check system. A network 6 composed of the diagnosis client 5 and the like is configured so as to be accessible to each other. A health guidance support system 1 including these devices is installed, for example, in a medical examination facility 2 or the like.

  In the health guidance support system 1 of the present invention, the health guidance support system server 7 and the health guidance client 8 transmit and receive data to and from each other via the network 6. In addition, a health guidance reservation registration process (see FIG. 11) described later, and data related to health guidance (for example, a health guidance plan table output) are provided.

  Here, “reservation” means reception registration of the target person in advance, and “reception” means reception registration of the target person on the day of guidance, but in the following explanation, simply “ “Reservation” includes the meaning of “reception”.

  In the health guidance reservation registration process, the health guidance support system server 7 and the health guidance client 8 accept the setting of health guidance consultation qualification conditions set by the insurer and the health examination facility. Further, the health guidance support system server 7 and the health guidance client 8 acquire and set the attribute information, health check result information, and health guidance level stratification information already registered in the database server 4. Based on the medical examination qualification conditions, a specific health guidance target person (hereinafter referred to as a target person) is narrowed down (filtering process), the narrowing down result is displayed, and a reservation process is accepted for a subject having a medical examination qualification.

  The medical examination system server 3, the database server 4, and the medical examination client 5 transmit and receive data to and from each other via the network 6. The device group related to these servers and clients has a function of inputting examination results of health checkers, a function of extracting and stratifying health guidance subjects based on the inputted examination results, and extracting and stratifying health guidance. The medical examiner attribute information, medical examination result information, etc. regarding the subject are output to the health guidance system server 7. In addition, in the health guidance target person extraction and stratification function of the medical examination system server 3, the target person is extracted and stratified based on a basic standard.

  The network 6 and the network 10 may be configured as, for example, the same LAN (Local Area Network). Further, for example, it may be connected via an external network (for example, the Internet). Furthermore, a group of servers such as a medical examination system server 3, a database server 4, and a health guidance support system server 7 are arranged on the same network, and a client group such as a health examination client 5 and a health guidance client 8 is connected via the Internet. May be. Thus, in the health guidance support system 1 according to the embodiment of the present invention, the form of the network is not limited.

  The medical examination system server 3, the database server 4, the medical examination client 5, the health guidance support system server 7, and the health guidance client 8 are computers. The computer is connected to a control unit, a storage unit, a communication control unit, an input unit, a display unit, and the like via a bus. However, the computer can take various configurations depending on the application and purpose. For example, the computer is connected to the printer 9 or the like as an output unit.

  The control unit includes a CPU (Central Processing Unit), a ROM (Read Only Memory), a RAM (Random Access Memory), and the like. The CPU calls and executes a program stored in a storage unit, a ROM, a recording medium, or the like in a work memory area on the RAM, and drives and controls each device connected via the bus. The ROM is a non-volatile memory and permanently holds a computer boot program, a program such as BIOS, data, and the like. The RAM is a volatile memory, and temporarily holds a program, data, and the like loaded from a storage unit, a ROM, a recording medium, and the like, and includes a work area used by the control unit to perform various processes.

  The storage unit is an HDD (hard disk drive), and stores a program executed by the control unit, data necessary for program execution, and the like. As for the program, a control program corresponding to the OS and an application program corresponding to processing to be described later are stored. Each of these program codes is read as necessary by the control unit, transferred to the RAM, read by the CPU, and executed as various means.

  The communication control unit has a communication control device, a communication port, and the like, is a communication interface that mediates communication between the computer and the network, and controls communication with other computers via the network. The input unit inputs data and includes, for example, a keyboard, a pointing device such as a mouse, and an input device such as a numeric keypad. The display unit includes a display device such as a CRT monitor and a liquid crystal panel, and a logic circuit and the like (video adapter and the like) for realizing the video function of the computer in cooperation with the display device. The bus is a path that mediates transmission / reception of control signals and data signals between the devices.

Next, data handled by the health guidance support system 1 of the present embodiment will be described with reference to FIGS.
The data handled by the health guidance support system 1 includes an insurer attribute table 11 (FIG. 2), a medical examination qualification table 12 (FIG. 4), a medical examination result condition table 13 (FIG. 6), and a medical examiner attribute table 14 (FIG. 8). ), A health checker result table 15 (FIG. 9), and a consultation qualification determination table 16 (FIG. 10). These tables 11 to 16 are managed in the health guidance system server 7, but data input / output may be performed by the health guidance client 8. In this case, the health guidance support system server 7 receives the input data and stores it in the storage unit, or transmits the requested data to the health guidance client 8 in response to a request from the health guidance client 8. To do. The health guidance client 8 accesses the database server 4 to receive necessary data (checker attribute table 14, checker result table 15, etc.) and stores it in the storage unit.

  The insurer attribute table 11 shown in FIG. 2 stores attribute information about the insurer. The attribute information includes data items such as an insurer number 51, an insurer name 52, an address 53, a telephone number 54, and a comment 55.

  The contents of each data item in the insurer attribute table 11 are input on the insurer registration screen 21 shown in FIG. The insurer registration screen 21 has an insurer attribute registration area 101, a registration button 102, and a cancel button 103.

  For example, as shown in FIG. 3, “0631234” is entered in the “insurer number” field of the insurer attribute registration area 101 of the insurer registration screen 21, “Hitachi Health Insurance” is entered in the “insurer name” field, “101-0000” is entered in the “postal code field”, “0311111111” is entered in the telephone number field, “Toga Kanda ... in Chiyoda-ku, Tokyo” is entered in the “address” field, and the “comment” field When a special note relating to an insurer such as “most important customer” is input and the registration button 102 is pressed, these data are stored in corresponding data items of the insurer attribute table 11 of FIG. .

  The consultation qualification table 12 of FIG. 4 stores the consultation qualification conditions of the insurer. The medical examination qualification conditions are those presented by the insurer or the facility as conditions for narrowing down the target persons who are actually instructed from the target persons already hierarchized. For example, sex 56, main distribution 57, age 58 Such as the conditions relating to the attributes of the medical examiner or the insurer, the non-examination condition (history exemption) 59 based on the history, the condition relating to the examination result (examination value standard 60), and the like.

Here, the non-target condition by history (non-history target) 59 is an exclusion condition from the current target person based on the past medical guidance consultation history. For example, if “previous” is set, Subjects who have received health guidance at this health checkup are excluded from this subject. In addition, if “Past medical checkup” is set, subjects who have received health guidance in the past are excluded from the current subject.
The test value standard 60 is a standard set by the insurer for the test result, and “None” or the classification code of the medical examination result condition table 13 in FIG. 6 is set.
In addition, the medical examination eligibility conditions illustrated are examples, and are not limited to this.

  The contents of each data item in the consultation qualification table 12 are input on the consultation qualification setting screen 22 shown in FIG. The examination qualification setting screen 22 includes an insurer name input / display area 104, a examination qualification condition display area 105, a examination qualification condition input area 106, and the like.

  In the insurer name input / display area 104, the insurer name of the input insurer number is displayed. If the examination qualification conditions for the entered insurer number are stored in the examination qualification table 12, the examination qualification conditions are displayed in the examination qualification condition display area 105. When a medical examination qualification condition is newly inputted in the medical examination qualification condition input area 106 and the registration button 102 is pressed, the inputted medical examination qualification condition is stored in each corresponding data item of the medical examination qualification table 12. In the case of correction, when any of the examination qualification conditions displayed in the examination qualification condition display area 105 is selected, the examination qualification conditions are displayed in the examination qualification condition input area 106. When the displayed examination eligibility condition is corrected and the registration button 102 is pressed, the contents of the examination eligibility table 12 are updated to the revised examination eligibility condition.

  For example, in the insurer number “0631234” in the consultation qualification table 12 shown in FIG. 4, the gender 56 is “male / female”, the main distribution division 57 is “personal family”, the age 58 is “40 to 74 years old”, and is not subject to history. The condition (excluded from history) 59 stores “not set”, and the examination value criterion 60 stores “none”.

  The medical examination result condition table 13 in FIG. 6 stores examination value criteria (health examination result conditions) set by the facility or the insurer for the examination results. As the medical examination result condition, a reference value of a lower limit value 65 or an upper limit value 66 corresponding to the sex 63 and the age 64 is set for each examination item 62. The classification code 61 is an identification number of the medical examination result condition. The classification code 61 is referred to in the examination value standard 60 of the consultation qualification table 12 of FIG.

  The contents of each data item in the medical examination result condition table 13 are input on the medical examination result condition setting screen 23 shown in FIG. The medical examination result condition setting screen 23 includes a classification code input / display area 107, a medical examination result condition display area 108, a medical examination result condition input area 109, a registration button 102, and a cancel button 103.

  In the classification code input / display area 107, a name corresponding to the input classification code 61 is displayed. If the medical examination result condition associated with the classification code 61 is stored in the medical examination result condition table 13 in FIG. 6, the medical examination result condition is displayed in the medical examination result condition display area 108. The When a new medical examination result condition is input in the medical examination result condition input area 109 and the registration button 102 is pressed, the inputted medical examination result condition is stored in each corresponding data item of the medical examination result condition table 13. Is done. Further, when correction is performed, when any of the medical examination result conditions displayed in the medical examination result condition display area 108 is selected, the medical examination result condition is displayed in the medical examination result condition input area 109. When the displayed medical examination result condition is corrected and the registration button 102 is pressed, the contents of the medical examination result condition table 13 are updated to the corrected medical examination qualification condition.

  For example, in the medical examination result condition table 13 shown in FIG. 6, the classification code 61 “0001”, the test item 62 “systolic blood pressure”, the sex 63 is “male and female”, the age 64 “0 to 999 (all ages)”, the lower limit The medical examination result condition that the value 65 is “140” and the upper limit value 66 is “999” is stored.

  The health checker attribute table 14 in FIG. 8 and the health checker result table 15 in FIG. 9 are stored in the database server 4 of the health check facility 2, and in accordance with a transmission request from the health guidance support system server 7, It is transmitted to the guidance support system server 7.

  The health checker attribute table 14 shown in FIG. 8 includes a health checker number 67, a health checker name 68, a sex 69, an age 70, an insurer number 71, a health guidance level 72, etc. Stores attribute information of the examiner. For example, as shown in FIG. 8, the health checker number 67 “0000000001” includes the health checker name 68 “Hitachi Taro”, the gender 69 “male”, the age 70 “48”, and the affiliated insurer number 71 “0631234”. Is stored together with the health guidance level 72 “active support” determined by the hierarchization process in the medical examination system server 3.

  The health checker result table 15 shown in FIG. 9 stores health checker result information such as a health checker number 67, a health checker name 68, a health checkup reception date 73, a test result 62, and the like. The test result 62 stores result data such as “142” and “83” for each test item such as “systolic blood pressure” and “diastolic blood pressure”. For example, a health checker number 67 “0000000001” includes a health checker name 68 “Hitachi Taro”, a checkup date 73 “2008/11/17”, a test result 69 (“systolic blood pressure” is “142”, The “diastolic blood pressure” is stored as “83”,.

  The consultation qualification determination table 16 shown in FIG. 10 is a table for storing the determination result of the medical guidance qualification for each medical examiner, status information regarding reservation reception, etc., and a reservation registration process (FIG. 11) to be described later. Are generated by the health guidance support system server 7.

The attribute qualification 75 and the result qualification 76 of the consultation qualification determination table 16 are data items for storing the determination results on the presence / absence of the consultation qualification.
The attribute qualification 75 stores a check result of the attributes (age, sex, history, etc.) of the medical examiner and the medical examination qualification conditions (attribute conditions) set in the medical examination qualification table 12.
The result qualification 76 stores a collation result between the examination result of the medical examiner and the examination reference value set in the examination qualification table 12 (that is, the examination result condition set in the medical examination result condition table 13).
“○ (with medical qualification)” is set when the medical qualification condition is satisfied, and “× (without medical qualification)” is set when the medical qualification condition is not satisfied. “-” Means not set.

  For example, in the medical examination qualification determination table 16 of FIG. 10, the medical examination name 67 “0000000001” has a medical examination name 68 “Hitachi Taro”, a status 74 “unreserved”, and an attribute qualification 75 “Yes (with medical examination qualification)”. ”And result qualification 76“ not set ”are stored. That is, this health checker satisfies the medical examination qualification condition (attribute qualification 75) according to the contract contents with the insurer. For the result qualification 76, no condition (inspection value standard) is set.

  Next, details of the reservation registration process in the health guidance picture support system 1 will be described with reference to FIG.

  FIG. 11 is a flowchart showing the flow of reservation registration processing. The storage unit of the health guidance support system server 7 stores programs and data necessary for execution of the reservation registration process. The control unit of the health guidance client 8 and the control unit of the health guidance support system server 7 are storage units, respectively. The above-mentioned program and data are read out from the above, and each processing is executed according to the flowchart of FIG.

  In the reservation registration process, first, as an initialization process, registration of insurer attribute information, registration of insurance qualification conditions for an insurer, and registration of medical examination result conditions are performed (steps S1001 to S1003).

  Specifically, for example, when a start instruction of [insurer attribute registration] is input by a menu selection operation or the like in the health guidance client 8, the control unit of the health guidance client 8 displays the diagram from the health guidance support system server 7. 3 is acquired and displayed on the display unit to accept the insurer attribute registration process. In the insurer attribute registration area 101 of the insurer registration screen 21, an insurer number 51, an insurer name 52, an address 53, a telephone number 54, a comment 55, etc., which are insurer attribute information, are input, and the registration button 102 is pressed. Then, the control unit of the health guidance client 8 transmits the input insurer attribute information to the health guidance support system server 7. The health guidance support system server 7 stores the received insurer attribute information in the insurer attribute table 11 (step S1001).

  When the start instruction of [registration qualification by insurer] is input by the menu selection operation or the like in the health guidance client 8, the control unit of the health guidance client 8 sets the consultation qualification shown in FIG. Data relating to the screen 22 is acquired and displayed on the display unit, and registration processing for the examination qualification conditions is accepted. Moreover, the control part of the health guidance client 8 acquires the consultation qualification table 12 of FIG.

  When the insurer number is input in the insurer name input / display area 104 of the consultation qualification setting screen 22 in FIG. 5, the control unit of the health guidance client 8 searches the consultation qualification table 12 and relates to the corresponding insurer number. If a medical examination qualification condition is stored, it is displayed in the medical examination qualification condition display area 105. When one of the displayed medical examination qualification conditions is selected, the control unit of the health guidance client 8 displays the selected medical examination qualification conditions in the medical examination qualification condition input area 106. When consultation qualification data is input for each data item in the consultation qualification condition input area 106, the control unit of the health guidance client 8 transmits the consultation qualification conditions to the health guidance support system server 7. The health guidance support system server 7 stores the received medical examination qualification conditions in the medical examination qualification table 12.

  When the insurer number input to the insurer name input / display area 104 is not stored in the consultation qualification table 12, the input of the consultation qualification condition is newly accepted. The control unit of the health guidance client 8 transmits the entered examination qualification conditions to the health guidance support system server 7. The health guidance support system server 7 stores the received medical examination qualification conditions in the medical examination qualification table 12 (step S1002).

  When an instruction to start [registration of medical examination result conditions] is input by a menu selection operation or the like in the health guidance client 8, the control unit of the health guidance client 8 sends the health examination result condition of FIG. Data relating to the setting screen 23 is acquired and displayed on the display unit. Further, the control unit of the health guidance client 8 acquires the medical examination result condition table 13.

  When the classification code is input to the classification code display area 107 of the medical examination result condition setting screen 23 in FIG. 7, the control unit of the health guidance client 8 searches the medical examination result condition table 13 to check the health related to the corresponding classification code. If there is a medical examination result condition, it is displayed in the medical examination result condition information display area 108. When one of the displayed medical examination result conditions is selected, the control unit of the health guidance client 8 displays the selected medical examination result condition in the medical examination result condition input area 109. When the health check result condition is input for each data item in the health check result condition input area 109, the control unit of the health guidance client 8 inputs the health check result condition input to the health guidance support system server 7. Send. The health guidance support system server 7 stores the received medical examination result condition in the medical examination result condition table 13.

  When the classification code input to the classification code input / display area 104 is not stored in the medical examination result condition table 13, a new medical examination result condition is accepted. The control unit of the health guidance client 8 transmits the input medical examination result condition to the health guidance support system server 7. The health guidance support system server 7 stores the received medical examination result condition in the medical examination result condition table 13 (step S1003).

  When a [selection of health checker attributes and health check result data] instruction is input by a menu selection operation or the like in the health guidance client 8, the control unit of the health guidance client 8 performs a health check on the health guidance support system server 7. Send a result read instruction. The health guidance support system server 7 activates the medical examination result capturing program, accesses the database server 4, reads attribute information and medical examination results regarding the medical examiner (including the target person), and performs the medical examination person attribute table 14. And it stores in the medical examiner result table 15 (step S1004).

  When the insurer attribute information, the insurance qualification condition for each insurer, and the health examination result condition are registered by the processing in steps S1001 to S1004, and health examiner attribute information and health examination result information are acquired from the database server 4, health guidance is provided. The control unit of the support system server 7 determines whether or not there is a medical qualification for each medical examiner (step S1005).

  In step S1005, the control unit of the health guidance support system server 7 receives the consultation qualification conditions (“sex” 56, “main distribution category” 57, “age” 58, etc. of the consultation qualification table 12) and the attribute information of the subject ( The “gender” 69, “age” 70, “affiliation insurer number” 71, etc.) in the medical examiner attribute table 12 are collated. When the attribute information of the subject satisfies the consultation qualification conditions set by the insurer, “○ (with examination qualification)” is added to the data item “attribute qualification 75” for the corresponding subject in the consultation qualification determination table 16. Store and store “× (no medical qualification)” if the medical qualification condition is not satisfied.

  In step S1005, the control unit of the health guidance support system server 7 receives the examination qualification conditions regarding the examination results (the examination value criteria 60 and the examination result condition table 13 of the examination qualification table 12), and the results of the examinee of the subject. The “test result (systolic blood pressure, diastolic blood pressure,...)” 62 in the table 15 is collated. If the test result information of the target person satisfies the test value standard set by the insurer or the facility, the data item “result qualification 76” for the target person in the consultation qualification determination table 16 indicates “ Yes) ”is stored, and“ × (no medical qualification) ”is stored when the test value standard is not satisfied.

  When the judgment of the medical examination qualification in step S1005 is completed, and then the [Health Guidance Target Display] instruction is input by a menu selection operation or the like in the health guidance client 8, the control unit of the health guidance client 8 The display data of the health guidance subject display screen 24 shown in FIG. 12 is received from the support system server 7 and displayed on the display unit.

  The health guidance target person display screen 24 includes a display condition setting area 110, a target person display area 111, a display button 112, a reservation button 113, a guidance button 14, and a cancel button 103. When a desired display condition is set in the display condition setting area 110, a filter process described later is performed, and the result is displayed in the target person display area 111.

  The search and filter processing at each stage of steps S1006 to S1014 is performed according to the input operation to the above-described health guidance target person display screen 24.

  When one or more of the health guidance level selection check boxes 110a are selected on the health guidance target display screen 24 and the display button 112 is pressed (step S1006; present), the control unit of the health guidance client 8 The medical examiner attribute table 14 (FIG. 8) is searched, a record having the selected health guidance level 72 is extracted, and the extraction result is held in the RAM (step S1007: filter activation).

  In addition, attributes such as “insurer” column, “checkup date” column, “Kana name” column, “gender” column, “birth date” column in the display condition setting area 110 of the health guidance target display screen 24 In the condition input field 110b, when the search condition regarding the attribute information of the medical examiner or the insurer is input and the display button 112 is pressed (step S1008; present), the control unit of the health guidance client 8 extracts in step S1007. The result is further narrowed down with the input search condition, and the search result is held in the RAM (step S1009: filter activation).

  In the display condition setting area 110 of the health guidance target person display screen 24, a consultation qualification condition input field 110c is provided. The consultation qualification condition input field 110c is provided with a radio button for selecting whether to display “all” or “qualification for consultation”.

  When a check is input to the radio button of “qualification for medical examination” in the medical examination qualification condition input field 110c (step S1010; present), the control unit of the health guidance client 8 receives a medical examination from the search results in steps S1007 and S1009. Narrow down the eligible target audience. That is, the control unit of the health guidance client 8 is a medical examiner in which “○ (with medical qualification)” or “-(not set)” is stored in the attribute qualification 75 and the result qualification 76 of the medical examination qualification determination table 16. Are extracted from the search results in steps S1007 and S1009 (step S1011; filter activation), and the extraction results are displayed in a list in the target person display area 111 (step S1012).

  When a check is input to the radio button of “all” in the consultation qualification condition input field 110c of the display condition setting area 110 of the health guidance target display screen 24 (step S1010; none), extraction based on whether or not there is a consultation qualification Do not do. However, in the consultation qualifier display step in step S1012, the health guidance target person in which “x” is stored in both the attribute qualification 75 and the result qualification 76 in the consultation qualification determination table 16 is marked with “non”. , Display the identification to indicate that you are not eligible.

  Furthermore, when a check is input to the unreserved check box 110d of the display condition setting area 110 of the health guidance target person display screen 24 (step S1013; present), the control unit of the health guidance client 8 displays the subject person display area. Among the subjects displayed in 111, only the medical examinees whose status 74 of the examination qualification determination table 16 (FIG. 10) is “unreserved” are extracted and displayed. (Step S1014).

  Next, when one of the subjects displayed in the subject display area 111 of the health guidance subject display screen 24 is selected and the reservation button 113 is pressed (step S1015), the process proceeds to the reservation process (step S1015). S1016). Here, among the target persons displayed in the target person display area 111, when a non-applicable person with a “non” mark is selected, the control unit of the health guidance client 8 A warning message indicating that this is not the case may be displayed.

  In the reservation process, the control unit of the health guidance client 8 displays the reservation registration screen 25 shown in FIG. 13 on the display unit. On the reservation registration screen 25, a subject attribute information display area 115, a guidance program details display area 116, a medical examination result display area 117, a registration button 102, a guidance button 114, and a cancel button 103 are displayed.

  In the subject attribute information display area 115, the subject's attribute information (the examiner name 68, the gender 69, the age 70, the examinee in the examiner attribute table 14 in FIG. 8 or the examiner result table 15 in FIG. 9) A consultation date 73) is displayed. In the guidance program detail display area 116, a health guidance course, fee information, and the like provided by the insurer to whom the guidance subject belongs are displayed. In the medical examination result display area 117, the medical examination result used for hierarchizing the health guidance level of the person to be trained is displayed.

When the content of the reservation registration screen 25 is confirmed by the operator and the registration button 102 is pressed, the health guidance client 8 transmits a reservation instruction to the health guidance support system server 7. When the health guidance support system server 7 receives the reservation instruction from the health guidance client 8, the health guidance support system server 7 updates the status 74 of the corresponding medical examiner in the consultation qualification table 16 to “reserved”.
Further, the health guidance support system server 7 or the health guidance client 8 issues a form necessary for the reservation.

  When the guidance button 114 on the health guidance target person display screen 24 in FIG. 12 or the reservation registration screen 25 in FIG. 13 is pressed, the health guidance client 8 transmits a guidance program request to the health guidance support system server 7. . The health guidance support system server 7 transmits target setting screen data to the health guidance client 8 in response to a request. The health guidance client 8 displays the target setting screen 26 shown in FIG. 14 on the display unit.

The target attribute information display area 115, the target setting area 118, the registration button 102, and the cancel button 103 are displayed on the target setting screen 26 shown in FIG.
In the target person attribute information display area 115, the attributes of the target person (checkup person name 68, gender 69, date of birth, age 70, checkup date 73, etc.) are displayed. The target setting area 118 is an area for inputting an inspection value target, an action target, and an action plan of the target person. When the operator confirms or corrects the content of the target setting screen 26 and then presses the registration button 102, the health guidance client 8 supports the health guidance of the target person's test value target, action target, action plan, etc. It transmits to the system server 8. The health guidance support system server 8 registers the examined test value target, action goal, action plan, etc., in the guidance program table (not shown) as the target for the first interview.

  As described above, in the health guidance support system 1 according to the present embodiment, the health guidance support system server 7 and the health guidance client 8 have the examination qualification conditions (attribute conditions, health examinations) presented by the insurer or the health examination facility. (Including result conditions or history conditions). In addition, the health guidance support system server 7 acquires attribute information about the medical examiner, health examination result information, health guidance level stratification information, and the like from the database server 4. Then, the health guidance support system server 7 determines whether or not the subject has a medical qualification based on the set medical qualification conditions, and stores the determination result in the medical qualification table 16. In the consultation qualification table 16, status information 74 indicating the progress of reservation, reception, guidance, etc. is stored together with information on whether or not there is a consultation qualification.

When the health guidance client 8 searches and displays the target person, the health guidance target person display screen 24 is subjected to a narrowing (filter) process using the health guidance level and attribute information as search conditions, and the search result Is displayed.
At this time, it is possible to select whether to display all who have been narrowed down or to display only “qualified personnel”. When “qualified personnel” is selected, only qualified subjects List. When “all” is selected, all target persons who satisfy the search condition are displayed in a list regardless of whether or not there is a medical examination qualification. However, at this time, for those subjects who are not eligible for medical examination, an identification display indicating that is performed.
Further, when there is an instruction to display “only unreserved”, only the “unreserved” target person is extracted and displayed based on the status information 74 stored in the consultation qualification table 16.

  Therefore, even if various consultation qualification conditions are set for the target person for health guidance, the presence / absence of consultation qualification is automatically determined and displayed, simplifying the work for health guidance reservation and reception Is done. Therefore, the burden of office work can be reduced.

In this embodiment, as conditions for health guidance consultation qualifications, conditions regarding attributes (gender, age, contents of contract with insurer, etc.), test value criteria (conditions for medical examination results), or consultation history Although an example in which conditions (not subject to history) and the like can be set has been shown, the conditions are not limited to this.
For example, a predetermined priority order may be provided for a target person who has been hierarchized in advance by the medical examination system server 3, and a high priority target person may be preferentially registered for reservation.
In this case, if the priority is set high for those who are younger, those who have a small difference from the stratified test value criteria, or who have the will of the person (hope to see the person), the effect of health guidance is expected. it can.
It is also possible to extract the number of subjects so as to be a fixed ratio (for example, 30% of the total number of medical examinees) according to the priority order.

  Further, in the reservation registration process of the above-described embodiment, setting and registration of conditions regarding the medical examination qualification while transmitting and receiving various data between the health guidance support system server 7 and the health guidance client 8 via the network 10. However, this is not limited to such a form, and the above-described reservation is performed by local processing of the health guidance support system 7 or the health guidance client 8. Registration processing may be performed.

  The preferred embodiments of the health guidance support system and the like according to the present invention have been described above with reference to the accompanying drawings, but the present invention is not limited to such examples. It will be apparent to those skilled in the art that various changes or modifications can be conceived within the scope of the technical idea disclosed in the present application, and these naturally belong to the technical scope of the present invention. Understood.

DESCRIPTION OF SYMBOLS 1 ... Health guidance support system 2 ... Health examination facility 3 ... Health examination system server 4 ... Database server 5 ... Health examination client 6 ... .. Network 7 ... Health guidance support system server 8 ... Health guidance client 9 ... Printer 10 ... Network 11 ... Insurer attribute table 12 ... ... Medical examination qualification table 13 ... Medical examination result condition table 14 ... Medical examination person attribute table 15 ... Medical examination person result table 16 ... Medical examination qualification judgment table 21・ ・ ・ ・ ・ Insurer registration screen 22 …… Consultation qualification setting screen 23 …… Medical examination result condition setting screen 24 …… Health guidance target display screen 25 …… Reservation Registration screen 26 ... Target setting screen

Claims (10)

A health guidance support device that manages information related to appointment, reception or guidance of health guidance,
As conditions for health guidance consultation qualification by facility or insurer, a combination of attribute conditions, conditions regarding contract details with insurers, conditions regarding health examination result information, and conditions regarding health guidance consultation history are combined. Means for setting the examination qualification condition to be set,
Data acquisition means for acquiring attribute information, medical examination result information, and health guidance level information about a subject who has been certified with a specific health guidance level based on a predetermined certification standard among health checkers who have undergone medical examination ,
For each subject whose specific health guidance level is certified, whether or not he / she has a health guidance consultation qualification, the conditions set by the consultation qualification condition setting means, the attribute information acquired by the data acquisition means, and the health examination result information Or judging means for judging by collating with health guidance level information;
Reservation processing means for accepting reservation processing for the subject determined to be eligible for medical examination by the determination means;
A health guidance support device characterized by comprising: The health guidance support apparatus according to claim 1 , wherein the condition related to the health examination result information is a test value standard different from an authorization standard for authorizing the health guidance level information . The health guidance support apparatus according to claim 1, wherein the condition relating to the health guidance consultation history is an exclusion condition from the current guidance target . As a narrowing-down display condition for narrowing down and displaying the subjects for whom the specific health guidance level is certified, narrowed-down display condition input means for inputting at least one of the specific health guidance level information and attribute information;
Filter processing means for narrowing down persons corresponding to the narrowed display condition input by the narrowed display condition input means among the target persons;
Display means for displaying a narrowing result by the filtering means;
The health guidance support apparatus according to claim 1, further comprising: A selection means for selecting whether to display all the target persons narrowed down by the filter processing means or to display only those who have a medical qualification;
If the display means is selected to display all members by the selection means, all the target persons of the narrowing down result by the filter processing means are displayed regardless of whether or not there is a medical qualification, and only those who have medical qualification by the selection means The health guidance according to claim 4, wherein when selected to display, the subject who is determined to be eligible for medical examination by the determination means is extracted and displayed from the narrowed down results by the filter processing means. Support device. The health guidance support according to claim 5, wherein the display means identifies and displays the target person who is determined not to be eligible for medical examination by the determination means when displaying all the target persons of the narrowing-down result. apparatus. The health guidance support apparatus according to claim 1, wherein the condition regarding the medical examination qualification further includes a priority order based on age, a difference from a test value standard, or presence / absence of a person's desire to visit . Health guidance support server that manages information on appointment, reception, or guidance of health guidance, multiple health guidance clients connected to the health guidance support server via the network, and connection to the health guidance support server via the network A health examination support system comprising: a health checkup database storing attribute information of health checkers, health check result information, and health guidance level information,
The health guidance client
As conditions for health guidance consultation qualification by facility or insurer , a combination of attribute conditions, conditions regarding contract details with insurers, conditions regarding health examination result information, and conditions regarding health guidance consultation history are combined. set Te, with a consultation qualifications setting and transmission means for transmitting to the health guidance support server,
The health guidance support server
Acquire attribute information, medical examination result information, and health guidance level information from the medical examination database about the subject whose specific health guidance level has been certified based on a predetermined certification standard among those who have undergone medical examination Data acquisition means,
For each subject who has been certified for the specific health guidance level, whether or not there is a health guidance consultation qualification, the conditions set by the consultation qualification condition setting / transmission means, the attribute information acquired by the data acquisition means, the medical examination A determination means for determining by comparing result information or health guidance level information;
A transmission unit that transmits information about the determination result by the determination unit or information about the subject determined to have medical examination qualification to the health guidance client,
The health guidance client
A health guidance support system comprising: a reservation processing unit that receives a determination result by the determination unit or information about a subject who is determined to have medical examination qualification from the health guidance support server and receives a reservation process. A reservation processing method for health guidance using a computer ,
As for the condition regarding health examination guidance qualification for each facility or insurer, the computer has more than one of the attribute condition, the condition concerning the contract contents with the insurer, the condition concerning the health examination result information, and the condition concerning the health guidance consultation history. Incoming eligibility condition setting step for setting a combination of conditions,
Data computer, among checkup who received medical examination, to acquire the attribute information about the subject which the health guidance level certified based on a predetermined certification criteria, checkup result information, and health guidance level information An acquisition step;
For each subject who has been certified with the specific health guidance level, the computer determines whether or not there is a health guidance consultation qualification, the conditions set in the consultation qualification condition setting step, the attribute information acquired in the data acquisition step, the health information A determination step for determining by checking the diagnosis result information or the health guidance level information;
For computer, subject it is determined that there is a consultation qualified by the determining step, the reservation processing step of accepting the reservation process,
The reservation processing method characterized by including.   A program for causing a computer to function as the health guidance support device according to claim 1.

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