JP5434032B2 - Patient transport destination order determination system, method, and apparatus - Google Patents

Description

  The present invention relates to a patient transport destination order determination system that determines a priority order as a transport destination of a medical institution where an emergency patient is transported.

  Currently, as a system for securing medical care for emergency patients, emergency medical information such as the presence or absence of doctors by clinical departments, availability of treatments by clinical departments (operations, etc.), vacancy status of hospital rooms, etc. from multiple emergency medical institutions An emergency medical information system is used that is collected and provided to the fire department headquarters that receives emergency reports. Emergency personnel refer to the emergency medical information provided to the firefighting headquarters by this emergency medical information system, select an emergency medical institution that can accept emergency patients, and transport the emergency patient to the selected emergency medical institution .

  In addition, as a technique for selecting a medical institution to which an emergency patient is transported, for example, in order to search for an acceptable medical institution that matches the patient's symptoms, the patient's video and biometric information are stored in the in-vehicle device of the ambulance. There is one that is input and transmitted to a medical institution, and based on the transmitted information, the medical institution determines whether or not the patient can be accepted (see, for example, Patent Document 1).

  In addition, image information on the diagnosis site of the emergency patient is collected with an ambulance and transferred to the lifesaving center. The lifesaving center diagnoses the emergency patient based on the image information, and determines the diagnosis result and the current position of the ambulance. In some cases, an ambulance is instructed to a transport destination hospital to which an emergency patient should be transported (see, for example, Patent Document 2).

  In addition, there is a technique for detecting a desired medical institution by a simple search operation in the order from the patient generation site regardless of the framework of the municipality (see, for example, Patent Document 3). In the technology, based on a plurality of segments obtained by dividing a map of a jurisdiction range to be searched into a grid shape, medical information such as belonging segments and medical subjects is stored in a database for each medical institution. . When a search command for designating a segment to which a patient generation site belongs and a medical treatment subject is input, a medical institution having the designated medical treatment subject is searched in the order from the center of the designated segment.

JP 2004-355275 A JP 2004-157930 A JP-A-8-249403

  By the way, in the above-mentioned emergency medical information system currently used, emergency medical institutions such as doctors, nurses, and office workers operate emergency terminals by operating the terminal devices of the system on the side of the emergency medical institutions participating in the system. Entering medical information. For this reason, the work burden on the emergency medical institution performing the input operation is large.

  In addition, for example, while a doctor is treating another patient in a treatment room such as an operating room of an emergency medical institution, even if the emergency patient is transported to the emergency medical institution, It is likely that treatment cannot be performed immediately. Therefore, if there is a change in emergency medical information such as the availability of treatment for emergency patients, it is necessary to immediately input and update the changed emergency medical information on the emergency medical institution side. An emergency medical institution that cannot immediately respond to an emergency patient may be selected as a transport destination of the emergency patient.

  For this reason, in the currently used system, each emergency medical institution is required to update the emergency medical information in real time whenever the emergency medical information changes. The work burden on the emergency medical institution performing the operation was large.

  In addition, since the techniques described in Patent Document 1, Patent Document 2, and Patent Document 3 are for selecting an emergency medical institution according to the symptoms and position of an emergency patient, input of information in the emergency medical institution Work cannot be reduced.

  The present invention has been made in view of the above circumstances, and can reduce the burden of information input in a medical institution and determine the priority order as a transport destination of a medical institution to which an emergency patient is transported It is an object to provide a transport destination order determination system.

In order to achieve the above object, a patient transport destination ranking determination system according to the first aspect of the present invention includes:
A medical institution device for acquiring acceptance posture information indicating an acceptance posture of an emergency patient of the medical institution;
Priorities as transport destinations of emergency patients of each medical institution among a plurality of medical institutions based on the acceptance status information of the medical institutions connected to the plurality of medical institution apparatuses via a communication network A patient transport destination rank determining device for determining the rank;
A patient transport destination ranking determination system comprising:
In the medical institution,
An information recording medium in which doctor identification information for identifying a doctor of the medical institution is recorded is possessed by the doctor of the medical institution,
An information reading device for reading doctor identification information recorded on the information recording medium is disposed in the vicinity of the entrance / exit of the treatment room of the medical institution, and the doctor possesses it according to the position of the doctor in the medical institution. Reading the doctor identification information recorded on the information recording medium,
The medical institution device is connected to the information reading device;
The medical institution apparatus is
Doctor position information acquisition means for acquiring the doctor identification information and arrangement position information indicating the arrangement position of the information reading apparatus that has read the doctor identification information when doctor identification information is read by the information reading device;
Based on the doctor identification information and the arrangement position information acquired by the doctor position information acquisition means, an entrance / exit detection means for detecting entrance and exit of the doctor to the treatment room of the medical institution,
Based on detection by the entrance / exit room detection means, an empty treatment room determination means for determining whether or not the treatment room of the medical institution is an empty treatment room in which a doctor does not enter,
Counting the number of empty treatment rooms determined by the empty treatment room determining means, and acquiring the number of empty treatment rooms counted as acceptance status information of the medical institution,
Receiving attitude information transmitting means for transmitting the medical institution receiving attitude information acquired by the empty treatment room number acquiring means to the patient transport destination rank determining device, and
The patient transport destination rank determining device
Receiving status information receiving means for receiving the receiving status information of a plurality of medical institutions transmitted from the plurality of medical institution devices by the receiving status information transmitting means;
Based on the number of vacant treatment rooms indicated by the acceptance status information of a plurality of medical institutions received by the acceptance status information receiving means, the order of medical institutions having the largest number of vacant treatment rooms among the plurality of medical institutions is determined for each medical institution. Priority order as a transport destination of emergency patients and order determination means for determining,
It is characterized by that.

In addition, the patient transport destination order determination method according to the second aspect of the present invention includes:
An information recording medium that is carried by a doctor of a medical institution and in which doctor identification information for identifying the doctor of the medical institution is recorded;
An information reading device that is arranged in the vicinity of the entrance / exit of the treatment room of the medical institution and reads doctor identification information recorded on the information recording medium possessed by the doctor according to the position of the doctor in the medical institution ,
A medical institution device that is connected to the information reading device and acquires acceptance posture information indicating an acceptance posture of an emergency patient of the medical institution;
Priorities as transport destinations of emergency patients of each medical institution among a plurality of medical institutions based on the acceptance status information of the medical institutions connected to the plurality of medical institution apparatuses via a communication network A patient transport destination rank determining device for determining the rank;
A method for determining a patient transport destination ranking using a system comprising:
When the medical institution apparatus reads the doctor identification information by the information reading apparatus, the doctor acquires the doctor identification information and the arrangement position information indicating the arrangement position of the information reading apparatus that has read the doctor identification information. A location information acquisition step;
The medical institution apparatus detects entry / exit of a doctor with respect to a treatment room of the medical institution based on the doctor identification information and the arrangement position information acquired in the doctor position information acquisition step, and
An empty treatment room determination step for determining whether or not the treatment room of the medical institution is an empty treatment room in which a doctor does not enter based on the detection in the entry / exit room detection step,
Obtaining the number of empty treatment rooms in which the medical institution device counts the number of empty treatment rooms determined in the empty treatment room determination step and acquires the counted number of empty treatment rooms as acceptance status information of the medical institution Steps,
The medical institution device transmits the acceptance status information of the medical institution acquired in the empty treatment room number acquisition step to the patient transport destination rank determination device, and an acceptance status information transmission step;
The patient transport destination order determination device receives an acceptance posture information receiving step of receiving the acceptance posture information of a plurality of medical institutions transmitted in the acceptance posture information transmission step from a plurality of the medical institution devices;
The number of empty treatment rooms in the plurality of medical institutions is large based on the number of empty treatment rooms indicated by the reception attitude information of the plurality of medical institutions received by the patient transport destination rank determination device in the reception attitude information receiving step. An order determination step for determining the order of the medical institutions as the priority order as the transport destination of the emergency patient of each medical institution,
It is characterized by that.

Moreover, the patient transport destination order determination device according to the third aspect of the present invention is:
In medical institutions
An information recording medium in which doctor identification information for identifying a doctor of the medical institution is recorded is possessed by the doctor of the medical institution,
An information reading device for reading doctor identification information recorded on the information recording medium is disposed in the vicinity of the entrance / exit of the treatment room of the medical institution, and the doctor possesses it according to the position of the doctor in the medical institution. Reading the doctor identification information recorded on the information recording medium,
The medical institution apparatus connected to the information reading apparatus, when the doctor identification information is read by the information reading apparatus, the arrangement indicating the arrangement position of the information reading apparatus that has read the doctor identification information and the doctor identification information Position information is acquired, and based on the acquired doctor identification information and arrangement position information, a doctor enters and leaves the treatment room of the medical institution, and based on the detection, the treatment room of the medical institution The doctor determines whether or not the empty treatment room is not in the room, counts the number of the determined empty treatment rooms, and accepts the counted number of empty treatment rooms to receive the emergency patient of the medical institution Acquired as an acceptance status information indicating the attitude, and transmits the acquired acceptance status information of the medical institution,
A patient transport destination order determination device that is connected to a plurality of medical institution devices via a communication network and determines a priority order as a transport destination of emergency patients of each medical institution among the plurality of medical institutions,
Receiving status information receiving means for receiving receiving status information of a plurality of medical institutions transmitted from a plurality of the medical institution devices;
Based on the number of vacant treatment rooms indicated by the acceptance status information of a plurality of medical institutions received by the acceptance status information receiving means, the order of medical institutions having the largest number of vacant treatment rooms among the plurality of medical institutions is determined for each medical institution. Priority order as a transport destination of emergency patients and order determination means for determining,
It is characterized by that.

A program according to the fourth aspect of the present invention is:
In medical institutions
An information recording medium in which doctor identification information for identifying a doctor of the medical institution is recorded is possessed by the doctor of the medical institution,
An information reading device for reading doctor identification information recorded on the information recording medium is disposed in the vicinity of the entrance / exit of the treatment room of the medical institution, and the doctor possesses it according to the position of the doctor in the medical institution. Reading the doctor identification information recorded on the information recording medium,
The medical institution apparatus connected to the information reading apparatus, when the doctor identification information is read by the information reading apparatus, the arrangement indicating the arrangement position of the information reading apparatus that has read the doctor identification information and the doctor identification information Position information is acquired, and based on the acquired doctor identification information and arrangement position information, a doctor enters and leaves the treatment room of the medical institution, and based on the detection, the treatment room of the medical institution The doctor determines whether or not the empty treatment room is not in the room, counts the number of the determined empty treatment rooms, and accepts the counted number of empty treatment rooms to receive the emergency patient of the medical institution Acquired as an acceptance status information indicating the attitude, and transmits the acquired acceptance status information of the medical institution,
A computer connected to a plurality of the medical institution devices via a communication network,
Receiving status information receiving means for receiving receiving status information of a plurality of medical institutions transmitted from the plurality of medical institution devices;
Based on the number of vacant treatment rooms indicated by the acceptance status information of a plurality of medical institutions received by the acceptance status information receiving means, the order of medical institutions having the largest number of vacant treatment rooms among the plurality of medical institutions is determined for each medical institution. Priority determination means for determining the priority order as the transport destination of emergency patients,
It is intended to function as.

Moreover, the acceptance attitude information acquisition device according to the fifth aspect of the present invention is:
In medical institutions
An information recording medium in which doctor identification information for identifying a doctor of the medical institution is recorded is possessed by the doctor of the medical institution,
An information reading device for reading doctor identification information recorded on the information recording medium is disposed in the vicinity of the entrance / exit of the treatment room of the medical institution, and the doctor possesses it according to the position of the doctor in the medical institution. Reading the doctor identification information recorded on the information recording medium,
An acceptance posture information acquisition device connected to the information reading device for obtaining acceptance posture information indicating an acceptance posture of an emergency patient of the medical institution,
Doctor position information acquisition means for acquiring the doctor identification information and arrangement position information indicating the arrangement position of the information reading apparatus that has read the doctor identification information when doctor identification information is read by the information reading device;
Based on the doctor identification information and the arrangement position information acquired by the doctor position information acquisition means, an entrance / exit detection means for detecting entrance and exit of the doctor to the treatment room of the medical institution,
Based on detection by the entrance / exit room detection means, an empty treatment room determination means for determining whether or not the treatment room of the medical institution is an empty treatment room in which a doctor does not enter,
The number of empty treatment rooms for which the number of empty treatment rooms discriminated by the empty treatment room discriminating means is counted, and the counted number of empty treatment rooms is acquired as acceptance posture information indicating the acceptance posture of emergency patients in the medical institution. Acquisition means;
Based on the air treatment room number indicating the acceptance posture information of a plurality of medical institutions to be acquired by pre Kisora treatment room number obtaining means, the order of the air treatment rooms often medical institutions in among the plurality of medical institutions, each The acceptance status information of the medical institution acquired by the empty treatment room number acquisition means is transmitted to the patient transport destination order determination device that determines the priority as the transport destination of the emergency patient of the medical institution via the communication network. Receiving status information transmitting means,
It is characterized by that.

A program according to the sixth aspect of the present invention is
In medical institutions
An information recording medium in which doctor identification information for identifying a doctor of the medical institution is recorded is possessed by the doctor of the medical institution,
An information reading device for reading doctor identification information recorded on the information recording medium is disposed in the vicinity of the entrance / exit of the treatment room of the medical institution, and the doctor possesses it according to the position of the doctor in the medical institution. Reading the doctor identification information recorded on the information recording medium,
A computer connected to the information reader;
Doctor position information acquisition means for acquiring doctor identification information and arrangement position information indicating an arrangement position of the information reading apparatus that has read the doctor identification information when doctor identification information is read by the information reading device;
Based on the doctor identification information and the arrangement position information acquired by the doctor position information acquisition means, the entrance / exit detection means for detecting entrance and exit of the doctor to the treatment room of the medical institution,
Based on the detection of the entrance / exit detection means, the treatment room discriminating means for discriminating whether or not the treatment room of the medical institution is an empty treatment room where a doctor has not entered,
The number of empty treatment rooms for which the number of empty treatment rooms discriminated by the empty treatment room discriminating means is counted, and the counted number of empty treatment rooms is acquired as acceptance posture information indicating the acceptance posture of emergency patients in the medical institution. Acquisition means,
Based on the air treatment room number indicating the acceptance posture information of a plurality of medical institutions to be acquired by pre Kisora treatment room number obtaining means, the order of the air treatment rooms often medical institutions in among the plurality of medical institutions, each The acceptance status information of the medical institution acquired by the empty treatment room number acquisition means is transmitted to the patient transport destination order determination device that determines the priority as the transport destination of the emergency patient of the medical institution via the communication network. Acceptance status information transmission means,
It is intended to function as.

  ADVANTAGE OF THE INVENTION According to this invention, while reducing the work burden of the information input in a medical institution, the priority as a transport destination of the medical institution where an emergency patient is conveyed can be determined.

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

[First Embodiment]
FIG. 1 is a block diagram schematically showing a configuration example of a patient transport destination rank determination system according to the first embodiment of the present invention.
As shown in the figure, the patient transport destination order determination system according to the present embodiment is configured to distinguish a plurality of medical institutions 1a, 1b,... And the firefighting headquarters 2 that accepts emergency reports and commands emergency personnel to transport emergency patients.

  The medical institution 1 is, for example, a hospital and includes medical institution apparatuses 11a, 11b,... (Hereinafter, the medical institution apparatuses 11 may be described without distinction). The medical institution apparatus 11 is a server apparatus in a computer network system in the medical institution 1, for example. The medical institution device 11 acquires acceptance attitude information indicating the acceptance attitude of the emergency patient in the medical institution 1. For this reason, the medical institution apparatus 11 functions as an acceptance status information acquisition apparatus.

  Here, the acceptance status information will be described. Even if an emergency patient is transported to a medical institution, if the emergency patient is not ready to receive at that medical institution, medical treatment cannot be performed quickly on the transported emergency patient. On the other hand, if the acceptance system is in place, medical treatment can be quickly performed on the transported emergency patient. Therefore, in the patient transport destination order determination system according to the present embodiment, the medical institution that is ready to receive the emergency patient has a higher priority as the transport destination of the emergency patient, when determining the order, Use acceptance status information indicating the state of acceptance of emergency patients for each medical institution.

  As acceptance status information, in the present embodiment, specifically, medical treatment is not currently performed in a treatment room of a medical institution for performing medical treatment such as surgery on a patient. The number of vacant treatment rooms (hereinafter referred to as empty treatment rooms) is used. This is because even if an emergency patient is transported to a medical institution, if there is no empty treatment room, a doctor cannot immediately perform medical treatment on the emergency patient. Also, when a medical institution is selected as a transport destination for emergency patients, the more institutional the number of empty treatment rooms, the higher the probability that there will actually be an empty treatment room even when the emergency patient arrives. It is possible.

  The firefighting headquarters 2 includes a command board server 21. The command board server 21 is a server device in a computer network system in the firefighting headquarters 2, for example. The command board server 21 includes a plurality of medical institution apparatuses 11 (11a, 11b,...) Via a communication network 3 such as a dedicated line, the Internet, IPsec (Security Architecture for Internet Protocol) -VPN (virtual private network). Connected with.

  The command board server 21 is, for example, based on the acceptance status information of the medical institution 1 acquired by the medical institution device 11, and each medical institution 1 (1a, 1b) in the plurality of medical institutions 1 (1a, 1b,...). ,...) Are prioritized as transport destinations for emergency patients. For this reason, the command stand server 21 functions as a patient transport destination rank determination device.

  Specifically, the command board server 21 receives the number of empty treatment rooms of the plurality of medical institutions 1 (1a, 1b,...) From the plurality of medical institution apparatuses 11 (11a, 11b,...). , The order of medical institutions 1 (1a, 1b,...) Having a large number of empty treatment rooms among the plurality of medical institutions 1 (1a, 1b,...)・ ・) And priority as the transport destination of emergency patients.

  Next, the configuration of the internal system of the medical institution 1 (1a, 1b,...) Will be described. In addition, although the medical institution 1a which is one of the medical institutions 1 is demonstrated here, other medical institutions 1b, ... can also be set as the same structure.

FIG. 2 is a block diagram schematically showing a configuration example of the internal system of the medical institution 1a.
As shown in the figure, the medical institution 1a has a doctor 12, and the doctor 12 has an information recording medium on which doctor identification information, which is identification information for identifying each doctor, is recorded.

  Specifically, in the present embodiment, a passive tag 13 in which a doctor ID that is an identifier of each doctor is recorded is attached to a plurality of doctors 12 as an information recording medium. For example, the doctor ID of the doctor α is recorded on the passive tag 13 worn by the doctor α, and the doctor ID of the doctor β is recorded on the passive tag 13 worn by the doctor β. The passive tag 13 can transmit and receive information at a short distance of, for example, about 1 m or less using radio waves.

  The medical institution 1 a includes a treatment room 14, and an information reading device that reads doctor identification information recorded on an information recording medium is disposed near the entrance 15 of the treatment room 14. The information reading device reads doctor identification information recorded on an information recording medium possessed by the doctor 12 according to the position of the doctor 12.

  Specifically, in the present embodiment, as an information reading device, a pair of exciters 16 that transmit radio waves to the passive tag 13 in the vicinity of the entrances 15 of the plurality of treatment rooms 14, and the passive tag 13 A location receiver 17 for receiving radio waves is installed. The combination of the pair of exciters 16 and the location receiver 17 functions as a tag reader, and reads information recorded on the passive tag 13.

The pair of exciters 16 includes two exciters 16 installed in the vicinity of the entrance / exit 15 of the treatment chamber 14, one of which is installed outside the treatment chamber 14 and the other is installed inside the treatment chamber 14. Yes. For example, each of the pair of exciters 16 is installed near the entrance 15 of the treatment room 14 and on the ceiling outside the treatment room and the ceiling inside the treatment room.
The exciter 16 continuously transmits radio waves, and an exciter ID that is an identifier for identifying each exciter 16 is superimposed on the radio waves.

  When the passive tag 13 enters a range in which a radio wave transmitted from the exciter 16 can be received (hereinafter referred to as a detection range of the exciter 16), the passive tag 13 receives the radio wave and acquires an exciter ID from the received radio wave. The passive tag 13 that has acquired the exciter ID transmits a radio wave in which the acquired exciter ID and the doctor ID stored by itself are superimposed.

The location receiver 17 receives the radio wave transmitted by the passive tag 13 and acquires an exciter ID and a doctor ID from the received radio wave.
Further, the location receiver 17 converts the acquired exciter ID into exciter position information indicating the location where the exciter 16 identified by the exciter ID is installed.

  Specifically, the location receiver 17 stores a conversion table indicating the correspondence between the exciter ID and the exciter position information for all the exciters 16 installed in the medical institution 1a. The location receiver 17 converts the exciter ID using this conversion table, and acquires exciter position information.

  For example, when the location receiver 17 receives the exciter ID of the exciter 16 installed outside the entrance 15 of the first treatment room, the location receiver 17 converts the exciter position information into the “outside first” and converts it to the first treatment room. When the exciter ID of the exciter 16 installed inside the entrance / exit 15 is received, it is converted into exciter position information “inner side”. Further, when the exciter ID of the exciter 16 installed outside the entrance / exit 15 of the second treatment room is received, it is converted into the exciter position information “outside of the second”, and inside the entrance / exit 15 of the second treatment room. When the exciter ID of the installed exciter 16 is received, the exciter position information is converted into “inner side 2”.

The location receiver 17 is connected to the medical institution apparatus 11a, and transmits the acquired doctor ID and exciter position information to the medical institution apparatus 11a.
The medical institution apparatus 11a detects entry and exit of the doctor 12 from the treatment room 14 based on the doctor ID and the exciter position information received from the location receiver 17.

  The location receiver 17 may transmit a doctor ID and an exciter ID to the medical institution apparatus 11a, and the exciter ID may be converted into exciter position information on the medical institution apparatus 11a side.

  In the example of FIG. 2, one location receiver 17 is installed for two treatment rooms 14 each having a pair of exciters 16 at the entrance / exit 15. However, the number and location of the location receivers 17 are not limited to this. For example, separate location receivers 17 may be installed near the entrances 15 of the two treatment rooms 14. Further, the number and location of the location receivers 17 may be appropriately determined according to the number and location of the exciters 16.

FIG. 3 is a block diagram schematically showing a configuration example of the medical institution apparatus 11a.
The other medical institution apparatuses 11b,... Can have the same configuration.
As illustrated, the medical institution apparatus 11 a includes a communication unit 111, a storage unit 112, and a control unit 113.

  The communication unit 111 includes a communication interface and is used for communication with a device connected to the medical institution device 11a. Specifically, the medical institution apparatus 11 a transmits and receives data to and from the command receiver server 21 of the location receiver 17 and the firefighting headquarters 2 using the communication unit 111.

  The storage unit 112 includes an auxiliary storage device such as a hard disk, and stores various information, programs, and the like. For example, the storage unit 112 stores a medical institution ID assigned to the medical institution 1a among medical institution IDs that are identifiers for identifying each medical institution. In addition, the storage unit 112 stores a program for acquiring information on acceptance of emergency patients of the medical institution 1a.

  The control unit 113 includes a CPU (Central Processing Unit) 114, a ROM (Read Only Memory) 115, a RAM (Random Access Memory) 116, and the like, performs data processing, and controls the entire medical institution apparatus 11a. . Specifically, the arithmetic processing and control processing in the control unit 113 is performed by the CPU 114 executing the control program stored in the ROM 115 while temporarily storing various data using the RAM 116 as a work area. Done.

  The control unit 113 controls the communication unit 111 and the storage unit 112 according to the program stored in the ROM 115 and the storage unit 112, thereby acquiring the emergency patient acceptance status information of the medical institution 1a in the medical institution device 11a. Processing for this is executed.

Next, the process performed in the medical institution apparatus 11a is demonstrated concretely.
FIG. 4 is a block diagram schematically showing a functional configuration example of the medical institution apparatus 11a.
As shown in the figure, the medical institution apparatus 11a includes a doctor position information acquisition unit 121, an entrance / exit detection unit 122, an empty treatment room determination unit 123, an empty unit as functional configurations realized by the processing of the control unit 113. A treatment room number acquisition unit 124 and an acceptance status information transmission unit 125 are provided. Further, the medical institution apparatus 11 a includes an entrance / exit management table 126 as data stored in the storage unit 112.

  When the doctor ID is read by the information reading device configured by the exciter 16 and the location receiver 17 arranged in the vicinity of the entrance 15 of the treatment room 14, the doctor position information acquisition unit 121 receives the doctor ID and the doctor ID. And the arrangement position information of the information reading device that has read.

  For example, when the doctor 12 wearing the passive tag 13 passes through the detection range of the exciter 16, the location receiver 17 changes the doctor ID recorded in the passive tag 13 by the operation of the passive tag 13 and the exciter 16 described above. read. Further, the location receiver 17 acquires the read doctor ID and the exciter position information of the exciter 16 forming the detection range, and transmits the acquired information to the medical institution apparatus 11a.

On the medical institution apparatus 11a side, the doctor position information acquisition unit 121 receives and acquires the doctor ID and exciter position information as the arrangement position information of the information reader from the location receiver 17.
When the doctor position information acquisition unit 121 acquires the doctor ID and the exciter position information, the doctor position information acquisition unit 121 records the exciter position information in, for example, the storage unit 112 for each doctor ID.

  The entrance / exit detection unit 122 detects the entrance and exit of the doctor 12 from the treatment room 14 of the medical institution 1a based on the doctor ID and the exciter position information acquired by the doctor position information acquisition unit 121.

  Specifically, when the doctor position information acquisition unit 121 receives the doctor ID and the exciter position information from the location receiver 17, the entrance / exit detection unit 122 receives the exciter position information and the same doctor ID as the doctor ID. Is compared with the previously received exciter position information already recorded in the storage unit 112, and the entrance of the doctor 12 into the treatment room 14 and the exit from the treatment room 14 are detected.

  For example, the doctor position information acquisition unit 121 corresponds to the doctor ID indicating the doctor α and follows the exciter position information “1st outside” indicating the outside of the entrance 15 of the 1st treatment room. When the exciter position information “inside 1” is received, the doctor α is moving from the outside to the inside of the entrance 15 of the 1st treatment room. It is detected that the doctor α has entered the first treatment room.

  Further, the doctor position information acquisition unit 121 corresponds to the doctor ID indicating the doctor α, and after the exciter position information “1st inside” indicating the inside of the entrance 15 of the 1st treatment room, the 1st treatment room entrance / exit When the exciter position information “1st outside” indicating the outside of 15 is received, since the doctor α is moving from the inside to the outside of the entrance 15 of the 1st treatment room, the entrance / exit detection unit 122 is It is detected that the doctor α has left the first treatment room.

The empty treatment room determination unit 123 determines whether or not the treatment room 14 of the medical institution 1a is an empty treatment room in which the doctor 12 has not entered, based on the detection by the entry / exit room detection unit 122.
Specifically, when the entry / exit detection unit 122 detects entry / exit for each treatment room for each doctor, the empty treatment room determination unit 123 receives the detection result, and based on the detection result, for each treatment room for each doctor The entrance / exit management table 126 for managing the entrance and exit of the room is updated.

FIG. 5 is a diagram illustrating a data configuration example of the entrance / exit management table 126.
As shown in the drawing, the entrance / exit management table 126 has a column 126a for storing the entrance / exit status for each treatment room for each doctor and a column 126b for storing the availability status for each treatment room.

  When the empty treatment room discriminating unit 123 receives the detection result from the entry / exit detection unit 122, in the column 126a, for each doctor, the treatment room 14 where the doctor 12 has entered is recorded as “entering”, and the treatment room 14 leaving the room is recorded. Is recorded as “leaving”, and the entrance / exit management table 126 is updated.

  When the column 126a of the entry / exit management table 126 is updated, the empty treatment room determination unit 123 changes the column 126b based on the contents. Specifically, the empty treatment room determination unit 123 determines whether or not “Exit” is recorded in the column 126a for all doctors 12 for each treatment room. When “Exit” is recorded for all the doctors 12, since the treatment room 14 is an empty treatment room, “Empty” is recorded in the empty state column 126 b. If one doctor 12 is also recorded as “entering room”, since the treatment room 14 is not an empty treatment room, “used” is recorded in the column 126b indicating the availability.

The number of empty treatment rooms acquisition unit 124 counts the number of empty treatment rooms determined by the empty treatment room determination unit 123, and acquires the counted number of empty treatment rooms as acceptance status information of the medical institution 1a.
Specifically, when the column 126b of the entry / exit room management table 126 is updated, the empty treatment room number acquisition unit 124 counts the number of treatment rooms 14 recorded as “empty” in the column 126b, and performs empty treatment. Get the number of rooms.

  The acceptance status information transmission unit 125 transmits the acceptance status information of the medical institution 1 a acquired by the empty treatment room number acquisition unit 124 to the command board server 21 of the firefighting headquarters 2 via the communication network 3.

  Specifically, for example, when the column 126b indicating the vacancy status for each treatment room is changed in the entrance / exit management table 126, the acceptance status information transmission unit 125 uses the number of available treatment rooms as the acceptance status information of the medical institution 1a. The number of empty treatment rooms is received from the acquisition unit 124. At this time, the acceptance status information transmission unit 125 reads the medical institution ID of the medical institution 1a from the storage unit 112. Then, the acceptance status information transmission unit 125 transmits the number of empty treatment rooms and the medical institution ID to the command board server 21.

Next, the structure of the command board server 21 with which the firefighting headquarters 2 is provided is demonstrated.
FIG. 6 is a block diagram schematically showing a configuration example of the command board server 21.
As shown in the figure, the command board server 21 includes a communication unit 211, a storage unit 212, a control unit 213, an input unit 217, and an output unit 218. Since these units have the same points as the units having the same names included in the medical institution apparatus 11a shown in FIG. 3, different points will be mainly described in order to avoid redundant description.

  The communication unit 211 is used for communication with a device connected to the command board server 21. Specifically, the command board server 21 transmits / receives data to / from the medical institution apparatus 11 (11a, 11b,...) Using the communication unit 211.

  The storage unit 212 stores various information, programs, and the like. For example, the storage unit 212 stores each medical institution 1 (1a, 1b) among the plurality of medical institutions 1 (1a, 1b,...) Based on the acceptance status information of the medical institution 1 acquired by the medical institution apparatus 11. ,...), A program for determining the priority order as the transport destination of the emergency patient is stored.

The control unit 213 includes a CPU 214, a ROM 215, a RAM 216, and the like, performs data calculation processing, and controls the entire command board server 21.
The control unit 213 controls the communication unit 211, the storage unit 212, the input unit 217, and the output unit 218 according to the programs stored in the ROM 215 and the storage unit 212, so that each medical institution 1 (1a, 1b,...) Processing for determining the priority order as the transport destination of the emergency patient is executed.

The input unit 217 includes input devices such as a keyboard and a mouse. Various information is input to the input unit 217 according to an input operation by an operator of the command board server 21.
The output unit 218 includes an output device such as a display, and outputs various information.

Next, the process performed in the command stand server 21 is demonstrated concretely.
FIG. 7 is a block diagram schematically showing a functional configuration example of the command board server 21.
As shown in the figure, the command board server 21 includes an acceptance status information receiving unit 221 and a rank determining unit 222 as functional configurations realized by the processing of the control unit 213. In addition, the command board server 21 includes a medical institution information table 223 and a patient transport destination ranking list 224 as data stored in the storage unit 212.

The acceptance attitude information receiving unit 221 includes a plurality of medical institutions 1 (1a, 1b,...) Transmitted from the plurality of medical institution apparatuses 11 (11a, 11b,...) By the acceptance attitude information transmission unit 125. The acceptance status information is received via the communication network 3.
Specifically, the acceptance status information receiving unit 221 uses the number of empty treatment rooms and the medical institution ID transmitted by each acceptance status information transmission unit 125 of the plurality of medical institution apparatuses 11 (11a, 11b,...). Receive in association. The acceptance attitude information receiving unit 221 receives the number of empty treatment rooms associated with the medical institution ID as acceptance attitude information of the medical institution 1 identified by the medical institution ID.

  The rank determining unit 222 determines the number of medical institutions 1 (1a) based on the number of empty treatment rooms indicated by the reception status information of the plurality of medical institutions 1 (1a, 1b,...) Received by the reception status information receiving unit 221. , 1b,... In the order of medical institutions 1 (1a, 1b,...) With a large number of empty treatment rooms, transporting emergency patients of each medical institution 1 (1a, 1b,...) Decide with priority as the destination.

Here, the process in which the order determination unit 222 determines the priority order of each medical institution 1 (1a, 1b,...) As an emergency patient transport destination will be described in detail.
The rank determination unit 222 includes an acceptance status information recording unit 231, a medical institution information sorting unit 232, and a patient transport destination rank list generation unit 233 as its internal configuration.

  When the acceptance attitude information receiving unit 221 receives the acceptance attitude information, the acceptance attitude information recording unit 231 records the acceptance attitude information in the medical institution information table 223 that stores information on the medical institution 1.

FIG. 8 is a diagram illustrating a data configuration example of the medical institution information table 223.
As illustrated, the medical institution information table 223 includes, for each medical institution ID, a column 223a for storing detailed information such as the name, address, and telephone number of the medical institution, and a column 223b for storing acceptance status information of the medical institution. ,have.

  Specifically, when the receiving attitude information recording unit 231 receives the number of empty treatment rooms and the medical institution ID associated with each medical institution from the receiving attitude information receiving unit 221, the receiving attitude information recording unit 231 corresponds to the received medical institution ID. The received number of empty treatment rooms is recorded in the field 223b of the medical institution information table 223 as acceptance status information.

  When the acceptance attitude information recording unit 231 records the acceptance attitude information in the medical institution information table 223, the medical institution information rearranging unit 232 sets the medical institution information in the order in which the acceptance attitude is prepared based on the recorded acceptance attitude information. The medical institution IDs in the table 223 are rearranged.

FIG. 9 is a diagram illustrating a data configuration example of the medical institution information table 223 rearranged by the medical institution information rearranging unit 232.
As illustrated, the medical institution information rearranging unit 232 rearranges the medical institution IDs in the medical institution information table 223 in the order in which the number of empty treatment rooms recorded as the acceptance status information is large.

  The patient transport destination order list generation unit 233 sets the order of the medical institution IDs rearranged by the medical institution information rearranging unit 232 as the transport destination of the emergency patient of each medical institution 1 (1a, 1b,...). The priority order is generated, and a patient transport destination order list 224 that is order information indicating the priority order is generated.

FIG. 10 is a diagram illustrating a data configuration example of the patient transport destination ranking list 224.
As shown in the figure, in the patient transport destination order list 224, a number indicating the priority order is associated with detailed information such as the name, address, and telephone number of the medical institution 1 located at the priority order.

  Specifically, when the medical institution ID of the medical institution information table 223 is rearranged by the medical institution information rearrangement unit 232, the patient transport destination order list generation unit 233 sets a number indicating a priority order in the rearranged order. In addition, information required by the firefighting headquarters 2 is extracted from the medical institution information table 223 to generate a patient transport destination ranking list 224.

  For example, in the patient transport destination order list 224 illustrated in FIG. 10, the name, address, and telephone number of the medical institution 1 are shown in association with the priority order. However, the patient transport destination order list 224 is not limited to this, and the number of empty treatment rooms used for determining the priority order may be added. Moreover, only the matter considered to be necessary may be extracted, for example, only the telephone number of the medical institution 1 may be associated with the priority order.

As described above, according to the patient transport destination order determination system according to the present embodiment, the burden of information input in the medical institution 1 is reduced, and the transport destination of the medical institution 1 to which the emergency patient is transported. Priorities can be determined.
More specifically, it is possible to automatically detect the entry state of the doctor 12 into the treatment room 14 and determine the priority order of the medical institution 1 as the transport destination of the emergency patient.

  In addition, the patient transport destination order list 224 generated by the patient transport destination order list generation unit 233 is obtained, for example, when the operator of the command board server 21 inputs an output instruction of the patient transport destination order list 224 to the input unit 217. And output from the output unit 218. Therefore, a person who intends to select a transport destination of an emergency patient from a plurality of medical institutions 1 (1a, 1b,...) Refers to the output patient transport destination rank list 224, and the emergency patient transports the patient. It is possible to select a medical institution suitable for the treatment based on the priority order.

[Second Embodiment]
Next, a system for an emergency crew member to refer to the patient transport destination order list 224 generated by the command board server 21 at the emergency patient generation site will be described as a second embodiment of the present invention.

FIG. 11 is a block diagram schematically showing a configuration example of a patient transport destination rank determination system according to the second embodiment of the present invention.
As shown in the figure, the patient transport destination ranking determination system according to the second embodiment includes an ambulance 4 in addition to the components of the patient transport destination ranking determination system according to the first embodiment shown in FIG. The communication network 5 is provided.
In order to avoid redundant description, in FIG. 11, the same components as those shown in FIG. 1 are denoted by the same reference numerals, and detailed description thereof is omitted.

  An ambulance member 40 who transports an emergency patient to the medical institution 1 in response to a command from the fire headquarters 2 is on the ambulance 4. The ambulance crew 40 has a portable terminal 41 having a data communication function. The mobile terminal 41 is a portable information terminal device such as a mobile phone having a wireless data communication function, a PDA (Personal Digital Assistants), or the like.

  The portable terminal 41 is connected to the command board server 21 via the communication network 5 such as a dedicated line, the Internet, or IPsec-VPN. Note that the communication network 5 and the communication network 3 may be the same communication network.

Here, the command board server 21 in the second embodiment will be described with a focus on differences from the first embodiment.
The command board server 21 in the second embodiment transmits and receives data to and from the medical institution apparatus 11 (11a, 11b,...) And the portable terminal 41 using the communication unit 211 shown in FIG.

FIG. 12 is a block diagram schematically showing a functional configuration example of the command board server 21 in the second embodiment.
As shown in the figure, the command board server 21 in the second embodiment is realized by the processing of the control unit 213 in addition to the components of the command board server 21 in the first embodiment shown in FIG. As a functional configuration, a patient transport destination rank list transmission unit 225 is provided.
In order to avoid redundant description, in FIG. 12, the same components as those shown in FIG. 7 are denoted by the same reference numerals, and detailed description thereof is omitted.

The patient transport destination rank list transmission unit 225 stores, in the portable terminal 41, rank information indicating the priority order of each medical institution 1 (1a, 1b,...) Determined by the rank determination unit 222 as the transport destination of the emergency patient. Send.
Specifically, the patient transport destination rank list transmission unit 225 generates the patient transport destination rank list generation unit 233 from the patient transport destination rank list generation unit 233 when the patient transport destination rank list generation unit 233 of the rank determination unit 222 generates the patient transport destination rank list 224. The patient transport destination rank list 224 thus received is received as rank information, and is transmitted to the portable terminal 41 possessed by the ambulance crew 40 via the communication network 5.

FIG. 13 is a diagram schematically showing the external appearance of the mobile terminal 41.
The mobile terminal 41 is, for example, a mobile phone that has a voice call function and a data communication function and is used by the emergency personnel 40.
The portable terminal 41 includes a display unit 411, an operation unit 412, and an antenna 413 as illustrated.

The display unit 411 includes a display device such as a display, and displays various information on the screen.
The operation unit 412 includes input devices such as a numeric keypad and a cross key. Various information is input to the operation unit 412 in accordance with an input operation by the operator of the mobile terminal 41.
The antenna 413 transmits and receives radio waves on which voice and data are superimposed.

The portable terminal 41 receives and outputs the patient transport destination rank list 224 that is the rank information transmitted by the patient transport destination rank list transmission unit 225 of the command board server 21 via the communication network 5.
Specifically, the portable terminal 41 receives the patient transport destination order list 224 from the command board server 21 by the data communication function, and displays the received patient transport destination order list 224 on the display unit 411. For example, the patient transport destination rank list 224 shown in FIG. 10 is displayed on the display unit 411 as rank information.

  For example, when the ambulance crew member 40 receives a command from the fire department headquarters 2 that has received the report, the ambulance crew member 40 heads to the emergency patient generation site and places the emergency patient in the ambulance 4. Then, the ambulance crew 40 operates the operation unit 412 of the portable terminal 41 possessed to display the patient transport destination ranking list 224 on the display unit 411.

  The emergency member 40 refers to the patient transport destination order list 224 displayed on the display unit 411 and selects the medical institution 1 having a high priority as the transport destination of the emergency patient. Furthermore, the ambulance crew 40 obtains the telephone number of the selected medical institution 1 by referring to the patient transport destination ranking list 224, and uses the mobile terminal 41 to call the selected medical institution by the voice call function. Call. Then, the ambulance crew 40 informs the selected medical institution 1 that the emergency patient is to be transported, and transports the emergency patient to the medical institution 1.

In the second embodiment, the patient transport destination rank list transmission unit 225 of the command board server 21 updates the patient transport destination rank list 224 (that is, a new patient transport destination rank list 224 is generated). In addition, the updated patient transport destination ranking list 224 is transmitted to the portable terminal 41 possessed by the ambulance crew 40.
Therefore, the portable terminal 41 displays a patient transport destination rank list 224 generated based on the latest acceptance status information of the medical institution 1.
Therefore, according to the second embodiment, the ambulance crew 40 determines the medical destination of the transport destination based on the priority as the transport destination of the medical institution 1 to which the emergency patient indicated by the latest patient transport destination order list 224 is transported. The engine 1 can be selected.

  In the above example, the patient transport destination rank list transmission unit 225 transmits the patient transport destination rank list 224 to the portable terminal 41 every time the patient transport destination rank list 224 is updated. However, the command board server 21 stores the latest patient transport destination order list 224 in the storage unit 212, and the patient transport destination order list transmission unit 225 receives the latest patient transport when requested from the portable terminal 41. The priorities list 224 may be transmitted to the mobile terminal 41.

[Third Embodiment]
Next, a case will be described where information other than the number of empty treatment rooms is further used as the acceptance status information of the medical institution 1 to determine the priority order of each medical institution 1 as the transport destination of emergency patients.
Therefore, when determining the priority order of each medical institution 1 as an emergency patient transport destination using the number of empty treatment rooms as well as the time when the empty treatment room is available as acceptance status information of the medical institution 1 The third embodiment will be described.

In order to avoid redundant description, in the description of the third embodiment of the present invention, the same components as those already described in the first embodiment are denoted by the same reference numerals. Detailed description thereof will be omitted.
The configuration of the patient transport destination order determination system according to the third embodiment of the present invention, the configuration of the internal system of the medical institution 1a, the physical configuration of the medical institution apparatus 11a, and the physical configuration of the command board server 21 are as follows. Since the configuration is the same as that of the first embodiment shown in FIGS. 1, 2, 3, and 6, respectively, description thereof is omitted.

  Note that the control unit 113 and the control unit 213 of the medical institution apparatus 11a and the command board server 21 in the third embodiment are each provided with an RTC (Real Time Clock) (not shown), and measure time.

FIG. 14 is a block diagram schematically showing a functional configuration example of the medical institution apparatus 11a according to the third embodiment of the present invention.
As illustrated, the medical institution apparatus 11a according to the third embodiment has a functional configuration realized by the processing of the medical institution apparatus 11a according to the first embodiment illustrated in FIG. The difference is that an empty time acquisition unit 601 is provided.
The medical institution apparatus 11a in the third embodiment includes an entry / exit management table 611 instead of the entry / exit management table 126 in the first embodiment.

  The empty time acquisition unit 601 acquires empty time, which is the time when the treatment room for each empty treatment room determined by the empty treatment room determination unit 123 is empty, as acceptance status information of the medical institution 1a.

FIG. 15 is a diagram illustrating a data configuration example of the entrance / exit management table 611 according to the third embodiment.
As shown in the figure, the entrance / exit management table 611 in the third embodiment stores the entrance / exit management table 126 in the first embodiment shown in FIG. 5 and the vacant time (vacant time) for each treatment room. It differs in that it has a column 611c to be used. The column 611a is a column for storing the entrance / exit status for each treatment room for each doctor as in the column 126a, and the column 611b is a column for storing the vacancy status for each treatment room similarly to the column 126b.

  When the empty treatment room discriminating unit 123 updates the column 611a and the column 611b of the entry / exit management table 611 to record “empty” indicating the empty treatment room in the column 611b, the empty time acquisition unit 601 The current time is acquired using the RTC of the control unit 113. The empty time acquisition unit 601 records the acquired current time in the column 611c corresponding to the treatment room 14 in which “empty” is recorded.

  When “in use” is recorded in the column 611b of the entry / exit management table 611, the empty time acquisition unit 601 is already recorded in the column 611c corresponding to the treatment room 14 in which “in use” is recorded. Clear empty time.

  The acceptance posture information transmission unit 125 receives acceptance posture information including the number of empty treatment rooms acquired by the empty treatment room number acquisition unit 124 and the empty time of each empty treatment room acquired by the empty time acquisition unit 601. The data is transmitted to the command board server 21 of the firefighting headquarters 2 via the communication network 3.

  Specifically, when the information recorded in the column 611b and the column 611c of the entry / exit management table 611 is changed, the acceptance status information transmission unit 125 acquires the number of empty treatment rooms as the acceptance status information of the medical institution 1a. From the unit 124 and the empty time acquisition unit 601, the number of empty treatment rooms and the empty time for each empty treatment room are received. Then, the acceptance status information transmitting unit 125 transmits the received number of empty treatment rooms and the empty time for each empty treatment room to the command base server 21 in association with the medical institution ID of the medical institution 1a.

FIG. 16 is a block diagram schematically showing a functional configuration example of the command board server 21 in the third embodiment.
The command board server 21 in the third embodiment is different from the command board server 21 in the first embodiment shown in FIG.

Specifically, as shown in the figure, the rank determining unit 222 in the third embodiment replaces the medical institution information rearranging unit 232 in the first embodiment with an empty treatment room number order determining unit 621. The same order discriminating unit 622, the empty time order determining unit 623, and the order combination unit 624 are provided.
The command board server 21 in the third embodiment includes a medical institution information table 631 instead of the medical institution information table 223 in the first embodiment.

In the third embodiment, the acceptance status information receiving unit 221 receives the number of empty treatment rooms, the empty time for each empty treatment room, and the medical institution ID from a plurality of medical institution apparatuses 11 (11a, 11b,...). To receive. The acceptance attitude information receiving unit 221 receives the number of empty treatment rooms associated with the medical institution ID and the empty time for each empty treatment room as the acceptance attitude information of the medical institution 1 identified by the medical institution ID.
When the acceptance status information receiving unit 221 receives the acceptance status information, the acceptance status information recording unit 231 records the acceptance status information in the medical institution information table 631.

FIG. 17 is a diagram illustrating a data configuration example of the medical institution information table 631 according to the third embodiment.
As shown in the drawing, the medical institution information table 631 in the third embodiment includes a medical institution information table 223 in the first embodiment shown in FIG. 8 and a column 631b for storing acceptance status information of the medical institution. The difference is that the number of empty treatment rooms and the empty time are recorded. Note that the column 631a is a column that stores detailed information of the medical institution, similarly to the column 223a.

  Upon receipt of the number of empty treatment rooms, the empty time for each empty treatment room, and the medical institution ID associated with each medical institution from the acceptance attitude information receiving unit 221, the acceptance attitude information recording unit 231 receives the received medical institution ID. The number of empty treatment rooms received and the empty time for each empty treatment room are recorded as acceptance status information in the column 631b of the medical institution information table 631.

  In this way, the empty time recording field of the column 631b records the same number of empty time information as the number of empty treatment rooms. For example, when the number of empty treatment rooms is “0”, the empty time recording field is It is left blank.

  The empty treatment room number order determination unit 621 has a plurality of empty treatment rooms based on the number of empty treatment rooms included in the reception posture information of the plurality of medical institutions 1 (1a, 1b,...) Received by the reception posture information reception unit 221. The order of the medical institution 1 with many empty treatment rooms in the medical institution 1 (1a, 1b,...) Is determined.

  Specifically, the empty procedure room number order determination unit 621 records the received acceptance status information in the medical institution information table 631 by the acceptance status information recording unit 231, which is recorded in the medical institution information table 631. Based on the number of empty treatment rooms, the medical institution IDs of the medical institution information table 631 are rearranged in order of increasing number of empty treatment rooms.

  FIG. 18 is a diagram illustrating a data configuration example of the medical institution information table 631 in which the medical institution IDs are rearranged and the order is added. FIG. 18A illustrates the number of empty treatment rooms by the empty treatment room number order determination unit 621. It is the figure of the medical institution information table 631 rearranged by the reference | standard, (b) is the figure of the medical institution information table 631 rearranged on the basis of the empty time by the empty time order determination part 623 mentioned later, (c) ) Is a diagram of a medical institution information table 631 in which the order is combined by an order combination unit 624 described later.

  As shown in FIG. 18 (a), the medical institution information table 631 rearranged on the basis of the number of empty treatment rooms is added with the order 1 determined by the empty treatment room number order determining unit 621. At this time, the same order is added to medical institution IDs having the same number of empty treatment rooms.

  The same order determination unit 622 determines whether or not the same order exists in the order of the medical institutions 1 determined by the empty treatment room number order determination unit 621.

  When the same order determining unit 622 determines that the same order exists, the empty time order determining unit 623 includes a plurality of medical institutions 1 (1a, 1b,...) Received by the receiving attitude information receiving unit 221. Based on the empty time for each empty treatment room included in the acceptance status information, the order of medical institutions 1 having a long empty elapsed time from the empty time to the present is determined among a plurality of medical institutions 1 in the same order. To do.

  Specifically, the empty time order determination unit 623 determines whether or not the empty time has elapsed based on the empty time for each empty treatment room recorded in the medical institution information table 631 by the acceptance posture information recording unit 231 after reception by the acceptance posture information reception unit 221. The medical institution IDs in the same order in the medical institution information table 631 are rearranged in the order of longer time.

Since the sky elapsed time is longer as the sky time is older, the sky time order determination unit 623, for example, in the medical institution information table 631, if there is a medical institution ID in the same order, for example, the order in which the old sky time is recorded. Sort medical institution IDs.
As shown in FIG. 18B, in the medical institution information table 631 rearranged on the basis of the empty time, the empty time order determining unit 623 is further added to the order 1 determined by the empty treatment room number order determining unit 621. The determined order 2 is added.

  The order combination unit 624 combines the order determined by the empty treatment room number order determination unit 621 and the order determined by the empty time order determination unit 623 with each medical institution 1 (1a, 1b,...・) Determine the priority of transporting emergency patients as a destination.

  As shown in FIG. 18C, in the medical institution information table 631 in which the order is combined by the order combination unit 624, the order 1 determined by the empty treatment room number order determination unit 621 and the empty time order determination unit 623 are used. The determined order 2 and the re-ordered order 3 are added.

  The patient transport destination order list generation unit 233 sets the order of the medical institution ID determined by the order combination unit 624 as the priority order as the transport destination of the emergency patient of each medical institution 1 (1a, 1b,...) A patient transport destination rank list 224 that is rank information indicating the priority is generated.

  When the same order determining unit 622 determines that the same order does not exist, the patient transport destination rank list generating unit 233 sets the medical institution ID order determined by the empty treatment room number order determining unit 621 to each medical institution ID. The priority order as the transport destination of the emergency patient of the institution 1 (1a, 1b,...) Is set, and the patient transport destination rank list 224 that is the rank information indicating the priority order is generated.

  As described above, according to the patient transport destination order determination system according to the present embodiment, the priority order as the transport destination of the medical institution 1 to which the emergency patient determined based on the number of empty treatment rooms is transported is the same order. Even if it exists, the medical institution 1 can make a more detailed ranking based on the empty time without burdening the information input.

  More specifically, the possibility of responding to the emergency patient in the future is estimated from the history of the doctor 12 entering the treatment room 14, and the priority order of the medical institution 1 as the transport destination of the emergency patient is finely adjusted. can do.

  Here, the processing for determining the order of the medical institutions 1 with the longest elapsed time among the plurality of medical institutions 1 in the same order based on the empty time for each empty treatment room is specifically performed by the empty time order determining unit 623. Explained.

FIG. 19 is a block diagram illustrating an internal configuration example of the empty time order determination unit 623.
As shown in the figure, the empty time order determining unit 623 includes an empty elapsed time calculating unit 641, a total empty elapsed time calculating unit 642, and an empty elapsed time order determining unit 643.

  The empty elapsed time calculation unit 641 has empty treatment rooms included in the reception posture information of the plurality of medical institutions 1 received by the reception posture information reception unit 221 when the same order determination unit 622 determines that the same order exists. Based on each empty time, the elapsed time for each empty treatment room of the medical institution 1 is calculated for each medical institution 1 in the same order.

  Specifically, the sky elapsed time calculation unit 641 acquires the current time using the RTC of the control unit 213 when the same order exists. Then, the empty elapsed time calculation unit 641 calculates the difference between the acquired current time and the empty time for each empty treatment room recorded in association with the medical institution ID in the same order in the medical institution information table 631. Calculate the elapsed time for each empty treatment room.

  For example, in the medical institution information table 631 illustrated in FIG. 18A, the medical institution ID “0102” and the medical institution ID “0104” are in the same order. Then, “13:30, 13:40” is recorded as the empty time for each empty treatment room with the medical institution ID “0102”, and “empty time for each empty treatment room with the medical institution ID“ 0104 ”is“ 12:45, 13:50 "is recorded.

  If the current time is 14:00, the empty elapsed time calculation unit 641 calculates “30 minutes, 20 minutes” as the empty elapsed time for each empty treatment room with the medical institution ID “0102”. Then, “75 minutes, 10 minutes” is calculated as the empty elapsed time for each empty treatment room with the medical institution ID “0104”.

  In order to avoid an excessively long elapsed time, a limit may be set for the elapsed time. For example, when the limit is set to 1 hour, if the sky elapsed time exceeds 1 hour, it may be uniformly 60 minutes.

  The total empty elapsed time calculation unit 642 calculates the empty progress for each empty treatment room of the medical institution 1 for each medical institution 1 in the same order based on the empty elapsed time for each empty treatment room calculated by the empty elapsed time calculation unit 641. The total elapsed time is calculated by adding the times.

  For example, in the medical institution information table 631 illustrated in FIG. 18A, the total empty elapsed time calculation unit 642 is based on the calculation result by the empty elapsed time calculation unit 641 as the total empty elapsed time of the medical institution ID “0102”. “30 minutes + 20 minutes = 50 minutes” is calculated, and “75 minutes + 10 minutes = 85 minutes” is calculated as the total empty elapsed time of the medical institution ID “0104”.

  Based on the total elapsed time calculated by the total elapsed time calculation unit 642, the empty elapsed time order determination unit 643 determines the order of medical institutions having the longest total elapsed time among the plurality of medical institutions 1 in the same order. To do.

  For example, in the medical institution information table 631 illustrated in FIG. 18A, the total empty elapsed time of the medical institution ID “0102” is 50 minutes as a result of calculation by the total empty elapsed time calculating unit 642. The total empty elapsed time of the institution ID “0104” is 85 minutes, and the medical institution ID “0104” has a longer total empty elapsed time than the medical institution ID “0102”. Therefore, the empty elapsed time order determination unit 643 sets the order of the medical institution ID “0104” to “1” and the medical institution ID “0102” as the order in the medical institution IDs “0102” and “0104” in the same order. Is determined to be “2”.

  Then, the empty elapsed time order determination unit 643 rearranges the medical institution IDs determined as the same order by the same order determination unit 622 according to the determined order, and the medical institution information table 631 as illustrated in FIG. 18B. Is generated.

  The order combination unit 624 combines the order determined by the empty treatment room number order determination unit 621 and the order determined by the empty elapsed time order determination unit 643 of the empty time order determination unit 623 with each medical institution. 1 (1a, 1b,...) Is determined as the priority order as the transport destination of the emergency patient.

  In this way, by determining the priority order based on the total empty elapsed time for each medical institution 1, considering the past situation of all empty treatment rooms for each medical institution 1, The priority order as the transport destination can be determined.

[Fourth Embodiment]
Next, when determining the priority order of each medical institution 1 as a delivery destination of an emergency patient using the number of doctors for each medical institution 1 as acceptance status information together with the number of empty treatment rooms, The fourth embodiment will be described.

In order to avoid redundant description, in the description of the fourth embodiment of the present invention, the same components as those already described in the first embodiment are denoted by the same reference numerals. Detailed description thereof will be omitted.
The configuration of the patient transport destination order determination system, the physical configuration of the medical institution apparatus 11a, and the physical configuration of the command board server 21 according to the fourth embodiment of the present invention are shown in FIGS. Since it is the same as the structure in 1st Embodiment shown in FIG. 6, the description is abbreviate | omitted.

FIG. 20 is a block diagram schematically showing a configuration example of an internal system of the medical institution 1a according to the fourth embodiment of the present invention.
As shown in the drawing, the medical institution 1a in the fourth embodiment is different from the medical institution 1a in the first embodiment shown in FIG. 2 when the doctor 12 of the medical institution 1a goes to work and leaves the office. A pair of exciters 16 and a location receiver 17 as an information reading device are further arranged in the vicinity of the commuting port 71 which is the entrance / exit of the medical institution 1a.

  Specifically, an exciter 16 is installed on each of the inside and outside of the medical institution 1a with the commuting port 71 in between, and the radio waves transmitted by the passive tag 13 can be received based on the radio waves from those exciters 16. A location receiver 17 is installed at the correct position.

  The location receiver 17 receives the exciter ID and the doctor ID from the passive tag 13, and further converts the exciter ID into exciter position information. For example, when the location receiver 17 receives the exciter ID of the exciter 16 installed inside the commuting entrance 71, the location receiver 17 converts the exciter position information into “commuting inside” and is installed outside the commuting entrance 71. When the exciter ID of the exciter 16 is received, the exciter position information is converted to “outside commuting”.

  The medical institution apparatus 11a receives the doctor ID and the exciter position information from the location receiver 17, and detects the attendance and leaving of the doctor 12 of the medical institution 1a based on the received information.

FIG. 21 is a block diagram schematically showing a functional configuration example of the medical institution apparatus 11a according to the fourth embodiment of the present invention.
As illustrated, the medical institution apparatus 11a according to the fourth embodiment has a functional configuration realized by the processing of the medical institution apparatus 11a according to the first embodiment illustrated in FIG. The difference is that the attendance detecting unit 701 and the attending doctor number acquiring unit 702 are provided.
The medical institution apparatus 11a in the fourth embodiment includes an entry / exit management table 711 in place of the entry / exit management table 126 in the first embodiment.

  The attendance detection unit 701 detects attendance and leaving, which are attendance status of the doctor 12 of the medical institution 1a, based on the doctor ID and the exciter position information acquired by the doctor position information acquisition unit 121.

  Specifically, first, when the doctor position information acquisition unit 121 acquires the doctor ID and the exciter position information, the exciter position information is recorded in the storage unit 112 for each doctor ID, for example.

  When the doctor position information acquisition unit 121 receives the doctor ID and the exciter position information from the location receiver 17, the attendance detection unit 701 receives the received information and the exciter position information for each doctor ID already recorded in the storage unit 112. , The doctor 12 enters the medical institution 1a from the commuting opening 71 and detects that the doctor 12 leaves the medical institution 1a from the commuting opening 71 and leaves the office.

  For example, the doctor position information acquisition unit 121 corresponds to the doctor ID indicating the doctor β, and after the exciter position information “commuting outside” indicating the outside of the commuting opening 71, the exciter position information “inside the commuting opening 71“ When “commuting inside” is received, since the doctor β moves from the outside to the inside of the commuting port 71 of the medical institution 1a, the attendance detection unit 701 detects that the doctor β has gone to work.

  In addition, the doctor position information acquisition unit 121 corresponds to the doctor ID indicating the doctor β, and the exciter position information “inside the commute” indicating the inside of the commute 71, the exciter position information “ When “commuting outside” is received, since the doctor β moves from the inside to the outside of the commuting port 71 of the medical institution 1a, the attendance detection unit 701 detects that the doctor β has left the office.

Based on the detection by the attendance detection unit 701, the attendance doctor number acquisition unit 702 acquires the number of attending doctors who are attending the medical institution 1a as acceptance status information of the medical institution 1a.
Specifically, when the attendance detecting unit 701 detects attendance and leaving for each doctor, the attendance doctor number acquiring unit 702 receives the detection results, and based on the detection results, enters and leaves the treatment rooms for each doctor. The entrance / exit management table 711 for managing attendance and leaving for each doctor is updated.

FIG. 22 is a diagram illustrating a data configuration example of the entrance / exit management table 711 according to the fourth embodiment.
As shown in the figure, the entrance / exit management table 711 in the fourth embodiment has an entry / exit management table 126 in the first embodiment shown in FIG. 5 and a column 711c for storing attendance status for each doctor. It is different in point. The column 711a is a column for storing the entry / exit status for each treatment room for each doctor as in the column 126a, and the column 711b is a column for storing the availability status for each treatment room as in the column 126b.

  Upon receipt of the detection result from the attendance detection unit 701, the attending doctor number acquiring unit 702 records “commuting” for the doctor 12 who has worked in the field 711c, and “dismissed” for the doctor 12 who has left the office, The entrance / exit management table 711 is updated. Then, when the field 711c of the entry / exit management table 711 is updated, the attending doctor number acquiring unit 702 counts the number of doctors 12 recorded as “attendance” in the field 711c, and acquires the number of attending doctors.

  The acceptance attitude information transmission unit 125 receives the acceptance attitude information including the number of empty treatment rooms acquired by the empty treatment room number acquisition unit 124 and the number of attending doctors acquired by the attending doctor number acquisition unit 702, in the communication network 3. To the command board server 21 of the firefighting headquarters 2.

  Specifically, when the information recorded in the column 711b or the column 711c of the entrance / exit management table 711 is changed, the acceptance status information transmitting unit 125 acquires the number of empty treatment rooms as the acceptance status information of the medical institution 1a. The number of empty treatment rooms and the number of attending doctors are received from the unit 124 and the attending doctor number acquiring unit 701. Then, the acceptance status information transmission unit 125 transmits the received number of empty treatment rooms and the number of attending doctors to the command board server 21 in association with the medical institution ID of the medical institution 1a.

FIG. 23 is a block diagram schematically showing a functional configuration example of the command board server 21 in the fourth embodiment.
The command board server 21 in the fourth embodiment is different from the command board server 21 in the first embodiment shown in FIG.

Specifically, as shown in the figure, the rank determining unit 222 in the fourth embodiment replaces the medical institution information rearranging unit 232 in the first embodiment with an empty treatment room number order determining unit 721. The order determination unit 722, the attendance doctor number order determination unit 723, and the order combination unit 724 are included.
The command board server 21 in the fourth embodiment includes a medical institution information table 731 instead of the medical institution information table 223 in the first embodiment.

In the fourth embodiment, the acceptance status information receiving unit 221 receives the number of empty treatment rooms, the number of attending doctors, and the medical institution ID from a plurality of medical institution devices 11 (11a, 11b,...). To do. The acceptance attitude information receiving unit 221 receives the number of empty treatment rooms and the number of attending doctors associated with the medical institution ID as acceptance attitude information of the medical institution 1 identified by the medical institution ID.
When the acceptance attitude information receiving unit 221 receives the acceptance attitude information, the acceptance attitude information recording unit 231 records the acceptance attitude information in the medical institution information table 731.

FIG. 24 is a diagram illustrating a data configuration example of the medical institution information table 731 according to the fourth embodiment.
As shown in the figure, the medical institution information table 731 in the fourth embodiment includes a medical institution information table 223 in the first embodiment shown in FIG. 8 and a column 731b for storing acceptance status information of the medical institution. The difference is that the number of empty treatment rooms and the number of attending doctors are recorded. Note that the column 731a is a column that stores detailed information of the medical institution like the column 223a.

  Upon receipt of the number of empty treatment rooms, the number of attending doctors, and the medical institution ID associated with each medical institution from the acceptance institution information receiving unit 221, the accepting attitude information recording unit 231 receives the medical care corresponding to the received medical institution ID. The received number of empty treatment rooms and the number of attending doctors are recorded in the column 731b of the institution information table 731 as acceptance status information.

  The empty treatment room number order determination unit 721 has a plurality of empty treatment rooms based on the number of empty treatment rooms included in the reception posture information of the plurality of medical institutions 1 (1a, 1b,...) Received by the reception posture information reception unit 221. The order of the medical institution 1 with many empty treatment rooms in the medical institution 1 (1a, 1b,...) Is determined.

  Specifically, the empty procedure room number order determination unit 721 records the received acceptance status information in the medical institution information table 731 by the acceptance status information recording unit 231, which is recorded in the medical institution information table 731. Based on the number of empty treatment rooms, the medical institution IDs in the medical institution information table 731 are rearranged in order of increasing number of empty treatment rooms.

  FIG. 25 is a diagram illustrating a data configuration example of the medical institution information table 731 in which the medical institution IDs are rearranged and the order is added. FIG. 25A illustrates the number of empty treatment rooms by the empty treatment room number order determination unit 721. It is the figure of the medical institution information table 731 rearranged by the reference | standard, (b) is the figure of the medical institution information table 731 rearranged by the reference | standard of the number of attending doctors by the attending doctor number order determination part 723 mentioned later, (C) is the figure of the medical institution information table 731 by which the order was combined by the order combination part 724 mentioned later.

  As shown in FIG. 25 (a), the medical institution information table 731 rearranged based on the number of empty treatment rooms is added with the order 1 determined by the empty treatment room number order determining unit 721. At this time, the same order is added to medical institution IDs having the same number of empty treatment rooms.

  The same order determination unit 722 determines whether or not the same order exists in the order of the medical institutions 1 determined by the empty treatment room number order determination unit 721.

  The attendance doctor number order determination unit 723 has a plurality of medical institutions 1 (1a, 1b,...) Received by the acceptance status information reception unit 221 when the same order determination unit 722 determines that the same order exists. Based on the number of attending doctors included in the acceptance status information, the order of medical institutions 1 having the largest number of attending doctors among the plurality of medical institutions 1 in the same order is determined.

  Specifically, the attendance doctor number order determination unit 723 has a large number of attending doctors based on the number of attending doctors recorded in the medical institution information table 731 by the acceptance attitude information recording unit 231 after reception by the acceptance attitude information reception unit 221. In order, the medical institution IDs in the same order in the medical institution information table 731 are rearranged.

  As shown in FIG. 25B, in the medical institution information table 731 sorted based on the number of attending doctors, the number of attending doctors number determining unit is further added to the order 1 determined by the empty treatment room number order determining unit 721. The order 2 determined by 723 is added.

  The order combination unit 724 combines the order determined by the empty treatment room number order determination unit 721 and the order determined by the attending doctor number order determination unit 723 into each medical institution 1 (1a, 1b,.・ ・) And priority as the transport destination of emergency patients.

  As shown in FIG. 25C, in the medical institution information table 731 in which the order is combined by the order combination unit 724, the order 1 determined by the empty treatment room number order determination unit 721 and the attending doctor number order determination unit 723 The order 2 determined based on the above and the order 3 reassigned based on the order 2 are added.

  The patient transport destination order list generation unit 233 sets the order of the medical institution ID determined by the order combination unit 724 as the priority order as the transport destination of the emergency patient of each medical institution 1 (1a, 1b,...) A patient transport destination rank list 224 that is rank information indicating the priority is generated.

  When the same order determining unit 722 determines that the same order does not exist, the patient transport destination rank list generating unit 233 determines the medical institution ID order determined by the empty treatment room number order determining unit 721 for each medical institution. The priority order as the transport destination of the emergency patient of the institution 1 (1a, 1b,...) Is set, and the patient transport destination rank list 224 that is the rank information indicating the priority order is generated.

According to the present embodiment, even when the same order exists as the transport destination of the medical institution 1 to which the emergency patient determined based on the number of vacant treatment rooms is transported, information is input in the medical institution 1 Therefore, it is possible to give a more detailed ranking based on the number of attending doctors without incurring the burden of work.
More specifically, when there is no doctor 12 capable of treating an emergency patient even if the medical institution 1 has an empty treatment room, the priority of such a medical institution 1 can be lowered.

  In the present embodiment, the order determined by the empty treatment room number order determining unit 721 is the main order used first, and the order determined by the attending doctor number order determining unit 723 is the same as the main order. As a sub-order used in the case, the priority order of each medical institution 1 as the transport destination of the emergency patient is determined.

  However, the main order and the sub-order may be reversed, the order determined by the attending doctor number order determining unit 723 may be the main order, and the order determined by the empty treatment room number order determining unit 721 may be the sub-order. . In that case, for example, in the functional configuration diagram of the command board server 21 shown in FIG. 23, the positions of the empty treatment room number order determination unit 721 and the attending doctor number order determination unit 723 may be switched.

  Specifically, the number of attending doctors order determination unit 723 first includes the number of attending doctors included in the receiving attitude information of the plurality of medical institutions 1 (1a, 1b,...) Received by the receiving attitude information receiving unit 221. Based on the above, the order of medical institutions 1 having a large number of attending doctors among the plurality of medical institutions 1 (1a, 1b,...) Is determined.

  When the same order determining unit 722 determines that the same order exists, the empty treatment room number order determining unit 721 receives the plurality of medical institutions 1 (1a, 1b,...) Received by the receiving attitude information receiving unit 221. Based on the number of empty treatment rooms included in the acceptance status information of ..), the order of the medical institutions 1 having the largest number of empty treatment rooms among the plurality of medical institutions 1 in the same order may be determined.

In such a configuration, even in the case where the same order exists as the transport destination of the medical institution 1 to which the emergency patient determined based on the number of attending doctors is transported, the information in the medical institution 1 More detailed ranking can be made based on the number of empty treatment rooms without burdening the input work.
More specifically, even if there is a doctor 12 in the medical institution 1, when there is no empty treatment room for treating an emergency patient, the priority of such a medical institution 1 can be lowered.

  Thus, in the present embodiment, the main order and the sub-order may be interchanged. Therefore, the order combination unit 724 sets one of the two orders of the order determined by the empty treatment room number order determination unit 721 and the order determined by the attending doctor number order determination unit 723 as the main order and the other as the sub order. When the same order exists in the main order, the order of the medical institutions 1 among the plurality of medical institutions 1 in the same order is determined based on the sub-order, and the determined order is determined for each medical institution 1 (1a, 1b,. Priority can be determined as the transport destination of emergency patients.

Further, in the present embodiment, a tag reader composed of an exciter 16 and a location receiver 17 arranged in the vicinity of the commuting entrance 71 of the medical institution 1a for detecting the attendance and leaving of the doctor 12 is attached to the doctor 12. This is realized by reading information recorded on the passive tag 13.
For this reason, according to the present embodiment, it is possible to detect the attendance and leaving of the doctor 12 by using the configuration for detecting the entry and exit of the doctor 12 from the treatment room 14 as it is, and the entire system is simplified. Can be

  Further, the fourth embodiment may be combined with the third embodiment described above. That is, for example, first, the priority order is determined based on the number of empty treatment rooms, and if there is the same order, then the priority order is determined based on the empty time for each empty treatment room, and the same order still exists. In this case, the priority order may be determined based on the number of attending doctors.

  First, the priority order is determined based on the number of attending doctors, and when the same order exists there, then the priority order is determined based on the number of empty treatment rooms, and if the same order still exists, The priority order may be determined based on the empty time for each empty treatment room.

  While the first to fourth embodiments of the present invention have been described above, the present invention can be modified and applied in various forms, and is limited to the first to fourth embodiments. It is not a thing.

For example, in the above embodiment, the passive tag 13 is used as the information recording medium. However, the information recording medium is not limited to the passive type, and may be another IC tag (RFID (Radio Frequency Identification) tag) such as an active tag.
In the above embodiment, a tag reader composed of the exciter 16 and the location receiver 17 is used as the information reading device. However, other IC tag readers such as a tag reader for active tags may be used.

  In this way, by using the IC tag attached to the doctor 12 and the IC tag reader installed in the medical institution 1, the medical institution apparatus 11 can move the doctor 12 regardless of the input work of the staff or the like. In response to this, it is possible to automatically detect entry into and exit from the treatment room 14, work attendance, work leaving, and the like.

  The information recording medium and the information reading device are not limited to the IC tag and the IC tag reader, and may be, for example, a contact type or non-contact type IC card and IC card reader. In that case, the doctor 12 possesses an IC card, and when entering / exiting the entrance / exit, the information is read by holding the IC card possessed by the doctor 12 over an IC card reader installed near the entrance / exit. It ’s fine.

In addition, the block diagrams, tables, and the like used in the description of the above embodiments may be changed as appropriate without departing from the spirit of the present invention.
For example, in the above embodiment, various tables are stored in the storage unit 112 and the storage unit 212, but may be stored in another storage device such as the RAM 116 and the RAM 216.

  The functions executed by the medical institution apparatus 11 and the command board server 21 in the above embodiment can be realized by software or by dedicated hardware. Furthermore, the medical institution apparatus 11 and the command board server 21 can also be realized by a normal computer system.

  For example, in the above embodiment, the medical institution apparatus 11 or the command board server 21 has been described assuming that the operation program is stored in advance in the storage unit 112 or the storage unit 212, the ROM 115, the ROM 215, or the like. However, a program for executing the above-described processing operation is recorded on a computer-readable recording medium such as a flexible disk, a CD-ROM (Compact Disk Read-Only Memory), a DVD (Digital Versatile Disk), or an MO (Magneto-Optical disk). An apparatus that executes the above-described processing operation may be configured by storing and distributing the program in a medium and installing the program in a computer.

Further, the program may be stored in a disk device or the like included in a predetermined server device on a communication network such as the Internet, and may be downloaded onto a computer by being superimposed on a carrier wave, for example. Furthermore, the above-described processing can also be achieved by starting and executing a program while transferring it via a communication network.
In addition, when the above functions are realized by sharing an OS (Operating System), or when the functions are realized by cooperation between the OS and an application, only the part other than the OS may be stored in a medium and distributed. It may also be downloaded to a computer.

It is a block diagram showing roughly an example of composition of a patient conveyance destination rank decision system concerning a 1st embodiment of the present invention. It is a block diagram which shows roughly the structural example of the internal system of a medical institution. It is a block diagram which shows roughly the structural example of a medical institution apparatus. It is a block diagram which shows roughly the functional structural example of a medical institution apparatus. It is a figure which shows the example of a data structure of an entrance / exit management table. It is a block diagram which shows roughly the example of a structure of a command stand server. It is a block diagram which shows roughly the functional structural example of a command stand server. It is a figure which shows the data structural example of a medical institution information table. It is a figure which shows the data structural example of the medical institution information table rearranged by the medical institution information rearrangement part. It is a figure which shows the example of a data structure of a patient conveyance destination order | rank list | wrist. It is a block diagram which shows roughly the structural example of the patient conveyance destination order | rank determination system which concerns on the 2nd Embodiment of this invention. It is a block diagram which shows roughly the functional structural example of the command stand server in the 2nd Embodiment of this invention. It is a figure which shows the external appearance of a portable terminal roughly. It is a block diagram showing roughly an example of functional composition of a medical institution device in a 3rd embodiment of the present invention. It is a figure which shows the example of a data structure of the entrance / exit management table in the 3rd Embodiment of this invention. It is a block diagram which shows roughly the functional structural example of the command stand server in the 3rd Embodiment of this invention. It is a figure which shows the data structural example of the medical institution information table in the 3rd Embodiment of this invention. It is a figure which shows the data structural example of the medical institution information table to which medical institution ID was rearranged and the order was added. It is a block diagram which shows the internal structural example of an empty time order determination part. It is a block diagram which shows roughly the structural example of the internal system of the medical institution in the 4th Embodiment of this invention. It is a block diagram showing roughly an example of functional composition of a medical institution device in a 4th embodiment of the present invention. It is a figure which shows the data structural example of the entrance / exit management table in the 4th Embodiment of this invention. It is a block diagram which shows roughly the functional structural example of the command stand server in the 4th Embodiment of this invention. It is a figure which shows the data structural example of the medical institution information table in the 4th Embodiment of this invention. It is a figure which shows the data structural example of the medical institution information table to which the medical institution ID in the 4th Embodiment of this invention was rearranged and the order was added.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 (1a, 1b, ...) Medical institution 2 Firefighting headquarters 3, 5 Communication network 4 Ambulance 40 Ambulance crew 41 Portable terminal 11 (11a, 11b, ...) Medical institution apparatus 12 Doctor 13 Passive tag 14 Treatment room 15 Exit 16 Exciter 17 Location receiver 21 Command board server 71 Commuter 111, 211 Communication unit 112, 212 Storage unit 113, 213 Control unit 114, 214 CPU
115, 215 ROM
116, 216 RAM
121 Doctor position information acquisition unit 122 Entrance / exit detection unit 123 Empty treatment room determination unit 124 Empty treatment room number acquisition unit 125 Acceptance status information transmission unit 126, 611, 711 Entrance / exit management table 126a, 126b, 223a, 223b, 611a, 611b , 611c, 631a, 631b, 711a, 711b, 711c, 731a, 731b Column 217 Input unit 218 Output unit 221 Acceptance status information reception unit 222 Order determination unit 223, 631, 731 Medical institution information table 224 Patient transport destination ranking list 225 Patient Transfer destination rank list transmission unit 231 Acceptance status information recording unit 232 Medical institution information sorting unit 233 Patient transfer destination rank list generation unit 411 Display unit 412 Operation unit 413 Antenna 601 Empty time acquisition unit 621, 721 Empty treatment room number order determination unit 622, 722 Order determining unit 623 Empty time order determining unit 624, 724 Order combination unit 641 Empty elapsed time calculating unit 642 Total empty elapsed time calculating unit 643 Empty elapsed time order determining unit 701 Attendance detecting unit 702 Attendance doctor number acquiring unit 723 Order of attending doctor number Decision part

Claims (13)

A medical institution device for acquiring acceptance posture information indicating an acceptance posture of an emergency patient of the medical institution;
Priorities as transport destinations of emergency patients of each medical institution among a plurality of medical institutions based on the acceptance status information of the medical institutions connected to the plurality of medical institution apparatuses via a communication network A patient transport destination rank determining device for determining the rank;
A patient transport destination ranking determination system comprising:
In the medical institution,
An information recording medium in which doctor identification information for identifying a doctor of the medical institution is recorded is possessed by the doctor of the medical institution,
An information reading device for reading doctor identification information recorded on the information recording medium is disposed in the vicinity of the entrance / exit of the treatment room of the medical institution, and the doctor possesses it according to the position of the doctor in the medical institution. Reading the doctor identification information recorded on the information recording medium,
The medical institution device is connected to the information reading device;
The medical institution apparatus is
Doctor position information acquisition means for acquiring the doctor identification information and arrangement position information indicating the arrangement position of the information reading apparatus that has read the doctor identification information when doctor identification information is read by the information reading device;
Based on the doctor identification information and the arrangement position information acquired by the doctor position information acquisition means, an entrance / exit detection means for detecting entrance and exit of the doctor to the treatment room of the medical institution,
Based on detection by the entrance / exit room detection means, an empty treatment room determination means for determining whether or not the treatment room of the medical institution is an empty treatment room in which a doctor does not enter,
Counting the number of empty treatment rooms determined by the empty treatment room determining means, and acquiring the number of empty treatment rooms counted as acceptance status information of the medical institution,
Receiving attitude information transmitting means for transmitting the medical institution receiving attitude information acquired by the empty treatment room number acquiring means to the patient transport destination rank determining device, and
The patient transport destination rank determining device
Receiving status information receiving means for receiving the receiving status information of a plurality of medical institutions transmitted from the plurality of medical institution devices by the receiving status information transmitting means;
Based on the number of vacant treatment rooms indicated by the acceptance status information of a plurality of medical institutions received by the acceptance status information receiving means, the order of medical institutions having the largest number of vacant treatment rooms among the plurality of medical institutions is determined for each medical institution. Priority order as a transport destination of emergency patients and order determination means for determining,
A patient transport destination ranking determination system characterized by the above. Further comprising a portable terminal device used by emergency personnel for transporting emergency patients to medical institutions;
The patient transport destination rank determining device further includes rank information transmitting means for transmitting rank information indicating the priority order as the transport destination of the emergency patient of each medical institution determined by the rank determining means to the portable terminal device,
The portable terminal device receives and outputs the rank information transmitted by the rank information transmission means;
The patient transport destination rank determination system according to claim 1. The medical institution apparatus is
Further comprising empty time acquisition means for acquiring empty time, which is the time when the treatment room for each empty treatment room determined by the empty treatment room determination means is empty, as acceptance status information of the medical institution,
The acceptance status information transmission means of the medical institution apparatus includes the number of empty treatment rooms acquired by the number of empty treatment rooms acquisition means and the empty time for each empty treatment room acquired by the empty time acquisition means. Send acceptance status information to the patient transport destination rank determination device,
The rank determining means of the patient transport destination rank determining apparatus includes:
Based on the number of vacant treatment rooms included in the acceptance status information of a plurality of medical institutions received by the acceptance status information receiving means, the order of medical institutions having a large number of vacant treatment rooms among the plurality of medical institutions is determined. Means for determining the number of treatment rooms,
Same order determination means for determining whether or not the same order exists in the order of medical institutions determined by the number of empty treatment rooms order determination means;
When the same order determining means determines that the same order exists, based on the empty time for each empty treatment room included in the receiving attitude information of the plurality of medical institutions received by the receiving attitude information receiving means. Among the plurality of medical institutions in order, empty time order determining means for determining the order of medical institutions having a long empty elapsed time that is an elapsed time from the empty time to the present time;
Means for determining the order of combination of the order determined by the empty treatment room number order determining means and the order determined by the empty time order determining means as the priority order as the transport destination of emergency patients in each medical institution And having
The patient transport destination rank determination system according to claim 1 or 2. The empty time order determining means includes:
When the same order determining means determines that the same order exists, based on the empty time for each empty treatment room included in the receiving attitude information of the plurality of medical institutions received by the receiving attitude information receiving means. An empty elapsed time calculating means for calculating an empty elapsed time for each empty treatment room of a medical institution for each medical institution,
Based on the empty elapsed time for each empty treatment room calculated by the empty elapsed time calculating means, for each medical institution in the same order, the total empty elapsed time is calculated by summing the empty elapsed times for each empty treatment room of the medical institution Means for calculating the total elapsed time,
A unit for determining the order of medical institutions having a long total empty elapsed time among the plurality of medical institutions in the same order based on the total empty elapsed time calculated by the total empty elapsed time calculating means;
The patient transport destination rank determination system according to claim 3. The medical institution apparatus is
Attendance detection means for detecting attendance and departure of a doctor of the medical institution;
Based on the detection of the attendance detection means, the number of attending doctors for acquiring the number of attending doctors who are attending the medical institution as acceptance status information of the medical institution, further comprising:
The acceptance status information transmission means of the medical institution apparatus includes acceptance status information including the number of empty treatment rooms acquired by the number of empty treatment rooms acquisition means and the number of attending doctors acquired by the attendance doctor number acquisition means. To the patient transport destination rank determination device,
The rank determining means of the patient transport destination rank determining apparatus includes:
Empty treatment for determining the order of medical institutions having a large number of empty treatment rooms among a plurality of medical institutions based on the number of empty treatment rooms included in the reception attitude information of the plurality of medical institutions received by the acceptance attitude information receiving means. Means for determining the order of the number of rooms;
Based on the number of attending doctors included in the acceptance status information of a plurality of medical institutions received by the acceptance status information receiving means, the order of the number of attending doctors for determining the order of medical institutions having a large number of attending doctors among the plurality of medical institutions A determination means;
One of the two orders of the order determined by the empty treatment room number order determining means and the order determined by the attending doctor number order determining means is a main order, the other is a sub-order, and the same order is set in the main order. If present, the order of the medical institutions among the plurality of medical institutions in the same order is determined based on the sub-order, and the determined order is determined as the priority order as the transport destination of the emergency patient of each medical institution Means.
The patient transport destination rank determination system according to any one of claims 1 to 4, wherein In the medical institution,
The information reading device is further disposed in the vicinity of the entrance of the medical institution through which a doctor of the medical institution passes and leaves the office;
The attendance detection means detects attendance and leaving of a doctor of the medical institution based on the doctor identification information and the arrangement position information acquired by the doctor position information acquisition means.
The patient transport destination rank determination system according to claim 5. The information recording medium is an IC tag, and the IC tag is attached to a doctor of the medical institution,
The information reading device is an IC tag reader that reads information recorded on the IC tag.
The patient transport destination rank determination system according to any one of claims 1 to 6. An information recording medium that is carried by a doctor of a medical institution and in which doctor identification information for identifying the doctor of the medical institution is recorded;
An information reading device that is arranged in the vicinity of the entrance / exit of the treatment room of the medical institution and reads doctor identification information recorded on the information recording medium possessed by the doctor according to the position of the doctor in the medical institution ,
A medical institution device that is connected to the information reading device and acquires acceptance posture information indicating an acceptance posture of an emergency patient of the medical institution;
Priorities as transport destinations of emergency patients of each medical institution among a plurality of medical institutions based on the acceptance status information of the medical institutions connected to the plurality of medical institution apparatuses via a communication network A patient transport destination rank determining device for determining the rank;
A method for determining a patient transport destination ranking using a system comprising:
When the medical institution apparatus reads the doctor identification information by the information reading apparatus, the doctor acquires the doctor identification information and the arrangement position information indicating the arrangement position of the information reading apparatus that has read the doctor identification information. A location information acquisition step;
The medical institution apparatus detects entry / exit of a doctor with respect to a treatment room of the medical institution based on the doctor identification information and the arrangement position information acquired in the doctor position information acquisition step, and
An empty treatment room determination step for determining whether or not the treatment room of the medical institution is an empty treatment room in which a doctor does not enter based on the detection in the entry / exit room detection step,
Obtaining the number of empty treatment rooms in which the medical institution device counts the number of empty treatment rooms determined in the empty treatment room determination step and acquires the counted number of empty treatment rooms as acceptance status information of the medical institution Steps,
The medical institution device transmits the acceptance status information of the medical institution acquired in the empty treatment room number acquisition step to the patient transport destination rank determination device, and an acceptance status information transmission step;
The patient transport destination order determination device receives an acceptance posture information receiving step of receiving the acceptance posture information of a plurality of medical institutions transmitted in the acceptance posture information transmission step from a plurality of the medical institution devices;
The number of empty treatment rooms in the plurality of medical institutions is large based on the number of empty treatment rooms indicated by the reception attitude information of the plurality of medical institutions received by the patient transport destination rank determination device in the reception attitude information receiving step. An order determination step for determining the order of the medical institutions as the priority order as the transport destination of the emergency patient of each medical institution,
A method for determining a patient transport destination rank. In medical institutions
An information recording medium in which doctor identification information for identifying a doctor of the medical institution is recorded is possessed by the doctor of the medical institution,
An information reading device for reading doctor identification information recorded on the information recording medium is disposed in the vicinity of the entrance / exit of the treatment room of the medical institution, and the doctor possesses it according to the position of the doctor in the medical institution. Reading the doctor identification information recorded on the information recording medium,
The medical institution apparatus connected to the information reading apparatus, when the doctor identification information is read by the information reading apparatus, the arrangement indicating the arrangement position of the information reading apparatus that has read the doctor identification information and the doctor identification information Position information is acquired, and based on the acquired doctor identification information and arrangement position information, a doctor enters and leaves the treatment room of the medical institution, and based on the detection, the treatment room of the medical institution The doctor determines whether or not the empty treatment room is not in the room, counts the number of the determined empty treatment rooms, and accepts the counted number of empty treatment rooms to receive the emergency patient of the medical institution Acquired as an acceptance status information indicating the attitude, and transmits the acquired acceptance status information of the medical institution,
A patient transport destination order determination device that is connected to a plurality of medical institution devices via a communication network and determines a priority order as a transport destination of emergency patients of each medical institution among the plurality of medical institutions,
Receiving status information receiving means for receiving receiving status information of a plurality of medical institutions transmitted from a plurality of the medical institution devices;
Based on the number of vacant treatment rooms indicated by the acceptance status information of a plurality of medical institutions received by the acceptance status information receiving means, the order of medical institutions having the largest number of vacant treatment rooms among the plurality of medical institutions is determined for each medical institution. Priority order as a transport destination of emergency patients and order determination means for determining,
A patient transport destination rank determination device characterized by that. In medical institutions
An information recording medium in which doctor identification information for identifying a doctor of the medical institution is recorded is possessed by the doctor of the medical institution,
An information reading device for reading doctor identification information recorded on the information recording medium is disposed in the vicinity of the entrance / exit of the treatment room of the medical institution, and the doctor possesses it according to the position of the doctor in the medical institution. Reading the doctor identification information recorded on the information recording medium,
The medical institution apparatus connected to the information reading apparatus, when the doctor identification information is read by the information reading apparatus, the arrangement indicating the arrangement position of the information reading apparatus that has read the doctor identification information and the doctor identification information Position information is acquired, and based on the acquired doctor identification information and arrangement position information, a doctor enters and leaves the treatment room of the medical institution, and based on the detection, the treatment room of the medical institution The doctor determines whether or not the empty treatment room is not in the room, counts the number of the determined empty treatment rooms, and accepts the counted number of empty treatment rooms to receive the emergency patient of the medical institution Acquired as an acceptance status information indicating the attitude, and transmits the acquired acceptance status information of the medical institution,
A computer connected to a plurality of the medical institution devices via a communication network,
Receiving status information receiving means for receiving receiving status information of a plurality of medical institutions transmitted from the plurality of medical institution devices;
Based on the number of vacant treatment rooms indicated by the acceptance status information of a plurality of medical institutions received by the acceptance status information receiving means, the order of medical institutions having the largest number of vacant treatment rooms among the plurality of medical institutions is determined for each medical institution. Priority determination means for determining the priority order as the transport destination of emergency patients,
Program to function as. In medical institutions
An information recording medium in which doctor identification information for identifying a doctor of the medical institution is recorded is possessed by the doctor of the medical institution,
An information reading device for reading doctor identification information recorded on the information recording medium is disposed in the vicinity of the entrance / exit of the treatment room of the medical institution, and the doctor possesses it according to the position of the doctor in the medical institution. Reading the doctor identification information recorded on the information recording medium,
An acceptance posture information acquisition device connected to the information reading device for obtaining acceptance posture information indicating an acceptance posture of an emergency patient of the medical institution,
Doctor position information acquisition means for acquiring the doctor identification information and arrangement position information indicating the arrangement position of the information reading apparatus that has read the doctor identification information when doctor identification information is read by the information reading device;
Based on the doctor identification information and the arrangement position information acquired by the doctor position information acquisition means, an entrance / exit detection means for detecting entrance and exit of the doctor to the treatment room of the medical institution,
Based on detection by the entrance / exit room detection means, an empty treatment room determination means for determining whether or not the treatment room of the medical institution is an empty treatment room in which a doctor does not enter,
The number of empty treatment rooms for which the number of empty treatment rooms discriminated by the empty treatment room discriminating means is counted, and the counted number of empty treatment rooms is acquired as acceptance posture information indicating the acceptance posture of emergency patients in the medical institution. Acquisition means;
Based on the number of empty treatment rooms indicated by the acceptance status information of a plurality of medical institutions acquired by the number of empty treatment rooms, the order of medical institutions having the largest number of empty treatment rooms among the plurality of medical institutions is determined for each medical treatment. Acceptance of transmitting the medical institution acceptance status information acquired by the empty treatment room number acquisition means to the patient transport destination order determination device that determines the priority as the transport destination of the emergency patient of the institution via a communication network Attitude information transmission means,
An acceptance attitude information acquisition device characterized by that. In medical institutions
An information recording medium in which doctor identification information for identifying a doctor of the medical institution is recorded is possessed by the doctor of the medical institution,
An information reading device for reading doctor identification information recorded on the information recording medium is disposed in the vicinity of the entrance / exit of the treatment room of the medical institution, and the doctor possesses it according to the position of the doctor in the medical institution. Reading the doctor identification information recorded on the information recording medium,
A computer connected to the information reader;
Doctor position information acquisition means for acquiring doctor identification information and arrangement position information indicating an arrangement position of the information reading apparatus that has read the doctor identification information when doctor identification information is read by the information reading device;
Based on the doctor identification information and the arrangement position information acquired by the doctor position information acquisition means, the entrance / exit detection means for detecting entrance and exit of the doctor to the treatment room of the medical institution,
Based on the detection of the entrance / exit detection means, the treatment room discriminating means for discriminating whether or not the treatment room of the medical institution is an empty treatment room where a doctor has not entered,
The number of empty treatment rooms for which the number of empty treatment rooms discriminated by the empty treatment room discriminating means is counted, and the counted number of empty treatment rooms is acquired as acceptance posture information indicating the acceptance posture of emergency patients in the medical institution. Acquisition means,
Based on the number of empty treatment rooms indicated by the acceptance status information of a plurality of medical institutions acquired by the number of empty treatment rooms, the order of medical institutions having the largest number of empty treatment rooms among the plurality of medical institutions is determined for each medical treatment. Acceptance of transmitting the medical institution acceptance status information acquired by the empty treatment room number acquisition means to the patient transport destination order determination device that determines the priority as the transport destination of the emergency patient of the institution via a communication network Attitude information transmission means,
Program to function as. In medical institutions
An information recording medium in which doctor identification information for identifying a doctor of the medical institution is recorded is possessed by the doctor of the medical institution,
An information reading device for reading doctor identification information recorded on the information recording medium is disposed in the vicinity of the entrance / exit of the treatment room of the medical institution, and the doctor possesses it according to the position of the doctor in the medical institution. Reading the doctor identification information recorded on the information recording medium,
An acceptance posture information acquisition device connected to the information reading device for obtaining acceptance posture information indicating an acceptance posture of an emergency patient of the medical institution,
Doctor position information acquisition means for acquiring the doctor identification information and arrangement position information indicating the arrangement position of the information reading apparatus that has read the doctor identification information when doctor identification information is read by the information reading device;
Based on the doctor identification information and the arrangement position information acquired by the doctor position information acquisition means, an entrance / exit detection means for detecting entrance and exit of the doctor to the treatment room of the medical institution,
Based on detection by the entrance / exit room detection means, an empty treatment room determination means for determining whether or not the treatment room of the medical institution is an empty treatment room in which a doctor does not enter,
The number of empty treatment rooms for which the number of empty treatment rooms discriminated by the empty treatment room discriminating means is counted, and the counted number of empty treatment rooms is acquired as acceptance posture information indicating the acceptance posture of emergency patients in the medical institution. Acquisition means;
Acquired by the above-mentioned empty treatment room number acquisition means via a communication network to a patient transport destination order determination device that determines priorities as transport destinations of emergency patients of each medical institution based on acceptance status information of a plurality of medical institutions Receiving attitude information transmitting means for transmitting the receiving attitude information of the medical institution,
An acceptance attitude information acquisition device characterized by that.

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