JP5630086B2 - Medical examination waiting patient management device and medical examination waiting patient management method - Google Patents

Description

  The present invention relates to a patient-waiting examination management apparatus and a patient-waiting examination management method for determining the examination order of patients who are waiting for a medical examination including a patient who has undergone a re-examination when a re-examination patient occurs.

  Electronic medical record systems used in hospitals, clinics, etc. have expanded their functions beyond the digitalization of medical records. The purpose of the introduction of the electronic medical chart system at the beginning was to support medical work and improve efficiency, such as work support for medical examinations and examinations and accounting support including receipt processing. However, in recent years, in addition to these functional enhancements, the functions of services for patients have been enhanced. The service functions include a guidance information distribution system that calls into the examination room and leads to the examination room, and a waiting order display system that displays the order of examination, accounting, and medication (guidance information distribution system and waiting order). The display system is positioned as a subsystem of the electronic medical record system).

  In the order display system waiting for examination, not only the order is displayed but also the waiting time is displayed. The calculation of the waiting time for the examination is performed, for example, by creating a waiting order for the received patients and multiplying the waiting order by the average examination time of the relevant department to obtain the waiting time for each patient. The examination waiting time obtained as described above varies depending on the examination time when the examination is actually performed, but it is a guide time.

  As a method for more accurately obtaining the examination waiting time, Patent Document 1 discloses that when there is information on examination results that have not yet been explained to the patient in the medical chart information of the patient who is currently undergoing the examination and is waiting for the examination, A method is disclosed in which a consultation waiting time is obtained by multiplying an average consultation time by a factor taken into consideration.

  Further, Patent Document 2 discloses a method of obtaining a past average examination time for each patient waiting for a medical examination in calculating the average medical examination time, and calculating a waiting time using the average medical examination time. Since the waiting time is predicted using the results of the examination time that varies depending on the patient, it is more accurate than using a simple average value.

JP 2008-217389 A Japanese Patent Laid-Open No. 03-065764

  As described above, the examination waiting time display system is provided as a service for patients waiting for examination. In calculating the waiting time for the examination, for example, the order of the patients waiting for the examination is calculated by multiplying the average examination time. However, the actual examination time differs depending on the patient and may cause a large difference from the calculated waiting time. is there. Although the display of the waiting time is an approximate time, if the examination time is significantly delayed, it will give mental stress to the patient waiting for the examination. In addition, when the examination time may be shortened, the patient cannot leave the examination room, resulting in inconvenience. In any case, it is required to be as accurate as possible. The methods disclosed in Patent Literature 1 and Patent Literature 2 are considered to be able to predict the examination waiting time more accurately than the method of predicting the waiting time using the averaged average examination time.

  By the way, in many hospitals, a doctor may instruct the patient to perform an examination in order to identify the name of the patient being examined or to confirm the effect of medication. In such a case, when the test result can be understood in a short time, a re-examination is performed after the end of the test, and the patient who is waiting for the medical examination is interrupted. If a reexamination patient occurs, tell the receptionist at the consultation room or the nurse that the reexamination patient has returned to the examination room, and based on the judgment of the staff (doctor, nurse, etc.) in the examination room A patient who was waiting for a medical examination was interrupted by a reexamination patient.

  In the conventional electronic medical chart system, consideration for such interruption of the reexamination patient has not been paid. For this reason, it was not reflected in the examination waiting time display system, and the patient waiting for the examination thought that the examination was delayed. However, when the delay becomes significant, there is a problem that the patient waiting for the examination feels a great stress and becomes distrustful of the examination waiting time display system.

  According to one aspect of the invention, a test information storage unit that stores information on a patient who has received a test, information on a test start time, and information on a test end time, information on a patient who has received a test, and information on a test start time And a medical examination information storage unit for storing information on the medical examination end time and information on necessity of re-examination indicating necessity of re-examination, and information on patients who have received the examination when re-examination necessity information is required. Based on the information on the examination start time and the information on the examination end time, information on the number of patients waiting for the examination and information on the average examination time of the examined patients are obtained. Based on the examination return time acquisition unit that obtains information, information on the examination start time and information on the examination end time, information on the average examination time of the examined patient is obtained, and the average examination time is used to obtain information on the patient waiting for the examination. Get information about the start time of the examination, Based on the observation start time, examination waiting patient management device and a medical examination order determination unit which determines the examination order is provided.

  According to another aspect of the invention, information on a patient who has received an examination, information on an examination start time, and information on an examination end time are stored in the examination information storage unit, and information on a patient who has undergone examination and an examination start When the examination information management procedure for storing the time information, the examination end time information, and the reexamination necessity information indicating the necessity of the reexamination in the examination information storage unit, and the reexamination necessity information are necessary, Based on the information of the patient who has received the examination, the information of the examination start time, and the information of the examination end time, information on the number of patients waiting for the examination and information on the average examination time of the examined patients are obtained. Based on the procedure for obtaining the return time of the examination based on the procedure for obtaining the return time of the examination, the information on the start time of the examination and the information on the end time of the examination, information on the average examination time of the examined patient is obtained, and the average examination is obtained. Examination start time of patients waiting for examination using time To obtain information, consultation waiting patient management method and a medical examination order determination procedure for determining the examination order based on the return inspection time and examination starting time is provided.

  Since the examination order of the patients waiting for the examination is automatically determined based on the return time from the examination of the reexamination patient and the examination time of the patient waiting for the examination, the burden on the examination room staff can be reduced. In addition, it is possible to display the examination waiting time in the order in which the re-examination patients are incorporated.

1 is an overall configuration example of a patient management system waiting for examination according to the present invention. It is a functional structural example of each apparatus of the patient management system waiting for examination. It is an example of data of a medical examination patient information storage part. It is an example of data of a test patient information storage part. It is an example of data of an average consultation time information storage part. It is an example of data of an average inspection time information storage part. It is an example of data of a medical examination waiting time information storage part. It is a hardware configuration example of a patient management server waiting for examination It is an example of a processing flow of a diagnosis waiting time prediction program.

  A patient management system waiting for examination according to the present invention will be described with reference to FIGS.

  FIG. 1 is a diagram showing an example of the overall configuration of a patient management system 100 waiting for examination according to the present invention. The outline of each component is as follows.

  The patient management server 200 waiting for examination is connected to a general reception terminal 400, examination room terminal 500, examination room display device 510, examination room terminal 600 and examination room display device 610, which will be described later, via a LAN (Local Area Network) 300, The examination order and waiting time for patients waiting for examination are output. The examination waiting patient management server 200 corresponds to the above-described examination waiting patient management apparatus.

  The general reception terminal 400 is a terminal that a patient who visits receives, and includes a card reader, a printer, and a display (not shown). A guide on how to accept is displayed on the display. When the patient reads a medical card into the card reader based on the guide and selects a medical department to receive medical examination, a medical examination slip describing the medical department, the medical examination number, etc. is printed out. The received information (the patient ID read from the examination card, the patient-selected department, the examination number, etc.) is transmitted to the patient management server 200 waiting for the examination.

  The examination room terminal 500 is a terminal operated by a doctor, and includes, for example, a mouse, a keyboard, and a display (not shown). Based on the operation of the doctor, the patient information and medical chart information transmitted from the patient management server 200 waiting for a diagnosis can be displayed, and an item can be selected by the mouse and a keyboard input of the diagnosis result can be performed. The examination room terminal 500 is installed for each examination room.

  The examination room display device 510 is installed in the examination waiting room, for example, and displays the examination order and waiting time for the patient waiting for examination, and the calling to the examination room. The examination room display device 510 is installed for each clinical department.

  The inspection room terminal 600 is a terminal on which an inspection engineer operates, and includes a mouse, a keyboard, and a display (not shown), for example. Based on the operation of the examination engineer, the examination patient information and medical chart information transmitted from the patient management server 200 waiting for examination can be displayed, and the examination result can be input. The inspection room terminal 600 is installed for each inspection room.

  The examination room display device 610 is installed in the examination waiting room, for example, and displays the examination order and waiting time display for the patient waiting for examination, and the call to the examination room.

  Next, each apparatus which comprises the patient management system 100 waiting for examination is demonstrated. FIG. 2 is a block diagram showing the functions of the patient waiting server management server 200, the examination room terminal 500, the examination room display device 510, the examination room terminal 600, and the examination room display device 610.

  First, the waiting patient management server 200 includes a waiting patient management control unit 210, a diagnosis information management unit 211, an examination information management unit 212, an examination return time calculation unit 213, an examination order determination unit 214, an examination waiting time calculation unit 215, An encryption / decryption unit 220 and a transmission / reception unit 230 are included. These are realized by program modules, for example. The outline of each function will be described next.

  The examination waiting patient management control unit 210 corresponds to the main program of the examination waiting time prediction program, and controls other program modules such as data transfer and processing instructions. In addition, when the examination order or waiting time is updated because a new examination patient is received or a reexamination patient occurs, the information is transmitted to the examination room display device 510. Also, based on notification of examination and re-examination from the examination information management unit 211 described later, necessary information transmission and processing instructions are given to other program modules.

  The examination information management unit 211 retrieves the examination patient information of the corresponding patient from the examination patient information storage unit 241 in response to a request for transmission of examination information from the examination room terminal 500 via the examination waiting patient management control unit 210, and the chart information The chart information is taken out from the storage unit 240 and transmitted to the examination room terminal 500. Further, the examination patient information storage unit 241 and the chart information storage unit 240 are updated based on the examination patient information and the chart information transmitted from the examination room terminal 500. After the examination patient information storage unit 241 is updated, the average examination time is calculated and stored in the average examination time information storage unit 242. Further, information on the examination required in the examination patient information and information on the re-examination accompanying the examination are checked, and if examination and re-examination are necessary, the fact is notified to the patient management control unit 210 waiting for the examination. The examination patient information storage unit 241 corresponds to the examination information storage unit of the above-described examination waiting patient management device.

  The examination information management unit 212 adds the examination patient to the examination patient information storage unit 243 or transmits the examination patient information and medical chart information of the examination patient to the examination room terminal 600 based on an instruction from the patient management control unit 210 waiting for examination. To do. Also, the examination patient information storage unit 243 and the chart information storage unit 240 are updated based on the examination patient information and the chart information of the examined patient transmitted from the examination room terminal 600. After the test patient information storage unit 243 is updated, an average test time is calculated and stored in the average test time information storage unit 244. The examination patient information storage unit 243 corresponds to the examination information storage unit of the above-described examination waiting patient management device.

  The examination return time calculation unit 213 refers to the examination patient information storage unit 243 to obtain the number of patients waiting for examination, obtains the average examination time by referring to the average examination time information storage unit 244, and determines the number of patients waiting for examination. Based on the average examination time, the examination return time for returning to the examination room by the reexamination patient is calculated.

  The examination order determination unit 214 obtains the examination start time for each patient waiting for examination stored in the examination patient information storage unit 241, and the examination start time and a preset number of interruptions (described later, but set) The interruption limit number of people is stored in the average examination time information storage unit 242) and the examination return time is determined by the examination return time. As a result, the examination order of patients waiting for examination including re-examination patients is determined. The examination patient information storage unit 241 is updated in the decided examination order.

  The medical examination waiting time calculation unit 215 calculates the medical examination waiting time for each patient waiting for medical examination after interrupting the reexamination patient with reference to the medical examination patient information storage unit 241 and the average medical examination time information storage unit 242. To do. The calculated result is stored in the examination waiting time information storage unit 245.

  The encryption / decryption unit 220 encrypts the transmitted data and decrypts the received data. Data handled in the hospital is encrypted because it contains personal information. For example, the information on the examination waiting time stored in the examination waiting time information storage unit 245 is encrypted here and transmitted to the examination room display device 510 by the transmitting / receiving unit 230 described below.

  The transmission / reception unit 230 transmits / receives encrypted data.

  Next, an example of data in each storage unit handled by each function of the patient management server 200 waiting for examination described above will be described. Note that the medical record information is not directly related to the present invention, so the description is omitted here. The examination management patient management server 200 holds examination patient information storage units 241 and examination patient information storage units 243 for a plurality of departments and examination rooms. Here, one examination department (for example, internal medicine) and one examination are performed. An example of data for a room (eg, a chest X-ray room) will be described.

  First, an example of data in the examination patient information storage unit 241 will be described with reference to FIG. As shown in FIG. 3, the examination patient information storage unit 241 includes “acceptance order”, “visit number”, “waiting order”, “patient ID”, “patient name”, “need examination”, “examination code”, “ Each field includes “re-examination required”, “examination start time”, “examination end time”, and “examination return time”.

  The “acceptance order” indicates the order accepted by this department, and as shown in FIG. 3, ten patients have been accepted by the current time. The “visit number” is a number that is printed out and passed to the patient when the patient accepts it at the general reception terminal 400. When the examination order and waiting time are displayed on the examination room display device 510, the examination number is used for display. “Waiting order” indicates the order of waiting for the examination of this department. “Patient ID” is an identifier for identifying a patient, and “patient name” is the name of the patient. Even the same family name can be identified by the patient ID. “Inspection required” is a flag indicating whether or not inspection is necessary, and “inspection code” is a code attached to the inspection and corresponds to the inspection name. The “re-examination necessary” is a flag indicating whether or not a re-examination after examination is necessary. “Diagnosis start time” and “Diagnosis end time” indicate the time when the doctor started and ended, and “Examination return time” indicates that the patient who needs re-examination needs examination and returns to the examination room. This is the time obtained based on the number of people waiting for the examination, the average examination time, and the round-trip time from the examination room to the examination room. Further, in this field, when a patient is interrupted by a patient waiting for a medical examination for reexamination and the medical examination order is newly determined, “reexamination” is stored as information for identifying the patient.

  In FIG. 3, for example, the consultation number of the patient whose reception order is “1” is “003”, the patient ID is “a”, the patient name is “aa”, and the diagnosis start time is “09:03:28”. The examination end time is “09:08:45” and the examination has already been completed. There is no examination at the examination ("Need examination" flag is "0" is no examination, "1" is examination necessary), therefore reexamination ("Need reexamination" flag is "0" is no reexamination, It is clear that “1” is not necessary for re-examination. The patient with the patient ID “c” whose reception order is “3” has completed the examination in the same manner, but has been inspected for “CH01” and is instructed to re-examine. The time when the examination is performed and the examination room is returned is predicted to be “09:26:05”. Further, a patient whose reception order is “4” is currently undergoing a medical examination, and a patient whose reception order is “5” and later is a patient waiting for a medical examination. A patient whose reception order is “8” (patient with patient ID “c”) among patients waiting for medical examination is also a patient whose reception order is “3”, and is an interrupted patient for reexamination.

  Next, a data example of the examination patient information storage unit 243 will be described with reference to FIG. The examination patient information storage unit 243 has fields of “acceptance order”, “visit number”, “waiting order”, “patient ID”, “examination start time”, and “examination end time”.

  The “acceptance order”, “visit number”, “waiting order”, and “patient ID” are substantially the same as those described in the data example of the examination patient information storage unit 241. The “inspection start time” and “examination end time” are information input by the operation of the inspection room terminal 600 of the inspection engineer at the start time and the end time of the inspection.

  When the examination management patient management server 200 receives the examination information including the information of the examination required from the examination room terminal 500, the examination patient is newly accepted in the examination patient information of the corresponding examination code, and is added to the last line in FIG. Will come to be. Also, when the “examination end time” is input by the inspection engineer, the inspection patient information of the inspection patient and the medical record information into which the inspection result has been input are transmitted to the patient management server 200 waiting for a diagnosis, and the patient management server 200 waiting for a diagnosis. The patient information storage unit 243 and the medical record information storage unit 240 are updated in step S1.

  Next, data examples of the average examination time information storage unit 242 and the average examination time information storage unit 244 will be described.

  FIG. 5 shows an example of data stored in the average examination time information storage unit 242. The average examination time information storage unit 242 stores each of “clinical department code”, “clinical department name”, “average medical examination time”, and “interrupt limit number of people”. Has a field. The “clinical department code” is a code assigned to each clinical department, and the “clinical department name” is the name of the clinical department corresponding to the clinical department code. “Average consultation time” is the average consultation time per person in the department code. Here, the average examination time in the examination on the day is shown. The “limit number of interrupts” is a limit number when a re-examination patient is interrupted to a patient waiting for a medical examination, and an interruption is allowed for a patient who is waiting for a medical examination after this limit. This “limit number of interrupts” is set by, for example, a medical staff.

  In FIG. 5, for example, the department code “MD01” has the department name “internal medicine”, the average examination time is “4.3 min / person”, and the interrupt limit number is “3 people”.

  FIG. 6 shows an example of data stored in the average inspection time information storage unit 244, and includes fields of “inspection code”, “inspection name”, and “average inspection time”. Although there is a difference between the examination and the examination, the content is almost the same as that of the average examination time information storage unit 242, and the description thereof will be omitted.

  FIG. 7 shows an example of data stored in the examination waiting time information storage unit 245. The waiting time calculated by the examination waiting time calculation unit 215 and the examination time are information obtained based on the current time. Used to display on the examination room display device 510. As shown in FIG. 7, the examination waiting time information storage unit 245 includes fields of “waiting order”, “visit number”, “waiting time”, “diagnosis time”, and “remarks”. The fields of “waiting order”, “visit number”, “remarks”, and patients waiting for a diagnosis stored in the fields are extracted from the diagnosis patient information storage unit 241. The “waiting time” is rewritten, for example, every minute as the time advances, and is transmitted to the examination room display device 510 and displayed again.

  The function of the patient management server 200 waiting for examination and the example of data stored in the storage unit have been described above. Next, functions of the examination room terminal 500 and the examination room display device 510 will be described.

  The examination room terminal 500 includes functions of a doctor input unit 501, a examination information control unit 502, an encryption / decryption unit 503, and a transmission / reception unit 504. The doctor input unit 501 is, for example, a mouse that selects a function item on a display, a keyboard that inputs findings of a diagnosis result, or the like. The medical examination information control unit 502 obtains medical examination patient information and medical chart information as medical examination information from the patient management server 200 waiting for a medical examination based on a doctor's operation, and stores it in the medical examination data storage unit 505. Control such as transmission to the waiting patient management server 200 is performed. Since the encryption / decryption unit 503 and the transmission / reception unit 504 are substantially the same as the encryption / decryption unit 220 and the transmission / reception unit 230 described above, description thereof will be omitted.

  The examination room display device 510 includes a receiving unit 511, a decoding unit 512, and a display unit 513. The receiving unit 511 receives the examination waiting time information transmitted from the patient waiting server management server 200, the decoding unit 512 decodes the received examination waiting time information, and the display unit 513 decodes the consultation waiting time information. Is displayed.

  Although the examination room terminal 600 and the examination room display device 610 are different in the examination and examination, the functions of the examination room terminal 500 and the examination room display device 510 are almost the same, and thus the description thereof is omitted.

  Next, the hardware configuration of the patient management server 200 waiting for examination will be described with reference to FIG. As shown in FIG. 8, a patient management server 200 waiting for a medical examination includes a CPU (Central Processor Unit) 10 that controls the whole, a RAM (Random Access Memory) 20 that executes and executes a medical examination waiting time prediction program, and a medical record information storage unit. 240, an HDD (Hard Disk Drive) 30 serving as a storage unit such as an examination patient information storage unit 241, a CCU (Communication Control Unit) 40 for controlling communication with the examination room terminal 500 and the examination room terminal 600, a patient management server waiting for examination A display 50 and a keyboard 60 for 200 operation managers are included. Note that the hardware configurations of the examination room terminal 500 and the examination room terminal 600 are almost the same as those shown in FIG.

  Next, the processing flow of the patient management program waiting for examination will be described. FIG. 9 shows that the patient management server 200 determines the examination order including the re-examined patient when receiving the examination information of the patient who has finished the examination from the examination room terminal 500, and waits for the examination based on the examination order. The processing until the patient's examination waiting time is calculated and displayed is shown. In the processing flow of FIG. 9, the latest information is stored in the examination patient information storage unit 243 and the average examination time information storage unit 244.

  In FIG. 9, first, the patient management server 200 waiting for a diagnosis receives diagnosis patient information and medical record information, which are diagnosis information of a patient who has completed the diagnosis, from the examination room terminal 500, and decodes the received information. Subsequently, the examination patient information storage unit 241 is updated with the decrypted examination patient information. Specifically, the fields of “examination required” to “examination end time” shown in FIG. 3 are updated for the record of the patient ID. The chart information storage unit 240 is updated with the decrypted chart information (steps S1 to S3, hereinafter simply referred to as S1 to S3).

  Next, the average examination time is calculated with reference to the updated examination patient information storage unit 241. If the data is stored in the “Examination End Time” field shown in FIG. 3, it can be determined that the examination has been completed. Therefore, the individual examination time for each examined patient is obtained, and the total value is divided by the number of examined patients. Calculate time. The obtained average examination time is stored in the average examination time information storage unit 242. That is, the average examination time reflecting the examination time of the patient received this time is obtained (S4).

  Subsequently, the “re-examination required” field of the decrypted patient information is referred to. When the re-examination flag is “1”, it is determined that re-examination is necessary, and when it is “0”, it is determined that re-examination is unnecessary. . If it is determined that re-examination is necessary, the process proceeds to S7, and if it is determined that it is unnecessary, the process proceeds to S9 (S5, S6).

  In S7, the return time from the examination of the patient ID is obtained with reference to the examination patient information storage unit 243 and the average examination time storage unit 244 (S7).

  The inspection return time can be obtained as follows, for example. First, the number of patients waiting for examination including during examination is obtained by referring to the examination patient information storage unit 243. Since a patient whose “examination end time” field in the examination patient information storage unit 243 shown in FIG. 4 is blank can be identified as a patient under examination or waiting for examination, the number of the patients may be counted. Next, the average examination time is acquired by referring to the average examination time information storage unit 244, and the examination time can be obtained by multiplying the average examination time by the number of patients in examination and waiting for examination. The round trip time between the examination room and the examination room is added to the obtained examination time, and the examination return time is calculated from the current time. For the current time, for example, a real-time clock (also referred to as a calendar clock) provided in the patient management server 200 waiting for examination may be referred to.

  Next, based on the return time from the examination, a position at which the patient with the patient ID (that is, the re-examination patient) is interrupted by the patient waiting for the examination (position where the patient is interrupted in the order of waiting for the examination) is determined (S8).

  The interrupt position can be determined as follows. First, the remaining examination time of the patient being examined is obtained. For identification of a patient under examination, time information is stored in the “diagnosis start time” field of the examination patient information storage unit 241 and the “diagnosis end time” field is a blank patient. Then, it can be obtained from the current time, the time of “diagnosis start time” of the patient under examination, and the average examination time in the average examination time storage unit 242. That is, it is obtained by the following equation.

The remaining examination time (T0) of the patient under examination = average examination time-(current time-examination start time)
Next, the examination start time of each patient waiting for examination is obtained. Since the patients waiting for the examination are those with the receipt numbers after the patient under examination, the examination starts from the current examination time, the remaining examination time of the patient being examined, and the average examination time in the average examination time information storage unit 242. Find the time. That is, the following equation is obtained.

Examination start time (T1) of patient waiting for first examination = current time + T0
Examination start time (T2) of the patient waiting for the second examination (T2) = T1 + average examination time Examination start time (T3) of the patient waiting for the third examination (T3) = T2 + average examination time
The examination start time of each patient waiting for examination obtained above is matched with the examination return time obtained earlier, and the patient whose examination start time is closest to the examination return time after the examination return time (this patient is referred to as Cn). Have the patient revisited before. At this time, if the waiting order of the patient Cn is the waiting order equal to or less than the limited number of interrupts set in the average consultation time information storage unit 242, the re-examined patient is displayed immediately after the waiting patient for the limited number of interrupts. Interrupt. With this, the examination order of the patients waiting for examination including the re-examination patient is determined. The examination patient information storage unit 241 is updated to the decided examination order.

  The examination waiting time and the examination start time for the patient waiting for examination according to the newly decided examination order are calculated again and written in the examination waiting time information storage unit 245 (S9).

  The information in the examination waiting time information storage unit 245 is encrypted and transmitted to the examination room display device 510. The examination room display device 510 displays information on the waiting order, the consultation number, the examination waiting time, and the examination start time. When a reexamination patient is interrupted, a message to that effect is displayed with reference to the “Remarks” field shown in FIG. The examination waiting time changes depending on the transition of time, but for example, information updated for each minute may be transmitted by the patient management server 200 waiting for examination and displayed on the examination room display device 510 ( S10).

  In S7 of the flow, the patient management server 200 waiting for medical examination refers to the examination patient information storage unit 243 and the average examination time information storage unit 244, but the examination patient information storage unit 243 receives the examination patient from the examination terminal 600 every time the examination is completed. Information has been sent and updated based on examination patient information. In addition, at the timing of the update, the patient waiting management server 200 calculates the average examination time and updates the average examination time information storage unit 244.

  In addition, at the examination terminal 500 during the examination, information on examination findings, examination required, and re-examination is input by the doctor, and the information is stored in the chart information and the examination patient information, but at the timing of the operation at the end of the examination. The examination end time is stored in the examination patient information. These pieces of information (examined patient information and medical chart information) are encrypted and automatically transmitted to the patient management server 200 waiting for an examination.

  The encryption method is not defined in the present invention, and a generally known encryption method may be used. The encryption method is, for example, a common key DES (Data Encryption Standard) or a public key RSA cipher (Rivest, Shamir, Adleman's method). These may be adopted according to the robustness that the system should realize.

10 CPU
20 RAM
30 HDD
40 CCU
DESCRIPTION OF SYMBOLS 50 Display 60 Keyboard 100 Medical examination waiting patient management system 200 Medical examination waiting patient management server 210 Medical examination waiting patient management control part 211 Medical examination information management part 212 Examination information management part 213 Examination return time calculation part 214 Examination order determination part 215 Examination waiting time calculation part 220 Encryption / Decryption Unit 230 Transmission / Reception Unit 240 Medical Record Information Storage Unit 241 Examination Patient Information Storage Unit 242 Average Examination Time Information Storage Unit 243 Examination Patient Information Storage Unit 244 Average Examination Time Information Storage Unit 245 Examination Waiting Time Information Storage Unit 300 LAN
400 General Reception Terminal 500 Examination Room Terminal 501 Doctor Input Unit 502 Examination Information Control Unit 503 Encryption Decryption Unit 504 Transmission / Reception Unit 505 Examination Data Storage Unit 510 Examination Room Display Device 511 Reception Unit 512 Decoding Unit 513 Display Unit 600 Examination Room Terminal 601 Inspection engineer input unit 602 Inspection information control unit 603 Encryption / decryption unit 604 Transmission / reception unit 605 Inspection data storage unit 610 Inspection room display device 611 Reception unit 612 Decoding unit 613 Display unit

Claims (8)

An examination information storage unit for storing information on a patient who has received an examination, information on an examination start time, and information on an examination end time;
A diagnosis information storage unit for storing information on patients who have received a diagnosis, information on a diagnosis start time, information on a diagnosis end time, and information on necessity of re-examination indicating necessity of re-examination;
When the re-examination necessity information is necessary, based on the information on the patient who has received the examination, the examination start time information, and the examination end time information, Obtaining information on the average examination time of the examined patients, and obtaining an examination return time based on the number of patients waiting for examination and the average examination time, an examination return time acquisition unit,
Based on the information on the examination start time and the information on the examination end time, obtain information on the average examination time of the patient who has been examined, and use the average examination time to obtain information on the examination start time of the patient waiting for the examination. An examination order determining unit that obtains and determines the examination order of a patient who has received the examination and needs the reexamination necessity information after the examination return based on the examination return time and the examination start time And a patient management apparatus waiting for a medical examination. The examination waiting patient management device further uses the average examination time to calculate a waiting time for a patient waiting for a diagnosis based on the examination order determined by the examination order determination unit;
The examination waiting patient management apparatus according to claim 1, further comprising: a diagnosis waiting time information output unit that outputs information on the waiting time for the examination waiting patient to a predetermined output device.   The examination order determining unit obtains information on the average examination time of the examined patient based on the examination start time information and the examination end time information, and uses the average examination time to wait for the examination. The examination order is obtained based on the examination return time, the examination start time, and the restriction limit number of people rule that a predetermined number of patients from the earliest waiting patient cannot be interrupted. The patient management apparatus for waiting for examination according to claim 1 or 2, wherein   The examination waiting patient management device according to claim 1, wherein the output device is a PHS, an electronic card holder, or a display device.   The examination waiting patient management apparatus according to claim 1, wherein the examination waiting time information output unit encrypts and outputs the examination waiting time information. An examination information storage unit that stores information about examinations, a examination information storage unit that stores information about examinations, an examination return time acquisition unit that obtains information on examination return times, a examination order determination unit that determines the examination order, In a patient management device waiting for a diagnosis, comprising:
And inspection of the reception completion of patient information, and information of the inspection start time, stores the information of the inspection end time, to the examination information storage unit, and the examination of the reception completion of patient information, and information examination starting time, information examination end time, are stored with re examination necessity information indicating the necessity of re-examination, to the examination information storage unit,
When the re-examination necessity information is necessary, based on the information on the patient who has received the examination, the examination start time information, and the examination end time information, Obtaining information on the average examination time of the examined patient, and obtaining information on the examination return time based on the number of patients waiting for examination and the average examination time by the examination return time acquisition unit ,
Based on the information on the examination start time and the information on the examination end time, obtain information on the average examination time of the patient who has been examined, and use the average examination time to obtain information on the examination start time of the patient waiting for the examination. Based on the examination return time and the examination start time, the examination order of the patient who has received the examination and needs the re-examination necessity information after the examination return is obtained by the examination order determination unit. examination waiting patient management method characterized in that makes decisions. The medical examination waiting patient management device further comprises a medical examination waiting time calculation unit for calculating a medical examination waiting time, and a medical examination waiting time information output unit,
Using said average consultation time, to calculate the examination latency examination waiting patients based on examination order determined by the examination order determination unit to the examination waiting time calculation unit,
Examination waiting patient management method according to claim 6, characterized in that makes outputting examination latency information to output information of the examination latency of the examination waiting patient to a predetermined output device, the examination latency information output unit. The examination order determining unit obtains information on the average examination time of the examined patient based on the examination start time information and the examination end time information, and uses the average examination time to wait for the examination. The examination order is obtained based on the examination return time, the examination start time, and the restriction limit number of people rule that a predetermined number of patients from the earliest waiting patient cannot be interrupted. 8. The examination waiting patient management method according to claim 6 or 7, characterized by: