JP6247621B2 - Outpatient management apparatus and program - Google Patents

Description

  The present invention relates to a technique for managing an outpatient who wishes to see a medical facility such as a hospital.

  Most medical facilities such as hospitals or clinics support outpatients. A person (outpatient) who visits a medical facility who wishes to see a doctor accepts the patient and waits until he / she gets a doctor to receive a doctor's examination.

  In a medical facility, one or more examination rooms are provided in one medical department. In medical facilities, waiting rooms are usually provided for outpatients awaiting examination in the examination room. In medical facilities having a plurality of departments, a plurality of waiting rooms are often provided. In a medical facility where many outpatients wish to see, there are often two types of waiting rooms for outpatients who are close to receiving a checkup and for outpatients who are not close to receiving a checkup. Hereinafter, a waiting room for an outpatient who has a close examination number is referred to as a “medium waiting room”, and a waiting room for an outpatient who does not have a close examination number is referred to as an “outside waiting room”.

  In the waiting room, a display panel for transmitting necessary information to outpatients is usually installed so that the examination can be performed more smoothly. The medical facility displays information representing an outpatient who is close to seeing the examination on its display board. Thereby, each outpatient can confirm the number of outpatients (waiting number of persons) who are present before receiving the examination. As information representing an outpatient, it is common to use a number (acceptance number) assigned at the time of acceptance.

  In order to conduct the examination smoothly, it is necessary for the outpatient to move to the waiting room before he / she gets the examination. However, the outpatient did not realize that it was almost time to see the doctor (in this case, he did not confirm the number to receive the doctor and forgot that the person who received the doctor was approached, etc. In some cases, the user may not be in the waiting room due to reasons such as moving from the waiting room for some reason.

  If an outpatient who is assigned to receive a medical examination does not enter the examination room, the medical facility must check whether the outpatient is in the waiting room. The confirmation requires a certain amount of time and is time consuming. For this reason, some medical facilities automatically check whether outpatients are in the waiting room, and the order of outpatients who are not in the waiting room or have left the waiting room are all in the waiting room. There is a medical facility that is building a system to change after outpatients. In this medical facility, since an outpatient is examined on the condition that it is in a waiting room, the examination can be performed more reliably and smoothly.

  A waiting room is provided for each examination room assuming entry of a plurality of outpatients. Therefore, the number of outpatients who are required to enter the waiting room usually includes a plurality of waiting persons.

  The examination time required for each outpatient examination varies depending on the outpatient or doctor. However, it is unlikely that an examination of two or more outpatients will end together immediately. For this reason, outpatients with two or more waiting people may temporarily leave the waiting room for some reason. Outpatients who intend to return immediately after leaving the waiting room due to circumstances such as conversations with acquaintances are likely to leave the waiting room temporarily regardless of the number of people waiting.

For this reason, it is considered that some outpatients who are not in the waiting room can actually receive a medical examination at their own medical examination number. Such outpatients are unlikely to interfere with a smooth examination. Thereby, when the order of outpatients who are not in the waiting room is placed after all the outpatients in the waiting room, there is a risk that the waiting time of the outpatients who can receive medical examinations in practice is simply increased. Many outpatients with simply increased waiting times may feel uncomfortable with increased waiting times. Therefore, to achieve a more environment-patient can receive a more comfortable examination, in addition to allow smooth examination, to suppress an increase in the outpatient due to a change of the order latency Is also considered important.

JP 2011-191991 A JP 2006-58986 A JP 2001-282922 A

  In one aspect, an object of the present invention is to provide a technique for realizing an environment in which an outpatient can receive a diagnosis more comfortably by suppressing an increase in waiting time of the outpatient due to a change in the order of examination. And

  One apparatus to which the present invention is applied includes an acquisition unit that acquires location information representing the current location of an outpatient estimated by reception of identification information transmitted by a medium to be carried by the outpatient, and an outpatient for each outpatient. Each outpatient visits the clinical department for each medical department by referring to the medical department to receive the medical information and the storage unit that stores the reception number indicating the order of reception as information and the information stored in the storage unit. A number identification unit that identifies the number of people waiting until, a determination unit that determines whether or not the order between outpatients who visit the clinical department should be changed, and a situation and determination unit that should change the order between outpatients If determined, based on the current location represented by the location information of each outpatient subject to change of order, the order change content is determined, the number of waiting for each outpatient is changed, and the order between outpatients is changed. And a changing unit.

  When the present invention is applied, it is possible to suppress an increase in waiting time of the outpatient accompanying the change in the order of the examination, and to realize an environment in which the outpatient can receive the examination more comfortably.

It is a figure explaining the structural example of the outpatient management system constructed | assembled using the outpatient management apparatus by this embodiment. It is a figure explaining the function structural example of a host computer. It is a figure explaining the example of arrangement | positioning of each RFID antenna. It is a figure explaining the structural example of an outpatient patient table. It is a figure explaining the structural example of the outpatient table according to medical department. It is a figure explaining the structural example of a movement time table. It is a flowchart of an outpatient table update process classified by medical department. It is a flowchart of an order change process. It is a figure showing the structural example of the information processing apparatus which can be used as a host computer with which the outpatient patient management apparatus by this embodiment was implement | achieved.

Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings.
FIG. 1 is a diagram illustrating a configuration example of an outpatient management system constructed using the outpatient management apparatus according to the present embodiment. This outpatient management system is a system constructed by a medical facility such as a hospital or a clinic for examination of outpatients. As shown in FIG. 1, this outpatient management system includes a network 1, a host computer (hereinafter abbreviated as “host”) 2, a plurality of reception terminal devices 3, and doctors (Dr.) installed in each examination room. Terminal device 4, display server 5, a plurality of guidance display boards 6, and a plurality of RFID (Radio Frequency IDentification) antennas 7 are connected.

  The host 2 functions as a DB (Data Base) server that manages various data handled by the outpatient management system. The outpatient management apparatus according to the present embodiment is realized on the host 2.

  The reception terminal device 3 is a terminal device for a person who desires medical examination to automatically perform reception. The reception terminal device 3 issues a medium (hereinafter referred to as “reception slip”) on which an RFID tag is mounted and the assigned reception number is printed to the person who received the reception (outpatient).

  Only revisited outpatients can be accepted using the reception terminal device 3. The outpatient for reexamination inserts the issued examination card into the reception terminal device 3 and accepts the reexamination. The person who is the first visit will accept at the window.

  In the medical facility, a terminal device for receiving an outpatient at the window is installed. However, in FIG. 1, the terminal device used at the window is omitted. Here, for convenience of explanation, it is assumed that the reception is performed using only the reception terminal device 3.

  The terminal device 4 is used for displaying an electronic medical record, inputting a diagnosis result, and the like. The electronic medical record to be displayed is acquired from the host 2, the contents of the electronic medical record are updated by inputting the examination result, and the electronic medical record managed and stored by the host 2 is reflected.

  The guidance display board 6 is a terminal device installed in a medical facility for transmitting necessary information to an outpatient. The display server 5 controls each guidance display board 6 to display information to be displayed on each guidance display board 6. The content displayed on each guidance display board 6 is determined by information acquired from the host 2.

  Each RFID antenna 7 is a communication device that communicates with a receipt slip (RFID tag) supplied with power in a non-contact manner, and has a function of performing communication via the network 1. Each RFID antenna 7 can receive a tag ID assigned as identification information to an RFID tag mounted on the reception slip from the reception slip supplied by itself. The received tag ID (IDentifier) is transmitted to the host 2.

  FIG. 3 is a diagram illustrating an arrangement example of each RFID antenna. Here, with reference to FIG. 3, the example of arrangement | positioning of each RFID antenna 7 is demonstrated concretely. FIG. 3 shows an arrangement example in which a type capable of communicating with an RFID tag existing on a rectangular area is adopted as the RFID antenna 7.

  Each RFID antenna 7 is prepared for specifying the present location of an outpatient who has a medical examination slip. Medical areas with lobby, aisle 1-6, telephone corner, men's and women's restrooms, cafeteria, shop, first outside waiting room, second outside waiting room, first middle waiting room, second middle waiting room, and smoking area In the facility, each RFID antenna 7 is arranged as shown in FIG. Thereby, in this embodiment, the movement of the outpatient between adjacent areas can be recognized, and the current location of the outpatient can be determined.

  The first waiting room is for outpatients who have come close to the outpatients who visit A to F internal medicine, that is, outpatients to be examined next, and a plurality of outpatients who will be followed by the outpatients. It is for standby. In the medical facility, a first outside waiting room is prepared for outpatients who are not in the order to enter the first waiting room. Similarly, the second waiting room is for waiting for outpatients whose turn to receive medical examinations for GI orthopedics and JL surgery is approaching, and the outpatients are not in the order to enter the second waiting room. A second outside waiting room is provided for this purpose.

  In the medical facility shown in FIG. 3, an examination room is provided for each department. Therefore, hereinafter, unless otherwise specified, the examination room and the department are used interchangeably.

  To make it easier for outpatients to visit the clinic, in other words, to reduce waiting time for the entire outpatient, after the current outpatient visit is over, It is desirable to be able to see outpatients who can receive medical examinations immediately. 1st waiting room and 2nd waiting room (hereinafter referred to as “medium waiting room” when there is no need to distinguish between them. When it is not necessary to distinguish between the first waiting room and the second waiting room, “outside” In the “waiting room”), the information display board 6 is used to notify the order of outpatients to be examined by a reception number. Therefore, the outpatient who can receive the next examination immediately is an outpatient in the waiting room. In order for an outpatient who is not in the waiting room to enter the waiting room, a time corresponding to the current location of the outpatient is required. For this reason, in this embodiment, the present location of each outpatient is specified by using the arranged RFID antenna 7 so that the outpatient can smoothly receive the examination in the medical department.

  The outpatient management apparatus according to the present embodiment is provided to dynamically change the order of visits to outpatients according to the state of the outpatients, and to assist in smoothly receiving examinations at each department. Yes. Hereinafter, the outpatient management apparatus implemented on the host 2 will be described in detail.

  FIG. 2 is a diagram for explaining a functional configuration example of the host. First, the host 2 will be described in detail with reference to FIG. 2 and various explanatory views shown in FIGS. The functional configuration example illustrated in FIG. 2 manages the functional configuration of the outpatient management apparatus, that is, the order of outpatient examinations in units of examination rooms so that outpatients can receive medical examinations smoothly and appropriately. For this reason, only the functional configuration is extracted.

  As shown in FIG. 2, the host 2 includes a registration unit 21, a start time prediction unit 22, a place determination unit 23, an arrival time prediction unit 24, an order change unit 25, an update unit 26, and a storage unit 27. The storage unit 27 stores an outpatient table 201, a department-specific outpatient table group 202, a travel time table 203, a consultation time table 204, and a condition table 205.

  The outpatient table 201 is a table for managing all outpatients that have been accepted. For example, as shown in FIG. 4, an entry (record) is secured for each outpatient in the outpatient table 201, and each entry has a reception number, tag ID, patient name, department, reception time, and date of birth. Various information such as date is stored.

  The registration unit 21 has a function of registering information on outpatients that have been accepted in the outpatient table 201. In response to a request from the reception terminal device 3, the registration unit 21 determines the reception number of the outpatient who has inserted the examination card and notifies the reception terminal device 3 of the determined reception number. In response to the notification, the reception terminal device 3 issues a medical examination slip on which the reception number to be printed is printed.

  The registration unit 21 acquires the tag ID of the medical checkup card from the reception terminal device 3 that has issued the medical checkup card, for example, the time when the tag ID is acquired is set as the reception time. The registration unit 21 acquires the patient name, the department, and the date of birth by referring to the electronic medical record that specifies the identification information of the examination card from the reception terminal device 3, for example.

The department-specific outpatient table group 202 is a table group including a department-specific outpatient table prepared for each department. For example, the outpatient table for each department is configured as shown in FIG. Department by outpatients table indicating in FIG. 5 is a department-specific outpatients table 202a of the A medicine. Here, “a” following “202” represents A internal medicine. Thereby, 202b represents an outpatient table by medical department of B internal medicine. When it is not necessary to specifically limit the department, “n” is used as a lowercase alphabet following “202”.

  An entry (record) is registered for each outpatient in the outpatient table 202n for each medical department. As shown in FIG. 5, each entry stores information on reception number, tag ID, waiting number, patient name, reception time, date of birth, expected start time, current location, travel time, and last exit time. The

  The reception number, tag ID, patient name, reception time, and date of birth are the same information as the outpatient table 201. For example, the registration unit 21 adds an entry to the outpatient table 202n for each medical department.

  The reception number, tag ID, patient name, reception time, and date of birth are information that is not changed. On the other hand, each information of the waiting number, the expected start time, the current location, the movement time, and the last leaving time is information that is updated as needed.

  The expected start time is the time when the outpatient is expected to be examined. The start time prediction unit 22 calculates the predicted start time of each outpatient for each clinical department, and reflects the calculated predicted start time in the corresponding outpatient table 202n for each medical department.

  In the examination time table 204, for example, for each doctor, a clinical department where the doctor examines, and average time data representing the average time required for the examination are registered. The start time prediction unit 22 refers to the examination time table 204 and the outpatient patient table group 202 by department, and each outpatient receives the examination of the doctor for each doctor (outpatient table by department). The expected time is calculated as the expected start time.

  The expected start time is calculated, for example, at the time of entry registration. The expected start time is also calculated at the end of the outpatient examination or at the start of the examination. Thereby, in the present embodiment, a predicted start time with higher accuracy is presented to an outpatient receiving a diagnosis in the future.

  The current location is where the outpatient is currently estimated to be. The current location of each outpatient is determined by the location determination unit 23 and updated according to the determination result. The moving time is updated together with the update of the current location, and the final leaving time is updated as necessary by updating the current location. Thereby, the travel time and the last leaving time are also updated by the place determination unit 23.

  When each RFID antenna 7 communicates with a medical checkup card, it notifies the host 2 of the tag ID received from the medical checkup card. The location determination unit 23 determines the current location after the outpatient has moved from the RFID antenna 7 that has notified the tag ID and the current location in the entry storing the tag ID, and updates the current location in the entry. At this time, for example, the current time is treated as a travel time.

  For example, when an outpatient in the store goes out of the store into the passage 6, the consultation form possessed by the outpatient communicates with the RFID antenna 7 provided at the entrance of the store. When the communication takes place, the outpatient's current location represents a store. From this, it is possible to appropriately determine the destination of the outpatient from the RFID antenna 7 that has received the tag ID and the current location (here, the source).

  The final leaving time is the time when the outpatient is estimated to have left the middle waiting room. When the outpatient exits the waiting room and the RFID antenna 7 arranged at the entrance / exit of the waiting room notifies the tag ID, the current time is handled as the moving time and the final leaving time.

  Outpatients that are difficult to visit alone (hereinafter referred to as “difficult to visit”) are often accompanied by an attendant. For example, it is considered that most children are accompanied by parents.

  For those who have difficulty in visiting the hospital with their attendant, it is likely that the attendant will have a medical checkup card rather than a person who has difficulty visiting. Such an attendant may leave the waiting room temporarily for some reason after placing a person who has difficulty in visiting the hospital in the waiting room. For example, there is a possibility of going away from those who are difficult to visit and going to the toilet.

  For this reason, it is considered that for those who have difficulty in visiting the hospital, even if the person who has the consultation card is not in the waiting room, the possibility that the person who has difficulty in visiting the hospital will be in the waiting room is not small. The attendant is likely to take those who have difficulty visiting the hospital to the waiting room in order to ensure that those who have difficulty visiting the hospital are moved to the waiting room. As a result, it is considered that a person who has a medical examination slip is likely to enter the waiting room once. For this reason, in this embodiment, entering the middle waiting room is regarded as representing the possibility that a person who is difficult to visit will be in the middle waiting room.

  Those who have difficulty in visiting the hospital include not only children but also persons with some physical disabilities, elderly people, etc. However, for the sake of convenience, only children are assumed to be difficult to visit.

  When entering the middle waiting room, the entry time is stored as the travel time, and even if the user leaves the middle waiting room, the exit time is stored as the last exit time. For this reason, the last leaving time can also be used to determine whether or not a person who has difficulty in visiting the hospital is in the waiting room.

  The waiting number is information indicating the number of outpatients who undergo a medical examination before the outpatients, that is, the order of the medical examinations. “-” In FIG. 5 indicates that there is no outpatient to be examined before itself, that is, the patient is being examined or has been examined. “−” Is, for example, a negative integer.

The waiting number is updated by the order changing unit 25 and the updating unit 26.
The updating unit 26 updates the waiting number when the examination ends. The update unit 26 updates the waiting number for all the entries in which the waiting number is 1 or more among the entries in the outpatient table 202n by medical department. When the number of waiting persons is 1, the number of waiting persons is updated to “−”, and when the number of waiting persons is two or more, the waiting number is updated to a value obtained by decrementing the value thus far. The end of the examination is notified from the terminal device 4 used by the doctor.

  The order changing unit 25 updates the waiting number for changing the order between two or more outpatients. The update is performed so that the examination can be performed smoothly. For this purpose, the predicted arrival result by the arrival time prediction unit 24 is used.

  The order is changed for outpatients who should be in the waiting room. Outpatients who are able to move immediately to the waiting room are likely to receive immediate medical examination. Thereby, the change of order is performed so that an outpatient who is considered to be able to receive a medical examination immediately can receive a medical examination before an outpatient who is considered not to be able to receive a medical examination immediately.

  The arrival time prediction unit 24 predicts an arrival time at which an outpatient who has moved from the current location is expected to arrive at the middle waiting room (destination). The arrival time is predicted with reference to a travel time table 203 as shown in FIG.

  As shown in FIG. 6, the travel time table 203 is a table in which the average time expected to travel from each place to the first middle waiting room and the second middle waiting room, which are candidate destinations, is defined. is there.

  The average time for smoking spaces, telephone corners, men's toilets, girls' toilets, cafeterias, and stalls includes time that is expected to stay in that location, unlike other locations. Thereby, for example, 30 minutes defined in the cafeteria includes an expected average time required for eating and drinking in the cafeteria and an expected average time required for moving from the cafeteria to the destination. The five minutes defined for a smoking space include the expected average time required to smoke and the expected average time required to move from the smoking space to the destination. The arrival time prediction unit 24 calculates the expected arrival time by adding the average time of the current location corresponding to the destination to the travel time.

  No RFID antenna 7 is provided between the passage 1 and the telephone corner. However, since the passage 1 is not provided with facilities for keeping the outpatient for a long time, the possibility that the outpatient is long in the passage 1 is low. Therefore, in this embodiment, it is estimated that an outpatient who has been in the passage 1 for a predetermined time or longer is in the telephone corner. The predetermined time used for determining whether or not the user is at the telephone corner is defined in the condition table 205. In addition, the condition table 205 defines the number of guidance outpatients α to be guided to the waiting room for each clinical department, the maximum age β that is regarded as a difficult visitor, and the like. Those who have difficulty visiting are outpatients aged between 0 and β.

  As described above, an outpatient whose expected arrival time is later than the expected start time is routed after the outpatient if there is an outpatient who can immediately receive a medical examination at that time. However, it is considered that some outpatients are ready to receive medical examinations sooner than expected. It is considered that an outpatient who receives a medical examination after an outpatient who should receive a medical examination later than himself / herself is likely to have discomfort, although the medical examination can be immediately received. From this, when the outpatient is ready to receive a medical examination, the order changing unit 25 reorders the order so that the medical examination can be received in the original order. Thereby, in this embodiment, the increase in the waiting time accompanying the change of order is suppressed, so that dissatisfaction due to the change of order does not occur.

  The display server 5 displays the order of outpatients who are close to seeing the examination on the guidance display boards installed in the waiting room by the reception number. Thereby, an outpatient can receive a medical examination smoothly and comfortably.

  The examination may start earlier than the expected start time. Therefore, the updating unit 26 also changes the order as necessary. The method of changing the order is basically the same as that of the order changing unit 25. Therefore, detailed description is omitted here.

  As described above, the entry is added by the registration unit 21 to the outpatient table 202n for each medical department, and the various data not stored by the registration unit 21 are the start time prediction unit 22, the place determination unit 23, the arrival time prediction unit 24. The order changing unit 25 and the updating unit 26 update the information as necessary.

  The contents of each medical department outpatient table 202n are used as information that the display server 5 displays on each guidance display board 6. Thereby, the contents displayed on each guidance display board 6 by the display server 5 are also updated by updating the outpatient table 202n for each medical department.

  FIG. 9 is a diagram illustrating a configuration example of an information processing apparatus that can be used as a host on which the outpatient management apparatus according to the present embodiment is mounted. Here, a configuration example of an information processing apparatus that can be used as the host 2 having the above-described functional configuration will be described in detail with reference to FIG.

  As shown in FIG. 9, the information processing apparatus includes a CPU 81, an FWH 82, a memory (memory module) 83, a NIC (Network Interface Card) 84, a hard disk device (HD) 85, an interface (I / F) unit 86, and a controller. 87. This configuration is an example, and the configuration of the information processing apparatus that can be used as the host 2 is not limited to that shown in FIG.

  The FWH 82 is a memory that stores firmware. This firmware is read into the memory 83 by the CPU 81 and executed. In the hard disk device 85, an OS (Operating System), various tables 201, 203 to 205 shown in FIG. 1, an outpatient table group 202 by medical department, and an application program (hereinafter “ "Patient management application"). The CPU 81 can read and execute the OS and the patient management application from the hard disk device 85 via the controller 87 after the activation of the firmware is completed. Communication via the NIC 84 is enabled by starting up the OS.

  The patient management application may be stored in a storage other than the hard disk device 85 or a recording medium. The storage or recording medium may be accessible by an external device that can communicate with the NIC 84 via the network 1 (or another network). Therefore, the patient management application may be received from an external device.

  The I / F unit 86 is a device to which various input / output devices including a console can be connected. The CPU 81 communicates with an input / output device connected to the I / F unit 86 via the I / F unit 86.

  In the information processing apparatus configured as described above, communication via the network 1 is performed via the NIC 84. The storage unit 27 corresponds to the hard disk device 85 and the memory 83, for example.

  The registration unit 21, the place determination unit 23, and the update unit 26 process data acquired by communication via the network 1. From this, the registration unit 21, the location determination unit 23, and the update unit 26 are realized by, for example, the CPU 81, the FWH 82, the memory (memory module) 83, the NIC 84, the hard disk device (HD) 85, and the controller 87. The start time predicting unit 22, the arrival time predicting unit 24, and the order changing unit 25 are realized by, for example, the CPU 81, the FWH 82, the memory (memory module) 83, the hard disk device (HD) 85, and the controller 87.

  FIG. 7 is a flowchart of the outpatient table update process for each department. This outpatient table update process for each medical department is a process executed when the tag ID is notified (received) from the RFID antenna 7 or when a predetermined time has elapsed since the previous execution. This is realized by the CPU 81 executing the subprogram. The place determination unit 23, the arrival time prediction unit 24, and the order change unit 25 are realized by executing the outpatient table update processing for each medical department. Next, the outpatient table update processing for each department will be described in detail with reference to FIG.

  In FIG. 7, for the sake of convenience, the processing flow is shown by focusing on the update of one outpatient table 202n for each department. Note that the number of waiting persons that accompanies the end of the examination is updated separately in response to, for example, a notice of completion of the examination from the terminal device 4. At this time, the expected start time is also updated.

  First, the CPU 81 determines whether there is an unprocessed tag ID received from any RFID antenna 7 (S1). If the tag ID is not received or there is no unprocessed tag ID, the determination in S1 is NO and the process proceeds to S5. If unprocessed tag IDs remain among the received tag IDs, the determination in S1 is YES and the process proceeds to S2.

  In S2, the CPU 81 selects one of the unprocessed tag IDs, and updates the current location in the entry having the tag ID selected from the entries in the clinical department outpatient table 202n and the movement time. As described above, the updated current location is specified from the current location in the entry and the RFID antenna 7 that transmitted the tag ID. The current time is treated as the travel time.

  Next, the CPU 81 determines whether or not the movement source, that is, the current location before update is the destination (medium waiting room) (S3). If the current location before the update is the destination, that is, if the holder of the consultation form leaves the destination, the determination in S3 is YES and the processing proceeds to S4. If the current location before the update is not the destination, the determination in S3 is NO and the process returns to S1. Thereby, when the process to the unprocessed tag ID remains, the process for the unprocessed tag ID is similarly performed.

  In FIG. 5, the tag ID that is the waiting number indicated by “−” is the tag ID of the consultation slip issued to the outpatient who is undergoing the examination or has completed the examination. Even if such a tag ID is received from the RFID antenna 7, it is not treated as a processing target.

  In S5 where the determination of S1 is NO and the process proceeds to S5, the CPU 81 extracts an entry having a waiting number of 1 or more from the entries in the outpatient table by clinical department 202a. After the extraction, the CPU 81 determines whether there is an extracted entry (S6). If there is an entry having a waiting number of 1 or more, the determination in S6 is YES and the process proceeds to S7. If there is no entry with a waiting number of 1 or more, the determination in S6 is NO, and the outpatient table update processing for each department is completed here. The absence of an entry having a waiting number of 1 or more means that there is no outpatient to be examined.

  In S7, the CPU 81 selects one of the extracted entries, and determines whether or not the current location in the selected entry (hereinafter referred to as “selected entry”) is the passage 1. When the present location is passage 1, the judgment of S7 becomes YES and it shifts to S8. If the current location is not passage 1, the determination in S7 is NO and the process proceeds to S10.

  In S8, the CPU 81 reads the movement time in the selected entry and determines whether or not a predetermined time has elapsed since the read movement time. When the outpatient has moved to the passage 1 for a predetermined time or more, the determination in S8 is YES and the process proceeds to S9. If the predetermined time has not elapsed since the outpatient moved to the passage 1, the determination in S8 is NO and the process proceeds to S10.

  In S9, the CPU 81 updates the current location in the selected entry to the telephone corner. Thereafter, the process proceeds to S10. In this embodiment, since the movement to the passage 1 is regarded as the movement to the telephone corner, the movement time is not updated.

  In S10, CPU81 performs the order change process for changing the order of the examination between the outpatients as needed for the outpatients who should be in the middle waiting room. Thereafter, the process returns to S5. Thereby, in the situation where the determination of S6 is NO, the order of diagnosis between outpatients is optimized.

  FIG. 8 is a flowchart of the order change process. Finally, the order change process executed as S10 will be described in detail.

  In this order changing process, paying attention to the selected entry selected in S7, confirmation of the necessity of changing the order of examination of outpatients who have received the medical examination slip having the tag ID in the entry, and the confirmation result Processing for changing the order is performed.

  First, the CPU 81 determines whether or not the waiting number in the selected entry is larger than the number of outpatients α to be guided to the waiting room (S31). If the outpatient is not an outpatient who is preferably in the waiting room, the determination in S31 is YES. Outpatients for which the determination in S31 is YES are not targets for changing the order. Thus, the order change process ends here. When the outpatient is an outpatient who is preferably in the waiting room, the determination in S31 is NO and the process proceeds to S32.

  In S31, the CPU 81 calculates an expected arrival time expected to arrive at the destination. Next, the CPU 81 reads the expected start time from the selected entry, and determines whether or not the expected arrival time is later than the read expected start time (S33). If it is predicted that the outpatient corresponding to the selected entry will have a turn to be examined before the outpatient arrives at the destination, the determination in S33 is YES and the process proceeds to S34. If it is predicted that the outpatient corresponding to the selected entry will arrive at the destination before it is the turn to be examined, the determination in S33 is NO and the process proceeds to S36.

  In S34, the CPU 81 reads the date of birth in the selected entry, calculates the age of the outpatient, the calculated age is less than the maximum age β considered to be a visit difficult person, and there is a movement to the destination. It is determined whether or not. If the calculated age is higher than the maximum age β, or if the calculated age is equal to or lower than the maximum age β but has not moved (entered) to the destination, the determination in S34 is NO and the process proceeds to S35. . If the calculated age is equal to or lower than the maximum age β considered to be a visit difficult person and the movement (entrance) to the destination can be confirmed, the determination in S34 is YES, and the order change process ends here. As a result, when the outpatient is a patient who is difficult to visit and there is a possibility that the patient who is difficult to visit will be in the waiting room, the difficult person will be excluded from the target for changing the order.

  In S <b> 35, the CPU 81 extracts an entry whose waiting number is equal to or less than the number of outpatients α, and changes the order with reference to the reception time and waiting number of the extracted entry. The change of the order itself is realized by updating the waiting time. After the order is changed, the order change process ends.

  Refer to the reception time and waiting number of people in the order change to check whether it is possible to rearrange the order in the order of the reception time among outpatients to be changed order, if possible This is because the order is changed along the order of the reception times.

  In changing the order, the time difference between the predicted arrival time and the predicted start time is also taken into consideration. This is for the purpose of suppressing the increase in waiting time of outpatients due to the change of order together with the realization of a smooth medical examination.

Expected arrival time outpatient even as you move from the middle waiting room, it is expected that the patient returns to the middle waiting room varies depending upon the movement location. For example, an outpatient who has moved to a place where the travel time is short although it is the next time to receive a medical examination is ready to receive medical care at the start of the next medical care, even if it is not in time for the start of the next medical care. there is a possibility. The order of outpatients who are not ready to receive medical care at the start of the next medical care can be dealt with later. For this reason, outpatients who are not expected to receive a medical examination immediately when it is time to receive a medical examination should consider the timing at which they are expected to be ready for medical examination. The order is changed so as to suppress the problem.

  In S36, where the determination in S33 is NO and the process proceeds to S36, the CPU 81 includes entries whose waiting time is less than the number of outpatients α and whose entry time is later than the selected entry and whose waiting number is smaller. It is determined whether or not there is. If there is an outpatient who is to be examined before the outpatient by changing the order while accepting later than the outpatient of the selected entry, the determination in S36 is YES and the process proceeds to S37 To do. If there is no such outpatient, the determination in S36 is NO, and the order change process ends here.

  In S37, the CPU 81 confirms whether or not the order of the outpatients of the selected entry can be changed before the outpatient whose reception time is later, and determines the order of the outpatients of the selected entry according to the confirmation result. Replace. After such an order change is performed as necessary, the order change process ends.

  In this manner, the order change (including the order change in this case) is performed in consideration of the reception time of the outpatient and the current location where the outpatient cannot receive the examination immediately. Therefore, in order change, the emphasis is on not receiving medical examinations after other outpatients who have been received afterwards (maintaining the order of reception as much as possible) and not increasing waiting time unnecessarily. By changing the order, it is possible to suppress an increase in waiting time due to the change of order while enabling smooth medical examination. As a result, an environment in which an outpatient receives a more comfortable diagnosis is realized.

  The update of the waiting number accompanying the end of the examination is performed separately in response to, for example, a notice of completion of the examination from the terminal device 4. At this time, the expected start time is also updated.

  It may be necessary to change the order even when the waiting number is updated when the examination ends. At the time of the update, for example, a process with the following changes after S33 may be executed.

  In S33, the current time is compared with the expected arrival time. When the determination in S33 is NO, the waiting number is updated for all entries in which the waiting number is 1 or more. Thereafter, a series of processing ends. If the determination in S33 is YES, the process similarly proceeds to S34. The determination content of S34 and the processing content of S35 may be the same as the order change processing.

  When the determination of S34 is YES and after execution of the process of S35, the process that shifts when the determination of S33 is NO, that is, the update of the waiting number is performed for all entries in which the waiting number is 1 or more. Is done. Thereafter, a series of processing ends.

  In the present embodiment, an expected start time that is expected to start the diagnosis of each outpatient is calculated, and the calculated expected start time is used to determine whether it is time to change the order of outpatients. Used. The determination as to whether or not the order should be changed may be made at another timing. For example, at the end of the outpatient examination, it may be determined whether or not the subsequent outpatient order should be changed.

  Moreover, in this embodiment, the present location of an outpatient can be specified by issuing a medical examination slip that is a medium equipped with an RFID tag to the outpatient. The RFID tag is used as a communication device that transmits identification information to specify the current location of an outpatient. The communication range is narrow (high identification accuracy of the current location can be expected), and non-contact power transmission must be performed. This is because the tag ID is not transmitted (the amount of communication traffic can be reduced). However, a communication device different from the RFID tag may be adopted as long as the current location of the outpatient can be specified.

  In this embodiment, a medical checkup card issued to an outpatient who has been accepted is used as the medium, but a medium other than the medical checkup slip may be used. An object that is considered to be carried (carried) by an outpatient may be used as the medium. Specifically, since a diagnosis card is issued to outpatients, the diagnosis card may be used as a medium.

  In this embodiment, the host 2 receives the tag ID from each RFID antenna 7 and determines the current location of each outpatient. However, the host 2 may obtain the determination result of the current location. good. The components shown in FIG. 2 may be arranged in a plurality of information processing apparatuses, and the outpatient management apparatus may be realized by the plurality of information processing apparatuses.

DESCRIPTION OF SYMBOLS 1 Network 2 Host computer 3 Reception terminal device 4 Terminal device 5 Display server 6 Information display board 7 RFID antenna 21 Registration part 22 Start time estimation part 23 Location determination part 24 Arrival time prediction part 25 Order change part 26 Update part 27 Storage part 201 Outpatient table 202 Outpatient table group by medical department 202a, 202b Outpatient table by medical department 203 Travel time table 204 Exam time table 205 Condition table

Claims (5)

An acquisition unit for acquiring location information representing the current location of the outpatient, estimated by reception of identification information transmitted by a medium carried by the outpatient;
For each outpatient, a medical department that the outpatient visits, and a storage unit that stores, as information, an acceptance number indicating the order in which the outpatient has accepted,
With reference to the information stored in the storage unit, for each clinical department, a number specifying section that specifies the number of waiting until each outpatient visits the clinical department,
A determination unit that determines whether or not the order between outpatients who visit the medical department should be changed, and
When the determination unit determines that the order between the outpatients should be changed, the order change content is determined based on the current location represented by the location information of each outpatient to be changed in order. Changing the waiting number of each outpatient, changing the order between the outpatients,
I have a,
The changing unit excludes a specific outpatient that is an outpatient satisfying a predetermined condition from the change target of the order, and changes the order between the outpatients.
An outpatient management apparatus characterized by that. The change unit reflects the time at which each outpatient to be changed in order is received in the determination of the change in order.
The outpatient patient management apparatus according to claim 1. The predetermined condition includes an age range of the outpatient as the specific outpatient,
The outpatient patient management apparatus according to claim 1 or 2 . An acquisition unit for acquiring location information representing the current location of the outpatient, estimated by reception of identification information transmitted by a medium carried by the outpatient;
For each outpatient, a medical department that the outpatient visits, and a storage unit that stores, as information, an acceptance number indicating the order in which the outpatient has accepted,
With reference to the information stored in the storage unit, for each clinical department, a number specifying section that specifies the number of waiting until each outpatient visits the clinical department,
A recognition unit for recognizing an outpatient satisfying a predetermined condition as a specific outpatient,
A determination unit that determines whether or not the order between outpatients who visit the medical department should be changed, and
If it is determined status and the determination unit sequentially to change the between the outpatient, on the basis of the location information indicates the current position of each foreign patient in the change target the order, said among the outpatient Determining the change contents of the order for a plurality of outpatients excluding specific outpatients, changing the waiting number of the plurality of outpatients, a change unit for changing the order between the outpatients;
An outpatient management apparatus characterized by comprising: In information processing equipment used as outpatient management equipment for managing outpatients,
Obtaining location information representing the current location of the outpatient, estimated by reception of identification information transmitted by a medium carried by the outpatient,
For each outpatient, access to a medical department that the outpatient visits and a storage unit that stores, as information, a reception number indicating the order in which the outpatient has received, and for each clinical department, the clinical department Identify the number of people waiting for each outpatient to visit
With reference to the current location represented by the location information and the specified number of waiting persons, it is determined whether or not the order between outpatients who visit the clinical department should be changed,
When it is determined that the order between the outpatients should be changed , a predetermined condition is satisfied among the outpatients based on the current location represented by the location information of each outpatient to be changed in order. Changing the order between the outpatients by determining the change contents of the order for each outpatient excluding a specific outpatient who is an outpatient ,
A program characterized by causing processing to be executed.

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