JP6750933B2 - Health checkup management device and health checkup management system - Google Patents

Description

The embodiment of the present invention relates to a medical examination inspection management device and a medical examination inspection management system.

In facilities such as hospitals, so-called health checkups such as a physical examination, general health checkups, specific health checkups, and specific health guidance are carried out for a plurality of examinees.

In recent years, with the progress and spread of medical image diagnostic apparatuses, various types of medical image diagnostic apparatuses have been introduced in facilities that carry out the medical examination. As a result, advanced image inspection has come to be performed. However, the medical image diagnosis by the medical image diagnosis apparatus tends to have a relatively long inspection time as compared with a normal medical diagnosis without using an image, and as a result, many patients wait for the inspection. Therefore, there is a demand for a technique for guiding the examinee in consideration of the characteristics of medical image diagnosis.

For example, in the technique according to the conventional example, it is premised that each of the inspection devices including the medical image diagnostic apparatus is installed in a corresponding specific inspection room.

JP, 2002-321473, A

However, not all inspection equipment is installed in its own inspection room. For example, there are many cases where a plurality of inspection devices are installed in an open space. In view of the above, there is a demand for a technique capable of managing the examination queue of the examinee even when a plurality of examination devices are installed in the open space.

It is an object of the present invention to provide a health examination management apparatus and a health examination management system capable of efficiently managing the examination items of each examinee even when a plurality of examination instruments are installed in an open space. ..

The medical examination management apparatus according to the embodiment includes a receiving circuit, a processing circuit, and an output circuit. The receiving circuit receives an inspection end signal from a terminal connected via a network, which notifies an end of a predetermined inspection by a predetermined examinee. When the receiving circuit receives the examination end signal, the processing circuit sets the examination capability values of the plurality of unexamined examination items corresponding to the examinee to the plurality of unexamined persons and the plurality of possible examination times . based on calculated respectively, to identify the recommended tests from a plurality of non-visits test item sac Chi those the testee on the basis of the inspection capability value. The output circuit outputs the recommended inspection item.

FIG. 1 is a block diagram showing the configuration of a health examination inspection management system according to the first embodiment. FIG. 2 is a diagram showing the examinee management table. FIG. 3 is a diagram showing a queue management table for each inspection device. FIG. 4 is a diagram showing an examination progress management table for each examinee. FIG. 5A is a diagram showing an inspection course and an inspection item correspondence table. FIG. 5B is a diagram showing an inspection item table. FIG. 5C is a diagram showing an inspection device facility table. FIG. 5D is a diagram showing an inspection required time table. FIG. 5E is a diagram showing a movement time table between inspection devices. FIG. 5F is a diagram showing an inspection device operating time table. FIG. 5G is a diagram showing a location table. FIG. 5H is a diagram showing an inspection state table. FIG. 5I is a diagram showing an inspection waiting state table. FIG. 6 is a flowchart showing the flow of processing of the examinee reception function. FIG. 7 is a flowchart showing the processing flow of the inspection queue update function. FIG. 8 is a flowchart showing the flow of processing of the inspection progress update function. FIG. 9 is a flowchart showing a processing flow of the next inspection item assignment function. FIG. 10 is a diagram showing a screen of a business application relating to the update of the inspection state and the update of the inspection waiting state. FIG. 11 is a diagram showing a screen for guiding the next inspection place. FIG. 12 is a diagram showing inspection item codes and inspection capabilities corresponding to the inspection item codes. FIG. 13: is a figure which shows the information screen regarding the next inspection item displayed on the examinee's smartphone. FIG. 14 is a block diagram showing the configuration of the physical examination inspection management system according to the second embodiment. FIG. 15 is a block diagram showing the configuration of the physical examination inspection management system according to the third embodiment. FIG. 16A is a diagram showing an example of a display screen of a large display device. FIG. 16B is a diagram showing another example of the display screen of the large-sized display device. FIG. 16C is a diagram showing another example of the display screen of the large-sized display device. FIG. 17 is a block diagram showing the configuration of the physical examination inspection management system according to the fourth embodiment.

Hereinafter, embodiments will be described with reference to the drawings. In addition, in the following description, components having substantially the same configuration are denoted by the same reference numerals, and duplicate description will be given only when necessary.

(First embodiment)
FIG. 1 is a block diagram showing an example of the configuration of a health examination inspection management system 1 according to the first embodiment.
The medical examination examination management system 1 according to the first embodiment includes a terminal 10 for receiving a medical examination, a terminal 20 for updating an examination queue, and a terminal 30 for updating an examination progress, which are communicably connected to each other via a network N. It has a terminal 40 for allocating a next inspection item (a medical examination inspection management device) and a server 90.

The examinee reception terminal 10 includes a first processing circuit 101, a first storage circuit 102, a first input circuit 103, and a first output circuit 104.
The first processing circuit 101 performs processing/control of overall operations related to the terminal 10 for receiving a medical examination. The first processing circuit 101 is, for example, a central processing unit (CPU) (not shown). The first processing circuit 101 reads out a predetermined program stored in the first storage circuit 102, thereby executing various functions of the terminal 10 for receiving a patient, such as a function for receiving a patient.

Note that, in FIG. 1, the single first processing circuit 101 is shown as an example, but in practice, the first first processing circuit 101 may be implemented as a single first processing circuit 101, or a plurality of first processing circuits 101 may be provided for each function. It may be implemented to have the processing circuit 101. It may also be a combination thereof.

The first storage circuit 102 stores a first program related to the examinee reception function. The first processing circuit 101 executes the examinee reception function by reading the first program stored in the first storage circuit 102.

That is, the first storage circuit 102 is implemented as a storage device such as a hard disk drive (HDD) or a solid state drive (SSD). The first memory circuit 102 is also implemented as a memory such as a random access memory (RAM) that stores temporarily necessary information (arguments, arrays, etc.) related to the operation of the program.

The first input circuit 103 receives an operation/input by a staff member or the like of a facility that implements an inspection facility. The first processing circuit 101 executes a predetermined process based on the received operation/input. That is, the first input circuit 103 is implemented as, for example, a keyboard, a mouse, a touch panel, a magnetic reader, an optical sensor, or the like. Alternatively, the first input circuit 103 is implemented so as to receive information from the network via an interface circuit (not shown).

The 1st output circuit 104 displays the screen of a graphical user interface (Graphical User Interface:GUI), for example. That is, the first output circuit 104 is implemented as a monitor such as a CRT display, a liquid crystal display, an organic EL display, and a plasma display. Alternatively, the first output circuit 104 prints/outputs the predetermined information displayed on the monitor as a printed matter. That is, the first output circuit 104 is implemented as a printer or the like. Further, the first output circuit 104 is implemented to output information to the network via an interface circuit (not shown).

The inspection queue updating terminal 20 has a second processing circuit 201, a second memory circuit 202, a second input circuit 203, and a second output circuit 204.
The second processing circuit 201 processes and controls the overall operation related to the inspection queue updating terminal 20. The second processing circuit 201 is, for example, a central processing unit (CPU) (not shown). The second processing circuit 201 executes various functions of the inspection queue update terminal 20, such as the inspection queue update function, by reading a predetermined program stored in the second storage circuit 202.

Note that, in FIG. 1, the single second processing circuit 201 is illustrated as an example, but in practice, it may be implemented as the single second processing circuit 201, or a plurality of second processing circuits 201 may be provided for each function. It may be implemented to have a processing circuit 201. It may also be a combination thereof.

The second memory circuit 202 stores a second program related to the inspection queue update function. The second processing circuit 201 executes the check queue update function by reading the second program stored in the second storage circuit 202.

That is, the second storage circuit 202 is implemented as a storage device such as a hard disk drive (HDD) or a solid state drive (SSD). The second memory circuit 202 is also embodied as a memory such as a random access memory (RAM) for temporarily storing information (argument, array, etc.) necessary for program calculation.

The second input circuit 203 receives an operation/input by a staff member or the like of the facility that implements the inspection facility. The second processing circuit 201 executes a predetermined process based on the received operation/input. That is, the second input circuit 203 is implemented as, for example, a keyboard, a mouse, a touch panel, a magnetic reader, an optical sensor, or the like. Alternatively, the second input circuit 203 is implemented to receive information from the network via an interface circuit (not shown).

The 2nd output circuit 204 displays the screen of a graphical user interface (Graphical User Interface:GUI), for example. That is, the second output circuit 204 is implemented as a monitor such as a CRT display, a liquid crystal display, an organic EL display, a plasma display, or the like. Alternatively, the second output circuit 204 prints/outputs the predetermined information displayed on the monitor as a printed matter. That is, the second output circuit 204 is implemented as a printer or the like. Further, the second output circuit 204 is implemented so as to output information to the network via an interface circuit (not shown).

The inspection progress updating terminal 30 has a third processing circuit 301, a third memory circuit 302, a third input circuit 303, and a third output circuit 304.
The third processing circuit 301 processes and controls the overall operation related to the inspection progress updating terminal 30. The third processing circuit 301 is, for example, a central processing unit (CPU) (not shown). The third processing circuit 301 reads out a predetermined program stored in the third storage circuit 302 to execute various functions of the inspection progress updating terminal 30, such as an inspection progress updating function.

Note that, in FIG. 1, the single third processing circuit 301 is illustrated as an example, but in practice, the third processing circuit 301 may be implemented as a single third processing circuit 301, or a plurality of third processing circuits 301 may be provided for each function. It may be implemented to have a processing circuit 301. It may also be a combination thereof.

The third storage circuit 302 stores a third program related to the inspection progress update function. The third processing circuit 301 executes the inspection progress update function by reading the third program stored in the third storage circuit 302.

That is, the third storage circuit 302 is implemented as a storage device such as a hard disk drive (HDD) or a solid state drive (SSD). The third storage circuit 302 is also implemented as a memory such as a random access memory (RAM) that stores temporarily necessary information (arguments, arrays, etc.) related to program operations.

The third input circuit 303 receives an operation/input by a staff member or the like of a facility that implements the inspection facility. The third processing circuit 301 executes a predetermined process based on the received operation/input. That is, the third input circuit 303 is implemented as, for example, a keyboard, a mouse, a touch panel, a magnetic reader, an optical sensor, or the like. Alternatively, the third input circuit 303 is implemented so as to receive information from the network via an interface circuit (not shown).

The 3rd output circuit 304 displays the screen of a graphical user interface (Graphical User Interface:GUI), for example. That is, the third output circuit 304 is implemented as a monitor for a CRT display, a liquid crystal display, an organic EL display, a plasma display, or the like. Alternatively, the third output circuit 304 prints/outputs the predetermined information displayed on the monitor as a printed matter. That is, the third output circuit 304 is implemented as a printer or the like. Furthermore, the third output circuit 304 is implemented so as to output information to the network via an interface circuit (not shown).

The next inspection item allocation terminal 40 has a fourth processing circuit 401, a fourth storage circuit 402, a fourth input circuit 403, and a fourth output circuit 404.
The fourth processing circuit 401 performs processing/control of the overall operation related to the next inspection item allocation terminal 40. The fourth processing circuit 401 is, for example, a central processing unit (CPU) (not shown). The fourth processing circuit 401 executes various functions of the next inspection item allocation terminal 40, such as the next inspection item allocation function, by reading a predetermined program stored in the fourth storage circuit 402.

Note that, in FIG. 1, the single fourth processing circuit 401 is illustrated as an example, but in actuality, it may be implemented as a single fourth processing circuit 401, or a plurality of fourth processing circuits may be provided for each function. It may be implemented as having a processing circuit 401. It may also be a combination thereof.

The fourth storage circuit 402 stores a fourth program relating to the next inspection item allocation function. The fourth processing circuit 401 executes the next inspection item allocation function by reading the fourth program stored in the fourth storage circuit 402.

That is, the fourth storage circuit 402 is implemented as a storage device such as a hard disk drive (HDD) or a solid state drive (SSD). The fourth storage circuit 402 is also implemented as a memory such as a random access memory (RAM) that stores temporarily necessary information (arguments, arrays, etc.) related to program operations.

The fourth input circuit 403 receives an operation/input by a staff member or the like of the facility that implements the inspection facility. The fourth processing circuit 401 executes a predetermined process based on the received operation/input. That is, the fourth input circuit 403 is implemented as, for example, a keyboard, a mouse, a touch panel, a magnetic reader, an optical sensor, or the like. Alternatively, the fourth input circuit 403 is implemented so as to receive information from the network via an interface circuit (not shown).

The fourth output circuit 404 displays, for example, a screen of a graphical user interface (GUI). That is, the fourth output circuit 404 is implemented as a monitor such as a CRT display, a liquid crystal display, an organic EL display, a plasma display, or the like. Alternatively, the fourth output circuit 404 prints/outputs the predetermined information displayed on the monitor as a printed matter. That is, the fourth output circuit 404 is implemented as a printer or the like. Further, the fourth output circuit 404 is implemented so as to output information to the network via an interface circuit (not shown).

The server 90 has a storage circuit (not shown). The server 90 stores, in a storage circuit (not shown), a examinee management table 901, a queue management table for each examination device 902, an examination progress management table for each examinee 903, and a plurality of health check master tables 904.

That is, the storage circuit (not shown) is implemented as a storage device such as a hard disk drive (HDD) or a solid state drive (SSD). In addition, the storage circuit (not shown) is also implemented as a memory such as a random access memory (RAM) that stores temporarily necessary information (argument, array, etc.) related to the operation of the program.

Next, various tables (information) stored in the server 90 will be described.

FIG. 2 is a diagram showing an example of the examinee management table 901. The examinee management table 901 is a table for managing the examinees who have reserved a medical examination. As shown in FIG. 2, the examinee management table 901 includes, for example, an examination date, an examinee ID, an estimated arrival time, an arrival time, an inspection course code, an examinee detection ID, an examinee name, and an affiliated group classification (individual or group). , And affiliated organization code as items. However, this is merely an example and the present invention is not limited to this.

The consultation date is the day of the medical examination, and the examinee ID is a code for uniquely identifying the examinee on the day.
The examinee ID may be a patient ID as long as it is a health checkup organization with a hospital, or may be a serial number issued from 1 so that the examinee can be identified on the day.
The estimated arrival time is the visit time set at the time of medical examination reservation.
The arrival time is the actual time registered and accepted by the examinee reception function on the day of the examination. The examinee reception function will be described later.
The examinee detection ID is a unique identifier built in a beacon transmitter lent to the examinee to detect the movement of the examinee.
The affiliation group classification is information for distinguishing whether the examinee individually applied for the medical examination or the medical examination as a group contract.
The affiliated organization code is an identifier indicating the affiliated organization when the affiliated organization classification is an organization.

FIG. 3 is a diagram showing an example of a queue management table for each inspection device 902. The inspection device-specific queue management table 902 is a table for managing an inspection queue for each inspection device. As illustrated in FIG. 3, the inspection device-based queue management table 902 includes items such as an inspection device ID, a consultation date, a patient ID, an inspection waiting state, a registration date and time, an update date and time, a location code, and a patient name. .. However, this is merely an example and the present invention is not limited to this.

The inspection device ID is an ID uniquely held for each inspection device to identify the inspection device.
The examination waiting state is an argument (parameter) that holds the state of the examinee in a predetermined examination device. This will be described in detail in the inspection waiting state table 919 described later.
The registration date and time is the date and time when a predetermined examinee was registered in the examination device-specific queue management table 902.
The update date and time is the date and time when the queue management table for each inspection device 902 was updated.
The location code is a code that represents a location in the inspection facility.

FIG. 4 is a diagram showing an example of the examination progress management table 903 for each examinee. The examination progress management table for each examinee 903 is a table for managing the implementation status of each examination performed by each examinee on the day. The examination progress management table for each examinee 903 includes, for example, an examination date, an examinee ID, an examination item code, an examination state, an examination start time, an examination start time, an examination end time, an examination end time, an examination device ID, a scheduled examination, The items include an inspection ability (inspection ability value), an examinee detection ID, and an examinee name. However, this is merely an example and the present invention is not limited to this.

The inspection item code is a code for identifying the inspection item.
The examination state is an argument (parameter) that holds the state of the examinee for the examination of a predetermined examination device. This will be described in detail in the inspection state table described later.

The scheduled inspection start time is the scheduled time to start the prescribed inspection determined by the next inspection item allocation function.
The inspection start time is the actual time when the predetermined inspection is started.
The scheduled inspection end time is the scheduled time at which the predetermined inspection determined by the next inspection item allocation function is scheduled to end.
The inspection end time is the actual time when the predetermined inspection is completed.
The reserved inspection is an inspection item reserved in advance.
The inspection capability is an evaluation value obtained for each inspection based on a predetermined parameter. In the medical examination inspection management system 1 according to the first embodiment, for example, the inspection ability is an evaluation value defined by the following formula.
(Inspection capability) = (Standard inspection time x Number of remaining examinees) / (Number of inspection facilities x Available inspection time at that time)
Note that this is merely an example and the present invention is not limited to this. For example, different test capabilities are used in the examples described below.

The medical examination master table 904 is a plurality of tables representing items, arguments, and the like related to the medical examination. For example, an inspection course/inspection item correspondence table 911, an inspection item table 912, an inspection equipment facility table 913, an inspection required time table 914, an inspection equipment movement time table 915, an inspection equipment operating time table 916, a location table 917, an inspection state. Tables such as the table 918 and the inspection waiting state table 919 are listed. However, this is merely an example and the present invention is not limited to this.

FIG. 5A is a diagram showing an example of the inspection course and inspection item correspondence table 911. The inspection course/inspection item correspondence table 911 is a correspondence table of a medical examination course and inspection items (codes) included in the course. In FIG. 5A, A01 (health checkup), A02 (health checkup), and B01 (health checkup) are registered as the health checkup course, and E01 to E14 are registered as the inspection items included in each health checkup course. A01 is E01 (fundus examination), E02 (examination examination), E03 (chest X-ray), E04 (resting electrocardiogram), E10 (upper abdominal US), E12 (upper gastrointestinal X-ray), E05 (5 m visual acuity). , E06 (blood sampling), E09 (audiometer), E07 (height and weight), E08 (blood pressure), and E11 (gastroscope).
The examination course and examination item correspondence table 911 is referred to when the record of the examination progress management table for each examinee is created based on the information of the examinee management table in the examinee acceptance function of the examinee acceptance terminal 10. ..

FIG. 5B is a diagram showing an example of the inspection item table 912. The inspection item table 912 includes inspection items (codes), inspection item names, inspection item constraints, scheduled inspections, and continuous inspection constraints. The inspection item table 912 is for holding information regarding inspection items. The inter-test item constraint specifies the test item that needs to be completed before performing this test. In FIG. 5B, before performing the fundus test of E01, the 5m visual acuity test of E05 is performed. It is shown that it is necessary to perform the upper abdominal US examination of E10 and the gastroscope of E11 before performing and performing the upper gastrointestinal X-ray examination of E12. The scheduled inspection indicates whether or not this inspection is a scheduled inspection, and it means that the scheduled scheduled start time of the scheduled scheduled inspection has priority and the scheduled scheduled start time should not be changed. The continuous check constraint specifies what is treated as a series of checks.
In FIG. 5B, it means that E11 (gastric camera) is always performed after E13 (upper digestive tract ES). The continuous inspection constraint is for coping with such an operation because the efficiency may be improved by continuously using the inspection room and the inspection equipment.
The inspection item table 912 is referred to when determining the next inspection in the next inspection item assigning function, which will be described later.

FIG. 5C is a diagram showing an example of the inspection device facility table 913. The inspection device facility table 913 includes inspection items (codes) and inspection device IDs. The inspection equipment facility table 913 is for managing inspection equipment for performing inspection. In FIG. 5C, five inspection devices E10-1 to E10-5 are used as inspection devices for the upper abdominal US inspection of E10, and E11-1 to E11-5 are used as inspection devices for the gastric camera inspection of E11. It shows that there are 5 inspection devices, 5 inspection devices E12-1 to E12-5 as inspection devices for the upper gastrointestinal X-ray inspection of E12.

FIG. 5D is a diagram showing an example of the inspection required time table 914. The inspection required time table 914 is composed of an inspection item (code), an inspection standard time, a preparation time, and a judgment reference time, and holds a required time for each inspection and a determination condition related to the next inspection item allocation function. The required time is the standard inspection time and the preparatory inspection time, and the standard inspection time may be set by calculating the average inspection time per examinee based on the past inspection time, or empirical time. May be set. The pre-preparation time sets the time required to carry out the explanation of the examination and the examination that requires pre-treatment/post-treatment before the examination. The determination reference time is a threshold (threshold/threshold) when the next inspection item assignment function excludes a candidate for comparison, and is set for each inspection device. In addition, the value is set in advance, for example, as a value when the examination can be completed earliest, based on the result of simulating the waiting states of a plurality of examinees in a predetermined facility for performing a health examination. Is preferred. When it is determined that the waiting time exceeding this threshold is required, the next inspection item allocation terminal 40, in the next inspection item allocation function, removes the inspection from the selection candidates for the next inspection (only the inspections below the threshold are targeted. ) Proceed with processing. In FIG. 5D, for the fundus examination of E01, the examination standard time of 90 seconds (1.5 minutes), the preparation time of 0 seconds, and the judgment reference time of 300 seconds (5 minutes) are held.

FIG. 5E is a diagram showing an example of the movement time table 915 between the inspection devices. The moving time table 915 between the inspection devices is for holding the moving time from the reception desk or the inspection room to the next inspection room, and includes the movement source (the inspection item code) and the movement destination (the inspection item code). ), and travel time. The movement time table 915 between the inspection devices is referred to by the next inspection item allocation function of the next inspection item allocation terminal 40. In FIG. 5E, from the fundus examination of E01 to E02 (examination examination), E03 (chest X-ray), E04 (resting electrocardiogram), E05 (5 m visual acuity), E06 (blood sampling), E07 (height and weight), E08 (blood pressure). ), E09 (audiometer), E10 (upper abdominal US), E11 (stomach camera), E12 (upper digestive tract X-ray), and E13 (upper digestive tract ES) as a transit time of 60 seconds (each). 1 minute) is held.

FIG. 5F is a diagram showing an example of the inspection device operating time table 916. The inspection device operating time table 916 sets the operating time of each inspection device, and holds the day of the week, the inspection device ID, the inspection start time, and the inspection end time. For the inspection equipment managed in the inspection equipment facility table 913, the time zone in which the inspection can be performed for each day of the week is set. This is for cases in which the inspection equipment cannot be used depending on the day of the week, or when the inspection time is different due to the reasons such as the staff of the facility. In FIG. 5F, it is shown that the test equipment for measuring blood pressure of E08 can be used from 8:30 to 11:00 from Monday to Saturday (excluding holidays) and cannot be used on Sundays and holidays. There is. If the inspection device operating time table 916 is not specified, it is assumed that the inspection device ID follows the default inspection time set with E00.

FIG. 5G is a diagram showing an example of the location table 917. The location table 917 defines the location code and the location name, and holds the location code and the location name when the movement of the examinee or the staff of the facility is detected by the examination queue update function.

FIG. 5H is a diagram showing an example of the inspection state table 918. The check state is implemented, for example, as an integer type argument having the following four integer values.
When (inspection state)==0, there is a plan to perform an inspection, but it has not yet been performed.
When (inspection state)==1, the inspection is currently in progress.
When (inspection state)==2, the inspection has already been completed.
When (inspection status)==3, the examination was canceled halfway due to the convenience of the examinee, or the examination was stopped.
FIG. 5I is a diagram showing an example of the inspection waiting state table 919. The inspection waiting state is implemented, for example, as an integer type argument having the following six integer values.
When (waiting for examination)==0, the examinee is not near the prescribed examination equipment.
When (waiting for examination) ==1, the examinee arrives near the prescribed examination equipment.
When (waiting for inspection)==2, the examinee arrives near a predetermined inspection device, and the reading process of the inspection sheet on hand is completed (for example, manual work by the staff of the facility).
When (waiting for inspection)==3, the examinee starts the inspection of a predetermined inspection device.
When (waiting for inspection)==4, the examinee has completed the inspection of the prescribed inspection equipment.
When (waiting for examination)==5, the examinee stops the examination of the prescribed examination device.
Note that the waiting state can be automatically grasped depending on which beacon receiver (for example, each testing device has) receives the identification signal transmitted from the beacon transmitter lent to the examinee. Is preferably implemented as In such a case, when it is confirmed that the predetermined examinee stays in the vicinity (for example, within 50 cm) of the predetermined examination device for 30 seconds or more with respect to the predetermined examination person and the prescribed examination device, the examination concerned The waiting state of the examinee in the device is set to 1. After that, when the beacon receiver is switched to another beacon receiver, the waiting state of the examinee in the examination device is set to 0.

Next, the functions of the medical examination inspection management system 1 according to the first embodiment (examinee reception function, queue update function, inspection progress update function, and next inspection item assignment function) will be described. In addition, these functions, when a predetermined examinee finishes the examination of a predetermined examination item, the examination ability of a plurality of unexamined examination items corresponding to the predetermined examination person is set to a predetermined examination parameter. It is calculated based on each of the plurality of unexamined examination items, and the recommended next examination item (recommended examination item) having the maximum examination ability value is assigned (specified).

[Receiver function]
FIG. 6 is a flowchart showing an example of the processing flow of the examinee reception function. The first processing circuit 101 in the terminal 10 for receiving a medical examinee reads out the first program stored in the first storage circuit 102 to execute the medical receptionist receiving function. The examinee reception function is a function of executing the reception of the examinee and the subsequent inspection item assignment function described later according to the reception. The flow of processing will be outlined below.

(Step S101)
The first processing circuit 101 initializes the inspection device-based queue management table 902 (proceeds to step S102).

(Step S102)
The first processing circuit 101 creates examination information of the examinee based on the examinee management table 901 and the medical examination master table 904. The first processing circuit 101 newly registers the created examination information in the examination progress management table for each examinee 903 (proceeds to step S103). The registered inspection information may be added/corrected after the fact if necessary.

(Step S103)
The first processing circuit 101 creates an examination table showing examination items to be examined by the examinee, and causes the first output circuit 104 to output (print to a printer) (proceed to step S104).
The printed matter is called an inspection slip. It is preferable that the inspection sheet is given to the examinee by the staff of the facility.
(Step S104)
The first processing circuit 101 sends a request signal (inspection end signal) to the next inspection item assignment terminal 40 connected through the network N to execute the next inspection item assignment function of the next inspection item assignment terminal 40. Send (proceed to step S105).

(Step S105)
The first processing circuit 101 causes the first output circuit 104 (monitor) to display the next inspection item obtained by the next inspection item assignment function (step end).

[Inspection queue update function]
FIG. 7 is a flowchart showing an example of the processing flow of the inspection queue update function. The second processing circuit 201 in the inspection queue update terminal 20 executes the inspection queue update function by reading the second program stored in the second storage circuit 202. The examination queue updating function is a function of grasping the position of the already-received patient by a beacon transmitter distributed to the patient and updating the queue according to the change in the position.
By installing the receiver corresponding to the transmitter near each inspection device or inspection device, the function can be performed even in an open space inspection facility that is not divided for each inspection room. The flow of processing will be outlined below.

(Step S201)
The second processing circuit 201 detects the approach/departure of the examinee for each inspection device (proceeding to step S202).

(Step S202)
The second processing circuit 201 updates the inspection device-specific queue management table 902 based on the examinee ID, the detection location identification code, and the detection time. Alternatively, the second processing circuit 201 updates the examination device-specific queue management table 902 based on the examinee ID of the examinee and the current time (end of step).

[Inspection progress update function]
FIG. 8 is a flowchart showing an example of the processing flow of the inspection progress update function. The third processing circuit 301 in the inspection progress update terminal 30 executes the inspection progress update function by reading the third program stored in the third storage circuit 302. The inspection progress update function is a function for executing the next inspection item assignment function, which will be described later, when the examinees are replaced in each inspection device. The flow of processing will be outlined below.

(Step S301)
The third processing circuit 301 uses, for example, the examination date, the examination item code, and the examination state as the search key (search keyword) in the examination progress management table for each examinee 903, and sorts the recipient ID and the scheduled examination start time. By doing so, the search is executed (proceeding to step S302).

(Step S302)
The third processing circuit 301 executes a search on the examination device-based queue management table 902 using, for example, the examination date, the examinee ID, and the examination device ID as search keys (proceeding to step S303).

(Step S303)
The third processing circuit 301, based on the search results in step S301 and step S302, as a list of scheduled examination recipients of each examination device, for example, the examinee ID, the scheduled examination start time, and the examination device queue management table 902. The elapsed time after being registered in, the location information, etc. are displayed on the third output circuit 304 (monitor used by the staff of the facility) (proceed to step S304).
(Step S304)
For example, triggered by the selection of the examinee by the staff of the facility through the third input circuit 303, the third processing circuit 301 causes the examinee ID/examination of the examinee of the examinee-specific examination progress management table 903. The inspection state of the item code is changed to the inspection start, and the inspection waiting state of the examinee ID/inspection device ID of the examination device-specific queue management table 902 is updated to “inspection” (proceeding to step S305).

(Step S305)
At the end of the examination, for example, triggered by the registration of the examination result of the examinee by the staff of the facility performed via the third input circuit 303, the third processing circuit 301 causes the examination progress management table 903 for each examinee to Change the examination status of the examinee ID and the examination item code to completion or under examination, and update the examination waiting state of the examination person ID and examination equipment ID in the examination device queue management table 902 to completion of examination. (Go to step S306).

(Step S306)
The third processing circuit 301 transmits a request signal for executing the next inspection item allocation function of the next inspection item allocation terminal 40 to the next inspection item allocation terminal 40 connected via the network N (step S307). Go to).

(Step S307)
The third processing circuit 301 causes the third output circuit 304 (monitor) to display the next inspection item obtained by the next inspection item assignment function (step end).

[Next inspection item assignment function]
FIG. 9 is a flowchart showing an example of the processing flow of the next inspection item allocation function. The fourth processing circuit 401 in the next inspection item allocation terminal 40 executes the next inspection item allocation function by reading the fourth program stored in the fourth storage circuit 402. The next inspection item allocation function is a function executed in response to a request signal from the above-mentioned examinee reception terminal 10 or inspection progress update terminal 30. The flow of processing will be outlined below.

(Step S401)
The fourth processing circuit 401 includes the planned number of test device operating days (predetermined test parameters) and the planned test recipients of each test device, which are acquired from the test progress management table for each testee 903 and the medical examination master table 904. The inspection capability of each inspection device is calculated based on the number (number of unexamined patients/predetermined inspection parameter) (proceeding to step S402).

(Step S402)
The fourth processing circuit 401, for each unexamined examination item (first examination item) of each examinee, based on the number of persons waiting to be inspected and the examination ability of the examination device that implements the examination item, The scheduled inspection time is calculated by referring to the moving time, the inspection preparation time, and the inspection time (proceeding to step S403).

(Step S403)
The fourth processing circuit 401 restricts the scheduled inspection time calculated in step S402 and the execution order between the inspection items (for example, the inspection B cannot be performed until the inspection A is completed). Based on the above, the recommended next inspection item is determined, and the next inspection item is updated and registered in the examination progress management table for each examinee 903 (step end).

(Example 1)
Subsequently, Example 1 of the medical examination inspection management system 1 according to the first embodiment will be described in detail for each of the above-mentioned four functions.
[Receiver function]
It is assumed that the examinee reception terminal 10 is started at the beginning of work and shut down at the end of work. In addition, the terminal 10 for receiving a medical examinee is installed at the reception of the medical examination implementing organization.

(Initialization process)
Upon activation of the terminal 10 for receiving a medical examinee or input of an instruction by the staff of the facility or the like performed via the first input circuit 103, the first processing circuit 101 causes the examination device-specific queue management table 902 to be displayed. Initialize (without record). The first processing circuit 101 initializes the examination progress management table for each examinee 903 (sets a record-less state). The first processing circuit 101 creates examination information of the examinee on that day based on the examinee management table 901 and the medical examination master table 904 and registers it in the examinee-specific examination progress management table 903.

Of these, the medical examination date, the medical examination person ID, and the medical examination person detection ID are acquired from the medical examination person management table 901. The inspection item code is expanded from the inspection course/inspection item correspondence table 911 based on the inspection course code of the examinee management table 901. The scheduled inspection is acquired and set from the inspection item table 912. The inspection state is set to “uninspected: 0” as an initial value, and the inspection start scheduled time, inspection start time, scheduled inspection end time, inspection end time, and inspection device ID are set to NULL as initial values. The inspection capability is set to 0 as an initial value. It is preferable that the initialization process be performed once a day.

(Reception processing)
The first processing circuit 101 executes the following processing for each examinee when the examinee visits the hospital and accepts it. When the examinee visits the facility, the staff etc. of the facility will confirm the examination course and examination items to be examined on the day. When there is an addition/correction/deletion of the inspection item, the facility staff or the like updates the examination information of the examinee registered in the examination progress management table for each examinee 903 via the first input circuit 103. ..

The examinee management table 901 has information on the examinees who have reservations. Therefore, the first processing circuit 101 executes a search on the consultation management table 901 by using the consultation date (date of the day) as a search key, and the consultation list, the consultation ID, the consultation ID Acquires a list of person name, organization category (individual or organization), organization code, inspection course code, and estimated arrival time. The first output circuit 104 (monitor) displays the acquired information about the examinee list. It is preferable that a conversion table for converting the code and the name is prepared in the medical examination master table 904, and the code is converted into the name using the conversion table to perform the display process. In the case of a doctor who does not have a reservation, the staff of the facility presses a predetermined button (new registration button ~) via the first input circuit 103 to input and register necessary information on the spot. Therefore, it may be added to the list of examinees on that day.

At the stage when the list of examinees is displayed on the day, the staff etc. of the facility will check the medical examination appointment sheet and samples of the examinees who came to the hospital. The staff member of the facility searches for the name of the examinee in the examinee list on the day, selects the relevant line through the first input circuit 103, and presses the examination item list button. In response to this, the first output circuit 104 (monitor) displays the inspection item list screen.

The examination item list is obtained from the examination progress management table for each examinee 903 based on the examination date (date of the day) and the retrieval result using the examinee ID as the retrieval key. At this time, the first processing circuit 101 uses the inspection item table 912 to convert the inspection item code into the inspection name, and displays the inspection name on the first output circuit 104 (monitor). On the inspection item list screen, when the staff member of the facility presses the add button via the first input circuit 103, the first processing circuit 101 causes all the inspection items registered in the inspection item table 912 to be displayed. The list is displayed on the first output circuit 104 (monitor). The staff of the facility marks the inspection items already reserved through the first input circuit 103 and does not mark the inspection items not reserved, and the first output circuit 104 (monitor) It may be displayed. The staff of the facility, etc. will check the inspection items and enable addition/deletion of inspection items as necessary. The staff of the facility or the like finalizes the inspection item of the day by pressing the registration button on the inspection item list screen via the first input circuit 103. With the final confirmation as a trigger, the first processing circuit 101 requests the next inspection item allocation terminal 40 to determine the next inspection item for the examinee.

The first processing circuit 101 acquires the examination information from the examination progress management table for each examinee 903 based on the examination item next to the examinee by the next examination item assignment terminal 40, and determines the next examination item as the first examination item. Is displayed on the output circuit 104 (monitor).

The next examination item assignment function is implemented as a library or a service (fourth program) and determines the first examination of the examinee. The next inspection item assignment function is implemented by the next inspection item assignment terminal 40, for example. The fourth processing circuit 401 in the terminal 40 for allocating the next examination item updates the calculation result at the scheduled examination start time of the examinee in the examination progress management table for each examinee 903, and the status of the decision result (successful assignment, assignment). Return (failure or no allocation) (Return). As a result, if the status allocation is successful, the first processing circuit 101, for the examinee-specific examination progress management table 903, the examination date (date of the day), the examinee ID, the examination state=“unexamined”. : "0" and the scheduled inspection start time ≠ NULL to perform the search, and the inspection item name corresponding to the inspection item code whose scheduled start time is not NULL is set as the first inspection by the first output circuit 104 (monitor). ) Is displayed. Based on the display, it is preferable that the staff of the facility, etc., instruct the examinee of the first examination place.

The status is “not assigned” when there is no examination item code of the examinee in the examination progress management table for each examinee 903, when the examination state is ≠ “unexamined: 0”, etc. Is. Further, the status of “allocation failure” is when the search fails due to a failure of the network N, the database, or the like. In such a case, an error message indicating that the search has failed is displayed on the first output circuit 104, and the staff of the facility or the like presses the retry button via the first input circuit 103 to restart the process. Will be done.

The first processing circuit 101 updates the examinee management table 901 by inputting the unique ID of the beacon transmitter lent to the examinee as the examinee detection ID with the current time as the arrival time.

The staff or the like of the facility puts the line of the examinee in the selected state via the first input circuit 103 on the screen of the examinee's day list displayed on the first output circuit 104 (monitor). The staff of the facility or the like enables the column of the person-to-be-detected ID through the first input circuit 103. The staff of the facility or the like inputs the unique ID of the beacon transmitter via the first input circuit 103 and presses the update button to update the person-in-person detection ID in the person-in-diagnosis management table 901.

The first processing circuit 101 causes the first output circuit 104 (printer) to output an inspection voucher on which a list of inspections performed by the examinee is printed based on the information in the examinee-specific examination progress management table 903. In addition, the staff of the facility, etc. hand over the inspection voucher to the examinee.

The facility staff or the like selects the line of the examinee through the first input circuit 103 on the examinee list screen on the same day on the first output circuit 104 (monitor), and presses the inspection form print button. By doing so, the inspection form of the examinee is printed. On the inspection form, a list of inspection item names corresponding to the inspection item code, which is the result of the search using the consultation date (date of the day) and the examinee ID as the search key, is printed in the examination progress management table for each examinee 903. To be done. Further, in order to make it easy to check the inspection sheet when executing the inspection queue updating function, the date of consultation, the patient ID, etc. may be printed as a bar code.

[Inspection queue update function]
It is assumed that the inspection queue updating terminal 20 is activated at the beginning of work and shut down at the end of work. Although the inspection queue updating terminal 20 is illustrated as a single terminal in FIG. 1, it may actually be a plurality of terminals. In addition, another terminal may be implemented so as to have a test queue update function.

The inspection queue updating terminal 20 holds the inspection item (code), inspection device ID, and location code of the corresponding inspection device as setting information (for example, INI file). The inspection item (code), the inspection device, and the location code may be freely changed on the screen of the second output circuit 204 (monitor).

(Treatment process for approaching/leaving the examinee)
The examinee has a transmitter (beacon transmitter) at the time of reception, for example. The transmitter periodically transmits a preset unique identifier. The transmitter is, for example, a pendant type, operates with, for example, a coin type battery (or a button battery), and performs communication with, for example, a Bluetooth (registered trademark) wireless communication system.

The communication distance is about 30 m in the absence of the shield, although it varies depending on conditions such as the intensity of radio waves transmitted by the transmitter, the installation environment of the shield and the like, and the individual differences of the devices. The inspection queue updating terminal 20 has a Bluetooth (registered trademark) Low Energy device (not shown). Upon receiving the unique identifier transmitted from the transmitter, the inspection device or the receiver installed in the vicinity of the inspection device identifies the distance between the transmitter and the receiver based on the signal strength. The identified values are, for example, Immediate (within 50 cm), Near (50 cm to 6 m), and Far (6 m to 20 m).

Instead of Bluetooth (registered trademark), a transmitter and a corresponding device using NFC (Near Field Communication) technology may be used. Further, it may be implemented using a contactless wireless tag and a contactless wireless tag reading device. However, in the case of a contactless wireless tag, the data stored in the contactless wireless tag in advance is transmitted when the radio wave transmitted by the contactless wireless tag reader is received. It is preferable to store a unique identifier or a unique examinee ID.

When the distance between the transmitter and the receiver is identified, the second processing circuit 201 searches the examination progress management table for each examinee 903 using the unique identifier of the beacon transmitter as a search key. Subsequently, the second processing circuit 201, after acquiring the corresponding examinee ID, sets the examination device ID, the examination date (the day), and the examinee ID to the examination device-based queue management table 902 as search keys. Perform a search. If there is no search result and the distance to the beacon transmitter is Near or Immediate, the second processing circuit 201 determines the examination device ID, the examination date (the day), the examination person ID, and the examination waiting state (“initial: 0”). ), registration date and time (current date and time), update date and time (NULL), and location code are newly registered. When the search result exists, the distance to the beacon transmitter is Near, and the inspection waiting state is “Initial: 0” or “Registered: 1”, the second processing circuit 201 determines that the inspection waiting state (“ Registered: 1”) and update date and time only are updated with the current date and time.

In addition, when the examinee ID of the examinee is detected by another terminal, the second processing circuit 201 sets the examination date (the day) and the examinee ID to the examination device-based queue management table 902. Perform a search as a search key. At this time, if there are records other than the inspection device ID, the second processing circuit 201 sets the location codes of those records to the location codes of the other terminals and the update date/time (current date/time). To update as.

(Reading process of the inspection sheet of the examinee)
It is preferable that the examinee hand over the inspection voucher to the staff of the facility, etc., and the staff etc. of the facility confirm the inspection voucher so that it is registered in the inspection queue in operation. Therefore, the second processing circuit 201 performs a search on the inspection device-based queue management table 902 using the inspection device ID and the consultation date (current day) as search keys, and examinees the patient ID, the examination waiting state, and the registration. The date and time, the update date and time, and the location code are acquired and displayed in a list on the second output circuit 204 (monitor). The staff member of the facility confirms the consultation date, the consultation person ID, and the reception person's name printed on the inspection sheet, selects the corresponding line through the second input circuit 203, and presses the reception button. As a result, the second processing circuit 201 updates the examination waiting state of the corresponding examinee in the examination device-based queue management table 902 as “with examination sheet: 2” and update date and time (current date and time).

It should be noted that the examination date, the examinee's ID, and the name of the examinee are printed on the inspection form by a barcode, etc., and the barcode is read using a barcode reader, a camera, etc. The inspection waiting state of the person may be updated to “with inspection sheet: 2”.

(Post-processing when the next inspection is confirmed)
In order to maintain the accuracy of the queue of the inspection equipment, it is necessary to appropriately update the state of the queue of each inspection equipment. Therefore, after the examination waiting state is set to “with examination sheet: 2”, the examination device-specific queue management table 902 is searched using the examination date (current day) and the examination person ID as search keys. There are records other than the inspection device ID, and the inspection waiting state is "registered: 1" (the inspection waiting state is "initial: 0", "inspection sheet: 2", "inspection: 3", In the case of neither “inspection completed: 4” nor “inspection stopped: 5”), the second processing circuit 201 updates the inspection waiting state of those records to “initial: 0”. Thereby, the state of the queue of each inspection device is corrected according to the actual condition.

(Correction process when the next inspection is confirmed)
In the actual site, the staff of the facility may manually guide the examinee depending on the congestion situation of the site. Therefore, it is necessary to be able to easily change the next inspection even after the inspection waiting state becomes “with inspection sheet: 2”. Specifically, the second processing circuit 201 searches the queuing device-specific queuing device management table 902 with the search device ID (the ID held in each terminal by setting, etc.) and the consultation date (the day) as a search key. As a result, the search is performed to acquire the examinee ID, the examination waiting state, the registration date and time, the update date and time, and the location code, and display the list. In addition, the staff of the facility confirms the consultation date, the patient ID, and the patient name printed on the inspection sheet, selects the corresponding line via the second input circuit 203, and presses the forced change button. By doing so, the second processing circuit 201 updates the examination waiting state of the corresponding examinee in the examination device-based queue management table 902 as “with examination sheet: 2” and update date and time (current date and time).

The second processing circuit 201 executes a search on the examination device-specific queue management table 902 using the examination date (current day) and the examination person ID as search keys, and examines the examination person ID, examination waiting state, registration date and time, and update. The date and time and the location code are acquired and displayed as a list on the second output circuit 204 (monitor). At this time, if the inspection waiting state of the corresponding record is “with inspection sheet: 2”, the second processing circuit 201 updates the inspection waiting state to “initial: 0”. As a result, the next inspection can be easily changed manually.

[Inspection progress update function]
The inspection progress updating terminal 30 is activated at the start of work and shut down at the end of work. Although the inspection progress updating terminal 30 is illustrated as a single terminal in FIG. 1, it may actually be a plurality of terminals. In addition, another terminal may be implemented so as to have a test queue update function. The inspection progress updating terminal 30 stores, in the third storage circuit 302, the inspection item (code), the inspection device ID, and the location code of the corresponding inspection device as setting information (for example, INI file). The inspection item (code), the inspection device, and the location code may be freely changed on the screen.

(Notification of start of inspection)
The third processing circuit 301 in the examination progress updating terminal 30 refers to the examination progress management table 903 for each examinee, for example, the examination date, the examination item code, the examination state search key, the examinee ID, and the scheduled examination start time. Perform a search using as a sort key. The third processing circuit 301 executes a search with respect to the inspection device-based queue management table 902 using, for example, the consultation date, the examinee ID, and the inspection device ID as search keys. On the basis of the search result, the third processing circuit 301 has registered the patient ID, the scheduled start time of the examination, and the examination device-based queue management table 902 as a list of the examination scheduled examinees of the examination devices. The time and location information are acquired and displayed on the third output circuit 304 (monitor) as a list of examinees waiting for examination. On this examination waiting patient list screen, the staff of the facility selects the row of the examinee to be inspected next through the third input circuit 303 and presses the examination start button, whereby the third processing circuit 301 changes the examination status of the examinee ID/examination item code in the examination progress management table 903 for each examinee to “under examination:1”, and the examinee ID/correspondence in the examination device-specific queue management table 902 The inspection waiting state of the inspection device ID is updated to "in inspection: 3".

Furthermore, if the inspection device conforms to the DICOM standard and supports the MPPS (Modality Performed Procedure Step) service class, the MPPS compatible service is executed on the server 90 or the terminal (for example, the inspection progress updating terminal 30). Then, when the examination start notification is received from the examination device, the examination progress management for each examinee is performed based on the patient ID (the examinee ID) and the modality code (corresponding to the examination item code) included in the examination start notice. The update of the inspection state of the table 903 and the update of the inspection waiting state of the queue management table for each inspection device 902 may be executed.

(Notification of end of inspection)
On the examination waiting patient list screen on the third output circuit 304 (monitor), the staff of the facility or the like selects the row of the examinee under examination through the third input circuit 303 and presses the examination completion button. .. In response to this, the third processing circuit 301 changes the examination status of the examinee ID/examination item code in the examination progress management table 903 by examinee to “inspection completed: 2”, and the examination device-specific queue The examination waiting state of the examinee ID/inspection equipment ID in the management table 902 is updated to “inspection completed: 4”.

In addition, when another business application for registering the examination result is prepared and the examination result is registered, the examination state of the examination progress management table 903 for each examinee and the examination waiting state of the queue management table 902 for each examination device are changed. Updates may be performed.

FIG. 10 is a diagram showing an example of the screen of the business application. The waiting person list screen 310 shows waiting persons corresponding to a predetermined examination. In FIG. 10A, the examinee A from the beginning with respect to the inquiry (1). Information on three persons, the examinee B and the examinee C, is displayed. In addition, it is understood that there are 3 other patients who are waiting for examination because the number is "6 patients waiting for examination". Further, as shown in FIG. 10B, the staff of the facility selects a predetermined examinee (for example, the examinee A) at the start or end of the examination, and a sub-window relating to the examination start/the examination end/cancellation. 311 is displayed. The facility staff or the like updates the examination progress management table 903 for each examinee and the queue management table 902 for each examination device by selecting start/end of examination from the sub-window 311.

Alternatively, if the inspection device conforms to the DICOM standard and supports the MPPS (Modality Performed Procedure Step) service class, the MPPS compatible service is executed on the server or terminal, and the inspection end notification from the inspection device When receiving the, the examination progress management for each examinee based on the patient ID (examinee ID), modality code (corresponding to the examination item code), and examination result status (completed or canceled) included in the examination start notification The inspection state of the table 903 may be updated and the inspection waiting state of the queue management table for each inspection device 902 may be updated.

(Notification of inspection cancellation)
When the staff of the facility presses the examination stop button via the third input circuit 303, the third processing circuit 301 causes the examination ID of the examinee and the examination item code of the examination progress management table 903 for each examinee. The state is changed to “inspection stopped: 3”, and the inspection waiting state of the examinee ID/inspection device ID in the inspection device-specific queue management table 902 is updated to “inspection completed: 5”. It may be possible to provide a dialog or column in which the reason for cancellation can be entered so that the reason for cancellation can also be registered. At this time, the staff of the facility, etc. may ask the examinee to cancel all remaining tests. In this case, the staff of the facility, etc. perform a search on the examination progress management table 903 for each examinee using the examination date (the day), the examinee ID, and the examination state “unexamined: 0” as search keys. , The list-displayed rows are collectively selected via the third input circuit 303, and the inspection stop button is pressed.

It should be noted that another business application for registering the inspection result is prepared, an inspection stop button is provided, and the staff of the facility or the like presses the inspection stop button via the third input circuit 303, and the inspection progress for each examinee. The inspection status of the management table 903 may be updated and the inspection waiting status of the queue management table for each inspection device 902 may be updated.

Furthermore, if the inspection device conforms to the DICOM standard and supports the MPPS (Modality Performed Procedure Step) service class, the MPPS compatible service is executed on the server or terminal (for example) and the inspection from the inspection device When the end is received, the examination progress for each examinee based on the patient ID (examinee ID), modality code (corresponding to the examination item code), and examination result status (completed or canceled) included in the examination start notification The inspection state of the management table 903 may be updated and the inspection waiting state of the queue management table for each inspection device 902 may be updated.

At the timing of the examination end processing or the examination cancellation processing, the third processing circuit 301 requests the next examination item assignment terminal 40 to determine the next examination item of the subject by the next examination item assignment function. To do. Based on the result, the third processing circuit 301 acquires the examination information from the examination progress management table for each examinee 903 and displays the next examination item on the screen.

The next examination item assignment function is implemented as a library or a service (fourth program), and determines the next examination of the examinee. The fourth processing circuit 401 updates the calculation result at the scheduled examination start time of the examinee of the examinee-specific examination progress management table 903. The fourth processing circuit 401 returns the status of the determination result (allocation success, allocation failure, no allocation, and allocation). If the status is successful or assigned, the third processing circuit 301, for the examinee-specific examination progress management table 903, the examination date (date of the day), the examinee ID, the examination state=“unexamined: 0”, the scheduled inspection start time≠NULL is executed as a search key, and the inspection item name corresponding to the inspection item code whose scheduled inspection start time is not NULL is displayed on the third output circuit 304 (monitor) as the first inspection. Let Based on this display, the staff etc. of the facility can instruct the examinee of the first examination place. For example, in FIG.
The status is “not assigned” when the examination item code of the examinee for the examinee does not exist in the examination progress management table for each examinee 903, or when the examination state is ≠ “unexamined: 0”. Is. Further, the status of "allocation failure" means that the search has failed due to a failure of the network or the database. In this case, an error message indicating that the search has failed is displayed on the third output circuit 304 (monitor), and the staff of the facility or the like presses the retry button. The above processing will be performed again. If the examinee cancels (cancels) all the subsequent examinations, the next examination item assignment terminal 40 returns “not assigned” and displays a message indicating that the examinations have been completed.

FIG. 11 is a diagram showing an example of a screen for guiding the next inspection place. The facility layout diagram is basically retained as an image file, and when the facility staff or the like presses the guidance button, the third processing circuit 301 causes the facility layout screen to display the facility output screen 304. Display on (monitor).

In this way, by adopting a mechanism that determines whether the scheduled start time of the examination is NULL or not, when the implementation plan of the examination is not initially established and the real-time guidance is not performed, halfway or halfway, or partly This method is also applicable when you want to perform real-time guidance for only the inspection items.

[Next inspection item assignment function]
The fourth processing circuit 401 in the next inspection item assignment terminal 40 executes the following processing by reading the fourth program stored in the fourth storage circuit 402.

The fourth processing circuit 401, based on the examinee-specific examination progress management table 903 and the medical examination master table 904, acquires the number of the inspected equipment on the day and the number of the inspected persons who are inspected for each examination equipment, based on the respective equipment. Calculate the inspection ability of. The fourth processing circuit 401, for each unexamined examination item of each examinee, based on the number of persons waiting to be inspected and the inspection ability of the inspecting instrument that implements the inspected item, the moving time for each inspecting instrument, the inspection preparation time, And refer to the inspection time. The fourth processing circuit 401 calculates the scheduled inspection time, and determines the next inspection item based on the scheduled inspection time and the constraint condition regarding the execution order between the inspection items.

(First stage)
The fourth processing circuit 401 searches the examination progress management table for each examinee 903 under the search condition that the examination day=the present day, the examination person ID=the designated examination person ID, and the examination state=“unexamined:0”. Execute the search to get the scheduled inspection start time. If the corresponding record does not exist, the fourth processing circuit 401 returns “not assigned” as the status and ends the processing. When there are a plurality of inspection start scheduled times that are not NULL, the fourth processing circuit 401 returns “allocated” and ends the processing. The fourth processing circuit 401 also returns “allocated” and terminates the processing even if there is only one inspection scheduled time that is not NULL. In other cases, the fourth processing circuit 401 continues the processing. For example, in FIG. 4, 12 examination item codes having the examinee ID of 1 are registered, and the scheduled examination start times are all NULL, so the processing is continued.

(Second stage)
Calculate the inspection capability of each device. The inspection capability is a numerical value (evaluation value) calculated by the following calculation formula for each inspection.
Inspection capacity of each inspection = (Number of persons scheduled to be inspected for that inspection on that day * (Standard inspection time for that inspection + Preparation time for that inspection)) / (Execution time for that inspection on that day * Operation for that inspection on that day Number)
Next, the fourth processing circuit 401 executes the following loop calculation. In addition, when performing a loop operation thereafter, the start of the loop is expressed as <LOOP(n)> (n is a natural number), and the end of the loop is expressed as <END-LOOPn].

<LOOP(1)> The fourth processing circuit 401 acquires the number of persons scheduled to be inspected for the inspection on the day. The fourth processing circuit 401 acquires the inspection standard time of the inspection. The fourth processing circuit 401 acquires the preparation time for the inspection. The fourth processing circuit 401 acquires the inspection execution time (or inspection possible time) of the inspection on the day. The fourth processing circuit 401 acquires the operating number of the inspection on the day. The fourth processing circuit 401 calculates the inspection capability of the inspection item. The calculation result is stored in the examination capability column of the examination progress management table for each examinee 903 (performed for all examinees) <END-LOOP(1)>.

The inspection items will be described.
The fourth processing circuit 401 searches the inspection item table 912 and acquires all inspection item codes. The fourth processing circuit 401 performs repetitive processing corresponding to the inspection item code. In the example of FIG. 5B, since E01, E02, E03, E04, E05, E06, E07, E08, E09, E10, E11, E12, E13, and E14 are acquired, the inspection capability for each inspection item is calculated.

The acquisition of the number of persons scheduled to be inspected for the inspection on the day will be described.
The fourth processing circuit 401 performs a search on the examination progress management table for each examinee 903 using the examination date (current day) and the examination item code as search keys, and acquires the number of corresponding examination persons. In FIG. 5C, the number of examinees is 1 for the examination item code E01 because only one examinee ID is 1.

The inspection standard time of the inspection will be described.
The fourth processing circuit 401 acquires the inspection standard time of the inspection by executing a search on the inspection required time table 914 using the inspection item code as a search key. In FIG. 5D, the inspection standard time of the inspection item code E01 is 90 seconds.

The preparation time for the inspection will be described.
The fourth processing circuit 401 acquires the pre-preparation time for the inspection by executing a search on the inspection required time table 914 using the inspection item code as a search key. In FIG. 5D, the preparation time for the inspection item code E01 is 0 seconds.

The inspection time of the inspection on the day will be explained.
The fourth processing circuit 401 acquires the inspection device ID of the inspection item code by performing a search on the inspection device equipment table 913 using the inspection item code as a search key. In FIG. 5C, the inspection device ID with the inspection item code E01 is E01-1.
Subsequently, the fourth processing circuit 401 calculates the day of the week from the current day date with respect to the inspection device operating time table 916. The fourth processing circuit 401 performs the search by using the day of the week and the inspection device ID as the search keys, acquires the inspection start time and the inspection end time, and calculates the inspection execution time. In FIG. 5F, January 20, 2015 is Tuesday, and it is indicated that the inspection start time and inspection end time of E01-1 are 8:30 and 11:00. That is, it is calculated that the inspection time is 3 hours and 30 minutes.

The operating number of the inspections on the day will be explained.
The fourth processing circuit 401 acquires the inspection device ID of the inspection item code by performing a search on the inspection device equipment table 913 using the inspection item code as a search key. In FIG. 5C, the inspection device ID with the inspection item code E01 is E01-1.
Subsequently, the fourth processing circuit 401 calculates the day of the week from the current day date in the inspection device operating time table 916, and executes the search by using the calculated day of the week and the inspection device ID as a search key, thereby performing the corresponding inspection. Count the number of device IDs. In FIG. 5F, it is calculated that January 20, 2015 is Tuesday, and the number of E01-1 is 1. From these, the inspection capability of E01 is
1 x (90 seconds + 0 seconds) / 3 hours and 30 minutes x 1 unit = 90 seconds / 12600 seconds = 0.007
Is calculated. Similar calculation is performed for other inspection item codes.

(Third stage)
The fourth processing circuit 401 performs a search on the examination progress management table for each examinee 903 by using the examination date (current day), examination state=“unexamined: 0” as a search key, and an examination that has not been performed. Get item code. In FIG. 5B, E01 (fundus examination), E02 (examination examination), E03 (chest X-ray), E04 (resting electrocardiogram), E10 (upper abdominal US), E12 (upper gastrointestinal X-ray), E05 (5 m) Visual acuity, E06 (blood sampling), E09 (audiometer), E07 (height and weight), E08 (blood pressure), and E11 (gastric camera) are acquired. The fourth processing circuit 401 acquires the inspection capability for the inspection item code that has not been executed.

<LOOP (2)> The examination progress management table for each examinee 903 is searched using the examination date (the current day), examination state=“unexamined:0” as a search key, and the examination ability is acquired and set as a temporary variable. Hold. FIG. 12 shows an example of the inspection item code and the inspection capability corresponding to the inspection item code <END-LOOP(2)>.

The fourth processing circuit 401 confirms the inter-inspection constraint for the inspection item code that has not been executed and adjusts the inspection capability.

<LOOP(3)> The fourth processing circuit 401 acquires a constraint between inspection items by performing a search on the inspection item table 912 using the inspection item code as a search key. When there is a constraint between inspection items, the priority of the inspection item code of the constraint source (processed by LOOP) and the priority of the inspection item code of the constraint destination (acquired by the search result) are compared. If the priority of the inspection item code of the constraint destination (acquired by the search result) is low, the inspection of the constraint source (processed by LOOP) is added to the priority of the inspection item code of the constraint destination (acquired by the search result) <END-LOOP(3)> which sets the priority of the item code.

In FIG. 5B, the constraint condition of E01 (fundus examination) is E05 (5 m visual acuity), the constraint condition of E12 (upper gastrointestinal X-ray) is E10 (upper abdomen US) and E11 (gastric camera), and E13( There are E10 (upper abdomen US) and E11 (gastrocamera) as constraints on the upper digestive tract ES). In FIG. 12, the examination ability of E01 (fundus examination) is 0.63, and the examination ability of E05 (5 m visual acuity) is 0.44. Therefore, the examination ability of E04 is set to 0.63. Similarly, the examination ability of E12 (upper digestive tract X-ray) is 0.78, the examination ability of E10 (upper abdomen US) is 0.94, and the examination ability of E11 (gastric camera) is 0.93. Since both are larger than 0.78, the value as it is is used.

The fourth processing circuit 401 obtains the inspection device ID having the minimum inspection waiting time for the uninspected item code. Basically, untested item codes E01 (fundus examination), E02 (examination examination), E03 (chest X-ray), E04 (resting electrocardiogram), E10 (abdominal US), E12 (upper gastrointestinal X-ray) , E05 (5 m visual acuity), E06 (blood sampling), E09 (audiometer), E07 (height and weight), E08 (blood pressure), and E11 (stomach camera), respectively. First, the first E01 (fundus examination) is processed.

The fourth processing circuit 401 acquires a list of inspection device IDs of unexamined item codes.

<LOOP(4)> The fourth processing circuit 401 acquires the inspection device ID by performing a search on the inspection device equipment table 913 using the uninspected item code as a search key. The fourth processing circuit 401 calculates the day of the week from the date of the current day with respect to the inspection device operating time table 916, and acquires a list of the inspection device IDs operating on that day. If there is no inspection device ID, the process returns to the beginning of LOOP(4). It can be seen from FIG. 5C that E01-01 has been acquired, and from FIG. 5F that the only device operating on the day is E01-01.

The fourth processing circuit 401 acquires the judgment reference time of the uninspected item code. The fourth processing circuit 401 acquires the determination reference time by performing a search on the inspection required time table 914 using the uninspected item code as a search key. In the example of FIG. 5D, the determination reference time of E01 is 300 seconds.

If the LOOP(4) process is the first time, the fourth processing circuit 401 holds the head of the inspection device ID list as the recommended inspection device ID. The recommended inspection device ID is E01-01.

If the LOOP(4) process is the first time, the fourth processing circuit 401 calculates the inspection waiting time of the recommended inspection device ID and holds it as the recommended inspection waiting time.
Inspection waiting time=(standard inspection time+preparation time)×number of waiting patients for each inspection device+moving time The fourth processing circuit 401 searches the required inspection time table 914 using the inspection item code as a search key. The inspection standard time is obtained by executing. In FIG. 5D, the inspection standard time of E01 is 90 seconds.

The fourth processing circuit 401 acquires the preparation time by performing a search on the inspection required time table 914 using the inspection item code as a search key. In FIG. 5D, the preparation time for E01 is 0 seconds.

The fourth processing circuit 401 acquires the moving time by performing a search on the moving time table 915 between the inspection devices using the inspection item code of the moving source and the inspection item code of the moving destination as search keys. In the case of the first inspection, the transfer source inspection item code is accepted, and the transfer destination inspection item code becomes the first inspection item of the uninspected item code. In the case of an intermediate inspection, the source inspection item code is the inspection item code that has been inspected, and the destination inspection item code is the first inspection item of the uninspected item code. In FIG. 5E, the moving time from reception E00 to E01 is 60 seconds for the first inspection.

The fourth processing circuit 401 executes a search with respect to the inspection device-based queue management table 902 with the medical examination date (current day), the inspection device ID, and the inspection state=“with inspection sheet: 2” as search conditions. , Get the number of waiting patients for each testing device. In FIG. 3, since E01-01 is not registered, the number of waiting-for-consultants is 0. As a result, the waiting time for inspection is
(90 seconds + 0 seconds) x 0 people + 60 seconds = 60 seconds
Becomes

The following is executed as LOOP(5) in LOOP(4).

<LOOP(5)> If the processing of LOOP(5) is the first time, the process returns to the beginning of LOOP(5) (because it has already been calculated above). E01 is the first processing in LOOP(5), and since the number of inspection devices is 1, the processing moves to E02 (medical examination) which is the next inspection item code of LOOP(5).

The fourth processing circuit 401 calculates the inspection waiting time for the inspection device ID of LOOP(5).

The fourth processing circuit 401 compares the inspection waiting time of LOOP(5) with the recommended inspection waiting time, and if the difference is less than the judgment reference time (or the inspection waiting time is less than the reference value), the recommended inspection device. The inspection capability of the inspection item code corresponding to the ID and the inspection capability of the inspection item code corresponding to the inspection device ID of LOOP(5) are compared, and the inspection capability of the inspection item code corresponding to the inspection device ID of LOOP(5) is compared. If it is larger, the following processing is performed.

If the previous inspection item is acceptance (first inspection), the fourth processing circuit 401 sets the inspection device ID of LOOP(5) to the recommended inspection device ID and LOOP(5) to the recommended inspection waiting time. Set the inspection waiting time of the inspection device ID. If the previous inspection item is not the acceptance (first inspection), the inspection item code corresponding to the inspection item code of the previous inspection item and LOOP(5) does not correspond to the inter-inspection item constraint, and the recommended inspection is performed. The device ID is set to the inspection device ID of LOOP(5), and the recommended inspection waiting time is set to the inspection waiting time of the inspection device ID of LOOP(5).

The fourth processing circuit 401 performs the same processing for E02. The inspection waiting time and the inspection ability with E01-01 are compared. In E01 and E02, since there is no waiting person for each examination device, the examination time is 90 seconds, which is shorter than the judgment reference time of 300 seconds. On the other hand, since the inspection capability of E02 is larger, the recommended inspection device ID is set to E02-01, and the recommended inspection waiting time is set to 90 seconds <END-LOOP(5)><END-LOOP(4 )>.

The fourth processing circuit 401 performs the same calculation for the remaining inspection item codes to obtain the inspection device ID that minimizes the inspection waiting time. The fourth processing circuit 401 refers to the examination progress management table for each examinee, the examination date (the day), the examinee ID, the examination item code corresponding to the recommended examination equipment ID, the recommended examination equipment ID, the scheduled examination start time, And update the scheduled inspection end time. In the fourth processing circuit 401, the scheduled inspection start time is the current time plus the recommended inspection waiting time, and the scheduled inspection end time is the scheduled inspection start time plus the inspection standard time of the relevant inspection item+preparation time. Is the time of addition.

The fourth processing circuit 401 searches the inspection item table 912 with the inspection item code corresponding to the recommended inspection device ID, and if there is a continuous inspection constraint, the examination progress management table for each examinee is searched. Then, the search is performed under the search condition of the medical examination date (the present day), the medical examination person ID, and the examination item code designated by the continuous examination constraint. If the corresponding record exists in the search result, the fourth processing circuit 401 determines that the medical examination date=the present day, the medical examination person ID, the examination item code designated by the continuous examination constraint, the recommended examination device ID, and the examination start schedule. Update the time and the scheduled inspection end time.

The scheduled inspection start time is the scheduled inspection end time calculated above, and the scheduled inspection end time is the scheduled start time of the inspection plus the standard inspection time of the inspection item plus the preparation time. If there is no continuous inspection, the process is skipped. When the continuous inspection is designated, since E02 exists in FIG. 4, the fourth processing circuit 401 sets the inspection device ID E02 in the line of the inspection item code designated by the continuous inspection constraint. -1 is updated as the scheduled inspection end time of E02-01 and the scheduled inspection end time of E02-01 plus the standard inspection time of the inspection item code+preparation time.

When a network error or a database error occurs on the way, the fourth processing circuit 401 returns "allocation failure" as the status and ends the processing. In other cases, the fourth processing circuit 401 returns "allocation successful" as the status and ends the processing.

(Example 2)
Subsequently, a second example of the health examination inspection management system 1 according to the first embodiment will be described.

In the first embodiment, the examinee carries the beacon transmitter. This is because the health checkup inspection management system 1 grasps the position (state) of the examinee by receiving the identifier transmitted by the beacon transmitter by the inspection device or the receiver provided in the vicinity of the inspection device. It is a thing.

On the other hand, when the receiver carried by the examinee receives the identifier transmitted from the inspection device or the beacon transmitter provided in the vicinity of the inspection device, the medical examination inspection management system 1 detects It may be implemented so as to grasp the position (state). At this time, instead of having the examinee carry a dedicated receiver, the examination may be performed using a smartphone or the like. In this case, the examinee can display the information on his or her own smartphone. FIG. 13: is a figure which shows an example of the information screen regarding the next inspection item displayed on the smartphone of the examinee. The examinee refers to the information and moves to the location of the inspection device corresponding to the recommended next inspection item.

(Example 3)
Subsequently, a third example of the medical examination inspection management system 1 according to the first embodiment will be described.

In the third embodiment, the second processing circuit 201 of the inspection queue update terminal 20 updates the inspection device-specific queue management table 902 in addition to the processing (inspection queue update function) described in the first embodiment. At some time, the examination progress management table 903 for each examinee is searched using the examination date=the present day, the examinee ID, the examination state=“unexamined:0”, the scheduled examination start time≠NULL as the search key. Based on the search result, the second processing circuit 201 acquires the inspection item code and the scheduled inspection start time. The second processing circuit 201 determines whether or not the inspection item code (a) and the inspection item code (b) related to the inspection queue updating terminal 20 match, and if they are different, the next inspection item is correct. (A) and a warning message including the scheduled inspection start time are displayed. Based on the indication, the staff of the facility guides the examinee to the correct examination place.

When the staff of the facility or the like presses the next inspection correction button on the warning message screen, the second processing circuit 201, with respect to the examination progress management table for each examinee 903, the examination date=the present day, the examinee ID , The inspection start scheduled time is updated to a null character (NULL) using the inspection item code (a) as a search condition. The second processing circuit 201 designates the current time as the scheduled start time of the examination on the examination progress management table for each examinee 903 using the examination date=the present day, the examinee ID, and the examination item code (b) as search conditions. To update. The second processing circuit 201 uses the inspection device queue management table 902 to set the inspection device ID, the consultation date=the current day, and the examination waiting state=“examination slip” as the condition for updating the examinee ID. Yes: 2”, update time=current time. This makes it possible to deal with the case where the examinee does not move to the instructed next examination.

(Example 4)
Subsequently, a fourth example of the medical examination inspection management system 1 according to the first embodiment will be described.

In the fourth embodiment, the terminal 40 for allocating the next inspection item allocates the next inspection item recommended to the examinee so as to correspond to the “reserved inspection”. The scheduled examination is an examination in which a medical examination institution and a medical institution are installed adjacent to each other, and an operation is performed by using an inspection device of the medical institution. Therefore, in the scheduled inspection, the inspection time (inspection start time) at which the inspection device of the medical institution can be used is predetermined. Therefore, when using the inspection device of the medical institution, it is necessary to give priority to the inspection start time of the inspection device.

The fourth processing circuit 401 executes a search on the examination progress management table for each examinee 903 under the search condition of the examination date=the present day and the scheduled examination=present, and displays a list of the examination person IDs. Next, on the reserved examination list screen, enter the examinee ID, examination item code, examination start scheduled time, and examination end scheduled time for each examinee based on the examination reservation time secured by the medical institution side, In order to clarify that the inspection capability has the highest priority, 2 is automatically set, the update button is pressed, and the examination progress management table for each examinee 903 is updated. That is, LOOP(4) in the next inspection item assignment function is replaced with the following.

The fourth processing circuit 401 acquires the inspection device ID from the inspection device equipment table 913 using the uninspected item code as a search key. The fourth processing circuit 401 calculates the day of the week from the date of the current day with respect to the inspection device operating time table 916, and acquires a list of the inspection device IDs operating on that day. If there is no inspection device ID, the process returns to the beginning of LOOP(4).

The fourth processing circuit 401 sets the reserved inspection of the inspection item code=present, and if the difference between the scheduled start time of the inspection and the current time is smaller than a preset threshold value, the inspection device ID is set as the recommended inspection device ID LOOP( 4) Exit and return to the caller.

(effect)
According to the medical examination inspection management system 1 according to the first embodiment, the following effects are obtained.

The medical examination inspection management device (next inspection item allocation terminal 40) in the medical examination inspection management system 1 according to the first embodiment sends an inspection end signal notifying the end of a predetermined inspection by a predetermined examinee to the network N. With the reception circuit (fourth input circuit 403) received from the terminal (terminal 10 for receiving the patient or terminal 30 for updating the examination progress) connected via the terminal and the reception circuit receiving the examination end signal, The examination capability values of a plurality of unvisited examination items corresponding to the examinee are calculated based on predetermined examination parameters, and the examination item having the largest examination ability value among the plurality of unvisited examination items is examined. A processing circuit (fourth processing circuit 401) that is specified as a recommended inspection item for the person and an output circuit (fourth output circuit 404) that outputs the recommended inspection item are provided.

In particular, the medical examination inspection management system 1 according to the first embodiment has a recipient reception function, an inspection queue update function, an inspection progress update function, and a next inspection item assignment function. As a result, even if a plurality of inspection devices are installed (in an open space facility), the inspection items of each examinee can be efficiently managed. Further, by appropriately presenting the recommended next examination item to the examinee, the waiting time per person in the health examination can be shortened.

The medical examination inspection management system 1 according to the first embodiment uses the smartphone or the like owned by an individual in the second embodiment, for example, to accept the examinee without passing the transmitter or the receiver of the beacon to the examinee. Function can be realized.

The medical examination examination management system 1 according to the first embodiment can also deal with the case where the examinee does not move to the next examination instructed in Example 3, for example.

The medical examination inspection management system 1 according to the first embodiment can handle a scheduled examination by using a threshold value in which the difference between the scheduled examination start time and the current time is preset in Example 4, for example. ..

(Modification of the first embodiment)
The medical examination inspection management system 1 according to the first embodiment includes a terminal 10 for receiving a medical examination, a terminal 20 for updating an examination queue, a terminal 30 for updating an examination progress, and a terminal 30 for updating an examination progress, which are connected to each other via a network so that they can communicate with each other. It has an inspection item assignment terminal 40 (a health checkup inspection management device) and a server 90. However, as a modified example, one physical examination management apparatus (for example, the next examination item allocation terminal 40) is implemented so as to integrally have the function relating to the physical examination examination management system 1 according to the first embodiment. Good.

(effect)
According to the physical examination inspection management apparatus of the modification, the physical examination inspection management system 1 according to the first embodiment can be implemented as one apparatus.

(Second embodiment)
FIG. 14: is a block diagram which shows an example of a structure of the physical examination test management system 1 which concerns on 2nd Embodiment.
The medical examination management system 1 according to the second embodiment includes a terminal 10 for accepting a medical examination, a terminal 20 for updating an examination queue, a terminal 30 for updating an examination progress, and a terminal 30 for updating an examination, which are connected to each other via a network so that they can communicate with each other. It has an examination item assignment terminal 40 (health checkup examination management device), a patient guidance assistance terminal 50, and a server 90.

The examinee guidance assisting terminal 50 includes a fifth processing circuit 501, a fifth storage circuit 502, a fifth input circuit 503, and a fifth output circuit 504.
The fifth processing circuit 501 performs processing/control of the entire operation related to the examinee guidance assisting terminal 50. The fifth processing circuit 501 is, for example, a central processing unit (CPU) (not shown). The fifth processing circuit 501 executes various functions of the examinee guidance assisting terminal 50, such as the examinee accepting function, by reading out a predetermined program stored in the fifth storage circuit 502.

Note that, in FIG. 14, the single fifth processing circuit 501 is illustrated as an example, but in practice, the fifth processing circuit 501 may be implemented as a single fifth processing circuit 501, or a plurality of fifth processing circuits 501 may be provided for each function. It may be implemented to have the processing circuit 501. It may also be a combination thereof.

The fifth memory circuit 502 stores a fifth program relating to the examinee reception function. The fifth processing circuit 501 executes the examinee reception function by reading the fifth program stored in the fifth storage circuit 502.

That is, the fifth storage circuit 502 is implemented as a storage device such as a hard disk drive (HDD) or a solid state drive (SSD). Further, the fifth memory circuit 502 is also implemented as a memory such as a random access memory (RAM) that stores temporarily necessary information (argument, array, and the like) related to program operation.

The fifth input circuit 503 receives an operation/input by a staff member or the like of a facility that carries out the inspection facility. The fifth processing circuit 501 executes a predetermined process based on the received operation/input. That is, the fifth input circuit 503 is implemented as, for example, a keyboard, a mouse, a touch panel, a magnetic reader, an optical sensor, or the like. Alternatively, the fifth input circuit 503 is implemented to receive information from the network via an interface circuit (not shown).

The fifth output circuit 504 displays, for example, a screen of a graphical user interface (GUI). That is, the fifth output circuit 504 is implemented as a monitor for a CRT display, a liquid crystal display, an organic EL display, a plasma display, or the like. Alternatively, the fifth output circuit 504 prints/outputs the predetermined information displayed on the monitor as a printed matter. That is, the fifth output circuit 504 is implemented as a printer or the like. Furthermore, the fifth output circuit 504 is implemented to output information to the network via an interface circuit (not shown).

[Attendant assistance function]
Next, the examinee guidance assisting function of the examinee guidance assisting terminal 50 will be described. The fifth processing circuit 501 in the examinee guidance assisting terminal 50 executes the examinee guidance assisting function by reading the fifth program stored in the fifth storage circuit 502. The examinee guidance assisting function is a function that efficiently guides the examinee waiting in the waiting room or around the examination room to the next examination. Hereinafter, details will be described together with examples.
The examinee guidance assisting terminal 50 stores the assigned inspection item code and inspection device ID in the fifth storage circuit 502 as settings. The fifth processing circuit 501, for the examinee-specific examination progress management table 903, the examination date=the present day, the examination item code=the examination item code stored in the setting and the inspection device ID=the examination device ID stored in the setting , The inspection state=“uninspected: 0”, and the search is executed under the search conditions such that the inspection start scheduled time≠NULL. The fifth processing circuit 501 performs a search on the inspection device-based queue management table 902 with the inspection device ID=the inspection device ID stored in the setting and the consultation date=the present day as the search conditions, and thus the examinee Acquire the ID and the location code. The fifth processing circuit 501 correlates the search results by the examinee ID, and displays the search results in a list on the fifth output circuit 504 (monitor) as a sort in the ascending order of the examinee ID and the scheduled examination start time.

On the examination start waiting patient list screen, the fifth processing circuit 501 calculates the remaining time between the scheduled examination start time and the current time, and the remaining time is smaller than the set and stored preliminary time. About this, the staff etc. of the facility operating the terminal 50 for assisting the medical examination guidance are warned. As the warning, for example, the background color of the line of the corresponding examinee is changed, the background color is changed to blink at regular intervals, the character size and the character color of the line of the relevant examinee are changed, and guidance to the examination room is urged. Examples include displaying a message dialog and issuing a warning sound. However, this is merely an example and the present invention is not limited to this. By checking the warning display, the staff etc. of the facility will know the imminent examinee who is scheduled to start the next examination. The staff etc. of the facility will guide efficiently by knowing the latest whereabouts of the examinee. It should be noted that it is preferable that the processing relating to the medical-guidance-guide assistance function is regularly executed, and the execution interval can be freely changed.

(effect)
According to the health examination inspection management system 1 according to the second embodiment, the following effects are obtained.

The medical examination inspection management system 1 according to the second embodiment has a terminal 50 for assisting a person to be examined. The examinee guidance assisting terminal 50 calculates the remaining time between the scheduled start time of the examination and the current time, and regarding the examinee whose remaining time is smaller than the set and stored spare time, the examinee guidance assisting terminal 50. Warnings are given to the staff of facilities that operate the facility (assistant function for patient guidance).

As a result, the staff of the facility or the like can recognize the person who is about to start the next examination by checking the warning display. Moreover, the staff etc. of the facility can efficiently guide by knowing the latest whereabouts of the examinee.

(Third Embodiment)
FIG. 15: is a block diagram which shows an example of a structure of the physical examination test management system 1 which concerns on 3rd Embodiment.
The medical examination inspection management system 1 according to the third embodiment includes a terminal 10 for receiving a medical examination, a terminal 20 for updating an examination queue, a terminal 30 for updating an examination progress, which are connected to each other via a network so that they can communicate with each other. The inspection item assignment terminal 40 (health checkup examination management device), the examination queue display terminal 60, the server 90, and the large-sized display device 80 connected to the examination queue display terminal 60 are included.

The inspection queue display terminal 60 has a sixth processing circuit 601, a sixth storage circuit 602, a sixth input circuit 603, and a sixth output circuit 604.
The sixth processing circuit 601 processes and controls the overall operation related to the examination queue display terminal 60. The sixth processing circuit 601 is, for example, a central processing unit (CPU) (not shown). The sixth processing circuit 601 executes various functions of the inspection queue display terminal 60, such as the inspection queue display function, by reading a predetermined program stored in the sixth storage circuit 602.

Note that, in FIG. 15, a single sixth processing circuit 601 is shown as an example, but in practice, it may be implemented as a single sixth processing circuit 601, or a plurality of sixth processing circuits 601 may be provided for each function. It may be implemented to have a processing circuit 601. It may also be a combination thereof.

The sixth storage circuit 602 stores the sixth program relating to the inspection queue display function. The sixth processing circuit 601 executes the inspection queue display function by reading the sixth program stored in the sixth storage circuit 602.

That is, the sixth storage circuit 602 is implemented as a storage device such as a hard disk drive (HDD) or a solid state drive (SSD). The sixth memory circuit 602 is also implemented as a memory such as a random access memory (RAM) that stores temporarily necessary information (arguments, arrays, and the like) related to program operations.

The sixth input circuit 603 receives an operation/input by a staff member or the like of a facility that implements the inspection facility. The sixth processing circuit 601 executes a predetermined process based on the received operation/input. That is, the sixth input circuit 603 is implemented as, for example, a keyboard, a mouse, a touch panel, a magnetic reader, an optical sensor, or the like. Alternatively, the sixth input circuit 603 is implemented to receive information from the network via an interface circuit (not shown).

The sixth output circuit 604 displays, for example, a screen of a graphical user interface (GUI). That is, the sixth output circuit 604 is implemented as a monitor for a CRT display, a liquid crystal display, an organic EL display, a plasma display, or the like. Alternatively, the sixth output circuit 604 prints/outputs the predetermined information displayed on the monitor as a printed matter. That is, the sixth output circuit 604 is implemented as a printer or the like. Further, the sixth output circuit 604 is implemented to output information to the network via an interface circuit (not shown).

The large display device 80 is a large monitor connected to the examination queue display terminal 60. It should be noted that, in practice, various terminals other than the inspection queue display terminal 60 or a network may be connected. It is suitable to be installed in a place where the examinee can easily see it, such as a waiting room of the facility.
The large display device 80 displays information such as an inspection queue transmitted from the inspection queue display terminal 60.

[Inspection queue display function]
Next, the inspection queue display function in the inspection queue display terminal 60 will be described. The sixth processing circuit 601 in the inspection queue display terminal 60 executes the inspection queue display function by reading the sixth program stored in the sixth storage circuit 602. The examination queue display function is a function that efficiently guides the examinee waiting in the waiting room or around the examination room to the next examination. Hereinafter, details will be described together with examples.
The examination queue display function allows the examinee to know his/her examination order and examination waiting time by displaying a list of the examination queue status for each examination device on the large display device 80. Moreover, the examinee can confirm that he/she does not come to the examination place different from the instruction. In addition, it is necessary to confirm that the facility staff, etc. have been waiting for a long time, and if there is a person who has been waiting for a long time, encourage them to manually guide them to an appropriate examination. it can. Hereinafter, details will be described together with examples.

The inspection queue display terminal 60 stores the inspection item code and the inspection device ID of the corresponding inspection device in the sixth storage circuit 602 as settings. The sixth processing circuit 601 periodically updates the contents of the inspection queue and causes the sixth output circuit 604 (monitor) and the large-sized display device 80 to display the contents. The sixth processing circuit 601 uses the queue management table for each inspection device 902 as follows: consultation date=the present day, inspection device ID=inspection device ID set and stored, inspection waiting state=“registered: 1” or “inspection”. The search is executed under the search condition of "Vots: 2". The sixth processing circuit 601 acquires the examinee ID, the location code, the registration date and time, and the update date and time, sorts the search results in ascending order of the registration date and time, and waits for inspection=“with inspection slip: 2”, Regarding the waiting state=“registered: 1”, the background color is changed (hatched portions in FIG. 16A described later) and the examinee IDs are displayed on the large-sized display device 80 in order of registration date and time. The sixth processing circuit 601 calculates the difference between the current time and the registration date and time. When the difference exceeds the predetermined threshold value, the sixth processing circuit 601 changes the color of the outer frame of the examinee's panel at regular intervals to cause the large-sized display device 80 to display. The large display device 80 may display the inspection standard time (including the preparation time) of the inspection so that the time required for the inspection can be known. The large-sized display device 80 may display the inspection item name and the location name as needed. Further, the large display device 80 may display the difference (change) between the previous display content and the current display content in a distinguishable manner. In FIG. 16A, the large display device 80 displays the inspection queue for each inspection item. In FIG. 16B, the large display device 80 collectively displays a plurality of inspection items and displays the inspection queue. In FIG. 16C, the large display device 80 distinguishably displays the difference from the previous display content (for example, the display of the outer frame is changed) among the items shown in FIG. 16B. That is, the large display device 80 displays information regarding a plurality of examinees waiting for a predetermined examination.

(effect)
According to the physical examination inspection management system 1 according to the third embodiment, the following effects can be obtained.

The medical examination inspection management system 1 according to the third embodiment includes an examination queue display terminal 60. The inspection queue display terminal 60 displays a list of the inspection queue status for each inspection device on the large display device 80 (inspection queue display function).
Thereby, the examinee can easily understand his/her examination order. The examinee can, for example, temporarily leave the seat while checking the order.

(Fourth Embodiment)
FIG. 17: is a block diagram which shows an example of a structure of the physical examination test management system 1 which concerns on 4th Embodiment.
The medical examination management system 1 according to the fourth embodiment includes a terminal 10 for receiving a medical examination, a terminal 20 for updating an examination queue, a terminal 30 for updating an examination progress, and a terminal 30 for updating an examination progress, which are connected to each other via a network so that they can communicate with each other. It has an examination item assignment terminal 40 (a health examination examination management device), a health examination start warning terminal 70, and a server 90.

The medical examination start warning terminal 70 includes a seventh processing circuit 701, a seventh storage circuit 702, a seventh input circuit 703, and a seventh output circuit 704.
The seventh processing circuit 701 processes and controls the overall operation related to the medical examination start warning terminal 70. The seventh processing circuit 701 is, for example, a central processing unit (CPU) (not shown). The seventh processing circuit 701 executes various functions of the medical examination start warning terminal 70, such as a medical examination start warning function, by reading a predetermined program stored in the seventh storage circuit 702.

Note that, in FIG. 17, the single seventh processing circuit 701 is illustrated as an example, but in practice, it may be implemented as a single seventh processing circuit 701, or a plurality of seventh processing circuits 701 may be provided for each function. It may be implemented to have a processing circuit 701. It may also be a combination thereof.

The seventh storage circuit 702 stores a seventh program related to the health check start warning function. The seventh processing circuit 701 executes the health check start warning function by reading the seventh program stored in the seventh storage circuit 702.

That is, the seventh storage circuit 702 is implemented as a storage device such as a hard disk drive (HDD) or a solid state drive (SSD). The seventh storage circuit 702 is also implemented as a memory such as a random access memory (RAM) that stores temporarily necessary information (arguments, arrays, and the like) relating to program operations.

The seventh input circuit 703 receives an operation/input by a staff member or the like of the facility that carries out the inspection facility. The seventh processing circuit 701 executes predetermined processing based on the received operation/input. That is, the seventh input circuit 703 is implemented as, for example, a keyboard, a mouse, a touch panel, a magnetic reader, an optical sensor, or the like. Alternatively, the seventh input circuit 703 is implemented so as to receive information from the network via an interface circuit (not shown).

The seventh output circuit 704 displays, for example, a screen of a graphical user interface (GUI). That is, the seventh output circuit 704 is implemented as a monitor such as a CRT display, a liquid crystal display, an organic EL display and a plasma display. Alternatively, the seventh output circuit 704 prints/outputs the predetermined information displayed on the monitor as a printed matter. That is, the seventh output circuit 704 is implemented as a printer or the like. Furthermore, the seventh output circuit 704 is implemented to output information to the network via an interface circuit (not shown).

[Medical check start warning function]
Next, the health check start warning function of the health check start warning terminal 70 will be described. The seventh processing circuit 701 in the medical examination start warning terminal 70 executes the medical examination start warning function by reading the seventh program stored in the seventh storage circuit 702. The medical checkup start warning function controls the movement to the first examination for each examinee at the reception (that is, the timing of movement for each examinee is controlled), and the examination including the entire examination waiting time is performed. It is for optimizing the lead time. Hereinafter, details will be described together with examples.
It has been known that if the examinee arrives at the medical examination implementing agency and starts the examination freely after the acceptance is completed, the waiting time for the entire examination is rather increased. Therefore, it is necessary to have the examinee move to the first examination according to the scheduled time based on the scheduled arrival time of each examinee set at the time of reservation and adjust the total input amount.

The seventh processing circuit 701 executes a search on the medical receiver management table 901 with the medical examination date=the present day and the arrival time≠NULL as the retrieval conditions. By sorting the search results in the ascending order of the estimated arrival times, the seventh processing circuit 701 displays a list of medical examinees waiting for the start of medical examination. The seventh processing circuit 701 calculates the difference between the estimated arrival time and the current time, and when the difference is smaller than the predetermined allowable time, prompts a predetermined warning. For example, the line of the corresponding examinee in the list of examinees waiting for the start of the medical examination is displayed as a warning, a message dialog prompting guidance to the examination room is displayed, and a warning sound is emitted. However, this is merely an example, and the present invention is not limited to this.

(effect)
According to the medical examination inspection management system 1 according to the fourth embodiment, the following effects are obtained.

The medical examination inspection management system 1 according to the fourth embodiment has a medical examination start warning terminal 70. The medical examination start warning terminal 70 controls the movement of each examinee to the first examination at the reception (health examination start warning function). As a result, the staff of the facility can appropriately prompt the examinee to move to the first examination. In addition, the inspection lead time including the entire inspection waiting time can be optimized.

The components in each of the above-described embodiments are realized mainly by at least appropriately combining a circuit, a circuit, a processor, a memory, and the like.

The processor is, for example, a CPU (Central Processing Unit), a GPU (Graphics Processing Unit), or an application-specific integrated circuit (ASIC), a programmable logic device (for example, a simple programmable logic device (SiC)). Device:SPLD), a complex programmable logic device (CLPD), and a field programmable gate array (Field Programmable Gate Array: FPGA)). The processor realizes the function by reading and executing the program stored in the storage circuit. Instead of storing the program in the memory circuit, the program may be directly incorporated in the circuit of the processor. In this case, the processor realizes the function by reading and executing the program incorporated in the circuit. It should be noted that each processor of the present embodiment is not limited to being configured as a single circuit for each processor, and may be configured as one processor by combining a plurality of independent circuits to realize the function thereof. Good. Furthermore, a plurality of constituent elements may be integrated into one processor to realize its function.

While some embodiments of the present invention have been described, these embodiments are presented as examples and are not intended to limit the scope of the invention. These novel embodiments can be implemented in various other forms, and various omissions, replacements, and changes can be made without departing from the spirit of the invention. These embodiments and their modifications are included in the scope and gist of the invention, and are also included in the invention described in the claims and the scope equivalent thereto.

DESCRIPTION OF SYMBOLS 1... Health checkup management system, 10... Terminal for accepting examinee, 20... Terminal for updating examination queue, 30... Terminal for updating examination progress, 40... Terminal for allocating next examination item, 50... Terminal for assisting examinee , 60... Examination queue display terminal, 70... Health check start warning terminal, 80... Large display device, 90... Server, 101... First processing circuit, 102... First storage circuit, 103... First Input circuit, 104... First output circuit, 201... Second processing circuit, 202... Second storage circuit, 203... Second input circuit, 204... Second output circuit, 301... Third processing circuit , 302... Third storage circuit, 303... Third input circuit, 304... Third output circuit, 310... Waiting person list screen, 311... Subwindow, 401... Fourth processing circuit, 402... Fourth Storage circuit, 403... Fourth input circuit, 404... Fourth output circuit, 501... Fifth processing circuit, 502... Fifth storage circuit, 503... Fifth input circuit, 504... Fifth output circuit , 601... Sixth processing circuit, 602... Sixth storage circuit, 603... Sixth input circuit, 604... Sixth output circuit, 701... Seventh processing circuit, 702... Seventh storage circuit, 703 ...Seventh input circuit, 704...Seventh output circuit, 901...Examinee management table, 902...Inspection device-specific queue management table, 903...Examinee-specific examination progress management table, 904...Medical examination master table, 911 ...Inspection item correspondence table, 912...inspection item table, 913...inspection equipment facility table, 914...inspection required time table, 915...movement time table, 916...inspection equipment operating time table, 917...location table, 918...inspection state table , 919... Inspection waiting state table.

Claims (10)

A receiving circuit for receiving an inspection end signal from a terminal connected via a network, which notifies an end of a predetermined inspection by a predetermined examinee,
When the receiving circuit receives the examination end signal, the examination capability values of a plurality of unexamined examination items corresponding to the examinee are calculated by: (standard examination time x number of unexamined persons)/(number of examination facilities x each calculated on the basis of the inspectable time) of the previous SL multiple outstanding consultation inspection items, a processing circuit for specifying a test item with the highest test capacity value as a recommended test item,
An output circuit that outputs the recommended inspection items,
Health checkup inspection management device equipped with. The medical examination inspection management apparatus according to claim 1, wherein the processing circuit identifies the recommended inspection item among at least one unexamined inspection item having a waiting time of a predetermined reference value or less. The health checkup management apparatus according to claim 2, wherein the predetermined reference value is determined based on a result of simulating a waiting state of a plurality of examinees in a predetermined facility for performing a health checkup. The medical examination inspection management apparatus according to claim 2 or 3, wherein the predetermined reference value is determined for each inspection item. 5. The output circuit outputs the recommended inspection item to at least one of a monitor, a plurality of terminals connected via a network, and a server connected via a network. The medical examination inspection management device according to the item. A health examination management system comprising a server and a plurality of terminals communicably connected to each other via a network,
The server stores a plurality of examinees and a plurality of unexamined examination items for each of the plurality of examinees,
At least one of the plurality of terminals is
A receiving circuit that receives an inspection end signal from one of the plurality of examinees, which notifies the end of a predetermined examination by one of the examinees, from another terminal connected via a network,
When the receiving circuit receives the examination end signal, the examination capability values of a plurality of unexamined examination items corresponding to the examinee are calculated by (standard examination time×number of unexamined persons)/(number of examination facilities× each calculated on the basis of the inspectable time) of the previous SL multiple outstanding consultation inspection items, a processing circuit for specifying a test item with the highest test capacity value as a recommended test item,
An output circuit for outputting the recommended inspection item, and a health checkup inspection management system. At least one of the plurality of terminals calculates the remaining time between the scheduled start time of the examination and the current time, and identifies at least one examinee whose remaining time is smaller than the preset spare time. 7. The medical examination inspection management system according to claim 6, wherein: At least one of the plurality of terminals calculates the remaining time between the scheduled examination start time and the current time, and identifies at least one examinee whose remaining time is smaller than the preset spare time. The medical examination inspection management system according to claim 6. The health examination management system according to any one of claims 6 to 8, further comprising a display device that displays information regarding a plurality of examinees waiting for a predetermined examination. 10. The medical examination according to any one of claims 6 to 9, wherein at least one of the plurality of terminals determines a timing of moving to a first examination for a plurality of examinees, respectively. Management system.