JP6791727B2 - Inspection reservation system - Google Patents

Description

Embodiments of the present invention relate to an inspection appointment system.

The environment surrounding medical care is becoming more electronic, and various operations related to medical care are being digitized and systematized. For example, a hospital information system (HIS) that supports hospital operations such as medical examinations and accounting, and a radiology information system (RIS) that supports the operations of the radiology department, which is one of the inspection departments. ) And other medical systems are provided.

HIS has, for example, a function of managing examinations and appointments for medical examinations in addition to functions related to medical examinations and accounting. When an inspection appointment occurs in HIS, an inspection request is sent from HIS to RIS. The RIS stores request information such as the appointment date, appointment time zone, and examination site included in the examination request, and the medical staff in the radiology department performs the examination based on the request information. When the inspection is executed based on the request information, the inspection result is transmitted from RIS to HIS.

In the medical system, the examination reservation system is an important system for improving the efficiency of medical work. For this reason, there has been a demand for an inspection reservation system that can execute inspection reservations more efficiently than before.

JP-A-2009-129308

An object to be solved by the present invention is to provide an inspection reservation system capable of making an inspection reservation more efficiently than before.

The examination reservation system according to the embodiment acquires the time when the subject of the examination enters the examination room and the time when the subject leaves the examination room each time the examination is performed in the examination room of the hospital, and the exit time is obtained. A condition that is a combination of a calculation unit that calculates the staying time based on the difference between the time and the entry time, and a plurality of information items related to the staying time among the subject information of the subject and the information of the examination for the subject. By executing the process of associating the parameter pattern with the staying time each time the inspection is performed, an average staying time storage unit that stores the average value of the staying time for each of the same condition parameter patterns as the average staying time, and an unreserved unit. The average stay time of the condition parameter pattern closest to the condition parameter pattern of the subject is acquired from the average stay time storage unit as the predicted stay time of the unreserved subject, and the laboratory is used based on the predicted stay time. It is provided with a free frame search unit that extracts possible time zone frames as empty frames and outputs information on the free frames.

A use case diagram illustrating the flow of inspection reservation in the inspection reservation system. A table explaining the availability display in the inspection reservation system. The block diagram which shows an example of the inspection reservation system which concerns on 1st Embodiment. The block diagram which shows the functional structure example of the inspection reservation system which concerns on 1st Embodiment. The flowchart which shows an example of the operation which accumulates the average stay time of the inspection reservation system which concerns on 1st Embodiment. A table explaining the average staying time of the inspection reservation system according to the first embodiment. The flowchart which shows an example of the operation of the 1st empty frame search of the inspection reservation system which concerns on 1st Embodiment. The flowchart which shows an example of the operation of the free time calculation processing of the inspection reservation system which concerns on 1st Embodiment. The schematic diagram explaining the acquisition method of the predicted stay time in the inspection reservation system which concerns on 1st Embodiment. The schematic diagram explaining the calculation method of the free time in the 1st free frame search. A table explaining the availability display in the inspection reservation system according to the first embodiment. A table illustrating the addition of inspection reservations in the inspection reservation system according to the first embodiment. The flowchart which shows an example of the operation of the 2nd free frame search of the inspection reservation system which concerns on 1st Embodiment. The schematic diagram explaining the calculation method of the free time in the 2nd free frame search. A table that describes the availability display, including the next day and beyond. The schematic diagram explaining the reservation method when the predicted stay time is long. The block diagram which shows an example of the inspection reservation system which concerns on 2nd Embodiment. The block diagram which shows the functional structure example of the inspection reservation system which concerns on 2nd Embodiment. The flowchart which shows an example of the operation of the inspection reservation system which concerns on 2nd Embodiment. A table explaining a list of inspections for which the appointment date of the inspection appointment system according to the second embodiment is undecided. The schematic diagram explaining the ward contact and the inspection order in which the appointment date and time was set in the inspection reservation system which concerns on 2nd Embodiment. The schematic diagram explaining the method of collectively reserving the inspection of the reservation date undecided in the inspection reservation system which concerns on 2nd Embodiment. The block diagram which shows the functional structure example of the inspection reservation system which concerns on the modification of 1st and 2nd Embodiment.

FIG. 1 is a use case diagram illustrating the flow of inspection reservation in the inspection reservation system. The upper part of FIG. 1 shows HIS, and the lower part of FIG. 1 shows RIS, which is one of the inspection department systems. As shown in FIG. 1, the inspection reservation system is composed of an inspection department system such as HIS and RIS.

As shown in the upper part of FIG. 1, in HIS, client terminals used by users such as doctors are installed in each examination room. A user such as a doctor executes a free space search from a client terminal in the examination room. Here, the vacant frame is a time zone frame determined to be reservable based on the capacity set for each inspection frame described later. Next, the availability status generated by the reservation management server in response to the availability search is displayed on the client terminal of the examination room.

Next, the doctor determines the appointment date and appointment time zone according to the availability and the patient's schedule, and executes the examination appointment on the appointment date and appointment time zone determined from the client terminal of the examination room. When the reservation management server accepts the inspection reservation, the inspection order is transmitted from HIS to RIS. The RIS receives the inspection order and displays the inspection order on the client terminal of the inspection room. The inspection order includes reserved information such as the reserved time zone and inspection information such as the inspection site, and the inspection technician carries out the inspection based on the inspection order.

FIG. 2 is a table for explaining the availability display in the inspection reservation system. The table on the left side of FIG. 2 is the availability display D1 for June, which is an example of the monthly availability display. The table on the right side of FIG. 2 shows the availability breakdown display D2 on June 3, which is an example of the daily availability display. When a user such as a doctor executes a free space search, the table shown in FIG. 2 is displayed on the client terminal of the examination room.

The availability display D1 in June shows the number of free slots in the morning and afternoon by day. If you select an arbitrary date on the availability display D1 for June, the availability breakdown for that day will be displayed. For example, if June 3 is selected in the June availability display D1, the availability breakdown D2 of June 3 is displayed as shown on the right side of FIG. In the availability display D1 in June, items that cannot be selected, such as dates that have already passed, are shown with grayscale hatching to distinguish them from selectable items.

The availability breakdown D2 on June 3 includes items such as time zone, inspection frame, number of reservations / capacity, and availability from the left.

The time zone indicates the start time of each division when the daily operation time of the examination room is divided into unit hours. For example, the availability breakdown D2 on June 3 shows the case where the operating hours of the examination room are set from 9:00 to 17:30 and 9:00 to 17:30 are divided into unit hours of 30 minutes. There is. Therefore, in the time zone column, the start time of each division divided into 30-minute units of 9:00, 9:30 ... 17:00 is shown.

The inspection frame indicates the inspection classification performed in the inspection room. As for the inspection frame, the same type of inspection category is continuously set in a plurality of time zone frames. The inspection classification is classified according to the type and purpose of the inspection performed in each laboratory. For example, when the modality installed in the examination room is an X-ray CT (Computed Tomography) device, the examination categories are divided into two categories: a contrast CT examination using a contrast medium and a simple CT examination which is a non-contrast examination. The examination classification may be classified by, for example, the examination site or the clinical department occupying the examination room. In the example of the availability breakdown D2 on June 3, the case of contrast-enhanced CT examination is simply shown as the case of contrast-enhanced and non-contrast-enhanced examination.

The number of people reserved indicates the number of people reserved in the time zone, and the capacity indicates the number of people who can make reservations in the time frame. The capacity is set for each hospital or each laboratory according to the examination frame. In the example of the availability breakdown D2 on June 3, the capacity of the contrast examination frame is set to 1 and the capacity of the simple examination frame is set to 2. This is because a contrast-enhanced examination takes a longer time than a non-contrast-enhanced examination.

If the number of people set in the time zone and the number of people reserved are the same, none is displayed in the availability. The number indicating the number of vacant slots displayed on the vacancy status display D1 in June is the total number of the number of people in each time zone minus the number of reservations in that time zone in the morning and afternoon, respectively.

For example, if today's date is June 3, when a doctor tries to make a new examination appointment, the June availability D1 is displayed on the client terminal of the examination room. Availability in June As shown in D1, there are no availability from June 3rd to the afternoon of June 9th. Therefore, new inspection appointments will be reserved on days with free slots after the afternoon of June 9th. In this case, the patient who visited today is required to visit the hospital two more times, including the day when the test is performed and the day when the test result is explained by the doctor.

In this way, in the inspection reservation system, the availability is determined based on the capacity set for each time zone. However, the inspection may be completed earlier than expected in the laboratory, and the availability displayed on the HIS client terminal may not completely match the actual availability in the laboratory.

Specifically, the maximum number of people set in the simple inspection frame of 30 minutes per unit time is two, and the estimated required time for each inspection is 15 minutes. If each of the actual inspections is completed in 10 minutes, 10 minutes out of 30 minutes of unit time will be free time. If the next appointment patient is not yet accepted, there will be free time when the examination will not be performed in the laboratory. On the other hand, the free time generated in the examination room cannot be confirmed from the client terminal of the examination room in the examination reservation system.

Hereinafter, each embodiment of the examination reservation system capable of making an examination reservation based on the time required for the examination accurately predicted for each patient regardless of the capacity set in the time zone frame will be described with reference to the drawings. In each figure, the same elements are designated by the same reference numerals, and duplicate description will be omitted.

[First Embodiment]
(1) Configuration FIG. 3 is a configuration diagram showing an example of an inspection reservation system according to the first embodiment. The inspection reservation system 1A of FIG. 3 includes HIS2A and RIS3A. RIS3A is an example of an inspection department system.

HIS2A and RIS3A are interconnected via the electronic network 1NW via the communication interface (IF: interface) 24 and the communication IF37. The communication IF24 and the communication IF37 are composed of network devices such as switches and hubs, and implement various communication protocols according to the network form. HIS2A and RIS3A communicate with each other according to these various communication protocols.

The electronic network 1NW is a hospital backbone LAN that uses telecommunications technologies such as wireless / wired LAN, Internet network, telephone communication line network, optical fiber communication network, cable communication network, and satellite communication network. The electronic network 1NW may be configured to connect to a WAN (Wide Area Network) via a network device such as a router.

The HIS2A includes a plurality of examination room terminals 20, an electronic medical record server 25, and a reservation management server 21a. The examination room terminal 20, the electronic medical record server 25, and the reservation management server 21a are interconnected via the electronic network 2NW. The electronic network 2NW is an internal network of HIS2A using a wireless / wired LAN, and is connected to the electronic network 1NW via the communication IF24.

The examination room terminal 20 is installed in each examination room and is composed of, for example, a general personal computer. The examination room terminal 20 exchanges electronic data between the electronic medical record server 25 and the reservation management server 21a as a client terminal of the electronic medical record server 25 and the reservation management server 21a. The examination room terminal 20 may be a workstation such as an electronic medical record creation device or a medical image display device.

The electronic medical record server 25 and the reservation management server 21a are connected to the RIS3A and other inspection department systems via the electronic network 1NW via the communication IF24. In addition, other laboratory department systems include a clinical laboratory information system (LIS) and a surgical department information system.

The RIS3A includes a radiology server 30a, an entry / exit recording device 33, a radiology terminal 34, a medical image storage communication system (Picture Archiving and Communication Systems: PACS) 35, and a modality 36. The radiology server 30a, the entry / exit recording device 33, the radiology terminal 34, and the PACS35 are interconnected via the electronic network 3NW. The electronic network 3NW is an internal network of RIS3A using a wireless / wired LAN, and connects to the electronic network 1NW via a communication IF37.

The entry / exit recording device 33 includes, for example, an IC card authentication terminal having an IC (Integrated Circuit) card reading function, and a transmitter that transmits authentication information and authentication time when the IC card is authenticated to the radiology department server 30a. To be equipped. The IC card authentication terminal is installed at the entrance of the examination room, for example, and records the entry / exit of the patient carrying the IC card into the examination room. The transmitter transmits the authentication information and the authentication time to the radiology server 30a by wire or wirelessly. The radiology server 30a may be configured to store the time when the authentication information is received from the transmitter in association with the authentication information.

The entry / exit recording device 33 is not limited to the above configuration. The entry / exit recording device 33 may include, for example, a terminal that can record the time when the patient enters / exits the examination room, such as a time recorder, instead of the IC card authentication terminal. Further, the RIS3A may be configured so that a hospital staff such as a radiologist can input a patient's entry / exit time from the radiology terminal 34.

The radiology terminal 34 is composed of, for example, a general personal computer, and exchanges electronic data between the radiology server 30a and the PACS35 as a client terminal of the radiology server 30a and the PACS35. Further, the radiology terminal 34 may be a workstation, may be installed in the examination room, and may be configured to function as an operation console of the modality 36.

The modality 36 is installed in each examination room, executes an examination in response to an instruction from the radiology terminal 34, and transmits the examination result to the PACS 35. Modality 36 installed in the radiology department includes, for example, an X-ray CT apparatus, an MRI (Magnetic Resonance Imaging) apparatus, an X-ray angiography, an X-ray fluoroscope, and a nuclear medicine diagnostic apparatus. The modality installed in the radiology department may include modality for physiological function examination such as an ultrasonic diagnostic apparatus and an endoscopy apparatus.

Here, the servers such as the electronic medical record server 25, the reservation management server 21a, the radiology department server 30a, and the PACS 35 may be installed in a place different from the client terminal such as a data center outside the hospital. Further, each server may function as a virtual server, and the user can connect to the server from the client terminal without being aware of the physical server. As described above, the inspection reservation system 1A may be configured by a cloud system.

Further, the inspection reservation system 1A may be a thin client system in which the client terminal used by the user is made to perform the minimum necessary processing and most of the processing is concentrated on the server side.

The server means, for example, a computer that provides a function or data of the server itself to a client terminal in a computer network. Each server constituting the inspection reservation system 1A includes at least a storage circuit and a processing circuit (see FIG. 4 described later) as a hardware configuration.

The storage circuit is a storage medium including an external storage device such as an HDD (Hard Disk Drive) or an optical disk device in addition to a ROM (Read Only Memory) and a RAM (Random Access Memory). The storage circuit stores various programs (including an operating system as well as an application program) executed in the processing circuit, data necessary for executing the program, and image data. The storage circuit may also store various commands for controlling the operating system. A GUI (Graphical User Interface) program that supports input from the input circuit may be stored.

The processing circuit may be configured by dedicated hardware, or may be configured to realize various functions described later by software processing by a built-in processor. Here, as an example, a case where the processing circuit realizes various functions by software processing by the processor will be described.

The processors in the above description include a dedicated or general-purpose CPU (Central Processing Unit), a GPU (Graphics Processing Unit), an application specific integrated circuit (ASIC), a programmable logic device, and a field programmable gate array. It means a circuit such as (FPGA: Field Programmable Gate Array). Examples of the programmable logic device include a simple programmable logic device (SPLD: Simple Programmable Logic Device) and a compound programmable logic device (CPLD: Complex Programmable Logic Device). The processing circuit realizes each function by reading the program stored in the storage circuit or the program directly incorporated in the processor of the processing circuit and executing the program.

Further, the processing circuit may be composed of a single processor or a combination of a plurality of independent processors. In the latter case, a plurality of storage circuits corresponding to the plurality of processors may be provided, and the program executed by each processor may be stored in the storage circuit corresponding to the processor. As another example, one storage circuit may collectively store programs corresponding to each function of a plurality of processors.

FIG. 4 is a block diagram showing a functional configuration example of the inspection reservation system 1A according to the first embodiment.

The HIS2A shown in the upper part of FIG. 4 includes an examination room terminal 20, an electronic medical record server 25, and a reservation management server 21a.

The examination room terminal 20 includes an input circuit 26 and a display 27. A user such as a doctor creates an electronic medical record from the input circuit 26 of the examination room terminal 20. In addition, the examination result and the medical image are displayed on the display 27 of the examination room terminal 20. In addition, a user such as a doctor makes an examination reservation for a patient using the examination room terminal 20, and issues an examination order, which is an examination request to the examination department.

The input circuit 26 is composed of an input device such as a keyboard, a mouse, a joystick, or a trackball, for example.

The display 27 is a display device such as a liquid crystal display panel, a plasma display panel, and an organic EL (Electro Luminescence) panel.

The electronic medical record server 25 stores an electronic medical record including patient information such as a patient's name, gender, and age, and examination information such as an examination type and an examination site performed on the patient. Further, the electronic medical record server 25 stores the inspection order, and stores the inspection order in association with the inspection result created by each inspection department.

The storage circuit 22a of the reservation management server 21a has an average stay time storage area 221a and an inspection reservation storage area 222a. The average stay time storage area 221a and the inspection reserved storage area 222a may be configured by a storage circuit different from the storage circuit 22a.

In the average stay time storage area 221a, the average stay time for each condition parameter pattern of the patient is stored. The average stay time is the average of the actual stay time in the laboratory for a plurality of patients having the same condition parameter pattern. As an example, the above-mentioned actual staying time shall mean the actual staying time of the reserved patient in the laboratory. The average staying time may be the time including the travel time to the examination room. Further, the inspection reservation system 1A may be configured in the average stay time storage area 221a so that the average stay time for each condition parameter pattern and the average time of travel time to the examination room are stored.

Conditional parameters are information items that affect the patient's length of stay in the laboratory. A conditional parameter pattern is a combination of a plurality of conditional parameters. That is, the condition parameter pattern is a set of the condition parameter that can affect the patient's staying time in the laboratory in the patient information and the condition parameter that can affect the patient's staying time in the laboratory in the examination information. It is a match. Details of the average staying time for each condition parameter pattern will be described later with reference to FIGS. 5 and 6.

The inspection reservation storage area 222a stores a list of inspection reservations for each examination room. The examination reservation list is updated in real time according to the reception of reserved patients and the progress of examinations. In addition, when a new inspection reservation occurs, the inspection reservation is added to the inspection reservation list. Details of updating the inspection reservation list will be described later with reference to FIGS. 10 and 12.

The processing circuit 23a of the reservation management server 21a has an inspection reservation function 231a, an empty frame search function 232a, and an average stay time calculation function 233a. The inspection reservation function 231a, the empty frame search function 232a, and the average stay time calculation function 233a are functions realized by the processor of the processing circuit 23a executing the program stored in the storage circuit 22a.

The examination reservation function 231a adds a new examination reservation to the examination reservation list stored in the examination reservation storage area 222a in response to the examination reservation request of a user such as a doctor. Details of adding an inspection appointment to the inspection appointment list will be described later with reference to FIG.

The free space search function 232a acquires the estimated staying time of the laboratory based on the condition parameter pattern of the reserved patient or the unreserved patient who newly reserves the examination. In the following description, a patient who newly reserves an examination will be referred to as an unscheduled patient, and a patient who has already been reserved will be referred to as a reserved patient.

The free frame search function 232a searches for a free frame from the inspection reservation list based on the acquired estimated staying time. Further, the free frame search function 232a generates a free space status display based on the searched free frame and displays it on the display 27 of the examination room terminal 20. Details of the method of acquiring the estimated staying time and the method of determining the vacant frame will be described with reference to FIGS. 9 and 10 described later.

The average stay time calculation function 233a calculates the actual stay time of the patient based on the actual time of entering the patient's room and the actual time of leaving the room acquired by the entry / exit recording device 33. The actual entry time is the time when the patient enters the examination room. The actual leaving time is the time when the patient leaves the laboratory after the examination is completed. Further, the average stay time calculation function 233a calculates the average stay time for each condition parameter pattern of the patient based on the calculated actual stay time of the patient. The details of the average staying time for each condition parameter pattern will be described later with reference to FIG.

The RIS3A shown at the bottom of FIG. 4 includes a radiology server 30a, an entry / exit recording device 33, and a radiology terminal 34.

The storage circuit 31a of the radiology server 30a has an examination order storage area 311a and an entry / exit time storage area 312a. The inspection order storage area 311a and the room entry / exit time storage area 312a may be configured by a storage circuit different from the storage circuit 31a.

A list of inspection orders is stored in the inspection order storage area 311a. The test order includes the appointment time zone, patient information, and test information. When the examination reservation is executed at the examination room terminal 20 and the examination order is issued, the examination order is stored in the electronic medical record server 25 and transmitted to the RIS3A, and is stored in the examination order storage area 311a.

The entry / exit time storage area 312a stores the actual entry time and the actual exit time. The actual entry time and the actual exit time are input from the entry / exit recording device 33 or the radiology terminal 34.

The processing circuit 32a of the radiology server 30a has an examination reservation update function 321a. The inspection reservation update function 321a is a function realized by the processor of the processing circuit 32a executing the program stored in the storage circuit 31a.

The examination reservation update function 321a updates the examination reservation list stored in the examination reservation storage area 222a of HIS2A in real time according to the progress of the examination such as the reception of the reserved patient and the start time of the examination. The progress of the examination is information indicating the latest status of the reserved examination, such as whether or not the reserved patient has completed the reception at the reception desk of the radiology department and whether or not the examination has been completed. ..

In addition, the examination reservation update function 321a transmits the actual entry time and the actual exit time of the patient stored in the entry / exit time storage area 312a to the HIS2A as the progress status of the examination. The inspection reservation update function 321a adds the actual entry time and the actual exit time to the inspection reservation list, and updates the inspection reservation list.

(2) Operation In the inspection reservation system 1A according to the first embodiment, the free frame search is executed based on the free time calculated by using the average stay time for each condition parameter pattern. The average stay time is calculated each time the patient's examination is performed, and is associated with the patient's condition parameters and accumulated in the reservation management server 21a. Therefore, the operation of the inspection reservation system 1A according to the first embodiment will be described separately for the operation of accumulating the average staying time for each condition parameter pattern and the operation of searching for an empty frame.

FIG. 5 is a flowchart showing an example of an operation of accumulating the average staying time of the inspection reservation system 1A according to the first embodiment.

In step ST101, the entry / exit recording device 33 acquires the actual entry time and the actual exit time. Further, the entry / exit recording device 33 stores the actual entry time and the actual exit time in the entry / exit time storage area 312a of the radiology server 30a in association with the examination code and the patient code. The test code and the patient code are codes that uniquely identify the test and the patient, and are composed of numbers and alphabets.

The entry / exit recording device 33 may store the condition parameter pattern in the entry / exit time storage area 312a in association with the actual entry time and the actual exit time, instead of the examination code and the patient code. The condition parameter pattern is a series of information items that affect the patient's staying time in the laboratory among the patient information and the examination information. The entry / exit recording device 33 extracts the patient's condition parameter pattern from the patient information and the examination information stored in the examination order storage area 311a, and stores the patient's condition parameter pattern in the entry / exit time storage area 312a in association with the actual entry time and the actual exit time. You may.

In step ST102, the average stay time calculation function 233a of HIS2A acquires the actual entry time and the actual exit time stored in the entry / exit time storage area 312a of RIS3A. The average stay time calculation function 233a may acquire the actual entry time and the actual exit time from the entry / exit time storage area 312a each time the actual entry time and the actual exit time are recorded. Further, the average stay time calculation function 233a may collectively acquire a plurality of actual entry times and actual exit times outside the inspection time.

In step ST103, the average staying time calculation function 233a calculates the actual staying time by, for example, subtracting the actual entering time from the actual leaving time.

In step ST104, the average stay time calculation function 233a acquires a condition parameter pattern from the electronic medical record server 25, for example, based on the examination code and the patient code associated with the actual entry time and the actual exit time.

In step ST105, the average stay time calculation function 233a searches the average stay time storage area 221a for a condition parameter pattern that matches the patient condition parameter pattern for which the actual stay time was calculated in step ST103, and the searched condition parameter. Get the average dwell time of the pattern. The average stay time storage area 221a stores the average stay time for each condition parameter pattern. The average dwell time is the average of the actual dwell times calculated for a plurality of patients having the same condition parameter pattern in the past examination.

The average stay time storage area 221a has been performed in the past for patients with the same condition parameter pattern, that is, the number of denominators when the average stay time was calculated, in addition to the average stay time for each condition parameter pattern. The number of tests may be stored.

The average stay time calculation function 233a calculates an updated value of the average stay time from the actual stay time calculated in step ST103 based on the acquired average stay time and the number of inspections performed in the past. The reservation management server 21a may be configured to accumulate the actual staying time in all inspections for each condition parameter pattern, and the average staying time calculation function 233a may be configured to condition each time a new inspection is actually inspected. The average staying time may be calculated by averaging the actual staying times with the same parameters.

In step ST106, the average stay time calculation function 233a updates the average stay time of the average stay time storage area 221a. That is, the average staying time of the condition parameter pattern that matches the patient's condition parameter pattern for which the actual staying time was calculated in step ST103 is the updated value calculated in step ST105. When the condition parameter pattern that matches the condition parameter pattern of the patient for which the actual stay time is newly calculated does not exist in the average stay time storage area 221a, the average stay time calculation function 233a uses the newly calculated actual stay time. Is processed as the average dwell time of the condition parameter pattern.

FIG. 6 is a table for explaining the average staying time of the inspection reservation system 1A according to the first embodiment. As shown in the title row of the table of FIG. 6, the average stay time stored in the average stay time storage area 221a is stored in association with the condition parameter pattern. In the table of FIG. 6, the row above the double line is referred to as a title row, and the rows other than the title row are referred to as data rows.

The third line of the title line is the information item related to the staying time in the examination information and patient information, and from the left, the examination type, examination site, presence / absence of contrast, and medical examination are included as examination information, and the age. , Gender, presence / absence of disability, walking condition, infectious disease, etc., and attendant 6 items are included as patient information. Here, as an example, the condition parameter pattern is a combination of 10 items related to the staying time in the examination information and the patient information.

The inspection type included in the inspection information indicates the type of modality used for the inspection. The examination site indicates the anatomical site of the patient to be examined. The presence or absence of contrast indicates whether or not a contrast agent is used in the examination. A medical examination indicates whether or not the examination was performed at a medical examination or human dock. In the case of a medical examination or a human dock, the examinee has already changed his / her clothes, and the time for the examinee to stay in the examination room is shorter than that in the case other than the medical examination or the human dock.

The age included in the patient information indicates the age of the patient. The age group is, for example, 10 to 19 years old divided into 10 years old, such as a teenager. The age division is not limited to the 10-year-old unit, and may be the 5-year-old unit, or may not be separated at regular intervals.

The presence or absence of disability indicates the presence or absence of disability in the patient. Types of disability include disorders that affect the length of stay in the laboratory, such as movement disorders, hearing disorders, visual disorders, consciousness disorders, mental disorders, or speech disorders.

Gait status indicates the means of transportation to the patient 's laboratory or modality. For example, the patient may be able to walk on his own or may be carried in a wheelchair or stretcher.

Infectious diseases and the like indicate the patient's chronic illness and the illness being affected. For example, diseases that affect the time spent in the laboratory, such as allergies, asthma, viral infections or bacterial infections, are included. For example, if a patient with allergies or asthma has a seizure during the test, the time spent in the laboratory will be longer. Also, if the patient is infected with a virus or bacteria, disinfection or cleaning may be required to prevent nosocomial infections.

The attendant indicates whether someone other than the patient witnessed the test to assist the child or the elderly. When a caregiver is present, the examination is often performed more smoothly than when there is no caregiver, and the patient's time in the laboratory is shorter.

The average stay time is stored in association with the condition parameter pattern including the plurality of items. For example, the condition parameter pattern on the first line of the data line is the test type "CT", the test site "head", the presence or absence of contrast "none", the medical examination "-", the age "20s", the gender "male", The presence or absence of disability is "none", the walking condition is "walkable", the infectious disease is "none", and the attendant is "none". For patients who meet the condition parameters in the first row of the data row, the average stay time is 10 minutes.

In addition, the third line of the data line differs from the first line of the data line only in items such as age and infectious disease, and is "asthma" such as age "30s" and infectious disease. For patients whose condition parameter pattern matches the third row of the data row, the average stay time is 15 minutes, which is 5 minutes longer than the first row of the data row.

As described above, the inspection reservation system 1A according to the present embodiment stores the average staying time for each condition parameter pattern that affects the staying time in the laboratory. The examination reservation system 1A stores the staying time in different laboratories according to the patient's condition pattern parameters in association with the patient's condition pattern parameters, calculates the average staying time each time a new examination is performed, and manages the appointment. The average staying time stored in the server 21a is updated.

The above is the method of accumulating the average staying time. The accumulated average staying time is used for free space search. Next, the operation of the free frame search for predicting the patient's stay time using the average stay time and extracting the free frame from the examination reservation list will be described. Hereinafter, the operation of the empty frame search will be described as an example in which a doctor in the examination room makes a new examination appointment for patient X.

In addition, the method of the free frame search is the first free frame search in which the latest time zone frame is the free frame judgment target based on the current time, and the free frame judgment target in the inspection frame after a predetermined time based on the current time. There is a second free space search.

The inspection reservation system 1A may be configured so that the user can arbitrarily select the first free frame search and the second free frame search. Further, the inspection reservation system 1A may be configured to switch between the first free frame search and the second free frame search based on a predetermined condition.

First, the operation of the first free frame search for the latest time zone based on the current time will be described with reference to FIGS. 7 and 8.

FIG. 7 is a flowchart showing an example of the operation of the first empty frame search of the inspection reservation system 1A according to the first embodiment.

In step ST121, the empty frame search function 232a of the processing circuit 23a of the reservation management server 21a acquires the condition parameter pattern of the patient X who is an unreserved patient from the electronic medical record server 25. The free frame search function 232a acquires the average stay time of the condition parameter pattern that matches the acquired condition parameter pattern of patient X as the predicted stay time of patient X.

FIG. 9 is a schematic diagram illustrating a method of acquiring the predicted stay time in the inspection reservation system 1A according to the first embodiment. The upper table of FIG. 9 shows the condition parameters of patient X. The lower table of FIG. 9 shows the average stay time for each condition parameter pattern stored in the average stay time storage area 221a.

The condition parameter pattern of patient X can be extracted from the electronic medical record stored in the electronic medical record server 25 based on the patient code shown in the second column from the left in the upper table. Further, the examination room terminal 20 and the reservation management server 21a may be configured so that a user such as a doctor can input the condition parameter pattern of the patient X when executing the empty frame search.

As shown in the upper part of FIG. 9, the condition parameter pattern of patient X is the examination type "CT", the examination site "head", the presence or absence of contrast enhancement "none", the medical examination "-", the age "20s", and the gender " "Male", with or without disability "none", walking condition "walkable", infectious disease "none", attendant "none". In the lower table of FIG. 9, it is the first row of the data row that matches the condition parameter of patient X, and the average stay time is 10 minutes. Therefore, the free space search function 232a predicts that the predicted stay time of patient X is 10 minutes.

Although FIG. 9 has described an example in which the average stay time when the condition parameter pattern of patient X and the condition parameter pattern completely match is used as the predicted stay time, the mode is not limited to that of FIG. For example, when the average staying time matching the condition parameter pattern of patient X is not in the average staying time storage area 221a, the free space search function 232a predicts the average staying time of the condition parameter pattern closest to the condition parameter pattern of patient X. It may be the staying time.

Further, the empty frame search function 232a may calculate the predicted stay time based on the average stay time of the condition parameter pattern closest to the condition parameter pattern of patient X. For example, the free space search function 232a may calculate the time obtained by adding or subtracting a predetermined time to the average stay time of the condition parameter pattern closest to the condition parameter pattern of patient X as the predicted stay time of patient X. Whether to add or subtract a predetermined time may be preset according to the nature of the information items that do not match in the condition parameter pattern.

For example, when information items such as the presence or absence of a disability and the walking state that tend to increase the staying time in the examination room do not match, a predetermined time may be added to the average staying time. On the other hand, if the information items such as medical examinations and attendants that tend to reduce the staying time in the laboratory do not match, the predetermined time may be subtracted from the average staying time. In addition, here, "in advance" is before the free frame search is executed, such as when the installation adjustment of the inspection reservation system 1A is performed.

Returning to FIG. 7, the explanation of the flowchart will be continued.

In step ST122, the free frame search function 232a specifies a time zone frame to be determined for the presence or absence of a free frame based on the current time. The current time is specified, for example, based on the system time or a real time clock (RTC). The empty frame search function 232a is an examination frame that can examine patient X, and identifies the time zone frame closest to the current time. That is, the free frame search function 232a specifies a time zone frame that includes the current time or a time zone frame that does not include the current time but includes the time closest to the current time as the latest time zone frame.

In step ST123, the free frame search function 232a calculates the free time in the time zone frame for which the free frame is determined. Hereinafter, the free time calculation process will be described with reference to the flowchart of FIG.

FIG. 8 is a flowchart showing an example of the operation of the free time calculation process of the inspection reservation system according to the first embodiment. The method of calculating the free time depends on the conditions such as whether or not there is a patient who has completed the reception at the radiology window at the current time and whether or not the current time is included in the time zone specified as the free frame judgment target. Is different. A method of calculating the free time according to the above conditions will be described with reference to the flowchart of FIG. 8 according to the step numbers of the flowchart.

In step ST131, it is determined whether or not there is a patient who has been accepted and has not been examined. Patients who have been accepted and have not been examined are patients who have already been accepted at the radiology department at the current time and are waiting for or under examination. If there is a patient who has been accepted and has not been examined, the process branches to YES, and the empty frame search function 232a proceeds to step ST137. On the other hand, when there is no patient who has been accepted and has not been examined, the empty frame search function 232a proceeds to step ST132.

In step ST132, the empty frame determination function 232a determines whether or not the time zone frame tentatively specified as the empty frame determination target includes the current time. The earliest time frame is specified as the latest time frame among the time frames of the examination frame whose examination category matches the examination performed on the patient based on the current time. Therefore, the free frame determination function 232a specifies a time zone frame including the current time or a time zone frame not including the current time but including the time closest to the current time as the latest time zone frame.

When the time zone frame tentatively specified as the free frame determination target includes the current time, the process branches to YES in step ST132, and the free frame search function 232a proceeds to step ST135. On the other hand, when the time zone frame tentatively specified as the free frame determination target does not include the current time, the process branches to NO, and the free frame search function 232a proceeds to step ST133.

In step ST133, the free space search function 232a calculates the total estimated stay time of all patients reserved in the specified time zone.

In step ST134, the free space search function 232a calculates the total estimated stay time of all reserved patients in the specified time zone, and from the unit time of the specified time zone, the total estimated stay time. Is subtracted to calculate the free time. In step ST134, the free time is calculated when the time zone tentatively specified as the free frame determination target does not include the current time and there is no patient who has been accepted and has not been examined at the current time.

Specifically, when the current time is 10:20, the time zone frame of 10:30 is specified as the empty frame determination target. Since the current time is 10:20, patients who have been reserved in the time frame of 10:30 may not yet be accepted at the radiology department window. In this case, the free frame search function 232a acquires the predicted stay time of the reserved patient based on the condition parameter pattern of the reserved patient in the time zone of 10:30, and subtracts it from the unit time of the time zone. Calculate the free time of the time frame.

In step ST135, the free space search function 232a calculates the total estimated staying time of the reserved patient when there is a reserved patient who has not been accepted at the radiology department window.

In step ST136, the free space search function 232a calculates the time obtained by subtracting the current time from the start time of the time zone next to the specified time zone, and the estimated stay time of the reserved patient from the calculated time. Calculate the free time by further subtracting the total time.

That is, in step ST136, the free time is calculated when the time zone tentatively specified as the free frame determination target includes the current time and there is no patient who has been accepted and has not been examined at the current time. In addition, in the specified time zone, it is assumed that all the examinations of the patients reserved in the time zone have been completed, and that there are patients who have been reserved and have not completed the reception at the radiology department window. .. Therefore, the free space search function 232a calculates the free time by taking into account the estimated staying time of the patient who has been reserved and has not completed the reception at the radiology department window.

In step ST137, the empty frame determination function 232a determines whether or not the time zone frame provisionally specified as the empty frame determination target includes the current time. If the specified time zone frame includes the current time, the process branches to YES, and the free frame search function 232a proceeds to step ST140. On the other hand, when the specified time zone frame does not include the current time, the free frame search function 232a proceeds to step ST138.

In step ST138, the empty frame search function 232a calculates the final scheduled time of leaving the room in the specified time zone. Here, the final scheduled time of leaving the room is the estimated time when the last reserved patient in a certain time frame will leave the laboratory.

In step ST139, the vacant frame search function 232a calculates the vacant time of the specified time frame by subtracting the last scheduled leaving time from the start time of the next time frame of the specified time frame.

In step ST140, the vacant frame search function 232a sets the vacant frame determination target for the time zone frame after the tentatively specified time zone frame. The free space search function 232a calculates the total time of the average stay time of all the patients reserved in the time zone after the tentatively specified time zone.

That is, when there is a patient who has already been accepted at the window of the radiology department and the time zone specified based on the current time includes the current time, the free frame search function 232a currently sets the time frame to be determined as the free frame. It is specified as the next time frame of the time frame specified based on the time.

For example, when the current time is 10:40, the time zone specified in the empty frame search of patient X is the time zone of 10:30. If there are patients who have been accepted and have not been examined in the time frame of 10:30, the free frame search function 232a sets the time frame of 11:00, which is the time frame next to the time frame of 10:30. Identify as a free space judgment target.

The free frame search function 232a may set one time zone frame after the time zone frame specified based on the current time as the free frame determination target, or the time zone frame specified based on the current time. A plurality of time zones after that may be set as the empty frame determination target. Hereinafter, a case will be described as an example in which a plurality of time zones after the time zone specified based on the current time are targeted for the empty frame determination. That is, when the tentatively specified time zone is 10:30, the time zones of 11:00 and 11:30 are subject to the vacant frame determination.

In step ST141, the free frame search function 232a calculates the total time of a plurality of time zones after the tentatively specified time zone. For example, the total time of the two time slots of 11:00 and 11:30 is calculated. Since the unit time of the time zone frame is 30 minutes, 30 minutes x 2 is calculated as 60 minutes.

In step ST142, the free space search function 232a is the total estimated stay time of all the patients reserved in the time zone from the total time of the plurality of time zones after the tentatively specified time zone. Calculate the free time by subtracting the time.

The above is the description of the free time calculation process in the flowchart of FIG. Hereinafter, the free time calculation process of FIG. 8 will be supplementarily described with reference to FIG.

FIG. 10 is a schematic diagram illustrating a method of calculating the free time in the first free frame search. The table of FIG. 10 is a list of inspection reservations stored in the inspection reservation storage area 222a.

As shown in the first row of the title row of the inspection reservation list in the table of FIG. 10, the inspection reservation list includes three information item groups of inspection reservation, actual result, and prediction. The examination appointment is a group of information items related to the examination contents, the actual results are the information item group indicating the latest progress status, and the prediction is the information item group related to the scheduled time of entering and leaving the examination room of the reserved patient. The examination appointment includes information items such as time zone, examination frame, capacity, examination code, and patient name. The actual results include reception and inspection, and each information item of the actual entry time and the actual exit time is included. The forecast includes information items such as scheduled entry time, estimated stay time (minutes), and scheduled exit time.

The item showing the actual result in the inspection reservation list is an item updated by the inspection reservation update function 321a according to the progress of the inspection on the RIS3A side. For example, when a reserved patient moves from the examination room to the radiology department and the reception is completed at the radiology department window, the examination reservation update function 321a sets the item of the examination reservation reception to "completed". Further, the inspection reservation update function 321a adds a time to the actual entry time and the actual exit time of the inspection reservation list each time the actual entry time and the actual exit time are stored in the entry / exit time storage area 312a. Further, the inspection reservation update function 321a adds the actual leaving time to the inspection reservation list and sets the inspection item to "finished".

The empty frame search function 232a determines that there are patients who have been accepted and have not been examined when the item of acceptance of the examination reservation is "completed" and the item of the examination is blank in the examination reservation list.

Hereinafter, a process (steps ST138 to ST139 in FIG. 8) in which a time zone frame that does not include the current time is specified as an empty frame determination target and there is a received patient in the specified time zone frame will be described as an example.

In FIG. 10, the examination appointment of patient X will be described by taking the case where the time when the doctor executes the free space search is 10:20 as an example. The examination to be performed on patient X is a non-contrast X-ray CT examination. Therefore, the examination frame in which the examination of patient X can be performed is simple. If the current time is 10:20, the time slot specified is the 10:30 time slot, which is a simple inspection slot.

The free frame search function 232a calculates the free time of the time zone of 10:30 to determine whether the patient X can be reserved in the time frame of 10:30.

Two tests, reserved patient D (4th row of data row) and reserved patient E (5th row of data row), are reserved in the 10:30 time frame.

The reception items for patient D and patient E are both "completed", and the examination items are blank. On the other hand, the actual entry time of patient D has already been entered in the examination reservation list, indicating that the examination is in progress for patient D. That is, there are patients who have been accepted and have not been examined. Therefore, the empty frame search function 232a branches to YES in step ST131, and proceeds to step ST137.

Next, the free frame search function 232a determines whether or not the current time is included in the specified time zone frame of 10:30 (process in step ST137). Since the current time is 10:20, the time frame of 10:30 does not include the current time. That is, the empty frame search function 232a branches to NO in step ST137 and proceeds to step ST138.

The free frame search function 232a calculates the final exit time in the specified 10:30 time frame (step ST138). The free frame search function 232a first predicts the scheduled leaving time of patient D. The free frame search function 232a searches the average staying time storage area 221a based on the condition parameter pattern of the patient D and acquires the average staying time. The free space search function 232a uses the acquired average stay time as the predicted stay time, adds the predicted stay time to the actual start time, and calculates the scheduled leaving time of patient D. Since the actual entry time of patient D is 10:15 and the estimated staying time is 10 minutes, the scheduled leaving time is estimated to be 10:25.

Next, the free space search function 232a predicts the scheduled leaving time of patient E. Since patient E has not yet entered the examination room, the scheduled time of entry of patient E is predicted based on the scheduled time of leaving patient D. Assuming that the time from the departure of the previous patient to the entry of the next patient is, for example, 1 minute, 10:26, which is the scheduled exit time of patient D plus 1 minute, is the scheduled entry time of patient E.

The time from the departure of the previous patient to the entry of the next patient may be predetermined for each hospital and each laboratory, and depends on the condition parameter pattern of the patient leaving the room and the patient entering the room. It may be the time calculated by. Here, "in advance" is the same as described above.

By adding 10 minutes of the estimated staying time of patient E to 10:26, which is the scheduled entry time of patient E, it can be predicted that the scheduled leaving time of patient E is 10:36. Since there are no more reserved patients in the time frame of 10:30, the scheduled leaving time of patient E is the final scheduled leaving time in the time frame of 10:30.

The free frame search function 232a calculates the free time of the 10:30 time frame as 24 minutes by subtracting the final scheduled leaving time from the start time of the next time frame of the 10:30 time frame from 11:00. (Step ST139).

In the table of FIG. 10, when the inspection frame of the time zone of 10:00 is simple, the empty frame search function 232a specifies the time frame of 10:00 as the latest time frame. When the current time is 10:20, the time frame at 10:00 is the time frame including the current time. In this case, in the free time calculation process, the free frame search function 232a proceeds to step ST140.

If there is a patient who has been accepted and has not been examined at the current time and the time zone specified based on the current time includes the current time, the free frame search function 232a uses the time frame specified based on the current time. The time zone frame after the next is specified as a free frame determination target (step ST140). When the current time is 10:40, the time zone specified in the empty frame search of patient X is the time zone of 10:30, and the time zone of 11:00 is next to the time zone of 10:30. It is a frame.

For example, in FIG. 10, four patients F to I are reserved in the time zones of 11:00 and 11:30. The free space search function 232a acquires the predicted staying time based on the condition parameter pattern of these patients, and totals the acquired predicted staying time. For example, if the total estimated stay time of the four patients F to I is 45 minutes, the total time of the time frame of 11:00 and 11:30 is 60 minutes, so the free time is 15 Calculated as minutes.

In the inspection reservation list of FIG. 10, when both the reception and inspection items are "completed" or the reception and inspection items are both blank when the empty frame search is executed, the free frame search function 232a has been accepted and has not been received. It is determined that there is no patient to be examined (branch to NO in step ST131).

When the specified time zone frame does not include the current time (branch to NO in step ST132), the free frame search function 232a proceeds to step ST133.

For example, in the inspection reservation list of FIG. 10, the case where the current time is 10:50 and the time zone frame of 11:00 is specified based on the current time will be described as an example. As shown in the examination reservation list of FIG. 10, the reception and examination items of the patient F and the patient G in the time frame of 11:00 are both blank. In this case, the free frame search function 232a calculates the total time of the predicted stay time of the patients F and the patient G reserved in the specified 11:00 time frame. When the predicted stay time of patient F and patient G is 10 minutes each, the total time of the predicted stay time is 20 minutes, and the free time is obtained by subtracting 20 minutes from the unit time of the time frame of 11:00. It is calculated as 10 minutes.

On the other hand, when the specified time zone frame includes the current time (branches to YES in step ST132), the free frame search function 232a proceeds to step ST135.

For example, in the examination reservation list of FIG. 10, the case where the current time is 11:10, the examination of the patient F is completed, and the patient G is not accepted at the radiology window will be described as an example. The examination of patient X is a non-contrast examination, and the empty frame search function 232a specifies the time zone frame of 11:00, which is the latest time zone frame, as the empty frame determination target based on the current time. The time frame next to the time frame 11:00 is 11:30, and the time obtained by subtracting the current time 11:10 from 11:30 is 20 minutes. If the predicted stay time of patient G who has been reserved and has not been accepted is 10 minutes, the free time of the time zone 11:00 is calculated to be 10 minutes.

The above is the description of the free time calculation process in the flowchart of FIG. Returning to FIG. 7, the explanation of the flowchart regarding the free frame search will be continued.

In step ST124, the free frame search function 232a determines whether or not the free time calculated by the free time calculation process in step ST123 is equal to or longer than the predicted stay time of patient X. If the free time is equal to or longer than the predicted stay time of patient X, the process branches to YES, and the free frame search function 232a proceeds to step ST126. On the other hand, if the free time is less than the predicted stay time of patient X, the process branches to NO, and the free frame search function 232a proceeds to step ST125.

In step ST125, the free frame search function 232a specifies the next time zone frame as a free frame determination target, and returns the process to step ST123 in order to calculate the free time. When the time zone tentatively specified in step ST122 is 10:30, the next time zone is the time frame of 11:00.

In step ST126, the free space search function 232a generates a free space status display and displays it on the display 27 of the examination room terminal 20. In the example of FIG. 9, the predicted stay time of patient X is 10 minutes, and when the free time of the time frame of 10:30 is 24 minutes, the free time is longer than the predicted stay time of patient X. The vacant frame search function 232a generates a vacancy status display using the time zone frame of 10:30 specified in the example of FIG. 10 as a vacant frame.

FIG. 11 is a table for explaining the availability display in the inspection reservation system 1A according to the first embodiment. FIG. 11 shows the availability breakdown D3 on June 3. In the availability breakdown D3 on June 3, grayscale hatching is added as an item for which the inspection completed time frame cannot be selected, and it is shown separately from the selectable item.

As shown in FIG. 11, the time zone frame specified as the vacant frame is the 10:30 time zone frame on the fourth line of the data line of the vacancy status breakdown D3 on June 3. The item of reserved number of people / capacity in the time frame of 10:30 is "2/4", and the availability is "* 2".

The free frame search function 232a determines in the process of step ST125 that the examination of patient X can be reserved in the time zone of 10:30. This is because the expected stay time of patient X is 10 minutes, and the free time in the 10:30 time frame is 24 minutes, which is longer than that. In this case, the vacant frame search function 232a displays that there are vacant frames for two more patients based on the predicted stay time of patient X. That is, the free space search function 232a adds two newly reservable people to the predetermined capacity of two people, and generates the vacancy status breakdown D3 on June 3 with the capacity of four people.

In order to distinguish the case where the vacancy status is displayed regardless of the predetermined capacity by the vacant frame search function 232a from the case where the vacancy status is displayed based on the predetermined capacity, the vacancy status is a number indicating the number of vacant frames. (*) Is displayed before (“2” in the example of FIG. 11).

The display of the time zone frame determined to have free time is not limited to the aspect shown in FIG. For example, a chromatic color may be assigned to a data row in a time zone frame determined to have free time to distinguish it from other data rows.

Returning to FIG. 7, the explanation of the flowchart will be continued.

In step ST127, a user such as a doctor executes an examination appointment for patient X based on the availability breakdown D3 on June 3 displayed on the display 27 of the examination room terminal 20. In the example of FIG. 11, the doctor or the like selects the time frame of 10:30 of the availability breakdown D3 on June 3, and executes the appointment of patient X.

In step ST128, the examination reservation function 231a adds the examination reservation of patient X to the examination reservation list stored in the examination reservation storage area 222a.

The above is the description of the flowchart of FIG. Hereinafter, a method of adding the examination appointment of patient X to the examination appointment list will be supplementarily described with reference to FIG.

FIG. 12 is a table illustrating the addition of inspection reservations in the inspection reservation system 1A according to the first embodiment. The table of FIG. 12 shows a table in which the appointment of patient X is added to the list of examination appointments for June 3 shown in FIG.

As shown in FIG. 12, patient X's appointment is added after patient E in the 10:30 time frame. That is, it is possible to add a new inspection reservation for the time frame of 10:30, which has a predetermined capacity of two people, and it is possible to make a reservation exceeding the capacity. As described above, in the examination reservation system 1A according to the first embodiment, the free time that may occur depending on the progress of the examination is equal to or greater than the predicted stay time of the unreserved patient, regardless of the predetermined capacity. If so, reservations are possible.

Next, a second free frame search will be described in which the inspection frame after a predetermined time is set as the empty frame determination target based on the current time.

FIG. 13 is a flowchart showing an example of the operation of the second empty frame search of the inspection reservation system 1A according to the first embodiment. FIG. 13 will be described as an example in which a doctor in the examination room makes a new examination appointment for patient X, as in FIG. 7. The same processing as the flowchart of FIG. 7 for explaining the first empty frame search is assigned the same number, and the description thereof will be omitted.

In step ST151, the empty frame search function 232a identifies an inspection frame group after a predetermined time from the current time. An inspection frame group is a continuous time frame in which the same inspection frame spans a plurality of consecutive time frames. In addition, the predetermined time is a predetermined time in the operation of the hospital. In addition, "in advance" is the same as described above.

Further, the predetermined time does not have to be uniform and may be set according to the current time. For example, if the latest time slot is the time slot immediately before the unavailable time slot based on the current time, the free slot search function 232a vacates the time slot after the unavailable time slot. The empty frame search function 232a may be configured so as to be a frame determination target.

In step ST152, the free space search function 232a calculates the predicted stay time of the reserved patient of the examination frame group specified as the free space determination target, and totals all the calculated predicted stay times.

In step ST153, the vacant frame search function 232a calculates the total time of the examination frame group to be determined as the vacant frame, subtracts the total estimated staying time of the reserved patient from the total time of the examination frame group, and vacates the examination frame group. Calculate the time.

In step ST124, the free frame search function 232a determines whether or not the free time of the examination frame group is equal to or greater than the predicted stay time of patient X. When the free time of the examination frame group is equal to or longer than the predicted stay time of patient X, the process branches to YES, and the free status display is generated in step ST126 and displayed on the display of the examination room terminal 20. If the free time of the examination frame group is less than the predicted stay time of patient X, the process branches to NO, and the free frame search function 232a proceeds to step ST154.

In step ST154, the vacant frame search function 232a identifies the test frame group whose test frame matches the test performed on the patient next to the test frame group determined to have no vacant frame as the vacant frame determination target. Return to step ST152 and calculate the free time.

The above is the operation of the second free frame search. Hereinafter, the second method of searching for empty frames will be supplementarily described with reference to FIG.

FIG. 14 is a schematic diagram illustrating a method of determining a free frame in the second free frame search. FIG. 14 shows a list of inspection appointments on June 3, similar to FIG.

The examination frame for patient X is simple. When the current time is 11:20, in the first free frame search, the free frame search is executed for the time zone frame of 11:30. However, the 11:30 time zone is the time zone immediately before the laboratory becomes unavailable.

The hours when the laboratory is unavailable may be allocated to system maintenance such as modality adjustment. If some trouble occurs in the time frame of 11:30 and the inspection is prolonged, it may affect the system maintenance time. Therefore, the inspection reservation system 1A can be operated so as not to allocate the inspection reservation that occurred on the day in the time zone immediately before the examination room becomes unavailable. In this case, a second free space search can be used.

In the second free frame search, the free frame search function 232a specifies a simple frame examination frame group to be reserved by patient X. The simple but continuous inspection frame group includes four time slots from the 13:00 time slot to the 14:30 time slot in the inspection reservation list. Since the unit time of each time zone is 30 minutes, the total time of the inspection frame group is 30 minutes x 4 frames = 120 minutes.

Further, the free frame search function 232a predicts the predicted stay time of the reserved patient in the examination frame group based on the condition parameter pattern of the patient. The total estimated stay time of the eight patients from patient J to patient Q reserved in the examination frame group is 102 minutes. Therefore, the free space search function 232a subtracts the total estimated stay time of the reserved patient from the total time of 120 minutes of the examination frame group to 102 minutes, and calculates the free time of the examination frame group as 18 minutes.

Since the expected stay time of patient X is 10 minutes, it is possible to schedule an examination for patient X in any time frame of the examination frame group. For example, the free frame search function 232a may give priority to patients who have already been reserved by putting the reservation of the unreserved patient that occurred on the day at the end of the time zone included in the examination frame group. For example, in FIG. 14, the free frame search function 232a may specify the time zone frame at 14:30 as a free frame.

In addition, it is predicted that the free time will occur in the time zone located in the middle of the inspection frame group if the inspection is advanced. Therefore, the free frame search function 232a may specify the time zone frame at 13:30 or 14:00 located in the middle as a free frame. Further, the free frame search function 232a may display the free space status on the display 27 so that the user can select any of the four frames from the time zone frame of 13:00 to the time zone frame of 14:30.

According to the examination reservation system 1A according to the first embodiment, the predicted stay time of the patient can be accurately predicted by accumulating the average stay time for each condition parameter pattern of the patient. In addition, the free space can be efficiently identified by updating the inspection reservation list in real time according to the progress of the inspection and calculating the free time by a method according to the progress of the inspection. Further, by displaying the vacancy status according to the predicted staying time regardless of the preset capacity, it is possible to provide a user such as a doctor in the examination room with a display according to the vacancy status of the actual examination room.

As a result, a user such as a doctor can make a dynamic examination reservation according to the real-time situation of the examination room while staying in the examination room. As a result, the free time of the laboratory can be effectively utilized and the number of patient visits can be reduced.

In addition, in FIGS. 3 to 14, the vacant frame search method of the day which does not depend on the capacity set in the time zone frame and the reservation method for the vacant frame have been described. However, the free space search and the reservation method for the free space that do not depend on the capacity are not limited to the day. That is, the technical idea described in the first embodiment can be applied to the empty frame search from the next day onward.

FIG. 15 is a table for explaining the availability display including the next day and after. The June availability display D4 in FIG. 15 shows the monthly display of the availability. FIG. 15 shows an example of displaying the vacancy status independent of the capacity in the monthly vacancy status display based on the predicted stay time calculated from the condition parameter pattern of the unreserved patient.

As shown in FIG. 15, the current date and time is 2016/6/3 9:45. In the vacancy status display D4 in June, there is no vacant space on the day, but "* 1" is displayed in the morning of June 4, the next day. That is, the availability display D4 in June indicates that there is one free time in the morning of June 4, the next day, based on the predicted stay time of the unreserved patient.

The free space display based on the free time that does not depend on the capacity may be configured, for example, the free frame search function 232a so that the free space display is executed only on the day when the capacity is full, or may be executed on all days. Good.

In this way, by performing the free space search based on the estimated staying time of the patient even after the next day, it is possible to display the days that cannot be reserved as the free space if the free space search is based on the capacity. Therefore, according to the examination reservation system 1A according to the first embodiment, it is possible to increase the choice of schedules that can be reserved by the patient. In addition, it is possible to set an examination appointment earlier than the appointmentable schedule searched by the empty space search based on the capacity, which contributes to early diagnosis and early treatment.

In addition, the technical idea of calculating the predicted stay time based on the patient's condition parameter pattern can also be used for reservations for patients with a long predicted stay time. For example, when the predicted stay time of a patient is almost equal to the unit time of the time zone, when the patient is reserved in the time frame of two capacity, one person in the time zone is searched based on the capacity. The empty frame of is displayed. In addition, the patient can make a reservation in a time frame in which one person is available. Since the predicted stay time of the patient initially reserved is approximately equal to the unit time of the time frame, it is expected that the examination will be delayed if two patients are reserved in the time frame.

Therefore, in the case of a patient having a long predicted stay time, the examination reservation system 1A may be configured so that even one person is reserved for two people according to the predicted stay time.

FIG. 16 is a schematic diagram illustrating a reservation method when the predicted stay time is long. The upper table of FIG. 16 shows the condition parameter pattern of patient Y and the estimated stay time estimated from the condition parameter pattern. The middle table of FIG. 16 shows the breakdown of availability on June 3. The lower table of FIG. 16 shows a list of examination appointments after adding the examination appointments for patient Y.

The condition parameter pattern of patient Y is examination type "CT", examination site "abdomen", with or without contrast "none", medical examination "-", age "90s", gender "female", with or without disability "hearing", walking The condition is "stretcher", the infectious disease is "none", and the attendant is "yes", and the estimated staying time is 25 minutes.

When the unit time of the time zone is 30 minutes, it is predicted that the predicted stay time of patient Y uses almost all the time set in the time frame. Since the examination reservation system could make a reservation based on the capacity, one of the two capacity could make a reservation for patient Y in the reserved time frame. For example, the time frame of 11:00 shown in the fifth data line of the availability breakdown on June 3 is the number of reservations / capacity "1/2", and patient Y is the time frame of 11:00. It was possible to make a reservation.

However, if the examination of the patient scheduled for the 11:00 time frame starts at 11:00 and the examination time takes 5 minutes or more, the patient Y's examination will be performed for the patient reserved for the next time frame. The inspection start time is delayed.

Therefore, if a patient who is expected to stay longer than the permissible stay time in one time frame tries to make a reservation in that time frame, it is displayed that the examination time affects the next time frame. The inspection reservation system 1A may be configured as described above. The permissible stay time here is a time obtained by dividing the time of a certain time zone by the number of people in the time zone, and is a time that does not delay the later reservation even if it is allocated to each patient.

In addition, when the examination reservation for patient Y is reserved in the time frame of 10:30 of the reserved number of people / capacity "0/2", when the free space search is executed for other patients, the reserved number of people / capacity "2 /" The free frame search function 232a may be configured to display "2".

That is, when the capacity is two people for the time frame of 30 minutes per unit time, the allowable stay time is 15 minutes. If the patient's expected stay time exceeds 15 minutes, it may affect the next time slot if patients with similar conditional parameter patterns book in the same time slot.

Therefore, when a patient who is predicted to stay longer than the permissible stay time reserves a time slot with a capacity of two people, the free slot search function 232a can be used for the number of people reserved for displaying the availability status even if the reservation is for one person. / The capacity may be displayed as "2/2". That is, the free space search function 232a generates a free space status display so that even if there is only one patient to make a reservation, two patients are reserved.

Even if a patient with a long predicted stay time such as patient Y is reserved, if the predicted stay time of the unreserved patient is within 5 minutes, the number of reserved people / capacity of the availability display will be ". It may be displayed as "1/2".

In this way, the examination reservation system can be operated more flexibly than before by displaying the availability status according to the conditions of the unreserved patient by using the estimated stay time of the patient. In addition, since the examination is reserved so that the staying time of the reserved patient in the examination room does not exceed the unit time set in the time zone frame, the waiting time of the patient can be shortened.

[Second Embodiment]
In the first embodiment, the examination reservation from the examination room terminal 20 has been described. However, the examination appointment is not limited to the examination room terminal 20. The examination reservation may be executed from the radiology terminal 34 installed in the examination room.

For example, in the examination of inpatients, an examination order may be issued with an undecided appointment date. In this case, in the inspection reservation system, the inspection with an undecided appointment date is carried out at the discretion of a user such as a radiologist according to the availability of the examination room on that day. When a user such as a radiologist is likely to have free time depending on the progress of the examination on the day, he / she has contacted the medical staff in the ward by extension or the like to come to the examination in the free time.

A second embodiment relates to an examination reservation system having a function of a user such as a radiologist executing an appointment for an examination of an inpatient whose appointment date is undecided from a radiology terminal 34 and notifying the ward that the appointment has been confirmed.

(1) Configuration FIG. 17 is a configuration diagram showing an example of the inspection reservation system 1B according to the second embodiment. The inspection reservation system 1B of FIG. 17 includes a ward system 4B in addition to HIS2B and RIS3B.

The ward system 4B is interconnected to HIS2B and RIS3B via the electronic network 1NW.

Further, the ward system 4B includes a plurality of ward terminals 40. The ward terminal 40 is composed of, for example, a general personal computer, and is installed on each floor of the nurse station or the ward. For example, a schedule of hospitalization / discharge, treatment, surgery, etc. of a patient is displayed on the ward terminal 40, and the treatment performed on the patient is input from the ward terminal 40. The ward terminal 40 may be a workstation for vacant bed management or ward management.

The examination reservation system 1B according to the second embodiment sends a ward contact indicating that the appointment date has been set for the examination whose appointment date is undecided, to the ward terminal 40 of the ward in which the patient of the examination whose appointment is confirmed is hospitalized. Display on.

FIG. 18 is a block diagram showing a functional configuration example of the inspection reservation system 1B according to the second embodiment.

The processing circuit 23b of the reservation management server 21b of HIS2B has an inspection reservation function 231b, an empty frame search function 232b, and an average stay time calculation function 233a. The inspection reservation function 231b, the empty frame search function 232b, and the average stay time calculation function 233a are functions realized by the processor of the processing circuit 23b executing the program stored in the storage circuit 22b.

The inspection reservation function 231b has a function of adding a reservation for an inspection whose reservation date is undecided to the inspection reservation list, in addition to the inspection reservation function 231a of the first embodiment. Further, the inspection reservation function 231b generates a ward contact and displays the ward contact on the display 43 of the ward terminal 40. The ward contact will indicate that a reservation has been made for an examination with an undecided appointment date. Further, the examination reservation function 231b receives the confirmation notification of the ward contact from the ward terminal 40, and transmits the confirmation notification to the radiology department server 30b. Details of the ward communication will be described with reference to FIG. 21 described later.

The free frame search function 232b has a function of acquiring an estimated stay time based on a condition parameter pattern of an inspection whose reservation date is undecided, in addition to the free frame search function 232a of the first embodiment. The free frame search function 232b searches for a free frame based on the calculated estimated staying time. The free frame search function 232b generates a free status display based on the searched free frame and displays it on the radiology terminal 34.

The storage circuit 31b of the radiology server 30b of the RIS3B has an examination order storage area 311b and an entry / exit time storage area 312a.

The inspection order storage area 311b stores an inspection list whose reservation date is undecided, in addition to the inspection order list stored in the inspection order storage area 311a of the first embodiment. An examination with an undecided appointment date is an examination order issued in a state where the appointment date is undecided in the examination of an inpatient. That is, the inspection order whose reservation date is undecided is stored in the inspection order storage area 311b as an inspection order in which the items of the scheduled inspection date and the scheduled inspection time zone are blank. Details of the inspection list for which the appointment date has not been determined will be described with reference to FIG. 20 described later.

The processing circuit 32b of the radiology server 30b of the RIS3B has an examination reservation update function 321a and an examination reservation function 322b whose appointment date is undecided. The inspection reservation update function 321a and the reservation date undecided inspection reservation function 322b are functions realized by the processor of the processing circuit 32b executing the program stored in the storage circuit 31b.

The reserved date undecided examination reservation function 322b acquires an inspection list whose reserved date is undecided from the examination order storage area 311b, displays it on the radiology department terminal 34, and executes an empty frame search on the day based on the inspection list whose reserved date is undecided. To do. In addition, a reservation for an inspection whose reservation date is undecided is executed in the searched empty frame. Further, the reservation date undecided inspection reservation function 322b receives a notification from the reservation management server 23b that the ward contact is completed, and updates the inspection list of the appointment date undecided stored in the inspection order storage area 311b. Details of updating the inspection list for which the appointment date has not been determined will be described with reference to FIG. 21 described later.

(2) Operation FIG. 19 is a flowchart showing an example of the operation of the inspection reservation system 1B according to the second embodiment.

In step ST201, a user such as a radiologist operates the radiologist terminal 34 installed in the examination room, searches the examination order list storage area 312b, and displays the examination list whose reservation date is undecided on the display of the radiologist terminal 34. To do. A user such as a radiologist assigns an examination reservation for an examination whose appointment date is undecided to an empty frame on the day based on the displayed examination list whose appointment date is undecided.

In step ST202, the reservation date undecided inspection reservation function 322b transmits the inspection of the reservation date undecided to execute the reservation to the free space search function 232b of HIS2B.

In step ST203, the free space search function 232b acquires the predicted stay time of the target patient for the examination whose appointment date is undecided, based on the condition parameter pattern of the examination whose appointment date is undecided.

In step ST204, the free space search function 232b executes the free space search on the day based on the estimated stay time acquired for the inspection whose reservation date is undecided.

In step ST205, the inspection reservation function 231b allocates a reservation for an inspection whose reservation date is undecided to the empty frame extracted by the empty frame search. The free frame search function 232b generates a free space status display based on the extracted free frame and displays it on the radiology terminal 34. A user such as a radiologist makes an appointment for an examination whose appointment date is undecided based on the availability display displayed on the radiology terminal 34. The inspection reservation function 322b for which the reservation date is undecided transmits to the inspection reservation function 231b that the inspection for which the reservation date is undecided is reserved in the vacant frame designated based on the availability display. The inspection reservation function 231b updates the inspection reservation list.

In step ST206, the examination reservation function 231b generates a ward contact and transmits the ward contact to the ward terminal 40.

In step ST207, the ward medical staff confirms the ward contact on the ward terminal 40.

In step ST208, when the examination reservation function 231b receives the notification of confirmation of the ward contact from the ward terminal 40, it transmits the reservation date and the fact that the ward contact is completed to the appointment date undecided examination reservation function 322b. Reservation date undecided The inspection reservation function 322b adds the reservation date and time to the inspection order for which the reservation has been completed, and registers that the ward contact has been completed.

The above is the description of the flowchart of FIG. Hereinafter, a method of assigning an inspection reservation to an empty frame on the day of an inspection whose appointment date is undecided and registering that the ward contact has been completed will be supplementarily described with reference to FIGS. 20 and 21.

FIG. 20 is a table for explaining a list of inspections for which the reservation date of the inspection reservation system 1B according to the second embodiment is undecided. The table of FIG. 20 shows a list of inpatients whose appointment date is undecided. As shown in the title row of the table of FIG. 20, the examination list for which the appointment date is undecided includes the items of appointment order, examination type, examination frame, examination code, patient name, site, ward, and condition parameter pattern from the left.

The reservation order indicates the order in which the inspection orders are issued. The smaller the number in the order of reservation, the earlier the inspection order was issued. The ward indicates the ward where the inpatient is hospitalized.

FIG. 21 is a schematic diagram illustrating an inspection order in which the ward contact and the appointment date and time are set in the inspection reservation system 1B according to the second embodiment. The upper part of FIG. 21 shows a display example of ward communication. The lower table of FIG. 21 shows a list of inspections for which the appointment date has not been determined. The lower table of FIG. 21 shows an example in which a reservation time zone is set and completion is registered in the ward contact for an inspection order in which the reservation order is 1 and the reservation date is undecided.

The lower table of FIG. 21 shows an example in which the examination of patient AA having the appointment order of 1 was reserved in the time frame of 14:30 of the day. The examination reservation function 231b notifies the ward where the patient AA's room is located that the examination of the patient AA has been reserved in the time frame of 14:30 on the day. As shown in the 7th column from the left in the table of FIG. 21, the hospital room of patient AA is on the 1st floor of the south wing. Therefore, the inspection reservation function 231b transmits the ward communication to the ward terminal 40 of the nurse station having jurisdiction over the floor on the 1st floor of the south wing.

In the ward contact, it is displayed in the CT examination room that the examination was reserved for the patient AA on the 1st floor of the south wing at 14:30 today. The medical staff who confirmed the ward contact on the ward terminal 40 presses the OK button G1 of the ward contact. The ward terminal 40 transmits a confirmation notification indicating that the OK button G1 for ward communication has been pressed to the inspection reservation function 231b. The examination reservation function 231b receives the confirmation notification and notifies the examination reservation function 322b of the radiology department server 30b that the appointment date is undecided that the ward communication is completed.

The appointment date undecided examination appointment function 322b registers the completion in the ward contact column of the examination order of patient AA. In addition, the appointment date undecided examination appointment function 322b may be configured to display the table shown in the lower part of FIG. 21 on the radiology terminal 34.

The case where a user such as a radiologist selects a vacant frame based on the availability display displayed on the radiology terminal 34 and the user such as a radiologist executes a reservation for an examination whose reservation date is undecided has been described as an example. However, the present invention is not limited to the above-described embodiment. For example, the inspection reservation system 1B automatically assigns an inspection reservation for which the reservation date is undecided to the empty frame extracted by the free frame search function 232b, and the inspection reservation function 231b makes an inspection reservation for the empty frame assigned by the free frame search function 232b. May be configured.

Further, in FIG. 21, a case where a reservation is set for one inspection order whose reservation date is undecided has been described as an example, but the inspection reservation system 1B is used so as to collectively set a reservation time zone for a plurality of inspections whose reservation date is undecided. It may be configured. Further, regardless of the reservation order of the inspection order whose reservation date is undecided, the reservation time zone frame may be determined based on the predicted stay time acquired according to the condition parameter pattern of the inspection order whose reservation date is undecided.

FIG. 22 is a schematic diagram illustrating a method of collectively reserving inspections whose reservation date is undecided in the inspection reservation system 1B according to the second embodiment. Further, FIG. 22 describes a method of allocating an inspection whose inspection date is undecided to an empty frame based on the predicted stay time acquired based on the condition parameter pattern regardless of the reservation order.

When the inspection reservations are collectively executed for the inspection orders of the seven appointment dates undecided inspections from the appointment order 1 to the appointment order 7 on the radiology terminal 34, the free space search function 232b is set to each inspection order. Get the predicted dwell time based on the included conditional parameter patterns. The free space search function 232b allocates reservations in the order of reservation based on the acquired estimated stay time.

An example will be described in which the number of reserved people in the time frame from 14:30 to 15:00 on the day is 0. The predicted stay time of patient AA having an appointment order of 1 and patient BB having an appointment order of 2 is 10 minutes. Therefore, the patient AA and the patient BB are reserved in the time frame of 14:30 on the day according to the reservation order.

Next, the predicted stay time of the patient CC whose appointment order is 3 is 27 minutes. The unit time of the time frame is 30 minutes, and the free time at 14:30 after allocating appointments for patients AA and BB is 10 minutes. Therefore, patient CC cannot be booked in the 14:30 time frame.

In this case, the free space search function 232b skips the patient CC having the reservation order of 3, and determines whether the patient DD having the reservation order of 4 can make a reservation in the free time of 14:30. The expected stay time for patient DD with a reservation order of 4 is 17 minutes, which is longer than the free time of 10 minutes at 14:30. Therefore, the free space search function 232b skips the patient DD having the reservation order of 4, and determines whether the patient EE having the reservation order of 5 can make a reservation in the free time of 14:30. The predicted stay time of the patient EE having the reservation order of 5 is 10 minutes, and the free space search function 232b determines that the patient EE having the reservation order of 5 can make a reservation in the free time at 14:30.

The free frame search function 232b may obtain a combination of patients whose total predicted stay time of patients is equal to or less than the free time of the time zone.

The free space search function 232b instructs the examination reservation function 231b to reserve the patient AA in the reservation order 1, the patient BB in the reservation order 2, and the patient EE in the reservation order 5 in the time zone of 14:30. Further, the vacant frame search function 232b instructs the examination reservation function 231b to make a reservation for the patient CC in the reservation order 3 in the time zone frame of 15:00 on the day specified as the vacant frame next.

When the examination reservation function 231b sets an examination order reservation, the examination reservation function generates a ward contact for each examination order and transmits the ward contact to the target ward.

It is not necessary to set reservations for all of the plurality of examination orders whose appointment dates are undecided for which examination reservations are requested from the radiology terminal 34. For example, in the example of FIG. 22, reservation time zones are set for reservation orders 1, 2, 3, and 5, but reservations are not set for reservation orders 4, 6, and 7 because there are no free slots. In this case, the examination reservation system 1B may be configured so as to display the fact on the radiology terminal 34.

If the reservation is confirmed for the inspection order for which the reservation date is undecided, the reservation order will be reassigned. That is, the reservation order of the reservation orders 4, 6, and 7 is changed to the reservation orders 1, 2, and 3, respectively.

Further, the free frame search function 232b may execute the free frame search based on the time obtained by adding the travel time from the ward to the predicted stay time. For example, in the case of a ward near the examination room, the travel time is short, and in the case of a ward far from the examination room, the travel time is longer than in the former case. The free space search function 232b may calculate the estimated stay time in consideration of the travel time from the ward to the examination room.

In addition, the free frame search function 232b predicts the time frame in which the free time occurs according to the progress of the examination on the day and notifies the user such as a radiologist, so that the time frame in which the free time occurs is predicted. Information may be displayed.

As described above, according to the inspection reservation system 1B according to the second embodiment, the same effect as that of the first embodiment can be obtained. In addition, the inspection reservation system 1B according to the second embodiment can efficiently allocate the inspection order whose reservation date is undecided to the free time based on the predicted stay time.

Reservation of inspection orders with undecided appointment dates was left to the discretion of the radiologist. In addition, availability was predicted from the experience of radiologists. According to the inspection reservation system 1B according to the second embodiment, the predicted stay time of the inspection whose reservation date is undecided is accurately predicted as a numerical value. In addition, the free time or free space is accurately calculated as a numerical value based on the inspection reservation list, and the reservation for the inspection whose reservation date is undecided can be allocated based on the calculated numerical value. Therefore, the user can quantitatively grasp the free time and the free frame, and can efficiently allocate the inspection whose reservation date is undecided.

In this way, in the examination reservation system 1B of the second embodiment, it is possible to easily make an appointment for examinations for which the appointment date is undecided, and even the ward contact regarding the appointment is automated. Can be reduced more than before.

[Modified Examples of First and Second Embodiments]
In the first and second embodiments, the configurations of the examination reservation systems 1A and 1B in which the HIS and RIS installed in the hospital cooperate to reserve the examination in the empty space have been described, but the technical idea of the present disclosure is as follows. The configuration is not limited to the first and second embodiments. That is, the inspection reservation system acquires the condition parameter pattern and the average staying time from the external database or the external information terminal, reserves the free space search and the inspection based on the acquired information, and transfers the reservation contents to the external database or the external information terminal. It may be output.

FIG. 23 is a block diagram showing a functional configuration example of the inspection reservation system 1C according to the modified examples of the first and second embodiments. The inspection reservation system 1C interconnects with the external database 6C and the information terminal 7C via the electronic network NW.

Here, the electronic network NW means the entire information communication network using telecommunications technology, and in addition to the hospital backbone LAN, wireless / wired LAN and Internet network, telephone communication line network, optical fiber communication network, cable communication network and Includes satellite communication networks, etc.

The external database 6C includes a server constituting a medical system such as an electronic medical record server and a radiology department server.

The information terminal 7C includes a client terminal provided in a hospital system such as a doctor's office terminal and a radiology department terminal. The free space search request and the inspection reservation request generated by the information terminal 7C are transmitted to the inspection reservation system 1C.

The storage circuit 51c of the inspection reservation system 1C has an acquisition data storage area 511c and an inspection reservation storage area 512c. The acquired data storage area 511c and the inspection reserved storage area 512c may be configured by a storage circuit different from the storage circuit 50c.

The acquired data storage area 511c stores information acquired from the external database 6C and information input from the information terminal 7C. For example, the average staying time for each condition parameter pattern is acquired from the external database 6C and stored in the acquired data storage area 511c.

The inspection reservation storage area 512c stores the inspection reservation list. The inspection reservation list may be configured so that the information obtained from the external database 6C and updated by the inspection reservation system 1C is reflected in the external database 6C.

The processing circuit 50c of the inspection reservation system 1C has a data acquisition function 501c, an empty frame search function 502c, a data output function 503c, and an inspection reservation function 504c. The data acquisition function 501c, the empty frame search function 502c, the data output function 503c, and the inspection reservation function 504c are functions realized by the processor of the processing circuit 50c executing the program stored in the storage circuit 51c.

The data acquisition function 501c collects necessary data from the external database 6C in response to a free space search request and an inspection reservation request from the information terminal 7C. The collected data is stored in the acquired data storage area 511c.

The data output function 503c outputs the vacancy status display and the ward contact generated by the vacant frame search function 502c to the information terminal 7C.

Each function other than the data acquisition function 501c and the data output function 504c has the same function as the function of the same name described in the first and second embodiments. Therefore, according to the inspection reservation system 1C, the same effect as that of the first and second embodiments can be obtained.

According to the inspection reservation system of at least one embodiment described above, inspection reservation can be made more efficiently than before.

The correspondence between the terms of the claims and the embodiments is as follows, for example.

The actual entry time is an example of the entry time described in the claims.

The actual leaving time is an example of the leaving time described in the claims.

The average stay time calculation function 233a and 233b is an example of the calculation unit described in the claims.

Average stay time storage area 221a This is an example of the average stay time storage unit according to claim.

The free frame search functions 232a, 232b, and 503c are examples of the free frame search unit described in the claims.

The inspection reservation function 231b is an example of the notification unit described in the claims.

The data acquisition function 501c is an example of the acquisition unit described in the claims.

The data output function 503c is an example of the output unit according to the claim.

Although 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 embodiments can be implemented in various other forms, and various omissions, replacements, and changes can be made without departing from the gist of the invention. These embodiments and modifications thereof are included in the scope and gist of the invention, as well as in the scope of the invention described in the claims and the equivalent scope thereof.

1A, 1B, 1C ... Examination reservation system 21a, 21b ... Reservation management server 20 ... Examination room terminal 34 ... Radiology terminal 40 ... Ward terminal

Claims (13)

Each time an examination is performed in a hospital laboratory, the time when the subject of the examination enters the examination room and the time when the subject leaves the examination room are acquired, and the difference between the exit time and the entry time is calculated. A calculation unit that calculates the staying time based on
A combination of a plurality of information items related to the staying time among the subject information of the subject and the information of the test for the subject, and at least the age of the subject, the presence or absence of a disability, and the walking state in the subject information. By executing the process of associating the condition parameter pattern including the presence / absence of infectious disease and the presence / absence of an attendant with the staying time each time the examination is performed, the average value of the staying time is averaged for each of the same condition parameter patterns. The average staying time storage unit that stores the staying time,
The average stay time of the condition parameter pattern closest to the condition parameter pattern of the unreserved subject is acquired from the average stay time storage unit as the predicted stay time of the unreserved subject, or the nearest condition parameter pattern of the condition parameter pattern. The predicted stay time of the unreserved subject is calculated based on the average stay time and the information of the age of the unreserved subject, the presence or absence of a disability, the walking state, the presence or absence of an infectious disease, and the presence or absence of an attendant in the subject information. Then, a free frame search unit that extracts the time zone frame in which the laboratory can be used as a free frame based on the predicted staying time and outputs the information of the free frame, and
Inspection reservation system equipped with. The free frame search unit sets the latest time zone frame as the free frame determination target based on the current time.
The inspection reservation system according to claim 1. The vacant frame search unit calculates the final scheduled leaving time of the last subject in the time zone from the examination room based on the predicted stay time or stay time of the subject, and the start time of the next time frame. When the vacant time obtained by subtracting the final scheduled leaving time from the vacant time is equal to or longer than the predicted stay time of the unreserved subject, the time zone frame is determined to be the vacant frame.
The inspection reservation system according to claim 1 or 2. The final scheduled exit time is the time when the subject immediately before the last subject in the time frame leaves the room or the scheduled time when the subject leaves the room, until the last subject in the time frame moves to the laboratory and enters the laboratory. Is the time obtained by adding the time of and the estimated stay time of the last subject in the time zone frame.
The inspection reservation system according to claim 3. The free frame search unit is currently used when there is a subject who has already been accepted at the reception window of the inspection at the time of executing the free frame search and the current time is included in the time zone frame specified as the free frame determination target based on the current time. Specify the time zone next to the time zone specified as the free frame judgment target based on the time as the free frame judgment target.
The inspection reservation system according to any one of claims 1 to 4. In the free frame search unit, the time obtained by subtracting the total time of the predicted stay times of the subjects in the examination frame group including a plurality of time zone frames after a predetermined time from the current time from the total time of the examination frame group is not yet. The inspection frame group that is equal to or longer than the predicted stay time of the reserved subject is specified, and any time zone among the plurality of time zones included in the inspection frame group is determined to be the empty frame.
The inspection reservation system according to claim 1 or 2. The condition parameter pattern further includes information on the test name, test site, presence / absence of contrast, and whether or not it is a medical examination in the test information for the subject .
The inspection reservation system according to any one of claims 1 to 6. The free space search unit searches for the free space based on the predicted staying time of the unreserved subject, regardless of the capacity set for each examination frame.
The inspection reservation system according to any one of claims 1 to 7. The examination reservation system is connected to the ward system that manages the subjects admitted to the ward via a network.
The vacant frame search unit identifies the predicted staying time from the condition parameter pattern of the examination for which the appointment date of the subject admitted to the ward is undecided , searches the vacant space based on the predicted staying time, and searches for the vacant space. Reserve the inspection whose reservation date is undecided in the frame,
The inspection reservation system according to any one of claims 1 to 8. When the reservation for the examination whose reservation date is undecided is completed, a notification unit for notifying the ward system that the reservation for the examination whose reservation date is undecided is completed is further provided.
The inspection reservation system according to claim 9. Among the information of the examination in the hospital including the subject information, it is a combination of a plurality of information items related to the staying time in the laboratory of the subject, and at least the age of the subject in the subject information, the presence or absence of a disability, and the like. An acquisition unit that acquires the data of the average value of the staying time stored for each condition parameter pattern including information on the walking state, the presence / absence of an infectious disease, and the presence / absence of an attendant from an external storage device.
An examination reservation request for an unreserved subject is received from an external terminal, and the average value of the staying time of the condition parameter pattern closest to the condition parameter pattern of the unreserved subject is set as the predicted staying time of the unreserved subject, or Based on the mean value of the staying time of the closest condition parameter pattern and the information on the age of the unreserved subject, the presence / absence of a disability, the walking condition, the presence / absence of an infectious disease, and the presence / absence of an attendant in the subject information. A free frame search unit that calculates the predicted stay time of the unreserved subject and determines the time zone frame in which the laboratory can be used as a free frame based on the predicted stay time.
An output unit that outputs the information of the empty frame to the external terminal, and
Inspection reservation system equipped with. Each time an examination is performed in a hospital laboratory, the time when the subject of the examination enters the examination room and the time when the subject leaves the examination room are acquired, and the difference between the exit time and the entry time is calculated. A calculation unit that calculates the staying time based on
By executing the process of associating the condition parameter pattern, which is a combination of a plurality of information items related to the staying time, with the staying time among the subject information of the subject and the information of the test for the subject, each time the test is performed. , An average staying time storage unit that stores the average value of staying time as the average staying time for each of the same condition parameter patterns.
The average stay time of the condition parameter pattern closest to the condition parameter pattern of the unreserved subject is acquired from the average stay time storage unit as the predicted stay time of the unreserved subject, and the laboratory is based on the predicted stay time. The free frame search unit that extracts the available time zone frame as a free frame and outputs the information of the free frame, and
Equipped with a,
The vacant frame search unit calculates the final scheduled leaving time of the last subject in the time zone from the examination room based on the predicted stay time or stay time of the subject, and the start time of the next time frame. When the vacant time obtained by subtracting the final scheduled leaving time from the vacant time is equal to or longer than the predicted stay time of the unreserved subject, the time zone frame is determined to be the vacant frame.
Inspection reservation system. Each time an examination is performed in a hospital laboratory, the time when the subject of the examination enters the examination room and the time when the subject leaves the examination room are acquired, and the difference between the exit time and the entry time is calculated. A calculation unit that calculates the staying time based on
By executing the process of associating the condition parameter pattern, which is a combination of a plurality of information items related to the staying time, with the staying time among the subject information of the subject and the information of the test for the subject, each time the test is performed. , An average staying time storage unit that stores the average value of staying time as the average staying time for each of the same condition parameter patterns.
The average stay time of the condition parameter pattern closest to the condition parameter pattern of the unreserved subject is acquired from the average stay time storage unit as the predicted stay time of the unreserved subject, and the laboratory is based on the predicted stay time. The free frame search unit that extracts the available time zone frame as a free frame and outputs the information of the free frame, and
Equipped with a,
In the free frame search unit, the time obtained by subtracting the total time of the predicted stay times of the subjects in the examination frame group including a plurality of time zone frames after a predetermined time from the current time from the total time of the examination frame group is not yet. The inspection frame group that is equal to or longer than the predicted stay time of the reserved subject is specified, and any time zone among the plurality of time zones included in the inspection frame group is determined to be the empty frame.
Inspection reservation system.

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