JP7023657B2 - Terminal device for ophthalmology - Google Patents

Description

The present invention relates to an ophthalmic terminal device used by a subject such as a patient and an examiner who is an examiner who operates an ophthalmic device or the like.

There are many types of ophthalmic appliances used in the field of ophthalmology, and it is complicated to operate each of these ophthalmic appliances individually. Therefore, it has been proposed that a plurality of ophthalmic appliances can be operated with one terminal or the like (). For example, Patent Document 1).
On the other hand, a subject such as a patient who visits an ophthalmologist needs to perform an examination using a plurality of ophthalmology devices. Further, depending on the device, a plurality of ophthalmic devices may be arranged in one room, but on the other hand, if it is necessary to perform in a dark room or a semi-dark room, all the ophthalmic devices are the same. It may be divided into multiple rooms instead of being placed in a room.
Therefore, when a subject undergoes an examination of a plurality of ophthalmic appliances, it is necessary to visit the ophthalmic appliances in the same room in order or to visit different rooms in order.

Japanese Unexamined Patent Publication No. 2017-29369

However, it is difficult for the subject to know the order in which the examinations are performed for multiple ophthalmic appliances in the same room, and especially when the ophthalmic appliances are divided into different rooms, they enter the room to undergo the examination. There was a problem that it was more difficult for the subject to grasp the order of the rooms.
In addition, inspectors such as inspectors who are in charge of ophthalmic examination operations also need to confirm whether or not the subject who is coming for the examination is correct as an examination target, and it takes time and effort to confirm this. There was a problem that it took.

Therefore, the present invention provides an ophthalmology terminal device that makes it easy for a subject to undergo an examination or the like, and also makes it easy for the examiner or the like to confirm the identity of the subject, thereby significantly improving the efficiency of examination in ophthalmology. With the goal.

According to the present invention, the object is a subject ophthalmology terminal device, which is an ophthalmology terminal device possessed by a subject who is inspected for an ophthalmology device used in the field of ophthalmology, and an examiner who operates the ophthalmology device. The ophthalmology terminal device including the ophthalmology terminal device for ophthalmology possessed by the subject, and the subject ophthalmology terminal device and the examiner ophthalmology terminal device have a display unit. , The identification information of the subject and the inspection information of the ophthalmic apparatus to be received by the subject can be displayed, and the guidance information to the ophthalmic apparatus to be received by the subject can be displayed on the display unit. The guidance information includes information on the location of the ophthalmology device and priority visit information on a plurality of the ophthalmology devices, and the ophthalmology terminal device for the examiner is a terminal of an attendant in charge of the ophthalmology. The subject ophthalmology terminal device has a position information acquisition device for acquiring position information, and at least the hospital layout map is displayed on the display unit of the subject ophthalmology terminal device. At the same time, the position information acquisition device operates, the position of the subject 's ophthalmology terminal device is positioned and displayed on the hospital layout map, and the subject is displayed on the terminal of the examiner in charge of the attendant. The position of the ophthalmology terminal device is displayed, and the position of the terminal of the examiner in charge of the attendant is displayed on the subject ophthalmology terminal device, so that the shortest distance or the shortest visit in time is possible. Achieved by an ophthalmology terminal device characterized in that the priority visit information is generated and the directions of the priority visit information are displayed on the display unit of the subject ophthalmology terminal device and the terminal of the examiner in charge of attendance. Will be done.

According to the above configuration, the subject ophthalmology terminal device receives the identification information (for example, ID) of the subject and the examination information of the ophthalmology device to be received by the subject (for example, first, to the examination room 1). Since it is equipped with (going, etc.), it is easy for an examiner or the like who operates the ophthalmic device to confirm his / her identity.
Further, since the guidance information to the ophthalmic appliance to be received by the subject is displayed on the display unit, the subject is easily inspected by the ophthalmic appliance.
On the other hand, since the examiner's ophthalmology terminal device also has the identification information (for example, ID) of the subject, the examiner can easily identify the subject.
Further, since the examiner's ophthalmology terminal device also displays the guidance information to the ophthalmology device to be received by the subject on the display unit, the examiner can efficiently inspect the subject.
Furthermore, these can significantly improve the efficiency of medical examination in the field of ophthalmology.

Preferably, the terminal of the examiner in charge of attending the ophthalmic terminal device is shown a positional relationship and directions between the current position of the subject and each ophthalmic device, and is waiting for each ophthalmic device. It is characterized in that time information is displayed .

According to the above configuration, the guidance information contained in the terminal device for ophthalmology of the subject includes information on the location of the ophthalmology device (for example, an examination room, etc.) and priority visit information for a plurality of ophthalmology devices (for example, visit order information). Etc.), so that the subject can quickly reach the place where the ophthalmic device to be received is located without hesitation.
In addition, since the terminal device for ophthalmology of the examiner has a configuration in which the guidance information held by the terminal device can be changed, the ophthalmologist can take into consideration the ophthalmology device that is congested while waiting for the examination. It is possible to change the order of visits, etc., and improve the inspection efficiency, etc. of the subject in charge.

Preferably, the examiner ophthalmology terminal device of the ophthalmology terminal device can change the guidance information, and the priority visit information is generated based on the congestion status information regarding the ophthalmology device. It is a feature.

According to the above configuration, the priority visit information (for example, visit order information) is generated in consideration of the congestion status information of the examination of the ophthalmic apparatus in each examination room or the like, so that the subject can inspect more efficiently. Etc. can be received, and the examination efficiency can be improved.

Preferably, the subject ophthalmology terminal device and the examiner ophthalmology terminal device of the ophthalmology terminal device can communicate with the ophthalmology device and also communicate with other devices via the ophthalmology device. When the subject's ophthalmology terminal device transmits support request information to the ophthalmology device, a re-explanation instruction is transmitted to the examiner's ophthalmology terminal device in charge of the ophthalmology device. It is characterized by being.

According to the above configuration, the subject and the examiner have their own ophthalmology terminal device and other devices such as an ophthalmology device and a management server that are inspected using the ophthalmology terminal device. Since it can communicate, information can be shared with ophthalmic devices and other devices.

Preferably, the subject ophthalmology terminal device is characterized in that it can transmit operation request information for the operation of the ophthalmology device to the examiner ophthalmology terminal device.

According to the above configuration, the subject can transmit the operation request information (for example, support request) for the operation of the ophthalmology device to the ophthalmology terminal device of the examiner via the ophthalmology terminal device of the subject. , Support for operation of the ophthalmic appliance, etc. can be promptly requested during the examination of the ophthalmic appliance.

Preferably, for the ophthalmology device to be received by the subject, when the subject has avoidance information for avoiding the examination, the subject ophthalmology terminal device and the examiner ophthalmology terminal device are used. It is characterized in that it is configured to receive inspection stop information.

According to the above configuration, when there is avoidance information (for example, contraindications, etc.) that the subject should avoid the examination of the ophthalmology device to be received by the subject, the subject's ophthalmology terminal device and Since the examiner's ophthalmology terminal device is configured to receive inspection stop information (for example, inspection stop instruction information), the safety of the subject is guaranteed.

INDUSTRIAL APPLICABILITY The present invention provides an ophthalmic terminal device in which a subject can easily undergo an examination or the like, and the examinee or the like can easily confirm the identity of the subject, thereby significantly improving the efficiency of examination in ophthalmology. There is an advantage that it can be done.

The main configuration of an ophthalmology system having, for example, a tablet for a subject and a terminal device for an ophthalmologist, for example, a tablet for an examiner, which is an ophthalmology terminal device (a terminal device for an ophthalmologist of a subject) of the present invention. It is a schematic diagram which shows. It is a schematic diagram which shows the layout drawing of "objective measurement room (1)" to "examination room 1 to 4" equipped with each ophthalmology apparatus in an ophthalmology hospital. It is a schematic block diagram which shows the main structure of the tablet for a subject (tablet for a subject) of FIG. It is a schematic block diagram which shows the main configuration of the management server shown in FIG. It is a schematic flowchart which shows the main operation example of the ophthalmology system which has the tablet for a subject which concerns on this embodiment. It is another schematic flowchart which shows the main operation example of the ophthalmology system which has the tablet for a subject which concerns on this embodiment. It is another schematic flowchart which shows the main operation example of the ophthalmology system which has the tablet for a subject which concerns on this embodiment. It is a schematic pro-chart showing the process of changing the "visit order information" on the tablet for the examiner. It is a schematic flowchart which shows the process of making a support request from a tablet for a subject. It is a schematic flowchart which shows the processing process when an abnormality such as an error occurs during operation of an ophthalmic apparatus. It is a schematic flowchart which shows the process when the subject corresponds to the contraindication, etc. about the inspection, etc. It is a schematic flowchart which shows the process of contacting another tablet for examiner from the tablet for inspection.

Hereinafter, preferred embodiments of the present invention will be described in detail with reference to the accompanying drawings and the like.
Since the embodiments described below are suitable specific examples of the present invention, various technically preferable limitations are attached, but the scope of the present invention is particularly limited to the present invention in the following description. Unless otherwise stated, the present invention is not limited to these aspects.

FIG. 1 shows an ophthalmologist having an ophthalmology terminal device (examinee's ophthalmology terminal device) of the present invention, for example, a subject tablet 100 and an examiner's ophthalmology terminal device, for example, an examiner's tablet 200a. It is a schematic diagram which shows the main configuration of the system 1.
Here, the tablet 100a for a subject is a terminal possessed by a subject who undergoes an examination of an ophthalmic appliance at an ophthalmology hospital or the like. On the other hand, the examination tablet 200a or the like is a terminal possessed by an inspector (hereinafter referred to as “inspector”) who operates an ophthalmic apparatus.

In the present embodiment, the examiner's tablet 200a or the like has a terminal possessed by an attendant in charge of attending the examination of the subject and an examiner located on the side of each ophthalmic apparatus. Including the terminal you own.
Specifically, in the figure, the examiner's tablet 200a is the terminal of the examiner in charge of attendance, and the examiner's tablets 200b to 200 g are the examiner's terminals located on the side of the ophthalmologic apparatus.

(Ophthalmology equipment installed in ophthalmology hospitals, etc.)
As shown in FIG. 1, the ophthalmology system 1 has a plurality of rooms in an ophthalmology hospital, for example, "objective measurement room (1)", "subjective examination room (2)", "imaging examination room (3)", ". It has an ophthalmic apparatus arranged in a dark room examination / special examination room (4), a visual field examination room (5), and an examination room 1 to 4.

Specifically, in the "objective measurement room (1)", for example, an ophthalmic apparatus such as a "refractometer, a keratometer 10", a "tonometer 11" and a "specular microscope 12" are arranged.
Further, in the "subjective examination room (2)", for example, an ophthalmic device such as a "visual acuity test device 13", a "folopter 14", and an "optometry system 15" are arranged.
Further, in the "photographing examination room (3)", for example, an ophthalmologic device such as a "fundus camera 16" and an "OCT device 17" are arranged.
Further, in the "darkroom examination / special examination room (4)", for example, an ophthalmic apparatus, for example, a "visual function examination apparatus 18" is arranged.
Further, in the "visual field examination room (5)", for example, "microperimeter 19" and "visual field meter 20", which are ophthalmic devices, are arranged.
Further, in the "examination rooms 1 to 4", for example, "slip lamps 21a to 21d" which are ophthalmic devices are arranged.

FIG. 2 is a schematic diagram showing a layout diagram of “objective measurement room (1)” to “examination room 1 to 4” provided with each ophthalmology device in an ophthalmology hospital.
As shown in FIG. 2, an ophthalmic appliance is arranged in each room. This layout will be described later.

Further, as shown in FIG. 1, the tonometer 11 and the like such as the “objective measurement room (1)” are communicably connected to the communication line 2. A "management server 40" (an example of "another device") that manages various information of the ophthalmology system 1 is also communicably connected to the communication line 2.
Therefore, the tonometer 11 and the like such as the “objective measurement room (1)” are arranged so as to be able to communicate with the management server 40.

("Tablet 100 for subject" and "Tablet 200a for examinee", etc.)
As shown in FIG. 1, the tablet 100 for a subject has, for example, a "tablet side display 101" which is a display unit on the surface thereof, and various information is displayed on the "tablet side display 101". It has become.
Further, the tablet 100 for the subject has a communication function. Specifically, wireless communication with a short reach, the communication area is an extremely short distance of about several centimeters to about 1 meter, and "near field communication" such as Bluetooth (registered trademark) and infrared communication, which are also called "non-contact communication". It is configured to enable "communication".

Further, the tablet 100 for a subject is also configured to be capable of wireless communication with a LAN (local area network) that can be used in an ophthalmic hospital.
Therefore, as will be described later, when the subject enters the “tablet 100 for subject” into, for example, the “objective measurement room (1)” in FIG. 1 and brings it closer to the “tonometer 11”, the “tonometer 11” It is configured to be able to communicate with.

Further, the "tablet 100 for a subject" is provided with a "position information acquisition device 102". This "location information acquisition device 102" acquires location information from the distance between the position of the LAN access point that can be used in the hospital and the tablet 100 for the subject.
Then, the position information of the "tablet 100 for the subject" is acquired and displayed on the tablet side display 101.

In the present invention, the above-mentioned "position information acquisition device 102" is a GPS device (Global Positioning System, GPS, Global Positioning System) that measures position information at a distance from a satellite. It doesn't matter if there is one.

Further, the "position information acquisition device 102" of the present invention may be a device using a high-precision position information providing technique. This is a device that can acquire position information with high accuracy even indoors, unlike a GPS device or the like, and specifically, it is as follows.
This "high-precision position information provision" device combines three technologies of highly directional beacon, high-precision autonomous navigation (PDR: Pedestrian Dead Reckoning) and "high-precision map matching (PMM: Pedestrian Map Matching)". , Highly accurate position information (for example, position error of 3 m or less) is acquired.
Here, the "beacon" means a radio wave (or a high-frequency electromagnetic wave such as infrared rays) emitted from a radio station or the like and equipment or the like that emits such a radio wave.

Specifically, the tablet 100 for the subject is used to measure the signal strength from the beacon having high directivity and the absolute position from the position of the beacon. Then, this absolute position is processed by PDR and displayed on a map using PMM.

Further, as shown in FIG. 1, the present system 1 has 200a to 200g of tablets for examiners. The configurations of the examiner's tablets 200a to 200g are the same as those of the subject's tablet 100 described above, but these examiner's tablets 200a to 200g are inspected along with the examination of the subject as described above. The examiner, doctor, etc. who operates the terminal possessed by the attendant in charge, and the equipment such as the "tonometer 11" located in each room such as the "objective measurement room (1)" It includes terminals, etc. that it owns.

(Explanation of "refractometer, keratometer 10", etc., which are ophthalmic devices)
Next, the main devices such as the "refractometer, keratometer 10", which are ophthalmic devices arranged in the above-mentioned ophthalmology hospital, will be described.

(Related to objective measurement room (1))
-The "refraction meter, keratometer 10" (hereinafter referred to as "refraction meter, etc. 10") is an ocular refraction inspection device for measuring the refraction characteristics of the eyeball.

-The "tonometer 11" is a device for measuring intraocular pressure. Specifically, the tonometer 11 has, for example, an intraocular pressure measuring unit and has a function as a non-contact type or contact type tonometer.
In the case of a non-contact tonometer, the intraocular pressure measuring unit blows airflow from, for example, an optical system for photographing the anterior eye portion of the eye to be inspected and a nozzle provided coaxially with the optical system to the corneum of the eye to be inspected. It includes an airflow blowing portion and an fixation optical system that presents an fixation target to the eye to be inspected.
Further, the intraocular pressure measuring unit includes a processor that obtains the intraocular pressure value of the eye to be inspected based on the deformed state of the cornea in the state where the air flow is blown.
On the other hand, in the case of a contact-type tonometer, the intraocular pressure measuring unit is, for example, an optical system for observing the anterior eye portion of the eye to be inspected and a pressure for pressing a member having a flat surface of a certain area against the cornea of the inspected eye. The flat part is included.
Further, the intraocular pressure measuring unit includes a processor that detects the pressure required to flatten the fixed area of the cornea and obtains the intraocular pressure value of the eye to be inspected.

-The "Specular Microscope 12" is a device for inspecting the characteristics of the cornea (corneal thickness, cell distribution, etc.).
Some of the devices arranged in the "objective measurement room (1)" are automated.

(Related to the subjective examination room (2))
-The "visual acuity test device 13" is a device that measures visual acuity based on the response to the presented optotype. This vision test tends to be time consuming.

(Related to photography inspection room (3))
-The "fundus camera 16" is a camera for taking a picture of the fundus.
Specifically, the fundus camera 16 has a fundus photography unit, and the fundus photography unit has a function as a fundus camera. This fundus photography unit includes, for example, an illumination optical system for irradiating the fundus of the eye to be inspected with illumination light, a photography optical system for guiding the return light of the illumination light from the fundus to an image sensor (area sensor), and an eye to be inspected. Includes an optometry optical system that presents an optometry marker.

-The "OCT device 17" is an optical coherence tomography to obtain cross-sectional images of the fundus and anterior segment of the eye, three-dimensional data, and analysis data using optical interference.
Specifically, the OCT is, for example, an optical coherence tomography using a so-called Spectral Domain type OCT equipped with a low coherence light source and a spectroscope, or a type other than the spectral domain, for example, Swept Source (Swept). It is an optical coherence tomography using the technique of Source) type OCT.
Swept source OCT scans the wavelength of the light shining on the subject (wavelength sweep), and sequentially detects the interference light obtained by superimposing the reflected light of the light of each wavelength and the reference light, and the spectral intensity. This is a method of imaging a subject by acquiring a distribution and applying a Fourier transform to it.

(Darkroom inspection / special inspection room (4) related)
-The "visual function test device 18" includes not only a visual function test device and the like, but also a visual acuity display device that presents a visual acuity target (Randolt ring or the like) for visual acuity measurement. It has a function to measure the visual acuity of the eye to be inspected.

(Related to visual field test room (5))
-The "microperimeter 19" and the "visual field meter 20" are devices for detecting visual field disorders.

(Related to examination rooms 1 to 4)
-In the examination rooms 1 to 4, "slit lamps 21a to 21d" are arranged, doctors are present, and each doctor has a "tablet for examiner 200 g".
The "slit lamps 21a-21d" are also called slit lamps and are microscopes for optometry that are viewed by both eyes.

Further, FIG. 1 The management server 40, the tablet 100 for the subject, the tablet 200a for the examiner, etc., the tonometer 11 and the like have a computer, and the computer is a CPU (Central Processing Unit) and a RAM (Random Access Memory) (not shown). ), ROM (Read Only Memory), etc., which are connected via a bus or the like.

(Main configurations of tablet 100 for subjects, etc.)
FIG. 3 is a schematic block diagram showing a main configuration of the subject tablet 100 (examiner's tablet 200a and the like) of FIG.
Since the configuration of the examiner's tablet 200a and the like is the same as the configuration of the examinee's tablet 100, only the configuration of the examinee's tablet 100 will be described below.

As shown in FIG. 3, the tablet 100 for a subject has a “tablet control unit 103”, and as described above, the tablet 100 for a subject communicates with an ophthalmic device such as a tonometer 11 and the like. It has a "tablet-side communication device 104" used for this purpose and the above-mentioned position information acquisition device 102.

Further, the tablet 100 for a subject includes the above-mentioned tablet side display 101, various information input units 105 on the tablet side such as a keyboard for inputting various information, a speaker 107 for outputting voice, and various tablet sides for storing various information. It has an information storage unit 106.
The tablet control unit 103 is configured to control the tablet-side communication device 104 and the like.

(Main configuration of management server 40)
FIG. 4 is a schematic block diagram showing a main configuration of the management server 40 shown in FIG.
As shown in FIG. 4, the management server 40 inputs a "server control unit 41", a "server-side communication device 42" for communicating with other devices, a "server-side display 43" for displaying various information, and various information. It has a "server-side various information input unit 44" such as a keyboard to be used.

Further, as shown in FIG. 4, the management server 40 has a "patient X information storage unit 45", a "tester tablet ID information storage unit 46", a "visit order information generation processing unit 47", and a "visit order information storage unit". It has a "unit 48", a "hospital layout map information storage unit 49", a "waiting time information storage unit 50", a "contraindication determination processing unit 51" and the like, and these configurations will be described later.
The server control unit 41 of FIG. 4 is connected to the server-side communication device 42 and the like shown in FIG. 4 and is configured to control them.

(Main operation example of ophthalmology system 1)
5 to 7 are schematic flowcharts showing main operation examples of the ophthalmic system 1 having the tablet 100 for a subject according to the present embodiment.
In the present embodiment, the patient X, who is the subject, visits the ophthalmology hospital and receives a medical examination as the first medical examination. The case of undergoing an inspection using the above will be described below as an example.

Patient X visits an ophthalmology hospital and accepts at the reception desk shown in FIG. At that time, personal information such as one's name will be presented. Then, the person in charge of the hospital generates the ID information of the patient X (an example of the "identification information"), the information "the patient is the first visit", the visit destination is the "examination room 1", and the "attendant examination" accompanying the patient X. Information that is "personal information" is registered in the "patient X information storage unit 45" of FIG. 4 of the management server 40.

Then, the process proceeds to step 1 of FIG. 5 (hereinafter referred to as “ST”) 1.
In ST1, the receptionist has the "tablet 100 for the subject" that the visiting patient has in the hospital, so the ID information of the patient X and the "patient is the first visit" information are stored in this tablet 100. , The information that the visit destination is "examination room 1" and "accompanying examiner information" is input to "tablet 100 for examinee" and lent to patient X.

Then, proceed to ST2. In ST2, the patient X activates his / her own “tablet 100 for subject”, displays “ID information”, and confirms it.
Then, proceed to ST3. In ST3, the management server 40 refers to the “patient X information storage unit 45” and the “examiner's tablet ID information storage unit 46” in FIG. 4, and becomes the “examiner's tablet 200a” of the patient X's attendant examiner. , The subject ID information of the patient X who is the subject to be accompanied is transmitted.

Therefore, the examiner who receives the examinee ID information on his / her own examiner's tablet 200a can identify the examinee to be accompanied by himself / herself.

Then, proceed to ST3. In ST4, the ID information of the subject's "examinee's tablet 100" to be accompanied is displayed on the "tablet side display 101" of the "examiner's tablet 200a" together with the subject's unique icon. ..
At this time, when the examiner clicks the "icon", the previous data of the patient X, the current data and their comparison, etc., and the medical record of the patient X, etc. are displayed.
Therefore, the examiner can quickly obtain detailed information on the subject to be accompanied.

Then, the process proceeds to ST5. In ST5, when the patient X activates his / her own “tablet 100 for subject”, the “hospital layout” of FIG. 2 is displayed on the “tablet side display 101”.
As shown in FIG. 4, this hospital layout is stored in the "hospital layout information storage unit 49" of the management server 40, and the tablet 100 for the subject is stored at the reception desk or the like before being lent to the patient X. It is configured to receive this hospital layout from the management server 40.

Further, the "position information acquisition device 102" of the tablet 100 operates, the position of the "tablet 100 for the subject" is positioned, and a circle P is placed on the "hospital layout" as shown in FIG. indicate.
Further, the voice "Please go to the examination room 1" is output from the speaker 107 of the "tablet 100 for the subject".

Therefore, the patient X can clearly grasp that he / she is going to the “examination room 1” first, and can clearly grasp the positional relationship between his / her current position (circle P) and the “examination room 1”. Therefore, the patient X can easily and without hesitation to go to the “examination room 1”.
Therefore, the information such as going to the "hospital layout", "circle P", and "examination room 1" is an example of "examination information of the ophthalmic appliance to be received by the subject".

Further, the present invention is not limited to this, and may be configured to indicate the route from the “circle P” to the “examination room 1” by an arrow or the like on the “hospital layout”.

Then, proceed to ST6. In ST6, the management server 40 transmits the visit information of "patient X" to the "examiner's tablet 200 g" of the doctor in the "examination room 1".
Therefore, the doctor in the examination room 1 can prepare for the examination of the patient X in advance, and can improve the examination efficiency.

Further, the management server 40 acquires the position information of the “tablet 100 for the subject” of the patient X and transmits it to the “tablet 200a for the examiner” in charge of attendance.
Therefore, the attendant examiner displays the position of the patient X on his / her "examiner's tablet 200a".

Further, the management server 40 acquires the position determined by the position information acquisition device 102 of the attendant “tablet 200a for examiner” and transmits it to the “tablet 100 for examinee” of patient X.
Therefore, the position of the examiner in charge of attending the "tablet 100 for the subject" of the patient X is ideographic.

Therefore, since the patient X (examinee), the examiner, and the doctor can quickly acquire the necessary information, the examination and the examination can be efficiently proceeded.
In this embodiment, ST5 and ST6 are used for convenience of explanation, but these may be executed at the same time.

Then, the process proceeds to ST7. In ST7, patient X enters the "examination room 1" and is examined by a doctor. The doctor acquires the information necessary for the medical examination from the "management server 40" through his "examiner's tablet 200 g" and inputs the medical examination result information, for example, 10 measurements such as a reflex meter, a tonometer 11 Input the measurement, the visual examination device 13 measurement, the OCT device 17 and the fundus camera 16 measurement, the perimeter 20 measurement, and the re-examination in the examination room 1.

Then, the process proceeds to ST8. In ST8, the diagnosis result information is obtained by bringing the doctor's "tablet for examiner 200 g" closer to the "slit lamp 21a" of "examination room 1", and this diagnosis result information is obtained from "tablet 100 for examinee". It is transmitted by short-range wireless communication to the "slit lamp 21a" of the "examination room 1".
Further, the information is transmitted from the "slit lamp 21a" to the "management server 40", is associated with the ID information of the patient X, and is stored in the "patient X information storage unit 45" of FIG. 4 of the "management server 40". ..

Then, the process proceeds to ST9. In ST9, the "visit order information generation processing unit (program) 47" of the "management server 40" in FIG. 4 operates, and the "hospital layout information" of the "hospital layout information storage unit 49" of the "management server 40". To get.
This "hospital layout map information" is a diagram showing, for example, the layout of an examination room, an examination room, a waiting room, etc. of an ophthalmic hospital as shown in FIG.

In addition, the "visit order information generation processing unit (program) 47" also acquires the "diagnosis result information" of the patient X in the "patient X information storage unit 45" of FIG.

This "diagnosis result information" includes, for example, an examination of "refractometer, etc. 10" and an examination of "tonometer 11" in the "objective measurement room (1)", and "vision" of the "awareness examination room (2)". Inspection of "inspection device 13", inspection of "OCT device 17" and "fundus camera 16" in "imaging examination room (3)", inspection of "field meter 20" in "field of view examination room (5)", and finally "inspection of field meter 20" Information with the examination is included in "Examination Room 1".

Therefore, the processing unit (program) 47 generates, for example, "visit order information" that allows patient X to visit these tests and the like in the shortest distance, and patient X's "tablet 100 for subject". And to the "examiner's tablet 200a" in charge of attending patient X.
Therefore, the patient X and the attendant examiner can share the efficient "visit order information" of the patient X.
By the way, the present invention is not limited to the "visit order information" that can be visited in the shortest distance, but also avoids congestion and generates the shortest visit order information in time in consideration of the congestion situation of each laboratory. It may be configured to be transmitted to the “tablet 100 for the subject” of the patient X and the “tablet 200a for the examiner” who is in charge of attending the patient X.

For example, at present, because another subject has cataract, it is difficult to measure the "refractometer, keratometer 10" in the "objective measurement room (1)" in FIG. 1, and it takes a long time to measure the device. If the error is frequent and "crowded", change the "visit order information", for example, "refractometer, etc. 10" and "eyes" in the "objective measurement room (1)" that is close in distance. The order of inspections of the pressure gauge 11 ”can be changed after other inspections and deferred.

Further, at present, an error occurs in which the xenon lamp of the "fundus camera 16" of the "imaging examination room (3)" does not emit light. For example, one of the two "fundus cameras 16" becomes unusable, and " If it is "crowded", the "visit order information" may be changed, for example, the inspection order of the "OCT device 17" and the "fundus camera 16" of the "imaging examination room (3)" may be changed last. can.

In this way, the visit order information and the like are generated in consideration of the congestion status information of the examination of the ophthalmic equipment such as the "refractometer and the keratometer 10" in each examination room such as the "objective measurement room (1)". Therefore, the subject such as patient X can receive the examination and the like more efficiently, and the examination efficiency can be remarkably improved as a hospital.

These "congestion" situations are an example of "congestion status information".
Further, this "objective measurement room (1)" or the like is an example of "location information where the ophthalmic device is located", and "visit order information" is an example of "priority visit information".

When the "visit order information" is transmitted to the "examiner's tablet 200a" of the inspector in charge of attendance, the waiting time information of each room in the waiting time information storage unit of each room stored in the management server 40 is stored. And send.

Then, the process proceeds to ST10. In ST10, the current position of the "tablet 100 for the subject" (the circle P in FIG. 2 is displayed in the "examination room 1" on the "tablet side display 101" of the "tablet 100 for the subject" of the patient X. The positional relationship and directions between the “objective measurement room (1)” and the like are indicated by arrows and the like.
At the same time, the position of the “inspector tablet 200a” of the inspector in charge of attendance is also displayed.

On the other hand, on the "tablet side display 101" of the "examiner's tablet 200a" of the examiner in charge of attendance, the "current position of the subject (patient X) (displayed with an icon)" and the positional relationship with each room and Directions are indicated by arrows, etc., and "waiting time information" for each laboratory is also displayed.
The examiner can change the "visit order information" on the "examiner's tablet 200a" based on the "waiting time information" of each examination room, and this process will be described later.

At the request of the patient X or the examiner, it is possible to output information such as directions and the latest target examination room by voice.
The positional relationship between the current position and the "objective measurement room (1)" and the arrow of the route "is an example of" guidance information to the ophthalmic device ".

Therefore, the information displayed on the tablet-side display 101 allows the patient X and the examiner in charge of attendance to undergo the examination and the like most efficiently without hesitation.

Then, the process proceeds to ST11. In ST11, the patient X and the attendant in charge first go to the "objective measurement room (1)" and enter the room according to the display of the "tablet side display 101" such as the "tablet 100 for the subject". do.

Then, the own "tablet 100 for the subject" is brought close to the "refractometer or the like 10", and short-range wireless communication is started between the two. Then, the ID information and the like of the "tablet for the subject 100" are transmitted to the management server 40 via the "refractometer and the like 10".
The management server 40 refers to the ID information of the “patient X information storage unit 45” in FIG. 4 of the “management server 40”, confirms the ID information of the patient X, and confirms the identity.
If it is found that patient X has not reached the target location, the information may be changed in an easy-to-understand manner and displayed on the "tablet side display 101" of the "tablet 100 for the subject", or the staff may be voiced. It is also configured to be displayed on the "tablet side display 101" so as to be applied.
Further, it may be configured to automatically call the "tablet 100 for the subject" from the monitoring device (not shown) or from the examiner who noticed it.

Then, the result is transmitted to the "refractometer, etc. 10".
The identity can be confirmed by receiving the confirmation result by the "examiner's tablet 200b" (FIG. 1) of the operator of the "refractometer, etc. 10" by short-range wireless communication.
At this time, the order of examinations is also confirmed, so if patient X makes a mistake in the order of visits (inspection order), the fact can be promptly reported to patient X and the "examiner" of the operator of the "tablet 100 for subject". The tablet 200a "can be notified.
This confirmation may be performed by the "examiner's tablet 200a" of the examiner in charge of attendance.

As described above, in the present embodiment, the patient X can confirm his / her identity only by bringing his / her own “tablet 100 for subject” close to the ophthalmic apparatus “refractometer or the like 10”. Therefore, the time for identity verification can be remarkably shortened and the inspection efficiency can be improved as compared with the conventional case.

If the identity can be confirmed in ST11, proceed to ST12. In ST8, for example, when the patient X clicks on the "eye image to be inspected", the examination is executed by the "refractometer, etc. 10", and the "refractometer, etc. 10" outputs the examination result to the "management server 40". The management server 40 stores the image in the “patient X information storage unit 45” of FIG.

Then, the process proceeds to ST13. In ST13, communication is started by short-range wireless communication between the "tonometer 11" of the same "objective measurement room (1)" and its own "tablet 100 for subject".
Then, similarly to the “refractometer, etc. 10” of ST11, the ID information of the “patient X information storage unit 45” of the “management server 40” is referred to via the “tonometer 11”, and the ID information of the patient X is referred to. And confirm the identity.

Then, the process proceeds to ST14. In ST14, the examination is executed by the “tonometer 11”, and the examination result is stored in the “patient X information storage unit 45” of FIG. 4 by the “management server 40” as in ST12.
The inspection at this time is carried out, for example, by the following procedure.

First, "Patient X puts his chin on the chin rest and puts his forehead on the forehead", then "Patient X sees the fixation target", and then "Patient X 11 puts the tonometer 11 on patient X's" eye to be inspected ". "Alignment is performed with respect to the eye", and "the tonometer 11 measures the eye to be inspected" ends.

Then, the process proceeds to ST15. In ST15, patient X leaves the "objective measurement room (1)" and enters the "subjective examination room (2)" according to the display of the "tablet side display 101" of his "tablet 100 for subject". Go and enter the room.

Then, the patient X starts short-range wireless communication between the “visual acuity test device 13” and his / her own “tablet 100 for subject” as in ST13.
Then, it communicates with the "management server 40" via the "visual acuity test device 13", refers to the ID information of the "patient X information storage unit 45", confirms the ID information of the patient X, and confirms the identity. ..

Then, the process proceeds to ST16. In ST16, the test is executed by the "visual acuity test device 13", and the test result is transmitted to the "management server 40" and stored in the "patient X information storage unit 45" in the same manner as in ST14.

Then, the process proceeds to ST17. In ST17, patient X leaves the "subjective examination room (2)" and goes to the "imaging examination room (3)" according to the display of the "tablet side display 101" of his "tablet 100 for the subject". , Enter the room.
Then, the patient X starts short-range wireless communication between the “OCT device 17” and the “fundus camera 16” and his / her own “tablet 100 for the subject” as in the ST15.
Then, through the "OCT device 17" and the "fundus camera 16", the ID information of the "patient X information storage unit 45" of the "management server 40" is referred to, the ID information of the patient X is confirmed, and the identity is confirmed. To confirm.

Then, the process proceeds to ST18. In ST18, the examination is executed by the “OCT device 17” and the “fundus camera 16”, and the examination result is transmitted to the “management server 40” and stored in the “patient X information storage unit 45” in the same manner as in ST16.

Then, the process proceeds to ST19. In ST19, patient X leaves the "imaging examination room (3)" and goes to the "visual field examination room (5)" according to the display of the "tablet side display 101" of his "tablet 100 for the subject". , Enter the room.
Then, the patient X starts short-range wireless communication between the “field meter 20” and his / her own “tablet 100 for subject” as in ST17.
Then, the ID information of the "patient X information storage unit 45" of the "management server 40" is referred to through the "field meter 20", the ID information of the patient X is confirmed, and the identity is confirmed.

Then, the process proceeds to ST20. In ST20, the examination is executed by the “field meter 20”, and the examination result is stored in the “patient X information storage unit 45” of the “management server 40” as in ST14.

This completes the examination using the ophthalmic appliance. Therefore, in ST21, the patient X leaves the "visual field examination room (5)", goes to the "examination room 1" according to the display of the "tablet side display 101" of his "tablet 100 for the subject", and goes to the doctor. Enter the room to receive a medical examination.

Then, the patient X or the doctor starts short-range wireless communication between the "slit lamp 21a" and the "tablet 100 for the subject" of the patient X, and the "slit lamp 21a" is used for "slit lamp 21a". The ID information of the "patient X information storage unit 45" of the "management server 40" is referred to, the ID information of the patient X is confirmed, and the identity is confirmed.

Then, the process proceeds to ST22. In ST18, the doctor examines in the "examination room 1", and the doctor possesses the "examiner's tablet 200 g" or the patient X or the attendant examiner possesses the "examinee's tablet 100". It is transmitted to the "management server 40" and stored in the "patient X information storage unit 45" of the management server 40.

As described above, according to the present embodiment, the identity verification of the patient X is carried out promptly and accurately in each examination and examination.
In addition, since the patient X who visits a plurality of examination rooms (“objective measurement room (1)”, etc.), the examination room, etc. is visually informed of the order of visits, the patient X is notified. You can move quickly without hesitation. In addition, the inspector in charge of attendance will also be supported.
Therefore, the efficiency of medical examination in an ophthalmic hospital can be significantly improved.

(When changing the "visit order information" on the tablet 200a for examiners)
In the above-mentioned ST10, the attendant in charge of visually recognizing the "waiting time information" of each examination room displayed on his / her own "tablet for examiner 200a" is the "visit order information" selected by the management server 40. When it is determined that the visit efficiency is poor, the "visit order information" can be changed in a more efficient order.
FIG. 8 is a schematic profile chart showing a process of changing the “visit order information” on the examiner tablet 200a.

Hereinafter, the description will be given according to the flowchart of FIG.
First, in ST31 of FIG. 8, the examiner sees the "current position of the subject (displayed with an icon)", "positional relationship with each room", and "visit to each room" displayed on the "tablet side display 101". Change the "icon" by "drag and drop" in "order", "arrows for directions to each room", and "waiting time information" for each room.
As a result, the "visit order" can be easily changed, and the change is stored in the "visit order information storage unit 48" in FIG.
Then, the process proceeds to ST32. In ST32, the "visit order information" after the change to the "tablet 100 for the subject" of the patient X is stored.

In the present embodiment, the "examiner's tablet 200a" has a configuration in which the visit order information held by the "examiner's tablet 200a" can be changed. In consideration of this, the order of visits to the ophthalmic apparatus can be changed to improve the efficiency of the examination of the subject (patient X) in charge.

(When requesting support from the tablet for the subject)
FIG. 9 is a schematic flowchart showing a process of requesting support from a tablet for a subject.
Since the inspection of the "field meter 20" shown in FIG. 1 takes time, the inspector who operates the field meter 20 often leaves during the inspection.
At this time, the patient X of the subject may become tired or unsure, and may ask the examiner for explanation again.
In such a case, the process in which the patient X requests support from his / her own “tablet 100 for subject” to the “tablet 200e for examiner” of FIG. 1 will be described below using the flowchart of FIG. do.

FIG. 9 is a schematic flowchart showing a process of requesting support from a tablet for a subject.
First, in ST41 of FIG. 9, while the patient X is inspecting with the "visual field meter 11", the "support request" information is output from the "tablet 100 for the subject". Then, this information is transmitted to the "field meter 11" by short-range wireless communication.

Then, the process proceeds to ST42. In ST42, the "support request information" of ST41 is transmitted from the "field meter 11" to the "management server 40".
This "support request information" is an example of "operation request information for operating an ophthalmic appliance".
Then, the process proceeds to ST43. In ST43, the "management server 40" can be the examiner's "tablet for examiner 200f" in charge of the "field meter 11" or the attendant in charge of the examiner's "tablet for examiner 200a". Send re-explanation instructions to the examiner.

The examiner in charge of the visual field meter 11 and the examiner in charge of attending who received the instruction for such "re-explanation" on his / her own "tablet for examiner 200e" can quickly rush to the patient X. ..
Therefore, when the patient X has a problem in the examination of the visual field meter 11, the problem can be solved quickly.

(When an error occurs in the ophthalmic device)
FIG. 10 is a schematic flowchart showing a processing process when an abnormality such as an error occurs during the operation of the ophthalmic apparatus.
In the present embodiment, for example, an example in which an abnormality occurs in the operation of the “field meter 20” while the patient X is inspecting the field meter 20 will be described below.

In ST51, if the patient X is inspecting with the "field meter 20" and an operation abnormality of the "field meter 20" occurs, the "field meter 20" stops operating.
Next, in ST52, the "field meter 20" transmits "operation abnormality" information to the "management server 40".

Next, in ST53, the "management server 40" is "manually operated" on the "examiner's tablet 200f" of the examiner in charge of the inspection of the "field meter 20" or the "inspector's tablet 200a" of the attendant. Send instructions.
Therefore, the examiner in charge of the "field meter 20" or the examiner in charge of the attendant who received the "manual operation" immediately rushes to the "field meter 20" and changes the field meter 20 from automatic to manual operation. Then, the examination of patient X can be continued.

In the present embodiment, the operation abnormality of the “field meter 20” has been described as an example as an operation abnormality such as an error, but the present invention is not limited to this, for example, because another subject has cataract. It is difficult to measure the "refractometer, keratometer 10" in the "objective measurement room (1)" in FIG. 1, and it takes a long time to measure. ..
Further, for example, an error may occur in which the xenon lamp of the "fundus camera 16" of the "imaging examination room (3)" does not emit light, resulting in an operation abnormality.

(When applicable to contraindications such as inspections)
FIG. 11 is a schematic flowchart showing a process when the subject falls under contraindications or the like in relation to the inspection or the like.
In the present embodiment, patient X is scheduled to undergo an optical coherence tomography (OCT device 17) test, and when the test of the OCT device 17 is started, patient X is found to be contraindicated for the test. The following is an example of the above.

First, the patient X brings the "tablet 100 for the subject" close to the OCT device 17 and starts communication in order to undergo the examination of the OCT device 17.
Then, the OCT device 17 communicates with the management server 40, and the management server 40 grasps that the patient X performs the OCT examination.

In ST61 of FIG. 11, the “contraindication determination processing unit (program) 51” of FIG. 4 of the management server 40 operates, and the patient X refers to the medical record and the like of the “patient X information storage unit 45” of FIG. Judge whether or not it falls under "contraindications, etc."

Then, when it is determined in ST62 that the contraindication or the like is applicable, the process proceeds to ST63. In ST63, the “tablet 100 for the subject” of the patient X, the “tablet 200a for the examiner” of the attendant, and the “tablet for the examiner” of the OCT device 17 from the “management server 40” via the OCT device 17. "Inspection stop instruction information" is transmitted to the "tablet 200c". In addition, the OCT device 17 is instructed to stop the operation.
Further, the "examiner's tablet 200c" of the OCT device 17 and / or the "examiner's tablet 200a" of the examiner in charge of attendance are instructed to change the "visit order" of the examination.
Therefore, "inspection stop instruction information" and the like are examples of "inspection stop information".

As described above, in the present embodiment, when the patient X falls under the contraindications of the test, the test can be avoided in advance and the safety of the subject such as the patient X can be ensured. ..

(When contacting another examiner's tablet from the examination tablet)
An example in which an attendant examiner and patient X entered the "imaging examination room (3)" and intravenously injected a contrast medium for the examination of the "fundus camera 16", and patient X vomited during the injection. Will be explained below.

FIG. 12 is a schematic flowchart showing a process of contacting another examiner's tablet from the inspection tablet 200a.
First, in ST71 of FIG. 12, the "emergency doctor icon" is displayed on the "tablet side display 101" of the "examiner's tablet 200a" of the examiner in charge of attendance.
Then, the process proceeds to ST72. In ST72, the examiner double-clicks the "emergency doctor icon" to contact the emergency doctor's "examiner's tablet".

As described above, in the present embodiment, even if a situation that cannot be handled by the inspector in charge of attending occurs, it can be promptly dealt with.

(Example of re-examination)
As described above, in the present embodiment, the example in which the patient X is accepted at the ophthalmology hospital at the “first visit” has been described, but in the case of the “revisit”, the difference from the first visit is mainly as follows.
In the case of a re-examination, since the inspection items have already been decided, the "visit order information generation processing unit (program) 46" of the "management server 40" operates based on the information.
That is, the "hospital layout map information" of the "hospital layout map information storage unit 47" of the "management server 40" and the "diagnosis result information" of the patient X of the "patient X information storage unit 45" are acquired, for example, the shortest. "Visit order information" (or visit order information for avoiding congestion) is generated and transmitted to the "patient tablet 100" of patient X.

The present invention is not limited to the above-described embodiment.
In the present embodiment, the laboratory of an ophthalmology hospital has been described as an example, but the present invention is not limited to this, and the present invention is not limited to this, and is applicable to other facilities such as accounting, hospitalization office work, in-hospital dispensing, etc. Also applies.

1 ... ophthalmic system, 2 ... communication line, 10 ... refractometer, keratometer, 11 ... tonometer, 12 ... specular microscope, 13 ... vision test device, 14 ... Foropter, 15 ... eye examination system, 16 ... fundus camera, 17 ... OCT device, 18 ... subjective eye examination device, 19 ... microperimeter, 20 ... perimeter, 21a-21d.・ ・ Slip lamp, 40 ・ ・ ・ Management server, 41 ・ ・ ・ Server control unit, 42 ・ ・ ・ Server side communication device, 43 ・ ・ ・ Server side display, 44 ・ ・ ・ Server side various information input unit, 45 ・・ ・ Patient X information storage unit, 46 ・ ・ ・ Tablet ID information storage unit for examiner, 47 ・ ・ ・ Visit order information generation processing unit, 48 ・ ・ ・ Visit order information storage unit, 49 ・ ・ ・ Hospital layout map information Storage unit, 50 ... Waiting time information storage unit, 51 ... Contraindication judgment processing unit, 100 ... Subject's tablet, 101 ... Tablet side display, 102 ... Position information acquisition device, 103 ... Tablet control unit, 104 ... Tablet side communication device, 105 ... Tablet side various information input unit, 106 ... Tablet side various information storage unit, 107 ... Speaker, 200a-200g ...・ Examiner's tablet

Claims (6)

The subject's ophthalmology terminal device, which is the ophthalmology terminal device possessed by the subject undergoing the examination of the ophthalmology device used in the field of ophthalmology,
An ophthalmology terminal device including an ophthalmology terminal device, which is an ophthalmology terminal device possessed by an examiner who operates the ophthalmology device.
The subject ophthalmology terminal device and the subject ophthalmology terminal device have a display unit, have identification information of the subject, and have inspection information of the ophthalmology device to be received by the subject. The display unit is configured to be able to display guidance information to the ophthalmic apparatus to be received by the subject.
The guidance information includes information on the location of the ophthalmic appliance and priority visit information on the plurality of the ophthalmic appliances.
The examiner's ophthalmology terminal device includes the terminal of the examiner in charge of attendance, and the subject's ophthalmology terminal device has a position information acquisition device for acquiring position information.
At least, the hospital layout is displayed on the display unit of the subject ophthalmology terminal device, and the position information acquisition device operates to determine the position of the subject ophthalmology terminal device. Displayed on the hospital plan,
The position of the subject's ophthalmology terminal device is displayed on the terminal of the attendant in charge of the examiner, and the position of the terminal of the examiner in charge of the attendant is displayed on the subject's ophthalmology terminal device. Being done
The priority visit information that can be visited in the shortest distance or the shortest time is generated, and the directions of the priority visit information are directed to the display unit of the terminal device for ophthalmology of the subject and the terminal of the examiner in charge of attendance. An ophthalmic terminal device characterized by displaying. The terminal of the examiner in charge of attendance is characterized in that the current position of the subject and the positional relationship and directions between the ophthalmic devices are shown, and the waiting time information of each ophthalmic device is displayed. The ophthalmic terminal device according to claim 1. The examiner's ophthalmology terminal device can change the guidance information, and the priority visit information is generated based on the congestion status information regarding the ophthalmology device according to claim 1 or 2. The described ophthalmic terminal device. The subject's ophthalmology terminal device and the examiner's ophthalmology terminal device can communicate with the ophthalmology device and also communicate with other devices via the ophthalmology device. The claim is characterized in that when the human ophthalmology terminal device transmits support request information to the ophthalmology device, an instruction for reexplanation is transmitted to the examiner ophthalmology terminal device in charge of the ophthalmology device. The ophthalmic terminal device according to any one of claims 1 to 3. Any of claims 1 to 4, wherein the subject ophthalmology terminal device can transmit operation request information for operation of the ophthalmology device to the examiner ophthalmology terminal device. The ophthalmic terminal device according to item 1. When the subject has avoidance information to avoid the examination for the ophthalmology device to be received by the subject, the subject's ophthalmology terminal device and the examiner's ophthalmology terminal device stop the examination. The ophthalmic terminal device according to any one of claims 1 to 5, wherein the device is configured to receive information.

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