JP7092481B2 - Ophthalmic examination system - Google Patents

Description

The present invention relates to an ophthalmologic examination system.

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. It is more difficult for the subject to know the order of the rooms. Therefore, there is a problem that the subject cannot quickly arrive at the room where the ophthalmic device to be examined is located, and it is difficult to improve the efficiency of ophthalmic medical care. In addition, receptionists and examiners at facilities where ophthalmic appliances are installed (ophthalmic hospitals, etc.) cannot grasp the room where the ophthalmic appliances are waiting for the subject to take turns, and ophthalmic examinations that should be performed are performed. It was difficult to guide the subject to a room. In this respect as well, there is a problem that it is difficult to improve the efficiency of ophthalmic medical care.

The present invention has been made to solve the above problems, and an object of the present invention is to provide an ophthalmic examination system capable of improving the efficiency of ophthalmic medical care.

According to the present invention, the subject is a plurality of subjects who are used by a plurality of subjects in an ophthalmic examination apparatus and a facility in which the ophthalmologic examination apparatus is installed and are communicably connected to the ophthalmologic examination apparatus. In the waiting space of the examination room where the terminal, the monitoring terminal installed in the facility and having a display unit for displaying various information and communicable with the subject terminal, and the ophthalmic examination device are installed. It has a waiting terminal that is installed and communicably connected to the ophthalmic examination device and the subject terminal, and a display unit that is used by the examiner at the facility and displays various information, and can communicate with the monitoring terminal. The waiting terminal is provided with an examiner terminal connected to the eye examination device, and the waiting terminal recognizes the first identification information of the ophthalmology examination device by communicating with the ophthalmology examination device, and the monitoring terminal is the plurality of subjects. The second identification information assigned to each of the examiners and the position data indicating the current position of the subject terminal are received from the subject terminal, and the second identification information and the current position are used in the monitoring terminal. First , which is displayed on the display unit and indicates the time when the communication is performed between the subject terminal and the waiting terminal via the short-range communication technique. When the time data is received from the waiting terminal and communication is performed between the subject terminal and the ophthalmic examination device, the second time data indicating the time when the examination by the ophthalmic examination device is performed is obtained. The waiting time received from the ophthalmic examination device and the subject waiting for the examination of the first identification information by the ophthalmic examination device is calculated from the difference between the first time data and the second time data. The waiting time is displayed on the display unit of the monitoring terminal, and the examiner terminal receives the waiting time from the monitoring terminal and displays the waiting time on the display unit of the examiner terminal. It will be solved by the ophthalmology examination system.

According to the above configuration, the monitoring terminal installed in the facility where the ophthalmologic examination device is installed receives the identification information assigned to each of the plurality of subjects and indicates the current position of the subject terminal. Receive data. Then, the monitoring terminal displays the identification information of the subject and the current position of the subject terminal on the display unit of the monitoring terminal. Therefore, for example, the reception staff of the facility can grasp the position of the subject and the position of the subject terminal by checking the display unit of the monitoring terminal. Therefore, for example, the reception staff of the facility can give an instruction to the subject or send an instruction or information to the subject terminal by operating the monitoring terminal. This makes it possible to improve the efficiency of ophthalmic medical care.
Further, according to the above configuration, the monitoring terminal includes the first time data indicating the time when communication is performed between the subject terminal and the waiting terminal via the short-range communication technology, and the inspection by the ophthalmic examination device. Based on the second time data indicating the time when the time was performed, the waiting time for the subject to wait for the examination by the ophthalmologic examination device is calculated and displayed on the display unit. As a result, for example, the reception staff of the facility can grasp the standby state (congestion status) of the subject who is waiting for the examination by the ophthalmologic examination device by checking the display unit of the monitoring terminal.

Preferably, when the monitoring terminal transmits the request data of the examination status information indicating the examination status of the subject to the ophthalmologic examination apparatus, the monitoring terminal receives the examination status information from the ophthalmologic examination apparatus and displays it on the display unit. It is characterized by doing.

According to the above configuration, the monitoring terminal receives the inspection status information indicating the inspection status of the subject and displays it on the display unit. The examination status information represents the examination status of the subject (eye to be inspected). Therefore, for example, the reception staff of the facility can grasp the inspection status of the subject (eye to be inspected) by checking the display unit of the monitoring terminal.

Preferably, the monitoring terminal receives and records test information including at least a part of the information exchanged between the ophthalmologic test device and the subject terminal, and is previously recorded among the test information. It is characterized in that the display unit displays comparative information showing a comparative relationship between the inspection information and the inspection information recorded this time among the inspection information.

According to the above configuration, the monitoring terminal receives and records the examination information exchanged between the ophthalmologic examination device and the subject terminal. Then, the monitoring terminal displays on the display unit the comparison information showing the comparison relationship between the inspection information recorded last time among the inspection information and the inspection information recorded this time among the inspection information. As a result, for example, the reception staff of the facility can grasp whether or not an abnormality has occurred in at least one of the examination information, the examination status, and the ophthalmologic examination device by checking the display unit of the monitoring terminal. ..

Preferably, the plurality of ophthalmic examination devices are provided in the plurality of examination rooms, the plurality of the waiting terminals assigned to each of the plurality of examination rooms are provided, and the monitoring terminal is the plurality of waiting terminals. According to the waiting time in the first waiting terminal, the second waiting terminal assigned to the examination room in which an ophthalmic examination device other than the ophthalmic examination device corresponding to the first waiting terminal is installed is the said. It is characterized in that guidance information for guiding a subject is generated and the guidance information is transmitted to the subject terminal.

According to the above configuration, the monitoring terminal is an inspection in which an ophthalmic examination device other than the ophthalmic examination device corresponding to the first waiting terminal is installed according to the waiting time in the first waiting terminal among the plurality of waiting terminals. Guidance information for guiding the subject to the second waiting terminal assigned to the room is generated. That is, the monitoring terminal guides the subject to another second waiting terminal different from the first waiting terminal according to the waiting time of the subject waiting for the examination by the ophthalmologic examination device in the first waiting terminal. Generate guidance information. Then, the monitoring terminal transmits the generated guidance information to the subject terminal. As a result, when the waiting time of the subject waiting for the examination by the ophthalmologic examination device in the examination room where the first waiting terminal is installed is long (when the examination room where the first waiting terminal is installed is crowded). ), The monitoring terminal can guide the subject to the second waiting terminal in the vacant examination room rather than the examination room in which the first waiting terminal is installed. Therefore, it is possible to further improve the efficiency of ophthalmic medical care.

Preferably, the subject terminal has a display unit for displaying various information, and the monitoring terminal is based on the position data and the third identification information assigned to the second waiting terminal. The positional relationship between the position and the second waiting terminal is displayed on the display unit of the subject terminal, and the route from the current position to the second waiting terminal is displayed on the display unit of the subject terminal. It is characterized by that.

According to the above configuration, the monitoring terminal has the current position of the subject terminal (current position of the subject) and the second waiting based on the position data and the identification information assigned to the second waiting terminal. The positional relationship between the terminal and the subject is displayed on the display unit of the subject's terminal. Further, the monitoring terminal causes the display unit of the subject terminal to display the route from the current position of the subject terminal (current position of the subject) to the second waiting terminal. As a result, even if the subject is guided to a second waiting terminal different from the first waiting terminal, the subject does not get lost in the facility where the ophthalmologic examination device is installed, and the first one is performed in a relatively short time. You can move from the waiting terminal to the second waiting terminal.

Preferably , the monitoring terminal is characterized in that the second identification information and the position data are transmitted to the examiner terminal.

According to the above configuration, the monitoring terminal transmits the identification information assigned to each of the plurality of subjects and the position data of the subject terminal to the examiner terminal. In other words, the examiner terminal used by the examiner in the facility where the ophthalmologic examination apparatus is installed receives the identification information assigned to the examinee and the position data of the examinee terminal. Thereby, the examiner can grasp the position of the subject and the position of the subject terminal by confirming the examiner terminal. Therefore, the examiner can give an instruction to the examinee or send an instruction or information to the examinee terminal by operating the examiner terminal. This makes it possible to improve the efficiency of ophthalmic medical care.

Preferably, the examiner terminal is characterized in that when the request data of the examination status information indicating the examination status of the subject is transmitted to the ophthalmologic examination apparatus, the examination status information is received from the ophthalmologic examination apparatus . do.

According to the above configuration, the monitoring terminal receives the inspection status information indicating the inspection status of the subject and transmits the inspection status information to the examiner terminal. The examination status information represents the examination status of the subject (eye to be inspected). Therefore, the examiner can grasp the examination status of the examinee (the examinee's eye) by checking the examiner's terminal.

Preferably, the monitoring terminal receives and records test information including at least a part of the information exchanged between the ophthalmologic test device and the subject terminal, and is previously recorded among the test information. It is characterized in that the comparison information showing the comparison relationship between the inspection information and the inspection information recorded this time among the inspection information is transmitted to the examiner terminal.

According to the above configuration, the monitoring terminal provides the examiner terminal with comparative information indicating a comparative relationship between the previously recorded inspection information among the inspection information and the inspection information recorded this time among the inspection information. Send. Thereby, the examiner can grasp whether or not an abnormality has occurred in at least one of the examination information, the examination status, and the ophthalmologic examination device by checking the examiner terminal.

Preferably, the monitoring terminal is characterized in that the waiting time is transmitted to the examiner terminal.

According to the above configuration, the monitoring terminal is subjected to the first time data indicating the time when communication is performed between the subject terminal and the waiting terminal via the short-range communication technology, and the inspection by the ophthalmic examination device. Based on the second time data indicating the time, the waiting time for the subject to wait for the examination by the ophthalmologic examination device is calculated and transmitted to the examiner terminal. As a result, the examiner can grasp the standby state (congestion status) of the examinee who is waiting for the examination by the ophthalmologic examination device by checking the examiner terminal.

According to the present invention, it is possible to provide an ophthalmic examination system capable of improving the efficiency of ophthalmic medical care.

It is a schematic diagram which shows the main structure of the ophthalmologic examination system which concerns on embodiment of this invention. It is a schematic diagram which shows an example of the arrangement of the room equipped with each ophthalmology apparatus in an ophthalmology hospital. It is a schematic block diagram which shows the main structure of the tablet 100 for a subject (tablet 200a for a subject, etc.) of FIG. It is a schematic block diagram which shows the main structure of the management server 40 shown in FIG. It is a schematic block diagram which shows the main structure of the monitoring terminal 50 shown in FIG. It is a schematic block diagram which shows the main structure of the ophthalmic apparatus shown in FIG. It is a schematic block diagram which shows the main structure of the waiting terminal 300a and the like shown in FIG. It is a sequence chart which shows the 1st operation example of the ophthalmologic examination system which concerns on this embodiment. It is a sequence chart which shows the 2nd operation example of the ophthalmologic examination system which concerns on this embodiment. It is a sequence chart which shows the 3rd operation example of the ophthalmologic examination system which concerns on this embodiment.

Hereinafter, preferred embodiments of the present invention will be described in detail with reference to the drawings.
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. Further, in each drawing, the same components are designated by the same reference numerals, and detailed description thereof will be omitted as appropriate.

FIG. 1 is a schematic diagram showing a main configuration of an ophthalmologic examination system according to an embodiment of the present invention.
FIG. 2 is a schematic view showing an example of the arrangement of rooms equipped with each ophthalmology device in an ophthalmology hospital.

(Ophthalmology equipment installed in ophthalmology hospitals, etc.)
As shown in FIG. 1, the ophthalmologic examination system 1 has a plurality of rooms (examination rooms) of an ophthalmology hospital, for example, "objective measurement room (1)", "subjective examination room (2)", and "imaging examination room (imaging examination room). It has an ophthalmologic examination device arranged in "3)", "dark room examination / special examination room (4)", "visual examination room (5)" and "examination rooms 1 to 4". In the following description, the ophthalmic examination device may be simply referred to as an "ophthalmic device".

Specifically, in the "objective measurement room (1)", for example, "refractometer, keratometer 10", "tonometer 11" and "specular microscope 12", which are ophthalmic devices, 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 "imaging 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, "slit lamps 21a to 21d" which are ophthalmic devices are arranged.

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 ophthalmologic examination system 1 is also communicably connected to the communication line 2. The management server 40 of the present embodiment is an example of the "management device" of the present invention.
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.

("Tablets for subjects", etc.)
As shown in FIG. 1, the tablet for a subject (subject terminal) 100 has, for example, a "tablet side display 101" which is a display unit on the surface thereof, and the "tablet side display 101" has various types. Information is displayed. The subject tablet 100 of the present embodiment is an example of the "subject terminal" of the present invention.
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, 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" to "eye". It is configured to be able to communicate with the tonometer 11.
Further, the subject or the examiner (examiner) can operate the "tablet 100 for the examinee" to easily control the measurement operation of the target tonometer 11 or the like. ..
That is, the subject can independently start the measurement of the tonometer 11 or the like even when the examiner is not nearby.

Further, the "tablet 100 for a subject" is provided with a "position information acquisition device 102" (see FIG. 3). This "location information acquisition device 102" acquires location information from the position of a LAN access point that can be used in the hospital and the distance between the tablet 100 for a 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. May be there.

Further, the "position information acquisition device 102" of the present invention may be a device using the 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 system 1 has tablets 200a to 200f for examiners. The configurations of the examiner tablets 200a to 200f are the same as those of the subject tablet 100 described above, but the examiner tablets 200a to 200f are placed in each room such as the "objective measurement room (1)". It is a terminal possessed by an examiner (inspector) who operates a device such as an arranged "tonometer 11".
The examiner tablets 200a to 200f are examples of "inspector terminals".

("Monitoring terminal" etc.)
As shown in FIGS. 1 and 2, a monitoring terminal 50 is provided at, for example, a reception desk of a facility (ophthalmology hospital or the like) in which a plurality of ophthalmology devices are installed. The monitoring terminal 50 is communicably connected to the communication line 2 and has a monitoring terminal display 503 (see FIG. 5). The receptionist, the inspector, and the like can grasp various information displayed on the monitoring terminal display 503 by checking the monitoring terminal display 503. The monitoring terminal display 503 of the present embodiment is an example of the "display unit" of the monitoring terminal of the present invention. The monitoring terminal 50 is not limited to being installed at the reception, and may be arranged at a position away from the reception in the facility.

("Waiting terminal" etc.)
As shown in FIGS. 1 and 2, waiting terminals 300a to 300i are provided in the waiting spaces of a plurality of rooms (examination rooms) in which a plurality of ophthalmic devices are installed. Each of the waiting terminals 300a to 300i recognizes the ID (identification information) of each room such as the "objective measurement room (1)". That is, each of the waiting terminals 300a to 300i is associated with each room such as the "objective measurement room (1)". Alternatively, each of the waiting terminals 300a to 300i may recognize the ID (identification information) of each ophthalmic device such as the "objective measurement room (1)". In this case, each of the waiting terminals 300a to 300i is associated with each ophthalmic device such as the "objective measurement room (1)".

As shown in FIG. 2, the waiting terminal 300a or the like may be set at a waiting chair installed near the entrance of each room such as the “objective measurement room (1)”. Alternatively, the waiting terminal 300a or the like may be installed in each room such as the “objective measurement room (1)”. The waiting terminal 300a or the like has a communication function and is capable of communicating with the tablet 100 for a subject. Specifically, short-distance wireless communication and communication area are extremely short distances of several centimeters to about 1 meter, and "short-range wireless communication" such as Bluetooth (registered trademark) and infrared communication, which are also called "non-contact communication". Is possible.

The subject tablet 100 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". Examples of the "short-range wireless communication" of the present embodiment include wireless LAN communication such as Bluetooth (registered trademark) and infrared communication, but the "short-range wireless communication" of the present embodiment is a non-contact magnetic. Communication may be performed using a card, a non-contact IC card, or the like.

(Explanation of "refractometer, keratometer 10", etc., which are ophthalmic devices)
Next, the main devices such as "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 tonometry unit is, for example, an optical system for photographing the anterior segment of the eye to be inspected E (see FIG. 6) and an eye to be inspected from a nozzle provided coaxially with the optical system. It includes an airflow blowing portion that blows airflow onto the optometry and a fixative optical system that presents a fixative 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 airflow is blown.
On the other hand, in the case of a contact-type tonometer, the intraocular pressure measuring unit is, for example, for pressing an optical system for observing the anterior eye portion of the eye to be inspected E and a member having a flat surface of a certain area against the cornea of the inspected eye. Including flat part.
Further, the intraocular pressure measuring unit includes a processor that detects the pressure required to flatten the fixed area of the corneum 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 visual acuity 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 imaging unit is, for example, an illumination optical system for irradiating the fundus of the eye to be inspected with illumination light, an optical system for guiding the return light of the illumination light from the fundus to an image sensor (area sensor), and the 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). There is an optical coherence tomography using the Source) type OCT method.
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 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 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".
The "slit lamps 21a-21d" are also called slit lamps and are microscopes for optometry that are viewed by both eyes.

Further, the management server 40, the monitoring terminal 50, the subject tablet 100, the examiner tablet 200a, etc., the tonometer 11 and the like shown in FIG. 1 have a computer, and the computer is a CPU (Central Processing Unit) (not shown). ), RAM (Random Access Memory), 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 apparatus such as a tonometer 11. It has a "tablet-side communication device 104" used for the purpose and the above-mentioned position information acquisition device 102.

Further, the tablet 100 for a subject has the above-mentioned tablet-side display 101, various tablet-side information input units 105 such as a keyboard for inputting various information, and various tablet-side information storage units 106 for storing various information. is doing.
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 has 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 for inputting, and via a monitoring terminal 50 and a communication line 2, such as an ophthalmology device, a tablet 100 for a subject, a tablet 200a for an examiner, a waiting terminal 300a, etc. It is connected so that it can communicate.

Further, as shown in FIG. 4, the management server 40 has a “patient X information storage unit 45”, a “hospital layout information storage unit 47”, 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 configuration of monitoring terminal)
FIG. 5 is a schematic block diagram showing a main configuration of the monitoring terminal 50 shown in FIG. 1.
As shown in FIG. 5, the monitoring terminal 50 includes a "monitoring terminal control unit 501", a "monitoring terminal communication unit 502" for communicating with other devices, a "monitoring terminal display 503" for displaying various information, and various information. It has a "monitoring terminal input unit 504" such as a keyboard for inputting. The monitoring terminal display 503 and the monitoring terminal input unit 504 may be integrated with each other. That is, the monitoring terminal display 503 may be a device such as a touch panel integrated with the monitoring terminal input unit 504, or a graphical user interface (GUI).

The monitoring terminal control unit 501 includes an output control unit 512 and a waiting time calculation unit 513. The monitoring terminal control unit 501 is configured to control the monitoring terminal communication unit 502 and the like.

The output control unit 512 controls to output information received from another device, for example, via the monitoring terminal communication unit 502. Visual information and audio information are examples of output information. The visual information is information recognized by the visual system, and includes character string information and image information. The output control unit 512 outputs visual information by controlling the monitoring terminal display 503. The output information may be voice information. The voice information is information recognized by the auditory system and includes a warning sound and a voice message. The output control unit 512 may output auditory information by controlling an audio output device (not shown).

The waiting time calculation unit 513 is based on information about the time received from the waiting terminal 300a or the like (first time data) and information about the time received from the tonometer 11 or the like (second time data). The waiting time for waiting for an examination (or medical treatment in the examination room) by the tonometer 11 or the like is calculated.

Further, the monitoring terminal 50 includes a "patient X information transmission / reception unit 505" for transmitting / receiving information on the patient X (subject), a "position information transmission / reception unit 506" for transmitting / receiving the position information of the tablet 100 for the subject, and various information. It has a "monitoring terminal storage unit 511" that stores the information. Further, the monitoring terminal 50 has an "inspection status information transmission / reception unit 507", an "inspection information transmission / reception unit 508", a "time transmission / reception unit 509", and a "guidance information generation unit 510".

The test status information transmission / reception unit 507 receives the test status information generated by the tonometer 11 or the like from the tonometer 11 or the like, and receives the test status information from other devices (management server 40, waiting terminal 300a, etc., tablet for examiner, etc.). Send to 200a etc.). The examination status information includes the progress of the examination (inspection phase), the intermediate result of the examination (for example, the presentation history of the optotype in the visual acuity test), the examination time (for example, the examination start time, the elapsed time), and the like. When the tonometer 11 or the like has a function of photographing the eye to be inspected E or the subject, the examination status information may include a photographed image (still image, moving image) of the eye to be inspected E or the like. In addition, the inspection status information may include voice information of the subject.

The inspection information transmission / reception unit 508 transmits / receives inspection information. The test information includes at least a part of the information exchanged between the tonometer 11 and the like and the tablet 100 for the subject, and is information recorded in, for example, the monitoring terminal storage unit 511 and the like. The test information may include at least a part of the information transmitted from the tonometer 11 or the like to the examiner tablet 200a or the like. Further, the examination information may include at least a part of the information transmitted from the examiner's tablet 200a or the like to the tonometer 11 or the like. As an example of the test information, information for controlling an internal element such as a tonometer 11 or an external device (control information), information input to the tonometer 11 or the like (input information), or input information is processed. The obtained information (processing result) and the like can be mentioned.

The time transmission / reception unit 509 receives the time data from the waiting terminal 300a or the like, or transmits the time data to another device (management server 40, tablet for examiner 200a, etc.). Further, the time transmission / reception unit 509 receives the time data received from the tonometer 11 or the like, or transmits the time data to another device (management server 40, examiner tablet 200a, etc.).

The guidance information generation unit 510 is assigned to a waiting terminal 300a or the like assigned to an examination room in which an ophthalmic device other than the ophthalmic device waiting for an examination is installed according to the waiting time generated by the waiting time calculation unit 513. Generates guidance information that guides patient X to. The details will be described later.

The monitoring terminal 50 may be provided integrally with the management server 40. Further, the management server 40 may realize at least a part of the functions of the monitoring terminal 50. That is, the management server 40 may also serve as the monitoring terminal 50.

(Main configuration of ophthalmic appliances)
FIG. 6 is a schematic block diagram showing a main configuration of the ophthalmic apparatus shown in FIG.
There are various main configurations such as "refractometer, keratometer 10" which is an ophthalmology device arranged in an ophthalmology hospital. Here, the main configurations of the ophthalmic apparatus of this embodiment will be described.

The ophthalmic appliance of the present embodiment includes an "ophthalmic appliance control unit 31", an "inspection unit 32", a "user interface (UI) unit 33", and an "ophthalmic apparatus communication unit 34". The ophthalmic apparatus control unit 31 executes various controls and calculations. The examination unit 32 executes the examination of the eye to be inspected E under the control of the ophthalmic apparatus control unit 31. The examination unit 32 has a configuration according to the type of the ophthalmologic examination device. The user interface unit 33 has a function of outputting information to the subject (and the examiner) and a function of inputting information and giving an operation instruction. The ophthalmic device communication unit 34 performs data communication with other devices (management server 40, subject tablet 100, examiner tablet 200a, etc., waiting terminal 300a, etc.).

Further, the ophthalmic apparatus of the present embodiment has an "examination status information generation unit 35" and a "time data generation unit 36". The examination status information generation unit 35 generates inspection status information indicating the inspection status of the eye E to be inspected. The inspection status information generation unit 35 sequentially generates inspection status information while monitoring the inspection status. The inspection status information is as described above with respect to FIG. The time data generation unit 36 generates information (second time data) indicating the time when the inspection was performed. For example, the time data generation unit 36 sets the time when the subject enters the objective measurement room (1) or the like and communicates with the subject tablet 100 close to the tonometer 11 or the like as the second time. Generate as data.

(Main configuration of waiting terminal 300a, etc.)
FIG. 7 is a schematic block diagram showing a main configuration of the waiting terminal 300a and the like shown in FIG.
As shown in FIG. 7, the configurations of the waiting terminals 300a to 300i are similar to each other. The waiting terminal 300a or the like includes a "waiting terminal control unit 301", a "waiting terminal communication unit 302" for communicating with other devices, a "waiting terminal display 303" for displaying various information, a keyboard for inputting various information, and the like. It has a "waiting terminal input unit 304".

Further, the waiting terminal 300a and the like include a "patient X information transmission / reception unit 305" for transmitting / receiving information on the patient X (subject), a "position information transmission / reception unit 306" for transmitting / receiving the position information of the tablet 100 for the subject, and various types. It has a "waiting terminal storage unit 307" and a "time data generation unit 308" for storing information.
The standby terminal control unit 301 is configured to control the standby terminal communication unit 302 and the like.

The time data generation unit 308 generates information (first time data) indicating the time when communication is performed between the tablet 100 for the subject and the waiting terminal 300a or the like via the short-range communication technique. For example, the time data generation unit 308 brings the subject close to the waiting terminal 300a or the like installed in the waiting space such as the objective measurement room (1), and the subject tablet 100 is brought close to the waiting terminal 300a or the like. The time when communication is performed is generated as the first time data.

(Main operation example of ophthalmic examination system)
FIG. 8 is a sequence chart showing a first operation example of the ophthalmologic examination system according to the present embodiment.
In the present embodiment, the case where the patient X, who is the subject, visits an ophthalmology hospital, receives a medical examination as the first medical examination, and undergoes an examination using various ophthalmic devices and the like 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 ID information and the like of patient X (an example of "identification information"), and manages the information that "the patient is the first visit" and the information that the visit destination is "the consultation room 1". Register in the "patient X information storage unit 45" of FIG.

Next, since the receptionist has the "tablet 100 for the subject" possessed by the visiting patient in the hospital, the ID information of the patient X (examinee ID: identification information) is stored in the tablet 100 for the subject. ), The information that "the patient is the first visit" and the information that the visit destination is "the examination room 1" are input to the "tablet 100 for the subject" and lent to the patient X.

Next, when the patient X activates the received "tablet 100 for subject", the "hospital layout" shown in 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 47" of the management server 40, and this hospital layout is examined at the reception desk or the like before being lent to patient X. The personal tablet 100 receives from the management server 40.

Further, in step S11, the tablet 100 for the subject generates position data (position information) indicating the current position of the tablet 100 for the subject. Specifically, the "position information acquisition device 102" of the tablet 100 for the subject operates, and the position of the "tablet 100 for the subject" is determined. As a result, position data (position information) indicating the current position of the tablet 100 for the subject is generated.

The position data indicating the current position of the tablet 100 for the subject is not limited to being created by the tablet 100 for the subject, but is created by the monitoring terminal 50 or the management server 40 (see FIG. 1). May be good. That is, the monitoring terminal 50 and the management server 40 may generate position data indicating the current position of the subject tablet 100 based on the position information acquired by the subject tablet 100. In the present embodiment, a case where the tablet 100 for the subject generates position data indicating the current position of the tablet 100 for the subject will be given as an example.

The current position of the tablet 100 for the subject may be indicated by a circle P on the “hospital layout” as shown in FIG. Further, the voice "Please go to the examination room 1" may be output from the speaker of the "tablet 100 for the subject".

According to this, the patient X can clearly grasp that he / she is going to the “examination room 1” first, and at the same time, he / she can clearly grasp the positional relationship between his / her current position (circle P) and the “examination room 1”. It can be clearly grasped. Therefore, the patient X can easily and without hesitation to go to the “examination room 1”.

Subsequently, the examination of the eye E to be inspected using the slit lamp 21a installed in the examination room 1 is started. At this time, at least one of the subject and the examiner brings the tablet 100 for the subject close to the slit lamp 21a to perform communication. In response to the start of the examination, in step S12, the ophthalmology device control unit 31 of the ophthalmology device (slit lamp 21a) causes the examination status information generation unit 35 to start the generation of the examination status information. The examination status information is not limited to being generated by the ophthalmic apparatus, and may be generated by the monitoring terminal 50 or the management server 40. In the present embodiment, the case where the ophthalmic apparatus (slit lamp 21a) generates the examination status information will be taken as an example.

On the other hand, in step S13, the subject tablet 100 monitors the identification information (subject ID) assigned to the patient X and the position data indicating the current position of the subject tablet 100 in the monitoring terminal 50. Send to. As a result, the monitoring terminal 50 receives the identification information (subject ID) assigned to the patient X by the patient X information transmission / reception unit 505, and the position data indicating the current position of the tablet 100 for the subject is transmitted / received. Received by unit 506. Then, in step S14, the monitoring terminal 50 monitors the identification information (subject ID) assigned to the patient X and the position data indicating the current position of the tablet 100 for the subject by the output control unit 512. It is displayed on the display 503.

If it is found that the patient X has not arrived at 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, the device may be configured to automatically call the "tablet 100 for the subject" from the monitoring device (monitoring terminal 50) or from the examiner who notices it.

Subsequently, in step S15, the monitoring terminal 50 transmits the request data of the inspection status information to the slit lamp 21a. For example, when the receptionist confirms the patient X on the monitoring terminal display 503 and selects the patient X on the monitoring terminal input unit 504, the request data of the examination status information is transmitted from the monitoring terminal 50 to the slit lamp 21a. Subsequently, in step S16, when the slit lamp 21a receives the request data of the examination status information from the monitoring terminal 50 via the ophthalmic apparatus communication unit 34, the slit lamp 21a receives the inspection status information generated by the inspection status information generation unit 35 in the ophthalmic apparatus. It is transmitted to the monitoring terminal 50 via the communication unit 34.

Subsequently, in step S17, the monitoring terminal 50 receives the inspection status information by the inspection status information transmission / reception unit 507 and displays it on the monitoring terminal display 503 by the output control unit 512. Subsequently, in step S18, the monitoring terminal 50 receives the inspection information exchanged between the slit lamp 21a and the tablet 100 for the subject by the inspection information transmission / reception unit 508 and records it in the monitoring terminal storage unit 511. In the first operation example of the present embodiment, the inspection information exchanged between the slit lamp 21a and the tablet 100 for the subject includes the inspection status information generated by the inspection status information generation unit 35.

Subsequently, in step S19, the monitoring terminal 50 shows a comparison relationship between the previously recorded inspection information and the inspection information recorded this time among the inspection information recorded in the monitoring terminal storage unit 511. The information is displayed on the monitoring terminal display 503 by the output control unit 512.

The comparison information is not limited to being generated by the monitoring terminal 50, but may be generated by the management server 40. That is, the management server 40 may receive the examination information exchanged between the ophthalmic apparatus such as the slit lamp 21a and the tablet 100 for the subject, and generate the comparison information. In the present embodiment, a case where the monitoring terminal 50 generates comparative information will be taken as an example.

According to the first operation example of the present embodiment, for example, a receptionist or the like grasps the position of the subject and the position of the tablet 100 for the subject by checking the monitoring terminal display 503 of the monitoring terminal 50. be able to. Therefore, for example, the receptionist can give an instruction to the subject or send an instruction or information to the tablet 100 for the subject by operating the monitoring terminal 50. This makes it possible to improve the efficiency of ophthalmic medical care.

Further, the monitoring terminal 50 causes the monitoring terminal display 503 to display the inspection status information by the output control unit 512. Since the inspection status information shows the inspection status of the subject (eye to be inspected), for example, the receptionist or the like can check the inspection status of the subject (eye to be inspected) by checking the monitoring terminal display 503. Can be grasped.

Further, the monitoring terminal 50 causes the monitoring terminal display 503 to display the comparison information indicating the comparison relationship between the inspection information recorded last time and the inspection information recorded this time on the monitoring terminal display 503 by the output control unit 512. Thereby, for example, the receptionist or the like can grasp whether or not at least one of the inspection information, the inspection status, the ophthalmic apparatus, and the like has an abnormality by checking the monitoring terminal display 503.

FIG. 9 is a sequence chart showing a second operation example of the ophthalmologic examination system according to the present embodiment.
Step S21 shown in FIG. 9 is the same as the operation of step S11 described above with respect to FIG.

As described above with respect to FIG. 8, the position data indicating the current position of the tablet 100 for the subject is not limited to being created by the tablet 100 for the subject, and the monitoring terminal 50 and the management server 40. Alternatively, it may be created by a waiting terminal 300a or the like. That is, the monitoring terminal 50, the management server 40, the waiting terminal 300a, and the like may generate position data indicating the current position of the subject tablet 100 based on the position information acquired by the subject tablet 100. .. In the present embodiment, a case where the tablet 100 for the subject generates position data indicating the current position of the tablet 100 for the subject will be given as an example.

On the other hand, in step S22, the ophthalmologic device such as the tonometer 11 transmits the device ID (identification information) to the waiting terminal 300a or the like in advance. That is, each of the waiting terminals 300a to 300i recognizes the device ID (identification information) of each ophthalmic device such as the "objective measurement room (1)". As a result, each of the waiting terminals 300a to 300i is associated with each ophthalmic device such as the "objective measurement room (1)". Alternatively, each of the waiting terminals 300a to 300i recognizes the room ID (identification information) of each room such as the "objective measurement room (1)". As a result, each of the waiting terminals 300a to 300i is associated with each room such as the "objective measurement room (1)".

Subsequently, steps S23 and S24 shown in FIG. 9 are the same as the operations of steps S13 and S14 described above with respect to FIG.

In step S25 following step S24, when the patient X brings the tablet 100 for the subject close to the waiting terminal 300f (first terminal) installed in the waiting space of the "examination room 1", the patient waits with the tablet 100 for the subject. Communication is performed with the terminal 300f via the short-range communication technique. Then, communication is started between the tablet 100 for the subject and the waiting terminal 300f (step S25). The waiting terminal 300f in the second operation example is an example of the "first waiting terminal" of the present invention.

When the communication between the subject tablet 100 and the waiting terminal 300f is started, in step S26, the subject tablet 100 has the identification information (subject ID) assigned to the patient X and the subject. The position data indicating the current position of the examiner tablet 100 and the position data indicating the current position are transmitted to the waiting terminal 300f. As a result, the waiting terminal 300f receives the identification information (subject ID) assigned to the patient X by the patient X information transmission / reception unit 305, and transmits / receives position data indicating the current position of the tablet 100 for the subject. Received by unit 306.

Subsequently, in step S27, the waiting terminal 300f generates first time data indicating the time when communication is performed between the tablet 100 for the subject and the waiting terminal 300f via the short-range communication technique. Generated by 308. Then, in step S28, the waiting terminal 300f transmits the first time data generated by the time data generation unit 308 to the monitoring terminal 50 via the waiting terminal communication unit 302.

The first time data is not limited to being generated by the waiting terminal 300a or the like, and may be generated by the monitoring terminal 50 or the management server 40. That is, the monitoring terminal 50 and the management server 40 set the time when the tablet 100 for the subject and the waiting terminal 300a or the like communicate with each other via the short-range communication technology with the tablet 100 for the subject and the waiting terminal 300a. Etc. may be received from at least one of the above, and the first time data may be generated based on the time. In the present embodiment, a case where the waiting terminal 300a or the like generates the first time data will be taken as an example.

Subsequently, when the subject enters the examination room 1 and the examination or examination is started, in step S29, the slit lamp 21a generates the second time data indicating the time when the examination was performed, the time data generation unit 36. Generated by. For example, in the slit lamp 21a, the time data generation unit 36 uses the time when at least one of the subject and the examiner brings the tablet 100 for the subject close to the slit lamp 21a and communicates with the subject as second time data. Generate. Then, in step S30, the slit lamp 21a transmits the second time data generated by the time data generation unit 36 to the monitoring terminal 50 via the ophthalmologic device communication unit 34.

The second time data is not limited to being generated by an ophthalmic device such as a slit lamp 21a, and may be generated by a monitoring terminal 50 or a management server 40. That is, the monitoring terminal 50 and the management server 40 set the time when at least one of the subject and the examiner brought the subject tablet 100 close to the ophthalmic apparatus and communicated with the subject tablet 100 and the examiner. You may receive a medical examination from at least one of the ophthalmic devices and generate the second time data based on the time. In the present embodiment, the case where an ophthalmic device such as a slit lamp 21a generates the second time data will be given as an example.

Subsequently, in step S31, the monitoring terminal 50 receives the first time data received from the waiting terminal 300f by the time transmission / reception unit 509 and the second time data received from the slit lamp 21a by the time transmission / reception unit 509. The waiting time calculation unit 513 calculates the waiting time for the examiner to wait for the examination by the slit lamp 21a (or the examination in the examination room 1). For example, the waiting time calculation unit 513 calculates the difference between the first time data and the second time data, and uses the difference value as the waiting time. Then, in step S32, the monitoring terminal 50 causes the monitoring terminal display 503 to display the waiting time calculated by the waiting time calculation unit 513 by the output control unit 512.

The waiting time is not limited to being generated by the monitoring terminal 50, and may be generated by the management server 40. That is, for example, the management server 40 receives the first time data from the waiting terminal 300a or the like, receives the second time data from the ophthalmology device such as the slit lamp 21a, and based on the first time data and the second time data. The waiting time may be calculated. Then, the management server 40 may transmit the waiting time to the monitoring terminal 50. In the present embodiment, a case where the monitoring terminal 50 calculates the waiting time will be taken as an example.

Subsequently, in step S33, the monitoring terminal 50 transmits the waiting time calculated by the waiting time calculation unit 513 to the examiner tablet 200a or the like via the monitoring terminal communication unit 502. Then, in step S34, the examiner tablet 200a or the like receives the waiting time from the monitoring terminal 50 via the tablet-side communication device 104 and displays it on the tablet-side display 101.

Subsequently, in step S35, the monitoring terminal 50 waits for the subject to wait for an examination (or an examination in the examination room 1) by the slit lamp 21a based on the waiting time calculated by the waiting time calculation unit 513. It is determined whether or not the time is long, that is, whether or not the examination by the slit lamp 21a (medical examination in the examination room 1) is congested. Specifically, the monitoring terminal 50 determines whether or not the waiting time calculated by the waiting time calculation unit 513 is longer than the predetermined time.

When the waiting time for the subject to wait for the examination by the slit lamp 21a (or the examination in the examination room 1) is long (step S35: YES), in step S36, the monitoring terminal 50 is the guidance information generation unit 510. Generates guidance information by. For example, the monitoring terminal 50 is a waiting room assigned to an examination room (for example, an objective measurement room (1)) in which an ophthalmic device (for example, a tonometer 11) other than the slit lamp 21a on which the patient X is waiting is installed. The patient X is guided to the terminal 300a (second waiting terminal). The waiting terminal 300a in the second operation example is an example of the "second waiting terminal" of the present invention. That is, the guidance information generated by the guidance information generation unit 510 of the monitoring terminal 50 is the second waiting terminal assigned to the examination room in which the ophthalmic device other than the ophthalmic device associated with the first waiting terminal is installed. This is information for guiding the subject.

The guidance information is not limited to being generated by the monitoring terminal 50, and may be generated by the management server 40. That is, for example, the management server 40 may determine whether or not the waiting time is longer than a predetermined time, and if the waiting time is long, generate guidance information. In the present embodiment, a case where the monitoring terminal 50 generates guidance information will be taken as an example.

Subsequently, in step S37, the monitoring terminal 50 transmits the guidance information generated in step S36 to the subject tablet 100 via the monitoring terminal communication unit 502. Subsequently, in step S38, the subject tablet 100 has the position data of the subject tablet 100 and the identification information assigned to the second waiting terminal (for example, the waiting terminal 300a other than the waiting terminal 300f). Based on this, the positional relationship between the current position of the tablet 100 for the subject and the second waiting terminal (for example, the waiting terminal 300a) is displayed on the tablet side display 101. Further, the tablet 100 for the subject displays the route from the current position of the tablet 100 for the subject to the second waiting terminal (for example, the waiting terminal 300a) on the tablet side display 101.

In step S35 following step S32, if the waiting time for the subject to wait for the examination by the slit lamp 21a (or the examination in the examination room 1) is short (step S35: NO), the monitoring terminal 50 is guided. End the operation without generating any information.

According to the second operation example of the present embodiment, the monitoring terminal 50 calculates and monitors the waiting time during which the subject is waiting for the examination (or the examination in the examination room 1) by the slit lamp 21a (ophthalmology device). It is displayed on the terminal display 503. Thereby, for example, the receptionist can grasp the standby state (congestion status) of the subject who is waiting for the inspection by the ophthalmic apparatus or the like by checking the monitoring terminal display 503 of the monitoring terminal 50.

Further, when the waiting time for the subject to wait for the examination by the slit lamp 21a (or the examination in the examination room 1) is long, the monitoring terminal 50 generates guidance information and the tablet 100 for the examinee is used. Send. As a result, when the waiting time of the subject waiting for the examination by the slit lamp 21a (ophthalmic apparatus) of the examination room 1 in which the waiting terminal 300f (the first waiting terminal) is installed is long, the monitoring terminal 50 can be used. , It is possible to guide the subject to the waiting terminal 300a or the like (second waiting terminal) such as the objective measurement room (1) which is more vacant than the examination room 1 in which the waiting terminal 300f (first waiting terminal) is installed. can. Therefore, it is possible to further improve the efficiency of ophthalmic medical care.

Further, the tablet 100 for the subject is based on the position data of the tablet 100 for the subject and the identification information assigned to the waiting terminal 300a (second waiting terminal), and the current tablet 100 for the subject is present. The positional relationship between the position and the waiting terminal 300a (second waiting terminal) is displayed on the tablet side display 101, and the route from the current position of the tablet 100 for the subject to the waiting terminal 300a (second waiting terminal) is displayed. It is displayed on the tablet side display 101. As a result, even if the subject is guided to a waiting terminal 300a (second waiting terminal) different from the waiting terminal 300f (first waiting terminal), the subject is relatively short without hesitation in the ophthalmology hospital. It is possible to move from the waiting terminal 300f (first waiting terminal) to the waiting terminal 300a (second waiting terminal) in time.

Further, the monitoring terminal 50 transmits the waiting time for the subject to wait for the examination (or the examination in the examination room 1) by the slit lamp 21a (ophthalmology device) to the examiner's tablet 200a or the like. As a result, the examiner confirms the examiner's tablet 200a, etc., and is in a waiting state (congestion status) of the examinee who is waiting for the examination (or the examination in the examination room 1) by the slit lamp 21a (ophthalmology device). ) Can be grasped.

The following are examples of cases where the laboratory is congested. That is, 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 may be "crowded" with frequent errors. 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 " It may be "crowded". For example, in such a case, the monitoring terminal 50 can guide the patient X to the second waiting terminal in the examination room, which is vacant than the examination room in which the first waiting terminal is installed. Therefore, it is possible to further improve the efficiency of ophthalmic medical care.

FIG. 10 is a sequence chart showing a third operation example of the ophthalmologic examination system according to the present embodiment.
Steps S41 to S44 shown in FIG. 10 are the same as the operations of steps S11 to S14 described above with respect to FIG.

As described above with respect to FIG. 8, the position data indicating the current position of the tablet 100 for the subject is not limited to being created by the tablet 100 for the subject, and the monitoring terminal 50 and the management server 407. , May be created by a waiting terminal 300a or the like. In the present embodiment, a case where the tablet 100 for the subject generates position data indicating the current position of the tablet 100 for the subject will be given as an example. Further, as described above with respect to FIG. 8, the examination status information is not limited to being generated by the ophthalmic apparatus, and may be generated by the monitoring terminal 50 or the management server 40. In the present embodiment, the case where the ophthalmic apparatus (slit lamp 21a) generates the examination status information will be taken as an example.

In step S45 following step S44, the monitoring terminal 50 displays the identification information (subject ID) assigned to the patient X and the position data indicating the current position of the tablet 100 for the subject, in the monitoring terminal communication unit 502. It is transmitted to the examiner's tablet 200a or the like via. Then, in step S46, the examiner's tablet 200a and the like receive the identification information (examinee's ID) assigned to the patient X from the monitoring terminal 50 via the tablet-side communication device 104, and the examinee's tablet 100. The position data indicating the current position and the position data are received and displayed on the tablet side display 101.

Subsequently, in step S47 , the examiner tablet 200a or the like transmits the request data of the inspection status information to the slit lamp 21a. For example, when the examiner confirms the patient X on the tablet side display 101 and selects the patient X on the tablet side various information input units 105, the request data of the examination status information is transmitted from the examiner tablet 200a or the like to the slit lamp 21a. To. The tablet-side display 101 may be a device such as a touch panel integrated with various information input units 105 on the tablet-side, or a graphical user interface (GUI).

Subsequently, in step S48, when the slit lamp 21a receives the request data of the inspection status information from the tablet 200a for the examiner or the like via the ophthalmic apparatus communication unit 34, the inspection status information generated by the inspection status information generation unit 35 is generated. Is transmitted to the examiner's tablet 200a or the like via the ophthalmic apparatus communication unit 34. Then, in step S49, the examiner's tablet 200a or the like receives the inspection status information from the slit lamp 21a via the tablet-side communication device 104 and displays it on the tablet-side display 101.

Subsequently, step S50 shown in FIG. 10 is the same as the operation of step S18 described above with respect to FIG. Subsequently, in step S51, the monitoring terminal 50 shows a comparison relationship between the previously recorded inspection information and the inspection information recorded this time among the inspection information recorded in the monitoring terminal storage unit 511. Information is transmitted to the examiner tablet 200a or the like via the monitoring terminal communication unit 502. Then, in step S52, the examiner's tablet 200a or the like receives the comparison information from the monitoring terminal 50 via the tablet-side communication device 104 and displays it on the tablet-side display 101.

As described above with respect to FIG. 8, the comparison information is not limited to being generated by the monitoring terminal 50, and may be generated by the management server 40. That is, the management server 40 may receive the examination information exchanged between the ophthalmic apparatus such as the slit lamp 21a and the tablet 100 for the subject, and generate the comparison information. In the present embodiment, a case where the monitoring terminal 50 generates comparative information will be taken as an example.

According to the third operation example of the present embodiment, the examiner grasps the position of the subject and the position of the tablet 100 for the examinee by confirming the tablet-side display 101 such as the tablet 200a for the examiner. be able to. Therefore, the examiner can give an instruction to the examinee or send an instruction or information to the examinee's tablet 100 by operating the examiner's tablet 200a or the like. This makes it possible to improve the efficiency of ophthalmic medical care.

Further, the monitoring terminal 50 transmits the inspection status information to the examiner tablet 200a or the like and displays it on the tablet side display 101. Since the examination status information represents the examination status of the subject (eye to be inspected), the examiner should grasp the examination status of the subject (eye to be inspected) by checking the display 101 on the tablet side. Can be done.

Further, the monitoring terminal 50 transmits the comparison information indicating the comparison relationship between the previously recorded inspection information and the inspection information recorded this time to the examiner tablet 200a or the like and displays it on the tablet side display 101. .. As a result, the examiner can grasp whether or not an abnormality has occurred in at least one of the examination information, the examination status, the ophthalmic apparatus, and the like by checking the tablet-side display 101.

The embodiment of the present invention has been described above. However, the present invention is not limited to the above embodiment, and various modifications can be made without departing from the scope of claims. The configuration of the above embodiment may be partially omitted or may be arbitrarily combined so as to be different from the above.
In the present embodiment, the laboratory of an ophthalmic 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 ... Ophthalmology examination system, 2 ... Communication line, 10 ... Refractometer, Keratometer, 11 ... Tonometer, 12 ... Specular microscope, 13 ... Vision test equipment, 14.・ ・ Foropter, 15 ・ ・ ・ Eye examination system, 16 ・ ・ ・ Funds camera, 17 ・ ・ ・ OCT device, 18 ・ ・ ・ Visual function test device, 19 ・ ・ ・ Microperimeter, 20 ・ ・ ・ Perimeter, 21a ～ 21d ... Slit lamp, 31 ... Ophthalmology device control unit, 32 ... Inspection unit, 33 ... User interface unit, 34 ... Ophthalmology equipment communication unit, 35 ... Examination status information generation unit, 36 ... Time data generation unit, 40 ... Management server, 41 ... Server control unit, 42 ... Server side communication device, 43 ... Server side display, 44 ... Server side various information input Department, 45 ... Patient X information storage unit, 47 ... Hospital layout information storage unit, 50 ... Monitoring terminal, 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, 200a ～ 200f ・・ ・ Tablet for examiner, 300a-300i ・ ・ ・ Waiting terminal, 301 ・ ・ ・ Waiting terminal control unit, 302 ・ ・ ・ Waiting terminal communication unit, 303 ・ ・ ・ Waiting terminal display, 304 ・ ・ ・ Waiting terminal input unit , 305 ... Patient X information transmission / reception unit, 306 ... Position information transmission / reception unit, 307 ... Waiting terminal storage unit, 308 ... Time data generation unit, 501 ... Monitoring terminal control unit, 502 ... -Monitoring terminal communication unit, 503 ... Monitoring terminal display, 504 ... Monitoring terminal input unit, 505 ... Patient X information transmission / reception unit, 506 ... Position information transmission / reception unit, 507 ... Inspection status information transmission / reception Unit, 508 ... Inspection information transmission / reception unit, 509 ... Time transmission / reception unit, 510 ... Guidance information generation unit, 511 ... Monitoring terminal storage unit, 512 ... Output control unit, 513 ... Wait Time calculation unit, E ... Eye to be examined, X ... Patient

Claims (9)

Ophthalmic examination equipment and
A plurality of subject terminals used by a plurality of subjects in a facility where the ophthalmologic examination device is installed and connected so as to be communicable with the ophthalmologic examination device.
A monitoring terminal installed in the facility, having a display unit for displaying various information, and connected to the subject terminal so as to be communicable with the subject terminal.
A waiting terminal that is installed in the waiting space of the examination room where the ophthalmologic examination device is installed and is communicably connected to the ophthalmologic examination device and the subject terminal.
An examiner terminal used by an examiner in the facility, having a display unit for displaying various information, and being communicably connected to the monitoring terminal.
Equipped with
The waiting terminal recognizes the first identification information of the ophthalmologic examination apparatus by communicating with the ophthalmologic examination apparatus.
The monitoring terminal receives the second identification information assigned to each of the plurality of subjects and the position data indicating the current position of the subject terminal from the subject terminal, and receives the second identification information and the second identification information and the position data indicating the current position of the subject terminal. When the current position is displayed on the display unit of the monitoring terminal and communication is performed between the subject terminal and the waiting terminal via the short-range communication technology, communication is performed via the short-range communication technology. When the first time data indicating the time when the above was performed was received from the waiting terminal and communication was performed between the subject terminal and the ophthalmic examination device, the examination by the ophthalmic examination device was performed. The second time data indicating the time is received from the ophthalmic examination device, and the subject waits for the examination of the first identification information by the ophthalmic examination device due to the difference between the first time data and the second time data. The waiting time is calculated and the waiting time is displayed on the display unit of the monitoring terminal .
The ophthalmologic examination system , wherein the examiner terminal receives the waiting time from the monitoring terminal and displays the waiting time on the display unit of the examiner terminal . When the monitoring terminal transmits the request data of the examination status information indicating the examination status of the subject to the ophthalmologic examination device, the monitoring terminal receives the examination status information from the ophthalmologic examination device and displays it on the display unit. The ophthalmologic examination system according to claim 1. The monitoring terminal receives and records test information including at least a part of information exchanged between the ophthalmologic examination device and the subject terminal, and the test previously recorded among the test information. The ophthalmologic examination system according to claim 1 or 2, wherein the display unit displays comparative information indicating a comparative relationship between the information and the examination information recorded this time among the examination information. .. A plurality of the ophthalmologic examination devices are provided in the plurality of the examination rooms.
A plurality of the waiting terminals assigned to each of the plurality of examination rooms are provided, and the waiting terminals are provided.
The monitoring terminal is the inspection in which an ophthalmology inspection device other than the ophthalmology inspection device corresponding to the first waiting terminal is installed according to the waiting time in the first waiting terminal among the plurality of waiting terminals. One of claims 1 to 3 , wherein guidance information for guiding the subject is generated in a second waiting terminal assigned to the room, and the guidance information is transmitted to the subject terminal. Ophthalmic examination system described in. The subject terminal has a display unit for displaying various information.
The monitoring terminal displays the positional relationship between the current position and the second waiting terminal based on the position data and the third identification information assigned to the second waiting terminal. The ophthalmic examination system according to claim 4 , wherein the route from the current position to the second waiting terminal is displayed on the display unit of the subject terminal. The ophthalmologic examination system according to any one of claims 1 to 5, wherein the monitoring terminal transmits the second identification information and the position data to the examiner terminal. The claim is characterized in that when the examiner terminal transmits request data of examination status information indicating the examination status of the subject to the ophthalmologic examination apparatus, the examiner terminal receives the examination status information from the ophthalmologic examination apparatus . 6. The ophthalmologic examination system according to 6. The monitoring terminal receives and records test information including at least a part of information exchanged between the ophthalmologic test device and the subject terminal, and the test previously recorded among the test information. The ophthalmologic examination according to claim 6 or 7 , wherein the comparison information showing the comparative relationship between the information and the examination information recorded this time among the examination information is transmitted to the examiner terminal. system. The ophthalmologic examination system according to any one of claims 6 to 8 , wherein the monitoring terminal transmits the waiting time to the examiner terminal.

Images