JPH0775024B2 - Automatic return visitor system - Google Patents

Description

TECHNICAL FIELD The present invention relates to an automatic return visitor system that automatically accepts a return-visit patient.

[Prior Art] Conventionally, at the reception desk at the hospital, a medical examination card (card) is issued at the first medical examination, and this medical examination card is submitted at the subsequent medical examination again. Based on the contents stored in the card, related work is performed. It is carried out. Reception work for re-examination patients includes notification of the order of reception corresponding to the contents of the reexamination request department, drug administration, examination or medical examination, etc. notified by verbal or application form, and recording and recording. For example, there is a medical record issuing process for storage.

In recent years, as the number of patients has increased, the time and labor required for reception work have increased remarkably, and efficient medical examination processing has become impossible. This tendency is remarkable especially in hospitals with many reception departments such as general hospitals. Therefore, a device for automating the re-examination reception has been proposed and put into practical use. For example, JP-A-60-11
No. 6070 discloses a technique of referring to the medical examination history already stored by inputting a medical examination card, assigning a reception number to each medical examination unit, and issuing a medical examination reception vote. or,
In addition to the above technique, Japanese Patent Laid-Open No. 63-219064 discloses a technique of displaying a reception number of a patient who calls into a medical office and notifying a waiting patient.

[Problems to be Solved by the Invention] However, in the above-mentioned conventional technique, in the latter case, it is necessary to repeat the reception operation for the number of consultation departments the patient wants to undergo re-examination. It is possible to select a department, but whether or not the selected department can be revisited, that is, whether it has already received a first medical examination, or whether a health insurance card (hereinafter referred to as insurance card) such as monthly payment is presented, Alternatively, there was an inconvenience that the doctor in charge had to know if he / she was in the hospital or not by entering the desired department.

In addition, the reception number of the first-time visitor and the reception number of the re-examination person cannot be assigned in common, which sometimes causes confusion during the medical examination. Furthermore, in hospitals, verification is performed by asking for the presentation of the insurance card on a monthly basis, but it is also a problem how to handle the patients who need the presentation or how to allocate the reception number.

The present invention eliminates the above-mentioned conventional drawbacks and allows each patient to select a desired consultation department from the departments that can be re-examined, so that unnecessary selection operation is not required, and the insurance card is presented for the consultation department.
We provide an automatic return reception system that automatically performs collation.

[Means for Solving the Problem] In order to solve this problem, the automatic return reception system of the present invention is based on a consultation ticket reading unit for reading patient information from the consultation ticket and the patient information read from the consultation ticket. hand,
Department information notifying means for notifying department information that the patient can be revisited, and re-examination department determining means for deciding the re-examination department based on the department information and the department information of the re-examination desired inputted from the input unit. If there is at least one department that requires a health insurance card presentation determining unit that determines whether or not to request the health insurance card presentation at the determined reexamination department, the health insurance card presentation request is issued. Insurance card presentation notification means, insurance card reading means for reading the presented insurance card, insurance card collation means for collating the image of the read insurance card with the pre-stored image, and the presentation of the insurance card is required. If it is not, or if it is approved by collation of the insurance card, it is characterized by including a reception number output means for outputting a reception number corresponding to the determined re-examination department.

In addition, an examination ticket reading means for reading patient information from the examination ticket,
Based on the patient information read from the medical examination ticket, a re-examination department search means for searching a department in which the patient can be re-examined, and insurance for deciding whether or not to request an insurance card at the re-examination department A certificate presenting determination unit, a department information notifying unit that distinguishably informs a department that the patient can return and a department that requests an insurance certificate, and a department that requests the insurance certificate are input as a department requesting a return visit. In this case, the health insurance card presentation notifying means for notifying the health insurance card presentation request, the health insurance card reading means for reading the health insurance card presented, and the image of the health insurance card read and the image stored in advance are collated. Re-examination to determine the re-examination department when the re-examination possible unit that does not require the presentation of the health insurance card is input as a re-examination desired unit and is approved by the verification of the insurance card. Department decision means and acceptance corresponding to the decided re-examination department Characterized in that it comprises an acceptance number output means for outputting the number.

[Operation] In such a configuration, by inserting a medical examination card, the department to which each corresponding patient can re-communicate is notified, and if the desired department is selected from the notified departments, the presentation and verification of the insurance card will be performed if necessary. Once done, a reception slip with the reception number corresponding to the department to be examined is issued.

[Embodiment] An embodiment of the present invention will be described below with reference to the accompanying drawings.

FIG. 1A is a block diagram showing the configuration of the automatic repeat reception system of this embodiment.

Here, 10 _-1 to 10 _-n are recurrence reception machines that issue a reception slip with a reception number based on the input of a medical examination card, and 20 is a plurality of recurrence reception machines 10 _-1 to 10 _-n (hereinafter referred to as recurrence reception machines). Receiving system controller that manages and controls the reception department and reception number, 30 is a printer that outputs the reception status, 40 _-1 to 40 _-n informs the patient of the reception status A monitor for performing the operation, 50 is a host computer that is connected to a recurrent system controller and manages the entire hospital, such as management of consultation departments and medical records.

The automatic return visitor system basically comprises a return visitor 10 and a return system controller 20, and sends updated data of a patient to the host computer 50 and receives data of an initial visitor from the host computer 50.

FIG. 1B is an external perspective view of the repeat visitor 10.

Reference numeral 11 is a medical examination card insertion slot into which a patient inserts a medical examination card, which consists of a magnetic card reader. Reference numeral 12 denotes a reception slip issuing port for issuing a reception slip with a re-examination department and its reception number, which has a reception slip printer. 13 is a speaker that tells the patient the operation instruction and the operation result by voice, 14 is a display that displays the operation instruction and the operation result, 15
Is an operation panel consisting of keys operated by the patient, and 17 is a second
3 is an image reading unit (for example, CCD) for reading an image of a health insurance card presented by a patient used in the embodiment of FIG.

FIG. 1C shows a schematic top view of the operation panel 15 for selecting a re-examination department.

Reference numeral 15a is a key group for selecting a reexamination department, and the patient can press a desired department from the illuminated reexamination possible departments. If you press a department that is not lit, it will not be accepted. Reference numeral 15b is a key group for selecting medical examination contents, for example, medical examination, examination, injection or medicine. 15c is a cancel key for interrupting the operation, and 15d is a confirmation key for advancing the operation. Also, 15e is
This is a health insurance card key used in the second embodiment to instruct the start of the health insurance card reading from the image reading unit 17.

FIG. 2A is a re-examination acceptance machine of FIG. 1B in the first embodiment.
It is a figure which shows operation | movement of the patient in 10 and the outline of operation | movement of an automatic return reception system. The operation for the first-time visitor is also shown here.

First, the patient inserts a medical examination card from the card insertion port 11. The return visitor 10 can check the registration number, name,
The date of birth, gender, etc. are read, and part or all of them are sent to the return system controller 20 as patient information.
The return system controller 20 determines the departments that can be examined based on the accumulated patient history information and consultation time (including the consultation information), and sends them to the recurring reception machine 10 that has received the examination. In the return visitor 10, the departments that can be revisited from the key group 15a are turned on. At this time, the back panel of the return visitor 10 described later is also referred to.

The patient selects a desired department from among the lit, repeatable departments and inputs it by key. When the department information is sent from the return visitor 10 to the return system controller 20, the reception number is given and stored in consideration of the presentation conditions (based on the last consultation date) of the insurance card of each department. The current reception number will be increased by one. Even when the first visitor is registered from the host computer 50, the return system controller 20 returns the reception number to the host computer 50 and adds one to the stored number.

The return system controller 20 returns the reception number information to the return reception device 10, updates the accumulated patient information, for example, the last consultation date, and sends the updated information to the host computer 50. The host computer 50 updates the database of all patients based on the information sent.

Upon receiving the reception number information, the return visitor 10 outputs the reception slip in which the reception number is entered from the reception slip issuing port 12 for each consultation department. Note that the reception time slot predicted from the reception number may be written on the reception slip. In addition, you may list the consultation departments on one sheet of the reception slip, or if you issue each department one by one and fill in the information for each consultation, you can know the whereabouts of the patient and the progress of the consultation will be smoother. It is convenient.

FIG. 2B is a re-examination acceptance machine of FIG. 1B in the second embodiment.
It is a figure which shows operation | movement of the patient in 10 and the outline of operation | movement of an automatic return reception system. The operation for the first-time visitor is also shown here.

Explaining the part different from that shown in FIG. 2A, when the department information is sent from the return visitor 10 to the return visit system controller 20, it is examined whether or not the presentation of the insurance certificate is necessary. The presentation information is returned to the return visitor 10. The return visitor 10 informs the patient of the presentation of the insurance card and waits for the presentation, reads the image of the insurance card presented to the insurance card reading unit 17, and the image or the extracted features is sent to the return system controller 20. send. The return system controller 20 collates the insurance card, and if OK, returns the receipt number to the return visitor 10. If it is not necessary to present the insurance card, the receipt number is immediately returned to the return visitor 10 as in FIG. 2A. On the other hand, in the case of a first-time visitor, only the image of the health insurance card is stored, and the others are the same as in FIG.

FIG. 3A is a block diagram showing a configuration example of the return visitor 10.

100 is a CPU for arithmetic and control that controls the entire recurrence receiver, 10
1 is a ROM that stores the program executed by the CPU 100,
It also has a display screen storage unit 101a and a voice information storage unit 101b. 102 is a RAM for auxiliary storage, and the ROM 102 stores the patient and consultation department information shown in FIG. 3B.

In FIG. 3B, 102a is the registration number of the patient, 102b is the name, 102c is the date of birth and gender, 102d is a department that can be examined and the corresponding examination selection flag, health insurance card presentation flag, and the department that has the examination contents. There is an area for storing information and a receipt number corresponding to each department. Note that the reception hours store the time zones during which medical examination is possible. Further, in the concurrent consultation department information 102e, at the same time, departments desired to receive a consultation are stored in association with each other. At the time of inserting the examination card,
The registration number 102a, the name 102b, the date of birth, and the gender 102c are written, and 102d and subsequent ones are created based on the medical examination possible department information and the reception number information from the return system controller 20.

Returning to FIG. 3A, 103 is an input / output interface for inputting / outputting data to / from the magnetic card reader 11, the reception slip printer 12, the speaker 13, the display 14, the operation panel 15, the rear operation panel 16 and the insurance card reading section. Control. Here, the rear operation panel 16
This is a panel for processing when the stored contents of the system cannot be changed due to an emergency stop of medical treatment, etc., and is used for the processing except the emergency leave-of-care department from the receivable departments received from the revisiting system controller 20. A communication interface 104 controls communication with the return system controller 20.

FIG. 4A is a block diagram showing a configuration example of the return system controller 20.

200 is a CPU for arithmetic control, 201 is a ROM that stores the control program of the CPU 200, 202 is a RAM for auxiliary storage, and a re-examination department reception number storage unit 212 that stores data for communication with the return visitor 10. A reception patient accumulated information storage unit 222 that stores accumulated data about reception patients.

4B and 4C show examples of the configurations of the re-examination department reception number storage unit 212 and the reception patient accumulated information storage unit 222.

In FIG. 4B, reference numeral 212a is a re-acceptance reception device number, and indicates from which re-receipt reception device the information is. 212b is a registration number of the patient, and 212c is an area corresponding to 102d in FIG. 3B, which stores information such as reexamination department information that can be examined, and the reception number of each department. This information is sent to the return visitor 10, and the reception patient information storage unit 112 of the return visitor 10 is formed based on this information. 212d is the information of the parallel examination department.

In FIG. 4C, 222a is the registration number of the patient, 222b is the name,
222c is an area for storing the date of birth and sex, and 222d, which is a pair of the department registered at one visit and the attending doctor or the last visit date. In the second embodiment, 222e is used as an area for storing the insurance card pattern.

Returning to FIG. 4A, reference numeral 203 denotes a large-capacity storage unit such as a disk, in which all patient information storage area 203a that stores information of all patients searchably by registration number and consultation date / time of all departments. All department reception information storage area 203b that stores the current reception number
Have and. FIG. 4D shows an example of the structure of the entire department reception information storage area 203b. The information structure of each patient in the total patient information storage area 203a is similar to FIG. 4C.

Reference numeral 204 is an input / output interface with the host computer 50. In the case of a first-time visitor, the host computer 50
Further, the patient information is sent to the return system controller 20, is newly registered in the all patient information storage area 203a, and the reception number of the consultation department in the whole department reception information storage unit 203b is updated.

<Operation of the First Embodiment> FIG. 5 is a flow chart showing the processing procedure of the revisit receiver 10 of the first embodiment.

First, at step S10, the insertion of the magnetic card is waited, and if so, the process proceeds to step S11 to read the patient information from the magnetic stripe. The registration number is sent back to the system controller 20 in step S12, and the reply is waited in step S13. When there is a reply, this reply information contains information on the departments available for consultation, so at step S14 the departments available for consultation are determined again by taking the contents of the rear operation panel 16 of itself into consideration. In S15, the departments available for consultation in the key group 15a are turned on.

Next, in step S16, the patient waits for the desired department to be pressed from the above-mentioned lit consultation-enabled departments by the patient, and if pressed, the consultation flag is set in step S17 and the department is stored. Next, in step S18, key input of the medical examination contents is waited, and if there is an input, the medical examination contents are stored in step S19. Step S20
Wait for the confirmation key to be input, and if there is input, proceed to step S21 to send the department and contents of the consultation to the system controller again.

At step S22, a reply is waited for, and when there is a reply, this reply information contains the reception number for each department (or each consultation content), so at step S23 this is stored in the reception number area of each department, At step S24, the receipt is printed out based on this information. When the print output ends normally, step S25
Notify the revisiting system controller 20 of the completion of receipt of the receipt.

FIG. 6 is a flow chart showing the processing procedure of the revisiting system controller 20 of the first embodiment.

First, in steps S30, S35, or S45, it is checked whether or not the host computer 50, the return visitor 10 or the monitor 40 has received a medical examination, respectively. If there is a consultation from the host computer 50, it proceeds to step S31 to check whether it is the first consultation information or not, and if it is the first consultation information, step S3.
In step 2, add additional registration to all patient information storage area 203a, and then press step S33.
Increment the reception number of each consultation department. If it is not the initial examination information, other corresponding processing is performed in step S34.

If it is a consultation from the return visitor 10, in step S36 the number of the accepting machine is memorized for reply, and in steps S37, S41, S43, a request for a department that can receive a consultation, a request for a reception number, or whether processing is completed If it is determined that the request is for a possible department, the process proceeds to step S38, where the patient information is retrieved from all the patient information by the registration number, and in step S39 the department that can be examined is determined. The determination of the possible departments to be examined is based on at least (the department that once visited) * (not on leave). However, * indicates a logical product. The information of the possible medical examination department determined in step S40 is returned to the corresponding return visitor 10. If requesting a receipt number, step S4
Proceed to 2 and return the reception number of the desired consultation department to the return visitor 10 in consideration of the conditions for presenting the insurance card. If the processing is completed, the process proceeds to step S44 to send the updated patient information to the host computer 50.

Next, in the case of the consultation from the monitor 40, in step S46, the present reception information or the consultation status is displayed on the monitor.

<Operation of Second Embodiment> FIG. 7 is a flow chart showing a processing procedure of the re-acceptance receiver 10 of the second embodiment. In the figure, only the parts different from FIG. 5 are shown.

In Steps S21 and S22, the system for returning to the department and contents
After receiving the reply from the controller 20, the step
In S51, it is checked whether or not the insurance card is presented. If the insurance card is not presented, the procedure goes to step S23 to store the receipt number, and the same processing as that shown in FIG. 5 is performed.

If it is an instruction to present the insurance card, the patient waits for the patient's presentation of the insurance card in step S52, and the insurance card reading unit 17 in step S53.
The image of the insurance card is read with, and its characteristics are extracted in step S54.

Here, two examples of the feature extraction method adopted in this embodiment will be given. These methods are examples of those that have the advantage of being able to clarify the difference corresponding to the image of the insurance card with a small amount of data.

1. Feature extraction by appearance frequency Obtain the density distribution of the read image.

The threshold value is determined based on the concentration distribution, and the threshold value is stored.

Binarized data is obtained according to the threshold value determined in.

The frequency of pixels having a value of "1" in the binarized image is obtained and stored as a characteristic parameter.

The above example of feature extraction is shown in Figs. 9A and 9B.

2. Feature extraction by a histogram projected in a predetermined direction A binary image is obtained by the same method as (1).

Binary image data is projected in the vertical direction, pixels having a value of "1" are counted, and a histogram is obtained.

Do the same for the horizontal direction.

The histogram obtained for each is stored as a characteristic parameter.

The above example of feature extraction is shown in Figs. 10A and 10B. The feature extraction is not limited to this example.

Returning to FIG. 7, next, the characteristics extracted in step S55 are transmitted to the return system controller 20, and step S56 is executed.
Wait for the receipt number to be returned, and execute steps S23 and later. Note that the processing when the image verification of the insurance card is not OK is omitted because it is not important.

FIG. 8 is a flow chart showing the processing procedure of the revisiting system controller 20 of the second embodiment. This figure also shows only the parts different from FIG.

If it is determined in step S41 that the medical examination department and the contents have been received from the return visitor 10, it is judged in step S61 whether or not it is necessary to present the insurance verification based on the last medical examination date for each medical examination department. If even one department needs it, steps S62 to S63
Proceed to and send a request to present the insurance card to the return visitor 10.

If it is not in the examination department and contents in step S41, then in step S64 it is checked whether or not the characteristic of the image of the insurance card is sent. If it is the characteristic of the image of the insurance card, step S6
In step 5, the image characteristics stored in advance are compared and compared. If the collation is not OK, error processing is performed, and if OK, the acceptance number is transmitted in step S42.

FIGS. 11 (a) to 11 (c) are diagrams showing examples of acceptance slips issued in this embodiment.

FIG. 11 (a) is an example in which all acceptance departments are entered in one acceptance form, and FIGS. 11 (b) and (c) are examples in which acceptance forms are issued for each department, especially in FIG. The co-examination information is entered in (c). As a result, it is possible to make an inquiry to another department when there is no patient even at the examination number.

In the present embodiment, the patient is requested to present the health insurance card after selecting the medical examination fee, and the health insurance card is presented / verified. It may be possible to notify the departments at the same time. For example, the key group 15a may be lit in green for a department that can be examined and does not need to present a health insurance card, and if it is red, a department that can be examined but need a presentation of an insurance card.

Further, in the present embodiment, although the processing by the cancel key or the error processing is not shown, it is needless to say that the cancel key is almighty, and on the other hand, an error check is performed at the time of each communication processing. Further, the communication information between the return visitor and the return system controller is not limited to this example, and various configurations of each stored information can be considered. In addition, it is natural that data storage / correction and confidentiality management are performed.

[Effects of the Invention] According to the present invention, each operating patient can select a desired consultation fee from his / her reexamination department, so that unnecessary selection operation is not required and the insurance card is presented / verified for the consultation fee. It is possible to provide an automatic return reception system that automatically performs.

[Brief description of drawings]

FIG. 1A is a block diagram showing the configuration of the automatic repeat reception system of the present embodiment, FIG. 1B is an external perspective view of the repeat visitor, FIG. 1C is a top view of the operation panel, and FIG. 2A is a perspective view of the first embodiment. FIG. 3B is a diagram for explaining the process of the automatic repeat reception system, FIG. 2B is a diagram for explaining the process of the automatic repeat reception system of the second embodiment, FIG. 3A is a block diagram showing a configuration example of the repeat return receiver, and FIG. FIG. 4A is a block diagram showing a configuration example of a return system controller, FIG. 4B is a diagram showing a configuration example of a revisit department reception number storage unit, and FIG. 4C is a diagram showing a configuration example of a reception patient information storage unit. FIG. 4D is a diagram showing a configuration example of a reception patient accumulated information storage unit, FIG. 4D is a diagram showing a configuration example of a whole-family reception information storage area, and FIG. 5 is a flow chart showing a processing procedure of the return visitor of the first embodiment. FIG. 6 is a flow chart showing the processing procedure of the return system controller of the first embodiment. FIG. 7 is a flow chart showing the processing procedure of the return visitor of the second embodiment, FIG. 8 is a flow chart showing the processing procedure of the return visit system controller of the second embodiment, and FIGS. 9A and 9B. Is a diagram showing a first example of feature extraction, FIGS. 10A and 10B are diagrams showing a second example of feature extraction, and FIGS. 11 (a) to 11 (c) are the acceptance slips issued in this embodiment. It is a figure which shows an example. In the figure, 10 ... Returning reception device, 20 ... Returning system controller, 30 ... Printer, 40 ... Monitor, 50 ... Host computer.

Claims (2)

[Claims] 1. A medical examination ticket reading means for reading patient information from a medical examination ticket, and a department information notifying means for notifying department information that can be revisited by the patient based on the patient information read from the medical consultation ticket, The re-examination department determining means for deciding the re-examination department based on the department information and the department information of the re-examination desired inputted from the input means, and whether or not to request the presentation of the insurance card in the re-examination department decided If there is a health insurance card presentation determination means to be judged and at least one department that requires health insurance card presentation,
Insurance card presenting and informing means for informing the presentation request of the insurance card, insurance card reading means for reading the presented insurance card, and insurance card collating means for collating the image of the read insurance card with the previously stored image And a reception number output means for outputting a reception number corresponding to the determined re-examination department when the presentation of the insurance card is not required and the approval of the verification of the insurance card is made. Automatic return visitor system. 2. A medical examination ticket reading means for reading patient information from the medical examination ticket, and a re-examination department searching means for searching a medical department for which the patient can return to medical examination based on the patient information read from the medical examination ticket. Health insurance card presentation determining means for determining whether or not to request health insurance card presentation in a re-examined department, and department information notifying means for distinguishably informing the department in which the patient can be re-examined and the department requiring the health insurance card presentation A health insurance card presentation notifying means for notifying a health insurance card presentation request when the health insurance department presenting a health insurance department is entered as a health examination requesting department, and a health insurance card reading means for reading the presented health insurance card, An insurance card collating means for collating the read image of the insurance card with an image stored in advance, and the case where the re-examination possible department which does not require the presentation of the insurance card is inputted as the re-examination desired department and the insurance Re-examination if approved by certificate verification An automatic repeat reception system comprising: a re-examination department determining means for deciding a department; and a reception number output means for outputting a reception number corresponding to the determined re-examination department.