JPH08101869A - Automatic medical examination accepting device - Google Patents

Abstract

PURPOSE: To provide the device for automatically performing accepting work regardlessly of whether a patient newly comes or comes again. CONSTITUTION: This device is provided with an original reader 20 for converting an insurance certificate or a consultation card to image data, character recognizing means 3 for converting the specified area of image data to character data, external storage means 6 for storing accepted data, and acceptance processing means 5 for issuing an acceptance slip by outputting an acceptance order or scheduled consultation time to a printer 26 based on the data read from the storage means 6. The data of the insurance certificate or the consultation card are read by the original reader 20, the order of acceptance is decided based on the data in the storage means 6, and the acceptance slip is issued.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention creates documents necessary for medical office work and patient reception based on a health insurance card brought by a patient and a medical examination ticket, and also uses pre-stored insurance card data. The present invention relates to a medical examination acceptance device that automatically confirms the validity of a patient's insurance card based on it.

[0002]

2. Description of the Related Art When accepting a first-time patient, an clerk prepares a chart and a reception sheet based on the data written on the health insurance card brought by the patient and the hearing of symptoms. On the other hand, since the return ticket is issued to the returning patient, it is possible to complete the reception even before the medical treatment start time by making the return receiving device read the reception ticket. Therefore, there is a problem in that the first-visit patient is postponed as a result of the returning patient, and trouble occurs with the patient due to the uncertain waiting.

On the other hand, it is necessary for patients who receive medical treatment for a long period of time to confirm whether they still have a valid insurance card. Conventionally, the confirmation work of this expiration date was performed by the clerk looking directly at the insurance card or medical chart, but since the confirmation time is usually concentrated at the beginning of the month, the amount of work on the day becomes enormous and mistakes are made. There was a problem that it was easy to invite.

[0004]

SUMMARY OF THE INVENTION The present invention has been made in view of the above problems, and an object thereof is a medical examination for accepting a first-time patient and a returning patient and issuing a reception vote. To provide a reception device. Also,
Another object of the present invention is to provide an automatic medical examination acceptance device having a function of verifying the validity of an insurance card by a simple arithmetic processing means and a storage means without relying on human labor.

[0005]

In order to solve such a problem, according to the present invention, a document reading means for converting a health insurance card or a medical examination ticket into image data, and a specific area of the image data as character data. Character recognition means for converting into the following, storage means for storing reception data, and reception processing means for determining at least data indicating the order of reception based on the data read from the storage means and issuing a reception slip by the printer With.

[0006]

[Function] If an insurance card or a medical examination ticket is placed on the document reading means in the reception room, the order of reception is determined based on the data in the storage means, regardless of whether it is a new arrival or a new arrival, and a reception slip is issued to the patient. To be delivered to.

[0007]

DESCRIPTION OF THE PREFERRED EMBODIMENTS The details of the present invention will be described below with reference to the illustrated embodiments. FIG. 1 shows an embodiment of the apparatus of the present invention. In the figure, reference numeral I indicates an apparatus installed on the office side, and II indicates an apparatus installed on the reception room side. .

First, the device on the office side I will be described. In the figure, reference numeral 1 is an original reading device such as a scanner for converting a character pattern written on an insurance card or a medical examination ticket into bitmap data, and 2 is a switching means, which is provided on the original reading device 1 or a reception room side II described later. One of the image data from the arranged document reading device 20 is selected.

Reference numeral 3 denotes a character recognition means, which is a character pattern in which the bit map data from the document reading device 1 or the document reading device 20 is stored in correspondence with the character pattern represented by the bit map and the character code. It collates with data and outputs kana, kanji, and alphanumeric character codes.

Reference numeral 4 denotes a reading control means, which is a specific area in the bitmap data to be converted into a character code, for example, an insurance card number column, an insurance card expiration date column, a business office number column, and an insurance card confirmation date. By registering the fields as the reading area, the character recognition means 3 is controlled so as to convert the bit map data of these fields into a character code. By limiting the reading area in this way, the data necessary for confirmation of the patient name and insurance card can be converted into a character code extremely quickly.

The designation of such a reading area is performed by referring to the reference position of the document table of the document reading devices 1 and 20, for example, the lower right, as shown in FIG. Angle coordinate data (X1, Y1), (X2, Y2),
(X3, Y3), (X4, Y4); (X5, Y5),
(X6, Y6), (X7, Y7), (X8, Y8);
(X9, Y9), (X10, Y10), (X11, Y1
1), (X12, Y12) ... Then, by preparing a plurality of sets of data corresponding to the type of insurance card, it is possible to convert all the necessary data of the insurance card into character codes.

Further, in order to prepare for a patient who has two types of insurance cards, as shown in FIG. 2, the document reading devices 1 and 20 are provided with windows W1 and W2, respectively, on which an insurance card and an examination ticket can be placed. The reading area is divided into two, and two types of documents are placed in these windows W1 and W2 so that two types of documents can be read at the same time.

Reference numeral 5 is a reception processing means, which is constituted by a personal computer, a workstation, or the like,
This includes a character recognition means 3, a card reader 23, a large-capacity external storage means 6 such as a hard disk or a magneto-optical disk,
A display 7, a keyboard 8 and the like are connected, reception data of a reception master file constituted by the external storage means 6, an insurance card placed on the document reading device 20 in the reception room II, a medical examination ticket, and further. Based on the data read from the medical examination card inserted in the card reader 23, the reference number, the medical treatment subject, the medical examination order, and the scheduled medical examination time are calculated without questioning whether it is the first medical examination or the return, and the information is stored in the reception room II. The printer 26 mounted on the printer issues an acceptance slip as shown in FIG. 4 and determines the ID number for identifying the patient for the first visit, and the ID as described later as shown in FIG. It is programmed to store required data such as number, name, and last insurance card confirmation date in the patient master file of the external storage means 6.

Particularly in the case of a first-time patient, necessary data is read from the insurance card, converted into character data, and provided as data necessary for issuing the above-mentioned acceptance slip, and at the same time image data of the entire insurance card, that is, The bitmap data is stored as image data in the external storage means 6 in association with the ID number via the collating means 9 described later.

For the first-time patient, the keyboard 22 is used to specify whether the person is the "person" or the "family".
You can also obtain the data necessary to issue a reception slip by specifying the desired medical department as necessary, and regarding the scheduled consultation time, based on past experience at each hospital, The average time required for medical examination of one patient can be obtained, and this can be easily calculated as a one-step time lag in the order of reception for each medical care item.

Reference numeral 9 is a collating means, which is constituted by a personal computer, a workstation or the like, to which a large-capacity external storage means 6 such as a hard disk or a magneto-optical disk, a display 7, a keyboard 8 and the like are connected. In addition to functioning as a normal collating means, the display 7 is divided into two display areas A and B as shown in FIG.
Image data called from the external storage means 6 by a variable or the like and image data from the document reading device 20 described later are displayed at the same time to facilitate comparison and collation during confirmation work of the insurance card. Is configured to tighten

Further, in this embodiment, in order to search the printer 10 or the file storage shelf 11 which outputs the hard copy of the search result, a file search device 12 as shown in, for example, JP-A-5-189489 is connected. Has been done.

In the external storage means 6, in addition to the above-mentioned reception master file, all or a part of the character code read by the character recognition means, for example, the last 4 digits are used as a character variable for the insurance card number and the insurance card. An area for storing data such as the expiration date, the confirmation date of the insurance card, and the business office number, and an area for storing the image data of the insurance card read by the document reading apparatus 1 are provided.

Next, the equipment on the reception room side II will be described. Reference numeral 20 in the drawing is a manuscript in which windows W1, W2, etc. are provided as shown in FIG. 3 and the position where the insurance card or the medical examination ticket is placed is specified so that even an amateur such as a patient can relatively easily handle it. The reader is connected to the switching means 2 on the office side I through the communication means 21.

Reference numeral 22 is a keyboard, 23 is a card reader for reading an ID number of a medical examination card or the like owned by the patient, and 24 is a display, so that the manuscript reading device 20 can handle even an unfamiliar person. An intercom 25, which will be described later, for giving a handling instruction is installed as necessary.

Instructions for handling such a device can be issued, for example, by storing a necessary help file in the external storage means 6 and displaying it on the display 24 by a key operation or the like.

Reference numeral 25 is an intercom, which is a communication means 21.
Intercom 1 installed in office side I via
Connected with 3 and equipped with a display, microphone and speaker, for giving instructions to the patient and responding to patient questions while displaying images as needed. Is.

In the figure, reference numeral 26 is a printer installed on the reception room II side, which reads data from the external storage means 6 from the office room side I as necessary and outputs a hard copy of the data. Issue a receipt.

Next, the operation of the apparatus thus configured will be described. At the time of visiting the hospital, the first-time patient sets the examination ticket, and among the returning patients, those who have the examination ticket set the examination ticket in the prescribed area of the document reading device 20 in the reception room II, Also, the patient who owns the examination card loads it into the card reader 23.

An insurance card set on the document reading device 20,
Alternatively, the required area of the medical examination ticket is converted into bitmap data and then read as a character code by the character recognition means 3 to generate the data of the acceptance processing means 5. At the same time, the keyboard 22 is used to designate either the "person" or the "family" and, if necessary, the desired medical treatment section, so that the reception processing means 5 sorts out based on the data of the reception master file in the external storage means 6. Compute the number, medical department, examination order, and scheduled examination time, and then enter the reception room II
The acceptance slip is issued by the printer 22 mounted on the.

As the reception master file, a reception order file in which the distinction between new arrivals and new arrivals is also data,
Prepare a schedule file for examination time. Then, when the reception data is input from the character recognition means 3 or the card reader 23, the order reception file is opened, the reference number is determined and the file is updated while distinguishing between the new arrival and the new arrival. Then, the scheduled medical examination time file is opened, the medical available time is calculated while adding the time lag for each medical treatment item described above, the medical examination order is calculated based on the time, and this file is updated.

A person who has a medical examination card, such as a returning patient, inserts the medical examination card into the card reader 23 to read the necessary data, and based on this data, the reception processing means 5 receives the reception form in the same manner as described above. Is issued.

As described above, since the reception slip is issued regardless of whether the visit is the first visit or the return visit, the order of examinations can be accurately determined, and the patient can be informed of the approximate examination time so that the waiting time can be set outside the waiting room. It is possible to effectively use the space, and it is possible to save space in the waiting room.

Then, regarding the insurance card of the first-time patient,
Further, the character recognition means 3 converts the data of a specific area such as the insurance policy number column, the expiration date column, the establishment number column, etc. into a character code and reads the data, and the insurance card number "12" of the insurance card concerned.
Part of "34567", for example, the last 4 digits "4567"
An ID card is issued with the ID number as an ID number, and the ID card is given to the patient for reception as a patient who will come again from the next time.

When the character variable "4567" is input after inputting a new registration command from the keyboard 8 when the ID number "4567" is determined, the insurance policy number of the insurance card from the character recognition means 3 is valid. The expiration date, the office number, and the image data of the insurance card read by the document reading device 1 are stored in the patient master file of the external storage unit 6.

On the other hand, in the case of a returning patient for whom an ID card has already been issued, the ID number is read by loading the examination card into the card reader 23, and the collation means 9 is searched for by the collation means 9 via the communication means 21. Character string data, that is, ID
The number is output.

The collating means 9 retrieves the file of the patient from the external storage means 6 based on this ID number, reads out the last confirmation date of the insurance card, and confirms the expiration date of the insurance card in the current month. Check whether or not.

As a result of the collation, when the expiration date of the insurance card is confirmed in the month, the collating means 9 causes the document retrieval device 12 to operate.
The corresponding ID number is output to and documents such as a medical record necessary for the medical examination are automatically selected from the storage rack 11.

On the other hand, as a result of the collation, when the expiration date of the insurance card is not confirmed in the current month, the image data of the insurance card is read from the external storage means 6 based on the ID number and the left half of the display 7 is read. Displayed on the area (area A in FIG. 6) and at the same time is installed at the reception window adjacent to the card reader 23 and displayed on the display of the intercom 25 installed in a place where the patient can easily see it.
Please load the insurance card into 0 and enter the data of the insurance card. ”And at the same time, give instructions by voice.

When the patient sets the insurance card on the document reading device 20 according to the instruction, the image data output from the document reading device 20 is transferred to the office side I via the communication means 21.
The other half of the display 7 (area B in FIG. 6) is displayed. Since the image data that has already been registered is displayed in the first half of the display 7, it is possible to visually confirm the expiration date of the insurance card without having to receive the insurance card each time.

At the same time, the image data of the document reading device 20 is
The character recognizing means 3 converts a unique number written in a specific place on the insurance card into a character code, and the matching means 9
It is determined whether or not the character string peculiar to the insurance card, which has been input to the external storage means 6, has already been registered.

If the result of the determination is that the registered policy is the same as the registered one, it means that the expiration date of the insurance card has been confirmed, so the data of the last insurance card confirmation date in the external storage means 6 is updated. At the same time, the corresponding ID number is output to the document retrieval device 12 to select the required document, the intercom 25 is used to notify the patient of the completion of the procedure through the intercom 25, and the patient is instructed to wait in front of the examination room of the medical care subject.

On the other hand, if the result of the determination is that the agreement cannot be confirmed, the clerk in the reception room is informed that the agreement has not been confirmed, and caution is required to perform the required procedure.
That is, if the match cannot be visually confirmed based on the image data displayed on the display 7, the patient may be new or the insurance card may have been updated. A new acceptance command is sent to the collating means 9 to perform the procedure as a new arrival.

[0039] By the way, since the insurance card confirmation work is usually carried out on the first consultation day of the month, the insurance card confirmation work is automatically performed at the time of reception, and when the confirmation is completed, Only reception will be held. However, when the number of patients is large, the number of insurance certificates to be confirmed becomes huge, which may hinder other work. In addition, new patients at the end of the month will be required to confirm their health insurance card within a few days.

In the present invention, when the next insurance card confirmation date is calculated from the previous insurance card confirmation date, a period of 30 days should be provided for a new patient, and for a new patient. It is programmed to set the confirmation date according to the frequency of visits, that is, a few days in the case of frequent patients and a confirmation date in the case of infrequent patients.

As a result, an extra burden is not imposed on the patient, and the amount of work for checking the insurance card can be leveled.

The unique number written in a specific place on the new patient's insurance card is treated as a character variable of variable length data and added to the registration data up to now. The character variables are, for example, 10000 in an array, that is, DIM A $ (10
000).

For example, the insurance card number is "12345".
67 ", an ID number is given by associating the last 4 digits with the array number.

Character variable A specified by this ID number
In $ (4567), in addition to the data "123" that constitutes the remaining ID number of the insurance card number "1234567", a unique number written in a specific place on the insurance card,
The date when the expiration date of the insurance card is confirmed is also stored as data.

That is, when the character variable A $ (4567) is read, "123; 878 787; 11/30"
Is found. Of this data, "12
"3" means the rest of the ID number "1234567", "878 787" means a unique number written in a specific place on the insurance card, and "11/30" means November 30th. .

Of course, in the character variable A $ (4567),
It is also possible to input other data such as data such as a business office number. When the patient with ID number “12344567” returns on December 5 and shows the insurance card by following the above procedure, the previous date data “11/30” is automatically rewritten to “12/05”. .

In the above embodiment, since a part of the ID number is used for verification, the ID number is "99", for example.
In the case of "4567", it is stored as the character variable A $ (4567), that is, I is stored in the character variable A $ (4567).
If the data of D number "12344567" and "994567" are registered on December 1, A $ (456
When you call 7), "123;878787; 11 /
30; 99; 565656; 12/01 "character string data can be found.

Data about a certain ID number is, for example, 20
When this is exceeded while deciding the number of variables, a variable name for accommodating the 21st and subsequent data after the 20th data, for example, B $ (1000) is recorded. By doing so, it becomes possible to record an arbitrary number of data.

Although the data is treated as a character variable in the above-mentioned embodiment, when the capacity of the external storage means 6 is large, a file for search data, that is, an ID number "4567" is generated, I in this file
D number "12344567" and ID number "99456"
7 ”and data attached to it, and these data and the data which is paired with this can be called by searching the file“ 4567 ”.

In the above-mentioned embodiment, the order is decided through the new and new patients, but the new patients and the new patients can be selected according to the circumstances of the clinic or hospital. It is clear that the patient can be accepted separately.
In other words, a new patient may be issued with a reception slip clearly stating “first visit” and treated according to the circumstances of each clinic or hospital.

[0051]

As described above, according to the present invention, a document reading means for converting an insurance card or a medical examination ticket into image data, and a character recognizing means for converting a specific area of the image data into character data. Since the storage means for storing the reception data and the reception processing means for determining at least the data indicating the order of reception based on the data read from the storage means and issuing the reception slip by the printer, As long as you put the examination ticket on the document reading means in the reception room,
Regardless of new arrival and return, it is possible to decide the order of reception based on the data in the storage means, issue a reception vote and deliver it to the patient, and solve the trouble caused by the unclear waiting time You can

[Brief description of drawings]

FIG. 1 is a block diagram of an apparatus showing an embodiment of the present invention.

FIG. 2 is a diagram schematically showing an example of control data of a reading control means in the same apparatus.

FIG. 3 is a diagram illustrating an example of a document table of the document reading device.

FIG. 4 is a diagram showing an example of a reception slip.

FIG. 5 is a diagram schematically showing an example of a patient master file.

FIG. 6 is a diagram showing an example of an image displayed on the display of the same device for insurance card confirmation work.

[Explanation of symbols]

 1 Document Reading Device 7 Display 8 Interphone 20 Document Reading Device 22 Keyboard 23 Card Reader 25 Interphone

Claims (11)

[Claims] 1. A document reading means for converting an insurance card or a medical examination ticket into image data, a character recognition means for converting a specific area of the image data into character data, a storage means for storing acceptance data, and An automatic medical examination acceptance device comprising: a reception processing means that determines at least data indicating the order of acceptance based on the data read from the storage means and issues a receipt by a printer. 2. The medical examination automatic reception device according to claim 1, wherein the medical examination order and scheduled medical examination time are printed on the reception form. 3. The medical examination automatic acceptance apparatus according to claim 1, wherein the document reading unit is divided into a plurality of areas, and a plurality of insurance cards or medical examination tickets can be placed and read at the same time. 4. A document reading means for converting a health insurance card or a medical examination ticket into image data, a character recognition means for converting a specific area of the image data into character data, and an electrically, magnetically and optically storing means. A card reader for reading a medical examination card storing the patient's ID number, a storage unit for storing reception data, and at least data indicating the order of reception based on the data read from the storage unit and determined by the printer. An examination reception device comprising a reception processing means for issuing a reception slip. 5. The medical treatment reception apparatus according to claim 4, wherein the medical examination order and the scheduled medical examination time are printed on the reception form. 6. The automatic medical examination acceptance apparatus according to claim 4, wherein the document reading unit is divided into a plurality of areas, and a plurality of insurance cards or medical examination tickets can be placed and read at the same time. 7. A first document reading means for converting an insurance card into image data, a card reader for reading an ID number from a patient's medical examination card, and a character recognition means for converting a specific area of the image data into character data. A storage unit for storing the image data of the first original reading unit and the character data so as to be searchable by an ID number; and a specific data from the storage unit when the ID number is output from the card reader. An automatic medical examination acceptance device comprising a collating means for searching and confirming necessary items. 8. The medical examination automatic acceptance device according to claim 7, wherein the required item is an expiration date of a health insurance card or a last confirmation date. 9. The medical examination automatic acceptance device according to claim 7, wherein a period for confirming the necessary items is variable. 10. The first document reading means is arranged in an office, and the card reader and the second document reading means are arranged in a reception room, and the collating means and the image data of the storage means and the 8. The medical examination automatic acceptance device according to claim 7, wherein the image data from the second original reading means is divided into areas and displayed on the same display means. 11. The medical examination acceptance apparatus according to claim 7, further comprising communication means adjacent to the second original reading means for supporting the operation of the second original reading means.