JPWO2012039150A1 - Inspection reservation system and inspection reservation server - Google Patents

Abstract

This makes it possible to easily make examination reservations considering patient needs. When the reservation destination medical facility is selected from the reservation initial screen 251 in the terminal device 2, the control unit 11 of the center server 1 sets a plurality of doctors and / or examination devices belonging to the selected medical facility as reservation targets. A batch reservation screen 253 that can be selected in a batch is created and transmitted to the terminal device 2. The collective reservation screen 253 has a priority display condition input field 253A. When a doctor and / or examination apparatus to be reserved is selected from the collective reservation screen 253 and priority display conditions are input, the control unit 11 selects the date that matches the priority display conditions in preference to the date unit. A reservation calendar screen 254 in which reservation time frames for each reservation target are arranged and displayed as a list is created and transmitted to the terminal device 2, and the date and time selected from the reservation calendar screen 254 is stored in the storage unit 13 as the reservation date and time for the reservation target. .

Description

  The present invention relates to an inspection reservation system and an inspection reservation server.

  In recent years, small-scale medical facilities such as clinics and clinics, and hospitals and other medical facilities that have expensive inspection devices such as CT (Computed Tomography) and MRI (Magnetic Resonance Imaging) and have specialists for each department Among them, medical cooperation is spreading. With the spread of such medical cooperation, for example, in Patent Document 1, a plurality of clinics requesting examinations and a plurality of hospitals conducting examinations are connected via a communication network, and between medical facilities An inspection reservation system capable of easily and efficiently performing inspection reservation is described.

JP 2005-301383 A

  By the way, for medical facilities capable of reserving a plurality of types of inspection apparatuses and a plurality of doctors, the inspection reservation is generally performed for each apparatus and doctor. In other words, the reservation source needs to confirm the reservation available time of the device or doctor that the medical facility that is the reservation destination wants to make a reservation, and make a reservation at an available time.

However, the examination reservation system described in Patent Document 1 cannot make a reservation by designating an examination apparatus or a doctor (see Patent Document 1: FIGS. 5 and 6).
Also, in an examination reservation system that can be reserved by specifying an examination device or a doctor, an individual appointment time frame is displayed on the appointment screen for each device or doctor, and an appointment is made individually for each device or doctor. Generally, when it is desired to reserve a plurality of devices or doctors, it is necessary to switch the screen one by one to check a reservation available time zone and perform a reservation operation. In order to reduce the burden on the patient, it is desirable to reserve multiple devices and doctors for a single patient at a close time. It is inconvenient because the screen must be switched over and over again to confirm the time slots that can be reserved continuously.

  Even if there is a request on the part of the patient that the patient can go to the examination only after this date, the date may be anytime, but multiple examinations should be performed as efficiently as possible in the shortest possible time. The work of confirming and reserving a date and time zone that satisfies the conditions is complicated.

  An object of the present invention is to make it possible to easily make an examination reservation in consideration of a patient's request.

In order to solve the above problems, according to a first aspect of the present invention,
An inspection reservation system in which a reservation source terminal device for performing inspection reservation and an inspection reservation server are connected via a communication network so that data can be transmitted and received,
The examination reservation server
Facility information including information on medical facilities that can be reserved for examination and doctors and / or inspection devices belonging to the medical facilities, and dates and times that can be reserved for examinations of doctors and / or inspection devices that belong to medical facilities that can be reserved for inspection A storage means for storing reservation date and time information to be displayed; and when there is a request from the reservation source terminal device, a medical facility as a reservation destination is selected based on the facility information stored in the storage means A first operation screen creating means for creating a first operation screen for transmitting to the reservation source terminal device;
When a reservation-destination medical facility is selected from the first operation screen in the reservation source terminal device, based on the facility information stored in the storage unit, a doctor belonging to the selected medical facility and / or A second operation screen creating means for creating a second operation screen that can be collectively selected from a plurality of inspection devices as a reservation target and transmitting the second operation screen to the reservation source terminal device;
When a reservation target doctor and / or examination device is selected from the second operation screen in the reservation source terminal device, the selection is made on a date basis based on the reservation available date and time information stored in the storage means. A third operation screen creation means for creating a third operation screen in which the reservation time frames for each reservation target are displayed in a list and transmitting the third operation screen to the reservation source terminal device;
In the reservation source terminal device, when a reservation time frame for a reservation date and time for each reservation target is selected from the third operation screen, the storage unit stores the selected date and time as a reservation date and time for the reservation target. Reservation registration means;
With
The second operation screen has an input field for inputting a priority display condition of the selected reservation time frame for each reservation target,
The third operation screen creation means searches the storage means for a date that matches the priority display condition input from the second operation screen in the reservation source terminal device, and prioritizes the searched date. A third operation screen in which the selected reservation time frames for each reservation target are arranged and displayed as a list is created and transmitted to the reservation source terminal device.

  The second operation screen preferably has an input field for inputting a date of a reserved time frame to be displayed at the top on the third operation screen as the priority display condition.

  In the second operation screen, a date having a time slot in which all of the selected doctors and / or examination apparatuses are continuously available for n hours or more (n is a positive integer) is input as the priority display condition. It is preferable to have an input field for.

  When there are a plurality of dates that match the priority display conditions input from the reservation source terminal device, the third operation screen creation means is selected as described above starting from the most recent date among the matching dates. It is preferable to create the third operation screen displaying the reservation time frame for each reservation target.

According to a second aspect of the present invention,
An inspection reservation server connected via a communication network to a reservation source terminal device for making an inspection reservation,
The facility information including information on medical facilities that can be reserved for examination and doctors and / or inspection devices belonging to the medical facilities, and the date and time that can be reserved for examinations of doctors and / or inspection devices that belong to medical facilities that can be reserved for inspection Storage means for storing reservation date and time information;
When there is a request from the reservation source terminal device, a first operation screen for selecting a reservation-destination medical facility is created based on the facility information stored in the storage unit, and the reservation source terminal First operation screen creation means for transmitting to the apparatus;
When a reservation-destination medical facility is selected from the first operation screen in the reservation source terminal device, based on the facility information stored in the storage unit, a doctor belonging to the selected medical facility and / or A second operation screen creating means for creating a second operation screen that can be collectively selected from a plurality of inspection devices as a reservation target and transmitting the second operation screen to the reservation source terminal device;
When a reservation target doctor and / or examination device is selected from the second operation screen in the reservation source terminal device, the selection is made on a date basis based on the reservation available date and time information stored in the storage means. A third operation screen creation means for creating a third operation screen in which the reservation time frames for each reservation target are displayed in a list and transmitting the third operation screen to the reservation source terminal device;
In the reservation source terminal device, when a reservation time frame for a reservation date and time for each reservation target is selected from the third operation screen, the storage unit stores the selected date and time as a reservation date and time for the reservation target. Reservation registration means;
With
The second operation screen has an input field for inputting a priority display condition of the selected reservation time frame for each reservation target,
The third operation screen creation means searches the storage means for a date that matches the priority display condition input from the second operation screen in the reservation source terminal device, and prioritizes the searched date. A third operation screen in which the selected reservation time frames for each reservation target are arranged and displayed as a list is created and transmitted to the reservation source terminal device.

  According to the present invention, it is possible to easily make an examination reservation in consideration of a patient's request.

It is a figure showing the whole examination reservation system composition in an embodiment of the invention. It is a block diagram which shows the functional structure of the center server of FIG. It is a block diagram which shows the functional structure of the terminal device of FIG. It is a block diagram which shows the functional structure of the cooperation GW of FIG. It is a figure which shows the flow of the test | inspection reservation process performed between the terminal device of the reservation origin plant | facility of FIG. 1, and a center server. It is a figure which shows an example of the reservation initial screen displayed on the display part of the terminal device of the reservation origin facility of FIG. It is a figure which shows an example of the collective reservation screen displayed on the display part of the terminal device of the reservation origin facility of FIG. It is a figure which shows an example of the reservation calendar screen displayed on the terminal device of the reservation origin facility of FIG. It is a figure which shows an example of the reservation information input screen displayed on the terminal device of the reservation origin facility of FIG. A is a diagram showing an example of input items displayed when a doctor name tab is selected on the reservation information input screen, and B is an input displayed when a device type tab is selected on the reservation information input screen. It is a figure which shows an example of an item. It is a figure which shows an example of the batch reservation screen where the priority display condition input column was displayed. It is a figure which shows the flow of the reservation list display process performed between the terminal device of the reservation origin plant | facility of FIG. 1, and a center server. It is a figure which shows an example of the acceptance list screen of the reservation unit displayed on the terminal device of the reservation origin facility of FIG. It is a figure which shows an example of the reception list screen of the apparatus and doctor unit displayed on the terminal device of the reservation origin facility of FIG. It is a figure which shows the flow of operation | movement of each apparatus and center server of a reservation destination facility in reservation destination mode. It is a figure which shows the flow of operation | movement of each apparatus and center server of a reservation destination facility in reservation destination mode. It is a figure which shows the data content transmitted / received between each apparatus in the process of FIG. 14A-FIG. 14B. It is a figure which shows an example of the acceptance list screen displayed on the terminal device of the reservation destination facility of FIG. It is a figure which shows an example of the test | inspection reservation information screen displayed on the terminal device of the reservation destination facility of FIG. It is a figure which shows an example of the confirmation screen of the test result data displayed on the terminal device of the reservation destination facility of FIG.

  Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings. However, the scope of the invention is not limited to the illustrated examples.

[Configuration of Inspection Reservation System 100]
First, the configuration will be described.
FIG. 1 shows a system configuration example of an examination reservation system 100 in the present embodiment.
As shown in FIG. 1, an examination reservation system 100 includes a center server 1 installed in a data center, an in-facility system 10A installed in a medical facility (referred to as a reservation source facility) that is an examination reservation source, and a hospital And the in-facility system 10B installed in a medical facility (referred to as a reservation destination facility) that is a reservation destination for examinations. Here, the in-facility system 10A is an example in which the reservation source facility is a facility that does not have sufficient inspection equipment (for example, a clinic) and the reservation destination facility is a facility that has sufficient inspection equipment such as a large hospital. Although 10B is illustrated, the reservation source facility may be configured to include an in-facility system equivalent to the modality and the reservation destination facility.

  The in-facility system 10A is configured by connecting the terminal device 2 and the medical accounting device 3 to each other via an in-facility network LN1 such as a LAN (Local Area Network) so that data can be transmitted and received between them. It is good also as a structure provided with test | inspection apparatuses, such as CR imaging device. Each device constituting the in-facility system 10A is connected to the Internet N via a router (not shown). Of the devices constituting the in-facility system 10A, at least the terminal device 2 is connected to the center server 1 via the Internet N so as to be able to transmit and receive data.

The in-facility system 10B includes a terminal device 4, a cooperative GW (Gateway) 5, a medical accounting device 6, an order generation device 7, a modality 8, and a PACS (Picture Archiving and Communication System) 9 that are mutually connected by an in-facility network LN2 such as a LAN. It is configured to be able to send and receive data. Each device constituting the in-facility system 10B is connected to the Internet N via a router (not shown). Among the devices constituting the in-facility system 10B, at least the terminal device 4 and the cooperative GW 5 are connected to the center server 1 via the Internet N so as to be able to transmit and receive data.
Note that the number of in-facility systems constituting the examination reservation system 100 and the number of devices in the in-facility system are not particularly limited.

  Hereinafter, each apparatus which comprises the inspection reservation system 100 is demonstrated.

(Center server 1)
The center server 1 is an examination reservation server that is installed in a data center and provides an examination reservation service to doctors in medical facilities.

FIG. 2 shows a functional configuration example of the center server 1.
As shown in FIG. 2, the center server 1 includes a control unit 11, a RAM 12, a storage unit 13, an operation unit 14, a display unit 15, a communication unit 16, a timing unit 17, and the like. Connected by.

  The control unit 11 is configured by a CPU (Central Processing Unit) or the like, reads various programs including a system program stored in the storage unit 13, expands the program in the RAM 12, and executes various processes according to the expanded program. . For example, in accordance with the Web server program P1 and the inspection reservation program P2 stored in the storage unit 13, the control unit 11 executes processing on the center server side in various processes including an inspection reservation process to be described later. Functions as an operation screen creation means, a second operation screen creation means, a third operation screen creation means, and an examination reservation registration means are realized.

  The RAM 12 temporarily stores a work area for temporarily storing various programs, input or output data, parameters, and the like that can be executed by the control unit 11 read from the storage unit 13 in various processes controlled by the control unit 11. Form.

  The storage unit 13 includes an HDD (Hard Disk Drive), a semiconductor nonvolatile memory, or the like. As described above, the storage unit 13 stores various programs and data necessary for executing the programs. For example, in addition to the system program, the storage unit 13 communicates with the Web browser installed in the terminal devices 2 and 4 using the HTTP protocol, and displays various types of Web including a batch reservation screen 253 (see FIG. 7) on the Web browser. A Web server program P1 for executing a function as a Web server that provides a screen, or a Web application that runs on the Web server and provides an inspection reservation service to the users of the terminal devices 2 and 4 via the Web browser A program (referred to as an inspection reservation program P2) is stored.

  The storage unit 13 also stores various tables such as a user management table 131, a reservable facility table 132, a reservation management table 133, a reservation calendar table 134, examination result data transmitted from the reservation-destination facility system 10B, and the like. It is remembered. The examination result data refers to data acquired in the course of the examination, and includes, for example, medical image data, an interpretation report, and the like.

  The user management table 131 is a table for storing user information regarding a user (doctor) who can use the examination reservation service by the center server 1. The user management table 131 includes, for example, a “user ID”, “reservation source password”, “reservation destination password”, “facility ID”, “facility name”, “clinic department”, “doctor name” for identifying the user. , “Address”, “telephone number”, “mail address” and the like are provided, and user information data including information of these items is stored. Here, the reservation source password is a password for accessing the center server 1 in the reservation source mode. The reservation source mode is a mode for making a test reservation at another medical facility as a test reservation source and browsing the progress of the reserved test and the test result. The reservation destination mode is a mode for displaying a list of examinations reserved from other medical facilities as examination reservation destinations.

  The reservable facility table 132 is a table for storing facility information relating to facilities that can use the inspection reservation service provided by the center server 1. In the reservable facility table 132, for example, “facility ID”, “facility name”, “location”, “representative doctor name”, “representative telephone number”, “clinical department”, “reservable” for identifying a facility Items such as “doctor name” and “reservable device” are provided, and facility information data including these items is stored. “Reservable doctor name” and “reservable device” are a doctor name that can be reserved from another medical facility using the examination reservation service, and the type (modality type) of the examination device. For facilities that do not accept reservations from other medical facilities, this information is blank.

The reservation management table 133 is a table for storing data of examination reservation information registered by the user. The reservation management table 133 includes, for example, “examination reservation ID”, “reservation source information” (“reservation source facility ID”, “reservation source facility name”, “reservation source doctor ID”, “ “Reservation source doctor name”), “Patient information” (“Patient name”, “Gender”, “Birth date”, “Insurance number”, etc.), “Reservation destination information” (“Reservation destination facility ID”, “Reservation destination”) "Facility name", "clinical department", "reservation content 1"-"reservation content m", "reservation date 1"-"reservation date m", "status 1"-"status m", etc.), "folder path", etc. Items are provided.
The “inspection reservation ID” is inspection reservation identification information issued every time an inspection is reserved from the terminal device 2.
“Reservation source information” is information of the reservation source that made the inspection reservation.
“Reservation destination information” is information on a reservation destination for inspection. “Reservation contents 1” to “reservation contents m” (m is the reservation upper limit number) is information (referred to as apparatus / doctor information) indicating the type of the reserved doctor or examination apparatus (modality). “Reservation date and time 1” to “reservation date and time m” are reservation dates and times corresponding to “reservation content 1” to “reservation content m”, respectively. For example, “reservation date 1” is the reservation date of the device or doctor stored in “reservation content 1”, and “reservation date 3” is the reservation date of the device or doctor stored in “reservation content 3”. is there. “Status 1” to “Status m” are the statuses of the numbers corresponding to “Reservation contents 1” to “Reservation contents m” (progress status of the current examination), respectively. For example, status 1 is the status of the device or doctor who is reserved with the reservation content 1, and status 3 is the status of the device or doctor who is reserved with the reservation content 3.
The “folder path” is information indicating a path to a folder for storing inspection result data of an inspection performed based on the inspection reservation information transmitted from the in-facility system 10B of the reservation destination facility.

  The appointment calendar table 134 is a table that stores information on appointment-reservable devices (reservable date and time information) for each doctor and doctor. In the present embodiment, a calendar frame (date time frame) up to a predetermined period ahead (for example, six months ahead) is prepared in the appointment calendar table 134 for each apparatus and doctor who can make an examination appointment. Reservation possible flag 0 is stored in the date / time frame that can be reserved, reserved flag 1 is stored when a reservation is made in the date / time zone, and reservation impossible flag 2 is stored when the reservation is not possible, such as a non-medical day. It has become so. As a default, a reservable flag 0 is stored.

  The operation unit 14 includes a keyboard having cursor keys, numeric input keys, various function keys, and the like, and a pointing device such as a mouse, and includes a key pressing signal pressed by the keyboard and an operation signal by the mouse. Is output to the control unit 11 as an input signal.

  The display unit 15 includes a monitor such as a CRT (Cathode Ray Tube) or an LCD (Liquid Crystal Display), for example, and displays various screens according to instructions of display signals input from the control unit 11.

  The communication unit 16 includes a LAN adapter, a router, a TA (Terminal Adapter), and the like, and transmits and receives data to and from external devices such as the terminal devices 2 and 4 and the cooperative GW 5 connected via the Internet N.

  The timer unit 17 is configured by an RTC (Real Time Clock) or the like, and measures the current time and the current date and outputs them to the control unit 11.

[Configuration of each device in the facility system 10A]
(Terminal device 2)
The terminal device 2 is a computer equipped with a web browser.
The terminal device 2 is a computer for inputting examination reservation information or displaying examination result data corresponding to the examination reservation information so that a doctor makes a diagnosis.

As shown in FIG. 3, the terminal device 2 includes a control unit 21, a RAM 22, a storage unit 23, an operation unit 24, a display unit 25, a communication unit 26, a time measuring unit 27, a printing unit 28, and the like. They are connected by a bus 29 or the like.

  Functions of the control unit 21, RAM 22, storage unit 23, operation unit 24, display unit 25, communication unit 26, and timing unit 27 are the control unit 11, RAM 12, storage unit 13, operation unit 14 and display described in FIG. Since it is substantially the same as the part 15, the communication part 16, and the time measuring part 17, only a different part is demonstrated below.

  The control unit 21 is configured by a CPU or the like, and develops various programs including a system program stored in the storage unit 23, a web browser 231 and a script provided from the center server 1 in the RAM 22, and the expanded program Various processes are executed according to the above. For example, the control unit 21 executes processes on the terminal device side in various processes including an examination reservation process to be described later according to the developed program.

  The storage unit 23 includes an HDD (Hard Disk Drive), a semiconductor nonvolatile memory, or the like. As described above, the storage unit 23 stores a system program executed by the control unit 21, various programs including the web browser 231, and various data.

  The printing unit 28 prints and outputs an image on a sheet based on the print data output from the control unit 21.

(Medical accounting device 3)
The medical accounting device 3 is a computer device for performing registration registration, accounting calculation, insurance score calculation, etc. of patients who come to the hospital. A control unit comprising a CPU, a RAM, a storage unit, an operation unit, a display unit, a communication unit, A timekeeping unit is provided. Patient information such as “patient ID”, “name”, “date of birth”, “gender”, “age”, “address”, “phone number”, “insured person number” of the patient is stored in the storage unit. A patient information DB to be stored is provided.

[Configuration of each device in the in-facility system 10B]
(Terminal device 4)
As shown in FIG. 3, the terminal device 4 is a computer equipped with a Web browser having the same configuration as the terminal device 2.
The terminal device 4 is a computer for displaying examination reservation information about an examination reserved for the medical facility and for performing a reception process when a patient visits the reserved examination.

(Configuration of cooperative GW5)
The cooperative GW 5 is a cooperative device that relays data transmission / reception between the center server 1 and the in-facility system 10B having different protocols.
As shown in FIG. 4, the cooperative GW 5 includes a control unit 51, a RAM 52, a storage unit 53, an operation unit 54, a display unit 55, a communication unit 56, a timekeeping unit 57, and the like. Has been. Each unit is substantially the same as the control unit 11, RAM 12, storage unit 13, communication unit 16, and timing unit 17 described with reference to FIG.

  The control unit 51 is configured by a CPU or the like, expands a system program and various processing programs stored in the storage unit 53 to the RAM 52, and executes various processes according to the expanded program. For example, the control unit 51 executes various processes including the process on the cooperative GW 5 side illustrated in FIGS. 14A to 14B according to the developed program.

In addition, when the inspection order information that is not requested to be issued is received from the order generation device 7, the control unit 51 determines that the inspection order information is reserved in its own facility, and the inspection received by the communication unit 56. Information such as “apparatus information”, “doctor information”, “examination reservation date”, and “reservation time zone” included in the order information is transmitted to the center server 1 as reservation calendar update information. In the center server 1, when the reservation calendar update information is received from the cooperative GW 5, the calendar frame flag of the date and time when the examination is scheduled for the device or the doctor designated by the received reservation calendar update information in the reservation calendar table 134. By updating 1 to 1, it is impossible to make a reservation for the frame from another medical facility.

The storage unit 53 is configured by an HDD (Hard Disk Drive), a semiconductor nonvolatile memory, or the like. As described above, the storage unit 53 stores various programs including the system program executed by the control unit 51 and various data necessary for executing the program.
For example, the storage unit 53 includes an examination reservation ID that is identification information of examination reservation information registered in the center server 1, and an in-hospital order ID that is identification information of examination order information issued by the order generation device 7 for the same examination. ID association table 531 (management table) for storing the information in association with each other.

(Medical accounting device 6)
The medical accounting device 6 is a computer device for performing registration registration, accounting calculation, insurance score calculation, etc. of patients who come to the hospital. A control unit comprising a CPU, a RAM, a storage unit, an operation unit, a display unit, a communication unit, A timekeeping unit is provided. Patient information such as “patient ID”, “name”, “date of birth”, “gender”, “age”, “address”, “phone number”, “insured person number” of the patient is stored in the storage unit. A patient information DB to be stored is provided.

(Order generation device 7)
The order generation device 7 generates inspection order information in response to a registration operation by the operator or an instruction from the cooperation GW 5, stores the inspection order information in a storage device such as an HDD, and transmits the generated inspection order information to the cooperation GW 5 and the modality 8. A computer device. The examination order information includes “in-hospital order ID”, “patient ID”, “patient name”, “sex”, “birth date”, and “examination part” for identifying examination order information in the in-facility system 10B. , “Apparatus information”, “doctor information”, “examination appointment date”, “reservation time zone”, and the like.

(Modality 8)
The modality 8 is an inspection device that takes an image of a patient's examination region as a subject in accordance with the examination order information received from the order generation device 7 and digitally converts the taken image to generate a medical image. As the modality 8, a CR device, a CT device, an ultrasonic diagnostic device (US), an FPD (Flat Panel Detector), an endoscope, an MRI, or the like is applicable.
The modality 8 adds DICOM to the medical image data obtained by radiography by adding incidental information including in-hospital order ID, patient ID, patient name, sex, date of birth, device / doctor information, examination site, etc. Medical image data in a file format conforming to the standard is generated and transmitted to the PACS 9.

(PACS9)
Similar to the center server 1, the PACS 9 is a computer including a control unit, a RAM, a storage unit, an operation unit, a display unit, a communication unit, a time measuring unit, and the like. As an image server, the PACS 9 stores medical image data generated by the modality 8 in the facility, examination result data such as an interpretation report, etc. in the storage unit in association with the in-hospital order ID and patient information.

[Operation in Inspection Reservation System 100 (Reservation Source Mode)] Next, the operation will be described.
First, the operation of the examination reservation system 100 when the doctor (user) of the reservation source facility accesses the center server 1 using the terminal device 2 in the reservation source mode and receives the provision of the examination reservation service will be described. The operations in the reservation source mode include an inspection reservation process and a reservation list display process described below.

(Inspection reservation process)
FIG. 5 shows a flowchart of the examination reservation process. Note that the operation of the terminal device 2 in the examination reservation process is executed by the cooperation of the control unit 21 and the Web browser 231. The operation in the center server 1 is executed by the cooperation of the control unit 11, the Web server program P1, and the examination reservation program P2.

  First, in the terminal device 2, when a URL for accessing the examination reservation service of the center server 1 is input by the operation unit 24, an access request to the input URL is transmitted to the center server 1 by the communication unit 26. (Step S1).

  In the center server 1, when the URL for accessing the examination reservation service is received from the terminal device 2 by the communication unit 16, display data for displaying a login screen is transmitted to the terminal device 2 ( Step S2). Note that HTML, style sheets, image data, and predetermined processing are executed by the terminal device 2 for display data of various Web screens including a login screen transmitted to the terminal device 2 by the Web server function of the center server 1. Scripts to make it included.

  In the terminal device 2, the login screen is displayed on the display unit 25 when the communication unit 26 receives the data for displaying the login screen. Although not shown, the login screen is a screen on which input fields for a user ID and a password are displayed. In order to enter examination reservation information, it is necessary to enter a reservation source password in the password input field.

  When the user ID and the reservation source password are input from the login screen by the operation unit 24, the input user ID and the reservation source password are transmitted to the center server 1 by the communication unit 26 (step S3).

  In the center server 1, when the communication unit 16 receives the user ID and the reservation source password, login authentication is executed. If it is determined that the login authentication is OK, the examination reservation program P2 stored in the storage unit 13 is activated, and the examination reservation service in the reservation source mode is provided according to the operation from the Web screen displayed on the terminal device 2. Is done. In this case, the user ID of the logged-in user and the reservation source password are stored in the RAM 12. When the login authentication is NG, although not shown here, the terminal device 2 is notified via the communication unit 16 that the login authentication is NG, and the examination reservation process ends.

  Hereinafter, processing executed by the center server 1 and the terminal device 2 based on the inspection reservation program P2 of the center server 1 will be described. The processing on the center server 1 side is executed by the cooperation of the control unit 11 of the center server 1, the Web server program P1, and the inspection reservation program P2. The processing on the terminal device 2 side is executed by the cooperation of the control unit 21 of the terminal device 2 and the script provided from the Web browser 231 and the center server 1.

  When the examination reservation program P2 is activated, the center server 1 creates display data for the reservation initial screen 251 and transmits it to the terminal device 2 by the communication unit 16 (step S5). Specifically, in the reservable facility table 132 of the storage unit 13, a record in which data is stored in “reservable doctor name” or “reservable device” (that is, a record of a facility that can be reserved for examination) is searched. Then, based on the retrieved record, display data for the reservation initial screen 251 including a list of reservable facilities is created and transmitted to the terminal device 2 by the communication unit 16 (step S5).

  In the terminal device 2, when the display data of the reservation initial screen 251 is received by the communication unit 26, the reservation initial screen 251 is displayed on the display unit 25 (step S6).

FIG. 6 shows an example of the reservation initial screen 251. As shown in FIG. 6, the reservation initial screen 251 is a screen (first operation screen) on which at least a list of available facilities 251a, a “list display” button 251b, and a “collective reservation” button 251c are displayed. is there.
The list of reservable facilities 251a is a list of facilities that can be reserved for examination, and the facility to be reserved can be selected from the reservable facility list 251a by the operation unit 24. The “list display button” 251b is a button for instructing a transition to a reservation list screen 252 (see FIGS. 13A and 13B) that displays a list of reserved examinations. The “collective reservation” button 251c is a button for instructing a transition to a collective reservation screen 253 (see FIG. 7) in which a plurality of apparatuses and / or doctors can be reserved collectively.

  When the operation unit 24 selects a facility (reservation destination facility) to be reserved from the reservable facility list 251a and presses the “collective reservation” button 251c, information on the selected reservation destination facility (assumed as a facility ID) and An instruction for transition to the batch reservation screen 253 is transmitted to the center server 1 by the communication unit 26 (step S7).

  In the center server 1, when the communication unit 16 receives the facility ID of the reservation destination facility and the transition instruction to the collective reservation screen 253, the reservation destination facility is stored in the reservation available facility table 132 using the received facility ID as a key. Are retrieved and read into the RAM 12. Then, based on the read record, the “clinic department”, “reservable doctor name”, and “reservable device” of the reservation destination facility are specified, and display data for the collective reservation screen 253 is created. Is transmitted to the terminal device 2 (step S8).

  In the terminal device 2, when the display data of the batch reservation screen 253 is received by the communication unit 26, the batch reservation screen 253 is displayed on the display unit 25 (step S9).

  FIG. 7 shows an example of the batch reservation screen 253. The collective reservation screen 253 is a screen (second display) for collectively selecting a plurality of doctors and / or devices to be reserved (that is, a plurality of doctors, a plurality of devices, or a combination of one or more doctors and devices). Operation screen). As shown in FIG. 7, the batch reservation screen 253 includes a doctor selection button 253a, a device selection button 253b, a “reservation list” button 253c, and the like. The doctor selection button 253a is a button on which the name of a doctor who can make a reservation at the reservation destination facility is displayed. That is, the collective reservation screen 253 displays doctor selection buttons 253a for the number of doctors that can be reserved at the reservation destination facility. By selecting the doctor selection button 253b having the name of the doctor to be reserved by the operation unit 24, the doctor can be selected as a reservation target. The doctor selection buttons 253a are displayed grouped for each department so that the user can easily select them. The device selection button 253b is a button that displays the types of inspection devices (modalities) that can be reserved at the reservation destination facility. That is, the collective reservation screen 253 displays doctor selection buttons 253a corresponding to the types of devices that can be reserved at the reservation destination facility. By selecting the device selection button 253b of the device to be reserved by the operation unit 24, the device can be selected as a reservation target.

  When one or a plurality of buttons among the displayed doctor selection button 253a and device selection button 253b are pressed and the “reservation list” button 253c is pressed, the communication unit 26 instructs the center server 1 as a reservation target. Information on the selected doctor and device is transmitted (step S10).

  In the center server 1, when information about the doctors and devices to be reserved is received by the communication unit 16, information on the appointment target doctors and the date and time frame of the devices is retrieved from the reservation calendar table 134, and the reservation status is acquired. (Step S11). Then, based on the searched reservation doctor and the reservation status of the apparatus, that is, the information (flag) stored in the date time frame, the reservation target doctor and the reservation time frame of the device in the date unit after today The data for display of the reservation calendar screen 254 in which the list is displayed side by side is created and transmitted to the terminal device 2 by the communication unit 16 (step S12).

  In the terminal device 2, when the display data of the reservation calendar screen 254 is received by the communication unit 26, the reservation calendar screen 254 is displayed on the display unit 25 (step S13).

  FIG. 8 shows an example of the reservation calendar screen 254 (third operation screen). As shown in FIG. 8, the appointment calendar screen 254 displays the appointment time frames 254a of the appointment-target doctors and devices in order of date starting from today. Use the operation unit 24 to select a reservation date and time from the reservation time frame 254a for each doctor and device to be reserved, and press the “Reserve” button 254b to reserve the date and time selected by the doctor or device. can do. That is, reservations for a plurality of doctors and devices can be collectively made on the reservation calendar screen 254 without switching the screen. In the reservation time frame 254a, the reservation available time zone (reservable date and time) and the reservation unavailable time zone (already reserved reservation date and time) are displayed distinguished by colors and the like. It is possible to check the free time of the doctor and the device at a glance, and it is possible to easily find a date and time when a plurality of reservation objects can be reserved in a short time so that the burden on the patient is small. For example, in FIG. 8, it can be easily recognized that Dr. Yamada can make a reservation at 9:00 to 10:00 on August 17th and 10:00 to 11:00.

  When an appointment time frame 254a of the doctor to be reserved and the apparatus is selected by the operation unit 24 and the “Reserve” button 254b is pressed (step S14), a reservation information input screen 255 is displayed in a pop-up on the reservation calendar screen 254. (Step S15).

FIG. 9 shows an example of the reservation information input screen 255. The reservation information input screen 255 is an operation screen for inputting items necessary for reserving doctors and devices of other medical facilities. As shown in FIG. 9, the patient basic information input field 255a, common reservation information input A field 255b, an individual reservation information input field 255c, an insurance information input field 255d, and a “reservation execution” button 255e are provided. The input items in the individual reservation information input field 255c are items that should be individually input to each of the devices and doctors that are reservation targets. The other input items in the input field are items that should be input in common regardless of the doctor and apparatus to be reserved.
In the individual reservation information input field 255c, tabs T1 to Tm (m is the number of reservation targets) for each doctor and each device selected as a reservation target are displayed. By selecting the tabs T1 to Tm using the operation unit 24, it is possible to display an input field corresponding to the selected reservation target as shown in A and B of FIG. As an input item for every doctor, as shown to A of FIG. 10, a reservation date, reservation time, etc. are mentioned, for example. Further, as input items for each apparatus, as shown in FIG. 10B, a reservation date, a reservation time, a test site, a test value (Cr value, BNU value, etc.) and the like can be mentioned.
In this way, in the reservation information input screen 255, the items to be input in common regardless of the reservation target doctors and devices may be input once, and the items to be input for each of the reservation target doctors and devices. Since it is possible to input for each doctor and for each device by tab switching, it is possible to avoid duplicate input for common input items and make a reservation with the minimum necessary input.

  When necessary items are input from the reservation information input screen 255 by the operation unit 24 and the “reservation execution” button 255 e is pressed, the communication unit 26 inputs to the center server 1 from the reservation calendar screen 254 and the reservation information input screen 255. The inspection reservation information thus transmitted is transmitted (step S16).

  In the center server 1, when examination reservation information is received by the communication unit 16, an examination reservation ID is issued, and the issued examination reservation ID is given to the received examination reservation information and registered in the reservation management table 133. At the same time, in the appointment calendar table 134, the reserved doctor 1 is stored in the date / time frame of the appointment doctor and the appointment date / time of the apparatus (step S17), and the examination appointment process is ended.

  In the examination reservation process, the reservation time frame 254a of each date on the reservation calendar screen 254 has been described as being displayed in order of date. However, a priority order input field for displaying the reservation calendar screen 254 on the batch reservation screen 253 is displayed. It is good also as providing and displaying a thing with high priority preferentially.

  For example, as shown in FIG. 11, the batch reservation screen 253 displayed in step S9 of the examination reservation process has a priority display condition input field 253A (date input field 253A1, time input field 253A2), and priority is given in step S10. The date that matches the condition input in the display condition input field 253A is transmitted to the center server 1 together with information on the doctor and apparatus to be reserved. In step S11, a date that matches the priority display condition is searched from the reservation calendar table 134 of the center server 1, and the reservation time frame 254a of the reservation calendar screen 254 is displayed in order from the date that matches the priority display condition. Also good. Examples of the priority display condition include date priority and selection priority as shown in FIG. The date priority means that the reservation time frames 254a are displayed in order of date, starting from the date input from the date input field 253A1, regardless of the availability of the reservation status of the doctor and the device selected as the reservation target. Selection priority means that all doctors and devices selected as reservation targets are automatically searched for n hours (n is a positive integer) that is continuously input from the time input field 253A2 and searched. The reservation time frame 254a is displayed in order of date starting from the most recent date. Only the reserved time frame 254a of the date that matches the condition may be displayed in ascending order of the date, with the most recent date among the searched dates as the head. In addition, if all of the doctors and devices selected as reservation targets are not continuously available within n hours (for example, within 2 months), the time is automatically input from the time input field A2. Alternatively, the control unit 21 may perform the search by gradually relaxing the conditions, and display the date searched under the condition closest to the input condition at the top. For example, if three appointment targets are selected for the combination of the device and the doctor, and there is no date that all three are continuously free for n hours, then two appointment targets are consecutively free for n hours. It is also possible to search for a date that meets the condition of being present and display the reserved time frame 254a with the searched date as the head.

  By displaying the appointment calendar screen 254 with date priority, for example, when the patient can only go to the appointment destination hospital after the designated date, the appointment date can be confirmed efficiently and the appointment can be made. . By displaying the appointment calendar screen 254 with selection priority, it is possible to efficiently make an appointment according to the patient's desire to end the examination at once.

(Reservation list display process)
A list of examinations registered by the examination reservation process can be displayed on the terminal device 2 of the reservation source facility for confirmation.
FIG. 12 shows a flowchart of the reservation list display process. The operation on the terminal device 2 side in FIG. 12 is executed by the cooperation of the control unit 21 and the Web browser 231. The operation on the center server 1 side is executed by the cooperation of the control unit 11, the Web server program P1, and the examination reservation program P2.

  First, the processing of steps S21 to S26 is executed, and the login authentication and the initial display screen 251 are displayed on the display unit 25. Since the process of step S21-S26 is the same as the process of step S1-step S6 of the inspection reservation process mentioned above, description is used.

  In step S27 of FIG. 12, when the “list display” button 251b of the reservation initial screen 251 is pressed by the operation unit 24, an instruction for transition to the reservation list screen 252 is transmitted to the center server 1 by the communication unit 26. (Step S27). In the center server 1, when an instruction for transition to the reservation list screen 252 is received by the communication unit 16, examination reservation information having the login user ID “reservation source doctor ID” is retrieved from the reservation management table 133. The display data of the reservation list screen 252 for displaying a list of examination reservation information of the retrieved records is created and transmitted to the terminal device 2 by the communication unit 16 (step S28).

  In the terminal device 2, when the display data of the reservation list screen 252 is received by the communication unit 26, the reservation list screen 252 is displayed on the display unit 25 (step S29).

  FIG. 13A shows an example of the reservation list screen 252. As shown in FIG. 13A, the reservation list screen 252 is provided with a display condition input field 252a, a list display field 252b, a mode switching button 252c, a “view contents” button 252d, and the like. The display condition input field 252a is a field for inputting a condition for narrowing down examination reservation information to be displayed in a list when the number of examinations reserved is large. The list display field 252b is a field for displaying a list of examination reservation information. The mode switching button 252c is an operation button for switching the unit of list display. The “view contents” button 252d is a button for displaying the inspection result data for the inspection reservation information selected from the list.

In the list display column 252b, items such as reservation destination facility ID, reservation destination facility name, doctor name (reservation destination representative doctor name), patient name, gender, medical department, reservation contents, reservation date and time, status (status), etc. A list of reservation information is displayed.
The status (status) is information indicating the current progress status of the reserved examination (reserved, accepted, inspected, returned, resent, completed). “Reserved” means a state in which the reservation is registered in the center server 1. “Received” means that the patient has visited the appointment facility and has been accepted for the reserved examination. Inspected means that the inspection has been performed. “Replied” means a state in which inspection result data is returned from the reservation destination facility to the center server 1 while browsing at the reservation source facility is permitted. Retransmission means a state in which examination result data for an examination different from the examination already returned is returned to the center server 1 when examinations by a plurality of devices and doctors are collectively reserved. Completion means that the inspection source data of all reserved inspections has been completed at the reservation source facility.

  The examination reservation information is displayed by reservation unit by default. That is, when a plurality of reservation objects (doctors and devices) are reserved at a time, reservations for a plurality of doctors and devices are displayed in one line on the list. In the status (status), information indicating the progress status as a whole of the reservation units collectively reserved is displayed. For example, the status of the slowest progress among the statuses of the doctors and devices that are collectively reserved is displayed. In this way, since examination reservation information is displayed in the reservation unit that is collectively reserved, the doctor can grasp the progress of the current examination in the reservation unit.

  The display unit of the examination reservation information is switched between “reservation unit” (first display mode) and “apparatus / doctor unit” (second display mode) by operating the mode switching button 252c with the operation unit 24. Can do. FIG. 13B shows a display example when the display unit of the examination reservation information is switched to the apparatus / doctor unit by the mode switching button 252c. When switching to the device / reservation unit, the examination reservation information displayed in one line is displayed over a plurality of lines per device / doctor. This makes it possible to check the current progress status for each reserved device / doctor unit.

When the mode switching button 252c is pressed by the operation unit 24 (step S30: YES), the display unit of the reservation list in the list display field 252b is switched (step S31).
When the examination reservation information is selected from the reservation list screen 252 by the operation unit 24 and the “view contents” button 252d is pressed (step S32: YES), the examination reservation information selected for the center server 1 by the communication unit 26 The examination reservation ID (when the examination reservation information is selected for each apparatus / doctor is included, the apparatus / doctor information is included) is transmitted, and the transmission of the examination result data corresponding to the examination reservation information is instructed (step S33).

  In the center server 1, when the communication unit 16 receives an inspection reservation ID and an instruction to transmit inspection result data corresponding to the inspection reservation information identified by the inspection reservation ID, the center server 1 stores the inspection reservation data based on the received inspection reservation ID. Inspection result data is read from the unit 13. Specifically, a record having the received inspection reservation ID is searched from the reservation management table 133, and inspection result data stored in the folder path of the searched record is read. When device / doctor information is included, test result data for the device / doctor is read. Then, display data for the inspection result screen, which is a screen for displaying the read inspection result data and the corresponding inspection reservation information, is created and transmitted to the terminal device 2 by the communication unit 16 (step S34).

  In the terminal device 2, when the display data for the inspection result screen is received by the communication unit 26, the inspection result screen is displayed on the display unit 25 (step S35). The examination result screen is substantially the same as the screen shown in FIG. 17, and is created by a doctor for examination reservation information and examination result data obtained by the examination corresponding thereto, for example, a medical image and the medical image. Interpretation report is displayed.

  By the above examination reservation process and reservation list display process, the reservation source facility can make an examination reservation to another medical facility that is a member of the examination reservation service and browse the examination result data.

[Operation in Inspection Reservation System 100 (Reservation Destination Mode)]
Next, with reference to FIG. 14A to FIG. 14B and FIG. 15, the operation of each device of the reservation destination facility and the center server 1 in the reservation destination mode will be described. 14A to 14B are diagrams showing the flow of processing between the devices of the examination reservation system 100, and FIG. 15 is a diagram showing the contents of data transmitted and received between the devices.

  The operation in the center server 1 in FIGS. 14A to 14B is executed by the cooperation of the control unit 11, the Web server program P1, and the examination reservation program P2. The operation in the terminal device 4 is executed by the cooperation of the control unit 41 and the web browser 431. The operation in the cooperative GW 5 is executed by the cooperation of the control unit 51 and the program stored in the storage unit 53. Operations in the medical accounting device 6, the order generation device 7, the modality 8, and the PACS 9 are executed in cooperation with the control unit and the program of each device.

  In the following description, a reception list screen 451 (see FIG. 16A), which is an initial screen displayed when the terminal device 4 has already logged in to the center server 1 in the reservation destination mode and has logged in the display unit 45 in the reservation destination mode. ) Is displayed.

Here, as shown in FIG. 16A, the acceptance list screen 451 includes a display condition input field 451a, a list display field 451b, a “reservation details” button 451c, a “view contents” button 451d, a “reservation list” button 451e, and the like. Is provided. The display condition input field 451a is a field for inputting conditions for narrowing down examination reservation information to be displayed in a list when the number of examinations reserved is large. Usually, the operation is performed on the condition of the inspection reservation information of the inspection reserved on the day. The list display column 451b is a column for displaying a list of examination reservation information of examinations reserved in this hospital. The “reservation details” button 451c is a button for displaying details of examination reservation information selected from the list. The “view contents” button 451d is a button for instructing transmission of the confirmation screen 453 for the inspection result data. The “reservation list” button 451e is a button for displaying a display screen of a reservation time frame for each device and doctor that can make a reservation.
Here, a device that is displayed when the “reservation list” button 451e is pressed, and a date and time that cannot be reserved are selected from the reservation time frame for each doctor by the operation unit 44, and a reservation impossible button (not shown) is pressed. Thus, the appointment of the selected doctor or device for the selected date and time can be prevented from being accepted from the outside. In other words, when an unreservable date / time is selected from the reservation time frame for each doctor by the operation unit 44 and a reservation impossible button (not shown) is pressed, the selected date / time cannot be reserved for the device or doctor. Information indicating this is transmitted to the center server 1 by the communication unit 46. In the center server 1, the reservation impossible flag 2 is set in the corresponding date / time frame of the corresponding device or doctor in the reservation calendar table 134.

  When the “reservation details” button 451c is pressed, an examination reservation information screen 452 is popped up as shown in FIG. 16B. The examination reservation information screen 452 displays examination reservation information and is provided with a “reception” button 452a.

  When the patient comes to the hospital, the operator selects the examination reservation information about the patient from the acceptance list screen 451 by the operation unit 44, and presses the “reservation details” button 451c to display the details of the examination reservation information of the patient on the examination reservation information screen. 452 is displayed. After confirming the contents of the examination reservation information, the “accept” button 452a is pressed.

  In the terminal device 4, when examination reservation information is selected by the operation unit 44 and acceptance of the examination reservation information is executed by pressing the “accept” button 452 a (step S <b> 101), the examination for which the acceptance has been executed. The reservation information is notified to the center server 1 and the cooperation GW 5 by the communication unit 46 (step S102).

  In the center server 1, when the examination reservation information that has been accepted is received by the communication unit 16, a record of the examination reservation information is retrieved from the reservation management table 133, and "status 1" to "status m" are accepted. (Step S103).

  In the cooperative GW 5, when the examination reservation information that has been accepted and received is received by the communication unit 56, the received examination reservation information is temporarily stored in the RAM 52, and the examination reservation ID of the received examination reservation information is stored in the storage unit 53 is stored in the ID association table 531 (step S104).

Next, among the received examination reservation information, as shown in FIG. 15, patient information such as patient name, sex, date of birth, etc. is transmitted to the medical accounting apparatus 6 by the communication unit 56 and matches the patient information. A search request for patient information (hereinafter referred to as in-hospital patient information) in the internal system 10B is made (step S105).
In the medical accounting apparatus 6, when a request for searching for patient information and patient ID is received from the cooperative GW 5 by the communication unit, in-hospital patient information matching the received patient information is searched from the patient information DB and transmitted to the cooperative GW 5. (Step S106). For example, as shown in FIG. 15, in-hospital patient information such as patient ID, patient name, sex, date of birth, etc. is transmitted to the cooperative GW 5. If in-hospital patient information matching the received patient information is not searched in the patient information DB, a patient ID is issued for the received patient information and stored in the patient DB as in-hospital patient information.

In the cooperative GW 5, when in-hospital patient information is received from the medical accounting device 6, as shown in FIG. 15, the communication unit 56 sends the patient ID, patient name, gender, date of birth, device to the order generation device 7. Information such as doctor information and examination reservation ID is transmitted, and issuance of examination order information is requested (step S107).
In the order generation device 7, when a request for issuing examination order information from the cooperative GW 5 is received, the in-hospital order ID is included in the received patient ID, patient name, gender, date of birth, device / doctor information, and the like. The assigned test order information is generated and transmitted to the modality 8 corresponding to the device / doctor information by the communication unit (step S108). The in-hospital order ID is an ID for identifying examination order information. When a plurality of device / doctor information is included in the examination reservation information, the examination order information is transmitted to each modality 8 corresponding to each device / doctor information. Further, the in-hospital order ID of the issued examination order information is associated with the examination reservation ID and notified to the cooperation GW 5 by the communication unit 56 (step S109).

  In the cooperative GW 5, when the in-hospital order ID information and the examination reservation ID are received by the communication unit 56, the received in-hospital order ID is associated with the examination reservation ID in the ID association table 531 as shown in FIG. Stored (step S110).

  On the other hand, in the modality 8, when examination order information is received from the order generation device 7, examination (imaging) is performed based on the examination order information, and medical image data is acquired (step S111). As shown in FIG. 15, the medical image data obtained by imaging is accompanied by additional information such as patient ID, patient name, sex, date of birth, in-hospital order ID, device / doctor information, etc. (Step S112).

  In the PACS 9, when the medical image data is received, the received medical image data is stored in the storage unit so as to be searchable in association with the in-hospital order ID, the patient ID, and the like (step S113). When an interpretation report for the medical image data is received from an interpretation terminal (not shown), the received interpretation report is stored in the storage unit in association with the medical image data by the in-hospital order ID (step S114). In the interpretation report, incidental information such as patient ID, patient name, sex, date of birth, in-hospital order ID, and device / doctor information is also attached.

In the cooperative GW 5, the in-hospital order ID notified in step S 110 is transmitted to the PACS 9 by the communication unit 56 every predetermined time, and an inspection result data search instruction for the inspection of the in-hospital order ID is transmitted ( Step S115).
When performing the process of step S115, the cooperative GW 5 transmits the examination reservation ID to the center server 1 and confirms the status. The process of step S115 is repeatedly executed until all the statuses of the examination reservation ID are “completed”. For the examination reservation ID for which “complete” is notified from the center server 1, a completion flag is set in the “completion flag” field of the ID association table 531, and the processing shown in FIGS. 14A to 14B ends.

  In the PACS 9, the search result data (medical image data, interpretation report) corresponding to the in-hospital order ID received from the cooperative GW 5 is retrieved from the storage unit, and the retrieved examination result data is transmitted to the cooperative GW 5 by the communication unit. It is transmitted (step S116).

In the cooperative GW 5, when the examination result data is received by the communication unit 56, the examination reservation ID corresponding to the in-hospital order ID attached to the received examination result data is retrieved from the ID association table 531 (Step S31). S117). Then, the retrieved examination reservation ID and examination result data are associated with each other and transmitted to the center server 1 by the communication unit 56 (step S118).

  In the center server 1, when the examination reservation ID and the examination result data are received by the communication unit 16, a record of examination reservation information of the examination reservation ID is retrieved from the reservation management table 133, and the examination result data is stored. The folder path is acquired. Then, the received inspection result data is stored in the acquired folder path (step S119). Also, the status (“status 1” to “status m”) corresponding to the device / doctor information attached to the examination result data in the reservation management table 133 is updated to “examined” (step S120).

  Here, as described above, when the inspection result data is stored in the PACS 9, the inspection result data is automatically stored in the center server 1 by the cooperation GW 5. However, there are cases where the examination result data is not suitable for diagnosis, for example, the positioning of the medical image data is bad, or there is body movement at the time of imaging and the image cannot be diagnosed. Therefore, in the center server 1, the inspection result data is not disclosed to the reservation source facility when the inspection result data is received, and the reservation source facility is instructed by a transmission instruction of the inspection result data from the reservation destination facility to the reservation source facility. The facility allows inspection data to be viewed. This transmission instruction can be issued from the terminal device 4 as follows.

  In the terminal device 4, the examination reservation information that has been examined is selected from the list on the reception list screen 451 by the operation unit 44, and when the “view contents” button 451 d is pressed, the communication unit 26 selects the examination server information. The examination reservation ID of the examination reservation information is transmitted, and the transmission of the confirmation screen 453 for the examination result data corresponding to the examination reservation information is instructed (step S121).

  In the center server 1, when the communication unit 16 receives the inspection reservation ID and the transmission instruction of the inspection result data confirmation screen 453 corresponding to the inspection reservation information identified by the inspection ID, the center server 1 receives the inspection reservation ID. Based on this, the inspection result data is read from the storage unit 13. Specifically, a record having the received inspection reservation ID is searched from the reservation management table 133, and inspection result data stored in the folder path of the searched record is read. Then, display data for a confirmation screen 453 for displaying the read inspection result data is created and transmitted to the terminal device 4 by the communication unit 16 (step S122).

In the terminal device 4, when the display data of the confirmation screen 453 is received by the communication unit 46, the confirmation screen 453 is displayed on the display unit 45 (step S123).
FIG. 17 shows an example of the confirmation screen 453. As shown in FIG. 17, the confirmation screen 453 includes an inspection result display field 453a, a “Send” button 453b, an inspection reservation information display field 453c, and the like. The inspection result display column 453a is a column for displaying inspection result data. The “send button” 453b is a button for inputting an instruction to send (reply) the test result data to the reservation source facility. Sending the inspection result data to the reservation source facility means that the inspection result can be browsed from the reservation source facility. The examination reservation information display column 453c is a column for displaying examination reservation information corresponding to the displayed examination result data.

  When the “send” button 452 b is pressed by the operation unit 44, an inspection reservation ID is transmitted to the center server 1 by the communication unit 46, and an instruction to transmit inspection result data corresponding to this inspection reservation ID to the reservation source facility is instructed. (Step S124). In the center server 1, when the communication unit 16 receives the information for identifying the examination reservation information and the instruction to transmit the examination result data to the reservation source facility, the record of the examination reservation information is retrieved from the reservation management table 133. Among the “status 1” to “status m”, the status whose status is “inspected” is updated to “replied” (step S125).

  In the terminal device 2 of the reservation source facility, as described above, when the inspection reservation information is selected on the reservation list screen 252 and the “view contents” button 252d is pressed, the inspection reservation ID ( When the information is displayed for each device / doctor, the device / doctor information is included) and the test result data transmission instruction is transmitted to the center server 1. In the center server 1, display data for an inspection result screen for displaying the inspection result data instructed to be transmitted is created and transmitted to the terminal device 2. In addition, the status of the examination reservation information of the received examination reservation ID (if the device / doctor information is included, the apparatus / doctor information of the examination reservation information) is updated to “completed”.

  As described above, the control unit 11 of the center server 1 of the examination reservation system 100 creates and transmits the reservation initial screen 251 for selecting the reservation destination medical facility to the terminal device 2 accessed in the reservation source mode. To do. When a medical facility as a reservation destination is selected from the initial reservation screen 251, a collective reservation screen 253 that can select a plurality of doctors and / or examination apparatuses belonging to the selected medical facility as reservation targets is created. To the terminal device 2. On the collective reservation screen 253, a priority display condition input field 253A is displayed. When a doctor and / or examination apparatus to be reserved is selected from the collective reservation screen 253 and a priority display condition is input, the control unit 11 A reservation calendar screen 254 in which the reservation time frames for each reservation target selected in units of dates is displayed in a list with priority given to the date that matches the priority display condition is generated and transmitted to the terminal device 2. When the reservation time frame of the date and time for making a reservation for each reservation object is selected from the reservation calendar screen 254, the selected date and time is stored in the storage unit 13 as the reservation date and time for the reservation object.

  Accordingly, since the appointment time frame 254a having a date that meets the conditions desired by the patient can be preferentially displayed on the appointment calendar screen 254, the examination appointment considering the patient's request can be easily performed. That is.

  For example, when the collective display screen 253 has a date input field 253A1 for inputting the date of the reservation time frame 254a to be displayed at the top of the reservation calendar screen 254 as a priority display condition, the inspection can be performed only after this date. It is possible to easily make an examination reservation in consideration of the patient's request that they cannot go.

  Further, for example, a time input field 253A2 for inputting a date with a time zone in which all of the selected doctors and / or examination apparatuses are continuously available for n hours or more (n is a positive integer) as a priority display condition. With the configuration in which the collective display screen 253 has the date, it is possible to easily make an examination reservation in consideration of a patient's desire to receive a plurality of examinations as efficiently as possible in a short time as much as possible.

  In addition, when there are a plurality of dates that match the priority display conditions input from the terminal device 2, the reservation calendar screen 254 displays the reservation time frame 254 a of each reservation target selected with the most recent date at the head among the matching dates. By displaying on the screen, it is possible to efficiently make an inspection reservation.

  In addition, the description content in the said embodiment is a suitable example of this invention, and is not limited to this.

For example, in the above description, an example in which an HDD or a semiconductor nonvolatile memory is used as a computer-readable medium of the program according to the present invention is disclosed, but the present invention is not limited to this example. As another computer-readable medium, a portable recording medium such as a CD-ROM can be applied. Further, a carrier wave is also applied as a medium for providing program data according to the present invention via a communication line.

  In addition, the detailed configuration and detailed operation of each apparatus constituting the examination reservation system 100 can be changed as appropriate without departing from the spirit of the invention.

  It should be noted that the Japanese Patent Application No. 1993 filed on Sep. 24, 2010, including the description, claims, drawings and abstract. The entire disclosure of 2010-213088 is incorporated in its entirety into this application.

  It can be used to schedule examinations between medical facilities in the medical field.

100 Inspection reservation system 10A, 10B In-facility system 1 Center server 11 Control unit 12 RAM
13 storage unit P1 Web server program P2 examination reservation program 131 user management table 132 reservable facility table 133 reservation management table 134 reservation calendar table 14 operation unit 15 display unit 16 communication unit 17 timing unit 18 bus 2 terminal device 21 control unit 22 RAM
23 Storage unit 231 Web browser 24 Operation unit 25 Display unit 251 Reservation initial screen 252 Reservation list screen 253 Batch reservation screen 254 Reservation calendar screen 255 Reservation information input screen 26 Communication unit 27 Timekeeping unit 28 Printing unit 29 Bus 3 Medical accounting device 4 Terminal Device 5 Cooperation GW
6 Medical Accounting Device 7 Order Generation Device 8 Modality 9 PACS
N Internet

Claims (5)

An inspection reservation system in which a reservation source terminal device for performing inspection reservation and an inspection reservation server are connected via a communication network so that data can be transmitted and received,
The examination reservation server
Facility information including information on medical facilities that can be reserved for examination and doctors and / or inspection devices belonging to the medical facilities, and dates and times that can be reserved for examinations of doctors and / or inspection devices that belong to medical facilities that can be reserved for inspection Storage means for storing reservationable date and time information to be shown;
When there is a request from the reservation source terminal device, a first operation screen for selecting a reservation-destination medical facility is created based on the facility information stored in the storage unit, and the reservation source terminal First operation screen creation means for transmitting to the apparatus;
When a reservation-destination medical facility is selected from the first operation screen in the reservation source terminal device, based on the facility information stored in the storage unit, a doctor belonging to the selected medical facility and / or A second operation screen creating means for creating a second operation screen that can be collectively selected from a plurality of inspection devices as a reservation target and transmitting the second operation screen to the reservation source terminal device;
When a reservation target doctor and / or examination device is selected from the second operation screen in the reservation source terminal device, the selection is made on a date basis based on the reservation available date and time information stored in the storage means. A third operation screen creation means for creating a third operation screen in which the reservation time frames for each reservation target are displayed in a list and transmitting the third operation screen to the reservation source terminal device;
In the reservation source terminal device, when a reservation time frame for a reservation date and time for each reservation target is selected from the third operation screen, the storage unit stores the selected date and time as a reservation date and time for the reservation target. Reservation registration means;
With
The second operation screen has an input field for inputting a priority display condition of the selected reservation time frame for each reservation target,
The third operation screen creation means searches the storage means for a date that matches the priority display condition input from the second operation screen in the reservation source terminal device, and prioritizes the searched date. A test reservation system that creates a third operation screen in which the selected reservation time frames for each reservation target are displayed in a list and transmits the third operation screen to the reservation source terminal device.   2. The examination reservation system according to claim 1, wherein the second operation screen includes an input field for inputting a date of a reservation time frame to be displayed at the top of the third operation screen as the priority display condition.   In the second operation screen, a date having a time slot in which all of the selected doctors and / or examination apparatuses are continuously available for n hours or more (n is a positive integer) is input as the priority display condition. The examination reservation system according to claim 1 or 2, further comprising an input field for the purpose.   When there are a plurality of dates that match the priority display conditions input from the reservation source terminal device, the third operation screen creation means is selected as described above starting from the most recent date among the matching dates. The examination reservation system according to claim 3, wherein the third operation screen displaying a reservation time frame for each reservation target is created. An inspection reservation server connected via a communication network to a reservation source terminal device for making an inspection reservation,
Facility information including information on medical facilities that can be reserved for examination and doctors and / or inspection devices belonging to the medical facilities, and dates and times that can be reserved for examinations of doctors and / or inspection devices that belong to medical facilities that can be reserved for inspection Storage means for storing reservationable date and time information to be shown;
When there is a request from the reservation source terminal device, a first operation screen for selecting a reservation-destination medical facility is created based on the facility information stored in the storage unit, and the reservation source terminal First operation screen creation means for transmitting to the apparatus;
When a reservation-destination medical facility is selected from the first operation screen in the reservation source terminal device, based on the facility information stored in the storage unit, a doctor belonging to the selected medical facility and / or A second operation screen creating means for creating a second operation screen that can be collectively selected from a plurality of inspection devices as a reservation target and transmitting the second operation screen to the reservation source terminal device;
When a reservation target doctor and / or examination device is selected from the second operation screen in the reservation source terminal device, the selection is made on a date basis based on the reservation available date and time information stored in the storage means. A third operation screen creation means for creating a third operation screen in which the reservation time frames for each reservation target are displayed in a list and transmitting the third operation screen to the reservation source terminal device;
In the reservation source terminal device, when a reservation time frame for a reservation date and time for each reservation target is selected from the third operation screen, the storage unit stores the selected date and time as a reservation date and time for the reservation target. Reservation registration means;
With
The second operation screen has an input field for inputting a priority display condition of the selected reservation time frame for each reservation target,
The third operation screen creation means searches the storage means for a date that matches the priority display condition input from the second operation screen in the reservation source terminal device, and prioritizes the searched date. An examination reservation server that generates a third operation screen in which the selected reservation time frames for each reservation target are displayed in a list and transmits the third operation screen to the reservation source terminal device.

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