WO2018055987A1

WO2018055987A1 - Medical examination reservation management device, method and program for operating same, and medical examination reservation management system

Info

Publication number: WO2018055987A1
Application number: PCT/JP2017/030802
Authority: WO
Inventors: 鈴木　健司; 勇哉久藤
Original assignee: 富士フイルム株式会社
Priority date: 2016-09-21
Filing date: 2017-08-28
Publication date: 2018-03-29
Also published as: JP6706332B2; JPWO2018055987A1

Abstract

Provided are: a medical examination reservation management device which is capable of preventing medical examination reservations which are disadvantageous for both subjects whose biological information is measured using biological sensors, and a medical facility which receives medical examination reservations for the subjects; a method and a program for operating same; and a medical examination reservation management system. On the basis of measurement data of biological information of a pregnant woman (S), a determination unit (42) determines whether a recommendation condition, i.e. a measurement condition for which measurement is recommended, and a minimum condition, i.e. the minimum required measurement condition for a medical examination, are satisfied. The determination unit (42) determines whether the pregnant woman is a high risk pregnant woman (S-HR) for whom there is a high risk that symptoms will become serious, or a low risk pregnant woman (S-LR) for whom there is a low risk that symptoms will become serious. A reservation processing unit (43) confirms a provisional reservation if the determination unit (42) has determined that the pregnant women is a low risk pregnant woman (S-LR), and that the minimum condition has been satisfied.

Description

Medical appointment management device, its operating method and program, and medical appointment management system

The present invention relates to a medical appointment management device, its operating method and operating program, and a medical appointment management system.

In a medical facility, the order of medical treatment is managed by a computer. For example, in Patent Document 1, the order of medical treatment is usually determined in the order of visiting a medical facility and accepting it, or in the order of making medical appointments. In addition, a technique for preferential treatment of a subject with severe symptoms is described.

In Patent Document 1, a subject measures biological information using a biological sensor at a remote place outside a medical facility such as a home. Then, the severity of the symptom is determined based on the measurement data of the biological information.

More specifically, the degree of deviation indicating how much the latest measurement data obtained on the day of medical care deviates from the measurement data in a healthy state is calculated. Then, the priority of the medical treatment order is calculated from the addition formula using the calculated deviation degree and reception time as variables, and a subject with a higher priority value is determined to be a subject with a higher symptom to be treated preferentially. ing. It is described that the degree of deviation is set to 0 when the latest measurement data is not obtained because the subject is not wearing a biosensor, for example, when the latest biometric information is not measured. Yes.

JP2015-114761A

As described above, in Patent Document 1, when the latest biological information is not measured, the deviation degree is set to 0, but the priority in this case is a relatively low value. For this reason, the subject who has not measured the latest biological information tends to be postponed in order of medical treatment.

However, among subjects, for example, subjects whose symptoms are relatively stable and have a low risk of becoming symptomatic, the latest biological information is not essential at the time of medical treatment, for example, there is even the biological information of the previous day. Some people have no problem with their treatment. When these subjects have made medical appointments, the medical information of the previous day is being measured and there is no hindrance to the medical treatment, but the latest medical information is not measured and the order of medical treatment is postponed. End up. For this reason, precious medical appointments are wasted. Also, for medical facilities, the reserved medical treatment reservation frame is wasted.

The present invention relates to a medical appointment management apparatus capable of preventing both a subject who measures biometric information using a biometric sensor and a medical facility receiving a medical appointment of the subject from suffering a disadvantage in the medical appointment. It is an object of the present invention to provide an operating method, an operating program, and a medical appointment management system.

In order to solve the above-described problem, a medical appointment management apparatus according to the present invention includes a temporary reservation accepting unit that accepts a temporary appointment of a medical appointment of a subject who measures biometric information using a biometric sensor, and biometric information measurement data. A measurement data reception unit that accepts, a recommended condition determination unit that determines whether or not a recommended condition, which is a measurement condition of biological information recommended for measurement, is satisfied based on the measurement data, and a medical treatment based on the measurement data The minimum condition determination unit that determines whether or not the minimum condition, which is the minimum necessary measurement condition of biological information, is satisfied, and whether the subject is a high-risk subject who has a high risk of symptom seriousness. A target person judgment unit that determines whether the subject is a low-risk subject with a lower risk than the risk target person and a reservation processing part that performs processing related to medical appointments, and the recommended condition judgment part determines that the recommended condition has been satisfied. When the target determination unit determines that the subject is a low-risk target and the minimum condition determination unit determines that the minimum condition is satisfied, the reservation processing unit performs processing for finalizing a provisional reservation, and the processing result of the reservation processing unit The output control part which outputs.

The reservation processing unit preferably performs a process of discarding the provisional reservation when the target determination unit determines that the subject is a low risk target and the minimum condition determination unit determines that the minimum condition is not satisfied.

The reservation processing unit preferably performs processing to output a warning to the output control unit when the target determination unit determines that the subject is a high risk target and the recommended condition determination unit determines that the recommended condition is not satisfied. .

It is preferable that the output control unit outputs, as a warning, a first warning that prompts a high-risk subject to go to the first address registered in advance.

The output control unit preferably outputs, as a warning, a second warning that the high-risk subject does not satisfy the recommended condition to a second address registered in advance.

When the reservation processing unit determines that the subject determination unit is a low-risk target person and the recommended condition determination unit determines that the recommended condition is not satisfied, the reservation processing unit performs a process for re-provisioning the provisional reservation, and the output control unit As a warning, it is preferable to output a third warning to the effect that the temporary reservation has been made again to a third address registered in advance.

The subject is a pregnant woman, and the biological information preferably includes at least fetal heartbeat and uterine contraction pressure as measurement items.

The recommended conditions include whether or not fetal heart rate and uterine contraction pressure measurement data are available on the day of provisional appointment, and the minimum conditions are the day of provisional appointment and the day of provisional appointment Preferably, it includes whether or not measurement data of fetal heart rate and uterine contraction pressure in the previous predetermined period have been obtained.

The recommended conditions include whether or not fetal heart rate and uterine contraction pressure data are obtained in addition to the measurement data of other measurement items, and the minimum condition is that at least fetal heart rate and uterine contraction pressure measurement data are obtained. It is preferable to include whether or not.

The output control unit outputs a fourth warning to the effect that the measurement of the biometric information of the recommended condition should be completed to a pre-registered fourth address by a designated time point that is a time point designated according to the provisional reservation. Is preferred. In this case, it is preferable that the fourth warning is displayed by a biometric sensor.

The operation method of the medical appointment management apparatus of the present invention includes a temporary reservation accepting step for accepting a temporary appointment of a medical appointment of a subject who measures biometric information using a biometric sensor, and a measurement data accepting step for accepting measurement data of biometric information. And a recommended condition determination step for determining whether or not a recommended condition, which is a measurement condition of biological information recommended for measurement, is satisfied based on the measurement data, and a minimum necessary living body for medical care based on the measurement data A minimum condition determination step for determining whether or not the minimum condition, which is a measurement condition of information, is satisfied, and whether the subject is a high-risk subject who has a high risk of symptom seriousness or higher than the high-risk subject It is a subject determination step that determines whether the subject is a low-risk low-risk subject, and a reservation processing step that performs processing related to medical appointments. A reservation processing step for performing a process of finalizing a provisional reservation when it is determined that the condition is satisfied, and when it is determined that the person is a low-risk target person at the target person determination step and the minimum condition is satisfied at the minimum condition determination step; And an output control step for outputting the processing result of the reservation processing step.

The operation program of the medical appointment management device of the present invention includes a temporary reservation accepting function for accepting a temporary appointment of a medical appointment of a subject who measures biometric information using a biometric sensor, and a measurement data accepting function for accepting measurement data of biological information Based on the measurement data, the recommended condition determination function for determining whether the recommended condition, which is the measurement condition of the biological information recommended for measurement, is satisfied, and the minimum necessary living body for medical care based on the measurement data The minimum condition determination function that determines whether the minimum condition that is the information measurement condition has been satisfied, and whether the subject is a high-risk subject with a high risk of symptom seriousness or higher than the high-risk subject It is a subject judgment function that determines whether the subject is a low-risk low-risk subject and a reservation processing function that performs processing related to medical appointments. The recommended condition judgment function judges that the recommended conditions have been met. A reservation processing function that performs a process of finalizing a provisional reservation and a processing of the reservation processing function when the target person determination function determines that the person is a low-risk target person and the minimum condition determination function determines that the minimum condition is satisfied. The computer executes an output control function for outputting the result.

A medical appointment management system according to the present invention includes a biometric sensor used for a subject who needs to monitor a health condition, and a medical appointment management device installed on a network and managing a medical appointment of the subject. In the system, the medical reservation management device includes a temporary reservation receiving unit that receives a temporary reservation of a medical reservation, a measurement data receiving unit that receives measurement data of biological information of the subject, and a biological body recommended for measurement based on the measurement data A recommended condition determination unit that determines whether or not a recommended condition that is a measurement condition of information is satisfied, and whether or not a minimum condition that is a minimum measurement condition of biological information necessary for medical care is satisfied based on measurement data The minimum condition determination unit that determines whether the subject is a high-risk subject who has a high risk of symptom severity or a low-risk subject who has a lower risk than the high-risk subject. Is a target determination unit that determines whether or not a recommendation processing unit performs a process related to medical appointment, and when the recommended condition determination unit determines that the recommended condition is satisfied, and the target determination unit determines that the subject is a low risk target When the minimum condition determination unit determines that the minimum condition is satisfied, the reservation processing unit includes a reservation processing unit that performs a process for determining a provisional reservation, and an output control unit that outputs a processing result of the reservation processing unit.

According to the present invention, a provisional appointment is confirmed when a low-risk subject who has a low risk of becoming symptomatic and satisfies the minimum condition that is a minimum requirement for biometric information for medical treatment. Therefore, low-risk subjects do not defer the order of medical treatment just because the recommended condition, which is the measurement condition of biometric information recommended for measurement, is not satisfied, as long as the minimum condition is satisfied. You can receive medical care as you make a temporary reservation. Therefore, a medical appointment management apparatus capable of preventing both a subject who measures biometric information using a biometric sensor and a medical facility receiving a medical appointment of the subject from suffering a disadvantage in the medical appointment and its operation A method and operating program and a medical appointment management system can be provided.

It is a figure which shows a medical treatment reservation management system. It is a block diagram which shows the computer which comprises a medical treatment reservation management server. It is a block diagram which shows the structure of the central control part of a medical treatment reservation management server. It is a figure which shows a measurement data table. It is a figure which shows a reservation data table. It is a figure which shows a condition data table. It is a figure which shows a risk data table. It is a figure which shows a 1st address data table. It is a figure which shows the function of a determination part and a reservation process part. It is a figure which shows the case where a recommended condition is satisfy | filled with the high risk pregnant woman. It is a figure which shows the case where a recommended condition is satisfy | filled with the low risk pregnant woman. It is a figure which shows the case where the minimum condition is satisfy | filled with the low risk pregnant woman. It is a figure which shows the case where the minimum conditions are not satisfy | filled with a low-risk pregnant woman. It is a figure which shows the case where the recommended conditions are not satisfy | filled with a high risk pregnant woman. 15 is a table summarizing each process of the reservation processing unit shown in FIGS. It is a figure which shows a reservation confirmation notification screen. It is a figure which shows a reservation cancellation notification screen. It is a figure which shows a 1st warning notification screen. It is a flowchart which shows the process sequence of a medical treatment reservation management server. It is a flowchart which shows the process sequence of a medical treatment reservation management server. It is a flowchart which shows the process sequence of a medical treatment reservation management server. It is a figure which shows a 2nd address data table. In 2nd Embodiment, it is a figure which shows the case where the recommended conditions are not satisfy | filled with a high-risk pregnant woman. It is a figure which shows a 2nd warning notification screen. In 3rd Embodiment, it is a figure which shows the case where a recommendation condition is not satisfy | filled with a high-risk pregnant woman. In 3rd Embodiment, it is a figure which shows the case where a recommendation condition is not satisfy | filled with a high-risk pregnant woman. In 3rd Embodiment, it is a figure which shows the case where a recommendation condition is not satisfy | filled with a high-risk pregnant woman. It is a figure which shows a 3rd warning notification screen. It is a figure which shows the aspect which outputs the 4th warning that the measurement of biometric information should be complete | finished by the designated time which is the time designated according to provisional reservation. It is a figure which shows the aspect which displays a 4th warning with a biometric sensor. It is a figure which shows the reservation confirmation notification screen of 5th Embodiment. It is a figure which shows a setting change screen. It is a figure which shows a 5th address data table. It is a figure which shows the aspect which outputs a 5th warning, when it determines with the mounting position of a biometric sensor being wrong. It is a figure which shows the 5th warning notification screen. It is a figure which shows the aspect which outputs a 6th warning, when the health state of a high-risk pregnant woman is abnormal. It is a figure which shows the aspect which does not output a 6th warning, when it is a low risk pregnant woman. It is a figure which shows the 6th warning notification screen. It is a flowchart which shows the process sequence of the medical treatment reservation management server of 7th Embodiment. It is a figure which shows the aspect which sets the earliest medical treatment time which can be set irrespective of the presence or absence of a prior agreement, when the health state of a high-risk pregnant woman is abnormal. It is a flowchart which shows the process sequence of the medical treatment reservation management server of 8th Embodiment.

[First embodiment]
In FIG. 1, a medical appointment management system 10 includes a CTG sensor (a sensor for measuring a fetal heartbeat and uterine contraction pressure (CTG) described as a CTG sensor) 11A, a sphygmomanometer 11B, and a weight scale 11C corresponding to a biological sensor. And a medical appointment management server 12 corresponding to the medical appointment management apparatus. Hereinafter, the CTG sensor 11A, the sphygmomanometer 11B, and the weight scale 11C are collectively referred to as the biosensor 11.

The biosensor 11 is distributed from the medical facility 13 to the pregnant woman S in the 34th to 36th weeks of pregnancy. The pregnant woman S corresponds to a subject who needs to monitor the health condition, and regularly visits the medical facility 13. The pregnant woman S measures biological information by using the biological sensor 11 at home 14 corresponding to a remote place outside the medical facility 13. In addition, the health condition here includes not only the health condition of the pregnant woman S but also the health condition of the fetus.

Among pregnant women S, those who are at a higher risk of developing symptoms (hereinafter referred to as high-risk pregnant women S-HR, equivalent to high-risk subjects) and those who are more serious than high-risk pregnant women S-HR There are low-risk people (hereinafter referred to as low-risk pregnant S-LR, low-risk subjects). High-risk pregnant S-HR has fetal factors such as fetal growth failure, or maternal factors such as low birth (under 18 years old), old birth (over 35 years old), and diabetes. Those who have a relatively high risk of causing etc. These high-risk pregnant S-HRs need to pay particular attention to their health status in order to avoid serious symptoms.

The CTG sensor 11A is attached to the abdominal wall of the pregnant woman S, and the sphygmomanometer 11B is attached to the upper arm of the pregnant woman S. The weight scale 11 </ b> C is installed on the floor surface of the home 14. The measurement items of the biological information in this case are the fetal heartbeat and uterine contraction pressure (CTG) measured by the CTG sensor 11A, the blood pressure measured by the sphygmomanometer 11B, and the body weight measured by the weight scale 11C. The pregnant woman S measures these measurement items as one set. In addition to these, anything related to biological information such as the body temperature, heart rate, respiratory rate, and amount of body movement of the pregnant woman S may be added as a measurement item of biological information.

The biosensor 11 has a short-range wireless transmission / reception function represented by Bluetooth (registered trademark) or the like. The biometric sensor 11 wirelessly transmits measurement data of biometric information to the subject terminal 15 in real time using the short-range wireless transmission / reception function. The target person terminal 15 is a smartphone, a tablet computer, or the like owned by the pregnant woman S. In addition, the measurement data is not wirelessly transmitted in real time, but the measurement data is temporarily stocked by the biosensor 11, and the measurement data is wirelessly transmitted at a predetermined time or according to the operation of the pregnant woman S. But you can.

Measured data includes the subject ID (Identification Data). The subject ID is a symbol or number (see FIG. 4 or the like) for identifying each pregnant woman S, and is stored in an internal memory (not shown) of the biosensor 11. Note that the serial number of the biosensor 11 that is uniquely determined may be used as the target person ID. In this case, when the biometric sensor 11 is distributed to the pregnant woman S at the medical facility 13, the medical appointment management server 12 manages the production number of the biometric sensor 11 and the information of the pregnant woman S in association with each other. Therefore, the pregnant woman S can be identified.

The biosensor 11 has a built-in battery (not shown). The biosensor 11 is driven by electric power from this built-in battery. For this reason, the biosensor 11 can be used wirelessly.

The target person terminal 15 is connected to the medical appointment management server 12 through a network 16 such as a WAN (Wide Area Network) such as the Internet or a public communication network so as to be able to communicate with each other. The subject terminal 15 transmits the measurement data from the biological sensor 11 to the medical appointment management server 12 via the network 16. Note that a communication protocol with a high security level such as a VPN (Virtual Private Network) or HTTPS (Hypertext Transfer Protocol Secure) is used for the network 16 in consideration of information security.

A staff terminal 17 is also connected to the network 16. The staff terminal 17 is a smartphone or a tablet computer carried by a medical staff such as a doctor D in charge of the pregnant woman S or a nurse N in charge within the medical facility 13.

The medical appointment management server 12 is installed in the medical facility 13. The medical appointment management server 12 manages the medical appointment of the pregnant woman S in the medical facility 13. The medical appointment management server 12 divides the medical appointment into two stages, a temporary appointment and a main appointment. More specifically, the medical appointment management server 12 accepts a temporary appointment for setting a medical treatment date and a medical treatment time as the first stage, and after accepting the temporary reservation, confirms the medical appointment and the medical examination time temporarily reserved as the second stage. Make a reservation. The medical appointment management server 12 accepts measurement data from the subject terminal 15 and makes a determination based on the measurement data.

The medical appointment management server 12 is configured by installing a control program such as an operating system and various application programs (hereinafter abbreviated as AP) based on a computer such as a server computer, a personal computer, and a workstation.

In FIG. 2, the computer constituting the medical appointment management server 12 is a storage device 20, a memory 21, a central control unit (a CPU (Central Processing Unit) of a single personal computer, or an aggregate of a plurality of CPUs that perform distributed processing. ) 22 and a communication unit 23. These are interconnected via a data bus 24.

The storage device 20 is a hard disk drive built in a computer constituting the medical appointment management server 12 or connected through a cable or a network, or a disk array in which a plurality of hard disk drives are connected. The storage device 20 stores a control program such as an operating system, various APs, and various data associated with these programs.

The memory 21 is a work memory for the central control unit 22 to execute processing. The central control unit 22 centrally controls each unit of the computer by loading a program stored in the storage device 20 into the memory 21 and executing processing according to the program. The communication unit 23 is a network interface that controls transmission of various information via the network 16.

In FIG. 3, the storage device 20 of the medical appointment management server 12 stores an operation program 30 as an AP. The operation program 30 is an AP for causing a computer constituting the medical appointment management server 12 to function as a medical appointment management device. In addition to the operation program 30, the storage device 20 includes a measurement data table 31 (see FIG. 4), a reservation data table 32 (see FIG. 5), a condition data table 33 (see FIG. 6), and a risk data table 34 (FIG. 7). And the first address data table 35 (see FIG. 8) are stored. Each of these data tables 31 to 35 will be described later.

When the operation program 30 is activated, the central control unit 22 of the medical appointment management server 12 cooperates with the memory 21 and the like to provisional reservation reception unit 40, measurement data reception unit 41, determination unit 42, reservation processing unit 43. , Function as a data management unit 44 and an output control unit 45.

The temporary reservation receiving unit 40 has a temporary reservation receiving function for receiving temporary reservations. As described above, the provisional reservation is for setting the medical treatment date and the medical treatment time for the medical treatment reservation of the pregnant woman S. The provisional reservation is made, for example, by the medical staff via the staff terminal 17 after the completion of the medical treatment for the pregnant woman S.

More specifically, the medical appointment management server 12 delivers a temporary appointment setting screen (not shown) for setting a temporary appointment to the staff terminal 17 after the completion of the medical care of the pregnant woman S. On the temporary reservation setting screen, for example, input of the status of temporary reservation for each medical treatment day, such as no pre-order (reservation possible) and pre-reservation (non-reservation), subject ID, medical treatment date, and medical treatment time Boxes and setting buttons are provided. The medical staff confirms whether or not the reservation can be made in the provisional reservation status, enters a medical treatment date and time that are convenient for the pregnant woman S, and a target person ID into the input box, and selects a setting button. As a result, temporary reservation data including the subject ID, the medical treatment date, and the medical treatment time are transmitted from the staff terminal 17 to the medical treatment appointment management server 12. The temporary reservation receiving unit 40 receives temporary reservation data and outputs the temporary reservation data to the data management unit 44. Note that the pregnant woman S may make a tentative reservation at the home 14 or the like using the subject terminal 15 instead of the medical staff.

The measurement data reception unit 41 has a measurement data reception function for receiving measurement data from the target person terminal 15. The measurement data reception unit 41 outputs the received measurement data to the data management unit 44.

The determination unit 42 has a determination function for performing determination based on measurement data. More specifically, the determination unit 42 has a recommended condition determination function, a minimum condition determination function, and a subject determination function. That is, the determination unit 42 corresponds to a recommended condition determination unit, a minimum condition determination unit, and a subject determination unit.

The recommended condition is a condition for measuring biological information that is medically recommended for the pregnant woman S. On the other hand, the minimum condition is a condition for measuring biological information that is minimum required for the medical treatment of the pregnant woman S. The determination unit 42 determines whether the recommended condition is satisfied based on the measurement data. The determination unit 42 determines whether the minimum condition is satisfied based on the measurement data.

Recommended conditions and minimum conditions specify the measurement items and the CTG measurement period, as will be described later. Therefore, the determination unit 42 determines whether measurement data measurement defined by each condition is completed and whether measurement of CTG measurement data is completed within the CTG measurement period defined by each condition. By determining, it is determined whether the recommended condition and the minimum condition are satisfied.

The determination unit 42 does not perform determination until a preset time limit of the reservation. When the time limit is reached, the determination unit 42 uses the recommended condition determination function and the minimum condition determination function to determine whether the recommended condition and the minimum condition are satisfied. In addition, the determination unit 42 uses the subject determination function to determine whether the pregnant woman S is a high-risk pregnant woman S-HR or a low-risk pregnant woman S-LR. Then, the determination results of these determinations are output to the reservation processing unit 43 together with the target person ID. The time limit is set after estimating the time when the pregnant woman S is expected to go to the hospital. Here, the time limit is one hour before the medical treatment time set in the provisional reservation. In addition, based on the address of the medical facility 13 and the address of the home 14, the time when the pregnant woman S is predicted to go to the hospital may be derived.

The reservation processing unit 43 has a reservation processing function for performing processing related to the medical reservation of the pregnant woman S. In the process related to the medical appointment, a process for finalizing the temporary appointment (hereinafter referred to as an appointment confirmation process), a process for discarding the temporary appointment (hereinafter referred to as an appointment cancellation process), and a first warning for prompting the pregnant woman S to go to the hospital There is processing (hereinafter referred to as first warning processing) to be output to the unit 45 (see FIG. 9).

The reservation confirmation process is a process of outputting a reservation confirmation instruction to confirm the provisional reservation to the data management unit 44 and the output control unit 45. The reservation canceling process is a process of outputting a reservation canceling instruction for canceling the temporary reservation to the data management unit 44 and the output control unit 45. The first warning process is a process of outputting to the output control unit 45 a first warning instruction for instructing the output of the first warning. The various instructions such as the reservation confirmation instruction, the reservation cancellation instruction, and the first warning instruction include the subject ID, the medical date and the medical time of the temporary reservation.

The data management unit 44 manages the registration of each data in each data table 31 to 35 and the reading of each data from each data table 31 to 35. Specifically, the data management unit 44 registers the measurement data from the measurement data receiving unit 41 in the measurement data table 31 and the temporary reservation data from the temporary reservation receiving unit 40 in the reservation data table 32, respectively.

The data management unit 44 reads the measurement data in the measurement data table 31 and the temporary reservation data in the reservation data table 32 from the storage device 20, reads the measurement data into the determination unit 42, the temporary reservation data into the reservation processing unit 43, and the measurement data The temporary reservation data is transferred to the output control unit 45. The timing at which the measurement data is transferred to the determination unit 42 is the time when the time limit for this reservation is reached.

The data management unit 44 passes the condition data in the condition data table 33 and the risk data in the risk data table 34 to the determination unit 42, and the first address in the first address data table 35 to the output control unit 45.

The data management unit 44 prohibits rewriting the subject person ID of the corresponding provisional reservation data in the reservation data table 32 in response to the reservation confirmation instruction from the reservation processing unit 43. Further, the data management unit 44 deletes the target ID of the corresponding provisional reservation data from the reservation data table 32 in response to the reservation discard instruction from the reservation processing unit 43.

The output control unit 45 has an output control function for outputting the processing result of the reservation processing unit 43. More specifically, when receiving a reservation confirmation instruction from the reservation processing unit 43, the output control unit 45 distributes the reservation confirmation notification screen 50 (see FIG. 16) to the target person terminal 15. Further, when receiving a reservation cancellation instruction from the reservation processing unit 43, the output control unit 45 distributes a reservation cancellation notification screen 55 (see FIG. 17) to the target person terminal 15. Further, when receiving a first warning instruction from the reservation processing unit 43, the output control unit 45 distributes the first warning notification screen 60 (see FIG. 18) to the target person terminal 15.

The reservation confirmation notification screen 50 is a screen for notifying the pregnant woman S that the provisional reservation has been confirmed. The reservation cancel notification screen 55 is a screen for notifying the pregnant woman S that the temporary reservation has been cancelled. The first warning notification screen 60 is a screen for notifying the first warning that the pregnant woman S is urged to go to the hospital.

The output control unit 45 generates screen data for web distribution created by a markup language such as XML (Extensible Markup Language) such as the reservation confirmation notification screen 50, the reservation discard notification screen 55, and the first warning notification screen 60. Output in the form Thereby, in the subject person terminal 15, each

screen

50, 55, 60 can be browsed on a web browser. Instead of XML, other data description languages such as JSON (JavaScript (registered trademark) Object Notation) may be used.

The output control unit 45 transmits the URL (Uniform Resource Locator) of each

screen

50, 55, 60 to the target terminal 15 prior to distribution of each

screen

50, 55, 60. When the pregnant woman S performs an operation of opening a URL link through the subject terminal 15, the

respective screens

50, 55, and 60 are distributed.

In addition to the

screens

50, 55, and 60, the output control unit 45 displays the above-described provisional reservation setting screen and a graph display screen (not shown) that displays a graph in which measurement data is arranged in time series. Are output to the target terminal 15 or the staff terminal 17 in the form of screen data for web distribution. The provisional reservation status on the provisional reservation setting screen is displayed based on the provisional reservation data transferred from the data management unit 44. The graph display screen is generated based on the measurement data delivered from the data management unit 44. The medical staff can remotely monitor the health status of the pregnant woman S in the medical facility 13 by browsing the graph display screen distributed to the staff terminal 17.

As shown in FIG. 4, in the measurement data table 31, measurement data for each measurement item of CTG, blood pressure, and weight is registered for each subject ID. Although not shown, the CTG measurement data is registered together with the reception start time when the measurement data reception unit 41 starts reception and the reception end time when the reception ends. Each measurement data of blood pressure and weight is registered together with the reception time received by the measurement data reception unit 41. In the measurement data table 31, all the measurement data for a single pregnant woman S during the measurement period determined by the doctor in charge D is registered.

As shown in FIG. 5, the reservation data table 32 is divided for each medical day. In the daily medical treatment day reservation data table 32, a subject ID and a confirmation flag are registered for each medical treatment time. The time is a period divided at intervals of 15 minutes, such as 09: 0 to 09:15, 09:45 to 10:00, and the like. As the confirmation flag, 1 is registered when the provisional reservation is confirmed and the data management unit 44 prohibits the rewriting of the target person ID, and 0 is registered when the provisional reservation is not confirmed.

FIG. 5 illustrates the reserved data table 32 of 2016/8/24. According to this, “S001” at time 09: 0 to 09:15, “S002” at time 09:15 to 09:30, and “S044” at time 09:30 to 09:45 A reservation is made for the pregnant woman S of the person ID. The provisional reservation of the pregnant woman S with the subject person IDs “S001” and “S002” has been confirmed, and 1 is registered in the confirmation flag column. On the other hand, since the provisional reservation of the pregnant woman S with the subject person ID “S044” has not been confirmed, 0 is registered in the confirmation flag column.

From time 09:45 to 10:00, no subject ID is registered, and the reservation at this time is undecided. For this reason, 0 is registered in the confirmation flag column. Regardless of whether the provisional reservation is confirmed or not yet confirmed, the medical treatment time in which the subject person ID is registered is a medical treatment time with a predecessor, and the medical treatment time in which the subject person ID is not registered is a medical treatment time with no predecessor.

As shown in FIG. 6, in the condition data table 33, condition data of recommended conditions and minimum conditions are registered. The condition data table 33 has columns for measurement items and CTG measurement periods.

In the column of measurement items of recommended conditions, CTG, blood pressure, and body weight, which are all measurement items, are registered as measurement items recommended for the pregnant woman S. On the other hand, only the CTG is registered in the measurement item column of the minimum condition as the measurement item that is the minimum necessary for the medical treatment of the pregnant woman S. Also, in the CTG measurement period column of the recommended conditions, the CTG measurement period recommended for the pregnant woman S is registered from 06:00 on the tentative appointment date to 1 hour before the tentative appointment time. Has been. On the other hand, in the CTG measurement period column of the minimum condition, the CTG measurement period necessary for the medical treatment of the pregnant woman S is registered from 06:00 on the day before the provisional appointment day to one hour before the provisional appointment. ing.

The start time of the recommended CTG measurement period is 06:00 on the day of provisional appointment, and the start time of the minimum condition CTG measurement period is 06:00 on the day before the provisional appointment. For this reason, a grace period of one day is given as a minimum condition for the CTG measurement period. In addition, in both the recommended condition and the minimum condition, the end time of the CTG measurement period is one hour before the temporarily reserved medical treatment time, and this time is the same as the time limit of this reservation.

According to the condition data table 33, CTG, blood pressure, and weight measurement data are obtained as recommended conditions, and CTG measurement is performed from 06:00 on the tentative appointment date to 1 hour before the tentative appointment treatment time. Satisfied by having the data available. On the other hand, the minimum condition is satisfied as long as CTG measurement data from 06:00 on the day before the tentative appointment to 1 hour before the tentative appointment is obtained. In this way, the minimum condition partially overlaps with the recommended condition, and if the recommended condition is satisfied, the minimum condition is automatically satisfied.

Here, CTG requires measurement data when the fetus is in an awake state. Therefore, the CTG measurement time is set in advance to a time (for example, 40 minutes to 50 minutes) corresponding to the fetal cycle in which sleep and awakening are repeated at a cycle of about 20 minutes to about 40 minutes. Therefore, CTG measurement data is continuously measured for a preset measurement time. The determination unit 42 determines whether or not each condition is satisfied by determining whether or not the reception end time at which the reception of the measurement data of the CTG is ended by the measurement data reception unit 41 is within the CTG measurement period. judge.

As shown in FIG. 7, in the risk data table 34, “high” for high-risk pregnant women S-HR and “low” for low-risk pregnant women S-LR are registered for each subject ID. . “High” indicating the high-risk pregnant woman S-HR and “low” indicating the low-risk pregnant woman S-LR are registered in advance by the medical staff. For example, the medical staff determines whether the pregnant woman S is a high-risk pregnant woman S-HR or a low-risk pregnant woman S-LR with reference to medical information of the pregnant woman S described in the electronic medical record, for example. Alternatively, the medical appointment management server 12 acquires medical information of the pregnant woman S in the electronic medical record, and determines whether the pregnant woman S is a high-risk pregnant woman S-HR or a low-risk pregnant woman S-LR based on the acquired medical information. It may be determined automatically.

As shown in FIG. 8, the first address data table 35 is a table in which a first address is registered for each target person ID. The first address is an address at which the URL of each

screen

50, 55, 60 can be transmitted to the target terminal 15 that is the delivery destination of each

screen

50, 55, 60. The first address is, for example, an e-mail address that the pregnant woman S can view on the subject person terminal 15 or an ID of the pregnant woman S of a message service provided by SNS (Social Networking Service). The first address is registered in advance by the medical staff. In addition, when the target person terminal 15 is a smartphone and has a mobile phone function, the telephone number may be registered as the first address.

9, the determination unit 42 receives the measurement data from the measurement data table 31 through the data management unit 44 when the time limit is reached. The determination unit 42 compares the measurement data with the condition data from the condition data table 33 to determine whether the recommended condition and the minimum condition are satisfied. Further, the determination unit 42 determines whether the pregnant woman S is a high-risk pregnant woman S-HR or a low-risk pregnant woman S-LR based on the risk data from the risk data table 34.

The reservation processing unit 43 determines whether the determination result from the determination unit 42, that is, the determination result of whether the recommended condition and the minimum condition are satisfied according to the reception status of the measurement data at the time limit, and the pregnant woman S is high. Based on the determination result of whether it is a risk pregnant S-HR or a low risk pregnant S-LR, a process to be performed is determined from the reservation confirmation process, the reservation discard process, and the first warning process.

As shown in FIGS. 10 and 11, when the determination unit 42 determines that the recommended condition is satisfied (recommended condition OK), the reservation processing unit 43 determines whether the pregnant woman S is a high-risk pregnant woman S-HR or a low-risk woman. Regardless of whether it is a pregnant woman S-LR, a reservation confirmation process is performed.

FIG. 10 shows the case of the first pregnant woman S-1 who is the pregnant woman S with the subject ID “S001”, and FIG. 11 shows the case of the second pregnant woman S-2 that is the pregnant woman S with the subject ID “S002”. . First, in FIG. 10, when it becomes 08:00 of 2016/8/24 which is the time limit of the main reservation of the first pregnant woman S-1, the determination unit 42 receives the measurement data of the first pregnant woman S-1. . The measurement data of the first pregnant woman S-1 includes measurement data of measurement items of CTG, blood pressure, and body weight, and from 06:00 on the tentative appointment date to one hour before the tentative appointment time Suppose that there is CTG measurement data measured during 08:00.

The determination unit 42 determines that the first pregnant woman S-1 satisfies the recommended condition as a result of comparing the measurement data of the first pregnant woman S-1 with the condition data of the recommended condition. Further, the determination unit 42 determines from the risk data that the first pregnant woman S-1 is a high-risk pregnant woman S-HR. The determination unit 42 outputs to the reservation processing unit 43 a determination result indicating that the first pregnant woman S-1 is a high-risk pregnant woman S-HR and satisfies the recommended conditions.

In response to the determination result from the determination unit 42, the reservation processing unit 43 issues a reservation confirmation instruction to confirm the provisional reservation data of the first pregnant woman S-1 as a reservation confirmation process, the data management unit 44 and the output control unit 45. Output to. Here, the first pregnant woman S-1 is a high-risk pregnant woman S-HR according to the risk data, but if the reservation processing unit 43 determines that the recommended condition is satisfied, the first pregnant woman S-1 relates to the risk data. A reservation confirmation instruction is output.

The data management unit 44 registers the subject ID “S001” of the first pregnant woman S-1 in the column of the confirmation flag of the diagnosis time 09: 0 to 09:15 in the appointment data table 32 of 2016/8/24. 1 is registered. As a result, the provisional reservation for the first pregnant woman S-1 is confirmed.

The output control unit 45 reads “XXX01” that is the first address corresponding to the subject ID “S001” of the first pregnant woman S-1 from the first address data table 35. Then, the reservation confirmation notification screen 50 is distributed to the read first address (target terminal 15 of the first pregnant woman S-1).

FIG. 11 is the same as FIG. 10 except that the pregnant woman S is the second pregnant woman S-2. The difference is that the second pregnant woman S-2 is not a high-risk pregnant woman S-HR but a low-risk pregnant woman S-LR. However, in this case as well as in the case of FIG. 10, if the determination result is that the recommended condition is satisfied, the reservation processing unit 43 outputs a reservation confirmation instruction regardless of the risk data.

As shown in FIG. 12, in addition to the case where the determination unit 42 of FIGS. 10 and 11 determines that the recommended condition is satisfied, the reservation processing unit 43 determines that the pregnant woman S is the low-risk pregnant woman S-LR. Even if it is determined and it is determined that the minimum condition is satisfied (minimum condition OK), the reservation confirmation process is performed.

FIG. 12 shows the case of the second pregnant woman S-2 as in FIG. When it becomes 08:15 of 2016/8/24 which is the time limit of the actual reservation of the second pregnant woman S-2, the determination unit 42 receives the measurement data of the second pregnant woman S-2. The measurement data of the second pregnant woman S-2 does not include the measurement data of each measurement item of blood pressure and weight, but it is from 06:00 on the day before the provisional appointment date to one hour before the provisional appointment time 08. : It is assumed that there is CTG measurement data measured during 15.

The determination unit 42 determines that the second pregnant woman S-2 satisfies the minimum condition as a result of comparing the measurement data of the second pregnant woman S-2 with the condition data of the minimum condition. In addition, since the measurement data of the second pregnant woman S-2 does not include the measurement data of each measurement item of blood pressure and weight as described above, the determination unit 42 does not satisfy the recommended condition for the second pregnant woman S-2. (Recommended condition NG). Furthermore, the determination unit 42 determines from the risk data that the second pregnant woman S-2 is a low-risk pregnant woman S-LR. The determination unit 42 outputs to the reservation processing unit 43 a determination result indicating that the second pregnant woman S-2 is a low-risk pregnant woman S-LR, does not satisfy the recommended condition, and satisfies the minimum condition.

In response to the determination result from the determination unit 42, the reservation processing unit 43 outputs a reservation confirmation instruction to the data management unit 44 and the output control unit 45 to confirm the provisional reservation data of the second pregnant woman S-2. The subsequent processing is the same as in the case of FIG.

As shown in FIG. 13, when the determination unit 42 determines that the pregnant woman S is a low-risk pregnant woman S-LR and determines that the minimum condition is not satisfied, the reservation processing unit 43 performs a reservation discarding process.

FIG. 13 shows the case of the second pregnant woman S-2 as in FIG. 11 and FIG. In this case, the measurement data of the second pregnant woman S-2 includes CTG measurement data measured between 06:00 on the day before the tentatively reserved medical treatment date and 08:15 one hour before the temporarily reserved medical treatment time. Suppose there is no.

The determination unit 42 determines that the second pregnant woman S-2 does not satisfy the minimum condition (minimum condition NG) as a result of comparing the measurement data of the second pregnant woman S-2 with the condition data of the minimum condition. In addition, the measurement data of the second pregnant woman S-2 includes CTG measured between 06:00 on the day before the tentative appointment date and 08:15 one hour before the tentative appointment time as described above. Since there is no measurement data, that is, there is no measurement data of CTG measured between 06:00 on the day of the tentatively reserved medical treatment day and 08:15 one hour before the tentatively reserved medical treatment time. It is determined that the second pregnant woman S-2 does not satisfy the recommended conditions. Furthermore, the determination unit 42 determines from the risk data that the second pregnant woman S-2 is a low-risk pregnant woman S-LR. The determination unit 42 outputs to the reservation processing unit 43 a determination result that the second pregnant woman S-2 is a low-risk pregnant woman S-LR and that both the recommended condition and the minimum condition are not satisfied.

The reservation processing unit 43 receives the determination result from the determination unit 42, and as a reservation discarding process, the data management unit 44 and the output control unit 45 give a reservation discarding instruction to discard the provisional reservation data of the second pregnant woman S-2. Output to.

The data management unit 44 selects the subject person from the column of the medical hours 09:15 to 09:30 in the appointment data table 32 of 2016/8/24 in which the subject ID “S002” of the second pregnant woman S-2 is registered. The ID “S002” is deleted. As a result, the provisional reservation of the second pregnant woman S-2 is discarded.

The output control unit 45 reads “XXX02” that is the first address corresponding to the subject ID “S002” of the second pregnant woman S-2 from the first address data table 35. Then, the reservation cancellation notification screen 55 is output to the read first address (target terminal 15 of the second pregnant woman S-2).

As shown in FIG. 14, when the determination unit 42 determines that the pregnant woman S is a high-risk pregnant woman S-HR and the recommended condition is not satisfied, the reservation processing unit 43 performs the first warning process.

FIG. 14 shows the case of the first pregnant woman S-1 as in FIG. In this case, the measurement data of the first pregnant woman S-1 includes CTG measurement data measured between 06:00 on the day of the temporarily reserved medical treatment day and 08:00, which is one hour before the temporarily reserved medical treatment time. Suppose there is no.

The determination unit 42 determines that the first pregnant woman S-1 does not satisfy the recommended condition as a result of comparing the measurement data of the first pregnant woman S-1 with the condition data of the recommended condition. Further, the determination unit 42 determines from the risk data that the first pregnant woman S-1 is a high-risk pregnant woman S-HR. The determination unit 42 outputs a determination result indicating that the first pregnant woman S-1 is a high-risk pregnant woman S-HR and does not satisfy the recommended condition to the reservation processing unit 43.

In response to the determination result from the determination unit 42, the reservation processing unit 43 outputs, to the output control unit 45, a first warning instruction to output a first warning to the first pregnant woman S-1 as a first warning process. .

The output control unit 45 reads “XXX01” that is the first address corresponding to the subject ID “S001” of the first pregnant woman S-1 from the first address data table 35. Then, the first warning notification screen 60 is output to the read first address (target terminal 15 of the first pregnant woman S-1).

The table 48 shown in FIG. 15 summarizes each process of the reservation processing unit 43 shown in FIGS. That is, as shown in columns C1 and C4, when the determination unit 42 determines that the recommended condition is satisfied, the reservation confirmation process is performed regardless of the low-risk pregnant woman S-LR and the high-risk pregnant woman S-HR. (See FIGS. 10 and 11). In addition, as shown in the column C2, when the determination unit 42 determines that the low-risk pregnant S-LR is determined and the minimum condition is satisfied, the reservation determination process is performed (see FIG. 12).

As shown in column C3, when the determination unit 42 determines that the risk is a low-risk pregnant woman S-LR and it is determined that the minimum condition is not satisfied, reservation cancellation processing is performed (see FIG. 13). On the other hand, as shown in the column C5 and the column C6, when the determination unit 42 determines that the woman is a high-risk pregnant woman S-HR and the recommended condition is not satisfied, the first warning process is performed (FIG. 14). In this way, the reservation processing is performed depending on whether the pregnant woman S is a high-risk pregnant woman S-HR or a low-risk pregnant woman S-LR, whether the recommended condition is satisfied, and whether the minimum condition is satisfied. The processing performed by the unit 43 is divided.

In FIG. 16, the reservation confirmation notification screen 50 delivered from the output control unit 45 to the subject terminal 15 includes a message that informs the pregnant woman S that the provisional reservation has been confirmed, and a frame that describes the confirmed medical treatment time. 51 and a confirmation button 52 are displayed. FIG. 16 illustrates a reservation confirmation notification screen 50 in the case of the first pregnant woman S-1 shown in FIG.

In FIG. 17, the reservation cancellation notification screen 55 displays a message that informs the pregnant woman S that the temporary reservation has been canceled because the minimum condition is not satisfied, a message that prompts the user to cancel the temporary reservation, and a confirmation button 56. Is done. FIG. 17 shows an example of the reservation cancellation notification screen 55 for the second pregnant woman S-2 shown in FIG.

In FIG. 18, the first warning notification screen 60 includes a message that informs the pregnant woman S that the recommended condition is not satisfied, a message that promptly visits the hospital and receives medical care, that is, a first warning and a confirmation button 61. Is displayed. FIG. 18 illustrates the first warning notification screen 60 in the case of the first pregnant woman S-1 shown in FIG. The

screens

50, 55, and 60 disappear when the confirmation buttons 52, 56, and 61 are operated.

When the URL of each

screen

50, 55, 60 is received, the target person terminal 15 is set to sound a specific notification sound or turn on the vibration function. Further, the target person terminal 15 is set to stop the notification sound after a predetermined time or to turn off the vibration function after the predetermined time. Note that if you do not open the URL link or operate the confirmation buttons 52, 56, 61 to turn off the

screens

50, 55, 60, the notification sound does not stop or the vibration function is turned off. It is good also as a setting which does not become.

Hereinafter, the operation of the above configuration will be described with reference to the flowcharts of FIGS. First, after the medical treatment of the pregnant woman S is completed, the medical staff operates the staff terminal 17 to make a temporary reservation for setting the next medical treatment date and medical treatment time. Thereby, the temporary reservation data transmitted from the staff terminal 17 is received by the temporary reservation receiving unit 40 (step ST100 in FIG. 19, temporary reservation receiving step). The temporary reservation data is output to the data management unit 44 and registered in the reservation data table 32 by the data management unit 44 (step ST110).

The pregnant woman S measures the biological information using the biological sensor 11 at home 14. The measurement data of the biometric information output from the biometric sensor 11 is transmitted to the medical treatment appointment management server 12 via the target person terminal 15 and the network 16. In the medical appointment management server 12, the measurement data reception unit 41 receives the measurement data of the biological information (step ST200 in FIG. 20, measurement data reception step). The measurement data is output to the data management unit 44 and registered in the measurement data table 31 by the data management unit 44 (step ST210).

Measured data is transferred from the data management unit 44 to the determination unit 42 when the time limit of the reservation is reached. Based on the measurement data, the determination unit 42 determines whether the recommended condition is satisfied (step ST300 in FIG. 21, recommended condition determination step) and whether the minimum condition is satisfied (step ST320, minimum condition determination step). Determined. The determination unit 42 determines whether the pregnant woman S is a high-risk pregnant woman S-HR or a low-risk pregnant woman S-LR based on the risk data table 34 (step ST310, subject determination step). .

When the determination unit 42 determines that the recommended condition is satisfied (YES in step ST300), the reservation processing unit 43 as shown in FIGS. 10 and 11 and columns C1 and C4 of Table 48 in FIG. In step ST330, a reservation processing step is performed. Specifically, a reservation confirmation instruction is output to the data management unit 44 and the output control unit 45.

In response to the reservation confirmation instruction, 1 is registered in the confirmation flag column of the corresponding provisional reservation data in the reservation data table 32 by the data management unit 44, and rewriting of the target person ID is prohibited (step ST340). Further, the reservation confirmation notification screen 50 is delivered to the target person terminal 15 by the output control unit 45 (step ST350, output control step).

In the target person terminal 15, a reservation confirmation notification screen 50 is displayed. The pregnant woman S recognizes that the provisional reservation has been confirmed through the reservation confirmation notification screen 50.

On the other hand, when it is determined by the determination unit 42 that the recommended condition is not satisfied (NO in step ST300) and the pregnant woman S is determined to be a low-risk pregnant woman S-LR (YES in step ST310), the lowest value in step ST320 Processing according to the result of the condition determination step is performed.

When it is determined by the determination unit 42 to be a low-risk pregnant woman S-LR (YES in step S310) and it is determined that the minimum condition is satisfied (YES in step ST320), the column of Table 48 in FIG. 12 and FIG. As indicated by C2, as in the case where the determination unit 42 determines that the recommended condition is satisfied (YES in step ST300), the reservation processing unit 43 performs a reservation confirmation process (step ST330, reservation processing step). ). The subsequent processing is the same as when the determination unit 42 determines that the recommended condition is satisfied (YES in step ST300), and thus description thereof is omitted.

As described above, when the determination unit 42 determines that the recommended condition is satisfied, and when the determination unit 42 determines that the low-risk pregnant woman S-LR is satisfied and the minimum condition is satisfied, Since the reservation processing unit 43 performs the reservation confirmation process, the low-risk pregnant woman S-LR does not meet the recommended conditions, but only meets the minimum conditions as long as the minimum conditions are met. Can receive. In addition, for the medical facility 13, the medical reservation frame secured by the temporary reservation is not wasted. Therefore, it is possible to prevent both the pregnant woman S and the medical facility 13 from being disadvantaged in the medical appointment.

In Patent Document 1, when the latest biometric information has not been measured, the priority is set to a low value regardless of whether it is a high-risk pregnant woman S-HR or a low-risk pregnant woman S-LR. The order will be delayed. On the other hand, in the present invention, two measurement conditions, a recommended condition and a minimum condition, are prepared, and the determination unit 42 determines whether the recommended condition is satisfied and whether the minimum condition is satisfied in two stages. ing. In addition, in the case of a low-risk pregnant S-LR, it is possible to receive medical care as tentatively reserved if the recommended conditions are satisfied, and if the minimum conditions are satisfied.

On the other hand, when the determination unit 42 determines that the low-risk pregnant woman is S-LR (YES in step S310) and it is determined that the minimum condition is not satisfied (NO in step ST320), the tables in FIG. 13 and FIG. As shown in the column C3 of 48, the reservation discarding process is performed in the reservation processing unit 43 (step ST360). Specifically, a reservation discard instruction is output to the data management unit 44 and the output control unit 45.

In response to the reservation discard instruction, the data management unit 44 deletes the target person ID of the corresponding provisional reservation data in the reservation data table 32 (step ST370). Further, the reservation discard notification screen 55 is distributed to the target person terminal 15 by the output control unit 45 (step ST380).

In the target person terminal 15, a reservation cancellation notification screen 55 is displayed. The pregnant woman S recognizes that the temporary reservation has been canceled through the reservation cancellation notification screen 55.

The low-risk pregnant S-LR who has not performed the measurement of the minimum condition has a problem in medical treatment. Therefore, if a temporary reservation is confirmed, it is necessary to measure biological information at the medical facility 13 before the medical treatment. In addition, since the start time of medical treatment is delayed by the amount of measurement of biometric information, it is necessary to adjust subsequent medical appointments. For this reason, if it is determined that the determination unit 42 is a low-risk pregnant S-LR and the minimum condition is not satisfied, the reservation processing unit 43 inevitably performs the reservation discarding process. By doing so, the frame of the medical appointment is wasted, but there is an advantage that it does not take the trouble of measuring the biological information at the medical facility 13 and adjusting the medical appointment as described above. This also prevents the unfair treatment that a low-risk pregnant woman S-LR that has not performed the minimum measurement is treated before the pregnant woman S that complies with the measurement that satisfies the recommended conditions. .

When the determination unit 42 determines that the recommended condition is not satisfied (NO in step ST300), and the pregnant woman S is determined to be a high-risk pregnant woman S-HR (NO in step ST310), FIG. 14 and FIG. As shown in columns C5 and C6 of Table 48, the first warning process is performed by the reservation processing unit 43 (step ST390). Specifically, the first warning instruction is output to the output control unit 45.

In response to the first warning instruction, the output control unit 45 distributes the first warning notification screen 60 to the target person terminal 15 (step ST400).

In the target person terminal 15, the first warning notification screen 60 is displayed. The pregnant woman S recognizes that she must go to the hospital through the first warning notification screen 60.

As described above, when the determination unit 42 determines that the risk is high-risk pregnant S-HR and the recommended condition is not satisfied, the reservation processing unit 43 performs the first warning process. Can be expected to visit and receive medical care, and can effectively avoid the seriousness of high-risk pregnant S-HR symptoms.

Pregnant woman S always strives not to be infected with infectious diseases (rubella, influenza, etc.) that adversely affect the fetus. For this reason, in the medical facility 13 with many infectious disease patients, it is preferable that the staying time of the pregnant woman S is as short as possible.

In the present invention, the pregnant woman S measures the recommended conditions and confirms the provisional appointment, or at least measures the minimum conditions and confirms the provisional appointment (in the case of a low-risk pregnant woman S-LR), If you visit the medical facility 13 at the time, you can receive medical care smoothly without any extra waiting time. For this reason, the residence time of the pregnant woman S at the medical facility 13 can be shortened, and the risk of suffering from the infection of the pregnant woman S can be reduced. Therefore, it can be said that particularly excellent effects can be obtained when the target is a pregnant woman S who measures CTG, which requires a relatively long measurement time.

高 High-risk pregnant S-HR needs to pay more attention to health than low-risk pregnant S-LR. For this reason, the recommended condition is satisfied by the fact that the measurement data of other measurement items is obtained in addition to the CTG measurement data on the provisional appointment date, and the provisional appointment date, provisional appointment date, Minimum condition that is met by obtaining CTG measurement data for a predetermined period before the appointment date (here, from 06:00 on the day before the tentative appointment date to 1 hour before the tentative appointment date) The measurement conditions are more severe.

* Recommended conditions and minimum conditions are not limited to those illustrated in FIG. For example, CTG and blood pressure may be used as the measurement items of the lowest condition, and the CTG measurement period of the lowest condition may be set from one week before the provisional appointment to two hours before the provisional appointment. As described above, the end time of the CTG measurement period may not be the same time as the time limit of the main reservation illustrated in FIG.

In short, the recommended conditions include whether or not CTG measurement data on the tentative appointment date is available, and the minimum conditions are the tentative appointment date and the predetermined period before the tentative appointment date. It is only necessary to include whether or not CTG measurement data is obtained. The recommended condition includes whether or not measurement data of other measurement items is obtained in addition to CTG, and the minimum condition may include at least whether or not measurement data of CTG is obtained.

The measurement items for each condition may be the same for only CTG, and the CTG measurement period may be different for each condition. For example, the recommended CTG measurement period is set from 06:00 on the day of provisional appointment to 1 hour before the provisional appointment, and the minimum condition CTG measurement period is set to 06:00 to provisional three days before the provisional appointment. One hour before the reserved medical treatment time, the measurement item is CTG only for each condition.

The delivery destination of each

screen

50, 55, 60 is not limited to the target terminal 15 of the pregnant woman S. A terminal owned by a person concerned with the pregnant woman S such as a family living with the pregnant woman S may be used.

[Second Embodiment]
In the first embodiment, when the determination unit 42 determines that the risk is high-risk pregnant S-HR and the recommended condition is not satisfied, the first warning is output. In the second embodiment shown, the determination unit 42 determines that the high-risk pregnant woman S-HR does not satisfy the recommended condition when it is determined that the high-risk pregnant woman S-HR does not satisfy the recommended condition. 2 Outputs a warning.

22, a second address data table 63 is stored in the storage device 20 of the medical appointment management server 12 of the second embodiment. The second address data table 63 is managed by the data management unit 44, like the data tables 31 to 35.

The second address data table 63 is a table in which a second address is registered for each subject ID of the high-risk pregnant S-HR. The second address is the output destination of the second warning that the high-risk pregnant S-HR does not satisfy the recommended condition. The second address is, for example, an e-mail address that can be viewed on the staff terminal 17 by medical staff such as the doctor D in charge of the high-risk pregnant woman S-HR and the nurse N in charge, or a message service provided by SNS (Social Networking Service) ID or telephone number of the medical staff. The second address is registered in advance by the medical staff.

In the second address data table 63, the second address is registered only in the column of the subject ID (“S001”, “S003”, etc.) of the high-risk pregnant woman S-HR. The second address is not registered in the target person ID (“S002”, etc.) column of the low-risk pregnant S-LR.

As shown in FIG. 23, in the second embodiment, when the determination unit 42 determines that a high-risk pregnant woman S-HR and the recommended condition is not satisfied, the reservation processing unit 43 As a process, a second warning process is performed. The second warning process is a process of outputting to the output control unit 45 a second warning instruction for instructing the output of the second warning.

FIG. 23 shows the case of the first pregnant woman S-1 as in FIG. 14 of the first embodiment. The reservation processing unit 43 outputs a second warning instruction to the output control unit 45 to output a second warning to the medical staff in charge of the first pregnant woman S-1.

The output control unit 45 reads “YYY01”, which is the second address corresponding to the subject ID “S001” of the first pregnant woman S-1, from the second address data table 63. Then, a second warning is output to the read second address.

The output control unit 45 distributes the second warning notification screen 65 shown in FIG. 24 to the staff terminal 17 as one form of output of the second warning. On the second warning notification screen 65, a message indicating that the high-risk pregnant S-HR in charge of the medical staff does not satisfy the recommended conditions, that is, the second warning and the measurement of the recommended conditions for the high-risk pregnant S-HR are performed. A message prompting the medical staff to urge or prompt the high-risk pregnant S-HR to receive medical care and a telephone number for contacting the pregnant S are written. The confirmation button 66 is a button for erasing the display of the second warning notification screen 65. FIG. 24 illustrates the case of the first pregnant woman S-1 following FIG. In this case as well, as in the case of the

screens

50, 55, 60 of the first embodiment, the output control unit 45 sets the URL of the second warning notification screen 65 prior to the distribution of the second warning notification screen 65. The second warning notification screen 65 is distributed in response to the operation of transmitting to the staff terminal 17 and opening the URL link. The same applies to each screen in the following embodiments.

As described above, when the determination unit 42 determines that the risk is high risk pregnant woman S-HR and the recommended condition is not satisfied, the second warning that the high risk pregnant woman S-HR does not satisfy the recommended condition is issued. Since the data is output to the second address, the medical staff is given an opportunity to take appropriate measures for the high-risk pregnant S-HR. Therefore, the seriousness of symptoms of high-risk pregnant S-HR can be effectively avoided.

The first warning in the first embodiment may be combined with the second warning in the second embodiment. Then, the first warning for the high-risk pregnant S-HR itself and the second warning for the medical staff in charge of the high-risk pregnant S-HR strongly encourage the high-risk pregnant S-HR to go to the hospital. Therefore, serious symptoms of high-risk pregnant S-HR can be more effectively avoided.

Note that the second warning notification screen 65 may be distributed to a terminal owned by a related person of the pregnant woman S, similarly to the

screens

50, 55, 60 of the first embodiment. In this case, the pregnant woman S may be a family living with the pregnant woman S or a midwife in the neighborhood of the pregnant woman S who is affiliated with the medical facility 13.

[Third Embodiment]
When the determination unit 42 determines that the S-HR is a high-risk pregnant woman and the recommended condition is not satisfied, as in the third embodiment shown in FIGS. Processing for re-provisioning the risk pregnant S-HR may be performed, and a third warning indicating that the pre-reservation has been made may be output to the third address.

The third address which is the output destination of the third warning is the same as the first address of the first address data table 35 shown in FIG. 8 of the first embodiment. Therefore, in the following description, the first address data table 35 is referred to as the third address data table 35, and the first address is referred to as the third address.

As shown in FIGS. 25 to 27, in the third embodiment, when the determination unit 42 determines that the high-risk pregnant S-HR and the recommended condition is not satisfied, the reservation processing unit 43 A reservation cancellation instruction for canceling the temporary reservation of the high-risk pregnant S-HR before the determination is output to the data management unit 44 and the output control unit 45. At the same time, the reservation processing unit 43 performs temporary reservation processing as processing related to medical reservation. The temporary reservation process is a process of outputting a temporary reservation instruction to the data management unit 44 and the output control unit 45 to re-provision a temporary reservation of the high-risk pregnant woman S-HR that has been canceled by the reservation cancellation instruction.

Specifically, the reservation processing unit 43 extracts the earliest medical time from the medical data without any predecessors from the reservation data table 32. Then, the extracted medical treatment time is automatically set as a new temporary medical treatment time for the high-risk pregnant S-HR. The provisional reservation instruction includes the automatically set medical time and the subject ID of the high-risk pregnant woman S-HR.

In response to the reservation discard instruction from the reservation processing unit 43, the data management unit 44 deletes the subject ID of the high-risk pregnant S-HR from the column of the medical treatment time in the reservation data table 32. Then, the subject ID of the high-risk pregnant woman S-HR is re-registered in the column of the medical treatment time designated by the provisional reservation instruction from the reservation processing unit 43.

Furthermore, the reservation processing unit 43 performs a third warning process as a process related to a medical appointment. The third warning process is a process of outputting a third warning instruction to the output control unit 45 to instruct the output of the third warning to the effect that the temporary reservation has been made again.

25 to 27 show the case of the first pregnant woman S-1 as in FIG. 14 of the first embodiment and FIG. 23 of the second embodiment. In FIG. 26, the reservation processing unit 43 receives a reservation cancellation instruction for canceling a temporary reservation from 09:00:00 to 09:15 of the first pregnant woman S-1 of 2016/8/24 and The data management unit 44 and the output control unit provide a temporary reservation instruction for re-booking the first pregnant woman S-1 from 09:45 to 10:00 on 2016/8/24, which is the earliest medical treatment time. Output to 45.

The data management unit 44 deletes the subject ID “S001” of the first pregnant woman S-1 registered in the column of 09:00 to 09:15 of the reserved data table 32 of 2016/8/24. Then, the subject ID “S001” of the first pregnant woman S-1 is registered in the field of 09:45 to 10:00.

27, the output control unit 45 reads “XXX01”, which is the third address corresponding to the subject ID “S001” of the first pregnant woman S-1, from the third address data table 35. Then, a third warning is output to the read third address (target terminal 15 of the first pregnant woman S-1).

The output control unit 45 outputs a third warning notification screen 70 shown in FIG. 28 to the target person terminal 15 as one form of output of the third warning. On the third warning notification screen 70, a message indicating that the high-risk pregnant S-HR did not measure the recommended condition by the time limit, so that the original temporary reservation was discarded and the temporary reservation was made again, ie, the third A warning 71, a frame 71 indicating the time when the medical appointment was rebooked, a message prompting to come to the hospital at the time when the medical appointment was temporarily reserved, and a confirmation button 72 are displayed. FIG. 28 illustrates the case of the first pregnant woman S-1 following FIG. 25 to FIG.

As described above, when the determination unit 42 determines that the risk is a high-risk pregnant S-HR and the recommended condition is not satisfied, a process for re-provisioning the temporary reservation is performed, and a third notification indicating that the temporary reservation has been re-performed. Since the warning is output to the third address, even if the high-risk pregnant S-HR does not satisfy the recommended conditions, it is possible to secure a medical appointment frame for the high-risk pregnant S-HR. In addition, it can be expected that the high-risk pregnant S-HR will come to the clinic at the time when the appointment is re-booked. Therefore, the seriousness of symptoms of high-risk pregnant S-HR can be effectively avoided.

In addition, after re-provisioning a temporary reservation, you may continue with a reservation decision process, and the time limit according to the medical treatment time which re-provisioned the temporary reservation is satisfied again by the determination part 42 whether the recommendation conditions are satisfied. Such a determination may be made. In the latter case, if the recommended condition is not satisfied even in the determination again after the temporary reservation is made again, the temporary reservation is made again. Alternatively, the reservation discarding process is performed as in the case where the determination unit 42 determines that the risk is a low-risk pregnant S-LR and the minimum condition is not satisfied. Alternatively, the first warning process may be performed as in the first embodiment, or the second warning process may be performed as in the second embodiment.

In addition, here, the case where the earliest treatment time among the treatment times for which there is no prior appointment is on the day of the treatment date of the original tentative reservation, naturally, the treatment of the day of the treatment date of the original provisional reservation There may be a case where the earliest medical treatment time among all the medical treatment times in which all the reservation frames are filled and without any predecessor is after the day after the original provisional medical treatment date.

It should be noted that the delivery destination of the third warning notification screen 70 may also be a terminal owned by a related person of the pregnant woman S.

[Fourth Embodiment]
In the fourth embodiment shown in FIG. 29 and FIG. 30, in order to prevent the pregnant woman S from forgetting the measurement of the biological information, a fourth warning indicating that the measurement of the biological information should be completed by the designated time point is displayed at the fourth address. Output to.

The fourth address that is the output destination of the fourth warning is the same as the first address of the first address data table 35 shown in FIG. 8 of the first embodiment and the third address of the third embodiment. Therefore, in the following description, the first address data table 35 is referred to as the fourth address data table 35, and the first address is referred to as the fourth address.

As shown in FIG. 29, the output control unit 45 reads the fourth address corresponding to the target person ID registered in the reservation data table 32 from the fourth address data table 35. Then, a fourth warning is output to the read fourth address. The fourth warning is a warning sound 81 (see FIG. 30) on the biosensor 11 at a predesignated time, for example, 2 hours before the start of the medical treatment on the day of the medical treatment (in this case, 07:00 of 2016/8/24). The content is to start ringing.

As shown in FIG. 30, in the fourth embodiment, the biosensor 11 has a speaker 80. The subject terminal 15 has a function of controlling the output of the speaker 80 in response to the fourth warning. The subject terminal 15 that has received the fourth warning from the output control unit 45 transmits a warning start command for starting ringing of the warning sound 81 to the biosensor 11 at the time designated by the fourth warning. In response to the warning start command, the biological sensor 11 emits a warning sound 81 from the speaker 80. The warning sound 81 may be a mechanical sound such as a beep sound or a message sound such as “It is the day of medical treatment.

Thus, since the fourth warning that the measurement of the biological information should be completed by the designated time point is output to the fourth address, the probability that the pregnant woman S forgets the measurement of the biological information can be reduced.

Moreover, since the warning sound 81 is emitted from the speaker 80 of the biological sensor 11, that is, the fourth warning is displayed by the biological sensor 11, the probability that the pregnant woman S forgets to measure the biological information can be further reduced. This is because the target terminal 15 often emits various notification sounds such as a ringtone and a mail reception sound. For this reason, when the warning sound 81 is emitted from the target person terminal 15, the warning sound 81 cannot be distinguished from many other notification sounds. However, in the case of the biosensor 11, the notification sound is limited to the warning sound 81 only. This is because the warning sound 81 is not mixed with other notification sounds.

Of course, the fourth warning may be displayed not on the biosensor 11 but on the subject terminal 15. Further, the fourth warning may be displayed by a device different from the biosensor 11 and the subject terminal 15.

The timing for outputting the fourth warning from the output control unit 45 may be a time just specified in advance or may be before that. For example, if the predesignated time is 2 hours before the start of the medical treatment on the day of medical treatment, the fourth warning may be output at 21:00 on the day before the medical treatment day. However, the timing at which the warning start command is transmitted from the subject terminal 15 to the biosensor 11 is limited to the time just specified in advance, regardless of the timing at which the fourth warning is output.

The start time of the fourth warning may be transmitted from the subject terminal 15 to the biometric sensor 11 before the time specified in advance. In this case, the biometric sensor 11 stores the start time, and when the start time is reached, the biometric sensor 11 emits a warning sound 81 from the speaker 80 itself.

The biometric sensor 11 and the medical appointment management server 12 are connected via the network 16 without going through the subject terminal 15, the fourth address is set as the address of the biometric sensor 11, and the fourth warning is directly sent from the output control unit 45 to the biometric sensor 11. It may be output.

The warning sound 81 is exemplified as one form of the fourth warning output. However, when the biological sensor 11 has a display, a message such as “It is the day of medical treatment. Please perform measurement” is displayed on this display. Good.

[Fifth Embodiment]
In addition, in order to cope with the case where the pregnant woman S is not in time for the confirmed medical treatment time for some reason, the pregnant woman S may be configured to change the setting of the confirmed medical treatment time. For example, like the reservation confirmation notification screen 85 shown in FIG. 31, a change button 86 for changing the setting of the confirmed medical time is provided. Then, when the change button 86 is operated, the setting change screen 90 shown in FIG. On the setting change screen 90, a table 91 indicating a reservation status, a setting button 92, a return button 93, and the like are displayed.

Table 91 shows the reservation status at each medical treatment time in the morning, and indicates that there is a pre-order (reservation is possible) and no pre-reservation (reservation is not possible) at each medical time. Table 91 is generated based on provisional reservation data. At the bottom of the table 91, a link 94 is provided for switching the table 91 to one indicating the status of an afternoon reservation. As indicated by hatching and reference numeral 95, a selection cursor is displayed in the currently set medical treatment time column in Table 91.

The selection cursor 95 can select only the medical time marked with ○ in the future from the current time and without predecessor, and cannot select the medical time in the past past the current time and the medical time marked with x. It is. In Table 91, a medical time that is earlier than the current time and a medical time that has a predecessor may be hidden.

The pregnant woman S confirms the reservation status in Table 91, and selects a desired medical treatment time from medical treatment times without prior agreement. As a result, the selection cursor 95 is moved to the medical treatment time column selected by the pregnant woman S. After selecting the desired medical treatment time, the pregnant woman S selects the setting button 92. When the setting button 92 is selected, a setting change instruction including the selected medical treatment time and the subject ID of the pregnant woman S is transmitted from the subject terminal 15 to the medical treatment appointment management server 12. When the return button 93 is selected, the display is returned from the setting change screen 90 to the reservation confirmation notification screen 85.

In the medical appointment management server 12, in response to a setting change instruction from the target person terminal 15, the appointment processing unit 43 performs a medical appointment setting change process. Specifically, the setting change process is a reservation cancellation process of the confirmed original reservation, a provisional reservation process to the medical treatment time selected by the pregnant woman S on the setting change screen 90, and a reservation confirmation process. In this way, the medical treatment time determined by the reservation processing unit 43 can be changed to a medical time convenient for the pregnant woman S, and the case where the pregnant woman S is not in time for the confirmed medical treatment time can be handled. Can do.

[Sixth Embodiment]
Some biosensors 11 have correct mounting positions such as the CTG sensor 11A and blood pressure monitor 11B exemplified in the first embodiment. If such a biosensor 11 is not mounted at the correct mounting position, the reliability of the measurement data is lowered, and it is not useful for medical care. Therefore, in the sixth embodiment shown in FIGS. 33 to 35, it is determined whether or not the mounting position of the biosensor 11 is wrong based on the measurement data, and if it is determined that the mounting position is incorrect, the mounting is performed. A fifth warning indicating that the position is incorrect is output.

33, the fifth address data table 100 is stored in the storage device 20 of the medical appointment management server 12 of the sixth embodiment. In the fifth address data table 100, as in the second address of the second address data table 63 shown in FIG. 22 of the second embodiment, the e-mail address that the medical staff can view on the staff terminal 17 and the SNS The ID or telephone number of the medical staff of the message service provided by (Social Networking Service) is registered as the fifth address. However, in the fifth address data table 100, the fifth addresses are registered for the subject IDs of all pregnant women S regardless of the high-risk pregnant women S-HR and the low-risk pregnant women S-LR.

34, in the sixth embodiment, the measurement data receiving unit 41 outputs the measurement data to the determination unit 42. The determination unit 42 determines whether the mounting position of the biosensor 11 is incorrect based on the measurement data from the measurement data reception unit 41. The determination as to whether or not the mounting position of the biosensor 11 is wrong is made, for example, by comparing the numerical range of the measurement data in a certain period with a preset threshold range. In this case, when the numerical value range of the measurement data in a certain period is within the threshold range, the determination unit 42 determines that the mounting position of the biosensor 11 is correct. On the contrary, when the numerical value range of the measurement data in the certain period is not within the threshold range, it is determined that the mounting position of the biosensor 11 is incorrect.

When the determination unit 42 determines that the mounting position of the biosensor 11 is incorrect, the determination unit 42 outputs a determination result indicating that the mounting position of the biosensor 11 is incorrect (mounting position NG) to the output control unit 45 together with the subject ID. To do. The output control unit 45 reads the fifth address corresponding to the target person ID of the determination result from the fifth address data table 100. The output control unit 45 outputs a fifth warning to the read fifth address.

FIG. 34 illustrates a case where it is determined that the mounting position of the CTG sensor 11A of the first pregnant woman S-1 is incorrect. In this case, the output control unit 45 outputs the fifth warning to the fifth address “YYY01” corresponding to the subject ID “S001” of the first pregnant woman S-1.

The output control unit 45 outputs a fifth warning notification screen 103 shown in FIG. 35 to the staff terminal 17 as one form of output of the fifth warning. On the fifth warning notification screen 103, a medical staff member who is in charge of the medical staff gives a message indicating that the mounting position of the biosensor 11 is incorrect, that is, a fifth warning and a procedure for correcting the mounting position of the biosensor 11. And a telephone number for contacting the pregnant woman S. The confirmation button 104 is a button for erasing the display of the fifth warning notification screen 103. FIG. 35 illustrates a case where it is determined that the mounting position of the CTG sensor 11A of the first pregnant woman S-1 is incorrect following FIG.

In this way, it is determined whether or not the mounting position of the biosensor 11 is wrong, and if it is determined that the mounting position is incorrect, a fifth warning to that effect is output to the fifth address. When the mounting position is wrong, it is possible to correct the mounting position without leaving the state. Therefore, the reliability of the measurement data can be ensured.

If the measurement data itself is a value that should be determined by the determination unit 42 if the mounting position of the biosensor 11 is incorrect, but the actual mounting position of the biosensor 11 is not incorrect, the health status of the pregnant woman S An abnormality requiring emergency treatment may have occurred. However, even in such a case, according to the sixth embodiment, since the medical staff is ready to contact the pregnant woman S, the emergency visit to the pregnant woman S can be promoted.

When it is detected at the time of medical treatment of the pregnant woman S that the measurement is performed while the wearing position of the biosensor 11 is wrong, the medical treatment must be interrupted and remeasured. Then, the medical treatment is prolonged, the staying time of the pregnant woman S in the medical facility 13 is lengthened, and the medical treatment time must be adjusted. However, according to the sixth embodiment, such a situation can be avoided.

The determination as to whether the mounting position of the biosensor 11 is incorrect may be made based on the difference between the previous measurement data and the current measurement data. That is, if the difference between the previous measurement data and the current measurement data is greater than or equal to a preset threshold value, it is determined that the mounting position of the biosensor 11 is incorrect, and conversely if the difference is smaller than the threshold value, It is determined that the mounting position of the sensor 11 is correct.

In the first embodiment, it has been described that the temporary reservation is canceled if the low-risk pregnant woman S-LR has not performed the measurement of the minimum condition, but instead of or in addition to the temporary reservation cancellation, the pregnant woman S A warning that prompts the user to measure biometric information may be output to the fifth address. In addition to the fifth address, a warning that the pregnant woman S is prompted to measure biometric information is output to the first address (subject terminal 15) of the first address data table 35 shown in FIG. 8 of the first embodiment. May be.

Note that the fifth warning notification screen 103 may be distributed to the target person terminal 15 instead of or in addition to the staff terminal 17. In this case, the fifth warning notification screen 103 may display a mounting guide made up of diagrams and texts indicating the correct mounting position of the biometric sensor 11. Further, the fifth warning notification screen 103 may be distributed to a terminal owned by a related person of the pregnant woman S. Examples of the pregnant woman S in this case include the husband of the pregnant woman S who has been lectured by the medical staff on how to install the biosensor 11 together with the pregnant woman S.

[Seventh Embodiment]
The health condition of the pregnant woman S can be estimated from the measurement data. Therefore, in the seventh embodiment shown in FIGS. 36 to 39, based on the measurement data, it is determined whether the health condition of the pregnant woman S is abnormal, the pregnant woman S is a high-risk pregnant woman S-HR, and When it is determined that the health condition is abnormal, a sixth warning that the health condition of the high-risk pregnant S-HR is abnormal is output.

In the seventh embodiment, the second address of the second address data table 63 shown in FIG. 22 of the second embodiment is set as the sixth warning output destination.

36 and 37, in the seventh embodiment, the measurement data receiving unit 41 outputs the measurement data to the determination unit 42 as in the sixth embodiment. The determination unit 42 determines whether the health state of the pregnant woman S is abnormal based on the measurement data from the measurement data reception unit 41. The determination as to whether or not the health state of the pregnant woman S is abnormal is performed by, for example, comparing CTG measurement data with medical abnormal findings such as sinusoidal patterns and delayed transient bradycardia. Further, the measurement is performed by comparing blood pressure measurement data with a medically determined normal value of blood pressure.

When the determination unit 42 determines that the health state of the pregnant woman S is abnormal, the determination unit 42 outputs a determination result indicating that the health state of the pregnant woman S is abnormal (abnormal measurement data) to the output control unit 45 together with the subject ID. As shown in FIG. 36, when the risk data from the risk data table 34 is “high”, the determination unit 42 determines that the risk is high-risk pregnant S-HR and the health condition is abnormal, the output control unit 45 outputs a sixth warning to the second address. On the other hand, as shown in FIG. 37, when the risk data from the risk data table 34 is “low” and the determination unit 42 determines that the risk is low-risk pregnant S-LR, the sixth Do not output warnings.

FIG. 36 illustrates a case where the CTG measurement data of the first pregnant woman S-1 that is a high-risk pregnant woman S-HR is determined to be abnormal. In this case, the output control unit 45 outputs the sixth warning to the second address “YYY01” corresponding to the subject ID “S001” of the first pregnant woman S-1. On the other hand, FIG. 37 illustrates a case where the blood pressure measurement data of the second pregnant woman S-2, which is a low-risk pregnant woman S-LR, is determined to be abnormal. In this case, the output control unit 45 does not output the sixth warning.

The output control unit 45 distributes the sixth warning notification screen 105 shown in FIG. 38 to the staff terminal 17 as one form of output of the sixth warning. The sixth warning notification screen 105 displays a message indicating that the health status of the high-risk pregnant S-HR in charge of the medical staff is abnormal, that is, the sixth warning and prompting the high-risk pregnant S-HR to immediately receive medical care. A message that prompts the medical staff to do this and a phone number to contact the high-risk pregnant S-HR. The confirmation button 106 is a button for erasing the display of the sixth warning notification screen 105. FIG. 38 illustrates a case in which the CTG measurement data of the first pregnant woman S-1 is determined to be abnormal, following FIG.

The operation of the configuration of the seventh embodiment will be described with reference to the flowchart of FIG. When the determination unit 42 determines that the patient is a high-risk pregnant S-HR and the health condition is abnormal (both YES in step ST500 and step ST510), the output control unit 45 displays the sixth warning notification screen 105 on the sixth warning notification screen 105. Two addresses (staff terminal 17) are output (step ST520). On the other hand, if the determination unit 42 determines that the risk is a low-risk pregnant woman S-LR (NO in step ST500), the sixth warning notification screen 105 is not output regardless of the determination result of the health state. If the determination unit 42 determines that the risk is high-risk pregnant S-HR and the health condition is normal (YES in step ST500, NO in step ST510), the sixth warning notification screen 105 is not output as a matter of course. .

As described above, when the determination unit 42 determines the high-risk pregnant woman S-HR and determines that the health condition is abnormal, the sixth warning that the health condition of the high-risk pregnant woman S-HR is abnormal is output. Therefore, serious symptoms of high-risk pregnant S-HR can be effectively avoided. In addition, when the pregnant woman S is a low-risk pregnant woman S-LR, the sixth warning is not output regardless of the health condition determination result. This eliminates the need for medical staff to perform unnecessary and urgent treatments such as prompting the low-risk pregnant S-LR to receive medical care immediately.

In this case, as in the second embodiment, the sixth warning notification screen 105 may be distributed to a terminal owned by a related person of the pregnant woman S.

[Eighth Embodiment]
As described in the seventh embodiment, when the health status of the high-risk pregnant S-HR is abnormal, it is necessary to receive medical care immediately. Therefore, in the eighth embodiment shown in FIGS. 40 and 41, when the health state of the high-risk pregnant S-HR is abnormal, the earliest medical treatment time that can be set regardless of whether or not there is a prior agreement is set.

In FIG. 40, also in the eighth embodiment, as in the seventh embodiment, the determination unit 42 determines whether the health state of the pregnant woman S is abnormal based on the measurement data. When it is determined that the health state of the pregnant woman S is abnormal, a determination result (measurement data abnormality) indicating that the health state of the pregnant woman S is abnormal is output to the reservation processing unit 43 together with the subject ID.

When the determination unit 42 determines that the patient is a high-risk pregnant S-HR and the health condition is abnormal, the appointment processing unit 43 sets the earliest medical treatment time that can be set regardless of whether there is a prior agreement. Specifically, the appointment processing unit 43 performs this appointment process as a process related to a medical appointment. The reservation process is a process of outputting a reservation instruction for setting the earliest medical treatment time that can be set regardless of whether there is a prior agreement to the data management unit 44 and the output control unit 45 (not shown in FIG. 40). .

FIG. 40 illustrates a case where the CTG measurement data of the first pregnant woman S-1 that is a high-risk pregnant woman S-HR is determined to be abnormal at 10:10 on 2016/8/24. The reservation processing unit 43 estimates the estimated time that the pregnant woman S is going to the hospital as 1 hour, and sets the earliest medical time 11:15 to 11:30 that can be set as the medical time of the first pregnant woman S-1. Is output to the data management unit 44.

Before setting, there is a pre-determined premise of the pregnant woman S with the subject ID “S055” at the medical hours 11:15 to 11:30, but the data management unit 44 has the pregnant woman S with the subject ID “S055”. The predecessor is moved to 11:45 to 12:00, which is the earliest medical treatment time among medical treatment times without a predecessor. Then, the patient ID “S001” of the first pregnant woman S-1 is registered at the vacant medical hours 11:15 to 11:30, and 1 is registered in the confirmation flag. In this case, the output control unit 45 not only outputs the reservation confirmation notification screen 50 to the target terminal 15 of the first pregnant woman S-1, but also hands over the medical time to the first pregnant woman S-1, The reservation confirmation notification screen 50 is also output to the subject terminal 15 of the pregnant woman S with the subject ID “S055” whose medical examination time has been changed.

The operation of the configuration of the eighth embodiment will be described with reference to the flowchart of FIG. When the determination unit 42 determines that the patient is a high-risk pregnant S-HR and the health condition is abnormal (both YES in step ST500 and step ST510), the reservation processing unit 43 determines whether or not there is a predecessor The earliest medical time that can be set is set (step ST600). On the other hand, if the determination unit 42 determines that the risk is a low-risk pregnant woman S-LR (NO in step ST500), nothing is performed. Of course, if the determination unit 42 determines a high-risk pregnant woman S-HR and determines that the health condition is normal (YES in step ST500, NO in step ST510), nothing is performed.

As described above, when the determination unit 42 determines the high-risk pregnant woman S-HR and determines that the health condition is abnormal, the earliest medical treatment time that can be set regardless of whether or not there is a prior agreement is set. A high-risk pregnant S-HR with an abnormal condition can be treated with priority over anyone. Therefore, the seriousness of symptoms of high-risk pregnant S-HR can be effectively avoided.

Note that the seventh embodiment and the eighth embodiment that output the sixth warning when it is determined that the health state of the high-risk pregnant S-HR is abnormal may be combined. The effect of avoiding serious symptoms of high-risk pregnant S-HR can be further enhanced.

In each of the above embodiments, a mode in which the medical treatment date and the medical treatment time are set by temporary reservation is illustrated, but only the medical treatment date may be set by temporary reservation. In this case, the reservation processing unit 43 sets the earliest medical time out of the medical time that has no predecessor when finalizing the temporary reservation. At this time, the medical treatment time of the high-risk pregnant woman S-HR may be set earlier than the low-risk pregnant woman S-LR.

As in each of the above-described embodiments, when setting the medical treatment date and the medical treatment time in the temporary reservation and confirming the medical treatment time set in the temporary reservation, the medical treatment reservation is divided into two stages, the temporary reservation and the main reservation. It can be used without being conscious of the pregnant woman S, and is convenient for the pregnant woman S. Since the medical treatment time is known at the time of provisional reservation, it is easy for the pregnant woman S to make a schedule. In addition, it is easier for the medical facility 13 to set the medical treatment time by provisional reservation because scheduling is easier. Further, since it is assumed that the majority of pregnant women S will finish measuring biometric information in time for the provisional appointment, the time required for rescheduling such as adjusting the order of treatment is minimized. .

In the above embodiments, it is assumed that the pregnant woman S visits the medical facility 13, but the present invention is not limited to this. The present invention can also be applied to a case where the target person terminal 15 and the staff terminal 17 are equipped with a videophone function and receive online medical care at home 14 using the videophone function.

In the case of online medical care, the pregnant woman S does not have to go to the medical facility 13, so the burden is reduced and there is no worry of infection. In particular, in the case of high-risk pregnant S-HR who needs frequent medical care, online medical care is preferable to out-patient medical care. In addition, in the case of online medical care, when a pregnant woman S usually goes from home 14 and returns home to a home away from the medical facility 13 just before giving birth, the measurement data up to that point is accumulated, so the medical facility 13 can do the best. In the case of online medical care, it is not necessary to set the time limit by estimating the time when the pregnant woman S is expected to go to the hospital.

In the case of online medical care, since the medical care can be performed immediately after the provisional reservation is confirmed, the working efficiency of the doctor D in charge is improved compared with the case of going to hospital. If the current doctor's doctor D's hand is available before the time when the current time is fixed, the doctor's doctor D can immediately contact the pregnant woman S and start the online medical treatment ahead of schedule. . The doctor in charge D may contact the pregnant woman S who has been provisionally reserved in order to perform online medical care.

It should be noted that a screen displaying a list showing whether or not the recommended condition and the minimum condition are satisfied for each pregnant woman S may be output to the staff terminal 17. In this way, a medical staff can contact the pregnant woman S who does not satisfy the recommended condition or the minimum condition, and can take measures such as prompting measurement of biological information.

In each of the above-described embodiments, the medical reservation management server 12 is installed in one medical facility 13, and the medical reservation management server 12 manages the medical reservation of the one medical facility 13, but a plurality of medical facilities 13 are provided. These medical appointments may be managed by one medical appointment management server 12. In this case, the medical appointment management server 12 may be installed in one of the plurality of medical facilities 13 or provides a facility of an operating entity different from the plurality of medical facilities 13, for example, the operation program 30. It may be installed in a manufacturer's data center.

The target terminal 15 and the staff terminal 17 are not limited to the smartphones and tablet computers exemplified in the first embodiment, but are other portable information terminals, notebook computers, desktop computers, or the medical appointment management system 10 only. It may be a device manufactured in the same way.

The hardware configuration of the computer constituting the medical appointment management apparatus of the present invention can be variously modified. For example, the medical appointment management apparatus can be configured by a plurality of computers separated as hardware for the purpose of improving processing capability and reliability. For example, the functions of the provisional reservation receiving unit 40, the functions of the measurement data receiving unit 41, the determination unit 42, and the reservation processing unit 43, and the functions of the data management unit 44 and the output control unit 45 are combined into three computers. Distribute and carry. In this case, the medical appointment management apparatus is composed of three computers.

Also, a recommended condition determination unit having a recommended condition determination function, a minimum condition determination unit having a minimum condition determination function, and a subject determination unit having a subject determination function may be provided separately.

As described above, the hardware configuration of the computer can be changed as appropriate in accordance with instructed performance such as processing capability, safety, and reliability. Furthermore, not only the hardware but also the AP such as the operation program 30 can be duplicated or distributed and stored in a plurality of storage devices for the purpose of ensuring safety and reliability. .

In each of the above embodiments, an example in which each screen such as the reservation confirmation notification screen 50 is output from the output control unit 45 in the form of screen data for web distribution is illustrated. However, an AP for generating each screen is installed, The output control unit 45 may output data necessary for generating each screen (for example, a medical treatment time determined by the reservation processing unit 43). Or you may output the text data of the message described on each screen to the object person terminal 15 grade | etc.,.

Further, the output form of the result of the reservation process, such as the medical treatment time determined by the reservation processing unit 43, is not limited to the reservation confirmation notification screen of each of the above embodiments. An e-mail that reports the result of the reservation process may be transmitted to an e-mail address that the pregnant woman S can view on the subject terminal 15. Or you may transmit the fax which can report the result of a reservation process to the fax number of the pregnant woman S's home 14.

The target person is not limited to the pregnant woman S exemplified in the above embodiments. For example, it may be a person who needs to monitor the health condition, such as a patient who has undergone laparotomy and is being treated at home 14 after discharge.

In the above embodiments, for example, a processing unit (processing unit) that executes various processes such as the provisional reservation receiving unit 40, the measurement data receiving unit 41, the determination unit 42, the reservation processing unit 43, the data management unit 44, and the output control unit 45. The hardware structure of) is the following various processors.

Various processors include a CPU, a programmable logic device (PLD), a dedicated electric circuit, and the like. The CPU is a general-purpose processor that executes software (program) and functions as various processing units as is well known. The PLD is a processor whose circuit configuration can be changed after manufacturing, such as FPGA (Field Programmable Gate Gate Array). The dedicated electric circuit is a processor having a circuit configuration designed exclusively for executing a specific process such as ASIC (Application Specific Specific Integrated Circuit).

One processing unit may be composed of one of these various processors, or may be composed of a combination of two or more processors of the same type or different types (for example, a combination of a plurality of FPGAs or CPUs and FPGAs). May be. Further, the plurality of processing units may be configured by one processor. As an example of configuring a plurality of processing units with one processor, first, there is a form in which one processor is configured by a combination of one or more CPUs and software, and this processor functions as a plurality of processing units. . Secondly, as represented by a system-on-chip (SoC), there is a form in which a processor that realizes the functions of the entire system including a plurality of processing units with one IC chip is used. As described above, various processing units are configured using one or more of the various processors as a hardware structure.

Further, the hardware structure of these various processors is more specifically an electric circuit (circuitry) in which circuit elements such as semiconductor elements are combined.

From the above description, it is possible to grasp the medical appointment management device described in the following supplementary note 1 and the medical appointment management system described in the supplementary note 2.

[Additional Item 1]
A provisional reservation accepting processor for accepting a provisional reservation of a medical appointment of a subject who measures biological information using a biological sensor;
A measurement data reception processor for receiving measurement data of the biological information;
Based on the measurement data, a recommended condition determination processor that determines whether a recommended condition that is a measurement condition of the biological information recommended for measurement is satisfied,
Based on the measurement data, a minimum condition determination processor that determines whether or not a minimum condition that is a measurement condition of the biological information necessary for medical treatment is satisfied;
A subject determination processor that determines whether the subject is a high-risk subject with a high risk of symptom severity, or a low-risk subject with a lower risk than the high-risk subject; and
A reservation processing processor that performs processing related to the medical appointment, and when the recommended condition determination processor determines that the recommended condition is satisfied, and the target person determination processor determines the low risk target person, and the minimum condition If it is determined by the determination processor that the minimum condition is satisfied, a reservation processing processor that performs a process of determining the provisional reservation;
A medical appointment management apparatus comprising: an output control processor that outputs a processing result of the appointment processor.

[Additional Item 2]
In a medical appointment management system comprising a biometric sensor used for a subject who needs to monitor health status, and a medical appointment management device installed on a network and managing a medical appointment of the subject,
The medical appointment management device includes:
A provisional reservation accepting processor for accepting a provisional reservation of the medical appointment;
A measurement data reception processor for receiving measurement data of the subject's biological information;
Based on the measurement data, a recommended condition determination processor that determines whether a recommended condition that is a measurement condition of the biological information recommended for measurement is satisfied,
Based on the measurement data, a minimum condition determination processor that determines whether or not a minimum condition that is a measurement condition of the biological information necessary for medical treatment is satisfied;
A subject determination processor that determines whether the subject is a high-risk subject with a high risk of symptom severity, or a low-risk subject with a lower risk than the high-risk subject; and
A reservation processing processor that performs processing related to the medical appointment, and when the recommended condition determination processor determines that the recommended condition is satisfied, and the target person determination processor determines the low risk target person, and the minimum condition If it is determined by the determination processor that the minimum condition is satisfied, a reservation processing processor that performs a process of determining the provisional reservation;
A medical appointment management system comprising: an output control processor that outputs a processing result of the appointment processor.

The present invention can be appropriately combined with the above-described various embodiments and various modifications. Moreover, it is needless to say that various configurations can be adopted without departing from the gist of the present invention. Furthermore, the present invention extends to a storage medium for storing a program in addition to the program.

DESCRIPTION OF SYMBOLS 10 Medical appointment management system 11 Biosensor 11A CTG sensor 11B Blood pressure monitor 11C Weight scale 12 Medical appointment management server (medical appointment management apparatus)
13 Medical facility 14 Home 15 Target terminal 16 Network 17 Staff terminal 20 Storage device 21 Memory 22 Central control unit 23 Communication unit 24 Data bus 30 Operating program 31 Measurement data table 32 Reserved data table 33 Condition data table 34 Risk data table 35 1 address data table, 3rd address data table, 4th address data table 40 Temporary reservation reception unit 41 Measurement data reception unit 42 Determination unit 43 Reservation processing unit 44 Data management unit 45 Output control unit 48 Table 50, 85 Reservation confirmation notification screen 51, 71 Frames 52, 56, 61, 66, 72, 104, 106 Confirmation button 55 Reservation discard notification screen 60 First warning notification screen 63 Second address data table 65 Second warning notification screen 70 Third warning notification screen Surface 80 Speaker 81 Warning sound 86 Change button 90 Setting change screen 91 Table 92 Setting button 93 Back button 94 Link 95 Selection cursor 100 5th address data table 103 5th warning notification screen 105 6th warning notification screen S Pregnant woman (subject)
S-HR high-risk pregnant women (high-risk subjects)
S-LR low-risk pregnant women (low-risk subjects)
S-1 first pregnant woman S-2 second pregnant woman D doctor in charge N nurse in charge ST100, ST110, ST200, ST210, ST300 to ST400, ST500 to ST520, ST600 Step

Claims

A provisional reservation accepting unit that accepts a provisional reservation of a medical appointment of a subject who measures biological information using a biological sensor;
A measurement data receiving unit for receiving measurement data of the biological information;
Based on the measurement data, a recommended condition determination unit that determines whether a recommended condition that is a measurement condition of the biological information recommended for measurement is satisfied,
Based on the measurement data, a minimum condition determination unit that determines whether or not a minimum condition that is a measurement condition of the biological information necessary for medical treatment is satisfied,
A subject determination unit that determines whether the subject is a high-risk subject who has a high risk of symptom severity, or a low-risk subject that has a lower risk than the high-risk subject; and
A reservation processing unit that performs processing related to the medical appointment, and when the recommended condition determination unit determines that the recommended condition is satisfied, and when the target person determination unit determines the low risk target person, and the minimum condition If the determination unit determines that the minimum condition is satisfied, a reservation processing unit that performs a process of determining the provisional reservation;
A medical appointment management apparatus comprising: an output control unit that outputs a processing result of the appointment processing unit.
The reservation processing unit performs a process of discarding the provisional reservation when the target determination unit determines that the subject is a low risk target and the minimum condition determination unit determines that the minimum condition is not satisfied. The medical appointment management apparatus according to claim 1.
The reservation processing unit causes the output control unit to output a warning when the target determination unit determines that the target is a high-risk target and the recommended condition determination unit determines that the recommended condition is not satisfied The medical appointment management device according to claim 1 or 2, wherein the processing is performed.
4. The medical appointment management device according to claim 3, wherein the output control unit outputs, as the warning, a first warning for prompting the high-risk subject to go to a first address registered in advance.
5. The medical appointment according to claim 3, wherein the output control unit outputs, as the warning, a second warning that the high-risk subject does not satisfy the recommended condition to a second address registered in advance. Management device.
The reservation processing unit performs the process of re-performing the temporary reservation when the target determination unit determines that the target is a high-risk target and the recommended condition determination unit determines that the recommended condition is not satisfied. ,
6. The medical appointment management according to claim 3, wherein the output control unit outputs, as the warning, a third warning indicating that the provisional appointment has been re-executed, to a third address registered in advance. apparatus.
The subject is a pregnant woman;
The medical appointment management apparatus according to any one of claims 1 to 6, wherein the biological information includes at least fetal heartbeat and uterine contraction pressure as measurement items.
The recommended conditions include whether or not measurement data of the fetal heartbeat and the uterine contraction pressure on the provisional appointment date is obtained,
The minimum condition includes the date of the provisional appointment date and whether or not measurement data of the fetal heartbeat and uterine contraction pressure for a predetermined period before the provisionally appointment date is obtained. 7. The medical appointment management device according to 7.
The recommended condition includes whether measurement data of other measurement items is obtained in addition to the fetal heartbeat and the uterine contraction pressure,
The medical appointment management apparatus according to claim 7 or 8, wherein the minimum condition includes whether or not measurement data of at least the fetal heartbeat and the uterine contraction pressure is obtained.
The output control unit outputs a fourth warning indicating that the measurement of the biometric information of the recommended condition should be completed by a designated time point, which is a time point designated according to the provisional reservation, at a pre-registered fourth address 10. The medical appointment management device according to any one of claims 1 to 9, which is output to
The medical appointment management device according to claim 10, wherein the fourth warning is displayed by the biometric sensor.
A provisional reservation accepting step for accepting a provisional reservation of a medical appointment of a subject who measures biological information using a biological sensor;
A measurement data receiving step for receiving measurement data of the biological information;
Based on the measurement data, a recommended condition determination step for determining whether a recommended condition that is a measurement condition of the biological information recommended for measurement is satisfied,
Based on the measurement data, a minimum condition determination step for determining whether or not a minimum condition that is a measurement condition of the biological information necessary for medical treatment is satisfied,
A subject determination step for determining whether the subject is a high-risk subject who has a high risk of symptom severity, or a low-risk subject whose risk is lower than the high-risk subject; and
It is a reservation processing step for performing processing related to the medical appointment, and when it is determined in the recommended condition determination step that the recommended condition is satisfied, and in the target person determination step, it is determined as the low risk target person, and the minimum condition If it is determined in the determination step that the minimum condition is satisfied, a reservation processing step for performing a process of confirming the provisional reservation;
An operation method of a medical appointment management device comprising: an output control step for outputting a processing result of the appointment processing step.
A provisional reservation accepting function for accepting a provisional appointment of a medical appointment of a subject who measures biological information using a biological sensor;
A measurement data reception function for receiving measurement data of the biological information;
Based on the measurement data, a recommended condition determination function that determines whether a recommended condition that is a measurement condition of the biological information recommended for measurement is satisfied,
Based on the measurement data, a minimum condition determination function for determining whether or not a minimum condition that is a measurement condition of the biological information necessary for medical treatment is satisfied,
A subject determination function for determining whether the subject is a high-risk subject who has a high risk of symptom severity, or a low-risk subject whose risk is lower than the high-risk subject,
It is a reservation processing function that performs processing related to the medical appointment, and when the recommended condition determination function determines that the recommended condition is satisfied, and the target person determination function determines the low risk target person, and the minimum condition When it is determined that the minimum condition is satisfied by the determination function, a reservation processing function for performing a process of determining the provisional reservation;
An operating program for a medical appointment management apparatus that causes a computer to execute an output control function that outputs a processing result of the appointment processing function.
In a medical appointment management system comprising a biometric sensor used for a subject who needs to monitor health status, and a medical appointment management device installed on a network and managing a medical appointment of the subject,
The medical appointment management device includes:
A provisional reservation accepting unit for accepting a provisional reservation of the medical appointment;
A measurement data receiving unit for receiving measurement data of the subject's biological information;
Based on the measurement data, a recommended condition determination unit that determines whether a recommended condition that is a measurement condition of the biological information recommended for measurement is satisfied,
Based on the measurement data, a minimum condition determination unit that determines whether or not a minimum condition that is a measurement condition of the biological information necessary for medical treatment is satisfied,
A subject determination unit that determines whether the subject is a high-risk subject who has a high risk of symptom severity, or a low-risk subject that has a lower risk than the high-risk subject; and
A reservation processing unit that performs processing related to the medical appointment, and when the recommended condition determination unit determines that the recommended condition is satisfied, and when the target person determination unit determines the low risk target person, and the minimum condition If the determination unit determines that the minimum condition is satisfied, a reservation processing unit that performs a process of determining the provisional reservation;
A medical appointment management system comprising: an output control unit that outputs a processing result of the appointment processing unit.