WO2020066276A1 - Appointment management device, appointment management method, and program - Google Patents

Appointment management device, appointment management method, and program Download PDF

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Publication number
WO2020066276A1
WO2020066276A1 PCT/JP2019/029856 JP2019029856W WO2020066276A1 WO 2020066276 A1 WO2020066276 A1 WO 2020066276A1 JP 2019029856 W JP2019029856 W JP 2019029856W WO 2020066276 A1 WO2020066276 A1 WO 2020066276A1
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WIPO (PCT)
Prior art keywords
information
disclosure
reservation
patient
patients
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PCT/JP2019/029856
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French (fr)
Japanese (ja)
Inventor
知宏 茎田
絵里子 閑
民生 上田
山内　隆伸
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オムロンヘルスケア株式会社
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Publication of WO2020066276A1 publication Critical patent/WO2020066276A1/en

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    • G—PHYSICS
    • G06—COMPUTING; CALCULATING OR COUNTING
    • G06Q—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES; SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL OR SUPERVISORY PURPOSES, NOT OTHERWISE PROVIDED FOR
    • G06Q10/00—Administration; Management
    • G06Q10/02—Reservations, e.g. for tickets, services or events
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/20—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H80/00—ICT specially adapted for facilitating communication between medical practitioners or patients, e.g. for collaborative diagnosis, therapy or health monitoring

Definitions

  • the present invention relates to, for example, a reservation management device, a method, and a program for managing information on outpatient reservation for a medical institution.
  • EMR Electronic Medical Records
  • Patent Literature 1 an upper limit value (condition) of a waiting time of a service reservation person is set in advance, and an empty frame satisfying the condition of the reservation person is determined, so that a new user reservation can be appropriately performed. It is described that it can be assigned to an empty frame, and the waiting time can be reduced.
  • hospital visits are generally troublesome for patients, and even if the waiting time is shortened, they may fail to visit the hospital for other reasons. For example, if the person is busy, the medical institution is far away, or the treatment at the medical institution is painful, it tends to avoid hospital visits. In addition, even when there is no subjective symptom or when the condition is alleviated, it is assumed that the patient will arbitrarily interrupt the hospital visit.
  • the present invention has been made in view of the above circumstances, and in one aspect, it is an object of the present invention to provide a reservation management device, a method, and a program that can effectively support continuous visits to patients.
  • a first aspect of an appointment management device and method is a storage unit including an appointment management information unit in which appointment information of a patient for a medical institution is recorded, a communication unit that can communicate with the outside via a network, A control unit capable of controlling the storage unit and the communication unit; The control unit acquires, for each of the plurality of patients, at least information on the electronic medical record of the patient associated with patient identification information for identifying the patient, and acquires the acquired information on the electronic medical record and the reservation management information.
  • the disclosure control information Based on at least one of the reservation information recorded in the unit, generating disclosure control information indicating whether or not the reservation information can be disclosed among the plurality of patients for each of the plurality of patients, The disclosure control of the reservation information is performed for each of the plurality of patients based on the disclosure control information.
  • the reservation information of each patient is disclosed between the patients.
  • the patient can confirm, for example, the reservation date and time of a close patient or a known patient. Then, if the reservation date and time are the same as those of a close friend or a friend, the patient can be motivated to go to hospital. If the date and time of the visit are different from those of a good friend or an acquaintance, for example, it is possible to change the appointment schedule so that the visit date and time will be the same, thereby effectively supporting the continuation of the patient's visit. can do.
  • the disclosure control information when the disclosure control information is generated, information indicating permission or prohibition of disclosure of the reservation information is acquired for each of a plurality of patients, and the acquired information indicating permission or prohibition of disclosure is obtained.
  • the disclosure control information is generated based on this.
  • a patient requests the reservation management apparatus to permit or prohibit disclosure of his / her reservation information, so that the patient's schedule is disclosed to other patients in response to the patient's request. Or, conversely, the visit may not be disclosed to other patients.
  • the reservation management apparatus by specifying whether to disclose the reservation information for each reservation date and time by the medical worker, it is possible to prevent the reservation information on a specific medical treatment day or time zone from being disclosed.
  • a disclosure range of attribute information on the patient is set for each of the plurality of patients based on the acquired electronic medical record information.
  • the disclosure range of the attribute information is included in the disclosure control information.
  • the attribute information included in the disclosure range is included in the patient reservation information that can be disclosed.
  • the disclosure range of the attribute information of the patient such as the name, initials, medical department to be consulted, gender, age, address and contact information, etc. Which information is to be the disclosure range can be set in advance.
  • a range of patients to be disclosure partners is set for each of the plurality of patients, The range of the patient of the disclosure partner is included in the disclosure control information.
  • the patient reservation information that can be disclosed is disclosed only to the patient set as the disclosure partner based on the disclosure control information.
  • the range of patients to whom the reservation information is disclosed is set for each patient, and the reservation information of the patient is disclosed only to the patients in the set disclosure range. It becomes possible. For this reason, for example, the patient can specify in advance the destination of disclosure of his / her reservation information, thereby preventing his / her reservation information from being disclosed indefinitely.
  • the disclosure control information when the disclosure control information is generated, whether or not the visit period has ended for each of the plurality of patients is based on at least one of the information of the electronic medical record and the reservation information. Is determined, and the patient whose visit period has ended is excluded from the range of the patient to be disclosed.
  • patients whose visit period has ended are excluded from the range of patients to be disclosed. For this reason, it is possible to prevent a patient whose visit period has expired from unnecessarily viewing the reservation information of another patient who is visiting the hospital.
  • a group including two or more patients is configured based on the information of the electronic medical record among the plurality of patients, and the group is included in the group.
  • a common reservation candidate date and time is set for a plurality of patients, and information indicating the group configuration and information indicating the reservation candidate date and time are included in the disclosure control information. Then, when disclosing the patient reservation information, the common reservation candidate date and time set for the plurality of patients for each of the plurality of patients included in the group for each of the groups based on the disclosure control information. Is notified.
  • patients are automatically grouped based on information in an electronic medical record, a reservation date and time are set for each group of patients, and the reservation date and time belong to each group. Notify the patient. Therefore, patients belonging to the same group can go to the hospital at the same appointment date and time, whereby it is expected that, for example, encounters and exchanges between patients will be generated for each group.
  • the group when forming the group, is formed by selecting two or more patients whose similarity of the attribute information of the patient included in the information of the electronic medical record is a predetermined value or more.
  • a common reservation candidate date and time is set for a plurality of patients included in the group.
  • each patient belonging to the same group has similar attribute information, for example, gender, age group, medical department, visit history, etc., who visit the same appointment date and time. We can expect encounter and exchange.
  • the group when configuring the group, is configured for a plurality of patients who are receiving a common medical institution based on information of the acquired electronic medical record, A common reservation candidate date and time is set for a plurality of patients included in the group.
  • a group is formed from a plurality of patients who are attending a common medical institution or medical department, and the same reservation candidate date and time is set for each patient included in this group. Is done. For this reason, encounter between patients can be made more reliable.
  • the user when composing the group, based on the acquired electronic medical record information, consults any one of a plurality of medical institutions or medical departments existing in a preset area.
  • the group is configured for patients who are in the group, and a common medical institution selected from the plurality of medical institutions and a reservation candidate date and time are set for a plurality of patients included in the group. is there.
  • a plurality of patients who are going to the hospital or are going to visit the hospital in a distributed manner to a plurality of medical institutions or medical departments existing in the same area are included in the group.
  • a common medical institution and a reservation candidate date and time are designated for each patient. For this reason, it is possible to generate new encounters and exchanges between patients who are distributed to a plurality of medical institutions or medical departments in the same area and who go to hospital.
  • an appointment management device it is possible to provide an appointment management device, a method, and a program that can effectively support a continuous visit to a patient.
  • FIG. 1 is a block diagram showing one application example of a reservation management device according to an embodiment of the present invention.
  • FIG. 2 is a diagram illustrating an example of a medical information management system including a reservation management device according to an embodiment of the present invention.
  • FIG. 3 is a block diagram illustrating an example of a hardware configuration of the reservation management device according to the embodiment of the present invention.
  • FIG. 4 is a block diagram illustrating an example of a software configuration of the reservation management device according to the embodiment of the present invention.
  • FIG. 5 is a flowchart illustrating an example of a processing procedure and processing contents in an individual disclosure mode executed by the reservation management device illustrated in FIG. 4.
  • FIG. 6 is a flowchart illustrating an example of a processing procedure and processing contents in the group disclosure mode executed by the reservation management device illustrated in FIG. 4.
  • FIG. 1 is a block diagram showing an application example of a reservation management device according to an embodiment of the present invention, together with peripheral devices.
  • the reservation management device 1 is provided in, for example, a server operated and managed by each medical institution for each medical institution.
  • the reservation management device 1 is capable of data communication with an electronic medical record information storage unit 2 provided separately in a medical institution, for example, via a LAN (Local Area Network). Further, the reservation management device 1 can perform data communication with user terminals 3a to 3n used by patients, for example, via a public mobile communication network.
  • LAN Local Area Network
  • the electronic medical record information storage unit 2 stores, for example, attribute information of a patient's medical history, examination data, medical inquiry form data, and a doctor in charge in association with each patient's patient identification information (patient ID).
  • the attribute information also includes personal information such as the patient's name, initials, gender, age, address, and contact information.
  • the reservation management device 1 includes a control unit and a storage unit, and the storage unit includes a reservation information storage unit 1a.
  • the reservation information storage unit 1a stores, for each patient, reservation information relating to the visit of the patient in association with the patient ID.
  • the reservation information includes, for example, the date and time of the next visit to the patient, the name of the medical department and the name of the doctor in charge, and information indicating the contents of the pre-examination examination, if any.
  • the control unit of the reservation management device 1 has a reservation information management unit as a basic function.
  • the reservation information management unit controls new registration, change, and deletion of reservation information of each outpatient in the reservation information storage unit 1a in accordance with an operation of a medical staff such as a doctor in charge or a nurse.
  • the control unit of the reservation management device 1 includes an electronic medical record information acquisition unit 1b, a disclosure control information generation unit 1c, and a reservation information disclosure control unit 1d as control functions according to an embodiment of the present invention.
  • the electronic medical record information acquiring unit 1b performs a process of acquiring, from the electronic medical record information storage unit 2, the electronic medical record information of the patient whose reservation information related to the visit is stored in the reservation information storage unit 1a.
  • the disclosure control information generation unit 1c selects a patient to whom disclosure of the reservation information is permitted in advance from among a plurality of patients in which the reservation information of the outpatient is stored, and for each of the selected patients, The attribute information for which disclosure is permitted in advance is extracted from the electronic medical record information. Then, a process of generating disclosure control information including the extracted attribute information in the selected reservation information is performed.
  • the reservation information disclosure control unit 1d issues a request for disclosure of reservation information relating to another patient from the user terminal of the patient whose reservation information is stored in the reservation information storage unit 1a among the user terminals 3a to 3n possessed by the patient.
  • a process of transmitting the reservation information and the attribute information of the corresponding patient to the requesting user terminal is performed based on the generated disclosure control information.
  • the appointment information of the patient who has permitted disclosure of his / her own appointment information and the attribute information that the patient has permitted to disclose in advance Is generated, and the disclosure process of the reservation information is performed according to the disclosure control information. For this reason, by confirming the disclosed reservation information of other patients, if the reservation date and time are the same as that of a patient or acquaintance with a close friend, for example, the patient is more likely to have a willingness to go to the hospital. If the patient and the visit date are different, for example, it is possible to cope with changing the reservation date and time so that the visit date and time will be the same, and it will be possible to effectively support the continuous visit of the patient Become.
  • FIG. 2 is a diagram showing an entire configuration of a system including a reservation management device according to an embodiment of the present invention.
  • the reservation management device 10 is disposed in a medical institution such as a hospital, a clinic, a clinic, etc., together with an electronic medical records (EMR) server 20 and a doctor terminal 40.
  • EMR electronic medical records
  • the reservation management device 10, the EMR server 20, and the doctor terminal 40 can mutually transmit data via, for example, a LAN (Local Area Network) laid in the hospital.
  • LAN Local Area Network
  • the EMR server 20 stores and manages electronic medical record information of a patient who has visited a medical institution in association with a patient ID.
  • the electronic medical record information includes medical history data, examination data, medical inquiry form data, medication information, allergic information, and close history data of close relatives, in addition to information on medical departments and doctors in charge.
  • the electronic medical record information also includes personal information of the patient.
  • the personal information includes, for example, name, initials, gender, age, address, telephone number and mail address of a contact.
  • the personal information may be managed separately from the electronic medical record information.
  • the information included in the electronic medical record information and the personal information is collectively referred to as patient attribute information.
  • the doctor terminal 40 is composed of a personal computer, and performs processing such as registration, change, and addition of electronic medical record information, and processing such as registration, change, addition, and deletion of reservation information related to hospital visits in accordance with the operation of the doctor. Used for
  • the reservation management device 10 can perform data communication with the user terminals 31 to 3n used by the patient via the network 50.
  • the user terminals 31 to 3n are composed of, for example, a smartphone, a tablet terminal, or a portable personal computer, and communicate with the reservation management device 10 using an application that implements a browser function or a mailer function. , Receiving the reservation information on other patients and the reservation information set for itself.
  • the network NW includes, for example, a public network such as the Internet, and an access network for accessing the public network.
  • a public network such as the Internet
  • an access network for accessing the public network.
  • the access network for example, the above-mentioned in-hospital LAN or wireless LAN is used.
  • a wired telephone network, a CATV network, a mobile telephone network, a public wireless LAN, or the like may be used.
  • FIG. 3 is a block diagram illustrating an example of a hardware configuration of the reservation management device 10.
  • the reservation management device 10 has a hardware processor 11 such as a CPU (Central Processing Unit), for example.
  • a program memory 12A, a data memory 12B, and a communication interface unit (communication I / F) 13 are connected to the hardware processor 11 via a bus 15.
  • the communication I / F 13 transmits medical data and the like between the EMR server 20 and the doctor terminal 40 via the hospital LAN, for example, and communicates with the user terminals 31 to 3n from the hospital LAN via the external network 50.
  • Various types of data such as reservation information are transmitted between the devices.
  • the program memory 12A is a combination of a non-volatile memory such as a hard disk drive (HDD) or a solid state drive (SSD), which can be written and read at any time, and a non-volatile memory such as a ROM. And programs required to execute various control processes according to the embodiment.
  • a non-volatile memory such as a hard disk drive (HDD) or a solid state drive (SSD)
  • SSD solid state drive
  • the data memory 12B includes, as a storage medium, a combination of a nonvolatile memory such as an HDD or an SSD, which can be written and read at any time, and a volatile memory such as a RAM (Random Access Memory). It is used to store various data obtained and created in the process of managing and disclosing reservation information.
  • a nonvolatile memory such as an HDD or an SSD
  • a volatile memory such as a RAM (Random Access Memory). It is used to store various data obtained and created in the process of managing and disclosing reservation information.
  • FIG. 4 is a block diagram showing the software configuration of the reservation management apparatus 10 according to an embodiment of the present invention in association with the hardware configuration shown in FIG.
  • the program memory 12A and the data memory 12B are provided in the storage unit 12.
  • An electronic medical record information storage unit 121, a disclosure control information storage unit 122, and a reservation information storage unit 123 are provided in the storage area of the data memory 12B.
  • the electronic medical record information storage unit 121 is used to store the electronic medical record information of the outpatient acquired from the EMR server 20.
  • the disclosure control information storage unit 122 is used to store disclosure control information necessary for reservation information disclosure control.
  • the reservation information storage unit 123 is used for storing the reservation information related to the visit of the patient in association with the patient ID for each visit patient.
  • the reservation information includes, for example, information indicating the conditions for disclosing the reservation information, in addition to the information indicating the date and time of the reservation, the department and the name of the physician, and the items and contents of the examination before consultation.
  • the information indicating the disclosure condition includes information indicating whether the reservation information is permitted to be disclosed, information indicating the disclosure range of the attribute information of the patient, and information indicating the range of the disclosure partner. These pieces of information are set in advance by a medical staff such as a patient or a doctor.
  • the control unit 11 is configured by the above hardware processor, and includes an electronic medical record information acquisition unit 111, a disclosure control information generation unit 112, a disclosure control unit 113, and a reservation information management unit 114 as processing function units by software. ing. Each of these processing function units is realized by causing the hardware processor 11 to execute a program stored in the program memory 12A.
  • the electronic medical record information acquisition unit 111 selects a patient who is permitted to disclose the reservation information based on the disclosure conditions included in the reservation information, acquires the electronic medical record information of the selected patient from the EMR server 20, and A process for storing in the electronic medical record information storage unit 211 is performed.
  • the reservation management apparatus 10 includes an individual disclosure mode and a group disclosure mode as reservation information disclosure modes.
  • the individual disclosure mode generates disclosure control information for controlling disclosure of reservation information for each individual patient, and, when a request for disclosure of reservation information of another patient is received from a patient, according to the disclosure control information. This discloses the reservation information of another patient.
  • the group disclosure mode configures a group of two or more patients having similar attributes, for example, gender, age group, or medical department, based on the attribute information of the patient, and sets a common reservation candidate date and time for each group. Is the disclosure control information. Then, according to the disclosure control information, a list of the patients constituting the group, attribute information, and the reservation candidate date and time are notified to each patient belonging to the group.
  • the disclosure control information generator 112 has the following processing functions corresponding to the reservation information disclosure mode. (1) In the state where the individual disclosure mode is set, for example, for each of the patients who are permitted to disclose the reservation information, based on the information indicating the disclosure range of the attribute information included in the disclosure condition of the reservation information. And selecting attribute information included in the disclosure range from the electronic medical record information stored in the electronic medical record information storage unit 121, and displaying the disclosure destination based on the information indicating the disclosure destination included in the disclosure condition of the reservation information. Select the patient to be the first. Then, it generates disclosure control information including the selected attribute information and information indicating the patient of the disclosure destination, associates the disclosure control information with the patient ID of the patient who has permitted the disclosure of the reservation information, and stores the disclosure control information. A process to be stored in the unit 122 is performed.
  • the group disclosure mode for example, first, for each of the patients who have permitted the disclosure of the reservation information, the information indicating the disclosure range of the attribute information included in the disclosure condition of the reservation information is used.
  • attribute information included in the disclosure range is selected from the electronic medical record information stored in the electronic medical record information storage unit 121. Then, based on the selected attribute information, two or more patients whose specific attributes are similar within a predetermined range are selected, and a group is formed by the selected patients.
  • a common reservation candidate date and time is set for each patient belonging to the group for each group, and disclosure control information including information indicating the configuration of the group and the reservation date and time is generated and stored in the disclosure control information storage unit 122. Is performed.
  • the disclosure control unit 113 has the following processing functions corresponding to the above disclosure mode. (1) In a state where the individual disclosure mode is set, for example, when a request for disclosure of reservation information is received from the user terminals 31 to 3n of the patient, the reservation information of the patient corresponding to the reservation date and time included in the disclosure request and The disclosure control information is read from the reservation information storage unit 123 and the disclosure control information storage unit 122, respectively. Then, a process of transmitting the reservation information and the attribute information defined as the disclosure target in the disclosure control information to the requesting user terminal is performed. Prior to transmission, the disclosure control unit 113 determines whether or not the patient who has made the disclosure request is a disclosure partner based on the disclosure control information. Do not send information.
  • the disclosure control information corresponding to the group is read from the disclosure control information storage unit 122, and the attribute information of each patient belonging to the group is read according to the disclosure control information. And a list of information indicating the reservation candidate date and time is broadcast to the user terminals 31 to 3n of the patients belonging to the group.
  • the appointment information management unit 114 performs a process of receiving the appointment information of each patient input by the medical staff such as a doctor on the doctor terminal 40 and storing the information in the appointment information storage unit 123 in association with the patient ID.
  • the processing contents include new registration, change, addition, and deletion. Further, when a request to change the reservation information of the patient is sent from the user terminals 31 to 3n, the reservation information management unit 114 checks the validity of the patient by authenticating the user and then changes the reservation information of the patient in response to the change request. Perform the process of changing.
  • the reservation management device 10 fetches information indicating the next reservation date and time input from the doctor terminal 40, and stores the information indicating the reservation date and time in the medical department, the doctor's name,
  • the reservation information is stored in the reservation information storage unit 123 as reservation information together with the inspection order information and the like.
  • the reservation information management unit 114 provides information indicating disclosure conditions for each patient, for example, information indicating whether to permit the disclosure of the reservation information and information indicating the disclosure range of the attribute information, for each patient according to the request of the patient or the judgment of the medical staff. And input of information indicating permission or rejection of the disclosure partner, and the information is included in the reservation information and stored in the reservation information storage unit 123.
  • FIG. 5 is a flowchart illustrating an example of a processing procedure and processing contents of the reservation management apparatus 10 when the individual disclosure mode is set.
  • step S11 a patient who is permitted to disclose the reservation information is selected from the patients included in the list based on the disclosure conditions included in the reservation information.
  • step S12 the electronic medical record information of the patient whose disclosure is permitted is acquired from the EMR server 20 via the network 50, and the acquired electronic medical record information is stored in the electronic medical record information storage unit 121 in association with the patient ID. Let it. At this time, of the information included in the electronic medical record information, only the information of the medical department and the personal information of the patient may be obtained.
  • step S13 the disclosure condition contained in the reservation information of the selected patient is read from the reservation information storage unit 123.
  • step S15 based on the information indicating the disclosure range of the attribute information included in the disclosure condition, the attribute information included in the disclosure range is extracted from the electronic medical record information of the patient stored in the electronic medical record information storage unit 121. select. For example, the department, name, initials, gender, and age are selected.
  • the disclosure control information generation unit 112 selects the range of the patient to be the disclosure partner based on the information indicating the disclosure partner included in the disclosure conditions. For example, if the name of another patient already known is registered as information indicating the range of the disclosure destination, the registered patient is selected as the disclosure destination.
  • information indicating the disclosure destination in addition to the patient name, for example, a group name of a patient suffering from the same disease, a medical department or a doctor in charge, and the name of a doctor in charge are registered. A patient who is present and a patient who is receiving the same medical department may be selected as the disclosure destination. In any case, the disclosure destination should not include patients whose visit period has ended.
  • step S17 the disclosure control information generation unit 112 generates disclosure control information including the selected attribute information and information indicating a disclosure destination, and transmits the disclosure control information to the patient who has permitted the disclosure of the reservation information. Is stored in the disclosure control information storage unit 122 in association with the patient ID.
  • the disclosure control information generation unit 112 repeatedly executes the processing in steps S13 to S17 described above for each patient who is permitted to disclose the reservation information. Then, when it is determined in step S18 that the generation of the disclosure control information has been completed for all target patients, a standby state is set.
  • the reservation management device 10 performs the process of acquiring the electronic medical record information and the process of generating the disclosure control information in steps S10 to S18 periodically or every time the reservation information of one patient is updated. And updates the disclosure control information.
  • the reservation date and time from the reservation information storage unit 123 includes the desired disclosure date and time included in the disclosure request. Select all patients who meet. For example, if the desired disclosure date and time is designated as “morning of ⁇ / ⁇ ”, all the patients whose reservation date and time are included in the morning of ⁇ / ⁇ are selected.
  • the desired reservation date and time may be a day of the week or a week other than the date, and can be arbitrarily specified according to the patient's request. Further, the department name and the doctor in charge may be specified in the disclosure request.
  • the disclosure control unit 113 reads the disclosure control information corresponding to each of the selected patients from the disclosure control information storage unit 122.
  • the disclosure control information includes attribute information that can be disclosed and information indicating a patient who is permitted as a disclosure destination.
  • the disclosure control unit 113 selects, from among the read disclosure control information of each patient, first, the disclosure control information of the patient who has permitted the disclosure requesting patient as a disclosure partner. Further, the disclosure control unit 113 specifies the disclosure target attribute information based on the disclosure control information of each of the selected patients. Then, for each of the selected patients, the reservation information is read from the reservation information storage unit 123, the disclosure information including the reservation information and the specified attribute information is generated, and the disclosure information of the patient who has requested the disclosure of the disclosure information is generated. It is transmitted from the communication interface unit 13 to the user terminal 31.
  • the user terminal 31 of the patient who has made the disclosure request has the reservation information and the attribute information of each patient who has licensed the patient who has made the disclosure request as a disclosure destination among all the patients reserved at the desired date and time of disclosure. Is transmitted and, for example, a list is displayed on the display.
  • the patient who has made a disclosure request finds, for example, a patient who is acquainted or a patient who has no acquaintance but has the same medical department and is close in gender and age. be able to. Then, a change request is made to the reservation management apparatus 10 so that, for example, its own reservation date and time are the same as those of these patients.
  • the reservation management device 10 determines whether or not the patient can change the reservation date and time under the control of the reservation information management unit 114, and if possible, changes the patient's information in the reservation information storage unit 123 if possible. Change reservation information.
  • the medical staff judges whether or not the change is possible and performs the change operation on the doctor terminal 40.
  • FIG. 6 is a flowchart illustrating an example of a processing procedure and processing contents of the reservation management device 10 when the group disclosure mode is set.
  • the reservation management apparatus 10 Under the control of the electronic medical record information acquisition unit 111, the reservation management apparatus 10 first reads a list of patients whose reservation information is temporarily registered from the reservation information storage unit 123 in step S30. . In other words, a list of patients requiring hospital visits is read. Next, in step S31, a patient who is permitted to disclose the reservation information is selected from the patients included in the list based on the disclosure conditions included in the reservation information. In step S32, the electronic medical record information of the patient whose disclosure is permitted is acquired from the EMR server 20 via the network 50, and the acquired electronic medical record information is stored in the electronic medical record information storage unit 121 in association with the patient ID. Let it. In this case, among the information included in the electronic medical record information, only the information of the medical department and the personal information of the patient may be acquired.
  • the reservation management device 10 sets the reservation for each of the patients whose disclosure of the reservation information is permitted in step S33.
  • the attribute information included in the disclosure range is read from the electronic medical record information storage unit 121 based on the information indicating the disclosure range of the attribute information included in the information.
  • step S34 the disclosure control information generation unit 112 compares the attribute information of each patient, extracts a group of patients whose similarity is equal to or greater than a predetermined value based on the comparison result, and identifies a group of these patients.
  • the disclosure control information generation unit 112 first extracts a group of patients having the same medical department and the same gender, and then an age difference within a predetermined range from these patients, for example, an age difference of 5 years. Extract multiple patients within. Then, a group is formed by the extracted patients.
  • a group of patients having the same medical department or gender may be included in one group, or a group of patients whose age difference is within a predetermined range may be included in one group. Further, a group may be formed by extracting a group of patients having similar visit history within a predetermined range, or a group of patients may be formed by extracting a group of patients having the same or the same type of symptoms. You may. Further, the group may be configured so that patients who have been placed in the same group in the past are preferentially included in the same group.
  • the reservation management apparatus 10 obtains in advance the date and time of desired visit to each patient, and in consideration of the desired date and time of visit, selects a patient whose desired date and time is, for example, the greatest common denominator, and selects the selected patient. May be configured to be included in the same group.
  • step S35 the disclosure control information generation unit 112 sets a common reservation candidate date and time for each of the plurality of patients belonging to the group configured as described above. If the number of patients belonging to a group exceeds the maximum number of patients that can be treated in one unit of appointment time slot, the above group is divided into a plurality of small groups, and the reservation candidate date and time are set for each of these small groups. You may make it. In this case, the patients may be divided according to the similarity of the attributes, or may be simply divided equally according to the number of persons. Further, the number of reservation appointment dates and times is not limited to one, and a plurality may be set so that the patient can select a desired date and time from the plurality of reservation candidate dates and times.
  • step S36 the disclosure control information generation unit 112 assigns a list of patients constituting the group, a disclosure range of attribute information for each patient, and a common assignment to each patient in each of the groups.
  • the disclosure control information including the reservation candidate date and time is generated and stored in the disclosure control information storage unit 122.
  • the disclosure control information generation unit 112 executes the above-described disclosure control information generation processing in steps S34 to S36 for each group. Then, when it is confirmed in step S37 that the generation of the disclosure control information for all the groups has been completed, the generation of the disclosure control information is completed.
  • the reservation management device 10 executes the disclosure control of the reservation information as described below under the control of the disclosure control unit 113. That is, the disclosure control unit 113 first reads the disclosure control information for each group from the disclosure control information storage unit 122 in step S38. Then, according to the disclosure control information, notification information including a list of each patient belonging to the group, attribute information for each patient, and a common reservation candidate date and time is transmitted to the user terminals 31 to 3n of each patient belonging to the group. The broadcast is transmitted from the interface unit 13.
  • the transmission processing of the notification information of each group described above is repeatedly executed until it is confirmed in step S39 that the transmission of the notification information to all the groups is completed.
  • the notification information transmitted from the reservation management device 10 is received by each of the user terminals 31 to 3n, and is displayed on, for example, a display.
  • the patient can recognize the reservation candidate date and time assigned to the patient and can confirm the list and attribute information of other patients for whom the reservation candidate date and time are set in the same time zone.
  • each patient belonging to the same group is a patient whose attribute information matches or is similar to each other. Therefore, by looking at the patient list of the received notification information, it is highly probable that a patient who is acquainted or who does not yet have acquaintance but has common or similar attributes to himself / herself is highly likely to be found. Maintenance and improvement can be expected.
  • the patient accesses the reservation management device 10 from his / her own user terminals 31 to 3n and issues a request to change the reservation date and time.
  • the reservation management device 10 changes the reservation information of the corresponding patient in response to the change request, and updates the reservation information stored in the reservation information storage unit 123.
  • the change of the reservation candidate date and time for example, the patient verbally contacts the medical staff by telephone, and in response to this, the medical staff performs a process of updating the reservation information of the corresponding patient from the doctor terminal 40 to the reservation management apparatus 10. It can also be realized.
  • the reservation information management unit 114 when the reservation information management unit 114 does not receive the change request within a preset time after transmitting the notification information, the patient approves the reservation candidate date and time notified by the notification information.
  • the reservation candidate date and time are determined as the reservation date and time.
  • the reservation management apparatus 10 determines, for each of the patients who have permitted disclosure of their own reservation information, the patient of the disclosure partner based on the disclosure conditions included in the reservation information. , And disclosure control information including the disclosure range of the attribute information. Then, when a request for disclosure of reservation information of another patient is received from a patient, all the patients reserved at the desired disclosure date and time specified by the disclosure request are selected, and based on the disclosure control information of each of the patients.
  • the disclosure information including the reservation information and the attribute information of each of the selected patients, selecting each patient who permits the disclosure requesting patient as a disclosure destination and selecting attribute information included in the disclosure range. Is transmitted to the user terminal of the patient who has made the disclosure request.
  • the patient can check a list of reservation information of another patient reserved at the desired date and time of disclosure together with attribute information of the patient. For example, in the same time zone as the patient's appointment date and time, if you find a patient you know or a patient who has no acquaintance but has the same medical department but a similar gender or age, you were reluctant to go to the hospital, for example.
  • the patient's mood can be sent to the hospital. Also, even when the patient's own visit reservation date and time is different from the above-discovered visit visit date and time of the acquaintance's patient, for example, a request to change the patient's visit visit date and time to the same date and time as the above-mentioned acquaintance patient etc Is also possible. That is, according to one embodiment, the patient's outpatient reservation information can be used as a new community formation tool, and it is expected that the patient's willingness to visit the hospital will be improved.
  • the range of the disclosure partner can be limited, thereby preventing the reservation information of the user from being disclosed indefinitely. For example, by limiting the disclosure destination to patients who are visiting the hospital, it is possible to prevent the reservation information of other patients who are visiting the hospital from being disclosed even if a disclosure request is transmitted from a patient whose visit period has ended. Further, since the disclosure range of the attribute information of the patient is set as one of the disclosure conditions, it is possible to prevent the disclosure of the attribute that the patient does not want to disclose.
  • the reservation management apparatus 10 determines whether the attribute information matches or the degree of similarity falls within a predetermined range based on the electronic medical record information of the patient to whom the disclosure of the reservation information is permitted. To form a group of these patients. Then, a common reservation candidate date and time is set for each group, and disclosure control information including a list of patients constituting the group, a disclosure range of attribute information, and a reservation candidate date and time is generated for each group. Next, based on the disclosure control information, for each group, notification information including a list of patients constituting the group, attribute information, and appointment candidate date and time is sent to the user terminals 31 to 3n of the patients belonging to the group. Broadcast transmission is used.
  • EHR electronic health record
  • a patient is acquired from the electronic medical record information, and a patient whose attribute information matches or is similar is extracted based on the acquired electronic medical record information to form a group. Then, a common reservation candidate date and time is set for a plurality of patients belonging to the group.
  • a medical institution suitable for a hospital visit is selected based on the address of each patient and the address of each medical institution in the area included in the electronic medical record information acquired from the EHR server. Then, it generates disclosure control information including the set common reservation candidate date and time and information indicating the medical institution of the hospital destination, and according to this disclosure control information, to the user terminal possessed by each patient belonging to the group, A list of patients belonging to the group, a common reservation candidate date and time, and information indicating the medical institution at the hospital are broadcast.
  • a plurality of patients having similar attributes and the like are grouped not in units of medical institutions but in units of regions, and a common appointment date and a common medical institution are designated for each patient belonging to this group. . Therefore, the patient will be provided with an opportunity to visit patients with similar symptoms, treatment courses, ages, etc., using the opportunity to visit the hospital, and the patient will be able to maintain or increase motivation to visit the hospital. Become. That is, also in this example, it is possible to provide a reservation management device and a reservation management method capable of supporting a patient to go to the hospital continuously.
  • the present invention is not limited to the above-described embodiment as it is, and can be embodied by modifying its constituent elements in an implementation stage without departing from the scope of the invention.
  • Various inventions can be formed by appropriately combining a plurality of constituent elements disclosed in the above embodiments. For example, some components may be deleted from all the components shown in the embodiment. Further, components of different embodiments may be appropriately combined.
  • reservation management device 1a reservation information storage unit 1b: electronic medical record information acquisition unit 1c: disclosure control information generation unit 1d: reservation information disclosure control unit 2: electronic medical record information storage unit 3a to 3n, 31 to 3n: user Terminal 11 control unit 12 storage unit 13 communication interface unit 20 EMR server 40 doctor terminal 50 network 111 electronic medical record information acquisition unit 112 disclosure control information generation unit 113 disclosure control unit 114 reservation information management unit 121: electronic medical record information storage unit 122: disclosure control information storage unit 123: reservation information storage unit

Abstract

The present invention makes it possible to effectively support a patient in going to the hospital on an ongoing basis. An appointment management device 1 that, when an individual disclosure mode has been set, for each patient who has authorized the disclosure of appointment information for themselves, uses disclosure conditions that are included in the appointment information to generate disclosure control information that includes information indicating patients to whom disclosures can be made and the scope of disclosure of attribute information. Then, when a disclosure request for appointment information has been received from a patient, the appointment management device 1: selects all of the patients who have an appointment at a disclosed desired date/time designated by the disclosure request, uses the disclosure control information of the patients to select patients who have authorized the patient who made the disclosure request as a patient to whom disclosures can be made, and to select the attribute information included in the scope of disclosure; and transmits disclosure information that includes appointment information and attribute information for the selected patients to a user terminal of the patient who made the disclosure request.

Description

予約管理装置、予約管理方法およびプログラムReservation management device, reservation management method and program
　本発明は、例えば、医療機関に対する通院予約の情報を管理する予約管理装置、方法およびプログラムに関する。 The present invention relates to, for example, a reservation management device, a method, and a program for managing information on outpatient reservation for a medical institution.
　近年、医療機関では患者の容態や治療過程を記録するカルテを、問診票や患者の個人情報とともに電子化し、これをＥＭＲ（Electronic Medical Records）情報として記録するシステムを導入している医療機関が増加している。ＥＭＲデータを用いることで、例えば、医師は自身の端末において、患者の検査データや診療履歴を総合的に管理することが可能となる。 In recent years, medical institutions have increased the number of medical institutions that have introduced a system that digitizes medical records that record the patient's condition and treatment process, together with medical questionnaires and patient personal information, and records this as EMR (Electronic Medical Records) information. doing. By using the EMR data, for example, a doctor can comprehensively manage examination data and medical treatment history of a patient at his / her own terminal.
　また、医療機関では通院患者に対する予約情報を管理し、この予約情報に基づいて患者の診療を行うことで、多くの患者について日時を分けて待ち時間が長くならないように効率良く診療できるようにしている。例えば、特許文献１には、予めサービスの予約者の待ち時間の上限値（条件）を設定し、予約者の条件を満たすような空き枠を決めることにより、新たな利用者の予約を適切な空き枠に割り当てることができ、待ち時間を短縮することができる旨が記載されている。 In addition, medical institutions manage appointment information for outpatients and treat patients based on this appointment information so that many patients can be treated efficiently by dividing the date and time so that waiting time does not increase. I have. For example, in Patent Literature 1, an upper limit value (condition) of a waiting time of a service reservation person is set in advance, and an empty frame satisfying the condition of the reservation person is determined, so that a new user reservation can be appropriately performed. It is described that it can be assigned to an empty frame, and the waiting time can be reduced.
日本国特開２０１１－１５９０２４号公報Japanese Patent Application Laid-Open No. 2011-159024
　ところで、一般に患者にとって通院は面倒なものであり、たとえ待ち時間が短縮されてもその他の理由により通院を怠ってしまうことがある。例えば、多忙だったり、医療機関が遠方だったり、医療機関での処置が苦痛だったりすると、通院を敬遠しがちになることが多い。また、自覚症状がない場合や緩和された場合にも、患者は通院を勝手に中断してしまう場合が想定される。 By the way, hospital visits are generally troublesome for patients, and even if the waiting time is shortened, they may fail to visit the hospital for other reasons. For example, if the person is busy, the medical institution is far away, or the treatment at the medical institution is painful, it tends to avoid hospital visits. In addition, even when there is no subjective symptom or when the condition is alleviated, it is assumed that the patient will arbitrarily interrupt the hospital visit.
　しかしながら、通院を怠ることは、病状の悪化や処置の遅れ等の事態を生じかねず非常に好ましくない。従って、患者に通院を継続させるための新たな対策が切望されている。 However, neglecting to go to the hospital is very undesirable because it may cause deterioration of the medical condition and delay in treatment. Therefore, there is a long-felt need for new countermeasures to keep patients going to hospital.
　この発明は、上記事情を鑑みて成されたもので、一側面では、患者の継続的な通院を効果的に支援できるようにした予約管理装置、方法およびプログラムを提供しようとするものである。 The present invention has been made in view of the above circumstances, and in one aspect, it is an object of the present invention to provide a reservation management device, a method, and a program that can effectively support continuous visits to patients.
　この発明に係る予約管理装置および方法の第１の態様は、医療機関に対する患者の予約情報が記録された予約管理情報部を含む記憶部と、ネットワークを介して外部と通信可能な通信部と、前記記憶部と前記通信部とを制御可能な制御部とを備える。そして、制御部により、複数の患者の各々について、当該患者を識別する患者識別情報に関連付けられた少なくとも前記患者の電子カルテの情報を取得し、取得された前記電子カルテの情報と前記予約管理情報部に記録された予約情報との少なくとも一方に基づいて、前記複数の患者の各々についてその予約情報を前記複数の患者間で開示可能とするか否かを表す開示制御情報を生成し、生成された前記開示制御情報に基づいて前記複数の患者の各々についてその予約情報の開示制御を行うようにしたものである。 A first aspect of an appointment management device and method according to the present invention is a storage unit including an appointment management information unit in which appointment information of a patient for a medical institution is recorded, a communication unit that can communicate with the outside via a network, A control unit capable of controlling the storage unit and the communication unit; The control unit acquires, for each of the plurality of patients, at least information on the electronic medical record of the patient associated with patient identification information for identifying the patient, and acquires the acquired information on the electronic medical record and the reservation management information. Based on at least one of the reservation information recorded in the unit, generating disclosure control information indicating whether or not the reservation information can be disclosed among the plurality of patients for each of the plurality of patients, The disclosure control of the reservation information is performed for each of the plurality of patients based on the disclosure control information.
　この発明の第１の態様によれば、各患者の予約情報が患者間で開示される。このため、患者は、例えば仲の良い患者や知り合いの患者の予約日時等を確認することが可能となる。そして、予約日時が、仲の良い患者や知り合いの患者と同一であれば、患者に通院意欲を生じさせることができる。また、通院日時が仲の良い患者や知り合いの患者と異なる場合には、例えば通院日時が同じになるように通院予約を変更するといった対応が可能となり、これにより患者の通院の継続を効果的に支援することができる。 According to the first aspect of the present invention, the reservation information of each patient is disclosed between the patients. For this reason, the patient can confirm, for example, the reservation date and time of a close patient or a known patient. Then, if the reservation date and time are the same as those of a close friend or a friend, the patient can be motivated to go to hospital. If the date and time of the visit are different from those of a good friend or an acquaintance, for example, it is possible to change the appointment schedule so that the visit date and time will be the same, thereby effectively supporting the continuation of the patient's visit. can do.
　この発明の第２の態様は、前記開示制御情報を生成する際に、複数の患者の各々についてその予約情報に対する開示の許否を表す情報を取得し、取得された前記開示の許否を表す情報に基づいて開示制御情報を生成するようにしたものである。 According to a second aspect of the present invention, when the disclosure control information is generated, information indicating permission or prohibition of disclosure of the reservation information is acquired for each of a plurality of patients, and the acquired information indicating permission or prohibition of disclosure is obtained. The disclosure control information is generated based on this.
　この発明の第２の態様によれば、例えば、患者が自身の予約情報の開示の許否を予約管理装置に対し要求することで、患者の要求に応じて、通院予定を他の患者に開示するようにしたり、反対に通院予定が他の患者に開示されないようにすることができる。また、医療従事者が予約日時ごとに予約情報の開示の許否を指定することで、例えば特定の診療日や時間帯における予約情報が開示されないようにすることができる。 According to the second aspect of the present invention, for example, a patient requests the reservation management apparatus to permit or prohibit disclosure of his / her reservation information, so that the patient's schedule is disclosed to other patients in response to the patient's request. Or, conversely, the visit may not be disclosed to other patients. In addition, by specifying whether to disclose the reservation information for each reservation date and time by the medical worker, it is possible to prevent the reservation information on a specific medical treatment day or time zone from being disclosed.
　この発明の第３の態様は、前記開示制御情報を生成する際に、取得された前記電子カルテの情報に基づいて、前記複数の患者の各々について当該患者に係る属性情報の開示範囲を設定し、当該属性情報の開示範囲を前記開示制御情報に含めるようにする。そして、患者の予約情報を開示する際に、前記開示制御情報に基づいて、開示が可能な患者の予約情報に前記開示範囲に含まれる属性情報を含めるようにしたものである。 According to a third aspect of the present invention, when the disclosure control information is generated, a disclosure range of attribute information on the patient is set for each of the plurality of patients based on the acquired electronic medical record information. The disclosure range of the attribute information is included in the disclosure control information. Then, when disclosing the patient reservation information, based on the disclosure control information, the attribute information included in the disclosure range is included in the patient reservation information that can be disclosed.
　この発明の第３の態様によれば、患者の予約情報を開示する際に、当該患者の属性情報の開示範囲、例えば名前、イニシャル、受診する診療科、性別、年齢、住所および連絡先等のうちどの情報を開示範囲とするかを事前に設定することができる。 According to the third aspect of the present invention, when disclosing the reservation information of a patient, the disclosure range of the attribute information of the patient, such as the name, initials, medical department to be consulted, gender, age, address and contact information, etc. Which information is to be the disclosure range can be set in advance.
　この発明の第４の態様は、前記開示制御情報を生成する際に、取得された前記電子カルテの情報に基づいて、前記複数の患者の各々について開示相手先となる患者の範囲を設定し、当該開示相手先の患者の範囲を前記開示制御情報に含める。そして、患者の予約情報を開示する際に、前記開示制御情報に基づいて、開示が可能な患者の予約情報を前記開示相手先として設定された患者に限り開示するようにしたものである。 According to a fourth aspect of the present invention, when generating the disclosure control information, based on the acquired information on the electronic medical record, a range of patients to be disclosure partners is set for each of the plurality of patients, The range of the patient of the disclosure partner is included in the disclosure control information. When disclosing the patient reservation information, the patient reservation information that can be disclosed is disclosed only to the patient set as the disclosure partner based on the disclosure control information.
　この発明の第４の態様によれば、患者ごとにその予約情報の開示相手先となる患者の範囲が設定され、この設定された開示範囲の患者に対してのみ上記患者の予約情報の開示が可能となる。このため、例えば患者は自身の予約情報の開示相手先を事前に指定することが可能となり、これにより自身の予約情報が無制限に開示されないようにすることができる。 According to the fourth aspect of the present invention, the range of patients to whom the reservation information is disclosed is set for each patient, and the reservation information of the patient is disclosed only to the patients in the set disclosure range. It becomes possible. For this reason, for example, the patient can specify in advance the destination of disclosure of his / her reservation information, thereby preventing his / her reservation information from being disclosed indefinitely.
　この発明の第５の態様は、前記開示制御情報を生成する際に、前記電子カルテの情報および前記予約情報の少なくとも一方に基づいて、前記複数の患者の各々について通院期間が終了したか否かを判定し、通院期間が終了した患者を前記開示相手先となる患者の範囲から除外するようにしたものである。 According to a fifth aspect of the present invention, when the disclosure control information is generated, whether or not the visit period has ended for each of the plurality of patients is based on at least one of the information of the electronic medical record and the reservation information. Is determined, and the patient whose visit period has ended is excluded from the range of the patient to be disclosed.
　この発明の第５の態様によれば、通院期間が終了した患者は開示相手先となる患者の範囲から除外される。このため、通院期間が終了した患者が通院中の他の患者の予約情報をむやみに閲覧できないようにすることができる。 According to the fifth aspect of the present invention, patients whose visit period has ended are excluded from the range of patients to be disclosed. For this reason, it is possible to prevent a patient whose visit period has expired from unnecessarily viewing the reservation information of another patient who is visiting the hospital.
　この発明の第６の態様は、前記開示制御情報を生成する際に、複数の前記患者のうち、前記電子カルテの情報に基づいて２以上の患者を含むグループを構成し、当該グループに含まれる複数の患者に対し共通の予約候補日時を設定し、前記グループの構成を表す情報と前記予約候補日時を表す情報を前記開示制御情報に含める。そして、患者の予約情報を開示する際に、前記開示制御情報に基づいて、前記グループごとに当該グループに含まれる複数の患者に対し、当該複数の患者に対し設定された前記共通の予約候補日時を通知するようにしたものである。 According to a sixth aspect of the present invention, when the disclosure control information is generated, a group including two or more patients is configured based on the information of the electronic medical record among the plurality of patients, and the group is included in the group. A common reservation candidate date and time is set for a plurality of patients, and information indicating the group configuration and information indicating the reservation candidate date and time are included in the disclosure control information. Then, when disclosing the patient reservation information, the common reservation candidate date and time set for the plurality of patients for each of the plurality of patients included in the group for each of the groups based on the disclosure control information. Is notified.
　この発明の第６の態様によれば、例えば、電子カルテの情報に基づいて患者が自動的にグループ化され、この患者のグループごとに予約日時が設定されて、当該予約日時がグループに属する各患者に通知される。このため、同一グループに属する患者は同じ予約日時に通院することが可能となり、これにより例えばグループごとに患者間の出会いや交流が生まれることが期待できる。 According to the sixth aspect of the present invention, for example, patients are automatically grouped based on information in an electronic medical record, a reservation date and time are set for each group of patients, and the reservation date and time belong to each group. Notify the patient. Therefore, patients belonging to the same group can go to the hospital at the same appointment date and time, whereby it is expected that, for example, encounters and exchanges between patients will be generated for each group.
　この発明の第７の態様は、前記グループを構成する際に、前記電子カルテの情報に含まれる患者の属性情報の類似度合いが所定値以上となる２以上の患者を選択してグループを構成し、当該グループに含まれる複数の患者に対し共通の予約候補日時を設定するようにしたものである。 According to a seventh aspect of the present invention, when forming the group, the group is formed by selecting two or more patients whose similarity of the attribute information of the patient included in the information of the electronic medical record is a predetermined value or more. A common reservation candidate date and time is set for a plurality of patients included in the group.
　この発明の第７の態様によれば、属性情報の類似度合いが所定値以上となる２以上の患者が選択されてこれによりグループが構成される。このため、同一グループに属する各患者は属性情報、例えば性別、年齢層、診療科、通院履歴等が類似する者同士が同一の予約日時に通院することになり、これにより患者間のより親密な出会いや交流が生まれることが期待できる。 According to the seventh aspect of the present invention, two or more patients whose degree of similarity of the attribute information is equal to or more than a predetermined value are selected, and a group is formed by this. For this reason, each patient belonging to the same group has similar attribute information, for example, gender, age group, medical department, visit history, etc., who visit the same appointment date and time. We can expect encounter and exchange.
　この発明の第８の態様は、前記グループを構成する際に、取得された電子カルテの情報に基づいて、共通の医療機関を受診している複数の前記患者を対象に前記グループを構成し、当該グループに含まれる複数の患者に対し共通の予約候補日時を設定するようにしたものである。 According to an eighth aspect of the present invention, when configuring the group, the group is configured for a plurality of patients who are receiving a common medical institution based on information of the acquired electronic medical record, A common reservation candidate date and time is set for a plurality of patients included in the group.
　この発明の第８の態様によれば、共通の医療機関または診療科を受診している複数の患者の中でグループが構成され、このグループに含まれる各患者に対し同一の予約候補日時が設定される。このため、患者間の出会いをより確実なものにすることができる。 According to the eighth aspect of the present invention, a group is formed from a plurality of patients who are attending a common medical institution or medical department, and the same reservation candidate date and time is set for each patient included in this group. Is done. For this reason, encounter between patients can be made more reliable.
　この発明の第９の態様は、前記グループを構成する際に、取得された前記電子カルテの情報に基づいて、予め設定された地域内に存在する複数の医療機関または診療科のいずれかを受診している患者を対象に前記グループを構成し、当該グループに含まれる複数の患者に対し前記複数の医療機関の中から選択された共通の医療機関と予約候補日時を設定するようにしたものである。 According to a ninth aspect of the present invention, when composing the group, based on the acquired electronic medical record information, the user consults any one of a plurality of medical institutions or medical departments existing in a preset area. The group is configured for patients who are in the group, and a common medical institution selected from the plurality of medical institutions and a reservation candidate date and time are set for a plurality of patients included in the group. is there.
　この発明の第９の態様によれば、同一地域に存在する複数の医療機関または診療科に分散して通院しているか、または通院しようとしている複数の患者をグループ化して、このグループに含まれる各患者に対し共通の医療機関と予約候補日時が指定される。このため、同一地域内の複数の医療機関または診療科に分散して通院している患者間で新たな出会いや交流を生じさせることが可能となる。 According to the ninth aspect of the present invention, a plurality of patients who are going to the hospital or are going to visit the hospital in a distributed manner to a plurality of medical institutions or medical departments existing in the same area are included in the group. A common medical institution and a reservation candidate date and time are designated for each patient. For this reason, it is possible to generate new encounters and exchanges between patients who are distributed to a plurality of medical institutions or medical departments in the same area and who go to hospital.
　本発明の一側面によれば、患者の継続的な通院を効果的に支援することを可能にした予約管理装置、方法およびプログラムを提供することができる。 According to one aspect of the present invention, it is possible to provide an appointment management device, a method, and a program that can effectively support a continuous visit to a patient.
図１は、この発明の一実施形態に係る予約管理装置の一適用例を示すブロック図である。FIG. 1 is a block diagram showing one application example of a reservation management device according to an embodiment of the present invention. 図２は、この発明の一実施形態に係る予約管理装置を含む医療情報管理システムの一例を示す図である。FIG. 2 is a diagram illustrating an example of a medical information management system including a reservation management device according to an embodiment of the present invention. 図３は、この発明の一実施形態に係る予約管理装置のハードウェア構成の一例を示すブロック図である。FIG. 3 is a block diagram illustrating an example of a hardware configuration of the reservation management device according to the embodiment of the present invention. 図４は、この発明の一実施形態に係る予約管理装置のソフトウェア構成の一例を示すブロック図である。FIG. 4 is a block diagram illustrating an example of a software configuration of the reservation management device according to the embodiment of the present invention. 図５は、図４に示した予約管理装置により実行される個別開示モードによる処理手順および処理内容の一例を示すフローチャートである。FIG. 5 is a flowchart illustrating an example of a processing procedure and processing contents in an individual disclosure mode executed by the reservation management device illustrated in FIG. 4. 図６は、図４に示した予約管理装置により実行されるグループ開示モードによる処理手順および処理内容の一例を示すフローチャートである。FIG. 6 is a flowchart illustrating an example of a processing procedure and processing contents in the group disclosure mode executed by the reservation management device illustrated in FIG. 4.
　以下、本発明の一側面に係る実施の形態を図面に基づいて説明する。ただし、以下で説明する実施形態は、あらゆる点においてこの発明の例示に過ぎない。 Hereinafter, an embodiment according to one aspect of the present invention will be described with reference to the drawings. However, the embodiments described below are merely examples of the present invention in every respect.
　［適用例］
　先ず、この発明の一実施形態に係る予約管理装置の一つの適用例を説明する。　
　図１は、この発明の一実施形態に係る予約管理装置の一適用例を周辺の装置と共に図示したブロック図である。 [Application example]
First, one application example of a reservation management device according to an embodiment of the present invention will be described.
FIG. 1 is a block diagram showing an application example of a reservation management device according to an embodiment of the present invention, together with peripheral devices.
　予約管理装置１は、例えば、医療機関ごとに当該医療機関が運用管理するサーバに設けられる。予約管理装置１は、医療機関内に別途設けられている電子カルテ情報記憶部２との間で例えばＬＡＮ（Local Area Network）を介してデータ通信が可能になっている。また予約管理装置１は、患者が各々使用するユーザ端末３ａ～３ｎとの間で、例えば公衆移動通信ネットワークを介してデータ通信が可能となっている。 The reservation management device 1 is provided in, for example, a server operated and managed by each medical institution for each medical institution. The reservation management device 1 is capable of data communication with an electronic medical record information storage unit 2 provided separately in a medical institution, for example, via a LAN (Local Area Network). Further, the reservation management device 1 can perform data communication with user terminals 3a to 3n used by patients, for example, via a public mobile communication network.
　電子カルテ情報記憶部２には、例えば、患者ごとにその患者識別情報（患者ＩＤ）に関連付けて、患者の診療履歴、検査データ、問診票データおよび担当医等の属性情報が記憶されている。属性情報には、患者の氏名、イニシャル、性別、年齢、住所、連絡先等の個人情報も含まれる。 The electronic medical record information storage unit 2 stores, for example, attribute information of a patient's medical history, examination data, medical inquiry form data, and a doctor in charge in association with each patient's patient identification information (patient ID). The attribute information also includes personal information such as the patient's name, initials, gender, age, address, and contact information.
　予約管理装置１は、制御部と記憶部を備え、記憶部には予約情報記憶部１ａが設けられている。予約情報記憶部１ａには、患者ごとにその患者ＩＤと関連付けて患者の通院に係る予約情報が記憶される。この予約情報には、例えば、患者の次回の通院日時、診療科名および担当医の氏名、受診前検査がある場合にはその内容を表す情報が含まれる。 The reservation management device 1 includes a control unit and a storage unit, and the storage unit includes a reservation information storage unit 1a. The reservation information storage unit 1a stores, for each patient, reservation information relating to the visit of the patient in association with the patient ID. The reservation information includes, for example, the date and time of the next visit to the patient, the name of the medical department and the name of the doctor in charge, and information indicating the contents of the pre-examination examination, if any.
　予約管理装置１の制御部は、基本機能として予約情報管理部を備えている。予約情報管理部は、担当医や看護師等の医療スタッフの操作に応じて、上記予約情報記憶部１ａに対し、各通院患者の予約情報の新規登録、変更および削除を制御する。また予約管理装置１の制御部は、この発明の一実施形態に係る制御機能として、電子カルテ情報取得部１ｂと、開示制御情報生成部１ｃと、予約情報開示制御部１ｄとを備えている。 The control unit of the reservation management device 1 has a reservation information management unit as a basic function. The reservation information management unit controls new registration, change, and deletion of reservation information of each outpatient in the reservation information storage unit 1a in accordance with an operation of a medical staff such as a doctor in charge or a nurse. The control unit of the reservation management device 1 includes an electronic medical record information acquisition unit 1b, a disclosure control information generation unit 1c, and a reservation information disclosure control unit 1d as control functions according to an embodiment of the present invention.
　電子カルテ情報取得部１ｂは、上記予約情報記憶部１ａに通院に係る予約情報が記憶されている患者の電子カルテ情報を、上記電子カルテ情報記憶部２から取得する処理を行う。 The electronic medical record information acquiring unit 1b performs a process of acquiring, from the electronic medical record information storage unit 2, the electronic medical record information of the patient whose reservation information related to the visit is stored in the reservation information storage unit 1a.
　開示制御情報生成部１ｃは、上記通院の予約情報が記憶されている複数の患者の中から事前に予約情報の開示を許諾している患者を選択し、選択された患者の各々について当該患者が事前に開示を許諾した属性情報を上記電子カルテ情報から抽出する。そして、抽出された上記属性情報を、選択された上記予約情報に含めた開示制御情報を生成する処理を行う。 The disclosure control information generation unit 1c selects a patient to whom disclosure of the reservation information is permitted in advance from among a plurality of patients in which the reservation information of the outpatient is stored, and for each of the selected patients, The attribute information for which disclosure is permitted in advance is extracted from the electronic medical record information. Then, a process of generating disclosure control information including the extracted attribute information in the selected reservation information is performed.
　予約情報開示制御部１ｄは、患者が所持するユーザ端末３ａ～３ｎのうち、上記予約情報記憶部１ａに予約情報が記憶されている患者のユーザ端末から他の患者に係る予約情報の開示要求を受信した場合に、上記生成された開示制御情報に基づいて、該当する患者に係る予約情報および属性情報を、上記要求元のユーザ端末に向け送信する処理を行う。 The reservation information disclosure control unit 1d issues a request for disclosure of reservation information relating to another patient from the user terminal of the patient whose reservation information is stored in the reservation information storage unit 1a among the user terminals 3a to 3n possessed by the patient. When the information is received, a process of transmitting the reservation information and the attribute information of the corresponding patient to the requesting user terminal is performed based on the generated disclosure control information.
　以上のように構成されているから、通院患者の予約情報および電子カルテ情報に基づいて、自身の予約情報の開示を許諾している患者の予約情報と事前に患者が開示を許可した属性情報とを含む開示制御情報が生成され、この開示制御情報に従い予約情報の開示処理が行われる。このため、患者は、開示された他の患者の予約情報を確認することで、例えば仲の良い患者や知り合いの患者と予約日時が同一であれば通院意欲を生じ易くなり、また仲の良い患者や知り合いの患者と通院日時が異なる場合には、例えば通院日時が同じになるように通院予約日時を変更するといった対応が可能となり、これにより患者の継続的な通院を効果的に支援することが可能となる。 With the above configuration, based on the outpatient's appointment information and the electronic medical record information, the appointment information of the patient who has permitted disclosure of his / her own appointment information and the attribute information that the patient has permitted to disclose in advance Is generated, and the disclosure process of the reservation information is performed according to the disclosure control information. For this reason, by confirming the disclosed reservation information of other patients, if the reservation date and time are the same as that of a patient or acquaintance with a close friend, for example, the patient is more likely to have a willingness to go to the hospital. If the patient and the visit date are different, for example, it is possible to cope with changing the reservation date and time so that the visit date and time will be the same, and it will be possible to effectively support the continuous visit of the patient Become.
　［一実施形態］
　（構成例）
　（１）システム
　図２は、この発明の一実施形態に係る予約管理装置を含むシステムの全体構成を示す図である。　
　予約管理装置１０は、電子医療記録（Electronic Medical Records：ＥＭＲ）サーバ２０および医師端末４０と共に、病院や医院、診療所等の医療機関内に配置される。予約管理装置１０、ＥＭＲサーバ２０および医師端末４０は、例えば院内に敷設されたＬＡＮ（Local Area Network）を介して相互にデータ伝送が可能となっている。 [One embodiment]
(Configuration example)
(1) System FIG. 2 is a diagram showing an entire configuration of a system including a reservation management device according to an embodiment of the present invention.
The reservation management device 10 is disposed in a medical institution such as a hospital, a clinic, a clinic, etc., together with an electronic medical records (EMR) server 20 and a doctor terminal 40. The reservation management device 10, the EMR server 20, and the doctor terminal 40 can mutually transmit data via, for example, a LAN (Local Area Network) laid in the hospital.
　ＥＭＲサーバ２０は、医療機関を受診した患者の電子カルテ情報を、患者ＩＤと関連付けて記憶し管理する。電子カルテ情報には、診療科および担当医等の情報に加え、患者の診療履歴データ、検査データ、問診票データ、投薬情報、アレルギ情報および近親者の既往歴データが含まれる。また電子カルテ情報には、患者の個人情報も含まれる。個人情報は、例えば氏名、イニシャル、性別、年齢、住所および連絡先の電話番号やメールアドレス等を含む。なお、個人情報は電子カルテ情報とは別に管理されるようにしてもよい。いずれにしても、上記電子カルテ情報および個人情報に含まれる各情報を総称して患者の属性情報と呼ぶ。 The EMR server 20 stores and manages electronic medical record information of a patient who has visited a medical institution in association with a patient ID. The electronic medical record information includes medical history data, examination data, medical inquiry form data, medication information, allergic information, and close history data of close relatives, in addition to information on medical departments and doctors in charge. The electronic medical record information also includes personal information of the patient. The personal information includes, for example, name, initials, gender, age, address, telephone number and mail address of a contact. The personal information may be managed separately from the electronic medical record information. In any case, the information included in the electronic medical record information and the personal information is collectively referred to as patient attribute information.
　医師端末４０は、パーソナルコンピュータからなり、医師の操作に応じて、電子カルテ情報の登録、変更および追加等の処理と、通院に係る予約情報の登録、変更、追加および削除等の処理を行うために使用される。 The doctor terminal 40 is composed of a personal computer, and performs processing such as registration, change, and addition of electronic medical record information, and processing such as registration, change, addition, and deletion of reservation information related to hospital visits in accordance with the operation of the doctor. Used for
　また予約管理装置１０は、患者が使用するユーザ端末３１～３ｎとの間でネットワーク５０を介してデータ通信が可能となっている。ユーザ端末３１～３ｎは、例えばスマートフォンやタブレット型端末、携帯型のパーソナルコンピュータからなり、ブラウザ機能またはメーラ機能を実現するアプリケーションを使用して、上記予約管理装置１０との間で通信を行うことで、他の患者に関する予約情報および自身に対し設定された予約情報を受信する。 (4) The reservation management device 10 can perform data communication with the user terminals 31 to 3n used by the patient via the network 50. The user terminals 31 to 3n are composed of, for example, a smartphone, a tablet terminal, or a portable personal computer, and communicate with the reservation management device 10 using an application that implements a browser function or a mailer function. , Receiving the reservation information on other patients and the reservation information set for itself.
　ネットワークＮＷは、例えば、インターネット等の公衆網と、この公衆網にアクセスするためのアクセス網を含む。アクセス網としては、例えば上述した院内のＬＡＮまたは無線ＬＡＮが用いられるが、他に有線電話網、ＣＡＴＶ網、携帯電話網または公衆無線ＬＡＮ等を使用することも可能である。 The network NW includes, for example, a public network such as the Internet, and an access network for accessing the public network. As the access network, for example, the above-mentioned in-hospital LAN or wireless LAN is used. Alternatively, a wired telephone network, a CATV network, a mobile telephone network, a public wireless LAN, or the like may be used.
　（２）予約管理装置１０
　（２－１）ハードウェア構成
　図３は、予約管理装置１０のハードウェア構成の一例を示すブロック図である。　
　予約管理装置１０は、例えば、ＣＰＵ（Central Processing Unit）等のハードウェアプロセッサ１１を有する。ハードウェアプロセッサ１１には、プログラムメモリ１２Ａ、データメモリ１２Ｂ、および通信インタフェースユニット（通信Ｉ／Ｆ）１３が、バス１５を介して接続されている。 (2) Reservation management device 10
(2-1) Hardware Configuration FIG. 3 is a block diagram illustrating an example of a hardware configuration of the reservation management device 10.
The reservation management device 10 has a hardware processor 11 such as a CPU (Central Processing Unit), for example. A program memory 12A, a data memory 12B, and a communication interface unit (communication I / F) 13 are connected to the hardware processor 11 via a bus 15.
　通信Ｉ／Ｆ１３は、例えば院内ＬＡＮを介してＥＭＲサーバ２０および医師端末４０との間でそれぞれ診療データ等の伝送を行うと共に、上記院内ＬＡＮから外部のネットワーク５０を介してユーザ端末３１～３ｎとの間で予約情報等の各種データの伝送を行う。 The communication I / F 13 transmits medical data and the like between the EMR server 20 and the doctor terminal 40 via the hospital LAN, for example, and communicates with the user terminals 31 to 3n from the hospital LAN via the external network 50. Various types of data such as reservation information are transmitted between the devices.
　プログラムメモリ１２Ａは、記憶媒体として、例えば、ＨＤＤ（Hard Disk Drive）またはＳＳＤ（Solid State Drive）等の随時書込みおよび読出しが可能な不揮発性メモリと、ＲＯＭ等の不揮発性メモリとを併用したもので、一実施形態に係る各種制御処理を実行するために必要なプログラムが格納されている。 The program memory 12A is a combination of a non-volatile memory such as a hard disk drive (HDD) or a solid state drive (SSD), which can be written and read at any time, and a non-volatile memory such as a ROM. And programs required to execute various control processes according to the embodiment.
　データメモリ１２Ｂは、例えば、ＨＤＤまたはＳＳＤ等の随時書込みおよび読出しが可能な不揮発性メモリと、ＲＡＭ（Random Access Memory）等の揮発性メモリとを組み合わせたものを記憶媒体として備える。そして、予約情報の管理および開示を行う過程で取得および作成された各種データを記憶するために用いられる。 The data memory 12B includes, as a storage medium, a combination of a nonvolatile memory such as an HDD or an SSD, which can be written and read at any time, and a volatile memory such as a RAM (Random Access Memory). It is used to store various data obtained and created in the process of managing and disclosing reservation information.
　（２－２）ソフトウェア構成
　図４は、この発明の一実施形態に係る予約管理装置１０のソフトウェア構成を、図３に示したハードウェア構成と関連付けて示したブロック図である。　
　上記プログラムメモリ１２Ａおよびデータメモリ１２Ｂは記憶ユニット１２に設けられている。データメモリ１２Ｂの記憶領域には、電子カルテ情報記憶部１２１と、開示制御情報記憶部１２２と、予約情報記憶部１２３が設けられる。 (2-2) Software Configuration FIG. 4 is a block diagram showing the software configuration of the reservation management apparatus 10 according to an embodiment of the present invention in association with the hardware configuration shown in FIG.
The program memory 12A and the data memory 12B are provided in the storage unit 12. An electronic medical record information storage unit 121, a disclosure control information storage unit 122, and a reservation information storage unit 123 are provided in the storage area of the data memory 12B.
　電子カルテ情報記憶部１２１は、上記ＥＭＲサーバ２０から取得された通院患者の電子カルテ情報を保存するために用いられる。開示制御情報記憶部１２２は、予約情報の開示制御に必要な開示制御情報を保存するために用いられる。予約情報記憶部１２３は、通院患者ごとにその患者ＩＤと関連付けて当該患者の通院に係る予約情報を記憶するために用いられる。 The electronic medical record information storage unit 121 is used to store the electronic medical record information of the outpatient acquired from the EMR server 20. The disclosure control information storage unit 122 is used to store disclosure control information necessary for reservation information disclosure control. The reservation information storage unit 123 is used for storing the reservation information related to the visit of the patient in association with the patient ID for each visit patient.
　予約情報には、例えば、予約日時、診療科とその医師名、受診前検査の項目や内容等を表す情報に加え、予約情報の開示条件を表す情報が含まれる。開示条件を表す情報には、予約情報の開示の許否を表す情報と、患者の属性情報の開示範囲を表す情報と、開示相手先の範囲を表す情報が含まれる。これらの情報は、事前に患者または医師等の医療スタッフにより設定される。 The reservation information includes, for example, information indicating the conditions for disclosing the reservation information, in addition to the information indicating the date and time of the reservation, the department and the name of the physician, and the items and contents of the examination before consultation. The information indicating the disclosure condition includes information indicating whether the reservation information is permitted to be disclosed, information indicating the disclosure range of the attribute information of the patient, and information indicating the range of the disclosure partner. These pieces of information are set in advance by a medical staff such as a patient or a doctor.
　制御ユニット１１は、上記ハードウェアプロセッサにより構成され、ソフトウェアによる処理機能部として、電子カルテ情報取得部１１１と、開示制御情報生成部１１２と、開示制御部１１３と、予約情報管理部１１４とを備えている。これらの処理機能部は、いずれもプログラムメモリ１２Ａに格納されたプログラムを上記ハードウェアプロセッサ１１に実行させることにより実現される。 The control unit 11 is configured by the above hardware processor, and includes an electronic medical record information acquisition unit 111, a disclosure control information generation unit 112, a disclosure control unit 113, and a reservation information management unit 114 as processing function units by software. ing. Each of these processing function units is realized by causing the hardware processor 11 to execute a program stored in the program memory 12A.
　電子カルテ情報取得部１１１は、上記予約情報に含まれる開示条件に基づいて、予約情報の開示を許諾している患者を選択し、選択された患者の電子カルテ情報をＥＭＲサーバ２０から取得して電子カルテ情報記憶部２１１に記憶させる処理を行う。 The electronic medical record information acquisition unit 111 selects a patient who is permitted to disclose the reservation information based on the disclosure conditions included in the reservation information, acquires the electronic medical record information of the selected patient from the EMR server 20, and A process for storing in the electronic medical record information storage unit 211 is performed.
　一実施形態に係る予約管理装置１０は、予約情報の開示モードとして、個別開示モードと、グループ開示モードを備えている。 予 約 The reservation management apparatus 10 according to one embodiment includes an individual disclosure mode and a group disclosure mode as reservation information disclosure modes.
　個別開示モードは、個々の患者ごとに予約情報の開示を制御するための開示制御情報を生成しておき、患者から他の患者の予約情報の開示要求を受信した場合に、上記開示制御情報に従い他の患者の予約情報を開示するものである。 The individual disclosure mode generates disclosure control information for controlling disclosure of reservation information for each individual patient, and, when a request for disclosure of reservation information of another patient is received from a patient, according to the disclosure control information. This discloses the reservation information of another patient.
　グループ開示モードは、患者の属性情報をもとに属性、例えば性別、年齢層または診療科が類似する２人以上の患者によるグループを構成し、グループごとに共通の予約候補日時を設定し、これを開示制御情報とする。そして、この開示制御情報に従い、グループに属する各患者に対し、グループを構成する患者のリスト、属性情報および予約候補日時を通知するものである。 The group disclosure mode configures a group of two or more patients having similar attributes, for example, gender, age group, or medical department, based on the attribute information of the patient, and sets a common reservation candidate date and time for each group. Is the disclosure control information. Then, according to the disclosure control information, a list of the patients constituting the group, attribute information, and the reservation candidate date and time are notified to each patient belonging to the group.
　上記各開示モードのうちどちらのモードを使用するかは、例えば医師等の医療スタッフにより事前に設定される。 ど ち ら Which of the above disclosure modes is used is set in advance by a medical staff such as a doctor.
　開示制御情報生成部１１２は、予約情報の開示モードに対応して以下の処理機能を有している。　
　(1) 個別開示モードが設定された状態において、例えば、上記予約情報の開示を許諾している患者の各々について、上記予約情報の開示条件に含まれる属性情報の開示範囲を表す情報に基づいて、上記電子カルテ情報記憶部１２１に記憶された電子カルテ情報から上記開示範囲に含まれる属性情報を選択すると共に、上記予約情報の開示条件に含まれる開示相手先を表す情報をもとに開示相手先となる患者を選択する。そして、上記選択された属性情報および開示相手先の患者を表す情報を含む開示制御情報を生成し、当該開示制御情報を上記予約情報の開示を許諾した患者の患者ＩＤに関連付けて開示制御情報記憶部１２２に記憶させる処理を行う。 The disclosure control information generator 112 has the following processing functions corresponding to the reservation information disclosure mode.
(1) In the state where the individual disclosure mode is set, for example, for each of the patients who are permitted to disclose the reservation information, based on the information indicating the disclosure range of the attribute information included in the disclosure condition of the reservation information. And selecting attribute information included in the disclosure range from the electronic medical record information stored in the electronic medical record information storage unit 121, and displaying the disclosure destination based on the information indicating the disclosure destination included in the disclosure condition of the reservation information. Select the patient to be the first. Then, it generates disclosure control information including the selected attribute information and information indicating the patient of the disclosure destination, associates the disclosure control information with the patient ID of the patient who has permitted the disclosure of the reservation information, and stores the disclosure control information. A process to be stored in the unit 122 is performed.
　(2) グループ開示モードが設定された状態において、例えば、先ず予約情報の開示を許諾している患者の各々について、上記予約情報の開示条件に含まれる属性情報の開示範囲を表す情報をもとに、上記電子カルテ情報記憶部１２１に記憶された電子カルテ情報から上記開示範囲に含まれる属性情報を選択する。そして、選択された属性情報をもとに特定の属性が所定の範囲内で類似する２以上の患者を選択し、選択した患者によりグループを構成する。次に、グループごとに当該グループに属する各患者に対し共通の予約候補日時を設定し、上記グループの構成と予約日時を表す情報を含む開示制御情報を生成して開示制御情報記憶部１２２に記憶させる処理を行う。 (2) In the state where the group disclosure mode is set, for example, first, for each of the patients who have permitted the disclosure of the reservation information, the information indicating the disclosure range of the attribute information included in the disclosure condition of the reservation information is used. Next, attribute information included in the disclosure range is selected from the electronic medical record information stored in the electronic medical record information storage unit 121. Then, based on the selected attribute information, two or more patients whose specific attributes are similar within a predetermined range are selected, and a group is formed by the selected patients. Next, a common reservation candidate date and time is set for each patient belonging to the group for each group, and disclosure control information including information indicating the configuration of the group and the reservation date and time is generated and stored in the disclosure control information storage unit 122. Is performed.
　開示制御部１１３は、上記開示モードに対応する以下の処理機能を有している。　
　(1) 個別開示モードが設定された状態において、例えば、患者のユーザ端末３１～３ｎから予約情報の開示要求を受信した場合に、当該開示要求に含まれる予約日時に該当する患者の予約情報および開示制御情報をそれぞれ予約情報記憶部１２３および開示制御情報記憶部１２２から読み込む。そして、当該予約情報と、上記開示制御情報で開示対象として定義された属性情報を、要求元のユーザ端末に向け送信する処理を行う。なお、送信に先立ち開示制御部１１３は、上記開示要求をした患者が開示相手先となっているか否かを上記開示制御情報をもとに判定し、開示相手先でなければ上記予約情報および属性情報の送信を行わない。 The disclosure control unit 113 has the following processing functions corresponding to the above disclosure mode.
(1) In a state where the individual disclosure mode is set, for example, when a request for disclosure of reservation information is received from the user terminals 31 to 3n of the patient, the reservation information of the patient corresponding to the reservation date and time included in the disclosure request and The disclosure control information is read from the reservation information storage unit 123 and the disclosure control information storage unit 122, respectively. Then, a process of transmitting the reservation information and the attribute information defined as the disclosure target in the disclosure control information to the requesting user terminal is performed. Prior to transmission, the disclosure control unit 113 determines whether or not the patient who has made the disclosure request is a disclosure partner based on the disclosure control information. Do not send information.
　(2) グループ開示モードが設定された状態において、例えば、グループごとに、当該グループに対応する開示制御情報を開示制御情報記憶部１２２から読み出し、当該開示制御情報に従いグループに属する各患者の属性情報と予約候補日時を表す情報のリストを、当該グループに属する各患者のユーザ端末３１～３ｎに向け同報送信する。 (2) In the state where the group disclosure mode is set, for example, for each group, the disclosure control information corresponding to the group is read from the disclosure control information storage unit 122, and the attribute information of each patient belonging to the group is read according to the disclosure control information. And a list of information indicating the reservation candidate date and time is broadcast to the user terminals 31 to 3n of the patients belonging to the group.
　予約情報管理部１１４は、医師等の医療スタッフが医師端末４０において入力した各患者の予約情報を受け取り、患者ＩＤに関連付けて予約情報記憶部１２３に記憶させる処理を行う。処理内容には、新規登録、変更、追加、削除がある。また、予約情報管理部１１４は、ユーザ端末３１～３ｎから患者本人の予約情報の変更要求が送られた場合に、本人認証による正当性の確認の後に、当該変更要求に応じて本人の予約情報を変更する処理を行う。 The appointment information management unit 114 performs a process of receiving the appointment information of each patient input by the medical staff such as a doctor on the doctor terminal 40 and storing the information in the appointment information storage unit 123 in association with the patient ID. The processing contents include new registration, change, addition, and deletion. Further, when a request to change the reservation information of the patient is sent from the user terminals 31 to 3n, the reservation information management unit 114 checks the validity of the patient by authenticating the user and then changes the reservation information of the patient in response to the change request. Perform the process of changing.
　（動作例）
　次に、以上のように構成された予約管理装置１０による予約情報の開示処理動作を説明する。 (Operation example)
Next, a description will be given of an operation of disclosing reservation information by the reservation management device 10 configured as described above.
　（１）予約情報の管理
　例えば、医師等の医療スタッフは、患者の診療が終了するごとに当該患者のうち通院が必要な患者に対し次回の通院日時（予約日時）を決定し、この予約日時を表す情報を医師端末４０から予約管理装置１０に対し入力する。 (1) Management of Reservation Information For example, each time a medical staff member such as a doctor finishes medical treatment for a patient, the medical staff decides the next visit date / time (reservation date / time) for a patient who needs to go to the hospital. Is input to the reservation management apparatus 10 from the doctor terminal 40.
　予約管理装置１０は、予約情報管理部１１４の制御の下、上記医師端末４０から入力された次回の予約日時を表す情報を取り込み、この予約日時を表す情報を診療科とその医師名、受診前検査のオーダー情報等と共に、予約情報として予約情報記憶部１２３に記憶させる。 Under the control of the reservation information management unit 114, the reservation management device 10 fetches information indicating the next reservation date and time input from the doctor terminal 40, and stores the information indicating the reservation date and time in the medical department, the doctor's name, The reservation information is stored in the reservation information storage unit 123 as reservation information together with the inspection order information and the like.
　また予約情報管理部１１４は、患者の要求や医療スタッフの判断に応じて、患者ごとに、開示条件を表す情報、例えば予約情報の開示の許否を表す情報と、属性情報の開示範囲を表す情報と、開示相手先の許否を表す情報の入力を受け付け、これらの情報を上記予約情報に含めて予約情報記憶部１２３に記憶させる。 In addition, the reservation information management unit 114 provides information indicating disclosure conditions for each patient, for example, information indicating whether to permit the disclosure of the reservation information and information indicating the disclosure range of the attribute information, for each patient according to the request of the patient or the judgment of the medical staff. And input of information indicating permission or rejection of the disclosure partner, and the information is included in the reservation information and stored in the reservation information storage unit 123.
　（２）個別開示モードによる開示処理
　図５は、個別開示モードが設定されたときの予約管理装置１０の処理手順と処理内容の一例を示すフローチャートである。 (2) Disclosure Processing in Individual Disclosure Mode FIG. 5 is a flowchart illustrating an example of a processing procedure and processing contents of the reservation management apparatus 10 when the individual disclosure mode is set.
　（２－１）電子カルテ情報の取得
　予約管理装置１０は、電子カルテ情報取得部１１１の制御の下、先ずステップＳ１０において予約情報記憶部１２３から予約情報が登録されている患者のリストを読み出す。次にステップＳ１１において、上記リストに含まれる患者の中から、上記予約情報に含まれる開示条件をもとに予約情報の開示を許諾している患者を選択する。そしてステップＳ１２において、上記開示を許諾している患者の電子カルテ情報を、ＥＭＲサーバ２０からネットワーク５０を介して取得し、取得した電子カルテ情報を患者ＩＤと関連付けて電子カルテ情報記憶部１２１に記憶させる。なお、このとき電子カルテ情報に含まれる各情報のうち、診療科の情報と患者の個人情報のみを取得するようにしてもよい。 (2-1) Acquisition of Electronic Medical Record Information Under the control of the electronic medical record information acquisition unit 111, the appointment management device 10 first reads a list of patients in which the appointment information is registered from the appointment information storage unit 123 in step S10. Next, in step S11, a patient who is permitted to disclose the reservation information is selected from the patients included in the list based on the disclosure conditions included in the reservation information. In step S12, the electronic medical record information of the patient whose disclosure is permitted is acquired from the EMR server 20 via the network 50, and the acquired electronic medical record information is stored in the electronic medical record information storage unit 121 in association with the patient ID. Let it. At this time, of the information included in the electronic medical record information, only the information of the medical department and the personal information of the patient may be obtained.
　（２－２）開示制御情報の生成
　予約管理装置１０は、次に開示制御情報生成部１１２の制御の下、ステップＳ１３により上記予約情報の開示を許諾している患者から１人を選択し、ステップＳ１４において予約情報記憶部１２３から上記選択された患者の予約情報に含まれる開示条件を読み込む。そしてステップＳ１５において、上記開示条件に含まれる属性情報の開示範囲を表す情報に基づいて、上記電子カルテ情報記憶部１２１に記憶された当該患者の電子カルテ情報から上記開示範囲に含まれる属性情報を選択する。例えば、診療科、名前、イニシャル、性別、年齢を選択する。 (2-2) Generation of Disclosure Control Information Next, under the control of the disclosure control information generation unit 112, the reservation management device 10 selects one patient from whom the disclosure of the reservation information is permitted in step S13, In step S14, the disclosure condition contained in the reservation information of the selected patient is read from the reservation information storage unit 123. In step S15, based on the information indicating the disclosure range of the attribute information included in the disclosure condition, the attribute information included in the disclosure range is extracted from the electronic medical record information of the patient stored in the electronic medical record information storage unit 121. select. For example, the department, name, initials, gender, and age are selected.
　またそれと共に開示制御情報生成部１１２は、上記開示条件に含まれる開示相手先を表す情報をもとに、開示相手先となる患者の範囲を選択する。例えば、開示相手先の範囲を表す情報として既に知り合いになっている他の患者の名前が登録されていれば、この登録されている患者を開示相手先として選択する。なお、開示相手先を表す情報として、患者名以外に例えば同一の病気を罹患している患者のグループ名や受診している診療科名または担当医名を登録しておき、このグループに属している患者や同一の診療科を受診している患者を開示相手先として選択するようにしてもよい。いずれにしても、開示相手先には通院期間が終了した患者が含まれないようにする。 (4) At the same time, the disclosure control information generation unit 112 selects the range of the patient to be the disclosure partner based on the information indicating the disclosure partner included in the disclosure conditions. For example, if the name of another patient already known is registered as information indicating the range of the disclosure destination, the registered patient is selected as the disclosure destination. In addition, as information indicating the disclosure destination, in addition to the patient name, for example, a group name of a patient suffering from the same disease, a medical department or a doctor in charge, and the name of a doctor in charge are registered. A patient who is present and a patient who is receiving the same medical department may be selected as the disclosure destination. In any case, the disclosure destination should not include patients whose visit period has ended.
　続いて開示制御情報生成部１１２は、ステップＳ１７において、上記選択された属性情報および開示相手先を表す情報を含む開示制御情報を生成し、当該開示制御情報を上記予約情報の開示を許諾した患者の患者ＩＤに関連付けて開示制御情報記憶部１２２に記憶させる。 Subsequently, in step S17, the disclosure control information generation unit 112 generates disclosure control information including the selected attribute information and information indicating a disclosure destination, and transmits the disclosure control information to the patient who has permitted the disclosure of the reservation information. Is stored in the disclosure control information storage unit 122 in association with the patient ID.
　開示制御情報生成部１１２は、以上のステップＳ１３～ステップＳ１７による処理を、予約情報の開示を許諾している患者の一人ひとりに対し繰り返し実行する。そして、すべての対象患者について開示制御情報の生成が終了したことをステップＳ１８により判定すると、待機状態となる。 (4) The disclosure control information generation unit 112 repeatedly executes the processing in steps S13 to S17 described above for each patient who is permitted to disclose the reservation information. Then, when it is determined in step S18 that the generation of the disclosure control information has been completed for all target patients, a standby state is set.
　なお、この待機状態において予約管理装置１０は、定期的に或いは一人の患者の予約情報が更新されるごとに、上記ステップＳ１０～ステップＳ１８により電子カルテ情報の取得処理および開示制御情報の生成処理を実行し、これにより開示制御情報を更新する。 In this standby state, the reservation management device 10 performs the process of acquiring the electronic medical record information and the process of generating the disclosure control information in steps S10 to S18 periodically or every time the reservation information of one patient is updated. And updates the disclosure control information.
　（２－３）予約情報の開示制御
　上記待機状態において、患者の一人がそのユーザ端末３１から予約情報の開示要求を送信したとする。この開示要求には、例えば開示希望日時を表す情報が含まれる。上記開示要求は、ネットワーク５０を介して予約管理装置１０の通信インタフェースユニット１３により受信される。 (2-3) Disclosure control of reservation information It is assumed that one of the patients has transmitted a reservation information disclosure request from the user terminal 31 in the standby state. This disclosure request includes, for example, information indicating the desired disclosure date and time. The disclosure request is received by the communication interface unit 13 of the reservation management device 10 via the network 50.
　予約管理装置１０は、上記開示要求の受信をステップＳ１９により確認すると、開示制御部１１３の制御の下、ステップＳ２０において、先ず予約情報記憶部１２３から予約日時が上記開示要求に含まれる開示希望日時に該当する患者をすべて選択する。例えば、開示希望日時が「〇月△日の午前中」に指定されていれば、予約日時がこの〇月△日の午前中に含まれる患者がすべて選択される。なお、予約希望日時としては日にち以外に曜日や週でもよく、患者の希望により任意に指定できる。さらには、開示要求に診療科名や担当医を指定してもよい。 When the reservation management device 10 confirms the reception of the disclosure request in step S19, under the control of the disclosure control unit 113, first in step S20, the reservation date and time from the reservation information storage unit 123 includes the desired disclosure date and time included in the disclosure request. Select all patients who meet. For example, if the desired disclosure date and time is designated as “morning of 〇 / △”, all the patients whose reservation date and time are included in the morning of 〇 / △ are selected. The desired reservation date and time may be a day of the week or a week other than the date, and can be arbitrarily specified according to the patient's request. Further, the department name and the doctor in charge may be specified in the disclosure request.
　次に開示制御部１１３は、上記選択された各患者に対応する開示制御情報を開示制御情報記憶部１２２から読み出す。この開示制御情報には、開示可能な属性情報および開示相手先として許諾されている患者を表す情報が含まれている。開示制御部１１３は、上記読み出された各患者の開示制御情報のうち、先ず開示要求をした患者を開示相手先として許諾している患者の開示制御情報を選択する。また開示制御部１１３は、上記選択された各患者の開示制御情報をもとに、開示対象の属性情報を特定する。そして、上記選択された患者ごとに、その予約情報を予約情報記憶部１２３から読み出し、当該予約情報と上記特定された属性情報とを含む開示情報を生成し、当該開示情報を開示要求した患者のユーザ端末３１に向け通信インタフェースユニット１３から送信する。 Next, the disclosure control unit 113 reads the disclosure control information corresponding to each of the selected patients from the disclosure control information storage unit 122. The disclosure control information includes attribute information that can be disclosed and information indicating a patient who is permitted as a disclosure destination. The disclosure control unit 113 selects, from among the read disclosure control information of each patient, first, the disclosure control information of the patient who has permitted the disclosure requesting patient as a disclosure partner. Further, the disclosure control unit 113 specifies the disclosure target attribute information based on the disclosure control information of each of the selected patients. Then, for each of the selected patients, the reservation information is read from the reservation information storage unit 123, the disclosure information including the reservation information and the specified attribute information is generated, and the disclosure information of the patient who has requested the disclosure of the disclosure information is generated. It is transmitted from the communication interface unit 13 to the user terminal 31.
　この結果、開示要求した患者のユーザ端末３１には、上記開示希望日時に予約されているすべての患者のうち、開示要求した患者を開示相手先として許諾している各患者の予約情報と属性情報が送信され、例えば表示器に一覧表示される。 As a result, the user terminal 31 of the patient who has made the disclosure request has the reservation information and the attribute information of each patient who has licensed the patient who has made the disclosure request as a disclosure destination among all the patients reserved at the desired date and time of disclosure. Is transmitted and, for example, a list is displayed on the display.
　開示要求した患者は、表示された上記各患者の予約情報および属性情報をもとに、例えば、知り合いの患者や、まだ面識はないが受診する診療科が同じで性別や年齢が近い患者を見つけることができる。そして、例えば自身の予約日時をこれらの患者と同じ日時になるように予約管理装置１０に対し変更要求を行う。予約管理装置１０は、上記変更要求を受信すると、予約情報管理部１１４の制御の下、上記患者による予約日時の変更の可否を判定した後、可能であれば予約情報記憶部１２３における上記患者の予約情報を登録変更する。なお、例えば患者が予約日時の登録変更を電話により連絡した場合には、医療スタッフが変更の可否を判断して医師端末４０において変更操作を行う。 Based on the displayed reservation information and attribute information of each of the above-mentioned patients, for example, the patient who has made a disclosure request finds, for example, a patient who is acquainted or a patient who has no acquaintance but has the same medical department and is close in gender and age. be able to. Then, a change request is made to the reservation management apparatus 10 so that, for example, its own reservation date and time are the same as those of these patients. Upon receiving the change request, the reservation management device 10 determines whether or not the patient can change the reservation date and time under the control of the reservation information management unit 114, and if possible, changes the patient's information in the reservation information storage unit 123 if possible. Change reservation information. In addition, for example, when the patient notifies the change of the registration of the reservation date and time by telephone, the medical staff judges whether or not the change is possible and performs the change operation on the doctor terminal 40.
　（３）グループ開示モードによる開示処理
　図６は、グループ開示モードが設定されたときの予約管理装置１０の処理手順と処理内容の一例を示すフローチャートである。 (3) Disclosure Processing in Group Disclosure Mode FIG. 6 is a flowchart illustrating an example of a processing procedure and processing contents of the reservation management device 10 when the group disclosure mode is set.
　（３－１）電子カルテ情報の取得
　予約管理装置１０は、電子カルテ情報取得部１１１の制御の下、先ずステップＳ３０において予約情報記憶部１２３から予約情報が仮登録されている患者のリストを読み出す。つまり通院が必要な患者のリストを読み出す。次にステップＳ３１において、上記リストに含まれる患者の中から、上記予約情報に含まれる開示条件をもとに予約情報の開示を許諾している患者を選択する。そしてステップＳ３２において、上記開示を許諾している患者の電子カルテ情報を、ＥＭＲサーバ２０からネットワーク５０を介して取得し、取得した電子カルテ情報を患者ＩＤと関連付けて電子カルテ情報記憶部１２１に記憶させる。なお、この場合も、電子カルテ情報に含まれる各情報のうち、診療科の情報と患者の個人情報のみを取得するようにしてもよい。 (3-1) Acquisition of Electronic Medical Record Information Under the control of the electronic medical record information acquisition unit 111, the reservation management apparatus 10 first reads a list of patients whose reservation information is temporarily registered from the reservation information storage unit 123 in step S30. . In other words, a list of patients requiring hospital visits is read. Next, in step S31, a patient who is permitted to disclose the reservation information is selected from the patients included in the list based on the disclosure conditions included in the reservation information. In step S32, the electronic medical record information of the patient whose disclosure is permitted is acquired from the EMR server 20 via the network 50, and the acquired electronic medical record information is stored in the electronic medical record information storage unit 121 in association with the patient ID. Let it. In this case, among the information included in the electronic medical record information, only the information of the medical department and the personal information of the patient may be acquired.
　（３－２）開示制御情報の生成
　予約管理装置１０は、次に開示制御情報生成部１１２の制御の下、ステップＳ３３において、上記予約情報の開示を許諾している患者の各々について、その予約情報に含まれる属性情報の開示範囲を表す情報をもとに上記電子カルテ情報記憶部１２１から上記開示範囲に含まれる属性情報を読み出す。 (3-2) Generation of Disclosure Control Information Next, under the control of the disclosure control information generation unit 112, the reservation management device 10 sets the reservation for each of the patients whose disclosure of the reservation information is permitted in step S33. The attribute information included in the disclosure range is read from the electronic medical record information storage unit 121 based on the information indicating the disclosure range of the attribute information included in the information.
　開示制御情報生成部１１２は、次にステップＳ３４において、上記各患者の属性情報を比較し、その比較結果に基づいて類似度合いが所定値以上の患者群を抽出して、これらの患者によるグループを構成する。例えば、開示制御情報生成部１１２は、先ず受診する診療科が同一でかつ性別が同一の患者群を抽出し、次にこれらの患者の中から年齢差が所定の範囲内、例えば年齢差５歳以内の複数の患者を抽出する。そして、この抽出された各患者によるグループを構成する。 Next, in step S34, the disclosure control information generation unit 112 compares the attribute information of each patient, extracts a group of patients whose similarity is equal to or greater than a predetermined value based on the comparison result, and identifies a group of these patients. Constitute. For example, the disclosure control information generation unit 112 first extracts a group of patients having the same medical department and the same gender, and then an age difference within a predetermined range from these patients, for example, an age difference of 5 years. Extract multiple patients within. Then, a group is formed by the extracted patients.
　なお、受診する診療科または性別が同一の患者群を一つのグループに含めてもよいし、年齢差が所定の範囲内の患者群を一つのグループに含めるようにしてもよい。また、通院履歴が所定の範囲内で類似する患者群を抽出してグループを構成してもよいし、症状の種類が同一または同一の症状を有する患者群を抽出してグループを構成するようにしてもよい。さらには、過去に同一グループに配置された患者を優先的に同一のグループに含むようにグループを構成してもよい。 Note that a group of patients having the same medical department or gender may be included in one group, or a group of patients whose age difference is within a predetermined range may be included in one group. Further, a group may be formed by extracting a group of patients having similar visit history within a predetermined range, or a group of patients may be formed by extracting a group of patients having the same or the same type of symptoms. You may. Further, the group may be configured so that patients who have been placed in the same group in the past are preferentially included in the same group.
　また、予約管理装置１０が事前に各患者の通院希望日時を取得しておき、これらの通院希望日時を考慮して、例えば最大公約数的に通院希望日時が近い患者を選択し、選択した患者が同一グループに含まれるようにグループを構成してもよい。 In addition, the reservation management apparatus 10 obtains in advance the date and time of desired visit to each patient, and in consideration of the desired date and time of visit, selects a patient whose desired date and time is, for example, the greatest common denominator, and selects the selected patient. May be configured to be included in the same group.
　開示制御情報生成部１１２は、次にステップＳ３５において、上記構成されたグループごとに、当該グループに所属する複数の患者の各々に対し共通の予約候補日時を設定する。なお、グループに所属する患者数が一単位の予約時間帯で診療可能な患者の上限数を超える場合には、上記グループを複数の小グループに分け、これらの小グループごとに予約候補日時を設定するようにしてもよい。その場合の患者の分け方は、属性の類似度に応じて分けてもよいが、単純に人数に応じて等分に分けてもよい。また、予約候補日時は一つに限らず複数設定するようにし、患者が複数の予約候補日時の中から希望する日時を選択できるようにしてもよい。 Next, in step S35, the disclosure control information generation unit 112 sets a common reservation candidate date and time for each of the plurality of patients belonging to the group configured as described above. If the number of patients belonging to a group exceeds the maximum number of patients that can be treated in one unit of appointment time slot, the above group is divided into a plurality of small groups, and the reservation candidate date and time are set for each of these small groups. You may make it. In this case, the patients may be divided according to the similarity of the attributes, or may be simply divided equally according to the number of persons. Further, the number of reservation appointment dates and times is not limited to one, and a plurality may be set so that the patient can select a desired date and time from the plurality of reservation candidate dates and times.
　開示制御情報生成部１１２は、最後にステップＳ３６において、上記グループごとに、当該グループを構成する患者のリストと、当該患者ごとの属性情報の開示範囲と、上記各患者に対し共通に割り当てられた予約候補日時とを含む開示制御情報を生成し、開示制御情報記憶部１２２に記憶させる。 Finally, in step S36, the disclosure control information generation unit 112 assigns a list of patients constituting the group, a disclosure range of attribute information for each patient, and a common assignment to each patient in each of the groups. The disclosure control information including the reservation candidate date and time is generated and stored in the disclosure control information storage unit 122.
　開示制御情報生成部１１２は、以上述べたステップＳ３４～ステップＳ３６による開示制御情報の生成処理を各グループに対しそれぞれ実行する。そして、すべてのグループに対する開示制御情報の生成が終了したことをステップＳ３７で確認すると、開示制御情報の生成を終了する。 (4) The disclosure control information generation unit 112 executes the above-described disclosure control information generation processing in steps S34 to S36 for each group. Then, when it is confirmed in step S37 that the generation of the disclosure control information for all the groups has been completed, the generation of the disclosure control information is completed.
　（３－３）予約情報の開示制御
　上記開示制御情報の生成が終了すると、予約管理装置１０は開示制御部１１３の制御の下、以下のように予約情報の開示制御を実行する。すなわち、開示制御部１１３は、先ずステップＳ３８において、上記開示制御情報記憶部１２２からグループごとに開示制御情報を読み出す。そして、当該開示制御情報に従い、グループに所属する各患者のリストと患者ごとの属性情報と共通の予約候補日時を含む通知情報を、当該グループに所属する各患者のユーザ端末３１～３ｎに向け通信インタフェースユニット１３から同報送信する。 (3-3) Disclosure Control of Reservation Information When the generation of the disclosure control information ends, the reservation management device 10 executes the disclosure control of the reservation information as described below under the control of the disclosure control unit 113. That is, the disclosure control unit 113 first reads the disclosure control information for each group from the disclosure control information storage unit 122 in step S38. Then, according to the disclosure control information, notification information including a list of each patient belonging to the group, attribute information for each patient, and a common reservation candidate date and time is transmitted to the user terminals 31 to 3n of each patient belonging to the group. The broadcast is transmitted from the interface unit 13.
　以上述べた各グループの通知情報の送信処理は、全グループに対する通知情報の送信が終了したことがステップＳ３９で確認されるまで、繰り返し実行される。 The transmission processing of the notification information of each group described above is repeatedly executed until it is confirmed in step S39 that the transmission of the notification information to all the groups is completed.
　上記予約管理装置１０から送信された通知情報は各ユーザ端末３１～３ｎでそれぞれ受信され、例えば表示器に表示される。上記通知情報により患者は、自身に割り当てられた予約候補日時を認識すると共に、同一時間帯に予約候補日時が設定された他の患者のリストと属性情報を確認することができる。ここで、同一グループに所属する各患者は属性情報が相互に一致または類似する患者である。このため、上記受信された通知情報の患者リストを見ることで、知り合いの患者や、まだ面識はなくても自身と属性が共通または類似する患者を見つける確立は高く、これにより通院に対する患者の意欲の維持、向上が期待できる。 The notification information transmitted from the reservation management device 10 is received by each of the user terminals 31 to 3n, and is displayed on, for example, a display. Based on the notification information, the patient can recognize the reservation candidate date and time assigned to the patient and can confirm the list and attribute information of other patients for whom the reservation candidate date and time are set in the same time zone. Here, each patient belonging to the same group is a patient whose attribute information matches or is similar to each other. Therefore, by looking at the patient list of the received notification information, it is highly probable that a patient who is acquainted or who does not yet have acquaintance but has common or similar attributes to himself / herself is highly likely to be found. Maintenance and improvement can be expected.
　また患者は、上記通知情報により通知された予約候補日時について都合が悪ければ、例えば、自身のユーザ端末３１～３ｎから予約管理装置１０に対しアクセスして予約日時の変更要求を行う。予約管理装置１０は、予約情報管理部１１４の制御の下、上記変更要求に応じて該当する患者の予約情報を変更し、予約情報記憶部１２３に記憶された予約情報を更新する。上記予約候補日時の変更は、例えば患者が電話により医療スタッフに口頭で連絡し、これを受けて医療スタッフが医師端末４０から予約管理装置１０に対し該当する患者の予約情報を更新する処理を行うことでも実現できる。 If the reservation candidate date and time notified by the notification information is not convenient, the patient accesses the reservation management device 10 from his / her own user terminals 31 to 3n and issues a request to change the reservation date and time. Under the control of the reservation information management unit 114, the reservation management device 10 changes the reservation information of the corresponding patient in response to the change request, and updates the reservation information stored in the reservation information storage unit 123. The change of the reservation candidate date and time, for example, the patient verbally contacts the medical staff by telephone, and in response to this, the medical staff performs a process of updating the reservation information of the corresponding patient from the doctor terminal 40 to the reservation management apparatus 10. It can also be realized.
　なお、予約情報管理部１１４は、上記通知情報の送信後、予め設定された時間以内に上記変更要求を受信しなかった場合には、上記通知情報により通知された予約候補日時について患者が了承したものと見なして、予約候補日時を予約日時として確定する。 In addition, when the reservation information management unit 114 does not receive the change request within a preset time after transmitting the notification information, the patient approves the reservation candidate date and time notified by the notification information. The reservation candidate date and time are determined as the reservation date and time.
　（効果）
　（１）個別開示モードが設定された場合、予約管理装置１０は、自身の予約情報の開示を許諾している患者の各々について、予約情報に含まれる開示条件をもとに開示相手先の患者を表す情報と属性情報の開示範囲を含む開示制御情報を生成する。そして、患者から他の患者の予約情報の開示要求を受信した場合に、この開示要求により指定される開示希望日時に予約されているすべての患者を選択し、当該各患者の開示制御情報に基づいて、開示要求をした患者を開示相手先として許諾している各患者を選択すると共に開示範囲に含まれる属性情報を選択し、上記選択された各患者の予約情報と属性情報とを含む開示情報を、開示要求をした患者のユーザ端末に向け送信するようにしている。 (effect)
(1) When the individual disclosure mode is set, the reservation management apparatus 10 determines, for each of the patients who have permitted disclosure of their own reservation information, the patient of the disclosure partner based on the disclosure conditions included in the reservation information. , And disclosure control information including the disclosure range of the attribute information. Then, when a request for disclosure of reservation information of another patient is received from a patient, all the patients reserved at the desired disclosure date and time specified by the disclosure request are selected, and based on the disclosure control information of each of the patients. The disclosure information including the reservation information and the attribute information of each of the selected patients, selecting each patient who permits the disclosure requesting patient as a disclosure destination and selecting attribute information included in the disclosure range. Is transmitted to the user terminal of the patient who has made the disclosure request.
　したがって、患者は、開示希望日時に予約された他の患者の予約情報のリストを当該患者の属性情報と共に確認することが可能となる。そして、例えば患者の通院予約日時と同一の時間帯に、知り合いの患者や、まだ面識はないが受診する診療科が同じで性別や年齢が近い患者が見つかれば、例えば通院に対し消極的だった患者の気分を通院に向かわせることが可能となる。また、患者自身の通院予約日時が上記発見した知り合いの患者等の通院予約日時と異なる場合でも、例えば患者自身の通院予約日時を上記知り合いの患者等と同じ日時になるように変更を要求することも可能となる。すなわち、一実施形態によれば、患者の通院予約情報を新たなコミュニティ形成ツールとして利用できるようになり、通院に対する患者の意欲の維持、向上が期待できる。 Therefore, the patient can check a list of reservation information of another patient reserved at the desired date and time of disclosure together with attribute information of the patient. For example, in the same time zone as the patient's appointment date and time, if you find a patient you know or a patient who has no acquaintance but has the same medical department but a similar gender or age, you were reluctant to go to the hospital, for example. The patient's mood can be sent to the hospital. Also, even when the patient's own visit reservation date and time is different from the above-discovered visit visit date and time of the acquaintance's patient, for example, a request to change the patient's visit visit date and time to the same date and time as the above-mentioned acquaintance patient etc Is also possible. That is, according to one embodiment, the patient's outpatient reservation information can be used as a new community formation tool, and it is expected that the patient's willingness to visit the hospital will be improved.
　また、開示条件の一つとして開示相手先の範囲を設定することで、開示相手先の範囲を限定することができ、これにより自身の予約情報が無制限に開示されないようにすることができる。例えば、開示相手先を通院中の患者に限定することで、通院期間が終了した患者から開示要求が送信されても通院中の他の患者の予約情報が開示されないようにすることができる。また、開示条件の一つとして患者の属性情報の開示範囲を設定しているので、患者が開示を望まない属性については開示されないようにすることができる。 Further, by setting the range of the disclosure partner as one of the disclosure conditions, the range of the disclosure partner can be limited, thereby preventing the reservation information of the user from being disclosed indefinitely. For example, by limiting the disclosure destination to patients who are visiting the hospital, it is possible to prevent the reservation information of other patients who are visiting the hospital from being disclosed even if a disclosure request is transmitted from a patient whose visit period has ended. Further, since the disclosure range of the attribute information of the patient is set as one of the disclosure conditions, it is possible to prevent the disclosure of the attribute that the patient does not want to disclose.
　（２）グループ開示モードが設定された場合、予約管理装置１０は、予約情報の開示を許諾している患者の電子カルテ情報をもとに、属性情報が一致または類似度合いが所定範囲内の患者を抽出してこれらの患者によるグループを構成する。そして、グループごとに共通の予約候補日時を設定し、上記グループごとに当該グループを構成する患者のリストと属性情報の開示範囲と予約候補日時を含む開示制御情報を生成する。次に、上記開示制御情報に基づいて、グループごとに当該グループに所属する各患者のユーザ端末３１～３ｎに対し、上記グループを構成する患者のリスト、属性情報および予約候補日時を含む通知情報を同報送信するようにしている。 (2) When the group disclosure mode is set, the reservation management apparatus 10 determines whether the attribute information matches or the degree of similarity falls within a predetermined range based on the electronic medical record information of the patient to whom the disclosure of the reservation information is permitted. To form a group of these patients. Then, a common reservation candidate date and time is set for each group, and disclosure control information including a list of patients constituting the group, a disclosure range of attribute information, and a reservation candidate date and time is generated for each group. Next, based on the disclosure control information, for each group, notification information including a list of patients constituting the group, attribute information, and appointment candidate date and time is sent to the user terminals 31 to 3n of the patients belonging to the group. Broadcast transmission is used.
　従って、通院予約が必要な複数の患者のうちその属性情報が一致または類似する患者がグループ化され、グループごとに当該グループに属する各患者に対し共通の予約候補日時が設定され、通知される。このため、属性情報が一致または類似する複数の患者が共通の日時に通院することが可能となり、これにより患者は知り合いの他の患者や、面識はなくても属性情報、例えば受診する診療科、症状、性別または年齢等が一致または類似する他の患者と出会う確率が高くなる。この結果、単に通院予約時刻のみを通知する場合に比べ、患者に対し通院に対する楽しみを与えることができ、これにより通院に対する患者の意欲の向上、維持が期待できる。 Therefore, among a plurality of patients who need to go to a hospital, patients whose attribute information is the same or similar are grouped, and a common reservation candidate date and time is set for each patient belonging to the group and notified. For this reason, it is possible for a plurality of patients with the same or similar attribute information to go to the hospital at a common date and time, thereby allowing the patient to know other patients or attribute information without any acquaintance, for example, a medical department to be consulted, The likelihood of encountering other patients with similar or similar symptoms, gender, or age is increased. As a result, it is possible to provide the patient with pleasure in visiting the hospital, as compared with a case where only the visit reservation time is simply notified, thereby improving and maintaining the patient's willingness to visit the hospital.
　一例を挙げると、仲間登録をした患者同士や、既往症や年齢などが似ている患者同士が同じ時間帯に通院予約をすることが可能になると、複数の患者によるコミュニティを形成することが可能となる。その結果、医療機関に行きたがらない人にとって、通院したときに気の合う患者に会えることがインセンティブとなり、通院が苦痛でなくなり治療や処置を継続して行えることが期待できる。 For example, if patients who have been registered as peers or patients with similar illnesses and ages can make an appointment at the same time, a community of multiple patients can be formed. Become. As a result, it is expected that those who do not want to go to a medical institution will be able to meet a patient who is fit when they go to the hospital, and will be able to continue treatment and treatment without pain.
　［変形例］
　（１）前記実施形態では、一つの医療機関を受診している複数の患者を対象にグループ化し、当該グループに属する各患者に対し共通の予約候補日時を通知する場合を例にとって説明した。しかしこれに限るものではなく、例えば所定の地域内に存在する複数の医療機関のいずれかを受診している複数の患者を対象にグループ化処理を行い、当該グループに属する各患者に対し共通の予約候補日時と通院先となる共通の医療機関を表す情報を通知するようにしてもよい。 [Modification]
(1) In the above-described embodiment, an example has been described in which a plurality of patients who are attending one medical institution are grouped, and a common reservation candidate date and time is notified to each patient belonging to the group. However, the present invention is not limited to this. For example, a grouping process is performed on a plurality of patients who are consulting any of a plurality of medical institutions existing in a predetermined area, and a common process is performed for each patient belonging to the group. Information indicating a reservation candidate date and time and a common medical institution serving as a hospital visit may be notified.
　この構成は例えば以下のように実現される。すなわち、地域内の複数の医療機関のいずれかに通院している複数の患者の電子カルテ情報を、例えばその地域内の複数の医療機関で共有されるように設けられている電子健康記録（Electronic Health Records：ＥＨＲ）サーバから取得し、取得された電子カルテ情報をもとに属性情報が一致または類似する患者を抽出してグループを構成する。そして、上記グループに属する複数の患者に対し共通の予約候補日時を設定する。またそれと共に、上記ＥＨＲサーバから取得された電子カルテ情報に含まれる各患者の住所と地域内の各医療機関の住所とに基づいて通院先として好適な医療機関を選択する。そして、上記設定された共通の予約候補日時および通院先の医療機関を表す情報を含む開示制御情報を生成し、この開示制御情報に従い、上記グループに属する各患者が所持するユーザ端末に対し、上記グループに属する患者のリスト、共通の予約候補日時および通院先の医療機関を表す情報を同報送信する。 構成 This configuration is realized, for example, as follows. In other words, electronic medical record information of a plurality of patients who visit any of a plurality of medical institutions in a region can be stored in, for example, an electronic health record (Electronic Record) provided to be shared by a plurality of medical institutions in the region. (Health Records: EHR) A patient is acquired from the electronic medical record information, and a patient whose attribute information matches or is similar is extracted based on the acquired electronic medical record information to form a group. Then, a common reservation candidate date and time is set for a plurality of patients belonging to the group. At the same time, a medical institution suitable for a hospital visit is selected based on the address of each patient and the address of each medical institution in the area included in the electronic medical record information acquired from the EHR server. Then, it generates disclosure control information including the set common reservation candidate date and time and information indicating the medical institution of the hospital destination, and according to this disclosure control information, to the user terminal possessed by each patient belonging to the group, A list of patients belonging to the group, a common reservation candidate date and time, and information indicating the medical institution at the hospital are broadcast.
　このようにすると、医療機関単位ではなく、地域単位で属性等が類似する複数の患者がグループ化され、このグループに属する各患者に対し共通の予約日時と共通の通院先医療機関が指定される。従って、患者には、通院という機会を利用して、症状や治療経過、年齢等が類似するもの同士で出会う機会が提供されることになり、患者は通院に対するモチベーションを維持もしくは高めることが可能となる。すなわち、この例についても、患者が継続して通院することを支援可能な予約管理装置および予約管理方法を提供することが可能である。 In this manner, a plurality of patients having similar attributes and the like are grouped not in units of medical institutions but in units of regions, and a common appointment date and a common medical institution are designated for each patient belonging to this group. . Therefore, the patient will be provided with an opportunity to visit patients with similar symptoms, treatment courses, ages, etc., using the opportunity to visit the hospital, and the patient will be able to maintain or increase motivation to visit the hospital. Become. That is, also in this example, it is possible to provide a reservation management device and a reservation management method capable of supporting a patient to go to the hospital continuously.
　（２）前記実施形態では、診療科、性別または年齢等の基本的に属性情報に基づいて患者をグループ化する場合を例にとって説明した。しかしそれに限らず、患者の電子カルテ情報に、趣味や食事の嗜好、飲酒の好みや量、喫煙の有無等の趣味嗜好に関する問診情報が含まれている場合には、これらの情報の類似度合いを考慮して患者をグループ化するようにしてもよい。 (2) In the above-described embodiment, a case has been described as an example where patients are grouped basically based on attribute information such as a medical department, gender, or age. However, the present invention is not limited to this.If the patient's electronic medical record information includes questioning information regarding hobbies and preferences such as tastes and preferences of food, preference and amount of drinking, and presence or absence of smoking, the similarity of these pieces of information is determined. The patients may be grouped in consideration.
　（３）前記実施形態では、開示相手先として許可する患者に関する情報が開示条件の一つとして設定された場合を例にとって説明したが、開示相手先として拒絶対象となる患者に関する情報が設定された場合にも、この発明は実施できる。このようにすると、例えば喫煙者が同一グループにならないようにすることができる。 (3) In the above-described embodiment, a case has been described as an example where the information regarding the patient permitted as the disclosure partner is set as one of the disclosure conditions. However, the information regarding the patient to be rejected as the disclosure partner is set. In this case, the present invention can be implemented. In this way, for example, smokers can be prevented from being in the same group.
　（４）前記実施形態では、生成されたグループの構成を固定的に利用する場合を例にとって説明したが、グループの構成は定期的にまたは新たな通院患者が発生するごとに更新するようにしてもよい。 (4) In the above embodiment, the case where the generated group configuration is used in a fixed manner has been described as an example. However, the group configuration is updated periodically or each time a new outpatient is generated. Is also good.
　（５）グループに対し予約候補日時を割り当てる際に、医療機関が混まない曜日および時間帯を優先して割り当てるようにするとよい。これにより、グループに属する患者は比較的スムーズに診断や処置を受けることが可能となる。また、比較的混まない時間帯に複数の患者が来院するように促すことにより、医療機関の混雑を回避することができる。また、混雑時に予約しないことにより、医療機関にて病気に感染するリスクを低減する効果も期待することができる。 (5) When assigning the reservation candidate date and time to the group, it is preferable to assign priority to the day of the week and the time zone during which medical institutions are not crowded. As a result, patients belonging to the group can receive diagnosis and treatment relatively smoothly. Also, by encouraging a plurality of patients to come to the hospital during a relatively uncongested time period, congestion at medical institutions can be avoided. Also, by not making a reservation at the time of congestion, the effect of reducing the risk of infection by a medical institution can be expected.
　（６）前記実施形態では、予約管理装置１０がＥＭＲサーバ２０および医師端末４０とは独立して設けられる場合を例にとって説明したが、予約管理装置１０の全機能または一部機能をＥＭＲサーバ２０および医師端末４０に設けることも可能である。また、予約管理装置１０の全機能または一部機能をＥＨＲサーバに設けるようにしてもよい。 (6) In the above embodiment, the case where the reservation management apparatus 10 is provided independently of the EMR server 20 and the doctor terminal 40 has been described as an example. And the doctor terminal 40. Also, all or some of the functions of the reservation management device 10 may be provided in the EHR server.
　以上、この発明の実施形態を詳細に説明してきたが、前述までの説明はあらゆる点においてこの発明の例示に過ぎない。この発明の範囲を逸脱することなく種々の改良や変形を行うことができることは言うまでもない。つまり、この発明の実施にあたって、実施形態に応じた具体的構成が適宜採用されてもよい。 Although the embodiments of the present invention have been described above in detail, the above description is merely an example of the present invention in every respect. It goes without saying that various improvements and modifications can be made without departing from the scope of the present invention. That is, in practicing the present invention, a specific configuration according to the embodiment may be appropriately adopted.
　要するにこの発明は、上記実施形態そのままに限定されるものではなく、実施段階ではその要旨を逸脱しない範囲で構成要素を変形して具体化できる。また、上記実施形態に開示されている複数の構成要素の適宜な組み合せにより種々の発明を形成できる。例えば、実施形態に示される全構成要素から幾つかの構成要素を削除してもよい。さらに、異なる実施形態に亘る構成要素を適宜組み合せてもよい。 In short, the present invention is not limited to the above-described embodiment as it is, and can be embodied by modifying its constituent elements in an implementation stage without departing from the scope of the invention. Various inventions can be formed by appropriately combining a plurality of constituent elements disclosed in the above embodiments. For example, some components may be deleted from all the components shown in the embodiment. Further, components of different embodiments may be appropriately combined.
　１，１０…予約管理装置
　１ａ…予約情報記憶部
　１ｂ…電子カルテ情報取得部
　１ｃ…開示制御情報生成部
　１ｄ…予約情報開示制御部
　２…電子カルテ情報記憶部
　３ａ～３ｎ，３１～３ｎ…ユーザ端末
　１１…制御ユニット
　１２…記憶ユニット
　１３…通信インタフェースユニット
　２０…ＥＭＲサーバ
　４０…医師端末
　５０…ネットワーク
　１１１…電子カルテ情報取得部
　１１２…開示制御情報生成部
　１１３…開示制御部
　１１４…予約情報管理部
　１２１…電子カルテ情報記憶部
　１２２…開示制御情報記憶部
　１２３…予約情報記憶部 1, 10: reservation management device 1a: reservation information storage unit 1b: electronic medical record information acquisition unit 1c: disclosure control information generation unit 1d: reservation information disclosure control unit 2: electronic medical record information storage unit 3a to 3n, 31 to 3n: user Terminal 11 control unit 12 storage unit 13 communication interface unit 20 EMR server 40 doctor terminal 50 network 111 electronic medical record information acquisition unit 112 disclosure control information generation unit 113 disclosure control unit 114 reservation information management unit 121: electronic medical record information storage unit 122: disclosure control information storage unit 123: reservation information storage unit

Claims (11)

  1. 　医療機関に対する患者の予約情報が記録された予約管理情報部を含む記憶部と、
    　ネットワークを介して外部と通信可能な通信部と、
    　前記記憶部と前記通信部とを制御可能な制御部と、
    　を備え、
    　前記制御部は、
    　　複数の患者の各々について、当該患者を識別する患者識別情報に関連付けられた少なくとも前記患者の電子カルテの情報を取得する電子カルテ情報取得部と、
    　　取得された前記電子カルテの情報と前記予約管理情報部に記録された予約情報との少なくとも一方に基づいて、前記複数の患者の各々についてその予約情報を前記複数の患者間で開示可能とするか否かを表す開示制御情報を生成する生成部と、
    　　生成された前記開示制御情報に基づいて、前記複数の患者の各々についてその予約情報の開示制御を行う開示制御部と
    　を備える予約管理装置。     A storage unit including a reservation management information unit in which patient reservation information for a medical institution is recorded;
    A communication unit capable of communicating with the outside via a network;
    A control unit that can control the storage unit and the communication unit;
    With
    The control unit includes:
    For each of the plurality of patients, an electronic medical record information acquisition unit that acquires at least the electronic medical record information of the patient associated with the patient identification information that identifies the patient,
    Based on at least one of the acquired information of the electronic medical record and the reservation information recorded in the reservation management information unit, whether the reservation information can be disclosed among the plurality of patients for each of the plurality of patients. A generation unit that generates disclosure control information indicating whether or not
    A disclosure control unit configured to perform disclosure control of the reservation information for each of the plurality of patients based on the generated disclosure control information.
  2. 　前記生成部は、前記複数の患者の各々についてその予約情報に対する開示の許否を表す情報を取得し、取得された前記開示の許否を表す情報に基づいて前記開示制御情報を生成する、
    　請求項１に記載の予約管理装置。     The generation unit acquires information indicating permission or prohibition of disclosure of the reservation information for each of the plurality of patients, and generates the disclosure control information based on the acquired information indicating permission or prohibition of disclosure.
    The reservation management device according to claim 1.
  3. 　前記生成部は、取得された前記電子カルテの情報に基づいて、前記複数の患者の各々について当該患者に係る属性情報の開示範囲を設定し、当該属性情報の開示範囲を前記開示制御情報に含め、
    　前記開示制御部は、前記開示制御情報に基づいて、設定された前記開示範囲に含まれる属性情報を含む前記予約情報を開示する、
    　請求項１又は２に記載の予約管理装置。     The generation unit sets a disclosure range of attribute information on each of the plurality of patients based on the acquired information on the electronic medical record, and includes a disclosure range of the attribute information in the disclosure control information. ,
    The disclosure control unit, based on the disclosure control information, discloses the reservation information including attribute information included in the set disclosure range,
    The reservation management device according to claim 1.
  4. 　前記生成部は、取得された前記電子カルテの情報に基づいて、前記複数の患者の各々について開示相手先となる患者の範囲を設定し、当該開示相手先の患者の範囲を前記開示制御情報に含め、
    　前記開示制御部は、前記開示制御情報に基づいて、設定された前記開示相手先となる患者の範囲に含まれる患者の予約情報を開示する、
    　請求項１乃至３のいずれかに記載の予約管理装置。     The generating unit sets a range of a patient to be a disclosure partner for each of the plurality of patients based on the acquired information of the electronic medical record, and sets the range of the patient of the disclosure partner to the disclosure control information. Including
    The disclosure control unit, based on the disclosure control information, discloses the reservation information of patients included in the set range of patients to be the disclosure partner,
    The reservation management device according to claim 1.
  5. 　前記生成部は、前記電子カルテの情報および前記予約情報の少なくとも一方に基づいて、前記複数の患者の各々について通院期間が終了したか否かを判定し、通院期間が終了した患者を前記開示相手先となる患者の範囲から除外する、請求項４に記載の予約管理装置。 The generation unit determines whether or not a visit period has ended for each of the plurality of patients based on at least one of the information of the electronic medical record and the reservation information, and determines a patient whose visit period has ended to the disclosure target. The reservation management device according to claim 4, wherein the reservation management device is excluded from a range of a patient to be prior.
  6. 　前記生成部は、複数の前記患者のうち、前記電子カルテの情報に基づいて、２以上の患者を含むグループを構成し、当該グループに含まれる各患者に対し共通の予約候補日時を設定し、前記グループの構成を表す情報と前記予約候補日時を表す情報を前記開示制御情報に含め、
    　前記開示制御部は、前記開示制御情報に基づいて、前記グループごとに当該グループに含まれる各患者に対し、当該各患者に対し設定された前記共通の予約候補日時を通知する　請求項１に記載の予約管理装置。     The generating unit, among the plurality of patients, configures a group including two or more patients based on information in the electronic medical record, and sets a common reservation candidate date and time for each patient included in the group, Information representing the configuration of the group and information representing the reservation candidate date and time are included in the disclosure control information,
    The said disclosure control part notifies the said common reservation candidate date and time set with respect to each patient included in the said group for every said group based on the said disclosure control information. Reservation management device.
  7. 　前記生成部は、前記電子カルテの情報に基づいて、当該電子カルテの情報に含まれる患者の属性情報の類似度合いが所定値以上となる２以上の患者を含むグループを構成し、当該グループに含まれる各患者に対し共通の予約候補日時を設定する、請求項６に記載の予約管理装置。 The generation unit configures a group including two or more patients whose similarity of the attribute information of the patient included in the information of the electronic medical record is equal to or greater than a predetermined value, based on the information of the electronic medical record, and includes the group. The reservation management apparatus according to claim 6, wherein a common reservation candidate date and time is set for each patient to be performed.
  8. 　前記生成部は、取得された前記電子カルテの情報に基づいて、共通の医療機関または診療科を受診している複数の前記患者を含むグループを構成し、当該グループに含まれる複数の患者に対し共通の予約候補日時を設定する、請求項６または７に記載の予約管理装置。 The generating unit, based on the acquired information of the electronic medical record, configures a group including a plurality of patients who are attending a common medical institution or medical department, for a plurality of patients included in the group The reservation management device according to claim 6, wherein a common reservation candidate date and time is set.
  9. 　前記生成部は、取得された前記電子カルテの情報に基づいて、予め設定された地域内に存在する複数の医療機関のいずれかを受診している複数の患者を含むグループを構成し、当該グループに含まれる複数の患者に対し前記複数の医療機関の中から選択された共通の医療機関と予約候補日時を設定する、請求項６乃至８のいずれかに記載の予約管理装置。 The generation unit, based on the acquired information on the electronic medical record, configure a group including a plurality of patients who are consulting any of a plurality of medical institutions present in a preset area, the group The reservation management apparatus according to claim 6, wherein a common medical institution selected from the plurality of medical institutions and a reservation candidate date and time are set for a plurality of patients included in the reservation management apparatus.
  10. 　医療機関に対する患者の予約情報が記録された予約管理情報部を備える予約管理装置が実行する予約管理方法であって、
    　複数の患者の各々について、当該患者を識別する患者識別情報に関連付けられた少なくとも前記患者の電子カルテの情報を取得し、取得された前記電子カルテの情報と前記予約管理情報部に記録された予約情報との少なくとも一方に基づいて、前記複数の患者の各々についてその予約情報を前記複数の患者間で開示可能とするか否かを表す開示制御情報を生成する過程と、
    　生成された前記開示制御情報に基づいて、前記複数の患者の各々についてその予約情報の開示制御を行う過程と
    　を備える予約管理方法。     A reservation management method executed by a reservation management device including a reservation management information unit in which patient reservation information for a medical institution is recorded,
    For each of the plurality of patients, obtain at least information on the electronic medical record of the patient associated with patient identification information identifying the patient, and obtain the information on the electronic medical record and the reservation recorded in the reservation management information unit Based on at least one of the information and the process of generating disclosure control information indicating whether or not the reservation information can be disclosed between the plurality of patients for each of the plurality of patients,
    Performing a disclosure control of the reservation information for each of the plurality of patients based on the generated disclosure control information.
  11. 　請求項１乃至９のいずれかに記載の予約管理装置の前記制御部が備える前記各部の処理を、前記予約管理装置が備えるプロセッサに実行させるプログラム。 A program that causes a processor included in the reservation management device to execute a process of each unit included in the control unit of the reservation management device according to any one of claims 1 to 9.
PCT/JP2019/029856 2018-09-25 2019-07-30 Appointment management device, appointment management method, and program WO2020066276A1 (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP7117688B1 (en) 2021-02-02 2022-08-15 株式会社iCARE Health Checkup Reservation Management System, Health Checkup Management Method and Program

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112529228B (en) * 2020-11-27 2024-01-09 深圳市中博科创信息技术有限公司 Intelligent control method for site reservation, terminal equipment and readable storage medium

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS6336657B2 (en) * 1983-02-16 1988-07-21 Konika Kk
JP2014106644A (en) * 2012-11-26 2014-06-09 Fujitsu Frontech Ltd Hospital-visit notification portable terminal, hospital-visit notification method, and hospital-visit notification program

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS6336657B2 (en) * 1983-02-16 1988-07-21 Konika Kk
JP2014106644A (en) * 2012-11-26 2014-06-09 Fujitsu Frontech Ltd Hospital-visit notification portable terminal, hospital-visit notification method, and hospital-visit notification program

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP7117688B1 (en) 2021-02-02 2022-08-15 株式会社iCARE Health Checkup Reservation Management System, Health Checkup Management Method and Program
JP2022118729A (en) * 2021-02-02 2022-08-15 株式会社iCARE Health examination reservation management system, health examination management method, and program

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