JP6602701B2 - Automatic reception settlement program, automatic reception settlement apparatus, and automatic reception settlement method - Google Patents

Description

  The present invention relates to a program, an apparatus, and a method for automatically accepting and adjusting an outpatient medical patient.

2. Description of the Related Art Conventionally, outpatient medical care such as revisiting medical care is performed in medical institutions such as hospitals.
FIG. 10 is a diagram showing a general flow of revisiting medical care.

As shown in FIG. 10 , in a general flow of revisited medical care, an outpatient medical patient (hereinafter simply referred to as “patient”) such as a revisited medical patient who has visited a medical institution first receives an examination ticket as an automatic revisiting machine. It is put into the (automatic reception machine) and re-entry reception is performed to obtain a reception slip (S1). When the reception slip is obtained, it goes to the reception counter of the medical department where the patient consults, submits an examination ticket (S2), and waits in the waiting room (S3). When your name is called, you move to the front of the examination room (S4). When you call your name again, you enter the examination room and receive a doctor's examination (S5). When the examination is completed, the examination ticket is inserted into the automatic settlement machine and settlement (accounting) is performed (S6).

In such a flow of revisiting medical care, the automatic revising acceptance machine and the automatic checkout machine may be provided as separate devices as shown in FIG. 10 or as a single device. As an example in the case of being provided as a single device, there is known a device that has a function of an automatic re-accepting machine and a function of an automatic checkout machine, and switches the function to be executed according to the patient's button operation (for example, Patent Document 1).

JP 2004-348214 A

  In an apparatus that executes the function of the automatic re-accepting machine or the function of the automatic checkout machine according to the patient's button operation, if the patient makes a mistake in the button operation, a function unintended by the patient is executed. For example, if the patient intends to press the re-acceptance button (acceptance button) but accidentally presses the repatriation button, the reimbursement guidance screen unintended by the patient is displayed instead of the re-acceptance reception guidance screen intended by the patient. End up. Such an error in button operation is likely to occur when the patient is, for example, an elderly person or a physically handicapped person who has trouble with the button operation. In recent years, aging of patients is remarkable in medical institutions, and improvement of this problem is demanded.

  In view of the above situation, the present invention is an automatic reception and adjustment machine having the functions of an automatic reception machine and an automatic adjustment machine, and automatically and appropriately according to the outpatient medical situation of the patient without any special operation of the patient. An object of the present invention is to provide an automatic reception settlement program, an automatic reception settlement apparatus, and an automatic reception settlement method that can switch functions to be executed.

According to one aspect of the program, the automatic reception checkout program includes a beacon that wirelessly outputs a beacon signal having a different beacon frequency for each clinical department, and a patient terminal that is a terminal device possessed by an outpatient medical patient, When a beacon signal with a beacon frequency that matches the beacon frequency registered in the patient terminal is received, it is provided in an outpatient medical care system having a function of notifying the outpatient medical care patient that the outpatient medical care patient is near. In addition, the computer of the automatic reception / accounting machine that automatically accepts and settles outpatient clinic patients has a communication function for performing wireless communication with the patient terminal possessed by the outpatient clinic patient, and patient identification information of the outpatient clinic patient. From the patient identification information acquisition function to be acquired and the storage unit in which the status information of each outpatient medical patient is stored, to the patient identification information acquisition function Status information acquisition function for acquiring status information of outpatient clinic patients corresponding to the acquired patient identification information, and status information of outpatient clinic patients acquired by the status information acquisition function is status information indicating unaccepted the, and executes the reception process, the beacon frequency corresponding to the department to which the outpatient clinic patient visits, via the communication function is registered in the patient terminal, whereas, acquired by the status information acquisition function When the status information of the outpatient medical patient is status information indicating that the patient has been examined, a process execution function for executing a settlement process is realized.

According to one aspect of the apparatus, a beacon that wirelessly outputs a beacon signal having a different beacon frequency for each clinical department is installed, and a patient terminal that is a terminal device possessed by an outpatient medical patient is registered in the patient terminal. When a beacon signal having a beacon frequency that matches the beacon frequency is received, the outpatient clinic system provided in the outpatient clinic system has a function of notifying the outpatient clinic patient that the outpatient clinic patient is near to the clinic to be consulted . An automatic reception and settlement machine that automatically performs reception and settlement includes a communication unit that performs wireless communication with the patient terminal possessed by an outpatient patient, a patient identification information acquisition unit that acquires patient identification information of the outpatient patient, The outpatient clinic patient corresponding to the patient identification information acquired by the patient identification information acquisition unit from the storage unit storing the status information of each outpatient clinic patient is stored. And the status information acquisition unit that acquires Tasu information, along with the status information of the outpatient clinic patients acquired by the status information acquisition unit if it is status information indicating the non-reception executes acceptance processing, the patient the outpatient The beacon frequency corresponding to the medical department that the patient visits is registered in the patient terminal via the communication unit , while the status information of the outpatient clinical patient acquired by the status information acquisition unit is status information indicating that the medical examination has been completed. In some cases, a process execution unit that executes a settlement process is provided.

According to one aspect of the method, a beacon that wirelessly outputs a beacon signal having a different beacon frequency for each department is installed, and a patient terminal that is a terminal device possessed by an outpatient patient is registered in the patient terminal. When a beacon signal having a beacon frequency that matches the beacon frequency is received, the outpatient clinic system provided in the outpatient clinic system has a function of notifying the outpatient clinic patient that the outpatient clinic patient is near to the clinic to be consulted . The automatic reception / accounting method by the automatic reception / accounting machine that automatically accepts and settles the patient identification information of outpatient medical patients, and the acquired patient identification information from a storage unit in which status information of each outpatient medical patient is stored. Status information of the outpatient clinic patient corresponding to the status information indicating that the acquired status information of the outpatient clinic patient is not received. That in the case, and executes the reception process, the beacon frequency corresponding to the department to which the outpatient clinic patient visits, the allowed registered in the patient terminal by wireless communication with the patient terminal, whereas, the obtained outpatient If the status information of the patient is status information indicating that the patient has been examined, a settlement process is executed.

  The disclosed program, apparatus, and method are automatic and appropriate according to the patient's outpatient medical situation without special operation of the patient in the automatic reception / accounting machine having the functions of the automatic reception machine and the automatic settlement machine. In addition, the function to be executed can be switched.

It is a figure which shows the structural example of the outpatient medical care system containing the automatic reception account adjusting machine which concerns on one embodiment. It is a figure which shows an example of the registration content of a setting file. It is a figure which shows the data structural example of reception status management DB. It is a figure which shows the data structural example of patient information DB. It is a figure which shows the data structural example of patient adjustment status DB. It is a figure (a partial perspective view is included) which shows the example of an external appearance structure of the automatic reception account adjusting machine which concerns on one embodiment. It is a figure which shows the example of a functional block of the automatic reception account adjusting machine which concerns on one embodiment. It is a figure which shows an example of the flow of the patient's return medical treatment in the hospital to which the outpatient medical care system containing the automatic reception account adjusting machine which concerns on one embodiment was applied. It is a flowchart which shows an example of the operation | movement performed by an outpatient medical care system when a medical examination ticket is thrown into the automatic reception account adjustment machine which concerns on one embodiment. It is a figure which shows the flow of a general re-visit medical treatment.

Hereinafter, embodiments of the present invention will be described with reference to the drawings.
FIG. 1 is a diagram showing a configuration example of an outpatient medical care system including an automatic reception / accounting machine according to an embodiment of the present invention.

  As shown in FIG. 1, the outpatient medical care system includes a patient terminal 1, an automatic reception account settlement machine 2, an electronic medical record system 3, a patient guidance system 4, a mobile patient guidance system 5, a registration reception terminal 6, and an automatic reception settlement machine. Server 7 is included. The patient terminal 1 can wirelessly communicate with the automatic reception / accounting machine 2 and a relay server 51 described later. The patient terminal 1 can receive a beacon signal that is wirelessly output from a beacon 52 described later. The automatic reception / accounting machine 2, the electronic medical record system 3, the patient guidance system 4, the registration reception terminal 6, and the automatic reception / accounting machine server 7 are communicably connected via a network 8 such as a LAN (Local Area Network). Yes. The patient guidance system 4 and the mobile patient guidance system 5 are connected to each other via a dedicated line 9 so as to enable communication using a dedicated protocol. The automatic reception / accounting machine 2, the electronic medical record system 3, the patient guidance system 4, the mobile patient guidance system 5, the registration reception terminal 6, and the automatic reception / accounting machine server 7 are provided, for example, in a hospital.

  The patient terminal 1 is a portable terminal possessed by a patient (outpatient clinical patient such as a return visit patient), and is, for example, a smartphone (registered trademark) or a mobile phone. The patient terminal 1 includes a storage unit that stores a setting file. In the setting file, a beacon frequency of a beacon signal that is wirelessly output from a beacon 52 (described later) installed in a medical department where a patient consults is registered. When the patient terminal 1 receives a beacon signal having a beacon frequency registered in the setting file, the patient terminal 1 notifies the patient by display or voice that the medical department for the patient is near. In addition, the patient terminal 1 includes a reception state management DB (database) in which patient reception information and the like are stored. The patient terminal 1 updates the reception information stored in the reception state management DB in accordance with the wireless communication performed with the automatic reception / accounting machine 2. Details of the setting file and information stored in the patient state management DB will be described later with reference to FIGS.

  The automatic reception / accounting machine 2 is provided, for example, in a hospital lobby, and automatically receives and settles patients. Although details will be described later, the automatic reception checkout machine 2 acquires the patient ID (identification) from the examination ticket received from the patient, acquires information on the patient reception state according to the patient ID from the electronic medical record server 32, A reception process or a settlement process is executed according to the information regarding the reception state. In the reception process, a receipt slip is issued. In each of the reception process and the settlement process, wireless communication with the patient terminal 1 is performed, and an instruction to change (update) reception information stored in the reception state management DB of the patient terminal 1 is given.

  The electronic medical record system 3 includes an electronic medical record terminal 31 and an electronic medical record server 32. The electronic medical record terminal 31 is provided, for example, in an examination room of each clinical department, and inputs information related to the patient's examination results, reservations, etc., according to the operation of the doctor who examined the patient. The electronic medical record server 32 includes a patient information DB in which patient information of each patient is stored. For example, the patient information stored in the patient information DB is updated in accordance with information input by the electronic medical record terminal 31. Details of the patient information stored in the patient information DB will be described later with reference to FIG.

  The patient guidance system 4 includes a patient guidance server 41 and a display system 42. The patient guidance server 41 manages the examination order of patients in each clinical department, controls a plurality of beacons 52 via a relay server 51 described later, and the like. The display system 42 displays on the display monitor provided in the waiting room of each department on the basis of the examination order of patients in each department managed by the patient guidance server 41. I do.

  The mobile patient guidance system 5 includes a relay server 51 and a plurality of beacons 52. The relay server 51 and the plurality of beacons 52 are communicably connected via a network 53 such as a LAN. The relay server 51 relays communication between the patient guidance server 41 and the plurality of beacons 52 and performs wireless communication with the patient terminal 1. The plurality of beacons 52 are provided such that at least one beacon 52 is installed in each department. The beacon frequency of the beacon signal that is wirelessly output from each of the plurality of beacons 52 is set by the patient guide server 41 so as to be different for each clinical department where the beacon 52 is installed. For example, the beacon frequency of the beacon signal wirelessly output from the beacon 52 installed in the internal medicine is set to XX, and the beacon frequency of the beacon signal output from the beacon 52 installed in the surgery is set to YY. Thereby, when a patient comes near the medical department to receive medical examination, the patient terminal 1 possessed by the patient receives a beacon signal wirelessly output from the beacon 52 installed in the medical department (setting of the patient terminal 1). (Which is also a beacon signal of the beacon frequency registered in the file), and the patient can be notified by display or voice or the like that the medical department to be consulted by the patient is near.

  The registration reception terminal 6 is provided, for example, at a reception counter of each clinical department, and performs patient registration and the like in accordance with an operation of a reception person in charge of each clinical department.

The automatic reception / accounting machine server 7 includes a patient settlement status DB in which information associated with the patient ID and the settlement status of each patient is stored. For example, according to the information input by the electronic medical record terminal 31, the patient settlement The settlement status stored in the status DB is updated. The details of the information stored in the patient settlement situation DB, and later with reference to FIG.

FIG. 2 is a diagram illustrating an example of registered contents of the setting file.
As shown in FIG. 2, “patient ID”, “beacon frequency”, and the like are registered in the setting file stored in the storage unit of the patient terminal 1. “Patient ID” is an example of patient identification information of a patient who owns the patient terminal 1 and is indicated as a 10-digit integer such as “12345567890”. The “beacon frequency” is a beacon frequency of a beacon signal that is wirelessly output from a beacon 52 installed in a department where a patient who has the patient terminal 1 visits, and a beacon frequency of a beacon signal received by the patient terminal 1 It is. The “beacon frequency” is indicated as “ch1: XX” or “ch2: YY”, for example. “Ch1: XX” indicates the beacon frequency of the beacon signal wirelessly output from the beacon 52 installed in the internal medicine, and “ch2: YY” indicates the beacon of the beacon signal wirelessly output from the beacon 52 installed in the surgery. Indicates the frequency. When the patient terminal 1 receives a beacon signal having a “beacon frequency” registered in such a setting file, the patient terminal 1 notifies the patient by display or voice or the like that the patient's medical department is near. The patient terminal 1 receives a beacon signal with a beacon frequency other than the “beacon frequency” registered in the setting file, that is, wirelessly outputs from a beacon 52 installed in a department other than the department that the patient visits. No beacon signal is received.

FIG. 3 is a diagram illustrating a data configuration example of the reception status management DB.
As shown in FIG. 3, the “patient ID” and “acceptance information” of the patient who owns the patient terminal 1 are stored in the acceptance status management DB of the patient terminal 1. As described above, “patient ID” is an example of patient identification information, and is represented as a 10-digit integer. “Reception information” includes information related to “clinical department”, “reception status”, and the like. Here, the “clinical department” is a clinical department that a patient visits, and is, for example, “internal medicine” or “surgery”. The “acceptance state” is status information in the outpatient medical care of the patient, and is, for example, “unaccepted”, “accepted”, “examined”, or “accounted”. “Not accepted” indicates that the patient has not accepted, “Received” indicates that the patient has been accepted, “Diagnosed” indicates that the patient has been examined, “Completed” indicates a state where the patient has settled (accounting).

FIG. 4 is a diagram illustrating a data configuration example of the patient information DB.
As shown in FIG. 4, patient information of each patient is stored in the patient information DB of the electronic medical record server 32. Each patient information includes “patient ID”, “reservation information”, and the like. As described above, “patient ID” is an example of patient identification information, and is represented as a 10-digit integer. “Reservation information” includes information on “clinical department”, “acceptance status”, “reservation date”, and the like. Here, the “clinical department” is an outpatient clinic (re-visit clinic) reserved by the patient, and is, for example, “internal medicine” or “surgery”. The “acceptance status” is status information in the outpatient clinic of the patient, similar to the “acceptance status” in the above-described acceptance status management DB. For example, “not accepted”, “accepted”, “examined”, or “ "Accounted". “Reservation date” is the date of the reserved outpatient treatment.

FIG. 5 is a diagram illustrating a data configuration example of the patient settlement status DB.
As shown in FIG. 5, the patient settlement status DB of the automatic reception settlement machine server 7 stores the settlement status of each patient. The settlement status includes “patient ID”, “settlement status”, and the like. As described above, “patient ID” is an example of patient identification information, and is represented as a 10-digit integer. The “settlement status” includes information on “accounting date”, “accounting amount”, and the like. The “accounting date” is the date on which the patient received outpatient treatment (re-visiting treatment), and the “accounting amount” is the payment amount for the visit.

FIG. 6 is a diagram (including a partial perspective view) illustrating an example of an external configuration of the automatic reception / accounting machine 2.
As shown in FIG. 6 , the automatic reception / accounting machine 2 includes a display input unit 21, an examination ticket insertion port 22, a journal unit 23, a coin deposit / withdrawal port 24 a, a coin unit 24 b, a coin cassette 24 c, a bill deposit / withdrawal port 25 a, A bill unit 25b, a bill cassette 25c, and a communication unit 26 are provided.

  The display input unit 21 is a display with a touch panel, for example, and accepts display of an operation guidance screen or the like and patient operation input.

  The examination ticket insertion port 22 receives a patient's examination ticket, and returns the examination ticket after certain processing such as reading of data stored in the magnetic stripe portion of the examination ticket is performed. In addition, the data memorize | stored in the magnetic stripe part of a medical examination ticket are data, such as a patient's patient ID, a name, sex, and a date of birth.

  The journal unit 23 prints various forms such as an acceptance form issued when a patient is accepted.

  The coin deposit / withdrawal port 24a is a coin deposit / withdrawal port. For example, coins deposited in the coin deposit / withdrawal port 24a are stored in the coin cassette 24c via the coin unit 24b.

  The banknote deposit / withdrawal port 25a is a banknote deposit / withdrawal port. For example, the banknote deposited into the banknote deposit / withdrawal port 25a is stored in the banknote cassette 25c via the banknote unit 25b.

  The communication unit 26 performs wireless communication with the patient terminal 1 and communication with each device connected to the network 8. Note that the wireless communication performed with the patient terminal 1 is, for example, wireless communication based on a communication standard such as Bluetooth.

  The automatic reception / accounting machine 2 having such an external configuration includes a control unit therein. The control unit is an example of a computer and includes a CPU, a memory, a hard disk, and the like. The CPU controls the overall operation of the automatic reception / accounting machine 2. The memory includes a RAM (Random Access Memory), a ROM (Read Only Memory), and the like. The RAM temporarily stores a part of a program executed by the CPU, various data necessary for the processing of the CPU, and the like. The program executed by the CPU is a control program for controlling and executing each function of the OS (Operating System) program and the automatic acceptance / accounting machine 2. The ROM and hard disk store programs executed by the CPU, various data necessary for the processing of the CPU, and the like. Note that the OS program and control program stored in the hard disk may be stored in the hard disk via the network 8 and the communication unit 26 from an external device, for example. Or you may memorize | store in a hard disk from a portable recording medium via the portable recording medium interface with which the automatic acceptance payment machine 2 is provided. The OS program and control program executed by the CPU may be stored in the RAM from the external device via the network 8 and the communication unit 26 and executed by the CPU, for example. Alternatively, it may be stored in a RAM from a portable recording medium via a portable recording medium interface and executed by the CPU. The portable recording medium is, for example, a magnetic tape, a magnetic disk, a magneto-optical disk, an optical disk, or a memory.

FIG. 7 is a diagram illustrating an example of functional blocks of the automatic reception / accounting machine 2.
As shown in FIG. 7 , the automatic reception / accounting machine 2 includes a patient identification information acquisition unit 201, a status information acquisition unit 202, and a process execution unit 203.

  The patient identification information acquisition unit 201 acquires patient identification information of a patient. Specifically, the patient identification information acquisition unit 201 reads data stored in the magnetic stripe part of the examination ticket inserted into the examination ticket insertion slot 22 and acquires the patient ID from the data.

  The status information acquisition unit 202 acquires status information of the outpatient clinic patient corresponding to the patient identification information acquired by the patient identification information acquisition unit 201 from the storage unit 321 in which the status information of each outpatient clinic patient is stored. Specifically, the status information acquisition unit 202 acquires information regarding the patient reception state corresponding to the patient ID acquired by the patient identification information acquisition unit 201 from the patient information DB of the electronic medical record server 32.

  The process execution unit 203 executes an acceptance process when the status information of the outpatient clinic patient acquired by the status information acquisition unit 202 is status information indicating that it has not been received, and the outpatient clinic acquired by the status information acquisition unit 202 If the status information of the patient is status information indicating that the patient has been examined, a settlement process is executed. Specifically, the process execution unit 203 executes a reception process when the information regarding the reception state acquired by the status information acquisition unit 202 is information indicating that the reception is not performed, and is acquired by the status information acquisition unit 202. If the information regarding the reception status is information indicating that the examination has been completed, the settlement process is executed.

  Next, a description will be given of the flow of a patient's second visit in a hospital to which the outpatient diagnosis system having such a configuration is applied.

FIG. 8 is a diagram showing the flow of the return medical care.
As shown in FIG. 8 , a patient who visits a hospital first inserts an examination ticket into the examination ticket slot 22 of the automatic reception / accounting machine 2 to accept a visit again, and obtains an acceptance slip (S11). In S <b> 11, as will be described in detail later, the automatic reception checkout machine 2 performs reception processing in accordance with the entered examination ticket and functions as an automatic reception machine.

  The patient who has received the receipt slip next moves to the reception counter of the department where he / she consults. During this movement, when a patient comes near the medical department to be examined, the patient terminal 1 possessed by the patient receives a beacon signal wirelessly transmitted from a beacon 52 installed in the medical department to which the patient consults. The patient is notified by display or voice that the department is near. Then, the patient who has arrived at the reception counter of the department to receive medical examinations submits an examination ticket (S12) and waits in the waiting room (S13).

  When the patient's name is called, the patient waiting in the waiting room moves to the front of the examination room (S14). When the patient's name is called again, the patient enters the examination room and receives a doctor's examination (S15). When the examination is completed, according to the operation of the doctor who examined the patient, information related to the patient's examination results and reservations is input to the electronic medical record terminal 31 and the corresponding patient stored in the patient information DB of the electronic medical record server 32 Information is updated. In the update of the patient information, information regarding the reception status of the patient examined by the doctor is updated to information indicating that the patient has been examined.

  The patient who has completed the examination moves to the automatic reception / accounting machine 2 and deposits the examination ticket into the examination ticket slot 22 of the automatic reception / accounting machine 2 for settlement (S16). In S16, as will be described later in detail, the automatic reception / accounting machine 2 performs a settlement process in accordance with the inserted examination ticket and functions as an automatic settlement machine.

FIG. 9 is a flowchart showing an example of operations performed in the outpatient medical care system when a medical examination ticket is inserted into the automatic reception / accounting machine 2.

In FIG. 9 , the patient terminal 1 uses the patient ID registered in the setting file stored in the storage unit of the patient terminal 1 and the patient ID stored in the reception state management DB of the patient terminal 1 in advance. While setting it as patient ID of the patient who has the patient terminal 1, the information regarding the reception status memorize | stored in reception status management DB is made into the information which shows unaccepted (S21). For example, the patient terminal 1 registers the patient ID registered in the setting file in accordance with the operation of the patient terminal 1 by the patient, and the information regarding the reception state stored in the reception state management DB every time the date changes. , Change (update) to information indicating unaccepted.

  When a patient who has the patient terminal 1 inserts a medical examination ticket into the medical examination ticket insertion slot 22 of the automatic reception / accounting machine 2 (S22), the automatic reception / accounting machine 2 uses the data stored in the magnetic stripe part of the medical examination ticket. The patient's reservation date is read from the patient information DB of the electronic medical record server 32 using the patient ID included in the data as a key, and it is determined whether or not the reservation date is today (S23). In addition, acquisition of the reservation date at this time is performed by the automatic reception / accounting machine 2 inquiring of the patient's reservation date corresponding to the patient ID to the electronic medical record server 32, and as a response to the inquiry, the electronic medical record server 32 receives the patient information DB. Is performed by transmitting the corresponding reservation date stored in the automatic reception / accounting machine 2 (S24).

  In the case of the determination result No in S23 (when the reservation date is not today), the automatic reception / accounting machine 2 displays on the display input unit 21 that there is no patient reservation (S25).

  On the other hand, when the determination result of S23 is Yes (when the reservation date is today), the automatic reception checker 2 prompts the patient to activate the Bluetooth (registered trademark) function of the patient terminal 1 Is displayed on the display input unit 21 (S26).

  When the patient who has confirmed this guidance screen activates the Bluetooth function of the patient terminal 1 (S27), the patient terminal 1 tries to establish a wireless communication connection with the automatic reception / accounting machine 2 via Bluetooth (S28). Performs wireless communication connection with the patient terminal 1 by Bluetooth (S29). Then, the automatic reception / accounting machine 2 notifies the patient terminal 1 that the wireless communication connection with the patient terminal 1 has been made by Bluetooth (S30), and the patient terminal 1 detects that the wireless communication connection has been made by Bluetooth (S31). ).

  After S30, the automatic reception / accounting machine 2 acquires information related to the reception status of the corresponding patient from the patient information DB of the electronic medical record server 32 using the patient ID included in the data read from the examination ticket in S23 as a key. It is determined whether or not the information regarding the state is information indicating that the information has not been received (S32). In addition, acquisition of the information regarding the reception state at this time is similar to S23 described above, the automatic reception checkout machine 2 inquires the electronic medical record server 32 about the information regarding the reception state of the patient corresponding to the patient ID, and As a response, the electronic medical record server 32 transmits the information related to the corresponding reception state stored in the patient information DB to the automatic reception settlement machine 2 (S33).

  When the determination result of S32 is Yes (when the reception state is not received), the automatic reception checkout machine 2 stores the patient terminal 1 in the reception state management DB of the patient terminal 1 via the wireless communication connection by Bluetooth. An instruction for changing (updating) the information regarding the received reception status to information indicating reception completion is given (S34).

  In response to the instruction, the patient terminal 1 changes (updates) the information regarding the reception state stored in the reception state management DB of the patient terminal 1 to information indicating that it has been received, and has been received. Is displayed or voiced to the patient (S35).

  After S34, the automatic acceptance / accounting machine 2 displays on the display input unit 21 that the patient has been accepted, and also displays the patient ID included in the data read from the examination ticket in S23 for the electronic medical record server 32. An instruction for changing (updating) the information related to the reception status of the corresponding patient to information indicating reception completion is given (S36).

  In response to the instruction, the electronic medical record server 32 changes (updates) the information related to the corresponding reception state stored in the patient information DB of the electronic medical record server 32 to information indicating that it has been received (S37).

  Then, the examination of the patient whose acceptance status has been accepted is completed, and the examination result of the patient, the appointment date of the next revisit medical treatment, etc. are input to the electronic medical record terminal 31 according to the operation of the doctor who examined the patient. Then, the electronic medical record terminal 31 instructs the electronic medical record server 32 to change the patient information corresponding to the patient ID (patient ID of the patient examined by the doctor) stored in the patient information DB. This patient information change instruction includes an instruction for changing (updating) information related to the reception status of the patient examined by the doctor to information indicating that the patient has been examined. In addition, when the payment status such as the accounting amount is input to the electronic medical record terminal 31 in accordance with the examination, the electronic medical record terminal 31 sends the patient ID (doctor's doctor) stored in the patient payment status DB to the automatic reception checkout server 7. Is instructed to change (update) the checkout status corresponding to the patient ID of the patient examined by the patient (S37-1).

  In response to the instruction, the electronic medical record server 32 changes (updates) the corresponding patient information stored in the patient information DB of the electronic medical record server 32 (S37-2).

  Further, in response to the instruction, the automatic reception / accounting machine server 7 changes (updates) the information related to the corresponding payment situation stored in the patient payment situation DB of the automatic reception / accounting machine server 7 (S37-3). .

  On the other hand, when the determination result in S32 is No (when the reception state is other than unaccepted), the automatic reception settlement machine 2 determines whether or not the information regarding the reception state acquired in S32 is information indicating that a medical examination has been completed. (S38).

  When the determination result in S38 is No (when the reception state is other than the medical examination completed), the automatic reception settlement machine 2 displays an error on the display input unit 21 (S39). In addition, as a case where the determination result of S38 is No, for example, after the patient has completed reception at the automatic reception / accounting machine 2 and before the examination is completed, the patient can enter the examination ticket insertion port 22 of the automatic reception / accounting machine 2. A case where an examination ticket is inserted is considered. In this case, since the information regarding the reception state is information indicating reception completion, the determination result in S38 is No.

  On the other hand, when the determination result in S38 is Yes (when the reception state is already examined), the automatic reception account settlement machine 2 uses the patient ID included in the data read from the examination ticket in S23 as a key from the automatic reception settlement machine server 7. Information on the corresponding payment status of the patient is acquired, and payment is performed based on the information (S40). Note that the information regarding the payment status at this time is obtained by the automatic reception / accounting machine 2 inquiring of the automatic reception / acquisition machine server 7 about the information regarding the payment status of the patient corresponding to the patient ID, and automatically received as a response to the inquiry. This is performed by the settlement machine server 7 transmitting information related to the corresponding settlement situation stored in the patient settlement situation DB to the automatic reception settlement machine 2 (S41).

As described above, in the operation shown in FIG. 9 , when an examination ticket is inserted into the automatic reception / accounting machine 2 after S21 is performed in advance (S22), the processing after S23 is performed.

In the operation illustrated in FIG. 9 , when the determination result in S32 is Yes (when the reception state is not received), the automatic reception / accounting machine 2 starts the reception process and performs the processes of S34 and S36 described above. In addition to this, processing such as issuance of receipt slips is also performed.

  Moreover, when the determination result of S38 is Yes (when the reception state is already examined), the automatic reception checkout machine 2 starts the checkout process and performs the above-described process of S40. Also perform processing. For example, after S40, the automatic reception / accounting machine 2 converts the information related to the patient's reception state corresponding to the patient ID included in the data read from the examination ticket in S23 to the electronic medical record server 32 into information indicating that the payment has been completed. An instruction to change (update) is given. Thereby, in the electronic medical record server 32, the information regarding the corresponding reception state memorize | stored in patient information DB is changed (updated) into the information which shows account finished. In addition, for example, the automatic reception settlement machine 2 receives information regarding the reception state stored in the reception state management DB for the patient terminal 1 via Bluetooth wireless communication connection after S40. The instruction to change (update) is performed. Thereby, in the patient terminal 1, the information regarding the reception state stored in the reception state management DB is changed (updated) to information indicating that the transaction has been completed.

  The patient terminal 1 also changes (updates) the information regarding the reception state stored in the reception state management DB at the following timing. For example, when the patient terminal 1 receives a beacon signal having a beacon frequency registered in the setting file stored in the storage unit of the patient terminal 1, information regarding the reception state stored in the reception state management DB Is changed (updated) to information indicating medical treatment.

  In S <b> 34, the automatic reception / accounting machine 2 may further instruct the patient terminal 1 to register the beacon frequency in the setting file stored in the storage unit of the patient terminal 1. In this case, the automatic reception / accounting machine 2 acquires information on the corresponding patient's department from the patient information DB of the electronic medical record server 32 using the patient ID included in the data read from the examination ticket in S23 as a key. The patient terminal 1 may be instructed to register a beacon frequency corresponding to. Further, the automatic reception / accounting machine 2 may further instruct the patient terminal 1 to store the medical department as a medical department stored in the reception state management DB of the patient terminal 1.

  As described above, according to the automatic reception / accounting machine 2 according to the present embodiment, when an examination ticket is inserted by a patient, the patient ID is acquired from the examination ticket, and the patient's reception state corresponding to the patient ID is obtained. When the information is acquired from the patient information DB of the electronic medical record server 32, and the information regarding the reception status is information indicating unaccepted, the reception processing is executed, and the information regarding the reception status is information indicating that the medical examination has been completed. The settlement process is executed. Therefore, the reception process or the payment process executed by the automatic reception / accounting machine 2 can be automatically and appropriately switched according to the outpatient medical care situation of the patient without any special operation of the patient. As a result, the reception process or the adjustment process unintended by the patient due to an error in the button operation, which is likely to occur when the patient is an elderly person or a handicapped person, as in a conventional automatic reception adjustment machine. There is no fear that it will be executed.

  Although the embodiments of the present invention have been described above, the present invention is not limited to the above-described embodiments, and various improvements and modifications can be made without departing from the scope of the present invention.

DESCRIPTION OF SYMBOLS 1 Patient terminal 2 Automatic registration / accounting machine 3 Electronic medical record system 4 Patient guidance system 5 Mobile patient guidance system 6 Registration reception terminal 7 Automatic registration / accounting machine server 8 Network 9 Dedicated line 21 Display input part 22 Examination ticket slot 23 Journal part 24a Coin deposit / withdrawal port 24b Coin unit 24c Coin cassette 25a Banknote deposit / withdrawal port 25b Bill unit 25c Bill cassette 26 Communication unit 31 Electronic medical record terminal 32 Electronic medical record server 41 Patient guidance server 42 Display system 51 Relay server 52 Beacon 53 Network 201 Patient identification information Acquisition unit 202 Status information acquisition unit 203 Processing execution unit 321 Storage unit

Claims (3)

A beacon that wirelessly outputs a beacon signal having a different beacon frequency for each medical department is installed, and a patient terminal that is a terminal device possessed by an outpatient medical patient has a beacon frequency that matches the beacon frequency registered in the patient terminal. When receiving a beacon signal, automatic reception and settlement of outpatients provided in an outpatient system that has a function of notifying the outpatient unit that the outpatient unit is near to the department To the computer of the reception checkout machine,
A communication function for performing wireless communication with the patient terminal possessed by an outpatient clinic patient;
A patient identification information acquisition function for acquiring patient identification information of outpatient medical patients;
Status information acquisition function for acquiring status information of outpatient clinic patients corresponding to patient identification information acquired by the patient identification information acquisition function from a storage unit in which status information of each outpatient clinic patient is stored;
When the status information of the outpatient clinic patient acquired by the status information acquisition function is status information indicating that the outpatient clinic patient has not been accepted , the reception process is executed and the beacon frequency corresponding to the department that the outpatient clinic patient receives is set. , via the communication function is registered in the patient terminal, whereas, execution processing for executing the settlement process if the status information of the outpatient clinic patients acquired by the status information acquisition function is the status information indicating the examination already Function and
An automatic reception settlement program for realizing A beacon that wirelessly outputs a beacon signal having a different beacon frequency for each medical department is installed, and a patient terminal that is a terminal device possessed by an outpatient medical patient has a beacon frequency that matches the beacon frequency registered in the patient terminal. When receiving a beacon signal, automatic reception and settlement of outpatients provided in an outpatient system that has a function of notifying the outpatient unit that the outpatient unit is near to the department A reception checkout machine,
A communication unit that performs wireless communication with the patient terminal possessed by an outpatient clinic patient;
A patient identification information acquisition unit for acquiring patient identification information of an outpatient clinic patient;
A status information acquisition unit that acquires status information of outpatients corresponding to the patient identification information acquired by the patient identification information acquisition unit from a storage unit that stores status information of each outpatient clinic patient;
When the status information of the outpatient medical patient acquired by the status information acquisition unit is status information indicating that the outpatient medical patient is not received , the reception process is executed and the beacon frequency corresponding to the medical department that the outpatient medical patient receives is set. , via the communication unit is registered in the patient terminal, whereas, execution processing for executing the settlement process if the status information of the outpatient clinic patients acquired by the status information acquisition unit is the status information indicating the examination already And
An automatic reception checkout machine characterized by comprising: A beacon that wirelessly outputs a beacon signal having a different beacon frequency for each medical department is installed, and a patient terminal that is a terminal device possessed by an outpatient medical patient has a beacon frequency that matches the beacon frequency registered in the patient terminal. When receiving a beacon signal, automatic reception and settlement of outpatients provided in an outpatient system that has a function of notifying the outpatient unit that the outpatient unit is near to the department An automatic reception settlement method by a reception settlement machine,
Obtain patient identification information for outpatients,
From the storage unit that stores the status information of each outpatient clinic patient, obtain status information of the outpatient clinic patient corresponding to the acquired patient identification information,
The obtained status information of outpatient patient when a status information indicating the non-reception is adapted to perform the reception process, the beacon frequency corresponding to the department to which the outpatient clinic patient visits, and the patient terminal When the wireless communication is registered in the patient terminal, on the other hand, when the acquired outpatient status information is status information indicating that the patient has been examined, a settlement process is executed.
An automatic reception settlement method characterized by this.