JP6637563B1 - Medical institution reception system and medical institution reception method - Google Patents

Abstract

An order management system and a system for managing receipt data and electronic medical records are linked to improve convenience and effectively utilize data. In a medical institution, a medical institution reception system for managing reception of patients to be examined, a reception terminal receiving input of reception information required for the examination, receiving the reception information from the reception terminal, and adding the reception information to a reception list. An order management server that registers the reception information of the patient, an electronic medical record management server that manages the electronic medical record, and a medical fee statement creation server that creates a medical fee statement at a medical institution are provided. An electronic medical record management server and a reception information transmitting unit for transmitting to the medical fee reimbursement creation server, wherein the electronic medical record management server updates the status of the electronic medical record of the patient to a status indicating that reception has been completed based on the reception information. Then, the medical remuneration statement creation server generates new medical remuneration statement data based on the reception information. [Selection diagram] FIG.

Description

  The present invention relates to a medical institution reception system and a medical institution reception method.

  2. Description of the Related Art In recent years, a medical institution uses a system that manages a series of operations from patient reception to medical examination and accounting.

  For example, Patent Literature 1 describes a system that, at the time of reception, creates medical record data based on information on a medical examination ticket and an insurance card, acquires a patient's inquiry result and a measurement result of basic data, and determines the order of medical treatment. Have been. In addition, it describes that a medical treatment cost is calculated based on the medical treatment result recorded in the medical record data and a settlement process is performed.

JP-A-2004-348214

  Many medical institutions use a system to manage patient reception and waiting for a consultation. However, conventionally, such a function of the order management system has not been realized in cooperation with a system for managing receipt data and electronic medical records.

  The present invention has been made in view of the circumstances described above, and aims to improve convenience and to make effective use of data by linking a sequence management system with a system for managing receipt data and electronic medical records. One.

A medical institution reception system according to an embodiment of the present invention is a medical institution reception system that manages reception of patients to be examined in a medical institution,
A reception terminal that receives input of reception information required for consultation;
An order management server that receives the reception information from the reception terminal and registers the reception information of the patient in a reception list,
An electronic medical record management server that manages electronic medical records,
A medical fee statement creation server that creates a medical fee statement at a medical institution,
The order management server,
A reception information transmission unit that transmits the reception information to the electronic medical record management server and the medical fee remuneration statement creation server,
The electronic medical record management server, based on the reception information, updates the status of the electronic medical record of the patient to a status indicating that has been received,
The medical remuneration statement creation server is for generating new medical remuneration statement data based on the reception information.

Further, the order management server includes:
A status update information transmitting unit that transmits information of the patient updated to a status indicating that the status of the reception list has been guided to a consultation room to the electronic medical record management server,
The electronic medical record management server may update the status of the electronic medical record of the patient to a status indicating that a medical examination is being performed.

In addition, a member information management server that manages member service usage history is provided,
The order management server,
In the case where the reception information includes a member ID held by a patient, a member information acquisition unit that acquires information of the service use history associated with the member ID from the member information management server,
A member information display unit for displaying the acquired information of the service use history on a terminal viewed by a doctor who performs a medical examination may be provided.

Further, the order management server includes:
Supports diagnosis of the patient based on the medical fee detail data of the patient obtained from the medical fee detail creation server and the service use history information associated with the member ID of the patient obtained from the member information management server. A diagnosis support information presenting unit that presents information to be performed may be provided.

Further, the order management server includes:
An information providing unit for analyzing a prevalent disease based on the medical reimbursement statement data obtained from the medical reimbursement statement creation server and displaying information on the prevalent illness on a display installed in the waiting room. It may be.

  According to the present invention, the order management system and the system for managing the receipt data and the electronic medical record are linked to improve the convenience and to effectively utilize the data.

FIG. 1 is a diagram showing a schematic configuration of a medical institution reception system 1000 according to an embodiment of the present invention. FIG. 2 is a block diagram showing a main configuration of the reception terminal 200. 9 is a flowchart of a reception process in the medical institution reception system 1000 according to the embodiment of the present invention. 9 is a flowchart of a status update process in the medical institution reception system 1000 according to the embodiment of the present invention.

  Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings. Note that the same components are denoted by the same reference numerals, and redundant description will be omitted.

  FIG. 1 is a diagram showing a schematic configuration of a medical institution reception system 1000 according to the present embodiment. As shown in FIG. 1, a medical institution reception system 1000 includes an order management server (medical institution reception device) 100 installed in a management center or the like, a reception terminal 200 installed near an entrance of a medical institution (facility), and the like. It includes an electronic medical record management server 300, a medical remuneration statement (recept) creation server 400, an examination room terminal 500, a waiting room display 600, and a member information management server 700. The order management server 100 is connected to the electronic medical record management server 300, the medical remuneration statement creation server 400, the examination room terminal 500, the waiting room display 600, and the member information management server 700 via the communication network N.

  The order management server 100 manages reception information of patients registered via the reception terminal 200 for each facility. In the example of FIG. 1, only the reception terminal 200 of one facility is illustrated, but the order management server 100 is actually connected to the reception terminals 200 installed in a plurality of facilities via the communication network N. Manages reception information for facilities. The order management server 100 is configured by a general-purpose computer, and realizes a server function by executing a predetermined server program on the computer. The order management server 100 does not necessarily have to be a single computer, but may be composed of a plurality of computers distributed on the communication network N.

  The order management server 100 includes a management database 110 for managing the reception terminals 200 of each facility, and a processor (reception information transmission unit, status update information transmission unit, member information acquisition unit, member information display unit, diagnosis support information presentation unit). , Information providing unit) 120. The management database 110 has a client management table TA1 and a status management table TA2.

  In the client management table TA1, a unique ID and a passcode (account) assigned to the reception terminal 200 are registered for each facility. For example, as a record of “medical institution A”, “ID: A1...”, “Passcode: AA2. These pieces of information are set by, for example, an administrator of each facility when the system is introduced. When a plurality of reception terminals 200 are used in one facility, the same ID and passcode may be used, or a plurality of IDs and passwords may be used separately.

  In the status management table TA2, a reception list at each facility is registered. In the reception list, for example, for each patient waiting for a consultation, a consultation ticket number, a health insurance card number, a medical department to be examined, status information indicating a waiting state, and symptoms registered at the time of reception. Includes information, urgency, suspected infectious disease, etc. For example, one record of the reception list includes a reception number "1", a reception time "13:03", a medical examination ticket number "A1001", an insurance card number "123456", a medical department "internal medicine", a status "calling", and the like. Information is included. In addition, information on symptoms such as body temperature measured or reported at the time of reception, name, contact mail address, telephone number, and the like may be included. Further, the information of the member ID managed by the member information management server 700 may be included.

  The medical department is information that is selected at the time of registration for reception, and may be selected by the patient himself or may be automatically determined from medical inquiry information or measurement information.

  The status includes "waiting", which is the state before the turn has arrived, "ringing", which indicates that the turn has arrived, and "guidance", which is the state in which the patient whose turn has come is actually guided to the consultation room. "Correspondence" which is a state where the consultation has been completed and the consultation has been completed, and "waiting for checkout", and "Cancelled" which has a state where the waiting list has been canceled. What item is set as the status is appropriately set by a manager of each facility, and can be changed.

  The information and setting method to be included in the reception list can be appropriately set and changed by an administrator of each facility or the like. The content of the record of the reception list is updated based on new registration information to the reception list transmitted from the reception terminal 200 or status update information (details will be described later).

  The processor 120 is composed of an arithmetic and logic operation unit (CPU and the like) for processing arithmetic operation, logical operation, bit operation and the like, and various registers, and executes various programs stored in storage means such as a ROM to manage the order. Each part of the server 100 is centrally controlled. The processor 120 also executes a computer program (order management application) for managing reception information in cooperation with the reception terminal 200.

  The communication network N includes a communication network capable of mutually transmitting and receiving information between the order management server 100, the reception terminal 200, and the medical information management server 300. The communication network N is, for example, any of the Internet, a LAN, a dedicated line, a telephone line, a company network, a mobile communication network, Bluetooth (registered trademark), WiFi (Wireless Fidelity), other communication lines, a combination thereof, and the like. And it may be wired or wireless.

  The reception terminal 200 is any terminal capable of exchanging data with the order management server 100 via the communication network N, such as a tablet terminal, a personal computer (PC), a notebook PC, a smartphone, a mobile phone, and a personal digital assistant (PDA). Equipment can be used. Note that a plurality of reception terminals 200 can be used in one facility.

  FIG. 2 is a block diagram illustrating a main configuration of the reception terminal 200. The reception terminal 200 includes a processor 210, an input device 215, a display device 216, a communication interface 220, and a storage resource 230. The reception terminal 200 receives an input such as registration to a reception list or update of a record when a patient or an employee directly operates the input device 215 such as a touch panel.

  The processor 210 includes an arithmetic and logic operation unit (such as a CPU) for processing arithmetic operations, logical operations, bit operations, and the like, and various registers. The processor 210 executes various programs stored in the storage resources 230 to execute the operations of the reception terminal 200. Each part is controlled centrally. The various registers are, for example, a program counter, a data register, an instruction register, a general-purpose register, and the like.

  The input device 215 includes various operation buttons and a touch panel 215a for receiving an input such as reception to the waiting list and application from the waiting list.

  The display device 216 is a device for displaying a waiting list, a reception screen, and a status management screen, and is configured by, for example, a liquid crystal display.

  The communication interface 220 is a hardware module for connecting to the communication network N and communicating with other devices via the communication network N. The communication interface 220 is a modulation / demodulation device such as an ISDN modem, an ADSL modem, a cable modem, an optical modem, and a soft modem.

  The storage resource 230 is, for example, a logical device provided by a storage area of a physical device. The physical device is, for example, a computer-readable recording medium such as a disk drive or a semiconductor memory (ROM, RAM, etc.). The storage resource 230 may be constructed by mapping a plurality of physical devices to one logical device, or may be constructed by mapping one physical device to a plurality of logical devices.

  The storage resource 230 stores an operating system program, a driver program, various data, and the like. The driver program includes, for example, a communication interface driver program for controlling the communication interface 220. In addition to the various programs and various data, the storage resource 230 stores a computer program (order management application) AP1 that is executed by the processor 210 and cooperates with the order management server 100 to manage the waiting queue. Have been.

  The electronic medical record management server 300 is a server that manages electronic medical records at medical institutions. The electronic medical record management server 300 is configured by a general-purpose computer, and realizes a server function by executing a predetermined server program on the computer. The electronic medical record management server 300 includes a processor 310, a communication interface 320, and a storage resource 330.

  The medical remuneration statement creation server 400 is a server that creates a medical remuneration statement (recept) at a medical institution. The medical remuneration statement creation server 400 is configured by a general-purpose computer, and realizes a server function by executing a predetermined server program on the computer. The medical fee schedule creation server 400 includes a processor 410, a communication interface 420, and a storage resource 430.

  The examination room terminal 500 is a terminal for a doctor or the like performing a medical examination to browse information on the patient's electronic medical record, inquiry information registered at the time of reception, and update the information on the electronic medical record. The examination room terminal 500 can use any terminal device that can exchange data with the order management server 100 via the communication network N, such as a tablet terminal, a personal computer (PC), and a notebook PC.

  The waiting room display 600 is connected to the order management server 100 via the communication network N, and displays information for the patient generated by the order management server 100.

  The member information management server 700 is a server that manages information of members to be registered and provides services to members. The member information management server 700 is configured by a general-purpose computer, and realizes a server function by executing a predetermined server program on the computer. The member information management server 700 includes a management database 710 for managing member information, and a processor 720. The management database 710 includes a member information management table TA3. In the member information management table TA3, in addition to attribute information such as name, address, telephone number, e-mail address, date of birth, etc., member facilities (restaurants, medical institutions, banks, travel agencies, A service use history and a product purchase history at department stores and amusement facilities are registered. Specifically, the information includes information on a tour used through a travel agency, information on a restaurant used, and the like.

(Generation of reception data)
Next, the reception processing of the medical institution reception system 1000 according to the present embodiment will be described with reference to the flowchart of FIG.

  The display device 216 of the reception terminal 200 displays information such as the number of patients waiting for an examination in each medical department and the waiting time. These pieces of information are periodically acquired from the order management server 100 and updated.

  When a patient who intends to perform reception performs an operation such as touching the display device 216, the reception terminal 200 displays a reception screen for reception on the display device 216 (step S101). The reception screen displays a message or the like that prompts the user to insert a consultation ticket or insurance card into a card reader (not shown). In addition, an inquiry item and a message prompting an answer to the inquiry item are displayed. Further, a message is displayed for prompting input of other necessary items (whether or not to call, telephone number or mail address of the contact at the time of calling). If the patient has a member ID managed by the member information management server 700, a message prompting the user to input the member ID is displayed.

  The reception terminal 200 acquires information such as a consultation ticket number and an insurance card number via a card reader. In addition, the reception terminal 200 obtains an answer to the inquiry item input by the patient through the touch panel 215a or the like and information on other necessary items. (Step S102). The consultation ticket number and the insurance card number may be obtained by reading the number written on the surface by reading an image or reading data recorded on an IC chip. Further, the patient may directly input the number.

  When the acquisition of the information necessary for the reception is completed (Step S103: YES), the reception terminal 200 transmits the obtained information to the order management server 100 (Step S104). Further, the reception terminal 200 displays a reception completion screen on the display device 216 (Step S105). On the reception completion screen, a reception number (waiting number), a waiting time at the present time, a message urging to receive a sequential ticket, and the like are displayed. The patient can receive the order ticket printed from the printer connected to the reception terminal 200. The two-dimensional code associated with the reception number is printed on the order ticket, and the patient reads the two-dimensional code printed on the order ticket using his / her own mobile terminal, so that the mobile terminal (The current number of waiting groups and the estimated waiting time) are displayed. In addition, the patient inputs a telephone number or an e-mail address according to the guidance displayed by reading the two-dimensional code, so that the patient receives a message by telephone or e-mail when the order of the examination arrives or approaches the order. You can receive a reminder message when you.

  The order management server 100 adds a new record to the reception list based on the received new reception information, and updates the status management table TA2 (step S106). For example, as a new record, the reception number “1”, the reception time “13:03”, the consultation ticket number “A1001”, the insurance card number “123456”, the medical department “internal medicine”, the status “waiting”, and the body temperature “38.2” Records such as “degree” and member ID “M001” are registered.

  In addition, the order management server 100 transmits the new reception information to the electronic medical record management server 300 and the medical fee schedule creation server 400 (Step S107).

  The electronic medical record management server 300 specifies the patient electronic medical record using the consultation ticket number or the insurance card number included in the received new reception information, and sets the status of the electronic medical record to “reception” (or “waiting for examination”). (Step S108).

  Further, the medical remuneration statement creation server 400 generates new receipt data using the consultation ticket number and the insurance card number included in the received new reception information (step S109).

(Update of reception list)
Next, a status update process of the medical institution reception system 1000 according to the present embodiment will be described with reference to the flowchart of FIG.

  The contents of each record registered in the reception list are described as “cancel”, “change”, “call”, “guide” by the facility employee (doctor, nurse, medical clerk, etc.) using the reception terminal 200. , "Complete" or the like. "Cancel" means canceling the waiting queue, and "Change" means changing the contents of the waiting queue once input. In addition, "call" means that the patient whose order has been reached is called verbally, or that the patient has been notified by telephone, call mail, etc., and "guidance" means that the patient whose order has come to the actual examination room. It means that you are in a guided state. "Completed" means that the consultation has been completed and the patient is awaiting accounting.

  The employee selects a record of a patient whose status is to be updated from the reception list displayed on the reception terminal 200, and performs a status update operation on the selected record (step S201). Specifically, for example, when a user swipes a row of a target record, buttons for performing update operations of “cancel”, “change”, “call”, “guide”, and “complete” are displayed. Taps one of the buttons.

  The reception terminal 200 transmits the information (for example, the reception number “1”) specifying the record to be updated and the information on the update operation (for example, “guidance”) to the order management server 100 (Step S202).

  The order management server 100 updates the reception list of the facility based on the received information (Step S203). For example, when the “guidance” operation is performed on the reception number “1”, the status of the record with the reception number “1” is updated to “guided”.

  In addition, the order management server 100 transmits information (a consultation ticket number or a health insurance card number) identifying the patient whose status has been updated and the updated status (for example, “guided”) to the electronic medical record management server 300 ( Step S204).

  The electronic medical record management server 300 updates the status of the electronic medical record of the corresponding patient based on the received status update information (step S205). For example, if the status is updated to "Guided", the status of the electronic medical record is updated to "Examine", and if the status is updated to "Complete," the status of the electronic medical record is Update to "Waiting".

(Provision of information to the examination room terminal 500)
On the examination room terminal 500, information on the electronic medical record of the patient under examination and inquiry information registered at the time of reception are displayed. Further, when the member ID is registered in the data of the reception list, the order management server 100 inquires of the member information management server 700 and acquires the information of the member registered in the member information management table TA3. .

  The order management server 100 acquires information useful for medical treatment, for example, information on recent overseas travel (time, destination) and frequency of eating out (frequency of using restaurants) based on the acquired member information. Then, it is displayed on the examination room terminal 500.

(Cooperation with the medical fee detail creation server 400)
The order management server 100 supports diagnosis based on the medical fee data of the patient acquired from the medical fee detail creation server 400 and the member information associated with the member ID of the patient acquired from the member information management server 700. Specifically, information on the patient's illness tendency is extracted from the medical fee data, information on the patient's preferences and lifestyle (frequency of eating out, travel destination) is extracted from the member information, and the information is extracted from the information. Provide appropriate diagnosis and advice based on it. For example, based on information on recent travel destinations, information on infectious diseases prevalent in the local area may be presented. In addition, a patient who frequently eats out may be advised to improve eating habits. In addition, a suspected disease and necessary advice may be derived from patient data using artificial intelligence. The derived information may be displayed on the examination room terminal 500, or may be transmitted to an e-mail address of a portable terminal or the like carried by the patient.

(Information display on the waiting room display 600)
The order management server 100 may analyze a disease that is currently prevalent based on the medical fee data acquired from the medical fee detail creation server 400 and display information for alerting on the waiting room display 600. . For example, when a lot of medical fee data related to influenza testing is created, the waiting room display 600 displays the cautionary information of “Influenza is prevalent” and also includes information such as main symptoms and precautions. indicate.

  As described above, according to the present embodiment, at the timing when the order management server 100 acquires the reception information, the reception information is also notified to the electronic medical record management server 300 and the medical remuneration statement creation server 400, and the electronic medical record management server 300 Also, in the medical remuneration statement creation server 400, the processing at the time of reception is respectively performed. Thereby, the processing at the time of reception in each server is executed in conjunction with the order management server 100, so that there is no need for an employee or the like to operate each server, and the convenience is improved. In addition, data input omission, erroneous input, and the like can be prevented.

  In addition, when the status of the patient is updated in the reception list managed by the order management server 100, the electronic medical record management server 300 is notified of the status update. This makes it possible to collectively manage the timing at which the medical examination starts and the timing at which the medical examination ends, thereby reducing the trouble of operating the system, and preventing omission of updating and erroneous input.

  Also, diagnosis support and advice are provided by using the receipt data acquired from the medical fee reimbursement statement creation server 400 and the patient information acquired from the member information management server 700. Information to be used can be effectively used.

  In addition, since the current illness is analyzed using the receipt data acquired from the medical fee reimbursement creation server 400 and information is provided through the display in the waiting room, the medical institution always holds the receipt. Data can be used effectively.

  Note that the present invention is not limited to the above-described embodiment, and can be implemented in other various forms without departing from the gist of the present invention. Therefore, the above-described embodiment is merely an example in all aspects, and is not to be construed as limiting. For example, the above-described processing steps can be arbitrarily changed in order or a parallel execution within a range that does not cause inconsistency in the processing contents.

1000 medical institution reception system 100 order management server 110 management database 120 processor 200 reception terminal 210 processor 215 input device 215a touch panel 216 display device 220 communication interface 230 storage resource 300 electronic medical record management server 310 ... processor 320 ... communication interface 330 ... storage resource 400 ... medical remuneration statement creation server 410 ... processor 420 ... communication interface 430 ... storage resource 500 ... examination room terminal 600 ... waiting room display 700 ... member information management server 710 ... management database 720 ... Processor TA1 Client management table TA2 Status management table TA3 Member information management table N Communication network AP1 Order management application

Claims (5)

In a medical institution, a medical institution reception system that manages reception of patients to be examined,
A reception terminal that receives input of reception information required for consultation;
An order management server that receives the reception information from the reception terminal and registers the reception information of the patient in a reception list,
An electronic medical record management server that manages electronic medical records,
A medical fee statement creation server that creates a medical fee statement in a medical institution ;
Equipped with a member information management server that manages member service usage history ,
The order management server,
A reception information transmitting unit that transmits the reception information to the electronic medical record management server and the medical fee remuneration statement creation server ,
In the case where the reception information includes a member ID held by a patient, a member information acquisition unit that acquires information of the service use history associated with the member ID from the member information management server,
A member information display unit that displays the acquired information on the service use history on a terminal that is viewed by a doctor who performs a medical examination ,
The electronic medical record management server, based on the reception information, updates the status of the electronic medical record of the patient to a status indicating that has been received,
The medical institution reception system, wherein the medical remuneration statement creation server generates new medical remuneration statement data based on the reception information. The order management server,
A status update information transmitting unit that transmits information of the patient updated to a status indicating that the status of the reception list has been guided to a consultation room to the electronic medical record management server,
The medical institution reception system according to claim 1, wherein the electronic medical record management server updates the status of the electronic medical record of the patient to a status indicating that a medical examination is being performed. The order management server,
Supports diagnosis of the patient based on the medical fee detail data of the patient obtained from the medical fee detail creation server and the service use history information associated with the member ID of the patient obtained from the member information management server. The medical institution reception system according to claim 1 or 2 , further comprising a diagnosis support information presentation unit that presents information to be performed. The order management server,
An information providing unit for analyzing a prevalent disease based on the medical remuneration statement data obtained from the medical remuneration statement creation server and displaying information on the prevalent disease on a display installed in a waiting room is provided. The medical institution reception system according to any one of claims 1 to 3 . A computer, a medical institution, a medical institution reception method for managing the reception of patients to be consulted,
A step in which the computer receives input of reception information required for consultation;
The computer registers the reception information of the patient in a reception list,
The computer , based on the reception information, the step of updating the status of the patient's electronic medical record to a status indicating that has been received,
A step in which the computer generates new medical fee statement data based on the reception information;
When the computer includes, in the reception information, a member ID held by a patient, acquiring information of the service use history associated with the member ID from a member information management server;
Displaying the acquired information on the service use history on a terminal viewed by a doctor who performs a medical examination .

Images