JPH0481970A - Medical examination scheduling machine - Google Patents

Abstract

PURPOSE:To execute the medical examination scheduling adapted to the actual condition of each department accepting work by constituting the machine so that block scheduling can be executed, and also, the block scheduling and single department scheduling can be switched. CONSTITUTION:An operation of a medical examination scheduling machine 10 is controlled by a built-in microcomputer 12. When the operation of a medical examination department selection switch 18 is made effective, a medical examination adjustment ticket of a selected medical examination department is issued, and on the other hand, when the operation of the medical examination department selection switch 18 is made ineffective, a medical examination adjustment ticket of the medical examination department set in advance is issued, therefore, block scheduling can be executed, and also, the block scheduling and single department scheduling can be switched. In such a way, the medical examination scheduling machine adapted to the actual condition of each department scheduling work can be obtained.

Description

DETAILED DESCRIPTION OF THE INVENTION [Field of Industrial Application] The present invention relates to a medical treatment reception machine that automates reception operations for patients visiting a hospital or the like.

[Prior art and problems to be solved by the invention] Medical reception machines that automate reception work for patients are beginning to be used. When a magnetic card-type consultation ticket containing necessary information such as a patient ID code is inserted into the insertion slot and an appropriate operation is performed, a consultation ticket is automatically issued.

This type of medical treatment reception machine is disclosed in Japanese Patent Application Laid-open No. 184567/1982, No. 282365/1982, and Japanese Patent Application Laid-open No. 63-2.
It is disclosed in Publication No. 19064 and the like.

General hospitals have multiple medical departments, such as internal medicine, surgery, and otorhinolaryngology, and typically have a general reception desk in addition to the reception desks for each department. The medical treatment reception machine described in JP-A-62-184567 is installed at the general reception desk, and includes a consultation card reader, a CRT display that displays operating procedures and messages to patients, and a CRT display that displays operating procedures and messages to patients. A speaker that audibly announces operating procedures, an LED display that displays the number of admitted patients for each medical department, 20 pushbutton switches for selecting a medical department, and for canceling, correcting, and confirming selections. A push button switch, and a numbered ticket issuing control unit that issues a numbered consultation ticket for the selected medical department. Furthermore, data is sent and received through a communication line to a host computer that performs medical record management, insurance checks, and the like.

However, this medical reception machine could not distinguish between patients who did not require medical attention, such as patients who simply came to get medicine according to the doctor's previous instructions, and patients who wanted to see a doctor, so the LED There was an inconvenience that the latter patients could not predict the waiting time for consultation based on the display. There was also the problem that doctors and nurses were unable to keep track of the number of patients waiting to be seen. Also, even if the operating procedure is displayed sequentially on the CRT while automatically explaining the operating procedure aloud through the speaker,
Because of the large number of pushbutton switches, it is difficult for elderly patients, especially those unfamiliar with this type of device, to know which pushbutton switch to press.

If there were only a small number of machines installed at the general reception desk, there was the problem that patients could form long lines in front of the machine.

The medical treatment reception machine described in JP-A No. 62-282365 is also installed at the general reception desk, and includes a patient card reader, a speaker that notifies operating procedures with synthesized voice, and a CRT display for selecting medical subjects. touch panel, a verification section that checks the compatibility between the patient ID code and the selected medical department according to a certain procedure, and a numbered ticket issue control section that issues a numbered consultation ticket with the data of the verification and verification section printed. Be prepared.

This medical treatment reception machine also had the problem of not being able to distinguish between patients who do not require medical examination and patients who wish to see a doctor. Similar to the above, a long line of patients forms in front of the reception machine when the number of machines installed is small.

For the above two reception machines, JP-A-63-21906
The medical treatment reception machine described in Publication No. 4 is installed at the reception desk of each department, and is capable of distinguishing treatment categories such as examination, examination, injection, and medication. That is, in addition to a consultation ticket reading section and a ticket issuing control section that issues a consultation ticket with a reception number printed thereon, it is provided with a push button switch for selecting a medical treatment category. The reception number is sequentially displayed on a CRT display installed in the waiting room of the relevant examination group in order to call patients into the examination room. When a medical examination ticket is issued, the order in which medical and medical records are issued is output. In addition, the number of accepted patients and the number of patients who have completed treatment are displayed for each treatment department on a comprehensive reception status monitor installed at the entrance, etc., and the display of both numbers of patients is updated sequentially.

According to this third medical treatment reception machine, it is possible to prevent patients from all clinical departments from concentrating, so it is possible to solve the above-mentioned problem of long lines of patients forming in front of the reception machine. It is also possible to distinguish between patients who do not require medical examination and patients who desire medical examination.

Now, some medical departments have very few patients. In this case, the reality is that multiple medical departments are handled by one reception desk (so-called block reception). For example, one reception desk and examination room are used for neurology in the morning and for dermatology in the afternoon. However, since the third medical treatment reception machine is a single-specialty reception machine, it cannot support this, and it is necessary to install a reception machine for each medical department, which poses a problem that leads to an increase in costs.

The present invention has been made in view of the above circumstances, and
To provide a medical treatment reception machine capable of block reception and switching between block reception and single department reception that is compatible with the actual situation of reception work for various materials, and to enable anyone to easily operate this machine.

[Means for Solving the Problems] A medical treatment reception machine according to the present invention automatically issues a consultation ticket upon input of a consultation ticket, and includes a plurality of operation switches for selecting a medical department; A function changeover switch is used to enable/disable the operation of these medical department selection switches, and when the operation of the medical department selection switch is enabled, a consultation ticket for the selected medical department is issued, while the medical department selection switch and a numbered ticket issuing control unit that issues a consultation numbered ticket for a preset medical department when the operation is disabled.

In order to simplify the operation, the medical department selection switch is an illuminated pushbutton switch, which blinks or lights up at the timing of operation.

Even when multiple operation switches are provided to select treatment categories regarding whether or not a doctor's examination is necessary, in order to facilitate operation, these should be illuminated pushbutton switches that will flash or turn on at the appropriate timing. let

In order to further facilitate the operation, a display section for displaying the operating procedure and a sound generator for notifying the operating procedure by voice over the display are further provided.

[Function] When the operation of the medical department selection switch is enabled by operating the function selector switch, after receiving the examination ticket, the examination ticket for the medical department selected by the patient through the operation of the medical department selection switch will be displayed. Issue. In other words, as a block reception machine, it automatically issues consultation tickets according to the patient's selection. On the other hand, when the operation of the medical department selection switch is disabled, the machine functions as a single department reception machine with a medical department preset and issues a medical examination numbered ticket in response to the input of the medical examination ticket.

The medical department selection switch is an illuminated push button switch,
To make these blink or light up at the timing when they should be operated, the patient presses a switch selected from among the blinking or lighted pushbutton switches. At this time, even if the medical treatment reception machine is provided with a large number of pushbutton switches of the same type, the range of operation targets is limited, and the pushbutton switch that the patient should operate can be seen at a glance. The same applies when a medical treatment category selection switch is provided.

If a display unit that displays operating procedures and a voice generator that audibly informs the operating procedures are provided over the display, the patient inserts the patient's medical card according to the operating instructions of both.
Operate the medical department selection switch and medical treatment category selection switch.

[Embodiment] FIG. 1 is a block diagram showing a medical treatment reception machine IO according to an embodiment of the present invention together with its externally connected devices.

The operation of this medical treatment reception machine 10 is controlled by a built-in microcomputer 12. Microcomputer 1
2 includes a card reader 14 for reading patient tickets; a medical treatment category selection switch 1B consisting of five illuminated push button switches;
, a medical department selection switch 18 consisting of three illuminated pushbutton switches, a confirmation switch 20 and a cancellation switch 22 consisting of illuminated pushbutton switches for confirming and canceling switch operations, a display 24 for displaying operation procedures, and operation procedure guidance. a voice synthesizer 26 for use with the computer, a speaker 28 connected thereto, a printer 30 for issuing medical examination tickets, a communication interface 32 for communicating with the host computer 40, and a dip switch 34 for various settings.
is connected.

Furthermore, this medical treatment reception machine IO has a host computer 40.
It is also connected to each department monitor 42, central medical record management room computer 44, and hospital captain 4B via. The host computer 40 performs initial examination reception processing, accounting processing, etc., and accumulates and stores information regarding the patient, such as completion of the initial examination, insurance, and unpaid bills. Each department monitor 42 is provided at a reception desk for nurses and the like, and displays admitted patients by distinguishing between patients who do not require medical examination and patients who wish to be examined by a doctor. The central medical record management room combination unit 44 manages the shipping and receiving of medical records. The hospital captain 46 sequentially displays the waiting status of each department and other information such as "notice of closure" on displays placed in various parts of the hospital including the waiting rooms of each department.

FIG. 2 is a front view showing the front panel of this medical treatment reception machine IO.

A display 24 for displaying operating procedures such as "Please insert your medical card" is arranged at the top.

Below that, five illuminated pushbutton switches are arranged in a horizontal row as a medical treatment category selection switch 16. The key tops of these pushbutton switches have indications of ``examination'', ``examination'', ``injection'', ``rehabilitation'', and ``medication'', respectively.

A pushbutton switch labeled "Consultation" is provided for patients who wish to see a doctor.

"Examination" is a medical treatment category selection switch that is operated when the patient desires only tests, "Injection" is only injections, "Rehabilitation" is only rehabilitation treatment, and "Medication" is only medicine. It will be provided for processing after confirmation.

Below these medical treatment category selection switches 1B, three illuminated pushbutton switches are arranged in a row as medical department selection switches 18. Each of the key tops of these pushbutton switches has an indication of ``nerve'', ``skin'', and ``Chinese medicine''. This is for block reception of three medical departments: neurology, dermatology, and Chinese herbal medicine.

The front panel further includes a confirmation switch 20 and a cancellation switch 22, which are illuminated pushbutton switches, and a card reader 1.
4 examination ticket insertion slot, printer 30 examination ticket output port,
Additionally, a speaker 28 for guiding operation procedures is provided. The consultation ticket is issued for each medical department at the general reception desk at the time of the first visit, and is a magnetic card type on which necessary information such as a patient ID code and issuing materials are recorded.

3 to 5 are a series of flowcharts showing the operation of the medical reception machine 10 described above.

First, until the patient card is inserted into the card reader 14,
The display 24 remains on standby with the message "Please insert your medical card" displayed (steps 10 and 11). When the patient's ticket is inserted, the information stored therein is read (step 12), and it is checked whether it is a valid ticket issued by the department concerned, and the card is connected to the host computer 40 that stores patient information. Check whether insurance has been confirmed within 3 months of communication and check whether there are any outstanding payments (Step 13)
. If we are unable to accept your application as a result of these checks,
L, after ejecting the patient ticket from the card reader 14 (step 1B), a message with the reason is ejected from the printer 30 while audibly informing the patient of this through the voice synthesizer 26 and the speaker 28 (step 14.15). , returns to the initial standby state.

If the reception is possible, next communication is performed with the host computer 40 to check whether there is a medical appointment (step 20). If there is a reservation, a consultation ticket is issued from the printer 30 according to the reservation details (step 21). In addition to the reception date, reception number, reception department, and patient's name, the words "reservation" are printed on this consultation ticket.

Then, the data is transferred to the monitor 42 of the reception department through the host computer 40 (step 22) to notify the reception desk of the scheduled patient's visit, and the waiting status display for each department on the displays at various locations in the hospital is updated through the hospital captain 46 (step 22). After step 23), the patient ticket is ejected from the card reader 14 (step 24) and the process returns to the initial standby state.

In addition, when receiving a block of three departments as in this embodiment, only one monitor 42 for each department is installed, which can also be used for the three departments.

If there is no reservation, it is checked whether the deep switch 34 is set to execute block reception (step 30). In the case of this embodiment, the dip switch 34 is set to accept the 3-course block, so the process advances from step 30 to step 31, and the display 24
``Please select a medical examination department'' is displayed on the screen, and at the same time, this message is conveyed to the patient through the voice synthesizer 26 and the speaker 28 (step 31). In response to this, only these three pushbutton switches are made to blink until the patient presses one of the three medical department selection switches 18 (step 32.33).

When any of the medical department selection switches 18 is pressed, only the pressed pushbutton switch is turned on and the other switches are turned off (step 34), and then the display 24
``Please press the confirmation switch'' is displayed on the screen, and at the same time, this is communicated to the patient by voice through the voice synthesizer 26 and speaker 28 (step 35). Then, in response to this, only the double-push button switch 20.22 is made to blink until the patient presses either the confirmation switch 20 or the cancellation switch 22 (step 36.37). However, the medical department selection switch 18 that was pressed first continues to light up to facilitate confirmation. When the cancel switch 22 is pressed, all the switches are turned off (step 39) and the process returns to step 31 to be operated again. When the confirmation switch 20 is pressed, the confirmation switch 20 and the cancellation switch 22 are pressed.
is turned off (step 40), the previously selected medical department is memorized (step 41), and the process proceeds to step 50.

If the deep switch 34 is set to not execute block reception, the process jumps from step 30 to step 50 without allowing the patient to select a medical department.

In step 50, communication is carried out with the host computer 40 to check whether the reception for the initial consultation has been completed, and also to check whether there is no double reception. If, as a result of these checks, the patient cannot be accepted, a message to that effect is conveyed to the patient through the voice synthesizer 26 and the speaker 28, and a message with the reason is output from the printer 30 (steps 51 and 52). L, all switches (step 53), and turn off the card reader 1 (step 53).
After ejecting the patient ticket from step 4 (step 54), the process returns to the initial standby state.

If the initial consultation has been completed and there is no double reception, the process advances from step 51 to step 60.

In steps 60 to 70, similar to steps 31 to 41, the display 24 provides visual operation guidance to the patient, and at the same time, the voice synthesizer 2B and speaker 28 provide auditory guidance to the patient.
While using the confirmation switch 20 and the cancellation switch 22,
The desired medical treatment category is selected using the medical treatment category selection switch 16. That is, the display 24 displays "Please select your examination category" and at the same time, the patient is informed of this through the voice synthesizer 26 and speaker 28 (step 60). In response to this, only these five pushbutton switches are made to blink until the patient presses one of the five treatment category selection switches 16 (step 61.
62). When any of the medical treatment category selection switches 1B is pressed, only the pressed pushbutton switch is turned on and the other switches are turned off (step 63), and then the display 241; "Please press the confirmation switch" is displayed. At the same time, the patient is informed of this through the voice synthesizer 26 and speaker 28 (step 64).

In response, only the double-push button switch 20.22 is made to blink until the patient presses either the confirmation switch 20 or the cancellation switch 22 (step 65.86).
). However, the medical treatment category selection switch 1B that was pressed first continues to light up to facilitate confirmation. When the cancel switch 22 is pressed, all switches are turned off (step 6).
8) After that, return to step 60 and perform the operation again. When the confirmation switch 20 is pressed, the confirmation switch 20 and the cancellation switch 22 are turned off (step 69), the previously selected medical treatment category is stored (step 70), and the process proceeds to step 80. Note that it may be possible to select multiple medical treatment categories.

If the dip switch 34 is set to block reception, a consultation ticket is issued from the printer 30 in step 80 according to the selected medical department and treatment category.

The reception date, reception number, reception department, and patient name are printed on this examination ticket. However, the reception number can only be printed when "Consultation" is selected with the treatment category selection switch 1B. If another treatment category is selected, a message is printed in place of the reception number to direct the patient to a designated room. Also,
Even if a patient only wishes to receive medication, a message to that effect can be printed on a registered patient who has been determined by a doctor to be in need of medical examination. In the case of single department reception, the medical department set by dip switch 34 is printed as the reception department. The rest is the same as in the case of block reception.

Furthermore, this medical treatment reception machine IO has a host computer 40.
The data is transferred to the monitor 42 in the reception department (step 81) to inform the reception department of the arrival of a non-reserved patient, the central medical record management room computer 44 is instructed to retrieve the medical record (step 82), and the data is sent to the monitor 42 in the hospital through the hospital captain 46. After updating the waiting status display for each department on each display (step 83), all switches are turned off (step 84).
), ejects the patient ticket from the card reader 14 (step 85), and returns to the initial standby state. The examination waiting status display on the reception department monitor 42 and hospital captain 4B may be updated every time a patient's examination is completed.

The central medical record management room computer 44 may not only issue a medical record retrieval instruction, but also output an outpatient basic form on which the medical treatment category selected by the patient at the medical reception machine 10 is printed. Test results from the previous hospital visit are also printed on the outpatient basic form as reference materials, and this basic form is attached to the corresponding medical record file.

Medical record files are sorted by treatment category when they are shipped. Note that if medical records are sent out the day before the appointment, the burden of shipping work on the day of the appointment can be reduced. Therefore, in steps 21 and 22, no medical record delivery instruction is issued.

By employing the medical treatment reception machine IO suitable for each department reception as described above, it is possible to prevent patients from concentrating on the reception machine, thereby solving the above-mentioned problem of long lines of patients forming in front of the reception machine. Moreover, since the number of reception machines installed can be reduced by executing block reception, costs can be reduced for the hospital as a whole. Moreover, not only can you change between block reception and single department reception, but you can also set the medical department in the case of single department reception by operating the deep switch 34. It can also be easily applied to reception. Therefore, the number of standby machines can be reduced to a minimum.

Further, by employing the treatment category selection switch 16, the number of patients visiting each treatment category can be checked on each department monitor 42. Through the in-hospital captain 46, it is also possible to sequentially display the waiting status of each department on displays placed throughout the hospital, including the waiting rooms of each department. Furthermore, this display is updated each time a patient's examination is completed. Therefore, patients can know their waiting status for consultations no matter where they are in the hospital, and can predict their waiting time. For patients who have already been admitted to two or more medical departments, it is also possible to know which department they should wait to be seen at. Special treatment is also possible for patients who have scheduled consultations.

Furthermore, in addition to sequentially providing the patient with an operation procedure display on the display 24 and operation guidance through the voice synthesizer 26 and speaker 2B, the treatment category selection switch 1B, treatment department selection switch 18, confirmation switch 20, and cancellation switch 22 are illuminated. It is a type push button switch, and the range of the switch to be operated is clearly indicated by blinking at the timing of operation, so anyone can easily operate it.

[Effects of the Invention] The medical reception machine according to the present invention includes a function changeover switch for enabling/disabling the operation of the medical subject selection switch, and when the operation of the medical subject selection switch is enabled, the selected medical subject On the other hand, when the operation of the medical department selection switch is disabled, a medical examination ticket for the preset medical department is issued, allowing block reception and switching between block reception and single department reception. can. In other words, according to the present invention, it is possible to provide a medical treatment reception machine that meets the actual situation of each material reception service.

The medical department selection switch and the medical treatment category selection switch are illuminated pushbutton switches that flash or light up at the appropriate timing, and have a display section that displays the operating procedure and an audio instruction that superimposes the operating procedure on the display. If a sound generator is also provided to notify the user, the operation will become easier.9. Anyone can easily operate it.

[Brief explanation of drawings]

Fig. 1 is a block diagram showing a medical reception machine according to an embodiment of the present invention together with its external connection equipment, Fig. 2 is a front view showing the front panel of the medical reception machine on the front side, and Figs. 3 is a series of flowcharts showing the operation of the medical treatment reception machine according to the embodiment of the invention. Description of symbols 10...Medical reception machine, 12...Microcomputer, 14...Card reader for reading patient ticket, 16...
Medical treatment category selection switch, 18... Medical department selection switch, 24... Display for displaying operating procedures, 26...
-Speech synthesizer, 28...Speaker, 30...Printer for issuing medical examination tickets, 34...Dip switch.

Claims (1)

[Claims] 1. Automatically issuing a consultation ticket upon input of the consultation ticket;
On the medical reception machine, there are multiple operation switches for selecting medical subjects, a function changeover switch for enabling/disabling the operation of these medical subject selection switches, and when the operation of the medical subject selection switch is enabled. This medical treatment reception machine is provided with a numbered ticket issuing control part that issues a consultation numbered ticket for a selected medical department and also issues a consultation numbered ticket for a preset medical department when the operation of a medical department selection switch is disabled. 2. The medical treatment reception machine according to claim 1, wherein the plurality of operation switches for selecting a medical treatment department are illuminated pushbutton switches, and blink or light up at the timing of operation. 3. The medical treatment reception desk according to claim 1 or 2, further comprising a plurality of illuminated pushbutton switches for selecting a medical treatment category regarding whether or not a doctor's examination is necessary, which blinks or lights up at the timing of operation. Machine. 4. The medical treatment reception machine according to any one of claims 1 to 3, further comprising a display for displaying the operating procedure, and a sound generator for notifying the operating procedure by voice over the display.