JPH05189495A - General reservation system for hospital - Google Patents

Abstract

PURPOSE:To make the optimum reservation for medical examination and treatment taking into consideration sections having the optimum staffs and the degree of emergency based on the consultation information in making various reservations in the hospital. CONSTITUTION:An inference section 14 makes the reservation automatically by performing the inference while referring to a knowledge database 13 with the knowledge of the optimum arrangement method registered based on the inputted reservation information 10, consultation information 11 and information 12 on the reservation destination section. Thus, doctors and nurses who intend to make a reservation can perform the optimum reservation for medical examination and treatment with a simple operation. Making a reservation form and a contact by phone in case of an emergent patient can be made unnecessary.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an electronic medical record system, an order system and a reservation system in a hospital,
In particular, it relates to a hospital comprehensive reservation system that automatically optimizes reservations.

[0002]

2. Description of the Related Art Conventionally, various reservation systems have been developed and commercialized in hospitals.
Among them, "Design and operation of a revisit and examination reservation system (9th JCMI Feb.
The technology proposed in 1990) 2-C-52) is easy to use and has been thoroughly studied.

In this system, a reservation frame is set for a certain period for each department making a reservation, and when a reservation is accepted, a flag is set from an empty frame, and when the frame is full, more reservations are made. It is impossible to make a reservation for the next period.

[0004]

SUMMARY OF THE INVENTION In the prior art described above, in case an urgent patient arrives, the reservation frame is set to be smaller than the maximum frame that the medical department can accept, and the urgent patient is accepted. However, there is a problem that the ledger must be accepted by telephone.

Further, in the above-mentioned prior art, it is necessary for a doctor or a nurse who wants to make a reservation to know where a specialized medical staff member for a medical condition of a patient is, and to input such information when making a reservation. It has a problem.

An object of the present invention is to provide a comprehensive reservation system for hospitals, which makes it possible to make an optimum reservation taking into consideration the degree of urgency with a simple input operation when making a reservation.

[0007]

According to the present invention, the above object is to provide medical information (a disease name, a disease name, etc.) of a patient registered in a computer system when reserving various medical treatments (next medical treatment, physiological examination, hospitalization, etc.). Based on the examination, etc., the information of the department that has the most suitable staff (doctors, nurses, laboratory technicians, etc.) for the medical treatment, the optimal placement method according to the urgency of the reserved patient, etc. are registered as a knowledge base. This is achieved by making inferences based on the registered knowledge base and optimizing patient appointments.

[0008]

According to the present invention, the doctors and nurses who want to make a reservation need only register the knowledge of the expert who has made the optimal arrangement of the reservation, and the patient name and the desired reservation classification (next medical examination, physiology). It is possible to make an optimal reservation by performing a simple operation such as inputting information such as examination, hospitalization, etc., urgency, desired date of reservation, and the like. In addition, it is possible to eliminate the need to fill in the reservation ledger for emergency patients and to contact by telephone.

[0009]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS An embodiment of a comprehensive reservation system in a hospital according to the present invention will be described in detail below with reference to the drawings.

FIG. 1 is a block diagram showing the system configuration of an embodiment of the present invention, FIG. 2 is a diagram for explaining the outline of the operation of the embodiment of the present invention, and FIG. 3 is an operation of the embodiment of the present invention. It is a flowchart explaining. In FIG. 1, 1 is a host computer, 2 is a medical information storage device, 3 is a file server, 4 is a workstation, 5 is a backbone LAN, and 6 is a floor LAN.

A system according to one embodiment of the present invention is shown in FIG.
As shown in, an electronic medical record system that has medical information (disease name, examination, etc.) of a patient, an order system, a host computer 1 that realizes a medical accounting system, a data storage device 2 that stores medical information, each medical office, File server device 3 for temporarily storing data for each ward and examination room,
A workstation 4 used by doctors, nurses, laboratory technicians and the like in each clinic, ward, examination room, a backbone LAN 5 connecting these, and a floor LAN 6 are provided.

The program for realizing the reservation method according to the embodiment of the present invention may be arranged in any of the host computer 1, the file server device 3 or the workstation 4.

Next, referring to the operation outline diagram of FIG.
The operation of the embodiment of the present invention configured as described above will be described with reference to the flowchart shown in FIG.

(1) The host computer 1 acquires the reservation input 10. The reservation input 10 input from the workstation 4 is a patient number input by a doctor or nurse who wants to make a reservation, a reservation category (next medical examination, physiological examination, hospitalization, etc.) to be made, urgency (immediate hospitalization or examination). Information such as whether the patient should be carried out, whether it is hospitalization or examination that does not have to be so urgent), and the desired date of reservation, etc. (step 100).

(2) Based on the patient number in the reservation input 10, the medical information 11 (disease name, examination information, medication information, treatment operation information) of the patient in the file server device 3 is used as a system (electronic chart, order, Medical accounting) is retrieved and acquired (step 110).

(3) The medical care information of the patient is always stored in the medical care information storage device 2, but is downloaded to the file server device 3 when treating the patient. This medical information 11 and the reservation classification of the reservation input 10 and the desired date of reservation [If the desired date of reservation is not specified, the date of reservation input (system date)
Setting], the reservation destination information 12 in the file server device 3 is searched and acquired. This search is executed with the staff in charge who can deal with the reservation classification of the reservation input 10, the desired reservation date, and the disease name of the medical care information 11 as a key (step 120).

The reservation information 12 includes reservation division, medical department,
There is registered the staff in charge, the date and time, the reservation frame that can be reserved, information on whether or not the reservation has been made within the reservation frame, and reservation information indicating which patient is reserved if the reservation is already made. .. On the other hand, in the reservation knowledge base 13, the knowledge (rule) of the expert who has manually managed the reservation and the numerical value 0.0 to 1.0 of the certainty factor when the rule is established are registered. .. The reservation knowledge base 13 is stored in the file server device 3.

The above-mentioned certainty factor is a numerical value indicating the degree of certainty that it is better to make a reservation according to the rule when the rule is satisfied,
The closer the number is to 1.0, the more likely it is.
There is no particular standard for setting the certainty factor, and a plurality of rules are compared when the expert's rule is created, and the rule is set based on their certainty. For example, if the rule is "reservation destination information 1
If there is a reservation category of the reservation input 10, a medical department, and a vacancy in the reservation information on the desired date in 2 ”, the certainty factor 1.0 or the like is registered in the reservation knowledge base 13.

(4) After the end of step 120, the inference unit 1
Reference numeral 4 indicates the knowledge base 13 while referring to the input information 10, the patient medical care information 11, and the reservation destination information 12 obtained as described above.
Perform reservation inference based on the knowledge of. This inference is performed so that the inference ends there when a rule with a certainty factor of 1.0 when the rule registered in the reservation knowledge base 13 is established appears (steps 130 and 140).

(5) In the processing of step 130, when there is a rule whose confidence factor is not 1.0, the confidence factor is stored for each rule, and when all the rules are finished, the confidence factor is calculated in descending order. Notify the reservation input source of the result of the established rule. At this time, since it may take time to execute all the rules, the inference is terminated when the number of established rules reaches a predetermined number n (step 150).

(6) The input person selects the most suitable result from the inference results and gives a reply to the system (step 160).

(7) Based on this answer, the system registers the reservation made in the reservation destination information 12 (step 170).

(8) In addition, the reservation input source is notified that a reservation has been made, and a reservation slip for the patient is output (step 180).

(9) At this time, it is checked whether or not another patient's appointment movement, ward movement, or the like has occurred along with the above-mentioned appointment, and if the above-mentioned movement or the like has occurred, the contents thereof are checked. The relevant departments in the hospital are notified by means of message output to the workstation 2, output of a notice slip, electronic mail, etc. (step 190).

The series of operations from the reservation input to the result output according to the embodiment of the present invention has been described above. Next, the operation from the reservation input to the result output will be described with a concrete example.

Now, a patient who has come to the first internal medicine department as an outpatient needs to be hospitalized immediately, but it is assumed that an appointment is made in a state where there is no empty bed in the ward of the first internal medicine department.

The reservation input 10 has the following contents and is input from the workstation 4.

Patient number 1234 Reservation classification 01 (hospitalization) Desired date omitted (current day) Urgency 1 (emergency) Medical department 01 (first internal medicine) Patient medical information 11 is file server device 3 with the patient number of reservation input 10 as a key Search from. The retrieved information is as follows.

Patient number 1234 Disease name None Examination information None Medication information None Treatment surgery information None The inference unit 14 uses the knowledge base 13 based on these information.
To perform inference as follows:

First, inference is performed according to the first rule of the reservation knowledge base 13.

In the first rule "reservation destination information 12",
Execute "reservation classification, medical department, reservation information available on desired date" of reservation input 10.

At this time, the reservation destination information 12 to be searched is as follows.

Reservation classification 01 (hospitalization) Medical department 01 (first internal medicine) Date and time Reservation frame 6 Staff in charge 6 Doctor A (digestive organ), Doctor B (digestive organ), Doctor C (digestive organ), Doctor D (general internal medicine in general) ) F chief (general medical treatment in general), G chief (ICU, CCU), H chief (general medical treatment in general) Reservation information Bed No. 1 1 (0001) Bed No. 4 1 (0011) Bed No. 2 1 (0002) Bed No. 5 1 (0005) Bed No. 3 1 (0008) Bed No. 6 1 (0009) 1 is reserved and the patient number is shown in parentheses.

Since there is no space for reservation information in this, the next reservation knowledge base is inferred.

The second rule is "when there is an emergency hospitalization patient and there is no room in the desired ward, is there a patient who can move to another ward?"

Based on this rule, it is searched whether or not there is a patient who can move to another ward. This search is performed based on the reservation information in the reservation destination information searched by the first rule. Since the patient number is included in the reservation information, the patient medical information is searched by using this patient number as a key to find a movable patient. The inference unit 14 also searches for a movable patient. As a rule used to make this inference, the following rule is registered in association with the second rule in the reservation knowledge base 13.

That is, "patients who have not undergone surgery or major treatment within the past two weeks can be moved", "patients who have been treated with only medication or injection for one week or more can be moved", "discharge scheduled date" Patients within 1 week can move. ”

As a result of the inference according to these rules, if a movable patient is found, it is searched whether or not there is a receiving ward for this patient. This search is done from a ward physically close to the current ward. If the above-mentioned rules are satisfied by these searches, 0.9 is set as the certainty factor.

As described above, when the rule in the reservation knowledge base is executed and the rule is established n times, the result is output to the operator of the workstation 4 as a message.

The output messages are output as follows in descending order of certainty. Established No. Established rule Confidence level 01 Patient 0005 is moved to the ward of the second internal medicine, and 1234 patients are assigned bed No. Hospitalized in 1 0.902 ・ ・ The operator of the workstation decides which rule is finally adopted from the displayed contents and inputs the number. The file of the reservation destination information 12 is updated according to the inputted rule and the reservation process is executed. Along with this reservation processing, a notice of relocation is output to the receiving ward, and a reservation slip is output to the input person.

According to the above-described embodiment of the present invention, the doctors and nurses who want to make a reservation only need to register the knowledge of the expert who was in charge of the appointment in the hospital, and the patient name and the appointment category ( It becomes possible to make an optimal reservation by a simple operation such as inputting information such as next medical examination, physiological examination, hospitalization, etc., urgency, desired date of reservation, etc. In addition, it is possible to eliminate the need to fill in the reservation ledger and contact the telephone for emergency patients.

[0042]

As described above, according to the present invention, when making a reservation for medical treatment or the like, it is possible to make an optimum reservation in consideration of the urgency by a simple input operation.

[Brief description of drawings]

FIG. 1 is a block diagram showing a system configuration of an embodiment of the present invention.

FIG. 2 is a diagram illustrating an outline of the operation of one embodiment of the present invention.

FIG. 3 is a flowchart illustrating the operation of the exemplary embodiment of the present invention.

[Explanation of symbols]

 1 Host computer 2 Medical information storage device 3 File server device 4 Workstation 5 Core LAN 6 Floor LAN 10 Reservation input 11 Medical information 12 Reservation destination information 13 Reservation knowledge base 14 Inference section

Claims (1)

[Claims] 1. A hospital comprehensive reservation system comprising an input / output device, a data storage device, and a central processing unit,
Make various medical appointments by making inferences based on the information about the department that has the most suitable staff for the medical treatment based on the medical information of the patient and the knowledge base that has registered the optimal placement method according to the urgency of the reserved patient. Comprehensive reservation system for hospitals characterized by: