JP2008234109A - Network system for self-declaration system clinic - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a medical reservation system for solving the problem that "three-hour-wait and three-minute-medical examination" while protecting personal information. <P>SOLUTION: A medical server system is composed of: a medical examination-prescription estimation server for enabling a patient to perform access through a first network from a communication terminal; a medical server; and the reservation display terminal of a medical institute and the reservation display terminal of a pharmacy, which have made a contract over business agreement with a special medical cooperation connected through a second network to the medical server. The medical examination-prescription estimation server transmits the estimate code and reservation number of the medical examination-prescription selected by the self-declaration of the patient to the reservation display terminal for the medical institute and the reservation display terminal for the pharmacy, and the estimate code patient of the medical examination-prescription goes to the registration medical institute, and performs a reception procedure based on the reservation number and his or her own health insurance card, and a person in charge of reception requests medical examination to a doctor by transferring the estimate code of medical examination-prescription to an electronic medical chart and/or electronic receipt system. <P>COPYRIGHT: (C)2009,JPO&INPIT

Description

  The present invention relates to a medical treatment network system that reduces the problem of “three minutes medical treatment waiting for three hours” by protecting the leakage of personal information in about 100 seconds including reception time.

  Conventionally, outpatient voices have been highly criticized for “three minutes waiting for three hours” for mild diseases such as cold, hay fever, athlete's foot, hypertension, begging, etc. Especially for business people who do not have time, it is difficult to get an understanding from the workplace because there is a reason that they will not work if they wait for 3 hours during the medical examination time. There are patients who just come to get the medicine if it is a symptom, but in the current system it is necessary for the doctor to actually check the patient, so it is not necessary to wait in order to receive the above-mentioned medical treatment The current situation is that even the “solution for 3 minutes waiting for 3 hours” problem cannot be found.

  In addition, it was thought that it would be convenient to have a medical estimate in terms of clarification of medical services or competition among medical institutions. However, doctors can freely estimate specific patients due to legal regulations. I could not do it.

  Furthermore, the spread of the Internet has made it possible to apply for various services on the Internet. However, personal information may be leaked regarding medical care, and it is difficult to obtain the understanding of users.

  Also, from the medical standpoint, the pressure on doctors who are struggling to improve the “three-minute waiting for three hours” problem in the field is increasing as the elderly are screaming for a flat fee for medical treatment and a reduction in social security costs. It is. As a result, doctors who are expected to be used as intellectual workers as experts are forced to perform harsh labor that is far from ideal and is close to physical labor in the actual field.

  As one of the solutions based on the virtualization of hospitals, in Patent Document 1, a doctor uses IT to connect to a fictitious hospital on the site and spend his spare time at work. The patient also uses IT to connect to a fictitious hospital on the site and post a complaint to the doctor. In addition, the prescription that is issued is a method that uses IT to collate with past accumulated data to find mistakes. In addition, information such as the patient's name and address is added to the prescription and sent to the dispensing pharmacy near the patient for mailing and delivery. As mentioned above, setting the world's largest hospital on the site worldwide, and as a related invention, the patient uses IT with a mobile phone etc., accesses the hospital, performs the acceptance procedure, and confirms the waiting time The method to do is disclosed.

  Furthermore, in Patent Document 2, a point member searches for member clinics via, for example, a homepage of a medical network, and checks the medical items that can be received at the searched clinics and the points acquired when receiving medical services in advance. Apply for medical treatment, make inquiries to the participating clinics via the medical net, make a reservation, and notify members. The point member goes to the selected clinic with this result, consults and decides on the actual medical treatment items, and presents the remuneration amount to an unspecified number of people in advance by acquiring points corresponding to the received medical practice For example, even in a medical institution, by setting reward points for each treatment and presenting them in advance, the member can check the outline of processing and medical fees that can be received when receiving free medical treatment, for example, at a medical clinic affiliated with Medical Net. An enabling point management system is disclosed.

  Patent Document 3 discloses a medical care score search for searching a medical care score corresponding to a request of a patient based on the medical care fee score table in a medical cost estimation system for estimating a medical cost based on a medical care fee score table. Means, medical cost counting means for counting medical expenses corresponding to the patient's request based on the medical care score table searched by the medical care score search means, and the request for the patient includes at least a request for health insurance A medical cost estimate comprising: insurance premium counting means for counting the insurance premium when it is paid, medical means for counting the medical expense, and notification means for notifying the patient of the estimated amount counted by the insurance premium counting means A system is disclosed.

  Further, in Patent Document 4, a patient terminal is connected to a server system. The server system includes data relating to medical institutions, patient record data such as medical charts, record data such as clinical progress and treatment details, disease, and the like. Medical information database that stores data showing cases of patients, and control means, storage means, display means, input for processing medical data such as remuneration requests by processing record data such as medical progress and treatment details Online means for performing data management, reward calculation, etc. on the server side, comprising means, output means, and information transmission display means for displaying necessary information of the registered information on the terminal screen of the patient accessing the server system A medical information management server system is disclosed.

Patent Document 5 discloses a medical information database in which medical information is stored in a hospital information providing system connected to a plurality of patient terminals and a plurality of hospital terminals, and a medical information connected to the medical information database. In response to a request for a hospital information providing service from one of the patient terminals, the medical information terminal prompts one of the patient terminals to transmit the medical condition information and the hospital selection condition information. By searching the medical information database based on the medical condition information received from one of the terminals and the hospital selection condition information, a plurality of hospitals are identified, and the medical condition information is transmitted to the hospital terminals of the identified hospitals. Prompt the hospital to send medical cost estimate information, create a hospital list including the medical cost estimate items based on the medical cost estimate information received from the hospital terminal of the identified hospital. Medical information providing system, a medical information providing method a hospital list to send to one of the patient terminal has, consultation cost estimation method hospital, discloses a medical information database, and the patient terminal.
JP2003-016195A JP-A 2004-054760 JP 2003-281267 A JP2002-140438 WO01 / 090977

  In the above, in the online hospital described in Patent Document 1, patients and doctors use IT to connect to a fictitious hospital on the site and receive various services on the Internet. As a practical matter, it is difficult to operate a fictitious hospital on the site even if it is compared with the current law. Further, the present invention has nothing to do with the solution of the “3-minute medical treatment waiting for 3 hours” problem. In addition, no consideration is given to personal information management.

  In Patent Document 2, doctors and others are not able to inform the unspecified number of people of the fee in free medical care and so on, but instead of the number of medical treatment points, estimates of medical treatment / prescription are set, but “wait for 3 hours” Can't solve anything about the “3 minute medical treatment” problem. In addition, no consideration is given to personal information management.

  In the medical cost estimation system described in Patent Document 3, it is possible to count the cost for medical treatment of a patient as an estimated amount before accounting, and display the calculated estimated amount. Nothing can be solved about the “waiting 3-minute consultation” problem. In addition, no consideration is given to personal information management.

  The online medical information management server system described in Patent Document 4 is provided with an estimate calculation means for calculating a cost estimate for prevention, examination, treatment, etc., but about the “3 minutes waiting for 3 hours” problem Cannot solve anything. In addition, no consideration is given to personal information management.

  In the hospital information providing system and method described in Patent Literature 5, a medical information database is used to send medical cost estimate information to a patient terminal, and a reservation is made to make a reservation directly from the patient terminal to the hospital selected by the patient. Although the information transmission function is described, there is no solution for the “3-minute medical examination waiting for 3 hours” problem. In addition, no consideration is given to personal information management.

  The present invention grids a plurality of registered medical institutions to which doctors who have contracted with a specific medical corporation belong to solve the above-mentioned problem, that is, the “3-minute medical treatment waiting for 3 hours” problem while protecting personal information. It is intended to provide a network system for self-reported clinics that can be linked to the current medical system.

In the Medical Doctor Law, which was amended on June 21, 2006 and entered into force on April 1, 2007, Article 20 in the duties of Chapter 4 states that “doctors should not consult themselves” It shall not be treated, issued with a medical certificate or prescription, issued with a birth certificate or stillbirth certificate without attending the birth, or issued with no medical examination. "
Regarding prescriptions, Article 20
Article 22 states that “If a physician finds it necessary to dispense and administer a therapeutic drug to a patient, he / she must give a prescription to the patient or to the person who is currently engaged in nursing. However, this shall not apply to cases where the patient or the person who is currently in nursing care requests that a prescription is not required and falls under one of the following items.
1． In the case of expecting an implied effect, issuing a prescription may hinder the achievement of the purpose.
2． When giving a prescription may cause anxiety about the treatment or prognosis of the disease and make it difficult to treat the disease
3． When the drug is administered in response to changes in the medical condition every short time
Four. When diagnosis or treatment method is not decided
Five. When administering drugs as an emergency measure necessary for treatment
6． When there is no person who can receive the drug other than the patient who needs rest
7． When stimulant is administered
8． When a drug is administered in a ship where the pharmacist is not on board
It is described. However, since there is no provision that medical and prescription estimates should not be created based on general information, not specific information, it is legal to create medical or prescription estimates without using personal information. It is an invention made by paying attention to the legality and handling of personal information of the patient.

  In order to solve the above-described problems, the present invention has a communication terminal having patient member information and an access ID, and the access ID as member data not associated with personal information, and is connected to a medical treatment / prescription estimate database. The medical data and prescription estimate server, the reservation server that generates the reservation data, and the registered medical institution to which the doctor who has contracted the contract with the specific medical corporation belongs, and the member data from the reservation data sent from the reservation server And a medical institution reservation display terminal capable of displaying estimate data of medical treatment and prescription, and a registered dispensing pharmacy that has a business contract with a specified medical corporation, and the membership data and medical Reservation display terminal for dispensing pharmacies capable of displaying prescription estimate data, electronic medical record function and electronic reception A medical / medical network system comprising a medical server having a function, wherein a medical / prescription estimate server is accessed from the communication terminal, and the communication terminal is authenticated by the access ID, and then the medical / prescription estimate is obtained. Generating data as a code and transmitting it to the communication terminal; and when the reservation server receives the code of the estimate data of the medical treatment / prescription along with the member information from the communication terminal, a reservation number linked to the member information Generating and transmitting the reservation number to the communication terminal and the reservation display terminal for the medical institution and dispensing pharmacy, and when the doctor who has contracted the business with the specific medical corporation has completed the examination of the patient, If the patient uses an interview when the medical treatment / prescription estimate data is different from the actual medical treatment content, the medical data Using the data excluding personal information, the medical server generates the estimate data and code of the medical treatment / prescription corresponding to the inquiry data, and sends the estimated data and code to the estimation server of the medical treatment / prescription When the information is updated and the patient uses the estimate using the disease data, the medical server generates the estimate data and code of the diagnosis / prescription using the data obtained by removing the personal information from the diagnosis data, The estimated data and code are transmitted to the communication terminal to update the information.

  As a result, the estimate of the medical treatment and prescription at the medical institution and the dispensing pharmacy selected by the estimate server of the medical treatment / prescription without personal information is generated, and the medical institution and the dispensing pharmacy are at the reservation server including at least one personal information. Since the reservation is completed and you can receive normal treatment using a medical server equipped with an electronic medical record and receipt program, personal information will not be leaked at the estimation stage, so you can obtain estimates of treatment and prescription with confidence Become.

  It is also conceivable that the medical server includes a database and a buffer memory, and the data update of the database is performed via the buffer memory.

  As a result, even if the medical server is attacked from the outside, the buffer memory protects it from external attacks, so it will not be damaged by cyber terrorism.

  Furthermore, payment to the registered medical institution and dispensing pharmacy may be made by paying the estimated amount to the specific medical corporation using electronic money such as a credit card or Osaifu-Keitai (registered trademark) pre-registered by the patient. It is done. This can be expected to speed up the accounting process at the medical institution.

  It is also conceivable to have a function of transferring the contents of medical treatment and self-reported estimate contents to the outside for display purposes. As a result, even if there is a problem with the network connection with the reservation server, if data can be transferred for the purpose of display, a quick reception is possible. In this case, since personal information is not included in the contents of the medical treatment and the estimate of the prescription by the self-report, the patient can accept the procedure at the medical institution with peace of mind, and the system of the medical institution in a short time by the transfer means Therefore, the reception process can be executed smoothly and the throughput of the patient process can be increased.

  The network system of the self-reporting clinic of the present invention does not have the patient's personal information, and the medical institution reservation display for the medical institution linked to the medical examination / prescription estimation server that generates the medical examination / prescription estimate of the medical examination contents and medicine Medical treatment that was not performed in the past while protecting personal information by properly using terminals and electronic medical record / receipt servers used by doctors contracted with specific medical corporations that handle personal information of patients for actual medical treatment・ Presentation of prescriptions and screening of medical treatment contents became possible. As a result, patients with mild diseases that can be easily diagnosed such as colds and patients who need only drugs for reexamination such as high blood pressure are distributed and processed in a short time by a local medical institution, thereby improving the efficiency of medical treatment. Both the service recipient and the provider can provide medical services that save time in total.

  The best mode for carrying out the present invention will be described below in detail with reference to the drawings. In the following description, components having the same function are denoted by the same reference numerals, and repeated description thereof is omitted.

  FIG. 1 shows a basic conceptual diagram in the network system of the self-reporting clinic of the present invention. This network system has a communication terminal possessed by a patient and having member information and an access ID, and a medical treatment / prescription that has the access ID as member data that is not associated with personal information and is connected to a medical treatment / prescription estimate database. The reservation data transmitted from the reservation server connected to a registered medical institution to which a doctor contracted with a specific medical corporation belongs, and a reservation server for generating a reservation data; The reservation data sent from the reservation server is connected to a reservation display terminal for a medical institution of a 100-second clinic that can display member data and estimate data of medical treatment / prescription from a registered dispensing pharmacy that has a business contract with a specific medical corporation. Dispensing that can display member data and estimate data of medical treatment / prescription from data A reservation display terminal for the pharmacy of the station, has an electronic medical record function and an electronic receipt function, and a medical server to use for medical treatment in the 100 seconds clinic.

  In the first process P1, the patient 1 uses the communication terminal 2 to perform member registration and input of specific information.

  In the process P2, the patient 1 uses the communication terminal 2 to access the medical treatment / prescription estimation server 4 in the estimation site, and enters a medical examination and prescription without entering personal information and using an inquiry or disease name. Is received by the communication terminal 2.

  In process P3, the patient 1 uses the communication terminal 2 to access the medical reservation server 7 at the reservation site, and communicates the member registration information (member number) stored in the communication terminal 2 with the medical and prescription quotation codes. By transmitting from the terminal 2 to the medical reservation server 7, the medical reservation server 7 issues a reservation number.

  In process P4, the registration number encoded with the member registration information (member number) and the estimate code of the medical treatment and prescription is notified from the medical treatment reservation server 7 in the reservation site to the registered medical institution 100 second clinic 9.

  In process P5, the registration number in which the member registration information (member number) and the prescription estimate code are encoded is notified from the medical reservation server 7 in the reservation site to the registered dispensing pharmacy 10.

  In the process P6, the patient 1 visits a registered medical institution 100 second clinic 9 with the communication terminal 2 and the health insurance card 1a, and receives medical treatment by the doctor 12, thereby receiving medical treatment.

  In the process P7, a prescription is issued by the medical care of the doctor 12, and the registered dispensing pharmacy 10 is notified of the contents of the prescription to the registered dispensing pharmacy 10, for example, by fax.

  Finally, in process P8, the patient 1 can visit the registered dispensing pharmacy 10 and purchase a medicine based on the prescription.

  The network system of the self-reporting clinic of the present invention using the process P1 to the process P8 described above is based on the fact that a doctor who has actually opened a business as an individual doctor, for example, a specific medical corporation and a doctor, enter into an outsourcing contract. It is assumed that a plurality of doctors distributed in the above are arranged as contract doctors of the specific medical corporation. This is a completely different medical system from a service that can carry out a wide range of responsible medical services that are not virtual, for example, a virtual hospital that fictionally operates a potential doctor at a fictitious hospital on the site.

  In the present invention, medical treatment is interrupted in medical services by assessing medical treatment contents in advance through self-inquiries, etc., and enabling medical examination in a short time of about 100 seconds for a patient who has made a medical appointment. It enables processing. However, if the interruption process is concentrated on a specific doctor, even if the medical action for one patient is 100 seconds, 60 patients must be examined per hour, leading to overwork. Therefore, patients are allocated by grid formation, and a plurality of doctors, for example, perform a 100-second clinic for only one person per hour. As a result, for example, if one patient per hour, that is, eight interrupted patients per day is accepted with respect to the opening hours of 8 hours every day, one doctor can treat more than eight patients. It becomes possible to additionally diagnose 800 patients with a mild doctor and 8000 patients with a mild disease with 1000 doctors. Assuming that the number of patients who visit the same day is the same, doctors can direct their medical hours to treat other critically ill patients and treat many patients without extending hospital hours.

  The idea of distributed processing is similar to that of grid computing, but it is just a calculation in that only patients who can be processed in a short time by prior inquiry and disease declaration are selected and distributed to doctors in the area that the patient desires. It is a different concept from the grid computer, which means decentralization of ability.

  2A to 2F are diagrams for explaining a specific mechanism of the network system of the self-reporting clinic according to the present invention. The network system of this self-reporting clinic includes a communication terminal 2 having patient member information and an access ID, and a medical / prescription estimate server 4 having the access ID as member data and connected to a medical / prescription estimate database. And a reservation server 7 that generates reservation data, and a registered medical institution to which a doctor contracted with a specific medical corporation belongs, and estimates of member data and medical treatment / prescriptions from the reservation data transmitted from the reservation server Connected to a medical institution reservation display terminal 9a capable of displaying data and a registered dispensing pharmacy that has a business contract with a specific medical corporation, and can display member data and prescription data from the reservation data transmitted from the reservation server Dispensing pharmacy reservation display terminal 10a, electronic medical record function and electronic reception function Constituted by the Medical server 8.

The flow of procedures in the above is as follows, for example.
(Step 1)
The patient 1 accesses the medical appointment server 7 through the communication terminal 2 and registers as a member using information that can identify an individual such as a telephone number. At this time, access information (URL, etc.) of the estimate server 4 for medical treatment / prescription is obtained from the medical treatment reservation server 7.
(Step 2)
The patient 1 accesses the medical treatment / prescription estimate server 4 using the access information on the communication terminal 2, selects a medical institution and a dispensing pharmacy that he / she wishes to receive, and inputs an inquiry or disease. Accepted here are, for example, colds, drug-only reexaminations,
(Step 3)
A medical estimate code 5 and a prescription estimate code 5 a are sent from the medical care / prescription estimate server 4 to the communication terminal 2 of the patient 1.
(Step 4)
The patient 1 accesses the medical reservation server 7 through the communication terminal 2 and, together with the membership number stored in the communication terminal 2, the data of the registered medical institution 9 and the registered dispensing pharmacy 10, the medical estimate code 5 and the prescription. The estimate code 5a is transmitted.
(Step 5)
The medical reservation server 7 issues a reservation number to the communication terminal 2 of the patient 1 and notifies the medical institution and the dispensing pharmacy of the reservation number and the member number.
(Step 6)
The patient 1 visits the registered medical institution 9 and presents his / her insurance card, and the reservation number data (the reservation number, member number, and estimate data are encoded) stored in the communication terminal 2 are stored in the registered medical institution. Show 9
(Step 7)
The doctor 12 of the registered medical institution 9 decodes and confirms the medical estimate code 5 and the prescription estimate code 5a from the appointment estimate data, and if there is no problem in the contents, transfers the medical data and prescription data to the medical server. End the clinic and issue a prescription.
(Step 8)
The patient goes to the dispensing pharmacy with the prescription and purchases the medicine.

  In step 1, the patient 1 accesses the reservation server 7 via the network where the communication terminal 2 can be used in advance and completes membership registration. In this case, for example, a telephone number related to the communication terminal 2 can be used as the information for identifying the individual. Here, when the communication terminal 2 is a mobile phone, a mobile phone number is used.

  Next, the reservation server 7 issues a membership number for the member registration act of the patient 1 and access information such as a URL for accessing the medical / prescription estimate server 4 for obtaining a medical / prescription estimate. Is notified to the communication terminal 2. The communication terminal 2 stores the member number in the internal memory as personal information.

  In step 2, the communication terminal 2 connects to the medical treatment / prescription estimate server 4 via the first network 3 according to the access information. The first network 3 may be a mobile phone communication network such as NTT Docomo (registered trademark) i-mode (registered trademark) or au (trademark registered) EZweb (registered trademark), or a relay station of a mobile phone. May be connected to the general Internet from the mobile phone base station as an access point, but the communication terminal 2 and the estimate server 4 for medical treatment / prescription need to communicate bidirectionally.

  The communication terminal 2 can also be connected to the second network 3a via the base station BS2, and can be connected to the reservation server 7 via the second network 3a for two-way communication.

  The patient 1 first selects a medical institution and a dispensing pharmacy that he / she wishes to receive using the communication terminal 2. The selection method may be a regional search using a postal code or telephone number, or a graphical selection method of selecting a location by displaying a map, and a list of medical institutions or dispensing pharmacies narrowed down by either method It is preferable that the list is displayed on the screen and the list can be selected and the final selection can be performed by moving the cursor and clicking. The data of the selected medical institution and dispensing pharmacy are transmitted to the medical treatment / prescription estimate server 4 and also stored in the communication terminal 2.

  The patient 1 performs a self-interrogation input or a disease input as described later according to the screen display of the communication terminal 2.

  In step 3, the medical estimate code 5 and the prescription estimate code 5a are transmitted from the medical care / prescription estimate server 4 to the communication terminal 2 as the input results.

  In step 4, the patient 1 first accesses the medical appointment server 7 through the communication terminal 2. When the connection between the communication terminal 2 and the medical appointment server 7 is established, together with the member number stored in the communication terminal 2, the data of the registered medical institution 9 and the registered dispensing pharmacy 10, the medical estimate code 5 and the prescription Is sent from the communication terminal 2 to the medical treatment appointment server 7.

  In step 5, the medical reservation server 7 issues a reservation number to the communication terminal 2 of the patient 1, and the medical reservation server 7 receives the medical institution reservation display terminal 9a of the registered medical institution 9 via the second network. And it connects with the reservation display terminal 10a for dispensing pharmacies of the registration dispensing pharmacy 10, and transmits reservation information to each terminal.

  Here, in order to carry out the 100-second clinic, it is possible to provide a registered medical institution 9 specialized in the 100-second clinic, but by contracting with an existing medical practitioner, for example, only one specified medical corporation per hour For example, a doctor with 10 hours of actual work can receive 10 100 second clinic patients, and the patient is only a mild disease, so this increased burden is a heavy burden on the doctor. It will not be.

  In step 6, at the registered medical institution 9, the patient 1 visits the registered medical institution 9 at the reserved date and receives a medical examination at the reception 11 with the health insurance card 1a. At this time, it is convenient to have a data transfer means for transferring detailed data of medical treatment and prescription estimate accumulated in the communication terminal 2 to the terminal of the reception 11. This can be realized by using, for example, a QR code, Near Field Communication (hereinafter referred to as NFC) technology, or Blue-Tooth technology.

  In step 7, the patient 1 who has been accepted receives medical treatment by the doctor 12, and the doctor 12 performs medical treatment using the electronic medical record function and the electronic reception function of the medical terminal 9 b connected to the medical server 8.

  In the above configuration, the medical server 8 has both functions of an electronic medical record computer and a receipt computer, but the electronic medical record computer and the reception computer may be independent of each other.

  In the above configuration, only the communication terminal 2 of the patient 1 and the medical server 8 having the electronic medical record and electronic reception functions have personal information, and the other components do not have the personal information of the patient 1 at all.

  Furthermore, since the personal information stored in the communication terminal 2 is independent from the information on the health insurance card 1a of the patient 1, the personal information cannot be identified on the electronic medical record alone. Since only treatment content and prescription data are available, if the communication terminal 2 is lost, the contents of the electronic medical record such as the disease name and treatment history will not be leaked.

  After the medical treatment, the doctor 12 issues a prescription with the content of the prescription estimate code 5a if there is no problem similar to the content of the prescription estimate code 5a. The patient 1 finishes accounting for the medical treatment fee at the accounting window of the registered medical institution 9. At this time, payment in the field can be simplified by selecting a payment method using electronic money such as a credit card or Osaifu-Keitai (registered trademark) as a payment means.

  In step 8, patient 1 goes to the dispensing pharmacy with the prescription and purchases the medicine. In this case as well, payment on site can be simplified by selecting a payment method using electronic money such as a credit card or Osaifu-Keitai (registered trademark) as the payment method.

  The steps 1 to 8 will be specifically described below with reference to FIGS. 2 (a) to 2 (f).

  FIG. 2A illustrates the access from the communication terminal to the medical treatment / prescription estimate server. As a procedure, the patient 1 first accesses the medical treatment / prescription estimate server 4 from the communication terminal 2. When the patient 11 registers as a member using the communication terminal 2, the patient 11 receives in advance the URL address received from the medical treatment reservation server 7, and accesses the medical treatment / prescription estimate server 4 using the URL address.

  When communication between the communication terminal 2 and the medical treatment / prescription estimate server 4 is established, personal authentication using a password or biometric is further performed. When the personal authentication of the patient 1 is completed, the patient 1 selects the desired registered medical institution 9 and the registered dispensing pharmacy 10 according to the screen guidance of the communication terminal 2 and then enters a later-described medical reservation screen.

  FIG. 2B is a data flow diagram when the estimate data is transmitted from the diagnosis / prescription estimate server to the communication terminal. The medical / prescription estimate server 44 requests an inquiry input or a disease input from the communication terminal 2 via the access path C02. In the case of an inquiry input, a medical estimate code 5 and a prescription estimate code 5a corresponding to the inquiry result are generated. In the case of disease input, a medical estimate code 5 and a prescription estimate code 5a are generated and stored in the storage means of the communication terminal 2 for a disease for which the patient 1 is known. The selection function prompts connection to the medical appointment server 7.

  The data of the registered medical institution 9 and the registered dispensing pharmacy 10 desired by the patient 1 and the estimate code 5 of the medical treatment and the estimate code 5a of the prescription are recorded and stored in the communication terminal 2 as personal data, and the same registered medical institution next time. 9 and registered dispensing pharmacy 10, if you want medical treatment and prescription, you can use the saved data, so without accessing the medical treatment / prescription estimate server 44, suddenly access the medical reservation server 7 You can make a reservation.

  FIG. 2C is a data flow diagram from the communication terminal to the medical appointment server. A member number as personal information is stored in the memory of the communication terminal 2, and the member number, the medical estimate code 5 and the prescription estimate code 5 a are transmitted to the medical appointment server 7.

  The medical reservation server 7 is configured to permit access to the medical reservation server 7 from the communication terminal 2 using the registration number of the communication terminal 2 of the patient 1, for example, if the communication terminal is a mobile phone, as the password. ing. The member number, medical estimate code 5 and prescription estimate code 5a stored in the communication terminal 2 are transmitted from the communication terminal 2 to the medical appointment server 7. From these data, the medical appointment server 7 determines the member. Generate a medical appointment number that encodes the number.

  FIG. 2D shows a data flow when the reservation server notifies the communication terminal, the medical institution, and the dispensing pharmacy of the reservation number and the member number. After the reservation number data is generated, the examination reservation server 7 makes the reservation to the communication terminal 2 via the access path C04, to the reservation display terminal 9a for the medical institution via the access path C05, and to the reservation display terminal 10a for the dispensing pharmacy via the access path C06. Send number data. At this time, the data to be sent to the communication terminal 2 may be only the character information data of the reservation number data. For example, if the character information data is encoded and sent to the QR code, the communication terminal 2 can display the QR code. If a QR code reader is prepared at the reception of a medical institution, the contents of the QR code can be read directly, which is convenient.

  As data to be encoded as reservation number data, there is a data group that encodes the member number, medical estimate data, prescription estimate data, registered medical institution registration number, registered dispensing pharmacy registration number in addition to the date. If there is room in the memory of the server 7, it may be possible to store and manage the member number, date, and file number by assigning a number to the file itself including the medical estimate data 5 and the prescription estimate data 5a.

  FIG. 2E illustrates a data flow for transferring data that does not include personal information from the medical server to the medical appointment server after medical treatment. When the patient 1 visits the registered medical institution 9 with the communication terminal 2 and the health insurance card 1a and completes the medical reception at the reception 11, the reservation number 6 is verified at the medical institution reservation display terminal 9a, and the medical terminal 9b It is accepted at. When the doctor 12 examines the patient 1 and stores the result in the medical server 8 through the access path C07, the medical server 8 compares the medical estimate data 5 stored in the medical appointment server 7 with the prescription estimate data 5a. Execute the process.

  In the comparison and collation process, when a difference is confirmed, the content is confirmed by the administrator of the medical server 8 and when it is determined that the inquiry result needs to be updated, the medical reservation server 8 includes update data 13 that does not include personal information. Is sent. The medical reservation server 8 is accessed when the medical / prescription estimate server 4 is not executing a job, and uses the updated data 13 to construct the medical estimate data 5 and the prescription estimate that constitute the database used for estimating the medical / prescription. Data 5a is updated. Since the update data 13 itself transmitted from the medical server 8 to the medical appointment server 8 does not include personal information, the updated medical estimate data 5 and prescription estimate data 5a do not include personal information.

  FIG. 2F illustrates a data flow for transferring personal data from a medical server to a communication terminal after medical treatment. In the above, the doctor 12 examines the patient 1 and stores the result in the buffer memory of the medical server 8 through the access path C07. The medical server 8 is stored in the medical appointment server 7 via the buffer memory. The medical estimate data 5 and the prescription estimate data 5a are compared and collated. If the medical estimate data or the prescription estimate data relating to the disease input is data that cannot be found in the past database, the communication estimate 2 is accessed directly. The new data 14 related to the data 5 and / or the prescription estimate data 5a is stored in the communication terminal 2 using encryption. As a result, if the patient 1 has the same disease symptom at the next visit, the medical reservation server 7 is accessed directly from the communication terminal 2 without accessing the medical / prescription estimate server 4 from the communication terminal 2. You can make a medical appointment.

  In this system, only the communication terminal 2 owned by the patient 1, the medical appointment server 7, the medical server 8 of the medical institution having the electronic medical record and the reception function have personal information, and the medical care for generating the medical care / prescription estimate.・ Since the prescription estimate server 4 does not have personal information, there is no possibility that the personal information of the patient 1 will be leaked outside in regular access other than internal crimes in the organization that manages the medical appointment server 7 and the medical server 8 .

  Direct access to the database of the medical / prescription estimate server 4 from the outside is not permitted in communication between the medical / prescription estimate server 4 and the medical server 8, and the medical / prescription estimate server 4 to the medical server 8 is not permitted. In this communication, data is always transferred from the medical care / prescription estimate server 4 to the buffer memory of the medical server 8. Since the medical server 8 takes in the data of the buffer memory after the communication is disconnected after that, it is possible to prevent damage caused by unauthorized access by a hacker, for example.

  In communication from the medical server 8 to the medical treatment / prescription estimation server 4, data is always transferred from the medical server 8 to the buffer memory of the medical treatment / prescription estimation server 4. Thereafter, the communication / prescription estimation server 4 takes in the data of the buffer memory after the communication is disconnected.

  As the communication protocol, as described above, when the patient 11 registers as a member using the communication terminal 2, the URL address received from the medical appointment server 7 is received in advance, and the medical treatment / prescription is estimated using the URL address. Other than accessing the server 4, for example, the patient 1 who is a member of the specific medical corporation accesses a predetermined telephone number from a unique subscriber telephone number of the communication terminal 2 or a fixed telephone registered in advance, and the predetermined When authentication is performed with any one of the telephone numbers according to the access destination of the telephone number, a mail including URL information arrives at a pre-registered e-mail address, and medical treatment / prescription is performed based on the URL information using the telephone number as a password for a predetermined time. A method that enables access to the estimation server 4 is also conceivable.

  When the medical treatment / prescription estimation server 4 is accessed, the medical treatment / prescription estimation server 4 provides the patient 1 with 9 groups of registered medical institutions and 10 groups of registered pharmacies to which doctors who have contracted out with a specific medical corporation. Requesting the selection of the registered medical institution 9 and the dispensing pharmacy 10 in the area to be used. At this time, if the registered medical institution 9 and the registered dispensing pharmacy 10 are stored as data in the communication terminal 2 by past access or pre-registration, it is also possible to divert these data.

  Thereafter, a screen for selecting whether to input an inquiry or a known disease is displayed on the initial screen of the medical treatment / prescription estimate server.

  In the case of a known disease input, by default, only diseases for which medical treatment is performed for a short time are limited to be selected. Examples of the short-term treatment diseases include cold, hypertension, athlete's foot, and the like.

  As described above, if the reservation estimate with the same contents is two or more times, by leaving a record in the communication terminal 2 of the patient 1, the record can be called to make a medical appointment with the same contents.

  Here, if patient 1 wants to receive a simple interview, he / she will be interviewed online and if his / her symptoms are known, or if he / she has received a similar interview in the past and has a history in communication terminal 2 Can be selected at their own discretion from a medical menu provided by the estimate server 4 for medical care / prescriptions (for example, receiving a cold medicine) without an inquiry. By selecting the medical care menu, the content of the medical care and the content of the prescription are determined, and the encoded medical care / prescription estimate code 6 is generated.

  When the estimate code 6 for the medical care / prescription is generated, it is stored in the communication terminal 2, and the estimated code 6 for the medical care / prescription is also stored in the registered medical institution 9 and the registered dispensing pharmacy 10 with the reservation number and the membership number. To be notified.

  Here, the medical reservation server 7 obtains the date and time data that can be reserved by the registered medical institution 9 from the system of the registered medical institution 9 and transfers it to the communication terminal 2 so that the selected medical institution 9 can be reserved. The time is displayed on the display of the communication terminal 2. If the desired time is not the reservation available time of the registered medical institution 9, the patient 1 completes the reservation by changing to a nearby registered medical institution 9 or changing the reservation date and time. When the registered medical institution 9 is determined, the appointment of the patient 1 is confirmed by selecting the registered dispensing pharmacy 10.

  The patient 1 visits the registered medical institution 9 selected by himself / herself at the appointment date and presents the reservation number 6 stored in the communication terminal 2 and his / her health insurance card at the reception 11 to receive a 100-second clinic.

  Here, as a method for presenting the reservation number 6 stored in the communication terminal 2 by the patient 11 at the reception 11, in addition to the method for directly presenting, the patient 1 through the second base station BS 2 connected to the second network 7. By calling a specific telephone number from the communication terminal 2, the telephone number pre-registered in the medical appointment server 7 on the second network 7 is used to connect to the terminal of the registered medical institution 9 via the second network 7. The reservation number 6 linked to the member number can be automatically transmitted.

  The doctor 12 of the registered medical institution uses the medical estimate code 5 and the prescription estimate code 5a that can be searched from the medical appointment server 7 using the reservation number 6 linked to the member number input to the terminal of the registered medical institution 9 as an index. Then, the medical record of the patient 1 stored by the electronic medical record function of the medical server and the estimated medical treatment contents are examined. For example, when the disease is a cold, the patient 1 is visually inspected, and when the face of the patient 1 is red or the throat is swollen, it is determined as a cold and a cold is prescribed. However, if a self-report is a cold but a symptom that is clearly different from the common cold is found, the doctor switches to a normal medical examination. When medical treatment is performed based on the self-report contents, a prescription corresponding to the prescription estimate code 5a is issued. Here, payment on site can be simplified by selecting a payment method using electronic money such as a credit card or Osaifu-Keitai (registered trademark).

  As the prescription issuing system, for example, prescription contents corresponding to the medical / prescription estimate code 6 are registered in advance, and the prescription is automatically issued by inputting or approving the medical / prescription estimate code 6. It is convenient to create a mechanism.

  The patient 1 visits the dispensing pharmacy 10 selected by himself / herself with the prescription, presents the prescription and the reservation number 6 left on the communication terminal 2 and receives the medicine. In this case, as in the case of the registered medical institution 9, payment on site can be simplified by selecting a payment method using electronic money such as a credit card or Osaifu-Keitai (registered trademark).

  In the above, by using a communication terminal equipped with Osaifu-Keitai (registered trademark) or Bluetooth (registered trademark) communication function equipped with a Near Field Communication (NFC) function as a communication terminal, the registration number is displayed wirelessly without displaying each screen. It is also possible to send data by communication.

  Further, as data stored in the communication terminal 2, if the estimated medical treatment contents and the details of the medicine are visualized by the QR code (registered trademark) separately from the medical / prescription estimate code 6, the registered medical institution 9 Even if there is a problem in the medical institution reservation display terminal 9a or the dispensing pharmacy reservation display terminal 10a of the dispensing pharmacy 10, it is possible to conduct medical treatment / treatment with a communication terminal with a camera or a PC camera having the QR code (registered trademark) reader function. You can easily read the estimate of the prescription.

  Further, when the patient 1 cannot perform the medical treatment based on the self-reported contents and the examination is switched to the normal medical care and the contents of the normal medical care can be patterned, the medical care contents not including personal information are stored in the medical server 8. It can be transferred to the medical / prescription estimate server buffer memory as medical data stored and removed from personal information. Data of the medical / prescription estimate server 4 Data is transferred to the buffer memory of the medical / prescription estimate server 4 and the medical / prescription estimate server 4 between the medical / prescription estimate server 4 and the medical / prescription estimate server 4 during regular maintenance. And thereafter the database of the estimate server 4 for medical treatment / prescription is updated. The security of the medical treatment / prescription estimation server 4 can be ensured by performing batch processing using the buffer memory instead of online update of the database of the medical treatment / prescription estimation server 4.

  The medical treatment / prescription estimate server 4 receives medical data and prescription data obtained by removing personal information from the electronic medical record data and receipt data stored in the medical server 4, temporarily stores them in a buffer memory, and stores the medical server 4 After canceling communication with, a new medical / prescription estimate code 6 is generated and stored in a library using a program incorporated in itself.

  According to the access frequency by the patient 1, the estimated code 6 of the medical treatment / prescription in the library can be reduced in the access time by arranging in order from the highest frequency in the database. If the capacity of the database is limited, the data with high frequency is preferentially stored in the medium, and the data with low priority is connected to the medical / prescription estimate server 4 by connecting an auxiliary medium. Data capacity can be expanded.

  In the above reservation display terminal, it is possible to view the member number, the estimate of the medical treatment / prescription and the prescription estimate, but it is not possible to specify the personal information such as the member name and address from the member number. Therefore, even if a third party looks at the member's screen, an individual cannot be identified. Therefore, in order to receive medical treatment or receive a prescription medicine with the estimated content, it is necessary to present it together with the person's insurance card.

  FIG. 2 is a flowchart of the self-reported inquiry by the medical treatment / prescription estimate server. As described above, the medical server system of the present invention aims to alleviate the problem of “3 minutes waiting for 3 hours”, so that the self-reported medical checkup may be a simple medical checkup such as a cold or abdominal pain. However, this is only for patients with mild symptoms that do not require special examination, and excludes symptoms that require examination or treatment.

  Before entering the inquiry, the patient 1 registers basic data such as the type of insurance, the type of insured person or family, and age, which are basic data for calculation, and stores the basic data in the communication terminal 2 as default data. Moreover, although it becomes work each time, the registration medical institution 9 and the registration dispensing pharmacy 10 which one wants to consult are selected. The registered medical institution 9 and the registered dispensing pharmacy 10 may be registered as defaults, or data once registered as favorite data may be selectable at a later date. Also. When the communication terminal 2 has a GPS function or a similar location specifying function, the registered medical institution 9 and the registered dispensing pharmacy 10 close to the current location can be selected using the location specifying function.

  When the selection of the registered medical institution 9 and the registered dispensing pharmacy 10 is completed, for example, when a mobile phone is used for the communication terminal 2, the start screen is displayed in step S01 by executing an application such as i-appli (registered trademark). The self-reported consultation starts.

  Next, in step S02, a determination is made as to whether or not to start an inquiry. If an inquiry is necessary, select “Ask” and go to step S03. Select “Do not ask” if you do not need an interview, for example, if you know you have a cold. Then, the process proceeds to step S04.

  As the data used for the inquiry in step S03, the contents of the inquiry using medical knowledge for the general public posted in home medicine (registered trademark), for example, can be considered instead of advanced knowledge at the specialist level. As a result, the function sharing between the medical treatment / prescription estimate server 4 and the doctor 12 contracted with the specific medical corporation is clarified.

  If the process proceeds from step S02 to step S04, if the patient 1 is self-reported and selects a symptom such as having a cold or abdominal pain around a meal, The inquiry result stored in the terminal 2 is called to determine the contents of the consultation.

  When the consultation contents are selected in step S03 or step S04, the estimate is selected in step S05, and the medical treatment and prescription estimate are based on the data of the registered medical institution 9 and the registered dispensing pharmacy 10 selected before the start of step S01. Is calculated.

When you first see a doctor with a cold symptom at the doctor's 12 clinic, the examination fee is 270 points of the initial examination fee. As a result of the self-reported examination, there is a state of "nose and cough, sore throat, a little fever" The price of the medicine will be as follows.
PL granule (suppresses colds and fever and runny nose): 1 bag = 6.9 yen, 3 times a day Dadson (suppresses throat inflammation) 1 tablet = 20.2 yen, 3 times a day Medicon (sekido 1) 1 tablet = 6.4 yen, 3 times a day Claricid (antibiotic) 1 tablet = 117.3 yen, 2 times a day

  If one point is 10 yen, the price of the medicine is divided by 10, and the fraction is rounded off (rounded up to 6 or more), the total is 132 points.

The dispensing fee is the sum of the basic dispensing fee and the dispensing fee, and the basic dispensing fee is ranked according to the size of the dispensing pharmacy, but it is assumed that the number of selected dispensing pharmacies was 49, and the dispensing fee is the number of days to be dispensed. If the number is determined by the number and calculated as 15 points for 1 day and 60 points for 4 days, the result is as follows.
Medical examination fee Initial medical examination fee 270 points Out-of-hospital prescription prescription fee 68 points
Dispensing reward 109 points
Price of medicine 132 points Total 579 points

  As a result of the above calculation, the medical fee is 447 points and the medicine is 132 points. If one point is 10 yen, the medical fee is 4470 yen and the medicine is 1320 yen. If the personal burden is 30% in the case of the insured person, the medical fee will be 1341 yen and the medicine will be 396 yen.

From the above calculation result, the estimated amount is selected together with the estimate code of the medical treatment / prescription prepared in advance according to the self-reported inquiry result, and the estimate code 200702081023 is displayed on the screen of the mobile phone.
Estimate of medical treatment / prescription 1341 yen Medicine estimate 396 yen Reservation clinic name: QC Osaka ○○ clinic reservation dispensing pharmacy name: Hana ○ dispensing pharmacy will be displayed.

  In the above mobile screen display, when the mobile phone is connected to a dedicated or general-purpose Internet, a map of the clinic or dispensing pharmacy can be displayed on the screen by selecting the name of the reserved clinic on the screen and the name of the reserved dispensing pharmacy. .

  Next, when the provisional reservation is confirmed in step S06, the provisional reservation data is stored in the communication terminal 2 and the medical treatment / prescription estimate server is communicated in step S07.

  In step S06, when the estimate contents of the patient 1 are not fixed, the process returns to step S02 to calculate a re-estimation.

  As described above, when the patient 1 is satisfied with the estimate of the medical treatment / prescription and confirms the provisional reservation, the provisional reservation information is transmitted from the reservation server to the corresponding registered medical institution 9 and the registered dispensing pharmacy 10 for provisional reservation. Is established. The provisional reservation is valid only on the day, and when the patient visits the registered medical institution 9 within the predetermined business hours of the day, a prescription is issued by the doctor 12, and the patient is sent to the registered dispensing pharmacy 10 for four days from the prescription date. You can receive medicine by going out.

  In any of the above examples, the requirement of the communication terminal 2 is that it can be connected to the Internet. Specifically, a mobile phone, a PDA having a communication function, a personal computer that can be connected to the Internet, and the like can be used.

  If security is ensured, the first network 3 and the second network 7 can use the same network, for example, the Internet. However, since the medical server 8 having personal information is connected to the second network 7, not only the communication data is encrypted, but also a means for logging in to the medical server 8 is, for example, an IC card or biometrics authentication. It is an indispensable requirement to use a means with secured security.

  If the result of medical treatment by the doctor 12 is different from the content of the self-inquiry of the patient 1 or the medical treatment result, or if it is judged that it is less likely to cause an error in operation, the electronic medical record should be marked. It is also conceivable for the person in charge to update the database of the medical treatment / prescription estimate server 4 with the function of generating a new medical care estimate code 5 and a prescription estimate code 5a.

  FIG. 3 is an example of an inquiry displayed on the mobile phone screen. The inquiry form may be a branch inquiry system in which one question is displayed and branched, or a stepwise group inquiry form as in this example.

  The interview may be provided with a function of diagnosing symptoms to some extent by artificial intelligence by photographing the face using a camera or photographing the pharynx in the mouth. It is also possible to make an initial diagnosis objectively by inputting body temperature, blood pressure, and the like at rest as manual defaults and measuring the current body temperature, blood pressure, and the like.

  FIG. 4 is an example of an estimate displayed on the mobile phone screen. At the top of the screen, as the calculation conditions entered by the person, the insurance type, age, classification of the insured person's family, etc. are displayed as confirmation items, and how many days are there if a drug is prescribed The description, reservation date, estimated code, estimated amount, reserved clinic name, and reserved dispensing pharmacy name are also displayed. Further, as general information, it is conceivable to display the fact that the reservation is valid only for the current day, the expiration date of the prescription, etc. in a sense that calls attention.

  FIG. 6 is an example of collaborative medicine according to the present invention. This is an example of realizing a medical service comparable to a large hospital without constructing a large hospital by systemizing medical institutions. Realistically, private medical institutions in the city have limited capital investment, so it is difficult to arrange all the medical devices in each medical institution. In addition, concentrating all medical care relating to a specific medical device to one doctor may increase the time burden on the doctor and cause a reduction in medical quality.

  Therefore, if the patient 1 diagnosed as a primary care in a specific registered medical institution 9a determines that an X-ray examination is necessary as a close examination for a suspicious symptom, if the registered medical institution 9a does not have an X-ray facility, The doctor 12a creates a medical information provision form 15 for the doctor 12b of another registered medical institution 9b having an X-ray facility.

  The patient 1 visits the registered medical institution 9b with the medical care information provision form 15, completes the reception using the communication terminal 2, and the doctor 12b performs the X-ray examination using the X-ray apparatus 16. Here, it is determined by the diagnosis of the doctor 12b that a further detailed examination is necessary, and the doctor 12c determines that an examination using the CT scanning device 17 installed in the registered medical institution 9c is necessary, and creates a medical information provision form 15a. Bring to patient 1.

  The patient 1 visits the registered medical institution 9c with the medical information provision form 15a, completes reception using the communication terminal 2, and a CT scan examination using the CT scan device 17 is performed by the doctor 12c.

  As described above, any of the registered medical institutions 9a-9c such as registered medical institutions 9a-9c to which a doctor who has contracted a contract with a specific medical corporation belongs, even though each registered medical institution 9a-9c does not have all the inspection devices individually. If the specified medical corporation as an insurance medical institution advocating multiple departments can carry out comprehensive medical care if a testing device corresponding to the above is installed, it is possible to carry out comprehensive medical treatment even if there is no large hospital in the region Will be able to provide the same medical services.

  In addition, the specific medical corporation as an insurance medical institution advocating the plurality of departments invests in appropriate medical care through discussions between doctors in charge of medical services such as the doctors 12a to 12c such as the individual registered medical institutions 9a to 9c. It is also possible to arrange the inspection equipment in the right place in the registered medical institutions 9a to 9c for each region in the form of a lease, for example.

  As described above, when a medical device such as an X-ray, a stomach camera, CT, or MRI is not installed in the specific registered medical institution 9 as the primary care, a medical care information provision form is prepared at the discretion of the doctor 12. Then, only the contents that need to be examined are inspected by another registered medical institution 9 by passing it to the patient 1, and the total care medical treatment of the patient 1 is performed together with the doctor of the other registered medical institution 9.

  In the above-mentioned collaborative medicine, it is not the provision of a “medical information provision form” between conventional independent medical institutions, but all registered medical institutions 9 contracted with a specific medical corporation are treated as if they formed part of a large hospital. Instead of handing patient 1 from doctor to doctor in a round-trip manner, primary care doctor 1 is responsible for the medical service and is referred to another doctor who has been referred to A team is formed to provide medical services to the patient 1 as a larger medical team.

  In the above, a plurality of doctors 12a to 12c are in charge of one patient 1. For example, the primary care doctor 12a is in charge and belongs to the highest responsibility layer. The doctor 12a automatically has a role as a home doctor. Next, doctors or doctors who have received referrals belong to the second responsibility layer, and each time referrals are received, responsibility layers are formed one after another. As an information transmission rule, doctors in the lower layer make the doctors in the upper layer have a reporting obligation, and all the information is shared by all doctors so that the information among the doctors is shared. In this way, doctors do not proceed with medical treatment only by individual judgment, but by releasing information, they can receive checks and advice from other doctors. And even if there is a possibility that a single doctor has made a misdiagnosis, it can be followed by checking by other doctors, so that it becomes a kind of apprentice system, and the medical level as a whole improves. It should be noted that the layer structure is maintained until the disease of the patient 1 is completely cured, and the layer structure is eliminated while the layer 1 is completely cured.

  In terms of information management, the above-mentioned layer structure not only shares electronic medical records but also shares knowledge from a daily level using groupware such as Garoon (registered trademark) 2 of Cybozu Co., Ltd. Thus, it is possible to share a sense of unity and unity as a medical team.

  Also, apart from the position of a practitioner as a private business operator, by improving the sense of belonging to the organization as a contracted medical institution of a specified medical corporation, it simply improves depopulated human relationships that have contact with IT devices and networks. It can also be expected to bring about a sense of accomplishment in a work that is different from an individual practitioner who is engaged in the medical industry as an organization.

  In the above, since all the doctors 12a to 12c who treat the patient 1 are doctors contracted with the specified medical corporation, even when receiving individual treatments and examinations, the same medical institution in an insurance medical institution advocating multiple departments Since there is no need to pay the initial examination fee separately, the individual medical cost of the patient 1 is also reduced compared to receiving medical treatment individually by a practitioner. For example, in the medical treatment fee score table as of February 2007, the initial examination fee is 270 points, but the reexamination fee in the case of a hospital is 57 points. In addition, the doctors 12a to 12c can concentrate on examination and treatment while referring to the medical results of other doctors, so that the time spent on the patient 1 can be shortened compared with the case of treating as a private practitioner, and the efficiency of medical services is improved. On the other hand, for each doctor, a sufficient fee can be obtained with the income per hour as a revisit fee instead of the initial fee.

  Instead of a doctor who cannot estimate the medical treatment / prescription due to the law, use the medical / prescription estimation server that does not have any personal information to calculate the medical fee estimate for general medical treatment for mild diseases such as colds. In addition, a doctor who has contracted a contract with a specific medical corporation under the same medical treatment rules will make the estimate effective, and the conventional medical interviews will be omitted. This not only reduces the “3-minute medical treatment” problem, but also shortens the working hours of the doctor, and contributes to the overall efficiency of medical care.

Basic concept of network system for self-reporting clinic Each mode diagram of the medical server system according to the present invention (a) Each mode diagram of the medical server system according to the present invention (b) Each mode diagram of the medical server system according to the present invention (c) Each mode diagram of the medical server system according to the present invention (d) Each mode diagram of the medical server system according to the present invention (e) Each mode diagram (f) of the medical server system according to the present invention Estimate generation flowchart by the medical treatment / prescription estimate server Interview example displayed on mobile phone screen Estimation example displayed on the mobile phone screen Examples of collaborative medicine according to the present invention

Explanation of symbols

  DESCRIPTION OF SYMBOLS 1 ... Patient, 1a ... Health insurance card, 2 ... Communication terminal, 3 ... 1st network, 3a ... 2nd network, 4 ... Medical treatment / prescription estimate server, 5 ... Medical estimate code, 5a ... Prescription estimate code, 6 ... Reservation number, 7 ... Medical reservation server, 8 ... Medical server, 9 ... Registered medical institution 100 second clinic, 9a ... Reservation display terminal for medical institution, 9b ... Medical terminal, 10 ... Registered dispensing pharmacy, 10a ... For dispensing pharmacy Reservation display terminal, 11 ... Reception, 12 ... Doctor, 13 ... Update data, 14 ... New data, 15 ... Medical information offer, 15a ... Medical information offer, 16 ... Roentgen device, 17 ... CT scan device, BS1 ... 1 base station, BS2 ... 2nd base station.

In order to solve the above-described problems, the present invention has a communication terminal having patient member information and an access ID, and the access ID as member data not associated with personal information, and is connected to a medical treatment / prescription estimate database. The medical data and prescription estimate server, the reservation server that generates the reservation data, and the registered medical institution to which the doctor who has contracted the contract with the specific medical corporation belongs, and the member data from the reservation data sent from the reservation server And a medical institution reservation display terminal capable of displaying estimate data of medical treatment and prescription, and a registered dispensing pharmacy that has a business contract with a specified medical corporation, and the membership data and medical Reservation display terminal for dispensing pharmacies capable of displaying prescription estimate data, electronic medical record function and electronic reception A self-reported method clinic network system constituted by the medical server with ability,
The medical treatment / prescription quotation server compares the inquiry data transmitted from a patient with a database prepared in advance by a doctor, and selects a quotation code that does not include personal information; An estimated amount calculating means for calculating an estimated amount of medical treatment / dispensing reward using the score table and the dispensing reward score table, and a transmission for transmitting the estimated code not including the selected personal information and the calculated estimated amount to the communication terminal With means,
The reservation server includes a receiving unit that receives a code of the estimate data of the medical treatment / prescription along with the member information from the communication terminal, a generating unit that generates a reservation number linked to the member information , the communication terminal, and the medical device Transmitting means for transmitting the reservation number to the institutional and dispensing pharmacy reservation display terminals ,
The medical server includes creation means for creating an electronic medical record for each individual, generation means for generating a prescription for each individual, and transmission means for transmitting update data created by a doctor diagnosing a patient to the estimation server. I prepared .

In order to solve the above-described problems, the present invention has a communication terminal having patient member information and an access ID, and the access ID as member data not associated with personal information, and is connected to a medical treatment / prescription estimate database. The medical data and prescription estimate server, the reservation server that generates the reservation data, and the registered medical institution to which the doctor who has contracted the contract with the specific medical corporation belongs, and the member data from the reservation data sent from the reservation server And a medical institution reservation display terminal capable of displaying estimate data of medical treatment and prescription, and a registered dispensing pharmacy that has a business contract with a specified medical corporation, and the membership data and medical Reservation display terminal for dispensing pharmacies capable of displaying prescription estimate data, electronic medical record function and electronic reception A self-reported method clinic network system constituted by the medical server with ability,
The medical / prescription quotation server compares the database prepared by the doctor and updated by the medical server with the inquiry data sent from the patient, and selects the quotation code associated with the matching data. and selection means for, and the estimated amount calculating means for calculating the estimated amount of medical treatment and dispensing fees by using the electronic receipts function on the basis of a medical clinic fee points table and the dispensing fee points table, the calculated as the product code see that the selected Transmission means for transmitting the estimated amount to the communication terminal,
The reservation server includes a receiving unit that receives a code of the estimate data of the medical treatment / prescription along with the member information from the communication terminal, a generating unit that generates a reservation number linked to the member information, the communication terminal, and the medical device Transmitting means for transmitting the reservation number to the institutional and dispensing pharmacy reservation display terminals,
The medical server includes creation means for creating an electronic medical record for each individual, generation means for generating a prescription for each individual, and transmission means for transmitting update data created by a doctor diagnosing a patient to the estimation server. I prepared.

Claims (4)

A communication terminal having patient membership information and an access ID, a medical treatment / prescription estimation server connected to a medical treatment / prescription estimation database, and reservation data having the access ID as member data not linked to personal information. Connected to a reservation server to be created and a registered medical institution to which a doctor contracted with a specific medical corporation belongs, can display member data and estimate data of medical treatment / prescription from the reservation data transmitted from the reservation server For dispensing pharmacies that are connected to a reservation display terminal for medical institutions and a registered dispensing pharmacy that has a business contract with a specified medical corporation, and that can display member data and estimate data for medical treatments and prescriptions from the reservation data transmitted from the reservation server Consists of a reservation display terminal and a medical server with electronic medical record and electronic receipt functions A network system for medical be,
A medical treatment / prescription estimate server is accessed from the communication terminal, authenticates the communication terminal with the access ID, and then generates medical / prescription estimate data as a code and transmits the code to the communication terminal;
The reservation server generates a reservation number linked to the member information when receiving the code of the estimate data of the medical treatment / prescription along with the member information from the communication terminal, and reserves for the communication terminal, the medical institution, and the dispensing pharmacy Sending the reservation number to the display terminal;
When the doctor who has contracted the business with the specified medical corporation has completed the examination of the patient, when the medical treatment / prescription estimate data and the actual medical treatment content are different,
When the patient uses an inquiry, the medical server uses the data obtained by removing personal information from the medical data, and generates the estimate data and code of the medical treatment / prescription corresponding to the inquiry data. And the code is sent to the medical treatment / prescription estimate server to update the information.
When the patient uses the estimate using the disease data, the medical server generates the estimate data and code of the diagnosis / prescription using the data obtained by removing the personal information from the diagnosis data. A network system of a self-reporting clinic characterized in that information is updated by transmitting a code to the communication terminal. The self-reporting clinic system according to claim 1, wherein the medical server includes a database and a buffer memory, and data update of the database is performed via the buffer memory. Network system. The medical network system according to claim 1 or 2, wherein payment to the registered medical institution and dispensing pharmacy is made to the specific medical corporation using a credit card or electronic money pre-registered by the patient. A network system of a self-reporting clinic characterized by paying the estimated amount. The medical network system according to any one of claims 1 to 3, wherein the medical network system has a function of transferring self-reported medical treatment contents and prescription estimate data stored in the communication terminal to the outside for display purposes. The network system of the self-reporting clinic that features it.

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