JP2014157416A - Medical examination support system, medical examination support method, and medical examination support program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a medical examination support system, a medical examination support method and a medical examination support program for supporting efficient and accurate accounting in a medical institution.SOLUTION: A portal site server 20 executes a first medical examination reception processing or a medical re-examination reception processing when a reception processing is executed by a hospital server 10. The portal site server 20 acquiring medical examination data from the hospital server 10 executes registration processing of medical examination data. Then the portal site server 20 executes payment processing of medical expenses when a settling instruction for the medical expense is acquired from the hospital server 10. In addition, when the reception processing is executed by a pharmacy terminal 30, the portal site server 20 executes determination processing of whether or not any problem exists in settling and provision processing of a prescription. Next, the portal site server 20 executes the payment processing for the medical expenses when a settling instruction for pharmacy medical expenses is acquired from the pharmacy terminal 30.

Description

  The present invention relates to a medical assistance system, a medical assistance method, and a medical assistance program for supporting accounting processing in a medical institution.

  Conventionally, when receiving a medical examination at a medical institution such as a hospital, bring an insurance card at a predetermined opportunity and confirm the medical institution. After the examination, it is necessary to pay a medical fee. The amount of this medical fee is determined according to the medical treatment contents after receiving a medical examination, and the patient pays the personal burden. However, after medical treatment, it is necessary to wait for an accounting process in order to pay for medical expenses. Since the amount of medical expenses cannot be grasped in advance, if there is no cash, cash withdrawal at an automatic teller machine and the procedure burden of payment at a later date will be required. In addition, when the number of patients is large, the waiting time for payment becomes long, and during this time, there is a possibility of being infected with other patients' diseases.

  Then, after receiving medical care in a hospital etc., the technique for eliminating the waiting time required for the payment of the medical expenses is examined (for example, refer patent document 1). In the technique described in this document, each user is registered with a small payment account. Then, it is determined whether or not the user's self-payment amount is less than or equal to a predetermined limit amount. On the other hand, if the balance is insufficient, the credit is increased to increase the balance in the small payment account.

  In addition, a technique for reducing the burden on patients due to hospital procedures has been studied (see, for example, Patent Document 2). In the technology described in this document, the insurance card stores personal information of the insurance card and payment means information. At the time of personal health insurance registration, personal information including an insurance card number is stored in the health insurance server and the insurance card. When the patient visits, the insurance card number is transferred from the insurance card to the hospital server via the terminal, and the chart information is referred from the hospital server to the health insurance server using the insurance card number as a key. At the time of payment after the examination, the payment means information is transferred from the insurance card to the hospital server, and processing related to payment is performed between the hospital server and the payment institution server based on the information.

JP 2003-67484 A (first page, FIG. 1) JP2011-113300A (first page, FIG. 1)

  However, payment may not be smooth depending on the patient's account status. Moreover, when prescribing a medicine, a medical institution provides a prescription and submits it to a pharmacy, thereby providing a medicine based on the prescription. Even in this case, smooth drug prescription and medical expenses payment are desired.

  The present invention has been made to solve the above-mentioned problems, and its purpose is to provide a medical support system, a medical support method, and a medical support program for supporting efficient and accurate accounting processing in a medical institution. There is to do.

  In order to solve the above-mentioned problem, the invention according to claim 1 is related to a user information storage unit storing an insurance card identifier and an account identifier in association with a user's personal identifier, and associating with the user's medical history A medical information storage unit that records the payment status of medical expenses and a control unit connected to a medical institution system and a financial institution system, wherein the control unit receives the medical The personal identifier is acquired from a medical institution system, the insurance card identifier and the account identifier associated with the personal identifier are specified in the user information storage unit, and the account status of the account with the account identifier associated with the personal identifier is determined. If information is obtained from the financial institution system and there is a problem with the account status information, an alarm is sent to the medical institution system. When medical insurance end information based on the insurance card identifier is acquired from the medical institution system, a medical history is recorded in the medical information storage unit in association with the personal identifier, and medical expenses based on the insurance medical care are recorded. Identifying and transmitting to the financial institution system a payment instruction for the medical expenses using an account with an account identifier associated with the personal identifier, and associating the payment result with a medical history in the medical information storage unit The gist is to record.

  According to a second aspect of the present invention, in the medical assistance system according to the first aspect, when a medical record is acquired as the medical history from the medical institution system, and a personal identifier is acquired at the time of medical reception, the personal identifier is The gist is to output the associated medical record to the medical institution system.

  According to a third aspect of the present invention, in the medical assistance system according to the first or second aspect, the control unit is further connected to a dispensing pharmacy terminal, and from the medical institution system, the prescription information is obtained as the medical history. When the personal identifier is acquired from the dispensing pharmacy terminal, prescription information associated with the personal identifier is transmitted to the dispensing pharmacy terminal.

  According to a fourth aspect of the present invention, in the medical assistance system according to any one of the first to third aspects, the control unit is further connected to a management system of a health insurance association that provides an insurance card. When a refund request is acquired from the user terminal, the personal identifier included in the refund request is specified, the payment status of the medical expenses associated with the personal identifier is extracted, and the health insurance association corresponding to the insurance card identifier is extracted. The gist is to send it to the management system.

  In the medical support system according to any one of claims 1 to 4, when the medical cost deduction request is acquired from the user terminal, the personal identifier included in the medical cost deduction request is obtained. The gist is to identify, extract the payment status of the medical expenses associated with the personal identifier, and transmit it to the user terminal.

  The invention according to claim 6 records a payment status of medical expenses in association with a user information storage unit storing an insurance card identifier and an account identifier in association with a personal identifier of the user, and in association with the medical history of the user. A medical information storage unit, and a medical support system using a medical support system including a control unit connected to the medical institution system and the financial institution system, wherein the control unit receives the medical The personal identifier is acquired from a medical institution system, the insurance card identifier and the account identifier associated with the personal identifier are specified in the user information storage unit, and the account status of the account with the account identifier associated with the personal identifier is determined. If information is obtained from the financial institution system and there is a problem in the account status information, an alarm is sent to the medical institution system. If medical insurance end information based on the insurance card identifier is acquired from the medical institution system, a medical history is recorded in the medical information storage unit in association with the personal identifier, and medical expenses based on the insurance medical care are recorded. The medical information storage unit associates the payment result with the medical history and transmits a payment instruction for the medical cost using the account with the account identifier associated with the personal identifier to the financial institution system. It is a summary to record.

  The invention described in claim 7 records the payment status of medical expenses in association with a user information storage unit storing an insurance card identifier and an account identifier in association with a personal identifier of the user, and in association with the medical history of the user. A program for supporting medical care using a medical support system including a medical information storage unit and a control unit connected to the medical institution system and the financial institution system. Obtaining the personal identifier from the medical institution system, identifying the insurance card identifier and the account identifier associated with the personal identifier in the user information storage unit, and for the account of the account identifier associated with the personal identifier, If account status information is obtained from the financial institution system and there is a problem in the account status information, an alarm is sent to the medical institution And when medical insurance end information based on the insurance card identifier is acquired from the medical institution system, a medical history is recorded in the medical information storage unit in association with the personal identifier, and based on the insurance medical care The medical information is specified, the medical information is transmitted to the financial institution system using the account with the account identifier associated with the personal identifier, and the payment result is associated with the medical history. The gist is to make it function as means for recording in the storage unit.

(Function)
According to the first, sixth, or seventh aspect of the invention, the control unit acquires the account status information from the financial institution system for the account with the account identifier associated with the personal identifier. If there is a problem in the account status information, an alarm is transmitted to the medical institution system. Thereby, it is possible to confirm the account status and pay the medical fee. In addition, when acquiring medical treatment end information based on the insurance card identifier from the medical institution system, the medical history is recorded in the medical information storage unit in association with the personal identifier, the medical cost based on the insurance medical treatment is specified, and the financial institution A payment instruction for medical expenses using the account with the account identifier associated with the personal identifier is transmitted to the system, and the payment result is recorded in the medical information storage unit in association with the medical history. Thereby, the payment status of medical expenses can be recorded in association with the medical history.

  According to the second aspect of the present invention, when a medical record is acquired as a medical history and a personal identifier is acquired at the time of medical reception, the medical record associated with the personal identifier is output to the medical institution system. This makes it possible to share information on a medical record (medical record) even when a doctor visits another medical institution.

  According to the invention described in claim 3, when prescription information is acquired as a medical history and a personal identifier is acquired from a dispensing pharmacy terminal, prescription information associated with the personal identifier is transmitted to the dispensing pharmacy terminal. Thereby, a pharmaceutical can be prescribed in a dispensing pharmacy. For example, even when a plurality of prescriptions are issued, prescriptions can be made together.

  According to the invention described in claim 4, when a withdrawal request is acquired from the user terminal, the personal identifier included in the withdrawal request is specified, the payment status of the medical expenses associated with the personal identifier is extracted, and the insurance card identifier To the health insurance association management system corresponding to Thereby, even when an advance payment is made, the payment status can be confirmed and settled.

  According to the fifth aspect of the present invention, when the medical cost deduction request is acquired from the user terminal, the personal identifier included in the medical cost deduction request is specified, and the payment status of the medical cost associated with the personal identifier is extracted. To the user terminal. Thereby, medical expenses deduction application can be performed efficiently.

  According to the present invention, it is possible to provide a medical care support system, a medical care support method, and a medical care support program for supporting efficient and accurate accounting processing in a medical institution.

The system schematic of this embodiment. It is explanatory drawing of the data storage part of this embodiment, Comprising: (a) is a user information storage part, (b) is a medical institution information storage part, (c) is a medical treatment information storage part, (d) is a prescription information storage part. Explanatory drawing of the data recorded on. Explanatory drawing of the process sequence of this embodiment. Explanatory drawing of the process sequence of this embodiment. It is explanatory drawing of the process sequence of this embodiment, Comprising: (a) is initial examination reception processing, (b) is explanatory drawing of reexamination reception processing. Explanatory drawing of the process sequence of this embodiment. Explanatory drawing of the process sequence of this embodiment. Explanatory drawing of the process sequence of this embodiment.

Hereinafter, an embodiment embodying the present invention will be described with reference to FIGS. In the present embodiment, a service that supports accounting processing in a medical institution is provided.
As shown in FIG. 1, in this embodiment, a patient is examined at a medical institution using an IC card 100 as a health insurance card. The IC card 100 records information (for example, my number) that can specify the holder of the card and information (for example, account information) for making the settlement. And the service which accounts for medical expenses using the account information recorded on this IC card 100 is provided. In this case, the account transfer registration is performed with the financial institution for the payment of the medical expenses using this service.

  As shown in FIG. 1, a portal site server 20 is used to manage this service. The portal site server 20 is connected to the hospital server 10, the dispensing pharmacy terminal 30, the user terminal 40, and the financial institution server 50 through a network such as the Internet.

  The hospital server 10 is a computer system (medical institution system) that manages patient medical care in a medical institution. The hospital server 10 manages the medical history and prescriptions issued by a doctor regarding medical care. This hospital server 10 holds data relating to a medical institution code for identifying this hospital. The hospital server 10 is connected to a reception terminal 15 that accepts a patient visit and a medical examination terminal 16 used by a doctor via a network in the hospital. Further, the hospital server 10 includes a database 12 that records medical record information (medical chart information) and prescription information for each patient. In this database 12, the patient's basic information, chief complaint, current medical history, medical history information such as past medical history, disease name and main symptoms, treatment method (prescription or treatment), examination, etc., for the medical ticket number for each patient As a result, the date of medical treatment, the contents of the medical practice, and the contents of the prescription for prescribing the medicine are recorded.

  The dispensing pharmacy terminal 30 is a computer terminal (medical institution system) used by a pharmacist of a dispensing pharmacy. The dispensing pharmacy terminal 30 holds data related to the dispensing pharmacy code for specifying the dispensing pharmacy where the dispensing pharmacy terminal 30 is installed. The user terminal 40 is a computer terminal used by a patient (user) who uses this service. The dispensing pharmacy terminal 30 and the user terminal 40 include a display and a printer as output means, and a keyboard and a pointing device as input means.

  The financial institution server 50 is a computer system (financial institution system) that manages a user account and executes a settlement process using the account. In the present embodiment, settlement is performed using a pre-registered account transfer.

The portal site server 20 is a computer system (medical support system) that manages the provision of services that support accounting processing in medical institutions.
As shown in FIG. 1, the portal site server 20 includes a control unit 21, a user information storage unit 22, a medical institution information storage unit 23, a medical treatment information storage unit 24, and a prescription information storage unit 25. Here, the medical information storage unit 24 and the prescription information storage unit 25 function as a medical information storage unit that records medical history. The control unit 21 performs various processes for managing the service that supports the accounting process in the medical institution. The control unit 21 includes a CPU, a RAM, a ROM, and the like, and performs processing described later (processing such as a card confirmation stage, a medical information acquisition stage, a payment management stage, a prescription provision stage, a replacement handling stage, and a deduction support stage). By executing a medical assistance program for this purpose, the control unit 21 functions as a card confirmation unit 211, a medical information acquisition unit 212, a prescription provision unit 213, a payment management unit 214, a replacement correspondence unit 215, a deduction support unit 216, and the like. To do.

  The card confirmation means 211 acquires the card information of the patient's cash card and executes a process of confirming the account status based on the card information. This card confirmation means 211 holds data relating to the medical institution code of the medical institution where the reception terminal 15 is installed.

The medical information acquisition unit 212 executes processing for acquiring medical information and prescription information from the hospital server 10.
The prescription providing means 213 executes processing for providing prescription information to the dispensing pharmacy terminal 30.

The payment management means 214 calculates a medical fee based on the medical information and prescription information, and executes a process for managing this payment.
The replacement responding unit 215 executes a process of paying out the replacement money when the patient has changed the medical expenses. This replacement response means 215 holds data relating to the contact information of the management system of each health insurance association.

  The deduction support unit 216 executes processing for supporting deduction calculation for medical expenses paid by the user in the income tax and the personal residence tax. This deduction support means 216 holds a calculation formula for subtracting medical expenses and data on contact information of the tax office server.

  As shown in FIG. 2A, the user information storage unit 22 stores a user management record 220 relating to a patient who uses this service. This user management record 220 is recorded when use registration of this service is performed. The user management record 220 includes data on my number, insurance card information, account information, examination ticket information, and contact information.

  Data relating to an identifier (personal identifier) for identifying each user is recorded in the my number data area. In this embodiment, a unique number (my number) assigned to the public for social security and tax management is used.

  In the insurance card information data area, data relating to an identifier for identifying an insurance provided by the health insurance association for this user is recorded. Based on this insurance card information, it is possible to specify the health insurance association, the insurance card number of this user, and the burden ratio of partial contributions.

  In the account information data area, data relating to an identifier for specifying an account held by the user is recorded. In the present embodiment, data relating to an account identifier (financial institution code, main branch code, account type code, account number) is recorded.

Data relating to an identifier for identifying a patient in a medical institution is recorded in the examination ticket information data area. In this embodiment, a medical institution code and a medical examination ticket number are recorded.
In the contact data area, data related to the user's contact information (e-mail address or telephone number) is recorded. This contact information is registered based on the application from the user.

  As shown in FIG. 2B, the medical institution information storage unit 23 stores a medical institution management record 230 relating to a medical institution (hospital or dispensing pharmacy). This medical institution management record 230 is recorded when a medical institution is registered. The medical institution management record 230 includes data on medical institution codes, types, account information, and contact information.

In the medical institution code data area, data relating to an identifier for specifying the medical institution is recorded.
In the type data area, data relating to an identifier for specifying the type of the medical institution (hospital, dispensing pharmacy, etc.) is recorded.

In the account information data area, data relating to an identifier for identifying an account held by the medical institution is recorded. In the present embodiment, data relating to an account identifier (financial institution code, main branch code, account type code, account number) is recorded in this data area.
In the contact data area, data relating to the contact information (e-mail address or telephone number) of this medical institution is recorded.

  As shown in FIG.2 (c), the medical treatment information storage part 24 memorize | stores the medical treatment management record 240 regarding the medical record of each user in each hospital. This medical care management record 240 is recorded when medical information is acquired from the hospital server 10. The medical care management record 240 includes data relating to a medical institution code, My number, medical ticket number, patient name, health insurance participation, insurance card number, medical date, medical record, billing amount, and payment status.

In the medical institution code data area, data relating to an identifier for identifying the medical institution that created the medical record is recorded.
In the my number data area, data relating to an identifier for identifying the patient to whom the prescription is provided is recorded.

In the examination ticket number data area, data relating to an identifier for specifying a patient's medical record is recorded.
Data relating to the name of the patient is recorded in the patient name data area.
In the health insurance participation data area, data relating to an identifier for identifying the health insurance association to which the patient is participating is recorded.

In the insurance card number data area, data relating to an identifier for specifying an insured person (user) in the health insurance association is recorded.
In the examination date data area, data relating to the date for specifying the time when this medical care is performed is recorded.

In the medical record data area, data related to the medical treatment contents for this patient is recorded.
In the billing amount data area, data relating to the billing amount of medical expenses according to medical treatment such as treatment for a patient is recorded.

  In the payment status data area, data relating to a flag for specifying the payment status of the billed amount is recorded. In the payment status data area, a completion flag is recorded when payment is completed by account transfer or the like. On the other hand, if payment is not possible due to the inability to withdraw from the account, a withdrawal impossible flag is recorded. In addition, when the patient receives medical care without bringing the IC card 100, a full payment flag is recorded.

  As shown in FIG. 2D, the prescription information storage unit 25 stores a prescription management record 250 related to a prescription created in a medical institution. The prescription management record 250 is recorded when prescription information is acquired from the hospital server 10. The prescription management record 250 relates to a medical institution code, my number, patient name, age, date of issue, use period, medical institution / physician name, prescription item, dispensing pharmacy code, prescription date, billing amount, and payment status. Consists of data.

In the medical institution code data area, data relating to an identifier for specifying the medical institution that created the prescription is recorded.
In the my number data area, data relating to an identifier for identifying the patient to whom the prescription is provided is recorded.

In the patient name data area, data related to the patient to whom the prescription is provided is recorded.
Data relating to the age of the patient is recorded in the age data area.
In the issue date data area, data relating to the date for specifying the time when the prescription is issued is recorded.

In the use period data area, data related to the expiration date for which this prescription can be used is recorded.
In the medical institution / physician name data area, information (name) for identifying the medical institution or doctor that issued the prescription is recorded.

In the prescription item data area, data relating to the contents (drug name, quantity, usage, volume, etc.) of each drug provided to the patient is recorded.
In the dispensing pharmacy code data area, data relating to an identifier for identifying the dispensing pharmacy that provided each drug to the patient is recorded.

In the prescription date data area, data related to the date for specifying the time when each medicine was provided based on the prescription is recorded.
In the billing amount data area, data relating to the amount of dispensing medical expenses corresponding to each medicine provided to the patient is recorded.

  In the payment status data area, data relating to a flag for specifying the payment status of the billed amount is recorded. Also in this payment status data area, a payment completion flag is recorded when payment is completed by account transfer or the like. On the other hand, if payment is not possible due to the inability to withdraw from the account, a withdrawal impossible flag is recorded. In addition, when the patient receives medical care without bringing the IC card 100, a full payment flag is recorded.

Next, a process for managing a service that supports medical expenses accounting by the system configured as described above will be described.
First, the process in a hospital is demonstrated using FIG.
Here, the hospital server 10 executes reception processing (step S1-1). Specifically, the patient's IC card 100 is read at the reception terminal 15 connected to the hospital server 10. Then, the hospital server 10 transmits the reception information to the portal site server 20. The reception information includes the card information of the IC card 100 read by the reception terminal 15 and data related to the medical institution code.

  In this case, the control unit 21 of the portal site server 20 executes either the initial examination reception process (step S1-2) or the reexamination reception process (step S1-3). Specifically, the card confirmation unit 211 of the control unit 21 determines whether or not the medical institution code received from the hospital server 10 is recorded in the user information storage unit 22 in association with the My Number included in the card information. judge. Here, if the medical institution code is not associated with My Number and recorded, it is determined as the first visit and the first visit acceptance process is executed (step S1-2). This initial examination acceptance process will be described later with reference to FIG. On the other hand, when the medical institution code is recorded in association with the My Number in the user information storage unit 22, it is determined as revisit and revisit acceptance processing is executed (step S <b> 1-3). This reexamination reception process will be described later with reference to FIG.

  Next, the hospital server 10 executes medical record processing (step S1-4). Specifically, the doctor examines the patient and creates and inputs a medical record in which the medical treatment contents are recorded at the examination terminal 16. Furthermore, when prescribing a medicine, a prescription is created and inputted at the examination terminal 16. In this case, the hospital server 10 acquires a medical record and a prescription from the examination terminal 16 and records them in the database 12.

  Next, the hospital server 10 executes a process for uploading consultation data (step S1-5). Specifically, the hospital server 10 transmits a medical record acquired from the examination terminal 16 to the portal site server 20 as consultation data. When a prescription is issued, this prescription is also included in the consultation data. This consultation data includes data on the hospital's medical institution code, patient's examination ticket number, and the like.

  Next, the control unit 21 of the portal site server 20 executes a consultation data registration process (step S1-6). Specifically, the medical information acquisition means 212 of the control unit 21 extracts the user management record 220 in which the medical institution code and the medical ticket number included in the medical examination data are recorded from the user information storage unit 22, and this user management My number is specified in the record 220. Then, the medical care information acquisition unit 212 generates a medical care management record 240 and a prescription management record 250 in which the medical institution code and my number are recorded, and registers them in the medical care information storage unit 24 and the prescription information storage unit 25. In the medical care management record 240 and the prescription management record 250, medical examination data (medical care information, prescription) acquired from the hospital server 10 is recorded.

Next, the hospital server 10 executes a medical treatment payment settlement instruction process (step S1-7). Specifically, when the medical treatment at the hospital is finished, the medical treatment end is input at the examination terminal 16. Here, the hospital server 10 that has detected a medical treatment end input at the examination terminal 16 transmits a medical treatment settlement instruction to the portal site server 20. This settlement instruction includes a medical institution code, an amount corresponding to the medical treatment content, and data related to the initial examination fee.
Next, the control unit 21 of the portal site server 20 executes a medical cost payment process (step S1-8). This process will be described later with reference to FIG.

Next, processing in the dispensing pharmacy will be described with reference to FIG.
Here, the dispensing pharmacy terminal 30 executes a reception process (step S2-1). Specifically, the dispensing IC terminal 30 reads the patient's IC card 100. Then, the dispensing pharmacy terminal 30 acquires the My Number recorded on the IC card 100.

  Next, the dispensing pharmacy terminal 30 executes a prescription download request process (step S2-2). Specifically, the dispensing pharmacy terminal 30 transmits a download request to the portal site server 20. This download request includes the card information (my number) read by the dispensing pharmacy terminal 30 and data related to the dispensing pharmacy code.

  The control unit 21 of the portal site server 20 that has received the download request executes confirmation processing of the medical treatment payment status (step S2-3). Specifically, the card confirmation unit 211 of the control unit 21 acquires the medical management record 240 in which the my number is recorded from the medical information storage unit 24. Furthermore, the card confirmation means 211 acquires a prescription management record 250 in which this my number is recorded from the prescription information storage unit 25. Then, the card confirmation unit 211 acquires the payment status recorded in the extracted medical care management record 240 and prescription management record 250.

  Next, the control unit 21 of the portal site server 20 executes a determination process as to whether there is a problem with the settlement (step S2-4). Specifically, the card confirmation unit 211 of the control unit 21 determines that there is a problem in settlement when the withdrawal impossible flag is recorded as the payment status in the medical care management record 240 and the prescription management record 250.

  When it is determined that there is a problem with the settlement (“YES” in step S2-4), the control unit 21 of the portal site server 20 executes an alarm process (step S2-5). Specifically, the card confirmation unit 211 of the control unit 21 outputs a message indicating that there is a problem in settlement to the dispensing pharmacy terminal 30. In this case, the person in charge of the dispensing pharmacy tells the patient about this. On the other hand, when it is determined that there is no problem in the settlement (in the case of “NO” in step S2-4), the alarm process (step S2-5) is skipped.

  Next, the control unit 21 of the portal site server 20 executes a prescription providing process (step S2-6). Specifically, the prescription providing means 213 of the control unit 21 searches the prescription information storage unit 25 for a prescription management record 250 in which no dispensing pharmacy code is recorded for this patient. Furthermore, the prescription providing means 213 specifies the prescription management record 250 in which the current date is included in the usage period. Then, the prescription providing unit 213 transmits the prescription information (prescription item) recorded in the prescription management record 250 to the dispensing pharmacy terminal 30. Further, the prescription providing means 213 records data relating to the dispensing pharmacy code and the prescription date in this prescription management record 250.

  Next, the dispensing pharmacy terminal 30 executes a prescription output process (step S2-7). Specifically, the dispensing pharmacy terminal 30 outputs a prescription for a prescription drug to a display or a printer.

  Next, the dispensing pharmacy terminal 30 executes a dispensing recording process (step S2-8). Specifically, a pharmacist at a dispensing pharmacy dispenses a medicine according to the outputted prescription. In this case, the dispensing pharmacy terminal 30 is used to input information related to the dispensed medicine. And when dispensing is completed and a pharmaceutical is provided to a patient, the dispensing end is input at the dispensing pharmacy terminal 30.

  In this case, the dispensing pharmacy terminal 30 executes a determination process as to whether or not there is a problem with the settlement (step S2-9). Specifically, the dispensing pharmacy terminal 30 determines that there is a problem with the settlement when an alarm is acquired from the portal site server 20.

When it is determined that there is no problem with the settlement (in the case of “NO” in step S2-9), the dispensing pharmacy terminal 30 executes a dispensing medical cost settlement instruction process (step S2-10). Specifically, the dispensing pharmacy terminal 30 transmits a settlement instruction to the portal site server 20. The settlement instruction includes data relating to the dispensing pharmacy code and the amount corresponding to the prescription content.
In this case, the control unit 21 of the portal site server 20 executes a medical cost payment process (step S2-11). This process will also be described later with reference to FIG.

  On the other hand, if it is determined that there is a problem with the payment (in the case of “YES” in step S2-9), the dispensing pharmacy terminal 30 executes a payment process by another method (step S2-12). Specifically, the dispensing pharmacy terminal 30 instructs settlement other than account transfer (for example, cash settlement). And when the settlement by another method is performed, the dispensing pharmacy terminal 30 transmits a payment completion notice to the portal site server 20. In this case, the payment management means 214 of the control unit 21 of the portal site server 20 records a cash payment flag in the payment status data area of the prescription management record 250.

(First medical examination reception processing)
Next, the initial examination acceptance process will be described with reference to FIG.
First, the control unit 21 of the portal site server 20 executes card information acquisition processing (step S3-1). Specifically, the card checking unit 211 of the control unit 21 requests the card information from the hospital server 10 when it is determined as the first visit. Then, the card confirmation unit 211 acquires the card information (insurance card information, account information) read from the IC card 100 at the reception terminal 15 from the hospital server 10.

  Next, the control unit 21 of the portal site server 20 executes account status confirmation processing (step S3-2). Specifically, the card confirmation unit 211 of the control unit 21 uses the account information included in the card information to identify the financial institution where the account is opened. Then, the card confirmation unit 211 transmits an account status request to the financial institution server 50 of this financial institution. The account status request includes data related to the account identifier acquired from the hospital server 10. In this case, the financial institution server 50 returns the account status information of this account identifier to the portal site server 20.

  Next, the control part 21 of the portal site server 20 performs the determination process about whether there is any problem (step S3-3). Specifically, the card confirmation unit 211 of the control unit 21 determines whether there is a problem based on the account state information acquired from the financial institution server 50. If an account exists and no caution information is recorded in the account, it is determined that there is no problem.

  When it is determined that there is a problem when the account does not exist or when attention information is recorded on the account (“NO” in step S3-3), the control unit 21 of the portal site server 20 Then, alarm processing is executed (step S3-4). Specifically, the card confirmation unit 211 of the control unit 21 transmits a message indicating that the account cannot be used to the hospital server 10. In this case, medical expenses are paid in cash at a medical institution.

  On the other hand, when it is determined that there is no problem (in the case of “YES” in step S3-3), the control unit 21 of the portal site server 20 executes a payment reservation registration process (step S3-5). Specifically, the card confirmation unit 211 of the control unit 21 requests the hospital server 10 for an examination ticket number. In this case, the hospital server 10 transmits the examination ticket number assigned to the first visitor. Then, the card confirmation unit 211 generates a user management record 220 in which the My Number, insurance card information, account information, and examination ticket information acquired from the hospital server 10 is recorded, and registers the user management record 220 in the user information storage unit 22. In the user management record 220, the medical institution code and the medical examination ticket number of the hospital server 10 are recorded as the medical examination ticket information.

(Re-examination reception processing)
Next, the reexamination reception process will be described with reference to FIG.
First, the control unit 21 of the portal site server 20 executes a user specifying process (step S4-1). Specifically, the card confirmation unit 211 of the control unit 21 extracts the user management record 220 in which the my number and the medical institution code are recorded from the user information storage unit 22.

  Next, the control part 21 of the portal site server 20 performs the determination process about whether confirmation of an account state is required (step S4-2). Specifically, the card checking unit 211 of the control unit 21 extracts the medical care management record 240 and the prescription management record 250 in which this my number is recorded from the medical care information storage unit 24 and the prescription information storage unit 25. Then, when the withdrawal impossible flag is recorded in the medical care management record 240 and the prescription management record 250, it is determined that the account status confirmation is necessary. In addition, it is determined that the account status confirmation is necessary even when the reference period (predetermined number of days) has passed since the date of examination of the medical care management record 240 and the date of issuance of the prescription management record 250.

  If it is determined that confirmation of the account status is necessary (in the case of “YES” in step S4-2), the control unit 21 of the portal site server 20 executes account identification processing (step S4-3). Specifically, the card confirmation unit 211 of the control unit 21 acquires account information (account identifier) recorded in the user management record 220 of the patient.

  Next, the control unit 21 of the portal site server 20 executes account status confirmation processing (step S4-4). Specifically, the card confirmation unit 211 of the control unit 21 uses the acquired account information to identify the financial institution where the account is opened. Then, the card confirmation unit 211 transmits an account status request to the financial institution server 50 of this financial institution. The account status request includes data related to the account identifier acquired from the hospital server 10. In this case, the financial institution server 50 returns the account status information of this account identifier to the portal site server 20.

Next, the control part 21 of the portal site server 20 performs the determination process about whether there is no problem similarly to step S3-3 (step S4-5).
When it is determined that there is a problem (in the case of “NO” in Step S4-5), the control unit 21 of the portal site server 20 executes an alarm process similarly to Step S3-4 (Step S4-6).

  On the other hand, when it is determined that there is no problem (in the case of “YES” in step S4-5), the control unit 21 of the portal site server 20 skips the alarm process (step S4-6).

  Further, when it is determined that the account status confirmation is not necessary (in the case of “NO” in step S4-2), the control unit 21 of the portal site server 20 performs the account identification process (step S4-3) to the alarm process ( Step S4-6) is skipped.

  Next, the control unit 21 of the portal site server 20 executes a medical record provision process (step S4-7). Specifically, the card confirmation unit 211 of the control unit 21 extracts a medical care management record 240 in which a medical institution code, a patient's My number, and a medical examination ticket number are recorded from the medical care information storage unit 24. Then, the card confirmation unit 211 transmits the medical record data of the extracted medical management record 240 to the hospital server 10. In this case, the hospital server 10 outputs a medical record to the examination terminal 16 of the doctor in charge of the patient. The doctor can make a diagnosis while referring to the medical record.

(Medical payment processing)
Next, the medical expense payment process will be described with reference to FIG. This process is executed when a settlement instruction is received from the hospital server 10 or the dispensing pharmacy terminal 30.

  First, the control unit 21 of the portal site server 20 executes medical information acquisition processing (step S5-1). Specifically, when the payment management unit 214 of the control unit 21 receives a payment instruction from the hospital server 10, a medical care management record in which the current date is recorded as the date of examination together with the medical institution code included in the payment instruction. 240 is acquired from the medical information storage unit 24. In addition, when receiving a payment instruction from the dispensing pharmacy terminal 30, the payment management means 214 stores a prescription management record 250 in which the current date is recorded as the prescription date together with the dispensing pharmacy code included in the payment instruction. Obtained from the unit 25.

  Next, the control unit 21 of the portal site server 20 executes account identification processing (step S5-2). Specifically, the payment management unit 214 of the control unit 21 extracts the user management record 220 from the user information storage unit 22 using the My Number recorded in the medical care management record 240 or the prescription management record 250. Then, the payment management unit 214 acquires the account identifier recorded in the extracted user management record 220. Furthermore, the payment management means 214 extracts the medical institution management record 230 in which this medical institution code is recorded from the medical institution information storage unit 23. Then, the payment management unit 214 acquires the account identifier recorded in the extracted medical institution management record 230.

  Next, the control part 21 of the portal site server 20 performs a payment process (step S5-3). Specifically, the payment management means 214 of the control unit 21 specifies the burden ratio of the partial contribution based on the insurance card information recorded in the user management record 220. Then, the payment management means 214 calculates a charge amount based on the amount and burden ratio included in the settlement instruction, and records it in the medical care management record 240 or the prescription management record 250. Next, the payment management means 214 generates a transfer message with the charge amount as the transfer amount. Then, the payment management means 214 transmits a transfer message for depositing from the patient's account to the account of the medical institution (hospital or dispensing pharmacy) to the financial institution server 50. In this case, the financial institution server 50 performs a settlement process based on the transfer message.

  Next, the control part 21 of the portal site server 20 performs the determination process about whether payment is completed (step S5-4). Specifically, the payment management unit 214 of the control unit 21 makes a determination based on the transfer result acquired from the financial institution server 50.

  When it is determined that the payment is completed by acquiring the transfer completion information from the financial institution server 50 (in the case of “YES” in step S5-4), the control unit 21 of the portal site server 20 executes a completion notification process ( Step S5-5). Specifically, the payment management unit 214 of the control unit 21 acquires the contact information recorded in the user management record 220. Then, the payment management means 214 transmits a message notifying that the payment has been completed to this contact address.

  On the other hand, when it is determined that the payment is not completed by obtaining the withdrawal impossible information from the financial institution server 50 (in the case of “NO” in step S5-4), the control unit 21 of the portal site server 20 performs the impossible notification process. Execute (Step S5-6). Specifically, the payment management unit 214 of the control unit 21 records the withdrawal impossible flag in the settlement status data area of the medical care management record 240 and the prescription management record 250. Then, the payment management means 214 transmits a message indicating that the account cannot be debited to the patient contact information. If the withdrawal is impossible, the control unit 21 of the portal site server 20 may periodically retry the account withdrawal. And the control part 21 records a completion flag as a payment condition, when charge amount can be deducted.

(Repayment processing)
Next, the advance payment handling process will be described with reference to FIG. This process is performed when the patient receives medical care when the IC card 100 is not brought and bears the full medical expenses. In this case, the control unit 21 of the portal site server 20 acquires full payment information from the hospital server 10 or the dispensing pharmacy terminal 30. Then, the control unit 21 of the portal site server 20 records the full burden flag in the medical care management record 240 and the prescription management record 250.

  First, the control unit 21 of the portal site server 20 executes a refund request acquisition process (step S6-1). Specifically, the patient who has paid the full amount creates a refund application using the user terminal 40. This refund application includes information on the medical institution code, the medical ticket number, and the date of medical examination that were examined at full cost. Then, using the user terminal 40, a refund request including a refund application is transmitted to the portal site server 20.

  Next, the control unit 21 of the portal site server 20 executes medical information extraction processing (step S6-2). Specifically, the replacement correspondence unit 215 of the control unit 21 extracts from the medical treatment information storage unit 24 the medical treatment management record 240 in which the examination ticket number included in the withdrawal request for the withdrawal request is recorded.

  Next, the control unit 21 of the portal site server 20 executes prescription information extraction processing (step S6-3). Specifically, the replacement handling unit 215 of the control unit 21 extracts the user management record 220 in which the medical institution code and the examination ticket number are recorded from the user information storage unit 22. Next, the change correspondence unit 215 specifies the My Number recorded in the user management record 220. And the change corresponding | compatible means 215 extracts the prescription management record 250 in which my number was recorded from the prescription information storage part 25. FIG.

  Next, the control part 21 of the portal site server 20 performs the determination process about whether there is a change (step S6-4). Specifically, the change correspondence unit 215 of the control unit 21 searches the extracted medical treatment management record 240 and prescription management record 250 for the record in which the full burden flag is recorded. If the record in which the full payment flag is recorded can be extracted, it is determined that there is a change.

  When it is determined that the record in which the full payment flag is recorded cannot be specified and there is no change (in the case of “NO” in step S6-4), the control unit 21 of the portal site server 20 executes an alarm process. (Step S6-5). Specifically, the change response unit 215 of the control unit 21 outputs a message indicating that there is no replacement payment to the user terminal 40 and ends the process.

  On the other hand, when the record in which the full burden flag is recorded is determined and it is determined that there is a change (in the case of “YES” in step S6-4), the control unit 21 of the portal site server 20 performs the medical treatment payment application process. Execute (step S6-6). Specifically, the replacement correspondence unit 215 of the control unit 21 specifies a health insurance association based on the insurance card information recorded in the user management record 220. Then, the replacement support means 215 creates a medical treatment payment application for the health insurance association management system (not shown). In this medical treatment payment application, the insurance card number of the patient who made the advance payment, and data relating to the billing amount recorded in the specified medical care management record 240 and prescription management record 250 are included. In this health insurance association management system, the content of the medical treatment payment application is confirmed, and if there is no deficiency, application confirmation information is returned to the portal site server 20.

  Next, the control unit 21 of the portal site server 20 executes a refund process (step S6-7). Specifically, the replacement response unit 215 of the control unit 21 acquires the account identifier recorded in the user management record 220 when acquiring application confirmation information from the management system of the health insurance association. Then, the advance correspondence means 215 calculates the advance amount according to the billed amount and the remaining ratio with respect to the burden ratio of the partial contribution. Then, the advance correspondence means 215 creates a transfer message for transferring the advance amount from the account of the health insurance association to the user's account, and transmits it to the financial institution server 50.

(Medical expense deduction processing)
Next, medical cost deduction processing will be described with reference to FIG.
First, the control unit 21 of the portal site server 20 executes a medical cost deduction request acquisition process (step S7-1). Specifically, when the user makes a medical cost deduction application, the user terminal 40 is used to transmit a medical cost deduction request. This medical cost deduction request includes information on the user's My Number. In this case, the deduction support unit 216 of the control unit 21 receives a medical cost deduction request from the user terminal 40.

  Next, the control unit 21 of the portal site server 20 executes medical information extraction processing (step S7-2). Specifically, the deduction support means 216 of the control unit 21 is a record in which the My Number included in the medical expense deduction request is recorded from the medical care information storage unit 24, and the deduction target period (January of the year). The medical care management record 240 in which the medical examination date from 1st to December 31) is recorded is extracted.

  Next, the control unit 21 of the portal site server 20 executes prescription information extraction processing (step S7-3). Specifically, the deduction support means 216 of the control unit 21 is a record in which the My Number included in the medical expenses deduction request is recorded from the prescription information storage unit 25, and the prescription date of the deduction target period is The recorded prescription management record 250 is extracted.

  Next, the control unit 21 of the portal site server 20 executes a medical cost deduction calculation process (step S7-4). Specifically, the deduction support means 216 of the control unit 21 calculates the medical expenses by summing the bills recorded in the extracted medical management record 240 and prescription management record 250, and uses the medical expenses deduction formula as a calculation formula. Based on this, the deduction amount is calculated.

  Next, the control unit 21 of the portal site server 20 executes a confirmation notification process (step S7-5). Specifically, the deduction support unit 216 of the control unit 21 notifies the user terminal 40 of the calculated medical cost and deduction amount. In this case, the user uses the user terminal 40 to check the medical expenses and the deduction amount. Then, if necessary, the medical expenses are corrected.

  Next, the control part 21 of the portal site server 20 performs the determination process about whether there exists correction (step S7-6). Specifically, the deduction support unit 216 of the control unit 21 confirms whether or not the medical expenses are corrected on the user terminal 40.

  When it determines with having corrected (in the case of "YES" in step S7-6), the control part 21 of the portal site server 20 performs the correction process of a deduction amount (step S7-7). Specifically, the deduction support means 216 of the control unit 21 corrects the deduction amount based on the corrected medical expenses. On the other hand, when it is determined that it has not been corrected (in the case of “NO” in step S7-6), the control unit 21 of the portal site server 20 skips the deduction amount correction process (step S7-7).

  Next, the control unit 21 of the portal site server 20 executes a reporting process (step S7-8). Specifically, the deduction support means 216 of the control unit 21 transmits a medical cost deduction application to a tax office server (not shown). This medical cost deduction application includes data on the My Number, medical cost, and deduction amount recorded in the user management record 220.

According to this embodiment, the following effects can be obtained.
(1) In this embodiment, the user information storage part 22 memorize | stores the user management record 220 regarding the patient who utilizes this service. The user management record 220 includes data on my number, insurance card information, account information, examination ticket information, and contact information. The hospital server 10 executes a medical treatment payment settlement instruction process (step S1-7). And the control part 21 of the portal site server 20 performs the payment process of medical expenses (step S1-8). Thereby, since the medical expenses in a medical institution are paid using an account, it is not necessary to wait for payment in a medical institution, and a user's procedure burden can be reduced.

  (2) In the present embodiment, the hospital server 10 executes a consultation data upload process (step S1-5). In this case, the control unit 21 of the portal site server 20 executes a consultation data registration process (step S1-6). Thereby, it is possible to collect records of medical care performed in various medical institutions.

  (3) In the present embodiment, the dispensing pharmacy terminal 30 executes a reception process (step S2-1). The dispensing pharmacy terminal 30 executes a prescription download request process (step S2-2). When it is determined that there is no problem in the settlement (in the case of “NO” in step S2-4), the control unit 21 of the portal site server 20 executes a prescription providing process (step S2-6). Thereby, a prescription can be efficiently provided to a dispensing pharmacy.

  (4) In the present embodiment, the control unit 21 of the portal site server 20 that has received the download request executes medical fee settlement status processing (step S2-3). When it is determined that there is a problem with the settlement (“YES” in step S2-4), the control unit 21 of the portal site server 20 executes an alarm process (step S2-5). Thereby, the payment status of the preceding medical expenses can be confirmed in the subsequent procedure.

  (5) In this embodiment, when it is determined that there is no problem in settlement (in the case of “NO” in step S2-9), the dispensing pharmacy terminal 30 executes a dispensing medical cost settlement instruction process (step S2). -10). The control unit 21 of the portal site server 20 executes a medical cost payment process (step S2-11). Thereby, the medical expenses in a dispensing pharmacy can be paid efficiently.

  (6) In the present embodiment, the control unit 21 of the portal site server 20 executes a card information acquisition process (step S3-1). The control unit 21 of the portal site server 20 executes account status confirmation processing (step S3-2). Thereby, the account state for payment can be registered by confirming the account state at the first medical examination.

  (7) In this embodiment, the control part 21 of the portal site server 20 performs the determination process about whether the confirmation of an account state is required (step S4-3). If it is determined that there is a problem (in the case of “NO” in step S4-5), the control unit 21 of the portal site server 20 executes an alarm process (step S4-6). Thereby, it is possible to pay an accurate medical cost in consideration of a change in the account status.

  (8) In the advance payment handling process of the present embodiment, the control unit 21 of the portal site server 20 executes a medical information extraction process (step S6-2) and a prescription information extraction process (step S6-3). . The control unit 21 of the portal site server 20 executes a determination process as to whether there is a change (step S6-4). When it is determined that there is a change (in the case of “YES” in step S6-4), the control unit 21 of the portal site server 20 executes a medical treatment expense application process (step S6-6). Thereby, the medical expenses can be efficiently paid for the advance payment.

  (9) In the medical cost deduction processing of the present embodiment, the control unit 21 of the portal site server 20 executes medical information extraction processing (step S7-2) and prescription information extraction processing (step S7-3). . Then, the control unit 21 of the portal site server 20 executes a medical cost deduction calculation process (step S7-4). Thereby, the medical cost deduction procedure can be performed efficiently.

  Moreover, the control part 21 of the portal site server 20 performs a confirmation notification process (step S7-5). When it determines with having corrected (in the case of "YES" in step S7-6), the control part 21 of the portal site server 20 performs the correction process of a deduction amount (step S7-7). Thereby, the deduction application can be performed based on the corrected medical expenses.

In addition, you may change the said embodiment as follows.
In the above embodiment, the My Number is assumed as the information for specifying the user, but the information is not limited to this as long as the information can uniquely specify the user.

  In the above embodiment, the IC card 100 records information (for example, my number) that can identify the holder of the card and information (for example, account information) for making this settlement. And the control part 21 of the portal site server 20 performs the acquisition process of card information (step S3-1). In this case, information from a plurality of cards may be acquired. For example, the insurance card information may be acquired from the insurance card and the account information may be acquired from the cash card, and the portal site server 20 may record them in association with each other. Further, information that is lacking in the user management record 220 may be registered directly by accessing the portal site server 20 using the user terminal 40.

  -In above-mentioned embodiment, in the initial examination reception process, the control part 21 of the portal site server 20 performs the determination process about whether there is any problem (step S3-3). Moreover, in the reexamination reception process, the control part 21 of the portal site server 20 performs the determination process about whether confirmation of an account state is required (step S4-2). Here, the balance of the user's account may be confirmed. Specifically, it is confirmed whether or not there are more balances in the account with respect to the statistical amount of the initial examination fee and the medical treatment fee. As for the statistical amount, the average amount of the first visitor can be used in the first visit, or the average amount of the user can be used in the second visit.

  In the above embodiment, the control unit 21 of the portal site server 20 executes a settlement process (Step S5-3). Here, the portal site server 20 identifies the burden ratio of the partial contribution based on the insurance card information recorded in the user management record 220, and the amount charged based on the amount included in the settlement instruction and the burden ratio. Is calculated. Instead of this, the hospital server 10 or the dispensing pharmacy terminal 30 may calculate the invoice amount based on the burden ratio of the partial contribution. In this case, data relating to the billing amount is included in the settlement instruction transmitted to the portal site server 20.

  In addition, the portal site server 20 may calculate the charge amount based on the medical record or prescription. In this case, the portal site server 20 retains a medical cost calculation table for calculating a charge amount for each medical practice or prescribed medicine.

  In the medical cost deduction processing of the above embodiment, the control unit 21 of the portal site server 20 executes medical information extraction processing (step S7-2). Here, you may make it include the medical expenses paid for the family sharing a living. In this case, family specifying information for specifying a family is recorded in the user management record 220. And the medical cost deduction object is specified using this family specific information.

  -In the said embodiment, although applied to a hospital and a dispensing pharmacy as a medical institution, a medical institution is not limited to these.

  DESCRIPTION OF SYMBOLS 10 ... Hospital server, 20 ... Portal site server, 21 ... Control part, 211 ... Card confirmation means, 212 ... Medical care information acquisition means, 213 ... Prescription provision means, 214 ... Payment management means, 215 ... Replacement support means, 216 ... Deduction Support means, 22 ... user information storage unit, 23 ... medical institution information storage unit, 24 ... medical treatment information storage unit, 25 ... prescription information storage unit, 30 ... dispensing pharmacy terminal, 40 ... user terminal, 50 ... financial institution server.

Claims (7)

A user information storage unit that stores an insurance card identifier and an account identifier in association with a personal identifier of the user;
A medical information storage unit that records the payment status of medical expenses in association with the medical history of the user;
A medical assistance system comprising a control unit connected to a medical institution system and a financial institution system,
The control unit is
At the time of medical reception, the personal identifier is acquired from the medical institution system, and in the user information storage unit, an insurance card identifier and an account identifier associated with the personal identifier are specified,
Obtaining account status information from the financial institution system for an account with an account identifier associated with the personal identifier;
If there is a problem with the account status information, send an alarm to the medical institution system;
When acquiring medical treatment end information based on the insurance card identifier from the medical institution system, the medical history is recorded in the medical information storage unit in association with the personal identifier, and the medical cost based on the insurance medical treatment is specified. ,
Sending an instruction for settlement of the medical expenses using the account of the account identifier associated with the personal identifier to the financial institution system,
A medical care support system, wherein the settlement result is recorded in the medical information storage unit in association with a medical history. Obtain a medical record as the medical history from the medical institution system,
The medical assistance system according to claim 1, wherein when a personal identifier is acquired at the time of receiving a medical treatment, a medical record associated with the personal identifier is output to the medical institution system. The control unit is further connected to a dispensing pharmacy terminal,
From the medical institution system, obtain prescription information as the medical history,
The medical assistance system according to claim 1 or 2, wherein when a personal identifier is acquired from a dispensing pharmacy terminal, prescription information associated with the personal identifier is transmitted to the dispensing pharmacy terminal. The control unit is further connected to a management system of a health insurance association that provides an insurance card,
When a withdrawal request is acquired from a user terminal, the personal identifier included in the withdrawal request is specified, the payment status of medical expenses associated with the individual identifier is extracted, and the health insurance association management corresponding to the insurance card identifier It transmits to a system, The medical treatment support system as described in any one of Claims 1-3 characterized by the above-mentioned. When obtaining a medical cost deduction request from the user terminal, specify a personal identifier included in the medical cost deduction request,
The medical assistance system according to any one of claims 1 to 4, wherein a payment status of medical expenses associated with the personal identifier is extracted and transmitted to the user terminal. A user information storage unit that stores an insurance card identifier and an account identifier in association with a personal identifier of the user;
A medical information storage unit that records the payment status of medical expenses in association with the medical history of the user;
A method for providing medical support using a medical support system comprising a control unit connected to a medical institution system and a financial institution system,
The control unit is
At the time of medical reception, the personal identifier is acquired from the medical institution system, and in the user information storage unit, an insurance card identifier and an account identifier associated with the personal identifier are specified,
Obtaining account status information from the financial institution system for an account with an account identifier associated with the personal identifier;
If there is a problem with the account status information, send an alarm to the medical institution system;
When acquiring medical treatment end information based on the insurance card identifier from the medical institution system, the medical history is recorded in the medical information storage unit in association with the personal identifier, and the medical cost based on the insurance medical treatment is specified. ,
Sending an instruction for settlement of the medical expenses using the account of the account identifier associated with the personal identifier to the financial institution system,
A medical assistance method, wherein the settlement result is recorded in the medical information storage unit in association with a medical history. A user information storage unit that stores an insurance card identifier and an account identifier in association with a personal identifier of the user;
A medical information storage unit that records the payment status of medical expenses in association with the medical history of the user;
A program for supporting medical care using a medical assistance system including a medical institution system and a control unit connected to a financial institution system,
The control unit
At the time of medical reception, the personal identifier is acquired from the medical institution system, and in the user information storage unit, an insurance card identifier and an account identifier associated with the personal identifier are specified,
Obtaining account status information from the financial institution system for an account with an account identifier associated with the personal identifier;
If there is a problem with the account status information, send an alarm to the medical institution system;
When acquiring medical treatment end information based on the insurance card identifier from the medical institution system, the medical history is recorded in the medical information storage unit in association with the personal identifier, and the medical cost based on the insurance medical treatment is specified. ,
Sending an instruction for settlement of the medical expenses using the account of the account identifier associated with the personal identifier to the financial institution system,
A medical assistance program that functions as means for recording the settlement result in the medical information storage unit in association with a medical history.

Images