JP6116929B2 - Medical information device and program using two-dimensional code - Google Patents

Description

  The present invention relates to a medical information apparatus and program using a two-dimensional code for managing medical information.

  The development of information processing technology has spread widely to medical institutions such as pharmacies that dispense and provide drugs, increasing convenience. For example, in medical institutions, computers such as a receipt computer that supports the creation of a receipt (medical remuneration statement) have been known so far, and it is possible to create a receipt without the need for advanced specialized knowledge or complicated calculations. ing. In recent years, systems for electronically managing medical information of patients such as medical history have become widespread, and medical institutions and patients manage medical information electronically. In addition, medical information is easily transmitted between a medical institution and a patient using information processing technology.

  Conventionally, since the computer and the system for managing the drug history are hardware independent computers, for example, Patent Document 1 discloses both functions of a computer for a pharmacy having a function of a receptacle and a drug history management function. An effectively linked pharmacy computer is disclosed.

JP 2011-118535 A

  In this way, even if receipt claims can be managed electronically, fraudulent charges such as medical fees that should not be originally claimed by medical institutions may occur, which is a social problem. It was.

  Therefore, an object of the present invention is to prevent unauthorized billing of medical fees by using medical information transmission using information processing technology.

  (1) A receipt computer that captures medical information by photographing a two-dimensional code, and stores storage means that stores an image including the photographed two-dimensional code in association with the medical information; medical information that charges a medical fee; Means for comparing the medical information read from the image associated with the medical information.

  (2) Medical information for which medical fees are charged to a receipt computer that captures a two-dimensional code and stores medical information including a storage unit that stores an image including the photographed two-dimensional code in association with the medical information; and medical information And displaying medical information with wrinkles when there is a wrinkle by comparing the medical information read from the image associated with the image.

  ADVANTAGE OF THE INVENTION According to this invention, the unauthorized charge of a medical treatment fee can be prevented using the transmission of medical information using information processing technology.

It is a figure which shows the structure of a medical information system. It is a block diagram which shows the function structure of a medical information device. It is a figure which shows an example of the medical paper to which the two-dimensional code was attached | subjected. It is a figure which shows a medical information storage means. It is a figure which shows an image storage means. It is a flowchart which shows the flow of a process of a medical information device.

  Embodiments of the present invention will be described below with reference to the drawings.

[Configuration of Medical Information System 100]
Referring to FIG. 1, a medical information system 100 of the present invention includes medical information devices 1a... 1n used by persons in charge at medical institutions and medical information terminals 2a. Consists of including. The medical information devices 1a... 1n and the medical information terminals 2a... 2n can respectively input medical information, and the medical information devices 1a. ... between 2n, medical information is transmitted via a two-dimensional code. At this time, medical information can be transmitted between the medical information devices 1a... 1n or between the medical information terminals 2a. In addition, since the structure of the medical information devices 1a... 1n is basically the same, it may be simply referred to as “medical information device 1” hereinafter. Similarly, the configuration of the medical information terminals 2a... 2n is basically the same, and hence may be simply referred to as “medical information terminal 2”.

The medical information device 1 is a terminal device used by a person in charge of a medical institution, and in addition to a control unit 11 that performs various arithmetic processes and a storage unit 12 that stores various information, an input unit 13 realized by a keyboard, a touch panel, or the like. And a general-purpose personal computer including a display unit 14 using a display, an imaging unit 15 that captures a still image, an output unit 16 that transmits print data to a printing machine, and the like. Such a medical information apparatus 1 has various programs installed, and the control unit operates according to these programs, thereby exhibiting a fraud prevention function in addition to a medical information management function such as a receipt control function and a drug history management function. It is a receipt computer.
Here, the receipt computer means a computer having a receipt computer function for calculating a medical fee and creating a medical fee statement.

Medical information refers to information related to the patient's injury and illness, for example, information about the symptoms of the patient's injury and illness, information about the drug treating the patient's injury and illness, and information related to the patient's constitution affecting the injury and illness And information on expenses required for treatment. Medical information includes information input by medical institutions and information input by patients and their families.
A medical institution is an institution for the purpose of treating a patient's injury or illness, and includes, for example, a hospital, a clinic, a pharmacy, an osteopath, and a nursing facility. The person in charge of the medical institution is a person in charge of work related to medical care at the medical institution, and includes, for example, a doctor, a nurse, a medical office, a pharmacist, and the like.

The medical information terminal 2 is a portable terminal used by a patient or the like to manage medical information, and is realized by a keyboard, a touch panel, or the like in addition to a control unit 21 that performs various arithmetic processes and a storage unit 22 that stores various information. A portable terminal including an input unit 23, a display unit 24 using a display, an imaging unit 25 that captures a still image, a communication unit 26 that performs wireless communication, and a voice input unit 27 that receives voice input. May be configured. Such a medical information terminal 2 has various programs installed therein, and the control unit 21 operates according to these programs, thereby demonstrating the management function of the patient's own medical information. The medical information transmission function for transmitting medical information to the information device 1 is exhibited.
The patient or the like includes a patient who can influence the health management of the patient, such as a patient's relative or guardian, in addition to the patient himself / herself.

[Functional configuration of medical information device 1]
Next, the functional configuration of the medical information device 1 for exhibiting the fraud prevention function will be described with reference to FIG. When the fraud prevention function is performed, the control unit 11 of the medical information apparatus 1 functions as an image acquisition unit 111, a medical information acquisition unit 112, a medical information storage control unit 113, and an unauthorized charge confirmation unit 114. The storage unit 12 is provided with medical information storage means 121 and image storage means 122.

The image acquisition unit 111 operates to capture and acquire an image including a two-dimensional code by operating the imaging unit 15 according to an operation of a person in charge at a medical institution.
Here, for example, the two-dimensional code may be printed on a sheet issued by a medical institution, or may be displayed on the display unit 14 of the medical information device 1. Further, for example, it may be displayed on the display unit of the medical information terminal 2 of the patient's family based on the medical information input by the patient's family. FIG. 3 shows an example of an insurance dispensing statement issued at a pharmacy as a medical institution and attached with a two-dimensional code as an example in which the two-dimensional code is printed on paper.
The two-dimensional code here refers to a display-type barcode having information in the horizontal direction and the vertical direction with respect to a one-dimensional barcode having information only in the horizontal direction. For example, a QR code ( (Registered trademark), micro QR code, SP code, Veri code, maxi code, CP code, DataMatrix, DataMatrixECC200, Code1, AztecCode, Inactor code, card e, PDF417, micro PDF417, Code49, Code16k, Codablock, SuperCode, Ultra
Code, RSS Composite, AztecMesa and the like.
The medical information is included in the two-dimensional code. Since the medical information includes a detailed history of injury and illness and a medical history, the person in charge of the medical institution or patient can freely input the URL. It is easy to exceed the range that can be expressed by one two-dimensional code. The range that can be expressed by one two-dimensional code is, for example, that QR code (registered trademark) out of two-dimensional codes can express only up to 2953 bytes, so multiple two-dimensional codes can be printed according to the amount of medical information. / When a plurality of two-dimensional codes are acquired, the two-dimensional codes may be sequentially captured and acquired.

  The medical information acquisition unit 112 specifies a two-dimensional code part from the image including the two-dimensional code acquired by the image acquisition unit 211 and reads the medical information from the two-dimensional code.

  The medical information storage control unit 113 stores the medical information read by the medical information acquisition unit 112 in the medical information storage unit 121, and reads the image including the two-dimensional code acquired by the image acquisition unit 111 from the read medical information and The medical information is stored in the image storage unit 122 in association with the read date and time.

Here, the medical information storage unit 121 will be described with reference to FIG. The medical information storage unit 121 includes a medical information ID, a medical information type, a reading date, a reading location, and contents.
The medical information type is a classification indicating the contents of the medical information and the issuer. In this embodiment, the medical information related to the dispensing of the medicine based on the medical treatment contents and prescriptions which are the medical information related to the contents examined by the doctor. It is classified into information such as dispensing contents, patient records that are medical information in which the patient himself / herself inputs his / her physical condition, and family records which are medical information in which the patient's family inputs his / her physical condition and the like.
As the reading date and time, the date and time when the medical information is read into the medical information device 1 is stored. The reading place stores the place where the medical information is read into the medical information device 1. The content stores the content of the read medical information.
The stored contents of the medical information storage means 121 can be freely changed by the person in charge of the medical institution, and the person in charge of the medical institution adds, changes, and deletes the stored medical information as necessary. It can be done.

Next, the image storage unit 122 that stores image information will be described with reference to FIG. The image storage unit 122 includes an image ID, a medical information ID, an image file, a reading date and a reading place.
The medical information ID, the reading date and time, and the reading location store the same contents as the medical information storage unit 121, and the medical information storage unit 121 and the image storage unit 122 are associated with each other by the medical information ID.
In the image file, an image file including the two-dimensional code acquired by the image acquisition unit 111 is stored.
The storage contents of the image storage means 122 are different from the storage contents of the medical information storage means 121 and cannot be changed by the person in charge of the medical institution. The information acquired by the image acquisition means 111 is stored. Yes.

Returning to FIG. 2, in response to accepting the user's unauthorized request confirmation request, the unauthorized charge confirmation unit refers to the storage content of the medical information storage unit 121 and the image storage unit 122, and the stored content is inconsistent. In some cases, the storage contents having a defect are displayed on the display unit 14.
Here, the user refers to a person who determines whether the information input by the person in charge of the medical institution is related to unauthorized charges.
Here, the reason why an image including a two-dimensional code is used when an unauthorized charge is determined will be described. In order to claim whether or not it is fraudulent, medical information consisting of the read text information is stored separately in an unmodifiable manner, and depending on the difference between the read medical information and the medical information for which the medical fee was requested, It can be confirmed whether such a modification has been made. However, even if stored as unmodifiable, if the security set as unmodifiable is broken, the person in charge of the medical institution can easily grasp and modify the contents of the medical information. On the other hand, if an image including a two-dimensional code is separately stored in an unchangeable manner, even if the security set to be unchangeable is broken, what information is stored because it is a two-dimensional code. It is difficult for a person in charge of a medical institution to grasp the contents of the medical information because it is not known at first glance. Even if the contents of medical information are grasped, it is difficult to generate a two-dimensional code based on the modified medical information. In addition, since the stored information is an image, it is difficult to modify it compared to text. If an image including a two-dimensional code is stored as described above, it is possible to make it more difficult to modify the stored medical information without separately performing encryption processing or the like.
The reason why the image acquired at the time of image acquisition is used as the image including the two-dimensional code used for the determination of the unauthorized charge will be described. When fraudulent claims are made, it is often done when charging a patient after obtaining medical information or when requesting medical treatment fees. This is because it is difficult to make a modification for billing.

[Processing of medical information device 1]
Next, processing of the medical information device 1 will be described with reference to FIG.
First, the medical information apparatus starts processing in response to receiving a two-dimensional code reading operation of a person in charge at a medical institution.
The image acquisition unit 111 of the medical information device 1 operates the imaging unit 25 to capture a two-dimensional code and acquire an image including the two-dimensional code (step S1).
Subsequently, the medical information acquisition unit 112 of the medical information device 1 reads the medical information from the image acquired in step S1 (step S2). Furthermore, the medical information storage control unit 113 of the medical information device 1 stores the medical information acquired in step S2 in the medical information storage unit 121 (step S3). The medical information storage control unit 113 of the medical information device 1 stores the image including the two-dimensional code acquired in step 1 in the image storage unit 122 in association with the medical information stored in step S3 (step S4).

  Subsequently, the unauthorized billing confirmation unit 114 of the medical information apparatus 1 accepts the user's unauthorized billing confirmation request (step S5). Next, the unauthorized charge confirmation unit 114 reads the medical information from the medical information storage unit 121 and also reads the image associated with the medical information from the image storage unit 122 in response to receiving the unauthorized request confirmation request (Step S1). S6). Next, the unauthorized charge confirmation unit 114 reads the medical information from the read image, identifies the conflict with the medical information stored in the medical information storage unit 121, and displays the medical information with the defect on the display unit 14. (Step S7).

  The present embodiment has been described above. According to such a medical information apparatus 1, even if a person in charge of a medical institution modifies medical information to make an unauthorized charge, the read two-dimensional code image is stored, and the medical image is stored from the stored two-dimensional code image. By reading the information and comparing it with the medical information for which the medical fee was billed, the modification can be confirmed, and the unauthorized charge by the person in charge at the medical institution can be detected to prevent unauthorized charge by the person in charge at the medical institution can do.

  In addition, according to such a medical information device 1, even if the person in charge of the medical institution releases the security of the setting that is not modified in order to prevent the unauthorized disclosure, the image including the two-dimensional code is stored. The modification by the person in charge of the medical institution can be prevented, and unauthorized charges by the person in charge of the medical institution can be prevented.

  As mentioned above, although embodiment of this invention was described, this invention is not restricted to embodiment mentioned above. Further, the effects described in the present embodiment are merely a list of the most preferable effects resulting from the present invention, and the effects of the present invention are not limited to those described in the present embodiment.

  In the above-described embodiment, medical information is read from the image read by the medical information device 1, and a conflict with the medical information stored in the medical information storage unit 121 is specified. However, the present invention is not limited to this as long as an image including a two-dimensional code at the time of medical information acquisition is stored in the medical information device 1. For example, a device operated by a user and the medical information device 1 are connected via a network, and an image of a two-dimensional code is acquired from the medical information device 1 via the network and compared with a medical fee description statement at hand of the user. By doing so, unauthorized charges can be confirmed.

The series of processes described above can be executed by hardware or can be executed by software.
In other words, the functional configuration of FIG. 2 is merely an example and is not particularly limited. That is, it is sufficient that the computer has a function capable of executing the above-described series of processes as a whole, and what functional block is used to realize this function is not particularly limited to the example of FIG.
In addition, one functional block may be constituted by hardware alone, software alone, or a combination thereof.

When a series of processing is executed by software, a program constituting the software is installed on a computer or the like from a network or a recording medium.
The computer may be a computer incorporated in dedicated hardware. The computer may be a computer capable of executing various functions by installing various programs, for example, a general-purpose personal computer.

DESCRIPTION OF SYMBOLS 1 Medical information apparatus 2 Medical information terminal 11 Control part 12 Storage part 13 Input part 14 Display part 15 Imaging part 16 Communication part 17 Voice input part 100 Medical information system 111 Image acquisition means 112 Medical information acquisition means 113 Medical information storage control means 114 Unauthorized charge confirmation means
121 medical information storage means 122 image storage means

Claims (4)

A medical information device that reads a medical information by photographing a two-dimensional code,
Storage means for storing an image including a photographed two-dimensional code in association with the medical information;
Comparing means for comparing medical information stored in the storage means and charged for medical fees with medical information read from the image associated with the medical information;
A medical information device comprising: Output means for outputting a comparison result of the comparison means;
The medical information device according to claim 1. The comparison means is stored in the storage means in response to an input of a confirmation request regarding the claim for the medical fee, and medical information for which the medical fee is charged, and the medical information read from the image associated with the medical information And compare
The output means outputs, when the comparison result of the comparison means does not match, that the charge for the medical fee is an unauthorized charge;
The medical information device according to claim 2. A medical information apparatus that includes a storage unit that stores an image including a photographed two-dimensional code in association with medical information, and reads the medical information by photographing the two-dimensional code.
Comparing medical information stored in the storage means and charged for medical fees with medical information read from the image associated with the medical information;
A program that executes

Images