JP2001338068A - Home consultation nursing system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a system capable of saving any load on a patient who needs nursing treatment and a nurse due to going to hospital, and processing communication related with consultation and physiologic data measurement, prescription instruction, comprehension/negative response to this, and fee charging or payment. SOLUTION: In this home consultation nursing system in which a medical organization station 1 is connected through the Internet to a user terminal 4 of a user house, the medical organization station 1 is provided with a consultation support part for supporting consultation based on measured data and a message from a user, a medicine/medical supplies delivery support part, a charging processing part, and user control information being the basis of them. The user terminal 4 is provided with a means for storing access information issued when home consultation nursing is permitted and for automatically logging in the medical organization station 1, a means for displaying a measured value of the item designated by a measurement item instruction message, a means for supporting the input, and a means for arranging the measured value data and the notification of the user and for transmitting them to the medical organization station 1.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a home medical care nursing system, and more particularly to a medical institution station or a medical institution side system connected to a user terminal in a user's home via the Internet to transmit a doctor's medical examination result and physiological data measurement instruction. In addition to returning measurement results, it can perform prescription instructions and responses to it, communicate and pay for medical billing online, and support services such as medical institution consultation, drug and medical product supply, and user billing. It relates to a home care nursing system.

[0002]

2. Description of the Related Art In a conventional medical examination, a user has to go to a medical institution to receive a medical examination. I had to go out and take a prescription for the medicine, etc., so I was burdened each time.

As a technique related to such a problem, for example, a medical information network system for home care is disclosed in Japanese Patent Application Laid-Open No. 9-253058. The system disclosed in this publication uses a plurality of home patients and a medical center
Connected by N line, video and audio of home patients and periodically measured biophysiological information are stored in the control device, transmitted to the host computer at the medical center at a predetermined time, reproduced and output at the medical center. , Nursing at home.

[0004]

Therefore, this technique is a system for reducing the burden of nursing itself, and reduces the burden of patients and caregivers who require nursing medical care as in the present invention and the burden of payment processing. It is not intended to construct an inexpensive system by paying attention to the Web or electronic mail function via the Internet.

Further, the present invention provides a technology for easily systematizing operations such as medical examination of a home patient, supply of medicines, billing, and the like on the medical institution side.

[0006]

A first home care nursing system according to the present invention is a home care nursing system in which a medical institution station provided in a medical institution and a user terminal used by a user at a user's home are connected via the Internet. The medical institution station is a means for setting user basic information and online operation information in a user management information file for a user who has permitted home medical care and nursing, and a finding message as an examination result to the set user. Means for notifying the user terminal of a medication instruction message and a measurement item instruction message, and the user terminal stores and holds the access information to the medical institution station notified when the home medical care nursing permission is received. Means for automatically logging to the medical institution station based on the access information Means for displaying, in response to the measurement item instruction message, a measurement value input screen for each item specified by the message, means for supporting the input, each input measurement value data, and a notification from the user. There is provided a means for transmitting the message together to the medical institution station.

In a second home medical care and nursing system according to the present invention, the user terminal displays a message in response to the medication instruction message, a means for prompting a response to the message, and a user's response selection. There is also provided a means for returning an acknowledgment or rejection of the message to the medical institution station in response to an operation.

[0008] In a third home medical care and nursing system according to the present invention, the medical institution station includes a receiving box for temporarily storing a message from a user and measurement data, and a user-specific box for temporarily storing a message addressed to the user.
A user management information file, a diagnosis result storage unit, and a diagnosis support unit, wherein the user management information file has, on a user basis, the user basic information, the online operation information, and medical status information for each medical care; The medical treatment status information includes a user reception flag indicating that the user has read and received the examination result from the user-specific box, and a measurement result reception flag indicating that the measurement result has been received in the reception box from the user. When the medical examination support means is activated, the medical examination support means checks the user management information file, sequentially picks up users whose measurement result reception flag of the medical care status information is ON, and receives a corresponding received message, measurement for each user. Reads the result data file from the reception box and stores the previous diagnosis result More reading, and displays them, reproduces the measurement result data, and displays the template,
Support the creation of measurement item instruction messages and notification messages to users by doctors, store these created messages in corresponding user boxes, create medical status information according to the examination results, and store them in the user management information file It is characterized by.

In a fourth home care and nursing system according to the present invention, the medical institution station has the receiving box, the user-specific box, a user management information file, a diagnosis result storage unit, and a medicine / medical product supply support means. The medical treatment status information for each medical treatment in the user management information file includes the user reception flag and an acknowledgment flag indicating that the user has accepted the medication instruction, and the medicine / medical product supply support unit includes the user management information Check the file, pick up the user for whom the approval flag of the medical status information is on, read the drug delivery destination of the user basic information from the user management information file, and read the corresponding diagnostic result information from the diagnostic result storage unit. Display and print to support the supply of medicines and medical supplies to users, And updates in the corner of the chemicals, medical supplies paid flag of the corresponding clinical status at the person in charge of the instruction operation.

In a fifth aspect of the present invention, the medical institution station has the receiving box, the user-specific box, a user management information file, a diagnosis result storage unit, and a billing processing unit. The medical treatment status information for each medical treatment in the information file includes the user reception flag and the supply flag, and the billing processing unit includes a medicine, a price and an insurance score for each item of a medical product,
A user who has medical remuneration point data holding medical remuneration expenses and insurance point information for each medical treatment item and a charging data file for each user, checks a user management information file, and has a user reception flag of the medical status information turned on. Pick up the user for which the supply flag has been completed, read the insurance classification information of the user basic information from the user management information file, read the corresponding diagnosis result information from the diagnosis result storage unit, and treat the diagnosis item information of the diagnosis result information,
Based on the medical supply information, the insurance points and price information calculated by indexing the drug price remuneration point data are calculated with reference to the insurance category, and the user's share is calculated and recorded in the user-specific charging data file as user charging data. Then, the billing data of the billing data file for each user is aggregated at a predetermined cycle, a bill message to the user is created, and stored in the corresponding box for each user.
After a predetermined date, payment information from the corresponding user is confirmed.

[0011] A sixth aspect of the present invention is a home care nursing system in which a medical institution side system provided in a medical institution and the user terminal are connected via the Internet. It has a medical institution server and a medical department terminal, a pharmacy terminal, and a billing terminal for each medical department, which are communicatively connected to the medical institution server. A receiving box for each medical department to be performed, a user-specific box for temporarily storing a message addressed to a user, a user management information file, and a diagnosis result storage unit, wherein the user management information file contains the user basic information and online operation information. And medical status information for each medical care grouped by medical department for each user. The department terminal has the consultation support means, the pharmacy terminal has the medicine and medical supplies support means, and the billing terminal has the billing processing means, the drug price reward point data, and the billing data file for each user. It is characterized by the following.

In a seventh home care system according to the present invention, the user terminal connects an online measuring device under the user terminal, and the input screen display and input support means registers an online measuring device name in the user terminal. When a measurement item is selected, an operation guide for the measurement device is displayed, the measurement value is read online, and if the measurement data is voice or image, a data file in a corresponding format is created. I do.

According to an eighth aspect of the present invention, the user terminal has an online transfer process (for personal terminal) installed, a cash card reader connected under the user terminal, and a cash card for medical expenses. It is characterized in that an online transfer is made by using.

[0014]

Next, a first embodiment of the present invention will be described in detail with reference to the drawings. Referring to FIG. 1, the home medical care and nursing system of the present invention includes a user home device including a user terminal 4 and various measuring devices 51, a medical institution station 1, and a network 9 for connecting these to each other.

The network 9 is connected to a transfer process (bank side) 7 of the bank Y having the user's account and an online deposit / withdrawal process 8 of the bank M to which the medical expenses are to be transferred.

The user terminal 4 is an information processing device such as a personal computer. Medical institution station 1
For example, it comprises a medical institution server 2 and a medical institution terminal 3 connected thereto.

The medical institution terminal 3 is an information processing device such as a personal computer used by a doctor of a medical institution and a person who supplies and charges medicines and the like. The medical institution server 2 is a server that can be connected to a network and has a Web server or mail server function.

The user terminal 4 accesses the medical institution server 2 via the network 9 based on the stored access information, and the medical institution server 2 measures physiological data to be collected and input by a logged-in user from a login name. It has a function to send items.

The user terminal 4 has a function of displaying a measurement value input screen of a measurement item sent from the medical institution station 1. Furthermore, the user terminal 4 has a function of connecting a measuring device 51 capable of online measurement and automatically collecting and inputting data in addition to inputting data collected by a measuring device used stand-alone such as a thermometer using a keyboard or the like. .

The input and collected data includes, for example, numerical values such as body temperature, pulse rate, blood pressure value, blood sugar level, image data such as photographs of the larynx, and voice data such as heart sounds.

If the user has his / her account at Y bank, an online transfer process (for personal terminal) 47 is installed in the user terminal 4 and the cash card reader 47 is installed.
1 is connected at home to make an online transfer of medical expenses using a cash card, reducing the burden of payment.

Further, in another embodiment, the medical institution ties up with a bank and the home terminal nursing user S
/ W40 and online transfer processing (for personal terminal) 47
By installing it and lending it to the user, the time and effort of installation by the user is also saved.

Next, an outline of the operation of the present embodiment will be described with reference to FIG. 2 and FIG. In the following description, it is assumed that the network 9 is the Internet.

Referring to FIG. 2, first, the user goes to a medical institution and undergoes a procedure such as a medical examination or a document examination (step A1), and the medical institution issues permission to receive home nursing (step A2). . At this time, information for accessing the medical institution station 1 is notified from the user terminal 4 (step A3). The information for accessing is, for example, the URL (Unifor
mResourceLocator), and a login name and a password for this.

The user terminal 4 accesses the URL via the Internet, automatically transmits the login name and password stored in the user terminal 4, and confirms that the user has the access right to the medical institution server 2. (Step A4).

The medical institution server 2 stores the measurement items that the user must enter from the login name into the user terminal 4
(Step A5), and the user terminal 4 displays a measurement data input screen (Step A6).

The user inputs data or the like collected by various measuring devices owned by the user to the user terminal 4 as necessary, or the data file collected by the measuring device 51 connected to the user terminal 4 (step A7). Is transmitted to the medical institution server 2 (step A).
8). The collected data is, for example, numerical values such as body temperature, pulse rate, blood pressure value, blood sugar level, image data such as a photograph of the larynx, and voice data such as heart sounds.

Based on the various data and messages transmitted to the medical institution server 2, the doctor of the medical institution performs a medical examination (Step A9), and transmits the medical examination result to a box for the user terminal 4 (Step A10). If the user has no problem with the medication instruction, the user sends an acknowledgment message (step A1).
1) Then, the medical institution sends medicines and medical supplies to the user (step A12).

The transmission of the examination result is performed by HTTP communication by Web or electronic mail. The examination result includes a medical finding from the collected data, a medication instruction, a next measurement item, a request for a visit to a user, and the like.

The medical institution requests the consultation fee and the price of the sent medicine to the user (step A13), and the user pays to the medical institution by a transfer to a bank account of the medical institution or payment by a cash card (step A13). A1
4), the medical institution confirms that the consultation fee and the medicine have been paid (step A15).

Next, a specific configuration example of the medical institution station 1 and the user terminal 4 according to the present embodiment will be described. FIG. 3 is a block diagram showing the configuration of the medical institution station 1.

The medical institution server 2 includes an HTTP communication unit 2
6. It has an HTTP box 28, and is equipped with a home care nursing server S / W (software) 20. HTTP
The communication unit 26 is connected to the network 9 and, for example,
p /// mclink. tokyo. jp protocol name and domain name, and HTTP (Hypertext
Transfer Protocol (Transfer Protocol) communication.
It also has user login name registration information 27 under the subordinate.

The HTTP box 28 is a collection of catalogs defined on a file device. As the catalog, the reception box 281 and the user A box 28
2. It has a user N box 283. Inbox 28
Reference numeral 1 denotes a catalog name, for example, reciev, which is stored when a text file and a measurement data file are received from a home user, and thereafter read out by accessing the medical institution terminal 3.

The user A box 282 is, for example, yam
A text file addressed to the user, Mr. Yamamoto, is stored from the medical institution terminal 3 by being renamed to the catalog name amoto. This text file is read by access from the user terminal 4.

The home medical care and nursing server S / W 20 comprises a main processing section 21, a user management information registration / search section 22, and a diagnosis result registration / search processing section 25. Basic information of each user, online operation information, and status information for each medical treatment are stored in the user management information file 221 for each user, and the user management information registration / retrieval unit 22 updates these registrations and statuses.

The diagnosis result registration / search processing unit 25 registers the diagnosis results (medical record data or medical record summary data including prescriptions) sent from the medical institution terminal 3 in the diagnostic result storage unit 251 on a user-by-user basis. In response to a search request from the institution terminal 3, the target diagnosis result information is searched and returned. The user management information file 221 and the diagnosis result information are both treated with the user management number as a main key.

When the main processing unit 21 receives a request for updating the medical status information of the user management information file 221 from the HTTP communication unit 26 and an access request from the medical institution terminal 3, the user management information registration / search unit 22 The search processing unit 25 is called, and argument parameters and data are passed.

Further, the attached password is checked for the catalog to be accessed, and if the password does not match, the catalog is rejected. The password for access to the user management information file 221 and the diagnosis result storage unit 251 is stored in the medical institution terminal 3, but the high-speed Ethernet (registered) The medical institution terminal 3 is connected by a trademark or the like. The medical institution terminal 3 includes a communication processing unit 31 and a home care nursing terminal S / W.
A display 35, an input device 36, headphones 37, and a printer 38 are connected.

The home medical care nursing terminal S / W 30 includes a medical examination support unit 32, a medical supplies supply support unit 33, and a billing unit 34. When activated by a doctor, the medical examination support unit 32 reads out a measurement result and a message from the user from the reception box 281, reads out the previous diagnosis result of the user from the diagnosis result storage unit 251 and displays these, and the doctor's current time The diagnosis result, notification to the user, and creation of the next measurement item are supported, and the created information is stored in the diagnosis result storage unit 251 and the user A box 282, respectively.

At the same time, the content items and the item values (presence / absence of next measurement instruction, presence / absence of medication) of the current medical treatment are added to the corresponding entry of the user management information file 221 and status items (flags) for managing the post-processing are added. ) Is set.

When the medical / medical product supply support unit 33 is activated by a person who performs this task, the medical / medical product supply flag is not set ("0") in the above-mentioned medical examination status, and the user approval flag is set ("1"). If ")", the prescription of the corresponding diagnosis result information is read out, the drug delivery destination of the user's basic information is also read out, these are displayed on the display 35, and the printer 38 designates the delivery item breakdown and the address book as the delivery document. Printed in format.

According to the breakdown, the operator arranges medicines and medical supplies, packs them together, attaches an address book, and sends it to the user's home.

Then, it instructs the medical supplies supply support section 33 to update the status to “supplied”.

The accounting section 34 has user-specific accounting data 341 and drug price reward point data 342 under its control. The user-specific billing data 341 includes, for each user, medical expenses for each medical treatment,
This is a collection of files that store the user's share of the drug fee, the number of claims to the health insurance organization, and the amount of money.

The drug price remuneration point data 342 includes drug price data that holds unit prices and insurance points for drugs and medical products, medical fee amounts and medical fee data that hold insurance points for each medical treatment item, It is data including the ratio data of the self-pay / insurance-institution burden related to health insurance.

When activated by a person who performs this task, the billing processing unit 34 picks up the medical examination statuses for which the billing input has not been performed, the user has completed reception, and the medical supplies have been supplied. , Read out the corresponding diagnosis result, search the medical reimbursement data, drug price data according to the contents, calculate the insurance points and medical expenses of the picked-up medical care, medical expenses, refer to the insurance category of the user basic information, The user's share is calculated and recorded in the user-specific billing data 341.

It is assumed that the accounting input of the medical status information has been completed.

At the end of the month or the like, the user-specific billing data 341 is tabulated for each user, an invoice is automatically created, saved as a file under its own processing unit, and transmitted to the user (stored in the user A box 282). ).

When the payment confirmation is selected in the menu at the time of activation, the billing processing unit 34 obtains the deposit record information of the account of the medical institution online with respect to the reserved invoice file, and Confirm whether there is a transfer record to the account of the medical institution by the corresponding user. If confirmed, the processing status of the file is updated to “paid”.

Next, a configuration example of the user terminal 4 will be described with reference to FIG. The user terminal 4 has an HTTP communication processing unit 46, an online transfer process (for personal terminal) 47, and a home medical care nursing user S / W40.

The user terminal 4 has a display 4
8. An input device 49 is connected, and an on-line measuring device 51 such as a heart sound microphone and a CCD camera is connected as necessary. Furthermore, when transferring medical expenses at home, a cash card reader 471 is connected.

The home medical care nursing user S / W 40 comprises a main processing unit 41, a measurement item display processing unit 42, a measurement processing unit 43, a measuring device driver 44, and a normal message processing unit 45. Also, the main processing unit 41 stores the U
RL, access information 411 including a login name for logging into the RL, and a password.

When the user terminal 4 is powered on by the user, the main processing unit 41 requests a login to the medical institution server 2 through the HTTP communication processing unit 46, and the access information 4
11 to establish a connection with the medical institution server 2 and request reading of unread messages in the user A box 282 using the login name as the catalog name.

Since the received message contains a normal message, it is passed to the normal message processing unit 45 and displayed on the screen. Next, if a measurement item instruction message is included, the measurement item display processing unit 42 is started using the message as an argument parameter.

Thereafter, the return value information is received from the measurement item display processing section 42, and it is checked whether or not the result data of the item passed as the parameter is complete. If the result data is insufficient, the user determines whether to measure the shortage or omit it. To select. Finally, according to the transmission instruction, the measurement data text information, the audio file, the image file, and the notification message from the user are collectively transmitted to the reception box 281.

When activated, the measurement item display processing section 42 displays each measurement item and an input frame for each item on a screen. A measurement value from a stand-alone measuring device (such as a thermometer) is keyed in by the input device 49.

The online device name is the measurement item display processing unit 4
When the item registered in 2 is selected (for example, the cursor is moved to the item display screen and clicked or the return key is pressed), the measurement processing unit 43 is started using the registered device name as an argument.

The measurement processing unit 43 displays an operation guide for the device specified by the argument, and upon receiving a response to the connection confirmation instruction of the measurement device 51, activates the measurement device driver 44, displays the subsequent guide, and displays the guide to the user. The online measurement is performed, and a measurement data file 431 is generated.

Here, in the online measuring device 51, if the measuring conditions and the characteristics of the device greatly affect the measurement result, the device is assumed to be supplied by a medical institution. The measuring device driver 44 included in the home care nursing user S / W 40 supplied by the medical institution adjusts its parameters (parameters such as sensitivity setting for the device) to the supplied device, and at the time of measurement, the device model number and setting Also includes a function to acquire the set condition value from the device online. The measurement processing unit 43 attaches the acquired information to the measurement data.

The information is used as a reproducing condition of the measurement data by a reproducing device such as the headphone 37 of the medical institution terminal 3, and gives a doctor effective diagnosis information.

If the received medical care nursing user S / W 40 includes a medication instruction message in the received message (if the message type is a medication instruction), the home medical care nursing user S / W 40 displays a message and an acknowledgment button indicating an acknowledgment response to the message. , A negative response (adjustment request to doctor) button is displayed, and a display for instructing a response operation with the button is displayed. Then, in response to the user's response selection operation, the acknowledgment of the message is returned to the medical institution station 1.

FIG. 5 shows an example of user basic information and online operation information in the user management information file 221. The user basic information includes user management number, crunch information (name, gender, date of birth, etc.), attendant information,
Includes the destination of the drug, health insurance category (health insurance / health insurance family / national health insurance / self-pay), insurance number (union number, union number), payment method (transfer / no).

The online operation information includes the receiving box name (ULR of the medical institution server 2 and the catalog name of the receiving box under the URL), online measuring instrument name, user login name, password at login, user terminal address,
It includes the S / W name installed on the user terminal 4 and the user box name (catalog name under the URL) assigned to the user.

Here, the password is checked when the user box is accessed. In this example, the medical institution server 2
Use the same login password for. Also, with the login password of the user, the user can access only the user box uniquely assigned to the reception box 281 in the medical institution server 2.

FIG. 6 shows medical status information in the user management information file 221. The medical care status information is generated each time a home medical examination is performed by a doctor, and a serial number is assigned to each user. The items to be generated include items related to the medical examination, such as first / re-examination at home, presence / absence of next measurement item instruction, presence / absence of medication, presence / absence of medical supplies, and the like.

The status items after the examination contents are stored in the user A box 282 include management items (flags) such as user reception, user approval, supply of medicines and medical supplies, billing input, billing, and reception of the next measurement result. Is set.

The user reads the consultation-related message from the user A box 282, the user sends the medication content confirmation message to the reception box 281 by the user, and the status update operation after the medicine is delivered by the medicine supplier, and the user receives and acknowledges the user, respectively. , The item value of medicine and medical supplies is updated to “1”.

The consultation is performed by the user-specific billing data 341.
And the billing message is sent, the billing input and billing item values are updated to "1", respectively. When the next measurement result is stored in the reception box 281, the measurement result reception item value is updated to “1”.

Next, the above-mentioned outline operation flow will be supplementarily described as an operation in a specific configuration example of the medical institution station 1. When the user is given home medical nursing permission and access information in steps A2 and A3 in FIG. 2, the person who supports the consultation work sends the user basic information and online operation information in FIG. The information is registered in the user management information file 221 through the main processing unit 21 and the user management information registration search unit 22.

Since the doctor creates a diagnosis result based on the medical examination result at the first visit regarding the newly registered user and registers it in the diagnosis result storage unit 251, the doctor reads this and creates information for the user. .

That is, on the information creation screen for the user of the medical institution terminal 3, after inputting the user management number and selecting a measurement item instruction, a template screen is displayed, and this item is sequentially selected. Thereby, measurement item instruction data is generated. For example, it is generated as “type = measurement item instruction; item: body temperature, blood pressure, heart sound”. Here, the type is the content type of the message in the home medical care nursing system.

Then, as an instruction for updating the user management information, the first / re-at-home is set to the initial ("0"), the next measurement item instruction presence / absence is set ("1"), and no medication is set ("0").
0 ”), and then click the send button. The consultation support unit 32 stores the item instruction text in the user A box 282 and the user management information file 22.
1 is added to the contents of the serial number 001 shown in FIG.

Thereafter, on the user terminal 4 side, step A4
To A8 are executed. When step A8 is executed,
That is, when the measurement data and the message from the user are stored in the reception box 281, the HTTP communication unit 26 notifies the main processing unit 21 of the user login name and the arrival message type, and requests the status update of the user management information file 221. I do. Thereby, the user reception of the corresponding status information is updated to “1”.

Thereafter, when the doctor sets up the medical institution terminal 3, clicks on the home medical treatment on the menu screen, and starts the medical examination support unit 32, the processing unit accesses the user management information and the latest medical treatment status is displayed next time. For the first user who has received the measurement result (“1”), the text file and the measurement data file are read from the reception box 281, and the latest diagnosis result of the user is read and displayed on the display 35.

That is, in the text file, a message is described for each type in a predefined format, and when the type is measurement data, a measurement date, a data type, a data value, or a data file name is described. For example, “type = measurement data; measurement date: 00.03.01; body temperature: 37, blood pressure: 90-130, heart sound: yamamoto2.av /
If it is described as "type = message palpitating", "Measurement date: 2000 March 3" is displayed in the user information window.
1 month, body temperature: 37 degrees, blood pressure: (lowest) 90 (highest) 1
30, heart sound file: yamamoto2. "av", and "palpitating" is displayed in the user message information frame.

The physician is YAMAMOTO2. After clicking on av, the user clicks on the audio playback button at the bottom of the window to listen to heart sound data with the headphones 37. And
Based on these physiological measurement data values, the user message (answer to the inquiry and the report on the patient's symptoms), and the previous diagnosis result information displayed in the diagnosis result window, a finding and a treatment method are given.

Then, the screen shifts to a diagnosis result creation screen, in which a prescription is described and stored. Next, a measurement item instruction message is generated on the information creation screen for the user in the same manner as described above. At this time, if "continue" is designated, the same measurement item instruction message as the previous time is generated.

Next, when a message to the user is input as, for example, "Please take the medicine and take it. (Supplementary explanation on the medicine)", the input message is displayed in a predetermined frame on the screen, and When the confirm button at the bottom is clicked, “type = notification; take the medicine, so take it. (Supplementary explanation on medicine)” is generated.

Then, as an instruction for updating the user management information, the presence or absence of the next measurement item instruction is specified and the presence or absence of the medication is specified, and then the transmission button is clicked. Thereby, the information of the serial number 002 in FIG. 6 is added. Thereafter, a medical examination support process of the next user to whom the medical treatment status information corresponds is performed.

Next, a second embodiment of the present invention will be described with reference to FIGS. This embodiment is suitably applied when the scale of the medical institution is a hospital class.

FIG. 7 is a block diagram of the entire system of the present embodiment, in which the medical institution station 1 of the system of the first embodiment is replaced by a medical institution side system 11. The medical institution side system 11 includes a medical institution server 12 and a medical department terminal 13 connected to the medical institution server 12 via a LAN 17.
4, a pharmacy terminal 15 and a billing terminal 16. The configurations of the user home device, the Y bank, and the M bank are the same as those in FIG.

Referring to FIG. 8, the configuration of the medical institution server 12 and the terminals under its control will be described. Each component of the medical institution server 12 is the same as the corresponding component of the medical institution server 2 except for the following. That is, the HTTP box 128
Has a reception box according to the number of medical departments of the medical institution,
A message addressed to the medical department terminal 13 is stored in the receiving box (# 1) 1281, and a message addressed to the medical department terminal 14 provided in another medical department is stored in the receiving box (# 2) 1282.

The user management information file 1221 of the home care server S / W 120 is provided with the receiving box name and online measuring instrument information of the online operation information in FIG. That is, the department name is added to the lower part of the item name. When receiving home care nursing care for a plurality of medical departments, these items are plural. The medical treatment status information is provided for each medical department. The diagnosis result storage unit 1251 is also grouped by medical department. User management information file 1221, diagnosis result storage unit 125
1 handles the main key as a user management number-medical department name.

The medical department terminal 13 has a communication processing unit 131 and a consultation support unit 132, and the communication processing unit 131
A communication processing unit that can handle P. In addition, consultation support section 13
2 holds a unique medical department name, a catalog name of a corresponding reception box, and a password. When writing access to the user management information file 1221 and the diagnosis result storage unit 1251, the user management number is stored. Access is made using the name of the medical department that exists.

Therefore, the diagnosis result information recorded by each medical department and the medical status information of that medical department can be referred to from other medical departments, but are not updated. Other than these, it has the same function as the medical examination support unit 32.

The accounting terminal 16 includes a communication processing unit 161 and an accounting processing unit 162. The billing processing unit 162 checks and updates the medical status in the user management information file 1221 when creating the user-specific billing data 1621. At this time, if each user has the medical status information of a plurality of medical departments, the medical department Processing is performed sequentially for each medical department, and billing is also performed for each medical department.

The pharmacy terminal 15 has a communication processing unit 151 and a medicine / medical product supply support unit 152. The medical supplies supply support unit 152 checks and updates the medical status in the user management information file 1221. At this time, if each user has the medical status information of a plurality of medical departments, the processing is sequentially performed for each medical department.

That is, the medical status information of the medical department # 1 of the user A, which has been approved by the user with the medication, is detected, and the diagnosis result storage unit 125 is used by the user number and the medical department name.
1 and prepares predetermined medicines and medical supplies, then checks the medical status information of the medical department # 2 of the user A, and similarly prepares medicines and medical supplies and delivers them collectively.

[0089]

According to the present invention, a user receives a medical examination by sending necessary data to a medical institution at home, thereby reducing the burden of going to the medical institution. In particular, there is a remarkable effect that a minimum visit is required for a user who needs to continuously perform treatment such as medication for a long period of time. This also has the effect of reducing unnecessary medical expenses to various health insurance institutions since only a minimum number of visits are required.

Further, since it has a communication function for supplying medical supplies and a communication function for billing and payment, it also has the effect of reducing the trouble of the user going to medical institutions and banks.

[0091] Also, the medical institution server or the server box of the provider that stores the network and the information transmitted and received thereto for a predetermined period is not premised on real-time consultation, so that the appropriate time of the medical institution can be obtained. Since the consultation can be performed in the distribution, there is also an effect that the medical service load imbalanced at a certain time of the medical institution can be dispersed.

Further, the user management information file and the status updating means have an effect of realizing a medical institution side medical examination support means, a medicine / medical product supply support means, and a billing processing means in a simple form.

[Brief description of the drawings]

FIG. 1 is a diagram showing a system configuration of a first embodiment of a home medical care nursing system according to the present invention.

FIG. 2 is a flowchart showing an operation outline of the first embodiment of the home medical care nursing system of the present invention.

FIG. 3 is a block diagram showing a configuration of a medical institution station 1 in FIG. 1;

FIG. 4 is a block diagram showing the configuration of the user home device of FIG. 1;

FIG. 5 is a view showing the contents of user basic information and online operation information in the user management information file 221 of FIG. 3;

FIG. 6 is a diagram showing contents of internal medical treatment status information of the user management information file 221 of FIG. 3;

FIG. 7 is a diagram showing a system configuration of a second embodiment of the home medical care nursing system of the present invention.

8 is a block diagram showing a detailed configuration of a medical institution side system 11 in FIG. 7;

[Explanation of symbols]

 Reference Signs List 1 medical institution station 2, 12 medical institution server 3 medical institution terminal 4, 6 user terminal 7 transfer processing (bank side) 8 online deposit / withdrawal processing 9 network 11 medical institution side system 13, 14 medical department terminal 15 pharmacy terminal 16 billing terminal 17 LAN 20, 120 Home medical care nursing server S / W 26, 126 HTTP communication unit 28, 128 HTTP box 30 Home medical care nursing terminal S / W 32, 132 Medical examination support unit 33, 152 Pharmaceutical / medical products supply support unit 34, 162 Billing Processing unit 40 Home care nursing user S / W 42 Measurement item display processing unit 43 Measurement processing unit 44 Measurement equipment driver 46 HTTP communication processing unit 47 Online transfer processing (for personal terminal) 51 Measurement equipment 221, 1221 User management information file 251, 1251 Diagnosis result storage unit 81 Receiving box 282, 1283 User A box 283, 1284 User N box 341, 1621 User-specific billing data 342, 1622 NHI remuneration point data 411 Access information 431 Measurement data file 471 Cash card reader 1281 Receiving box (# 1) 1282 Receiving box (# 2)

Claims (8)

[Claims] 1. A home medical care and nursing system in which a medical institution station provided in a medical institution and a user terminal used by a user at a user's home are connected via the Internet,
The medical institution station is means for setting user basic information and online operation information in a user management information file for a user who has permitted home medical care nursing, and a finding message as a medical examination result and a medication instruction message to the set user. A means for notifying the user terminal of a measurement item instruction message, wherein the user terminal stores and holds access information to a medical institution station notified when the home care nursing permission is received; and A means for automatically logging in to the medical institution station based on the access information; a means for displaying a measurement value input screen for each item specified by the message in response to the measurement item instruction message to support the input; A summary of each input measurement data and a notification message from the user Home medical care system, characterized in that having a means for transmitting to the medical institution station. 2. The user terminal displays a message in response to the medication instruction message, a unit for prompting a response to the message, and accepts or rejects the message in response to a user's response selection operation. 2. The home care and nursing system according to claim 1, further comprising means for returning the medical care to the medical institution station. 3. The medical institution station includes a receiving box for temporarily storing a message from a user and measurement data, a user-specific box for temporarily storing a message addressed to the user, a user management information file, and a diagnosis result storage unit. Has a consultation support means, the user management information file, on a per user basis, has the user basic information, the online operation information and medical status information for each medical treatment,
The medical treatment status information includes a user reception flag indicating that the user has read and received the examination result from the user-specific box, and a measurement result reception flag indicating that the measurement result has been received in the reception box from the user. Including, the medical examination support means, when activated, checks the user management information file, sequentially picks up users whose measurement result received flag of the medical care status information is on, for each user, a corresponding received message,
The measurement result data file is read from the reception box, the previous diagnosis result is read from the diagnosis result storage unit, these are displayed, the measurement result data is reproduced, the template is displayed, the measurement item instruction message by the doctor, the user 2. The home service according to claim 1, wherein the system supports creation of notification messages, stores these created messages in corresponding user-specific boxes, creates medical status information according to the examination results, and stores the created medical status information in a user management information file. Medical care nursing system. 4. The medical institution station includes the receiving box, the user-specific box, a user management information file, a diagnosis result storage unit, and a medicine / medical product supply support unit. The medical treatment status information for each includes the user reception flag and an acknowledgment flag indicating that the user has accepted the medication instruction, the medicine / medical product supply support unit checks the user management information file, Pick up the user whose approval flag is on, read the drug delivery destination of the user basic information from the user management information file,
The corresponding diagnostic result information is read from the diagnostic result storage unit, displayed and printed to support the supply of the drug / medical product to the user, and the medicine / medicine of the corresponding medical status is provided by the instruction operation of the supply operation staff. 2. The home medical care nursing system according to claim 1, wherein the medical product supply flag is updated to "completed". 5. The medical institution station has the receiving box, the user-specific box, a user management information file, a diagnosis result storage unit, and a billing unit, and the medical status information for each medical treatment in the user management information file. Includes the user reception flag and the supply flag,
The billing processing means includes drug price reward point data holding price and insurance points for each item of medicines and medical products, medical fees and insurance point information for each medical treatment item, and user-specific charging data files, and user management information. Check the file,
The user who has the user reception flag of the medical treatment status information turned on and the user whose payment flag has been completed are picked up, the insurance classification information of the user basic information is read from the user management information file, and the corresponding diagnosis result information is stored in the diagnosis result. Section, and based on the medical treatment items of the diagnosis result information, the medication information, and the medical supply information, the insurance price and the price information calculated by indexing the drug price remuneration point data are calculated by referring to the insurance category and calculating the user's share. , Recorded in the user-specific billing data file as billing data to the user,
Aggregate the billing data in the billing data file for each user at a predetermined cycle, create a billing message for the user, store it in the corresponding box for each user, and refrain from this. The home care nursing system according to claim 1, wherein the payment information is confirmed. 6. A home medical care and nursing system in which a medical institution system provided in a medical institution and the user terminal are connected via the Internet, wherein the medical institution side system is communicatively connected to a medical institution server. A medical institution server having a medical department terminal, a pharmacy terminal, and a billing terminal for each medical department, a medical institution server having a communication unit for accessing the Internet, a receiving box for each medical department that temporarily stores messages and measurement data from the user, and a user. A user-specific box for temporarily storing messages addressed to the user, a user management information file, and a diagnosis result storage unit, wherein the user management information file is grouped by the user basic information, online operation information, and medical department. The medical care department terminal has the medical care status information for each medical care on a user basis, and the medical department terminal has the medical care support means. The home medical care and nursing system, wherein the pharmacy terminal has the medicine / medical product supply support means, and the charging terminal has the charging processing means, the drug price reward point data and the user-specific charging data file. 7. The user terminal connects an on-line measuring device under its control, and the input screen display and input support means selects a measurement item in which an on-line measuring device name is registered in the user terminal. And displaying an operation guide of the measuring device, reading the measured value online, and creating a corresponding format data file if the measured data is voice or image. , 5,
Or the home medical care nursing system according to 6. 8. The user terminal, wherein an online transfer process (for personal terminal) is installed, a cash card reader is connected under the user terminal, and online transfer by a cash card for medical expenses is performed. 7. The home care nursing system according to claim 1, 2, 3, 4, 5, or 6.