JP2002215804A - Health and medical care management system using network - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a health and medical care management system facilitating update of individual health and medical care information, health and medical care consultancy by an online home doctor, periodical counseling and the implementation and reporting on post treatment follow. SOLUTION: A customer terminal, a general physician' terminal and a health management server are connected by a network and constitute the health and medical care management system. The health management server is connected with a health and medical care electronic clinical record DB on which the customer's health and diagnosis information and the general physician's information are registered and managed. The server is provided with a means by which the customer register the online home doctor in the health and medical care electronic clinical record DB, a first management means which registers cumulatively the customer's sent information to health and medical care electronic clinical record DB and makes it browsable from the online home doctor terminal, and a second management terminal which registers cumulatively the explanation and instruction information prepared by the online home doctor for the customer in the health and medical care electronic clinical record DB and send to the customer' terminal.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION The present invention relates to a method of exchanging medical and health information with other doctors using a network other than a physician by a general person regardless of a healthy person or a sick person. The present invention relates to a health / medical care management system using a network capable of performing medical treatment / treatment, health consultation, and the like.

[0002]

2. Description of the Related Art In general medical treatment, a person who has become ill (hereinafter referred to as a patient) goes to a hospital or clinic, where he or she consults a doctor. In this form, from the time the patient arrives at the hospital or clinic and submits the consultation ticket to the reception desk, and then actually sees a doctor,
At present, it takes 30 minutes to 3 hours. The time required for a medical examination after a long waiting time is about 10 minutes. The situation of waiting for a long time just for a 10-minute consultation,
It is very intolerable for patients who come to see me. Nevertheless, this situation shows no signs of improvement.

[0003] On the other hand, the development of information technology has begun to affect the medical field. As a system for connecting a doctor and a patient, there is a telemedicine system disclosed in JP-A-2000-102514. The present invention constantly monitors the state information of a medical treatment target who remains at home, compares, analyzes, and determines the functional model created for the medical test target with the current state information, and transmits the result to an external medical institution. It is an object of the present invention to provide a telemedicine system capable of transmitting a report of a physical condition or a request for assistance, transmitting diagnosis contents based on a diagnosis result of a physician to the medical treatment target side, and supporting medical treatment. . In order to achieve this object, the state information of the medical treatment subject whose physical ability has degenerated or has a disease is constantly monitored, and the functional model related to the physical capacity degeneration or disease to be targeted for the medical treatment subject is autonomously obtained. Create, compare, analyze, and judge this functional model with the current status information of the medical treatment target.If the content of the current status information does not match the functional model, report or request assistance to the outside. The autonomous living body monitoring judgment processing device to be sent out, and is activated by an interrupt of a report or an assistance request from the autonomous living body monitoring judgment processing device, performs diagnosis inference for the medical treatment target, and presents diagnosis candidate items or diagnosis inference progress. A biomedical support device that transmits the contents of a diagnosis to the autonomous biological monitoring / judgment processing device based on a diagnosis result of a doctor; Information network connecting bidirectionally communicable manner between the location, those with a.

[0004]

However, the telemedicine system disclosed in Japanese Patent Application Laid-Open No. 2000-102514 realizes home medical care, and the target person is, for example, an elderly person who stays at home. However, there is a problem that ordinary people cannot use the physical abilities, such as those who have degenerated or have a physical disorder. In addition, the medical treatment target and the hospital are connected by a self-contained living body monitoring / judgment processing device, which includes voices emitted by the medical treatment target, surrounding environmental sounds, blood pressure, blood sugar level, pulse, electrocardiogram, and other biological information. There is also a problem that the purpose of the present invention is to monitor abnormalities and to detect abnormalities as compared with normal cases, and not to interact with a doctor. In addition, there is another problem that the patient cannot select a physician who is satisfied.

Furthermore, in the current medical system, since a medical chart is created and diagnosed for each hospital, even if it is the first diagnosis for a hospital, the same diagnosis and medical examination are performed a plurality of times for a patient. There was a problem. In addition, there is also a problem that the patient has no connection with doctors other than the doctor who actually treats the patient, and it is not possible to confirm whether the diagnosis and treatment method of the currently receiving doctor are correct or not. .

The present invention has been made in view of the above circumstances, and an object of the present invention is to create a database of health and medical information for each individual and reduce wasteful costs by sharing the health and diagnostic information of customers. Updating individual health and medical information, communicating analysis results, providing information related to online home doctors (general doctors), providing health and medical consultations and regular counseling by online home doctors, and emergency medical consultations by co-medical staff , Treatment consultation as a second opinion, issuance of a letter of introduction to a real medical institution that meets the wishes of customers, and health and
To provide a medical management system.

[0007]

SUMMARY OF THE INVENTION The present invention relates to a health / medical management information system for performing medical examination and health management on a network.
The present invention relates to a health / medical management information system in which a customer has an online home doctor, who can provide health / medical consultation at any time and who can have a medical examination when he / she feels sick.

[0008] The object of the present invention is to connect a customer terminal of a customer, a general physician terminal of a general physician who performs health consultation or medical care of the customer on a network, and a health management server via a network, and mutually communicate information. A possible health and medical management system, wherein the health management server is connected to a health and medical electronic medical record database for registering and managing the health and diagnosis information of the customer and the information of the general physician, and the customer is provided with the health and medical information. Online home doctor registration means for selecting an online home doctor from the general physicians registered in the medical electronic medical record database and registering it in the health / medical electronic medical record database, and information on health or diagnosis transmitted by the customer Are cumulatively registered in the health / medical electronic medical record database, and the online home doctor is registered. First management means communicating between the terminal and the health management server, and explanation / instruction information for the health or diagnosis of the customer created by the online home doctor are accumulated in the health / medical electronic medical record database. And a second management means for communicating between the customer terminal and the health management server.

[0009] Further, a customer terminal of the customer, a general doctor terminal of a general doctor who provides health consultation or medical care of the customer on the network, a specialist terminal of a specialist, and a health management server are interconnected by a network. An information communication-enabled health / medical management system, wherein the health management server is connected to a health / medical electronic medical record database for registering and managing health and diagnostic information of the customer and information of the general physician and the specialist, An online home doctor registration means for the customer to select an online home doctor from the general physicians registered in the health and medical electronic medical record database and to register the online home doctor in the health and medical electronic medical record database; Or cumulatively register information on diagnosis in the health and medical electronic medical record database, The first management means communicating between the terminal of the online home doctor and the health management server, and, if the online home doctor wants to obtain the findings of another doctor, any or all of the general doctor terminals and Transmitting information on the health consultation or diagnosis of the customer to the specialist terminal, cumulatively registering finding information returned by the general physician and / or the specialist in the health / medical electronic medical record database; A second management means for communicating between a doctor's terminal and the health management server, and the customer created by the online home doctor referring to the finding information when another doctor's finding is obtained. Explanation for health or diagnosis of
The present invention is also achieved by providing a third management means for cumulatively registering instruction information in the health / medical electronic medical record database and communicating between the customer terminal and the health management server.

[0010] Further, a customer terminal of the customer, a general doctor terminal of a general doctor who performs health consultation or diagnosis of the customer on the network, and a command terminal for organizing information between the customer and the general doctor.・ The medical staff has
A medical / medical management system capable of mutually communicating information by connecting a medical staff terminal and a health management server via a network, wherein the health management server registers and manages the health and diagnosis information of the customer and the information of the general physician. Health
Online home doctor registration connected to a medical electronic medical record database, wherein the customer selects an online home doctor from among the general practitioners registered in the health / medical electronic medical record database and registers it in the health / medical electronic medical record database Means and first management for cumulatively registering information on health or diagnosis transmitted by the customer in the health / medical electronic medical record database and communicating between the co-medical staff terminal and the health management server Means for cumulatively registering summary information on the customer's health or diagnosis prepared by the co-medical staff in the health / medical electronic medical record database, together with the information on the health or diagnosis of the online home doctor. A second management means that communicates so that it can be viewed from the terminal Thirdly, explanation / instruction information for the health or diagnosis of the customer created by the online home doctor is cumulatively registered in the health / medical electronic medical record database and communicated between the customer terminal and the health management server. This is also achieved by providing:

Further, a customer terminal of a customer, a general doctor terminal of a general doctor who performs health consultation or diagnosis of the customer on the network, a specialist terminal of a specialist, and a communication between the customer and the general doctor To organize your information
A medical / medical management system capable of mutually communicating information by connecting a co-medical staff terminal possessed by medical staff and a health management server via a network, wherein the health management server includes the customer health and diagnosis information and the general information. Connected to a health / medical electronic medical record database that registers and manages information of doctors and specialists, and the customer selects an online home doctor from among the general practitioners registered in the health / medical electronic medical record database, -Online home doctor registration means for registering in the medical electronic medical record database, and cumulatively registering information on the health or diagnosis transmitted by the customer in the health / medical electronic medical record database, the co-medical staff terminal and the health First management means for communicating with a management server, -Cumulatively register the summary information about the health or diagnosis of the customer created by the medical staff in the health and medical electronic medical record database, and view it together with the information about the health or diagnosis from the terminal of the online home doctor. The second management means to communicate, and if the online home doctor wants to obtain the findings of other doctors, information on the health consultation or diagnosis of the customer to any or all of the general physician terminal and the specialist physician terminal and And / or transmitting summary information, accumulatively registering the finding information returned by the general physician and / or the specialist in the health / medical electronic medical record database, and communicating the information so that it can be viewed from the terminal of the online home doctor. If the findings of the third management means and other physicians are obtained, The fourth is a method of cumulatively registering explanation / instruction information for the health or diagnosis of the customer created by an online home doctor in the health / medical electronic medical record database and communicating between the customer terminal and the health management server. And management means.

[0012] Furthermore, a health / medical management system capable of mutually communicating information by connecting a customer terminal of a customer, a general doctor terminal of a general doctor, and a health management server via a network, wherein the health management server is Connected to a health / medical electronic medical record database for registering and managing the customer's health / diagnosis information and the general physician information, and accumulating the health / diagnosis information transmitted by the customer in the health / medical electronic medical record database. Registered, select one general physician from among the general physicians who have room for the number of customers that can be registered at that time, between the general physician terminal and the health management server the health or First management means for communicating information about a diagnosis, and explanation / instruction information for the health or diagnosis of the customer created by the general physician; Cumulatively registered in Te database,
The present invention is also achieved by including a second management unit that communicates between the customer terminal and the health management server.

[0013] Furthermore, a customer terminal of a customer, a doctor terminal of a general physician and / or specialist, and at least one physician, and information between the customer and the general physician and / or specialist is provided. A co-medical staff terminal that the co-medical staff has to organize and a health management server are connected via a network
In the medical management system, the health management server is connected to a health / medical electronic medical record database for registering and managing the health and diagnosis information of the customer and the information of the general physician and / or specialist, and transmits the health transmitted by the customer. Or, cumulatively registering information about the diagnosis in the health / medical electronic medical record database, and communicating the information about the health or diagnosis transmitted by the customer between the co-medical staff terminal and the health management server. One managing means and cumulatively registering the summary information on the health or diagnosis of the customer created by the co-medical staff in the health / medical electronic medical record database, and the health and diagnosis information of the customer and the summary A second management means for transmitting information and information to all or any of the doctor terminals; A third management means for communication with the findings information to health and diagnostic information of the customer cumulatively registered in the health and medical electronic medical records database, the health care server and the paramedic staff terminal,
The co-medical staff accumulatively registers explanation / instruction information, which organizes the finding information for the customer, in the health / medical electronic medical record database, and communicates between the customer terminal and the health management server. This is also achieved by providing:

In the above case, the terminal of the real medical institution of the real medical institution is further connected to a health / medical management system via a network, and when the customer needs to be examined at the real medical institution, The health / medical electronic medical record database can be accessed from a medical institution terminal to view the health and diagnostic information and treatment method of the customer up to the present, and at the same time, the diagnostic results are cumulatively registered in the health / medical electronic medical record database. It may be configured to include means capable of performing such operations.

[0015] Further, a screening institution terminal of the screening institution that performs the screening is further connected to the health / medical management system via a network, and the result of the screening received by the customer at the screening institution is stored in the health / medical electronic medical record database. It is also possible to configure so that registration is possible.

Further, a bank as a financial institution is further connected to the health / medical management system via a network, and a deposit account of a customer who uses the health / medical management system is registered in the health / medical electronic medical record database. The user may settle the usage fee from the deposit account of the customer to the deposit account of the administrator of the system every time the system is used or at regular intervals. Alternatively, a bank and an insurance company as a financial institution are further connected to the health / medical management system via a network, and the insurance company can use the system to transfer the existing medical insurance, term insurance, and loss from a bank account held by a customer using the system. If the customer who uses this system becomes eligible for insurance payments, such as hospitalization, the premium paid by the customer at the time when the customer who uses the system becomes eligible for insurance payments, such as insurance premiums for insurance products such as insurance. Is paid to the customer as a benefit or insurance money from the insurance premium, and the costs related to the operation of the general practitioner, the specialist, the co-medical staff, and the like registered in the system are reduced by the system. It is also possible to arrange so that the special contract amount collected from the customer who uses the system is paid to the bank account of the administrator of the system.

In the above case, the information on the health or diagnosis of the customer is any of inquiry information, examination information as a result of the health check, consultation on health, or report on a medical condition.

[0018]

Embodiments of the present invention will be described below with reference to the drawings. In particular, the case where the Internet is used as a network will be described. Note that the present invention is not limited to these embodiments.

FIG. 1 shows a configuration example of a health / medical management system using a network according to an embodiment of the present invention. The present system includes a customer terminal 1 of a customer who receives a health / medical management service using the present system, and a general physician (online home doctor) terminal of a general physician (online home doctor) providing a health / medical management service with the present system. 2. Specialist terminal 3 for specialists who support general physicians (on-line home doctors), co-medical staff terminal 4 for receiving and counseling about health and medical consultation of customers, medical institution information, consultation information, examination information, etc. for customers Information / clerical staff terminal 5 that creates and adds an electronic medical record in which is stored, a real medical institution such as a hospital, a clinic, a clinic where a customer actually receives treatment, or a pharmacy that provides a drug prescribed by a doctor Medical institution terminal 6 that has a human dog that performs a health check of customers, Screening institution terminal 7, and configured to exchange and management of information between these terminals from the health care server 8 which performed via the information communication system 9, such as the Internet.

The customer referred to in the present system is an ordinary person, and may be a healthy body or a patient who is ill or injured. In this specification, when a customer goes to an actual medical institution, the customer may be referred to as a patient for convenience. Using this system, the customer can register the medical examination information and the medical examination information as the result of the medical examination, and can ask the online home doctor to consult about the health or report on the medical condition.

The doctor in the present system is intended for general practitioners who provide medical treatment in hospitals, clinics, clinics, and the like, and specialists who provide medical services specialized in specialized fields at specialized hospitals and universities. . However, this system does not exclude a doctor who specializes in medical treatment. Also, in this specification,
A physician who performs medical care on this system is a general physician, and a general physician registered by a customer among the general physicians will be called an online home doctor for the customer.
An online home doctor is included in the general physician concept. The term “specialist” refers to a doctor who specializes in medical treatment, such as a doctor specializing in analysis and diagnosis of CT images, a doctor specializing in analysis of MRI diagnosis results, or a doctor specializing in brain surgery. A physician who supports a general practitioner with such specialized knowledge.

The co-medical staff organizes and summarizes information from the customer in order to facilitate communication between the customer and the online home doctor when diagnosing, examining or consulting the customer on the network. And perform simple medical counseling. In other words, it acts as a nurse on the network.

The information / clerical staff plays a role of creating and inputting information relating to the medical care and health of the customers owned by the actual medical institution or the screening institution linked to the present system so that the information can be used in the present system.

FIG. 2 is a block diagram showing the structure of each terminal used for a customer terminal, a general physician terminal, a specialist physician terminal, an actual medical institution terminal, a co-medical staff terminal, and the like. These terminals have a CPU (Ce) that controls the entire terminal.
ntral Processing Unit) 11
And a storage device 12 storing a control program for controlling the CPU and storing data, a memory 13 storing various data in a writable manner, and an input device 14 such as a keyboard and a mouse for inputting various data. When,
A display device 15 for displaying a browser for easily displaying and communicating various data, a printing device 16 such as a printer for outputting various data to paper or the like, and transmitting and receiving information to and from the outside. Communication device 17. These CPU 11, storage device 12, memory 13,
The input device 14, the display device 15, the printing device 16 and the communication device 17 are connected via a bus line 18. To the customer terminal, the general physician terminal, and the specialist physician terminal, a photographing unit such as a television camera or a digital camera can be connected as necessary. Furthermore, it is also possible to connect measurement means for blood pressure, pulse and the like to the customer terminal.

FIG. 3 is a block diagram showing the configuration of the health management server 8. The health management server 8 includes a CPU 21 and a storage device 22 similarly to the configuration of each terminal illustrated in FIG.
, A memory 23, an input device 24, a display device 25,
A printing device 26 and a communication device 27 are provided, and these are connected via a bus line 28.

The CPU 21 receives an application program designated from among various application programs, such as a management program for a health / medical electronic medical record database stored in the memory device 22 and a network monitoring program, and an input device 24. Various instructions input or various data corresponding to the instructions are stored in the memory 23, various processing is executed in accordance with the application program according to the input instructions and the input data, and the processing results are stored in the memory 23. , The storage device 22 or the external storage device 29.

The storage device 22 includes a health / medical electronic medical record database (hereinafter referred to as a health / medical electronic medical record DB) and a health / medical electronic medical record DB for cumulatively storing and managing data of customers and doctors. Management programs,
Various processing programs such as a network monitoring program and a request handling processing program are stored. In some cases, the external storage device 29 may be connected via the bus line 28, and the external storage device 29 may store the health / medical electronic medical record DB.

The health / medical electronic medical record DB stored in the storage device 22 or the external storage device 29 has the configuration shown in FIG. A medical institution information table 41 that stores medical charts and personal information of customers created by online home doctors of the present system and doctors of actual medical institutions, and a medical inquiry information table 42 that stores customer inquiry information. A medical examination information table 43 for storing medical examination results including image data of customers, a medical consultation information table 44 for storing medical consultations sent to the online home doctor of the system by the customer, and a medical consultation for storing summaries of the medical consultations A summary information table 45, an explanation / instruction information table 46 for storing diagnosis results, explanations and instructions by the online home doctor of the present system, a general physician table 47 for storing information about doctors registered in the system,
Specialist doctor table 48 and information / clerical staff table 49 for registering information / clerical staff, co-medical staff, medical examination institution and actual medical institution registered in this system, co-medical staff table 5
0, medical examination institution table 51 and actual medical institution table 5
And 2. These tables are associated with each other and constitute a relational database.

In the above, the CPU 11 and the communication device 17 of the customer terminal 1 and the CPU 21 of the health management server 8
Corresponds to the online home doctor registration means in claims 1 to 4. Further, the CPU 11 and the communication device 17 of the customer terminal 1 and the CPU 21 and the communication device 27 of the health management server 8 correspond to the first management unit and the second management unit in claims 1 and 5, and the second management unit in claims 2 and 3, respectively. The first management means corresponds to the third management means, and the first management means to the third management means in claims 4 and 6 correspond.

The medical institution information table 41 is shown in FIG.
, Customer name, ID, gender, address, telephone number, e-mail address, date of birth, blood type, family medical institution, diagnosis ID, diagnosis date, symptoms, diagnosis result, treatment, medicine And other items. This medical institution information table 41 corresponds to a medical chart of a customer. Here, the ID is a number for identifying a customer who uses the present system.

As shown in FIG. 4B, the inquiry information table 42 stores information such as the customer's daily life, current medical history, subjective symptoms, and family history, in addition to the ID, the medical inquiry ID, and the medical inquiry date. . The ID is an ID corresponding to the customer name in the medical institution information table, and is used for association with the customer. The contents of the interview are created in consideration of data management viewpoints such as input of numerical values and characters, answers in a check format, simple inputs, and the simplicity of customer input operations. The interview ID is an identification number assigned to the inquiry information that is cumulatively registered.

As shown in FIG. 4C, the examination information table 43 includes an ID, an examination ID, a date of the examination, a physical measurement, an eyesight, a hearing, a blood pressure, a lipid, a liver function, a general blood, and a urine. General, pancreas, diabetes, kidney, gout, inflammatory reaction, syphilis, stool,
Information such as a lung function, a heart function, and an X-ray photograph is stored. The examination ID is an identification number assigned to examination information that is cumulatively registered.

The medical consultation information table 44 is a table for accumulatively storing the contents of questions the customer asks the online home doctor and the health condition of the customer. e-mai
1 may be used, but a format may be independently prepared according to the state of the customer. For example, for diabetes, liver function, obesity, gout, renal function, hyperuricemia, hyperlipidemia, arteriosclerosis, nutritional disorders, hepatitis B, infectious diseases, syphilis For example, a format for use may be prepared. Preparing a format has the advantage of facilitating data management. In the case of an e-mail or a format, as shown in FIG. 4D, an ID indicating a customer, a medical consultation ID, a doctor ID, and a transmission date are always input. Here, the online home doctor is selected from general practitioners in a general practitioner table described later,
It can be arbitrarily selected by the customer. Online home doctor changes are made at this table. The medical consultation information ID is an identification number assigned to each medical consultation information performed by a customer.

The medical consultation summary information table 44 is shown in FIG.
As shown in (E), this is a table that accumulates the contents of questions asked by the customer to the online home doctor and the health status of the customer, arranged and summarized by the co-medical staff. This table includes items such as ID, medical consultation summary ID, medical consultation ID, summary / comment, and the like. Here, the ID is I for identifying the customer.
D, and the medical information ID is the ID number of the original medical consultation information that created the summary. The medical consultation summary ID is an identification number assigned to the medical consultation summary information created for the medical consultation information.

The explanation / instruction information table 45 is used by the on-line home doctor to refer to the medical consultation information sent from the customer and the summary / comment, etc., and explain the current condition of the medical condition to the customer, and give instructions on the treatment method. , And a table for cumulatively storing answers to questions to customers. Also, an online home doctor may e-mail a specialist or other GP to the condition of the customer outside his or her specialty.
It is also a table for cumulatively storing replies to the questions when they are asked by a method such as mail as finding information. As shown in FIG. 4 (F), in addition to items necessary for explanation / instruction to the customer, such as ID, explanation / instruction ID, medical consultation ID, input date, explanation / instruction contents, finding ID, doctor ID, It consists of items for registering other doctor's finding information such as return date and finding. Here, the ID is a number associated with the medical institution information table to identify the customer, and the medical consultation ID is the ID of the medical consultation information that was the basis for creating the explanation / instruction information. The ID is an identification number given to the explanation / instruction information. or,
The finding ID is an identification number assigned to the finding of another doctor with respect to the medical consultation information corresponding to the medical consultation ID, and the doctor ID
Is the identification number of the doctor who created the finding information described below,
The findings store findings made by the doctor.

The general physician table 47 stores information on general physicians registered in the present system. As a specific example,
A table having a configuration as shown in FIG. In this example, the general physician table contains general physician I
D, name, gender, date of birth, telephone number, e-mail address, emergency contact information, work hospital, work address, number of registrable customers, specialty field, self-introduction, photo, etc. Here, the general physician ID is an identification number given to a general physician registered in the present system. The field of specialization is to register the field of specialty, and the field of specialization is not limited to one and may be plural. The number of registrable customers sets in advance how many customers can actually have on the network. The self-introduction is to appeal to the customer about his or her career. Photos are not always required, but putting photos on them can give customers a sense of security.

The specialist table 48 stores information of specialists registered in the present system. As a specific example,
A table having a configuration as shown in FIG. In this example, the specialist table contains specialist I
D, name, gender, date of birth, telephone number, e-mail address, emergency contact information, work hospital, work address, specialty field, and the like. Here, the specialist ID is an identification number given to a general doctor registered in the present system. The field of specialization is to register the field of specialty, and the field of specialization is not limited to one and may be plural.

The above-mentioned general doctor table 47 and specialist doctor table 48 may be collectively managed as one doctor table.

Information / clerical staff table 49, co-medical staff table 50, examination organization table 51
The actual medical institution table 52 is shown in FIG.
(L) is a management table mainly for confirming whether or not the user has a right to use the present system when accessing the present system.

In the above configuration, the information stored in the inquiry information table, the examination information table, and the medical consultation information table includes information on the customer's health or diagnosis, or information on the customer's health and diagnosis, and information on the explanation / instruction table. The stored information corresponds to explanation / instruction information or finding information on the health or diagnosis of the customer, and the information stored in the medical consultation summary information table corresponds to summary information on the health or diagnosis of the customer.

The health management system configured as described above will be described focusing on the operation of the health management server.

(1) Customer's Subscription to the Present System FIG. 5 is a flowchart when a customer subscribes to the present system. A person who wants to join this system (hereinafter referred to as a customer) accesses a web page on the health management server from the customer terminal via the Internet (step S).
1). A top page 61 of the web page as shown in FIG. 6 is displayed (step S2). When the customer selects the "New" button 62 in the top page 61 (Yes in step S3), the health management server transmits a customer registration form to the customer terminal, and the customer registration form is displayed on the display means of the customer terminal. (Step S4). This customer registration form 71 has a configuration as shown in FIG. Items to be input include fixed information of the customer, such as the customer's name, gender, password, date of birth, address, telephone number, e-mail address, blood type, and online home doctor, and questions to be asked. The fixed information of the customer is based on the medical institution information table, and the inquiry items are based on the inquiry information table. The customer enters necessary items in the customer registration form 71 and transmits the necessary information to the health management server (step S5). The health management server checks whether necessary information is entered in the received customer registration form 71, and if there is any omission of the name, password, etc. (No in step S6), notifies the customer terminal of a registration error. Then, the process returns to step S4 to transmit the customer registration form 71 again (step S7). If there is no input omission or the like (Yes in step S6), the health management server assigns an ID to the customer and newly registers the items entered in the customer registration form 71 in the corresponding table of the health / medical electronic medical record DB. (Step S8) After the registration, a registration notification is transmitted to the customer terminal together with the ID (Step S9). Thereafter, a menu screen is displayed on the display device of the customer terminal (step S12). The subsequent flow will be described below.

On the other hand, if the “new” button is not selected in step S3 (No in step S3), for example, if the “member” button 63 is selected on the top screen 61 in FIG. Ask the customer terminal to enter an ID and password. The customer inputs an ID and a password from input means such as a keyboard of the customer terminal, and transmits (step S10). When the health management server determines from the ID and the password that the customer is registered in the present system (Yes in step S11), a menu screen is displayed so that the customer can receive various services (step S12). The customer can receive various services, for example, the customer terminal can be linked to various processes such as an inquiry, a medical examination, and a medical consultation. On the other hand, if it is not determined that the customer is a registered customer based on the ID and the password (No in step S11), the process returns to step S2 and the top page 61 is displayed again. Step S11
If it is not determined that the customer is a registered customer, the process may return to step S10 to request the input of the ID / password again.

In inputting the customer registration form 71 transmitted to the customer terminal in the above step S4, if the customer has a health examination result, the data can also be entered in the health examination table. In this case, for example, as shown in FIG. 7, a "checkup form" button 72 in the new registration form 71 is created, and a checkup information registration form in which items constituting the checkup information table of the health / medical electronic medical record DB are arranged. Is configured to link to the new registration form. However, if you do not have a medical examination result,
In addition, since there are various cases such as a case where it is out of hand and it is not possible to register at the time of customer registration, it is preferable that the registration of the medical examination result be performed at any time after the customer registration. Specifically, an item “registration of examination information” is provided in the menu screen displayed in step S13 of FIG. If a health examination is performed at a screening organization affiliated with the present system, registration can be performed from the screening organization. In addition, as for the input of the result of the medical examination, the result of the medical examination can be mailed to the information / clerical staff, and the information / clerical staff can input the result.

As described above, the result of the health check corresponds to the information on the health or the diagnosis.

Here, the online home doctor system which is a feature of the present invention will be described. Customers of the system can typically choose one or more online home doctors. The online home doctor according to the present invention refers to a family doctor on a network where a customer has a health consultation or medical treatment on the network. The selection of an online home doctor is basically only one, but it is also possible to make no selection or to select a plurality. The case where the online home doctor is not selected will be described in (5) below, where the online home doctor is not registered. The selection of an online home doctor is created by extracting items such as name, hospital hospital name, work address, number of registrable customers, specialty field, self-introduction, and photograph from the general physician table shown in FIG. From the list made by the customer. The customer can select a doctor who wants to be an online home doctor from the list of doctors while referring to information such as a specialty field and self-introduction. When a large number of doctors are displayed in the list, the number of doctors to be displayed can be narrowed down by performing a search using a combination of keywords, for example, by setting conditions such as detailed information on the gastrointestinal tract and the brain. It is possible.

(2) Communication between Customer and Online Home Doctor The customer who has subscribed to this system can freely consult the online home doctor using a terminal via a network and report the status of his / her symptoms. can do. Regarding the communication method with the online home doctor, a method of transmitting the online home doctor by e-mail or a method of preparing a standard contact transmission form on the health management server and transmitting it using the form can be considered. Considering the ease of data management, it is desirable to prepare the latter fixed form of transmission for contact. In the following, the exchange of information between the customer and the doctor in the case of using the standard contact transmission form is described as follows: (A) When the customer is healthy, (B) The customer is almost ill, The explanation will be made separately for the case where the patient is not at the actual medical institution, and the case where the customer (C) is at the actual medical institution in a sick state.

(A) When the Customer is in a Healthy State When the customer is in a healthy state, a predetermined medical inquiry and a health check are performed at a rate of six months or once a year. In the case of an inquiry, an inquiry form 91 as shown in FIG. 8 is used, and in the case of a health examination, an examination form 101 as shown in FIG. 9 is used. These forms can be configured such that items of “interview form” and “examination form” are provided on the menu screen of step S12 in FIG. Figure 1
0 is a diagram showing a flow of the operation. The customer accesses the health management server, and requests execution of “interview” or “health check” (step S21). The health management server sends an inquiry form 91 or an examination form 1 to the customer terminal according to the request.
01 is transmitted (step S22). The customer inputs the inquiry form 91 or the examination form 101 displayed on the terminal (Step S23) and returns it to the health management server (Step S24). The health management server registers the information returned to the health / medical electronic medical record DB in the inquiry information table or the examination information table (step S25). Thus, the registration of the inquiry information or the health examination information in the health / medical electronic medical record DB by the customer is completed.

FIG. 11 shows a case where the customer has undergone a health examination at a screening organization affiliated with the present system in the above case.
This will be described with reference to FIG. A customer goes to an affiliated screening organization and receives a medical checkup there. The medical examination institution accesses the health management server from a terminal installed therein (hereinafter, referred to as a medical examination institution terminal), and requests execution of “interview” or “health check” (step S61). The health management server transmits the inquiry form 91 or the examination form 101 to the examination institution terminal (step S32). The examination organization is displayed on the terminal (step S33), the inquiry form 91 or the examination form 10
After inputting the customer's diagnosis result into 1, the result is transmitted to the health management server (step S 34). The health management server registers the transmitted information in the inquiry information table or the examination information table of the health / medical electronic medical record DB (step S35).
As described above, it is possible to register the inquiry information and the health check information of the customer who has performed the health check at the screening organization in the health / medical electronic medical record DB.

Here, the inquiry information or the health examination information corresponds to information about health or diagnosis.

(B) When the customer is almost sick but has not continuously visited the actual medical institution. In this condition, the customer feels that his / her physical condition is "a little strange", This is the case when asking an online home doctor about this physical condition or reporting the current situation. In addition, the case where an abnormal value is found as a result of receiving a health examination at a medical examination institution may be transmitted from the health management server to the customer terminal indicating that the part is abnormal, and a question may be asked about it. FIG. 12 shows the flow of processing between the customer terminal, the health management server, the co-medical staff terminal and the online home doctor terminal in this case.

A customer who has doubts about his / her health condition or has received a health anomaly from the health management server, sends a health / health server to his / her online home doctor to explain his / her current situation. When a request is made to transmit a medical consultation form (step S41), the health management server transmits a health / medical consultation form to the customer terminal (step S42). Health and medical consultation form 111
As shown in FIG. 13, as shown in FIG. 13, a fixed form consisting of an explanation of the user's ID, destination, simple symptoms (when, where, how, etc.) and an item for inputting a specific explanation, etc. It is better to prepare it on the management server. Health / medical consultation form 1 as shown in FIG.
After 11 is displayed on the customer terminal (step S43), the customer inputs his / her own status in this form and sends it using the send button (step S44). Here, the address is the email address of the customer's online home doctor, but if the customer wants to change the online home doctor, the address of this health and medical consultation form can be changed to another GP. it can. The destination is the online home doctor registered by the customer, but actually, it is first transmitted to the health management server.

The health management server receives the customer's health and
Health and medical electronic medical records D
B is registered in the medical consultation information table (step S4).
5) At the same time, the co-medical staff terminal is transmitted together with the health / medical consultation summary form (step S46).
At this stage, the online home doctor is not sent the customer's health and medical consultation form. The co-medical staff enters a summary of the medical condition of the customer from the transmitted health / medical consultation information of the customer in the health / medical consultation summary form, and transmits the summary to the online home doctor of the customer (step S47). ). The health management server registers the items entered in the health / medical consultation summary form in the medical consultation summary information table (step S
48), the client's health / medical consultation information and health / medical consultation summary information are made available for viewing from the terminal of the online home doctor (step S49). The online home doctor accesses the health management server (step S5).
0), the customer's health / medical consultation information and health / medical consultation summary information are browsed (step S51). The online home doctor requests the health management server to transmit an explanation / instruction form in order to input a reply to the customer's consultation (S52). The health management server transmits the explanation / instruction form to the online home doctor terminal (S5).
3). The online home doctor will use the explanation / instruction form displayed on the terminal to provide the customer's healthcare / medical consultation information and health / medical consultation summary information as needed, and, if necessary, to provide the customer's inquiry information and health checkup results to the health / medical Electronic medical record DB
The user inputs and transmits a description and instructions regarding the medical condition of the customer while calling and referring to the information (step S54). In this case, if the medical condition of the customer is considerably bad, the online home doctor can also instruct the doctor to receive treatment at a real medical institution or refer to the real medical institution. The health management server registers the items entered in the explanation / instruction form in the explanation / instruction information table of the health / medical electronic medical record DB (step S55), and then transmits it to the customer terminal (step S56). Description sent
The instruction information is displayed on the customer terminal (step S57), and the customer can check the contents.

If the online home doctor determines that the customer's condition is, for example, diabetes, the next time the customer accesses the online home doctor, the health consultation form for diabetes prepared in the health management server is used. The above steps are repeated for other parts, except for the parts used instead of the medical information form.

In the above description, the customer's health / medical consultation information corresponds to information about health or diagnosis, and the customer's health / medical consultation summary information corresponds to summary information about customer's health or diagnosis.

(C) In the case where the customer is continuously ill and in the actual medical institution, the customer is instructed by the online home doctor to perform treatment in the actual medical institution in the state of (B), Or when the customer goes to a real medical institution. In order to go through this state, the customer (B) is in a state of becoming ill, but it is normal that the customer is not in a medical institution. FIG. 14 shows the operation of the system in this case. This figure shows a case where the real medical institution is a real medical institution linked with the present system.

The customer goes to the hospital, clinic or clinic selected by himself or to the hospital, clinic or clinic referred to the online home doctor in the state (B). The doctor at the actual medical institution accesses the customer's health / medical electronic medical record DB from the terminal installed therein (hereinafter referred to as the actual medical institution terminal) (step S6).
1). The health management server confirms that the accessed real medical institution is a real medical institution linked with this system,
An access right to the health / medical electronic medical record DB is given (step S62). The doctor at the actual medical institution diagnoses the customer while referring to the medical institution information and the inquiry information, the examination information, the explanation / instruction information, etc. of the customer from the health / medical electronic medical record DB as necessary (step S63). During or after the diagnosis, the real medical institution issues a command to the health management server to transmit the medical institution information form to the real medical institution terminal (step S64), and the health management server sends the medical institution information form to the real medical institution terminal. Send (Step S6)
5). Here, the medical institution information form is shown in FIG.
Is a form created based on the items of the medical institution information table exemplified in FIG. The physician of the real medical institution, in addition to the information related to the customer's diagnosis such as the patient's symptoms, coping method, next visit, etc., is displayed on the medical institution information form (step S66) displayed on the real medical institution terminal. After inputting a message or the like, the medical institution information form is transmitted to the health management server (step S67). The health management server registers the items entered in the medical institution information form in the medical institution information table of the health / medical electronic medical record DB (step S68).

The customer also reports to the online home doctor about the state of the day when he / she is at the actual medical institution but does not go to the actual medical institution. When reporting, report to your online home doctor using the health and medical consultation information form prepared for each disease. This process is the same as the above-described case (B) (the flow shown in FIG. 12), and thus the description is omitted.

As described above, when the customer is at the actual medical institution, the doctor at the actual medical institution can grasp what instructions and medicines are given by the customer's online home doctor. . An online home doctor can treat a patient while consulting with a physician at a real medical institution or according to his or her treatment policy.

Also in this case, by changing the destination of the health / medical information form transmitted by the customer,
You can change your online home doctor.

Hospitals, clinics or clinics correspond to actual medical institutions, and information related to customer's diagnosis such as customer's symptoms and countermeasures, next visit day, and messages to online home doctors correspond to explanation / instruction information. are doing.

(3) Cooperation between Online Home Doctor (General Physician) and Specialist In the above description, the online home doctor answers all customer questions based on his / her own knowledge. However, in practice, doctors also have specialty, and there are good and bad points. For example, an online home doctor who specializes in internal medicine but has little knowledge of the heart may be asked questions related to the heart, or may be diagnosed with a condition in which the customer's condition may be related to the heart. In some cases, you may want to seek the judgment of a specialist instead of your own. In this case, as shown in FIG. 1, since the general physician and the specialist are also connected via a network, it is possible to request the specialist's judgment on a matter to be asked. Specifically, to all the doctors registered as general practitioners and specialists in the general practitioner table and specialist table, any doctor, for example, in the case of the above example, to specify only a cardiologist, or a mailing list By using, you can send the item you want to ask. If there is a specialist with knowledge of the symptoms or a general practitioner or specialist who has dealt with similar cases before, make a diagnosis with reference to the medical institution information, inquiry information or examination information of the patient as necessary And transmits the result to the health management server as finding information. This finding information is cumulatively stored in the explanation / instruction information table, and can be browsed by the online doctor. The online home doctor (general physician) inputs a diagnosis result and an instruction to the patient based on the browsable finding information and transmits the result to the health management server. Then, it is transmitted from the health management server to the customer.

(4) Registration of Virtual Online Home Doctor In the above description of (1) to (3), a real doctor is registered for the online home doctor.
However, by linking the general physician with other general physicians and specialists in (3) via a network, a non-existing physician is registered in the list as a general physician, and the customer selects the non-existing physician as an online home doctor. It is also possible. FIG. 15 shows a schematic diagram of the configuration of the present system in the case where there is no online home doctor in the case of FIG. The configuration is almost the same as that of FIG. 1, except that the doctor terminal 10 is divided into the general doctor terminal 2 and the specialist doctor terminal 3 in FIG. 1, but there is no distinction in FIG. FIG. 16 is a diagram showing a flow of communication among the customer, the health management server, the co-medical staff, and the doctor terminal. Here, it is assumed that the customer has already registered a virtual online home doctor as an online home doctor, and the customer transmits information to the virtual online home doctor using a health / medical consultation form. In addition, the co-medical staff includes one or more physicians for compiling instructions and explanations to customers, in addition to staffs having a role of a nurse.

The customer requests the health management server to transmit, for example, a health / medical consultation form to consult an online home doctor using the form for information on his / her health from the customer terminal (step S71).
In the case of FIG. 16, the health management server transmits a health / medical consultation form to the customer terminal (step S72). The health / medical consultation form is displayed on the display device of the customer terminal (step S73). The customer enters necessary information in this form and sends it (step S74). The health management server registers the information transmitted in the health / medical consultation form in the medical / consultation information table of the health / medical electronic medical record DB (step S75), and transmits the information to the co-medical staff terminal.
The health / medical consultation information of the customer is transmitted together with the health / medical consultation summary form (step S76). The co-medical staff summarizes the health / medical consultation information of the customer, inputs the information into the health / medical consultation summary form, and transmits the form to the health management server (step S77). The health management server registers the transmitted summary information in the medical consultation summary information table of the health / medical electronic medical record DB (step S78), and transmits the customer's health / medical summary information to the doctor registered in the present system. (Step S79). A physician who specializes in this information or a physician who can give advice transmits the advice contents and findings to the health management server as finding information (step S80), and is registered in the explanation / instruction information table. After the contents are compiled after a certain period of time, the contents are transmitted to the co-medical staff together with the explanation / instruction information form (step S81). Therefore, the instructions and explanation results to the customer are compiled by consultation with the co-medical staff including the doctor, input to the explanation and instruction information form (step S82), and transmitted to the customer.
The health management server registers this explanation / instruction information in the explanation / instruction information table of the health / medical electronic medical record DB, and then transmits it to the customer terminal (step S83). Then, the customer can display the result on the display device and check the content. In this way, a non-existing general doctor can be used as a virtual online home doctor to perform a health examination.

The customer health / medical consultation information corresponds to health or diagnosis information, and the summary information corresponds to customer health or diagnosis summary information.

(5) Case of Not Registering Online Home Doctor Above, a case where a customer registers a real online home doctor or virtual online home doctor has been described as an example. However, it is also possible not to register an online home doctor. FIG. 17 shows a flow of processing among the customer terminal, the health management server, the co-medical staff terminal, and the general doctor terminal in that case. The customer here is a customer who has not registered as an online home doctor.

The customer requests the health management server to transmit, for example, a health / medical consultation form in order to consult a general physician using the form about his / her health information from the customer terminal (step S91). In the case of FIG. 16, the health management server transmits a health / medical consultation form to the customer terminal (step S92). The health / medical consultation form is displayed on the display device of the customer terminal (Step S)
93). After inputting necessary items in this form, the customer transmits (step S94). The health management server registers the information transmitted in the health / medical consultation form in the medical consultation information table of the health / medical electronic medical record DB (step S9).
5) The client's health / medical consultation information is transmitted to the co-medical staff terminal together with the health / medical consultation summary form (step S96). The co-medical staff summarizes the health / medical consultation information of the customer, inputs the information into the health / medical consultation summary form, and transmits it to the health management server (step S97). The health management server registers the transmitted summary information in the medical consultation summary information table of the health / medical electronic medical record DB (step S98), and sets conditions (time, day of week, region, specialty of the general physician) set at that time. , A general physician who satisfies various conditions such as the number of customers) is extracted, and summary information on the health and medical care of the customer can be viewed by the general physician (step S99). The extracted general physician browses the health / medical consultation information and summary information on the health / medical care of the customer, inputs the medical treatment result to the explanation / instruction information form, and transmits the result to the health management server (step S).
100). The health management server registers the items entered in the transmitted explanation / instruction information form in the explanation / instruction information table, and thereafter, makes the customer viewable. (Step S101). When the customer accesses the health management server, explanation / instruction information is displayed on the customer terminal (step S102). In this way, health / medical management can be performed without online home doctor registration.

The customer health / medical consultation information corresponds to health or diagnosis information, and the summary information corresponds to customer health or diagnosis summary information.

(6) Cooperation with Financial Institution In the above example, the settlement function was not provided.
This system can also link financial institutions. Banks and insurance companies can be considered as financial institutions. First, in the case of a bank alone, the bank is connected to the system via a network. In this system, for example, when the fee is collected by usage or fixed monthly basis, from the bank account registered by the customer to the bank account of the operator of this system each time the user uses it or on a certain day The fee is settled.

Next, a case of a bank and an insurance company can be considered. Also in this case, the bank and the insurance company are connected to the present system via a network. The bank settles the basic fee for using the system as described above. The insurance company is responsible for providing the insurance system when the system is operated under the insurance system. As a method of insurance, the cost of operating this system under the insurance system as a special contract for the use of the health and medical management system of the present invention for existing life insurance such as whole life insurance and medical insurance and non-life insurance such as accident insurance, etc. In this method, the amount generated from the interest rate is added and collected. FIG. 18 shows the outline of (A) the insurance premium and (B) the breakdown of the amount paid when the special contract for using the health / medical management system of the present invention is added to the medical insurance. Of the premiums collected by the insurance company, the amount related to the special contract for the use of the health and medical management system, excluding the insurance company's fees, etc., is the operating cost of the health and medical management system of the present invention, and is the bank of the operator of the system. Transferred to the account. This special part is for a customer to receive a health / medical consultation with an online home doctor by using the health / medical management system using the network of the present invention due to illness or injury. Then, from this special contract portion, payment is made as an operating cost of the present system such as a doctor. Further, when the customer's health condition becomes an insurance payment target, a part of the cost of the medical treatment from the medical insurance is paid to the insured customer in the form of a benefit or insurance money. It is expected that benefits and insurance money can be reduced by using the health and medical management system using the network of the present invention and by appropriate second opinion and treatment support. Therefore, in the method using this insurance company, the number of hospital visits and the number of days of hospitalization are reduced by the users of this system compared to those who do not use this system. If an effect such as a decrease in the incidence rate appears, benefits and insurance money will be kept low, so the utility value will increase.

[0071]

According to the present invention, health and health using the network of the present invention
Regardless of the health condition of the customer, the medical management system accumulates and manages the customer's inquiry information, checkup information, and diagnostic information, so that online home doctors can easily estimate the cause of the customer's illness, This has the effect that the optimal treatment method can be applied to the patient. In addition, it has the effect that the customer can consult an online home doctor at any time, and if there is any doubt about the treatment method or consultation method by the doctor of the actual medical institution, it has the effect of being able to ask for opinions about it. . In addition, it is possible to consult at any time,
When an illness is about to occur, an appropriate treatment can be performed by an online home doctor, so that the preventive effect is greater than that of a normal system, and the cost for treatment is reduced. Furthermore, since a general practitioner (online home doctor) and a specialist can exchange information with each other through a network, other general practitioners and specialists registered in the system can also be contacted with other general practitioners and specialists registered in this system. It is possible to ask a question, the knowledge and know-how of each doctor can be used effectively, and it is possible for a patient to save the troublesome trouble of asking a different doctor for each body part that has an abnormality.

[Brief description of the drawings]

FIG. 1 is a schematic diagram showing the configuration of the present system.

FIG. 2 is a block diagram of a terminal used in the present system.

FIG. 3 is a block diagram showing a configuration of a health management server of the present system.

FIG. 4 is a diagram showing a configuration of a health / medical electronic medical record database.

FIG. 5 is a diagram showing a flow of customer registration or access to the system.

FIG. 6 is a diagram illustrating an example of a top page of a web page of the system.

FIG. 7 is a diagram showing an example of a new customer registration form.

FIG. 8 is a diagram illustrating an example of an inquiry form.

FIG. 9 is a diagram illustrating an example of an examination form.

FIG. 10 is a diagram showing a flow in a case where a customer makes an inquiry or a health examination using the present system.

FIG. 11 is a diagram showing a flow in the case of performing an inquiry or a health examination from a screening organization using the present system.

FIG. 12 is a diagram showing a flow in a case where a health / medical consultation is provided to an online home doctor using the present system.

FIG. 13 is a diagram illustrating an example of a health / medical consultation form.

FIG. 14 is a diagram showing a flow when an actual medical institution uses the present system.

FIG. 15 is a schematic diagram showing the configuration of the present system when there is no online home doctor in FIG. 1;

FIG. 16 is a diagram showing a flow in which a customer makes a health / medical consultation using the present system when there is no online home doctor.

FIG. 17 is a diagram showing a flow of a process of performing a health / medical consultation when a customer does not register an online home doctor.

FIG. 18 is a diagram showing a configuration of insurance when the present system is operated using insurance.

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 1 Customer terminal 2 General physician terminal 3 Specialist physician terminal 4 Co-medical staff terminal 5 Information and office staff 6 Real medical institution terminal 7 Examination institution terminal 8 Health management server 9 Network 10 Doctor terminal 11, 21 CPU 12, 22 Storage device 13, 23 Memory 14, 24 Input device 15, 25 Display device 16, 26 Printing device 17, 27 Communication device 18, 28 Bus line 29 External storage device 41 Medical institution information table 42 Inquiry information table 43 Examination information table 44 Medical consultation information table 45 Medical consultation summary information table 46 Explanation / instruction table 47 General physician table 48 Specialist physician table 49 Information / clerical staff table 50 Co-medical staff table 51 Examination institution table 52 Actual medical institution table 61 Top screen 62, 63, Button 71 new registration form 72, 73, 74 button 91 interview form 101 medical examination form 111 health and medical consultation form

──────────────────────────────────────────────────続 き Continued on the front page (51) Int.Cl. ⁷ Identification symbol FI Theme coat ゛ (Reference) A61B 5/00 A61B 5/00 D

Claims (11)

[Claims] 1. A health / medical system capable of connecting a customer terminal of a customer, a general physician terminal of a general physician who provides health consultation or medical care of the customer on a network, and a health management server via a network. A management system, wherein the health management server is connected to a health / medical electronic medical record database for registering and managing the health and diagnosis information of the customer and the information of the general physician; An online home doctor registration means for selecting an online home doctor from the registered general practitioners and registering it in the health / medical electronic medical record database; and transmitting the information on health or diagnosis transmitted by the customer to the health / medical Cumulatively register in the electronic medical record database,
First management means for communicating between the terminal of the online home doctor and the health management server; and explanation / instruction information for the health or diagnosis of the customer created by the online home doctor, the health / medical electronic medical record A health / medical management system using a network, comprising: a second management unit that is cumulatively registered in a database and communicates between the customer terminal and the health management server. 2. A network in which a customer terminal of a customer, a general doctor terminal of a general doctor performing health consultation or medical care of the customer on the network, a specialist terminal of a specialist, and a health management server are connected to each other via a network. A health / medical management system capable of communicating information, wherein the health management server registers and manages health and diagnostic information of the customer and information of the general physician and the specialist.
Online home doctor registration connected to a medical electronic medical record database, wherein the customer selects an online home doctor from among the general practitioners registered in the health / medical electronic medical record database and registers it in the health / medical electronic medical record database Means, cumulatively registering information on the health or diagnosis transmitted by the customer in the health and medical electronic medical record database,
First management means for communicating between the terminal of the online home doctor and the health management server, and when the online home doctor wants to obtain the findings of another doctor, any or all of the general doctor terminals and Transmitting information on the health consultation or diagnosis of the customer to the specialist terminal, cumulatively registering finding information returned by the general physician and / or the specialist in the health / medical electronic medical record database; A second management means for communicating between a doctor's terminal and the health management server, and referring to the finding information when another doctor's finding is obtained, the customer created by the online home doctor Cumulatively register explanation / instruction information for health or diagnosis in the health / medical electronic medical record database,
A health / medical care system using a network, comprising: third management means for communicating between the customer terminal and the health management server. 3. A customer terminal of a customer, a general doctor terminal of a general physician who performs health consultation or diagnosis of the customer on a network, and a command terminal for organizing information between the customer and the general physician. A health / medical management system capable of mutually communicating information by connecting a co-medical staff terminal of a medical staff and a health management server via a network, wherein the health management server includes the customer health and diagnosis information and The customer is connected to a health / medical electronic medical record database for registering and managing general physician information, and the customer selects an online home doctor from the general physicians registered in the health / medical electronic medical record database, and Online home doctor registration means for registering in an electronic medical record database; All information is cumulatively registered in the health and medical electronic medical record database,
First management means for communicating between the co-medical staff terminal and the health management server; and summary information on the health or diagnosis of the customer created by the co-medical staff, the health / medical electronic medical record A second management means that is cumulatively registered in a database and communicates with the information on the health or diagnosis in a viewable manner from the terminal of the online home doctor; and for the health or diagnosis of the customer created by the online home doctor. A third management means for cumulatively registering explanation / instruction information in the health / medical electronic medical record database and communicating between the customer terminal and the health management server; Health and medical management system used. 4. A customer terminal of a customer, a general doctor terminal of a general doctor who performs health consultation or diagnosis of the customer on a network, a specialist terminal of a specialist, and communication between the customer and the general doctor. Co-medical staff terminal of co-medical staff to organize information,
A health / medical management system capable of mutually communicating information by connecting a health management server via a network, wherein the health management server registers and manages the health and diagnostic information of the customer and the information of the general physician and the specialist.・
Online home doctor registration connected to a medical electronic medical record database, wherein the customer selects an online home doctor from among the general practitioners registered in the health / medical electronic medical record database and registers it in the health / medical electronic medical record database Means, cumulatively registering information on the health or diagnosis transmitted by the customer in the health and medical electronic medical record database,
First management means for communicating between the co-medical staff terminal and the health management server; and summary information on the health or diagnosis of the customer created by the co-medical staff, the health / medical electronic medical record A second management means that is cumulatively registered in a database and communicates with the information on the health or diagnosis in a viewable manner from the terminal of the online home doctor, and when the online home doctor wants to obtain the findings of another doctor Transmitting information and / or summary information about the health consultation or diagnosis of the customer to the general physician terminal and the specialist physician terminal of any or all, and the finding information returned by the general physician and / or the specialist; Cumulatively registered in the health and medical electronic medical record database and checked from the terminal of the online home doctor Third management means to communicate as possible, if the findings of other physicians are obtained, referring to the finding information, explain / instruction information for the health or diagnosis of the customer created by the online home doctor Cumulatively registered in the health and medical electronic medical record database,
A health / medical management system using a network, comprising: fourth management means for communicating between the customer terminal and the health management server. 5. A health / medical management system which can connect a customer terminal of a customer, a general physician terminal of a general physician, and a health management server via a network and mutually communicate information, wherein the health management server comprises: It is connected to a health / medical electronic medical record database for registering and managing the customer's health and diagnosis information and the general physician information, and the health / medical diagnosis information transmitted by the customer is accumulated in the health / medical electronic medical record database. Register,
At that time, one general physician is selected from among the general physicians that meet the conditions set in advance, and information on the health or diagnosis transmitted by the customer between the general physician terminal and the health management server. First managing means for communicating, and cumulatively registering explanation / instruction information on the health or diagnosis of the customer created by the general physician in the health / medical electronic medical record database, the customer terminal and the health management server And a second management means for communicating with the healthcare and medical care system using a network. 6. A customer terminal of a customer, a general physician and / or
Or a doctor terminal having a specialist, a co-medical staff terminal having at least one doctor and having a co-medical staff for organizing information between the customer and the general physician and / or specialist, A health / medical care management system capable of connecting a health management server via a network and mutually communicating information, wherein the health management server registers and manages health and diagnostic information of the customer and information of the general physician and / or specialist. Connected to a health / medical electronic medical record database, cumulatively registering information on health or diagnosis transmitted by the customer in the health / medical electronic medical record database,
First management means for communicating information about the health or diagnosis transmitted by the customer between the co-medical staff terminal and the health management server, and the health of the customer created by the co-medical staff or Second management means for cumulatively registering summary information on diagnosis in the health / medical electronic medical record database and transmitting the customer's health and diagnosis information and the summary information to all or any of the doctor terminals; Cumulatively register the finding information on the customer's health and diagnosis information by the general physician and / or specialist in the health / medical electronic medical record database, and communicate between the co-medical staff terminal and the health management server. Explanation and instructions in which the co-medical staff organizes finding information for the customer And a fourth management means for cumulatively registering information in the health / medical electronic medical record database and communicating between the customer terminal and the health management server.・ Medical management system. 7. A terminal of a real medical institution which is further connected to a health / medical management system by a network, and when the customer needs to be examined at the real medical institution, Can access the health and medical electronic medical record database and view the health and diagnostic information and treatment method of the customer up to the present, and can cumulatively register the diagnosis results in the health and medical electronic medical record database. A health / medical care management system using a network according to any one of claims 1 to 6, comprising means. 8. A medical examination institution terminal provided by a medical examination institution performing a medical examination is further connected to the health / medical management system via a network, and the result of the medical examination received by the customer at the medical examination institution is stored in the health / medical electronic medical record database. A health / medical care management system using a network according to any one of claims 1 to 7, wherein registration is enabled. 9. A bank as a financial institution is further connected to the health / medical management system via a network, and a bank account of a customer who uses the health / medical management system is stored in the health / medical management system.
The medical electronic medical chart database is registered, and each time a user uses the present system or at regular intervals, the usage fee is settled from the customer's deposit account to the administrator's deposit account of the present system. 8. A health / medical care management system using the network according to any one of 8. 10. A bank and an insurance company as a financial institution are further connected to the health / medical management system via a network, and the insurance company uses existing medical insurance and fixed-term insurance from a bank account held by a customer who uses the system. Insurance and non-life insurance and other insurance products are subject to insurance premiums attached to the special use of this system, and if a customer who uses this system becomes eligible for insurance payments such as hospitalization, A part of the cost paid is paid to the customer as a benefit or insurance money from the insurance premium, and the cost related to the operation of the general doctor, the specialist, and the co-medical staff registered in the system is, 9. The system according to claim 1, wherein the special contract amount collected from a customer who uses the system is paid to a bank account of a manager of the system. Health and medical management system using a network according to any one of claims. 11. The information according to claim 1, wherein the information on the health or diagnosis of the customer is any of inquiry information, examination information as a result of a health examination, consultation on health, or a report on a medical condition. A health / medical care management system using the network according to claim 1.