JP2002245162A - System/method/program for providing medical service and recording medium with the program recorded thereon - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a system/method/program for providing medical services and a recording medium with the program recorded thereon, which improves the efficiency, speed and properness of a medical job by realizing the electronic transmission of prescriptions by the introduction of a paper prescription ID recorded in an electronized consultation card in place of a paper prescription and electronizing a medical service job including the reservation of a consultation. SOLUTION: A hospital terminal 11 receives the issuing request of the IC consultation card 23 of a patient. The patient management server 12 of a medical institution issues an IC consultation card 23 with a patient ID recorded thereon in response to the issuing request of the card 23 and registers and manages it based on the patient ID. The terminal 11 accepts the card 23 of the patient and receives the reservation of the consultation, reserving situation confirmation, the change of the reservation and a request for a consultation from the patient. The server 12 receives the reservation of the consultation, reserving situation confirmation, the change of the reservation and the request for a consultation from the patient from the patient and performs respective processing.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention provides a medical service in which a patient receives medical treatment at a medical institution such as a hospital and the patient receives a drug based on a prescription issued from the medical treatment result from a pharmacy. The present invention relates to a system and method, a medical service providing program, and a recording medium on which the program is recorded.

[0002]

2. Description of the Related Art A conventional medical service flow will be described with reference to FIGS. As shown in FIG. 7, the patient 1 makes a medical appointment reservation with a medical institution 4 such as a hospital using a consultation ticket 2 or a telephone, and then goes to the hospital (step S81 in FIG. 8). Then, the doctor 5 is examined (step S82). Then, the patient 1 receives medical treatment by the doctor 5 or a nurse (step S83), and then receives a prescription written on paper from the medical institution 1 (step S84).

The patient 1 brings the prescription to the dispensing pharmacy 6 and submits it (steps S85 and S86). Dispensing pharmacy 6
After receiving the prescription from the patient 1, the pharmacist 7 prepares a dispensing medicine by dispensing the medicine based on the prescription (step S87), and after explaining the usage and efficacy of the prepared dispensing medicine to the patient 1, This dispensing medicine is delivered to the patient 1 (step S88).

[0004] That is, in the conventional medical practice, as described above, as a result of the division of medicine, patients bring a prescription issued by a medical institution as a result of medical treatment by a doctor in a medical institution to a pharmacy to receive the medicine. However, the prescription in this case is paper, and the prescription is described in characters.

[0005]

As described above, in the conventional medical practice, as a result of the division of medicine, patients bring a prescription issued from a medical institution to a pharmacy to receive the medicine. In this case, since the prescription is paper and the description is made in characters, the problems shown in Table 1 below occur.

[0006]

[Table 1] As shown in Table 1, the issues of the division of medicine include:
For example, incorrect dispensing of medicines, falsification of prescriptions written on paper, loss of prescriptions, lack of explanation of medicinal effects, delay in business processing, lack of pharmacist qualification, lack of care after dispensing medicines, etc. The main causes of the three problems are that the prescription is made of paper, the patient brings the prescription, and the description is text (data).
In addition, the main causes of the following two issues are lack of human resources and complicated processing, and the main causes of the last two issues are the unclear assignment of responsibilities of medical work from the viewpoint of patients. There are.

[0007] The typical results envisioned by the above-mentioned problems are as follows.
Drug fouling from prescription falsification, drug leakage from loss of prescription, personal injury or death or injury due to insufficient explanation of medicinal effects, worsening of symptoms from delays in administrative work, blind treatment of patients if pharmacist qualification is not confirmed Insufficient care after dispensing may increase patient anxiety.

[0008] That is, in the conventional medical practice, as a result of the division of medicine, patients bring a prescription issued from a medical institution to a pharmacy and receive the medicine. In this case, the prescription is paper and Because the description of the prescription is written in text, there is a mistake in dispensing medicines and mistakes at the time of dispensing, and also because the patient brings the prescription from the hospital to the pharmacy,
There are also problems with missing prescriptions and in some cases leaking patient privacy. In addition, color copies of prescriptions can lead to aggressive drug abuse.

[0009] Further, in order to compensate for the shortage of human resources at medical institutions and pharmacies and the loss due to the division of medical services, the processes are complicated, such as duplication of processing, and errors due to these factors may occur, and in some cases, the medicinal effects on patients may be reduced. There is a problem that insufficient explanation of the function or usage may occur, or that the patient's symptoms may be worsened due to a delay in paperwork.

[0010] Further, since the boundaries of the division of medical services from the viewpoint of the patient are unknown, the patient is forced to make a decision as to whether to consult a hospital or a pharmacy, or the patient must be qualified for a doctor. However, pharmacists at pharmacies have few points of contact with patients and hospitals, so there is no mechanism to build a relationship of trust after confirming qualifications. ing.

For the above-mentioned conventional problems, there are demands for basic countermeasures as shown in Table 2 below, for example.

[0012]

[Table 2] The present invention has been made in view of the above, and an object of the present invention is to enable electronic transmission of a prescription by introducing a prescription ID recorded on an electronic consultation ticket instead of a paper prescription, and to make a medical appointment reservation. Electronic medical service operations, including
It is an object of the present invention to provide a medical service providing system and method, a medical service providing program, and a recording medium on which the program is recorded, which aims to improve the efficiency, speed, and accuracy of medical work.

[0013]

In order to achieve the above object, according to the present invention, when a patient receives a medical treatment at a medical institution, a process including issuing an electronic medical consultation ticket to the patient and including medical treatment appointment is performed. An electronic medical service providing system, which is provided in a medical institution and receives a request for issuing a patient's computerized medical examination ticket together with patient information and accepts the computerized medical examination ticket issued to the patient based on the request. A medical institution terminal that accepts medical appointment, appointment status confirmation, appointment change, medical application, and a medical institution connected to this medical institution terminal and provided in a medical institution. Receiving and giving patient I
D and issues control to issue a digitized consultation ticket in which the patient ID is recorded to the patient, and registers and manages the patient information and the digitized consultation ticket based on the patient ID. The gist of the present invention is to have a patient management server that receives a reservation status check, a reservation change, and a medical treatment application from a medical institution terminal and performs each process.

According to the first aspect of the present invention, the medical institution terminal accepts a request for issuing an electronic consultation ticket for a patient, the patient management server of the medical institution receives the request for issuing an electronic consultation ticket, Issue the recorded electronic consultation ticket to the patient, register and manage the patient information and the electronic consultation ticket based on the patient ID, and the medical institution terminal accepts the patient's electronic consultation ticket, and makes a medical treatment reservation from the patient The patient management server accepts status confirmation, appointment change, and medical treatment application. By using an electronic consultation ticket instead, it is possible to prevent tampering with prescriptions, leakage of privacy, and movement of prescriptions, which occur in the past, and it is troublesome for patients to visit medical institutions one by one. Even without the door, home from appointments, booking confirmation, reservation change, so can be easily carried out the processing of medical application, and the like.

According to a second aspect of the present invention, there is provided a medical service in which a patient receives medical treatment at a medical institution and the patient receives a drug based on a prescription issued from the medical treatment result from a pharmacy. System
Provided in a medical institution, receives medical treatment information and prescription information related to medical treatment performed by a doctor for a patient,
A prescription ID is assigned to the prescription information, and the prescription ID is
And a treatment management server that manages the prescription information and the medical treatment information, and controls the prescription ID to be recorded on the patient's digitized consultation ticket. A pharmacy terminal that accepts the consultation ticket, and is connected to the pharmacy terminal and provided at the pharmacy,
The prescription ID recorded in the electronic consultation ticket of the patient received at the pharmacy terminal is received together with the patient information, and a request for the prescription information specified by the prescription ID is transmitted to the treatment management server via a network, and the request is transmitted. Receiving the prescription information transmitted from the treatment management server, registering and managing the prescription information together with the patient information and the prescription ID, and displaying the prescription information on the pharmacy terminal so that the pharmacist of the pharmacy can prepare a dispensing medicine according to the prescription information. The gist is to have a prescription management server to control.

According to the second aspect of the present invention, the treatment management server of the medical institution receives medical treatment information and prescription information from a doctor, assigns a prescription ID to the prescription information, manages the information, and stores the prescription ID of the patient. Recorded in the electronic consultation ticket, the pharmacy terminal accepts the electronic consultation ticket in which the prescription ID is recorded, and the prescription management server of the pharmacy receives the prescription ID recorded in the patient's electronic consultation ticket from the pharmacy terminal. The prescription information specified by the prescription ID is received from the treatment management server of the medical institution, registered and managed together with the patient information and the prescription ID, and the control is performed so that the prescription information is displayed on the pharmacy terminal. There is no need to bring a prescription written in letters to the pharmacy, only the electronic consultation ticket with the prescription ID recorded. Lost or prescription of the paper is as, or leak patient privacy, there is no possibility that prescription is tampered with.

Further, the present invention according to claim 3 provides the invention according to claim 2
In the described invention, a patient terminal provided to be operated by a patient, accepts an electronic consultation ticket inserted by the patient, and converts patient information and a prescription ID recorded in the electronic consultation ticket from the patient. The prescription information is transmitted to the prescription management server of the pharmacy via the network together with the prescription information request, and the prescription information returned from the prescription management server in response to the request is received and displayed. A patient terminal that transmits a request for information or a question to the prescription management server via a network, and receives and displays an answer to the request or question, wherein the prescription management server includes:
A prescription information request transmitted from the patient terminal via the network is received together with the patient information and the prescription ID, and in response to the request, the patient information and the prescription I
A prescription information returning means for returning prescription information registered and managed together with D to the patient terminal via the network, and receiving a request or a question of desired information transmitted from the patient terminal with respect to the returned prescription information, It is a gist of the present invention to further include an answer returning means for returning an answer prepared by the pharmacy terminal to the request or question to the patient terminal via the network.

According to the third aspect of the present invention, the patient terminal accepts the patient's electronic consultation ticket, transmits the prescription ID recorded on the computerized consultation ticket to the prescription management server of the pharmacy, and sends the request. The prescription information returned to the user is displayed, an information request or question for the displayed prescription information is transmitted to the prescription management server, the answer is received and displayed, and the prescription management server requests the prescription information from the patient terminal. In response to this request, return the prescription information to the patient terminal, receive an information request or question from the patient terminal for this prescription information, and return the answer to the patient terminal, for example, when taking a dispensing drug Patients can easily ask questions about the method of taking the drug, the efficacy of the drug, and the like from home.

According to a fourth aspect of the present invention, there is provided a patient terminal provided to be operated by a patient according to the first aspect of the present invention, wherein the terminal receives an electronic consultation ticket inserted by a patient, and A reservation status confirmation request or a reservation change request from the patient is transmitted to the patient management server of the medical institution via the network together with the patient information recorded on the ticket, and the reservation returned from the patient management server in response to this request. A patient terminal for displaying and confirming the status, and transmitting a reservation change request for this reservation status together with the details of the reservation change to the patient management server via the network if necessary, wherein the patient management server transmits the network from the patient terminal to the patient management server; Received a reservation status confirmation request or reservation change request transmitted via Reservation information transmitting means for transmitting medical treatment reservation information to a patient terminal via a network; receiving a reservation change request returned from the patient terminal for the transmitted medical reservation information together with the reservation change content; And a reservation changing means for changing the reservation state of the patient based on the above.

According to the fourth aspect of the present invention, the patient terminal accepts the patient's electronic consultation ticket, transmits a reservation status confirmation request or a reservation change request from the patient to the patient management server of the medical institution, and Confirming the reservation status returned for the request, transmitting a reservation change request to the patient management server if necessary, the patient management server transmitting the patient's medical treatment reservation information to the patient terminal in response to the request from the patient terminal, Since the patient's reservation status is changed from the patient terminal for the reservation information based on the reservation change request, the patient can easily confirm or change the reservation even from the patient terminal at home.

Further, the present invention described in claim 5 is the same as claim 3.
In the invention described, the physician who treats the patient is provided so as to be operable, and further has a doctor terminal for inputting medical treatment information and prescription information and answering a question from the terminal, wherein the patient terminal is a patient terminal. The electronic consultation ticket is accepted, and a question about the patient's own medical treatment or prescription information is transmitted to the doctor terminal of the medical institution via the network together with the patient information and the prescription ID recorded in the electronic consultation ticket. The gist of the present invention is to further include answer display means for receiving and displaying an answer returned from the doctor terminal via the network.

According to the fifth aspect of the present invention, the patient terminal accepts the patient's electronic consultation ticket, transmits a question regarding medical treatment or prescription information from the patient to the doctor terminal of the medical institution, Since the answer entered by the doctor in response to the question from the patient terminal is returned to the patient terminal, the patient can easily ask the doctor about the medical treatment or prescription information from the patient terminal at home and obtain an answer. .

Further, the present invention according to claim 6 is a medical service providing method in which when a patient receives a medical treatment at a medical institution, an electronic medical consultation ticket is issued to the patient, and a process including medical treatment reservation is digitized. The medical institution terminal provided in the medical institution accepts a request for issuing an electronic consultation ticket of the patient together with the patient information, and the patient management server provided in the medical institution transmits the electronic consultation ticket issuance request from the medical institution terminal together with the patient information. Receiving, issuing a patient ID to the patient, controlling to issue an electronic consultation ticket on which the patient ID is recorded to the patient, registering and managing the patient information and the electronic consultation ticket based on the patient ID, and The terminal accepted the digitized medical consultation ticket from the patient, accepted the medical treatment appointment from the patient, confirmed the appointment status, changed the appointment, and applied for the medical treatment. The patient management server accepted the medical institution terminal. Appointments, reservation status confirmation from the person,
The gist of the present invention is to change the appointment and receive the medical treatment application from the medical institution terminal and perform each process.

According to the sixth aspect of the present invention, the medical institution terminal accepts a request for issuing an electronic consultation ticket for a patient, the patient management server of the medical institution receives the request for issuing an electronic consultation ticket, and Issue the recorded electronic consultation ticket to the patient, register and manage the patient information and the electronic consultation ticket based on the patient ID, and the medical institution terminal accepts the patient's electronic consultation ticket and makes a medical treatment reservation and reservation from the patient The patient management server accepts status confirmation, appointment change, and medical treatment application.The patient management server receives the medical treatment appointment, appointment status confirmation, appointment change, and medical treatment application from the patient, and performs each process. By using an electronic consultation ticket instead, it is possible to prevent tampering with prescriptions, leakage of privacy, and movement of prescriptions, which can occur in the past, and patients can also make reservations and other processes from home. To become.

The present invention according to claim 7 is a medical service providing method in which a patient receives medical treatment at a medical institution and the patient receives a drug based on a prescription issued from the result of the medical treatment from a pharmacy. The treatment management server provided in the medical institution receives medical treatment information and prescription information on medical treatment performed by a doctor on a patient, assigns a prescription ID to the prescription information, and uses the prescription ID to store the prescription information and In addition to managing the medical treatment information, the prescription ID is controlled so as to be recorded in the patient's electronic medical examination ticket, and the pharmacy terminal provided in the pharmacy receives the electronic medical examination ticket in which the patient's prescription ID is recorded. The prescription management server connected to the pharmacy terminal and provided at the pharmacy stores the prescription I recorded in the patient's digitized medical examination ticket received at the pharmacy terminal. Together with the patient information, transmits a request for the prescription information specified by the prescription ID to the treatment management server via a network, receives the prescription information transmitted from the treatment management server in response to this request, and receives the patient information and The gist is that registration and management are performed together with the prescription ID, and control is performed so that the prescription information is displayed on the pharmacy terminal so that the pharmacist of the pharmacy can create a dispensed medicine according to the prescription information.

According to the present invention, the treatment management server of the medical institution receives the medical treatment information and the prescription information from the doctor, assigns the prescription ID to the prescription information, manages the prescription ID, and stores the prescription ID of the patient. Recorded in the electronic consultation ticket, the pharmacy terminal accepts the electronic consultation ticket in which the prescription ID is recorded, and the prescription management server of the pharmacy receives the prescription ID recorded in the patient's electronic consultation ticket from the pharmacy terminal. The prescription information specified by the prescription ID is received from the treatment management server of the medical institution, registered and managed together with the patient information and the prescription ID, and the control is performed so that the prescription information is displayed on the pharmacy terminal. It is not necessary to bring a prescription written in letters to the pharmacy, but only the computerized consultation ticket with the prescription ID recorded. Lost or prescription of the paper is as, or leak patient privacy, there is no possibility that prescription is tampered with.

The present invention according to claim 8 provides the present invention according to claim 7.
In the described invention, the patient terminal accepts the digitized medical examination ticket inserted by the patient, and the patient information and the prescription ID recorded on the digitized medical examination ticket together with the prescription information request from the patient are transmitted to the pharmacy via a network. It transmits to the prescription management server, receives and displays the prescription information returned from the prescription management server in response to this request, and requests the requested information or question for the displayed patient's own prescription information via the network. The prescription management server receives a prescription information request transmitted from the patient terminal via the network together with the patient information and the prescription ID, and transmits the prescription information request to the server. Prescription information registered and managed together with patient information and prescription ID Via the network, receives a request or question for desired information transmitted from the patient terminal in response to the returned prescription information, and sends a response created by the pharmacy terminal to the request or question on the network. The main point is to reply to the patient terminal via.

According to the present invention described in claim 8, the patient terminal accepts the patient's electronic medical examination ticket, transmits the prescription ID recorded in the electronic medical examination ticket to the prescription management server of the pharmacy, and makes the request. The prescription information returned to the user is displayed, an information request or question for the displayed prescription information is transmitted to the prescription management server, the answer is received and displayed, and the prescription management server requests the prescription information from the patient terminal. In response to this request, return the prescription information to the patient terminal, receive an information request or question from the patient terminal for this prescription information, and return the answer to the patient terminal, for example, when taking a dispensing drug Patients can easily ask questions about the method of taking the drug, the efficacy of the drug, and the like from home.

Further, the present invention described in claim 9 provides the present invention in claim 6.
In the described invention, the patient terminal accepts an electronic consultation ticket inserted by the patient, and sends a reservation status confirmation request or a reservation change request from the patient together with the patient information recorded in the electronic consultation ticket via the network. The request is sent to the patient management server of the institution, and the reservation status returned from the patient management server in response to this request is displayed and confirmed. If necessary, a reservation change request for this reservation status is sent together with the reservation change content via the network. The request is transmitted to the patient management server, and the patient management server receives a reservation status confirmation request or a reservation change request transmitted from the patient terminal via the network, and responds to this request to the patient's medical treatment reservation information managed by itself. Is transmitted to the patient terminal via the network, and the transmitted medical appointment information is returned from the patient terminal. Receive about change request with reservation changes, and purport to change the reservation status of the patient on the basis of the reservation changes.

According to the ninth aspect of the present invention, the patient terminal accepts the patient's digitized medical examination ticket and transmits a reservation status confirmation request or a reservation change request from the patient to the patient management server of the medical institution. Confirming the reservation status returned for the request, transmitting a reservation change request to the patient management server if necessary, the patient management server transmitting the patient's medical treatment reservation information to the patient terminal in response to the request from the patient terminal, Since the patient's reservation status is changed from the patient terminal for the reservation information based on the reservation change request, the patient can easily confirm or change the reservation even from the patient terminal at home.

According to a tenth aspect of the present invention, the patient terminal accepts the patient's electronic medical examination ticket, and inquires about the patient's own medical treatment or prescription information together with the patient information and the prescription ID recorded on the electronic medical examination ticket. To the doctor terminal of the medical institution via the network, the doctor terminal receives the question from the patient terminal via the network,
The gist of the present invention is to return an answer input from the doctor to this question to the patient terminal via the network, and the patient terminal receives and displays the answer returned from the doctor terminal via the network.

According to the tenth aspect of the present invention, the patient terminal accepts the patient's electronic consultation ticket, transmits a question regarding medical treatment or prescription information from the patient to the doctor terminal of the medical institution, Since the answer entered by the doctor in response to the question from the patient terminal is returned to the patient terminal, the patient can easily ask the doctor about the medical treatment or prescription information from the patient terminal at home and obtain an answer. .

The present invention according to claim 11 is a medical service providing program in which when a patient receives a medical treatment at a medical institution, a computerized medical treatment ticket is issued to the patient, and a process including a medical appointment is digitized. A medical institution terminal provided at a medical institution accepts a request for issuance of a patient's electronic medical examination ticket together with patient information, accepts the electronic medical examination ticket issued to the patient based on this request, and makes a medical appointment from the patient. Receiving a reservation status confirmation, appointment change, and a medical treatment application, and in a patient management server connected to the medical institution terminal and provided in the medical institution, receives a digitized medical examination ticket issuance request together with patient information from the medical institution terminal. , Patient I
D and issues control to issue a digitized consultation ticket in which the patient ID is recorded to the patient, and registers and manages the patient information and the digitized consultation ticket based on the patient ID. The gist of the present invention is to receive a reservation status confirmation, a reservation change, and a medical treatment application from a medical institution terminal and execute each process.

According to the eleventh aspect of the present invention, the medical institution terminal accepts a request for issuing a patient's electronic medical examination ticket,
The patient management server of the medical institution receives the electronic consultation ticket issuance request, issues the electronic consultation ticket in which the patient ID is recorded to the patient, registers and manages the patient information and the electronic consultation ticket based on the patient ID, and The terminal accepts the patient's digitized consultation ticket, accepts medical appointment reservations, reservation status confirmation, reservation change, and medical application from the patient, and the patient management server accepts patient medical appointment, reservation status confirmation, reservation change, and medical application By using an electronic consultation ticket instead of a conventional paper consultation ticket to receive and perform each process, it is possible to prevent tampering with prescriptions, leakage of privacy, and movement of prescriptions, which occur in the past. At the same time, the patient can perform processing such as reservation even from home.

Further, according to the present invention, there is provided a medical service in which a patient receives a medical treatment at a medical institution and the patient receives from the pharmacy a medicine based on a prescription issued based on the medical treatment result. The program is a treatment management server provided in a medical institution, which receives medical treatment information and prescription information relating to medical treatment performed by a doctor on a patient, assigns a prescription ID to the prescription information, And manages the prescription information and the medical treatment information, and controls the prescription ID to be recorded on the patient's digitized medical examination ticket, and the pharmacy terminal provided at the pharmacy stores the patient's prescription ID recorded on the digitized medical examination. The voucher is accepted and connected to this pharmacy terminal. In the prescription management server provided in the pharmacy, the patient accepted at the pharmacy terminal is digitized. The prescription ID recorded on the ticket is received together with the patient information, a request for the prescription information specified by the prescription ID is transmitted to the treatment management server via a network, and the request is transmitted from the treatment management server to the request. The main point is that the prescription information is received, registered and managed together with the patient information and the prescription ID, and the prescription information is controlled to be displayed on the pharmacy terminal so that the pharmacist of the pharmacy can prepare the dispensing medicine according to the prescription information.

According to the twelfth aspect of the present invention, the treatment management server of the medical institution receives medical treatment information and prescription information from a doctor, assigns a prescription ID to the prescription information, manages the information, and stores the prescription ID of the patient. Recorded in the electronic consultation ticket, the pharmacy terminal accepts the electronic consultation ticket in which the prescription ID is recorded, and the prescription management server of the pharmacy receives the prescription ID recorded in the patient's electronic consultation ticket from the pharmacy terminal. The prescription information specified by the prescription ID is received from the treatment management server of the medical institution, registered and managed together with the patient information and the prescription ID, and the control is performed so that the prescription information is displayed on the pharmacy terminal. There is no need to bring a prescription written in text to the pharmacy, just bring an electronic consultation ticket with the prescription ID recorded, Lost or prescription of the paper is as come, or leak patient privacy, there is no possibility that prescription is tampered with.

According to a thirteenth aspect of the present invention, in the twelfth aspect of the present invention, the patient terminal accepts an electronic consultation ticket inserted by a patient, and a patient recorded in the electronic consultation ticket. The information and the prescription ID are transmitted to the prescription management server of the pharmacy via the network together with the prescription information request from the patient, and the prescription information returned from the prescription management server in response to this request is received and displayed. The request or question of the desired information for the patient's own prescription information is transmitted to the prescription management server via the network, the answer to this request or question is received and displayed, and the prescription management server transmits the network from the patient terminal. Receiving the prescription information request transmitted via the PC together with the patient information and the prescription ID, and automatically responding to this request. Returning the prescription information registered and managed together with the patient information and the prescription ID to the patient terminal via the network, receiving a request or a request for desired information transmitted from the patient terminal with respect to the returned prescription information, The gist is to reply to the patient terminal via the network with an answer prepared by the pharmacy terminal in response to this request or question.

According to the thirteenth aspect of the present invention, the patient terminal accepts the electronic consultation ticket of the patient, transmits the prescription ID recorded in the electronic consultation ticket to the prescription management server of the pharmacy, and transmits the request. The prescription information returned to the user is displayed, an information request or question for the displayed prescription information is transmitted to the prescription management server, the answer is received and displayed, and the prescription management server requests the prescription information from the patient terminal. In response to this request, return the prescription information to the patient terminal, receive an information request or question from the patient terminal for this prescription information, and return the answer to the patient terminal, for example, when taking a dispensing drug Patients can easily ask questions about the method of taking the drug, the efficacy of the drug, and the like from home.

According to a fourteenth aspect of the present invention, a medical service providing program in which a process including a medical appointment is digitized by issuing an electronic consultation ticket to a patient when the patient receives medical treatment at a medical institution. As a medium, a medical institution terminal provided in a medical institution accepts a request for issuance of an electronic consultation ticket of a patient together with patient information, and accepts an electronic consultation ticket issued to a patient based on this request. The patient management server provided at the medical institution connected to the medical institution terminal receives a medical appointment, appointment status confirmation, appointment change, and a medical application from the patient. An issuance request is received together with the patient information, a patient ID is issued to the patient, and an electronic consultation ticket in which the patient ID is recorded is controlled to be issued to the patient. Patient information based registers manage electronic consultation ticket, also appointments from the patient, confirming reservation status, reservation change, and be required to perform the respective receive and process medical application from the medical institution terminal.

According to the present invention, the medical institution terminal accepts a request for issuing a patient's electronic consultation ticket,
The patient management server of the medical institution receives the electronic consultation ticket issuance request, issues the electronic consultation ticket in which the patient ID is recorded to the patient, registers and manages the patient information and the electronic consultation ticket based on the patient ID, and The terminal accepts the patient's digitized consultation ticket, accepts medical appointment reservations, reservation status confirmation, reservation change, and medical application from the patient, and the patient management server accepts patient medical appointment, reservation status confirmation, reservation change, and medical application Since the medical service providing program that receives and performs each process is recorded on the recording medium, the distribution can be improved by using the recording medium.

Further, according to the present invention, there is provided a medical service in which a patient receives a medical treatment at a medical institution and the patient receives from the pharmacy a medicine based on a prescription issued based on the medical treatment result. A recording medium on which a program is recorded, wherein a treatment management server provided at a medical institution receives medical treatment information and prescription information relating to medical treatment performed by a doctor on a patient, and assigns a prescription ID to the prescription information. Assigning and managing the prescription information and the medical treatment information with the prescription ID,
The prescription ID is controlled to be recorded on the patient's digitized consultation ticket, and the pharmacy terminal provided at the pharmacy stores the patient's prescription ID.
The prescription ID recorded in the patient's digitized medical examination ticket received at the pharmacy terminal is received by the patient at the prescription management server provided at the pharmacy connected to this pharmacy terminal. Receiving the prescription information specified by the prescription ID via the network to the treatment management server, receiving the prescription information transmitted from the treatment management server in response to the request, and receiving the patient information and the prescription ID. The gist is that registration and management are performed together with the prescription information so that the prescription information is displayed on the pharmacy terminal so that the pharmacist of the pharmacy can prepare a dispensing medicine in accordance with the prescription information.

According to the fifteenth aspect of the present invention, the treatment management server of the medical institution receives medical treatment information and prescription information from a doctor, assigns a prescription ID to the prescription information, manages the information, and stores the prescription ID of the patient. Recorded in the electronic consultation ticket, the pharmacy terminal accepts the electronic consultation ticket in which the prescription ID is recorded, and the prescription management server of the pharmacy receives the prescription ID recorded in the patient's electronic consultation ticket from the pharmacy terminal. The prescription information specified by the prescription ID is received from the treatment processing server of the medical institution, registered and managed together with the patient information and the prescription ID, and a medical service providing program for controlling the prescription information to be displayed on the pharmacy terminal is recorded on a recording medium. Therefore, the distribution of the recording medium can be improved by using the recording medium.

[0043]

Embodiments of the present invention will be described below with reference to the drawings. FIG. 1 is a diagram showing an overall configuration of a medical service providing system according to an embodiment of the present invention. As shown in FIG. 1, a patient 1 is an IC consultation ticket 2 which is an electronic consultation ticket such as an IC card issued by a medical institution 4 instead of a conventional consultation ticket made of paper or the like.
The patient can carry a medical treatment at the medical institution 4 with the IC consultation ticket 23, make an appointment, receive prescription information, and further include a patient terminal 30 in the patient home 3. And this patient terminal 30
Access the medical institution 4 via the Internet from
It is possible to make a medical appointment, make an appointment confirmation, make a question about medical treatment and prescription information, and the like.

The medical institution 4 is provided with a patient management server 12 for performing patient management, appointment management, medical business processing, accounting, and the like, and a treatment management server 13 for managing medical treatment information and prescription information for patients. Further, a hospital terminal 1 which is a medical institution terminal used by the patient 1 or the like who has visited the medical institution 4 for medical treatment application, appointment, etc.
1 is provided. That is, the patient 1 who comes to the medical institution 4 inserts his / her own IC consultation ticket 23 into the hospital terminal 11 and makes a medical application or the like.

Further, the doctor 5 of the medical institution 4 provides the doctor 5 with answers to the input of medical treatment information and questions from patients.
There is provided a doctor terminal 10 which is used by the doctor 5 to perform the operation. That is, the doctor terminal 10 is used when the doctor 5 registers a medical record, medical treatment information, prescription information, and the like in the patient management server 12 and the treatment management server 13. The doctor terminal 10, the hospital terminal 11, the patient management server 12, and the treatment management server 13 are electrically connected to each other via, for example, a LAN or the like, and further connected to the patient terminal 30 via the Internet.

The dispensing pharmacy 6 is provided with a pharmacy terminal 20 operated by the pharmacist 7, the patient 1, and the like, and a prescription management server 21 connected to the pharmacy terminal 20. The prescription management server 21 is connected via the Internet. Connected to the patient management server 12, the treatment management server 13, and the patient terminal 30 of the medical institution 4, and manages the prescription information of the patient. The pharmacy terminal 20 allows the patient 1 who has come to the dispensing pharmacy 6 to insert his / her own IC consultation ticket 23, and reads patient information and a prescription ID described later from the inserted IC consultation ticket 23, The prescription information corresponding to the prescription ID is transmitted to the medical institution 4 via the Internet.
And the obtained prescription information is registered and managed by the prescription management server 21 together with the prescription ID.

Next, the flow of information in the medical service providing system configured as shown in FIG. 1 will be described with reference to FIG. As shown in FIG. 2, the medical institution 4 and the dispensing pharmacy 6 are provided with an in-hospital communication server 14 and an in-pharmacy communication server 22, respectively.
The hospital terminal 11, the patient management server 12, the treatment management server 13, the doctor terminal 10 and the pharmacy terminal 20 of the dispensing pharmacy 6, and the prescription management server 21 are connected via the in-hospital communication server 14, the Internet 35, and the in-pharmacy communication server 22. In addition to being connected to each other, each device of the medical institution 4 and each device of the dispensing pharmacy 6 are connected to the patient terminal 30 via a communication server and the Internet 35. It should be noted that the access permission via the Internet can be obtained by inserting the IC consultation ticket 23 into the patient terminal 30 in the case of a patient, and by entering the pharmacy ID into the pharmacy terminal 20 in the case of the pharmacist 7.
Confirmation of identity and qualification is performed by inputting the information in the form. Note that such processing can be performed without complicated input according to the guidance of the processing procedure, for example, even for the elderly or patients who are not familiar with information equipment.

Referring to FIG. 2, the flow of information in the medical service providing system will be described. Between the medical institution 4 and the dispensing pharmacy 6, there is a request from the dispensing pharmacy 6 to the medical institution 4 for the transfer of the qualification ID of the dispensing pharmacy 6 and the pharmacist 7 and the transfer of the prescription ID and the prescription data (process 1). Also, there is transfer of electronic data such as a prescription ID and its contents from the processing organization 4 to the dispensing pharmacy 6 (processing 2). Between the dispensing pharmacy 6 and the patient 1, there is a transfer of a prescription ID and an inquiry or a question information request from the patient terminal 30 to the dispensing pharmacy 6 (process 3).
, There is an answer to the question (process 4). Further, between the patient 1 and the medical institution 4, there is the data of the IC consultation ticket 23, a reservation application, an inquiry information request, etc. from the patient terminal 30 to the medical institution 4 (processing 5). For the patient terminal 30, there are a reservation response, a response to an inquiry, and the like.

More specifically, the present embodiment shown in FIGS.
The medical service providing system according to the embodiment will be described.
And the hospital terminal 11 of the medical institution 4
23 issuance requests such as patient name, address, phone number,
Accept with patient information such as complaint, insurance card number
And the issuance request together with the patient information and the patient management server 1
Feed to 2. The patient management server 12 responds to this issuance request
In response, a patient ID is issued to patient 1, and this patient I
Issue IC consultation ticket 23 with D recorded to patient 1
Is controlled. The IC consultation ticket 23 includes the above
Is issued to patient 1, as its initial state
In addition to recording the patient ID, the IC consultation ticket 23
Management server 12, treatment management server 13, prescription management server
The key for mutual authentication with the server 21 etc. is also recorded.
Swelling. And, in using IC consultation ticket 23
As described later, the prescription ID, reservation information, etc.
It is to be recorded.

The hospital terminal 11 accepts the IC consultation ticket 23 issued to the patient in this way, and accepts a medical treatment reservation, a reservation change, and a medical treatment application from the patient.

The patient management server 12 registers and manages the patient information and the IC consultation ticket 23 based on the patient ID.
It accepts and manages medical appointments, change appointments, apply for medical treatment, and confirm appointment status.

The treatment management server 13 of the medical institution 4 receives the medical treatment information on the medical treatment performed by the doctor 5 on the patient from the doctor terminal 10, assigns a prescription ID to the prescription information for this medical treatment, and And the prescription ID is controlled so that the prescription ID is recorded on the IC consultation ticket 23 of the patient at the doctor terminal 10 or the hospital terminal 11.

The contents of the prescription information specified by the prescription ID are dispensed at the dispensing pharmacy 6 such as the dispensing information such as the name of the medicine, the dosage, and the taking conditions, the name of the patient, and the name of the medical institution. Information necessary for patient confirmation at the time of delivery is included.

The pharmacy terminal 20 of the dispensing pharmacy 6 accepts the IC consultation ticket 23 of the patient 1 in which the prescription ID is recorded as described above, and writes the prescription ID recorded in the accepted IC consultation ticket 23 together with the patient ID. It is read and supplied to the prescription management server 21.

The prescription management server 21 of the dispensing pharmacy 6 receives the prescription ID recorded on the IC consultation ticket 23 received by the pharmacy terminal 20 together with the patient ID, and sends a request for prescription information specified by the prescription ID to the Internet 3.
5 to the treatment management server 13 of the medical institution 4 via
The prescription information transmitted from the treatment management server 13 in response to the request is received, registered and managed together with the patient ID and the prescription ID, and the prescription information is displayed on the pharmacy terminal 20 so that the pharmacist 7 of the pharmacy can create the prescription information according to the prescription information. Control.

Further, the patient terminal 30 of the patient 1 receives the IC consultation ticket 23 inserted by the patient 1, and
Patient ID and prescription ID recorded on consultation ticket 23
Is transmitted to the prescription management server 21 of the dispensing pharmacy 6 via the network together with the prescription information request, receives and displays the prescription information returned from the prescription management server 21 in response to this request, and displays the displayed patient's own A request for desired information for the prescription information and a question about the method of taking the medicine and the effect are transmitted to the prescription management server 21 via the Internet 35, and an answer to the request or the question is received and displayed.

Then, the prescription management server 2 of the dispensing pharmacy 6
1 receives a prescription information request transmitted from the patient terminal 30 via the Internet 35 together with a patient ID and a prescription ID, and registers and manages the request together with the patient ID and the prescription ID in the prescription management server itself. The prescription information is transmitted to the patient terminal 3 via the Internet 35.
0, and further receives a request for desired information and a question transmitted from the patient terminal 30 with respect to the returned prescription information, creates an answer to the request and the question, and returns it to the patient terminal 30 via the Internet 35. It is supposed to.

Further, the patient terminal 30 accepts the IC consultation ticket 23 of the patient 1 and sends a reservation status confirmation request or a reservation change request together with the patient ID recorded on the IC consultation ticket 23 via the Internet 35 to the medical institution 4. Is transmitted to the patient management server 12, and the reservation status returned from the patient management server 12 in response to this request is displayed and confirmed. If necessary, a reservation change request for this reservation status is transmitted via the Internet 35 to the patient management server. 12 is transmitted.

The patient management server 12 receives the reservation status confirmation request or the reservation change request transmitted from the patient terminal 30 via the Internet 35, and manages the request by the patient management server itself. The medical care reservation information of the patient 1 is transmitted to the patient terminal 30 via the Internet 35, and the transmitted medical care reservation information is transmitted to the patient terminal 3.
The reservation change request returned from 0 is received together with the reservation change content, and the reservation status of the patient is changed based on the reservation change content.

The patient terminal 30 accepts the IC consultation ticket 23 of the patient 1 and asks the Internet 3 for a question regarding the patient's own medical treatment or prescription information together with the patient ID and prescription ID recorded on the IC consultation ticket 23.
5. The information is transmitted to the doctor terminal 10 of the medical institution 4 via the in-hospital communication server 14, and an answer returned from the doctor terminal to this question is received and displayed.

Next, the operation of the medical service providing system configured as described above will be described with reference to the sequence diagrams shown in FIGS.

First, the processing procedure in the patient 1 and the medical institution 4 will be described with reference to FIG. In order to receive medical treatment at the medical institution 4, the patient 1 needs to register with the medical institution 4 and issue an IC consultation ticket 23. Will be done. FIG. 3 illustrates the application and issuance of the IC consultation ticket 23, the reservation of the consultation, the consultation request, and the receipt of the prescription ID.

First, the patient 1 goes to the medical institution 4 and
An application for the C consultation ticket 23 is made (step S1). This IC
In the application for the consultation ticket 23, the patient 1 inputs his / her own registration application information at the hospital terminal 11 of the medical institution 4 (step S11). Specifically, the patient 1 inputs an address, a name, a telephone number, a medical history, a workplace, an insurance card number, and the like at the hospital terminal 11 in accordance with the registration application format displayed on the hospital terminal 11. In addition, for such input, for example, in consideration of an elderly patient, the patient is required to fill in the paper, and the clerk of the medical institution 4 or the like inputs the content described in the paper to the hospital terminal 11. It is also possible to do so.

The information input from the hospital terminal 11 is transferred to the patient management server 12 for electronic registration (step S12). This is performed (step S13). As a result of this examination, if the aptitude and identity can be confirmed, a patient ID is issued to the patient, and permission to issue the IC consultation ticket 23 is notified to the hospital terminal 11 (step S14).
The IC consultation ticket 23 on which the patient ID is recorded is issued to the patient (step S15).

As described above, when the IC consultation ticket 23 is issued to the patient, the patient can make an appointment for a consultation using the IC consultation ticket 23 (step S2). In this consultation appointment, the patient can make a reservation from the patient terminal 30 at home, or can make a reservation to the medical institution 4 from the hospital terminal 11. It is possible from either. FIG. 3 shows a case where a reservation is made from the hospital terminal 11, but a case where the reservation is made from the patient terminal 30 is also shown.

When the patient 1 inserts his / her own IC consultation ticket 23 into the hospital terminal 11 or the patient terminal 30 of the medical institution 4,
This IC consultation ticket 23 and the patient management server 12 of the medical institution 4
Are mutually authenticated, and the validity of the patient and the validity of the patient management server 12 are mutually confirmed.

The mutual confirmation of the validity will be described.
The patient's medical information is information that he or she does not want to be known to a third party for privacy. The above-mentioned validity is confirmed in order not to obtain medical information. Conversely, even if the patient management server 12 is a fake with respect to the IC consultation ticket 23, the patient information will be leaked. Is to confirm the authenticity of the authenticity.

A specific procedure for mutual confirmation of the validity will be described. The patient management server 12 and the patient terminal 30 or the hospital terminal 11 into which the patient has inserted his / her own IC consultation ticket 23 are connected via a communication line such as a network or a LAN.
2 each hold the same key for mutual verification or mutual authentication. In this state, the patient inserts his / her own IC consultation ticket 23 into the terminal, and when this insertion is confirmed, a message encrypted using a key for mutual authentication is transmitted from the IC consultation ticket 23 to the patient management server 12. Sent. The patient management server 12 uses the same key for mutual authentication recorded on the IC consultation ticket 23 to
3 is decrypted.

Then, the patient management server 12 encrypts the response to the message in the IC consultation ticket 23 using its own key and transmits it to the IC consultation ticket 23. IC
When receiving the encrypted response, the consultation ticket 23 decrypts it using its own key. Here, if the key is correct, the IC consultation ticket 23 can recognize that the patient management server 12 is genuine, and only the correct IC consultation ticket 23 can correctly respond to the decrypted one. The management server 12 can recognize that the IC consultation ticket 23 is genuine.

Next, the patient performs an appointment for a medical examination by inputting the desired date and time or changing the appointment according to the display guidance of the hospital terminal 11 (steps S21 and S2).
2). This input is made from the hospital terminal 11 to the patient management server 1.
2 and the patient management server 12 adjusts the consultation schedule based on the input information and determines the schedule (step S23). And the patient management server 12
Notifies the hospital terminal 11 of the completion of the reservation and records the reservation information in the IC consultation ticket 23 of the patient (step S2).
4, S25).

When the medical appointment is completed, the patient comes to the medical institution 4 on this appointment date and makes an application for a medical examination (step S3). In this consultation application, the patient
Insert IC consultation ticket 23 into hospital terminal 11 (step S
31), the hospital terminal 11 confirms the consultation reservation recorded on the IC consultation ticket 23 (step S32). Hospital terminal 1
When confirming the patient's consultation appointment, 1 displays information necessary for the consultation such as directions to a doctor on the display of the hospital terminal 11 to guide the patient. The patient proceeds to the consultation room according to the guidance and receives the consultation of the doctor 5 (step S4).
The doctor 5 inputs, as a result of the examination, the contents of the medical treatment and the contents of the prescription, that is, the prescription information including, for example, the name of the medicine, the dosage, and the taking condition from the doctor terminal 10 on the doctor's desk (step S41). The inputted medical treatment contents and prescription information are sent from the doctor terminal 10 to the treatment management server 13 as an electronic medical record, a prescription ID is assigned to the prescription information, and registered and managed separately with the prescription ID and the patient ID. (Step S4
2, S43). At the same time, the doctor or nurse performs medical treatment such as injection on the patient (step S44).

As described above, the prescription ID assigned to the prescription information created by the doctor is sent to the hospital terminal 11 together with the write request (step S46), and the prescription ID is recorded in the IC consultation ticket 23 in the hospital terminal 11. (Step S47), whereby the patient receives the IC consultation ticket 23 on which the prescription ID is recorded (Step S5).

As described above, the IC consultation ticket 23 is given to each patient.
And making an appointment for an examination, a change of an appointment, and an examination using the IC consultation ticket 23, so that these can be made not only from the hospital terminal 11 but also from the patient terminal 30 in the patient home 3. And significantly reduce the mental and physical burden on the patient. Also, regarding the treatment after the consultation, the patient is not aware of the existence of the prescription,
Since the prescription ID is recorded in the C consultation ticket 23, the prescription is lost as in the conventional case, and if it is lost, malicious theft is meaningless. Furthermore, IC consultation ticket 23
Since it is an IC card, for example, it is virtually impossible to obtain privacy information, copy or falsify the lost IC consultation ticket 23, and the patient can store the prescription ID in the IC consultation ticket 23 and feel safe at the dispensing pharmacy 6. can go.

Next, referring to FIG. 4, the patient brings the IC consultation ticket 23 to the dispensing pharmacy 6, where the pharmacist 7 dispenses, receives the dispensing drug and performs the accounting process. The processing procedure between the dispensing pharmacy 6 and the medical institution 4 will be described as an example.

First, the patient 1 visits the dispensing pharmacy 6, and the pharmacy terminal 20 accesses the hospital server from the pharmacy terminal 20 via the in-pharmacy server (step S110). More specifically, first, the pharmacist 7 who checks the IC consultation ticket 23 submitted by the patient 1 accepts the IC consultation ticket 23, and receives the pharmacy qualification and access ID from the pharmacy terminal 20.
D or the like (step S111), access to the in-pharmacy communication server 22 of the dispensing pharmacy 6, and provide the IC certificate, the pharmacy ID or the registered fingerprint data previously issued from the medical institution 4 together with the access permission application together with the access permission application. The data is transmitted to the in-hospital communication server 14 of the institution 4 (steps S112 and S112).
113). Note that the IC certificate includes the ID of the qualified person, that is, the ID of the pharmacist 7, the contents of the qualification, the qualification or the expiration date of the card,
Further, a key for mutual authentication is recorded.

The in-hospital communication server 14 of the medical institution 4 determines access permission to the database in a predetermined range based on the data sent from the in-pharmacy communication server 22 (step S114), and determines the access permission in the in-pharmacy communication. The information is transmitted to the pharmacy terminal 20 via the server 22 and the pharmacist 7
(Step S115-S11)
7). This processing enables access from a specific dispensing pharmacy 6 to a predetermined range of data in the medical institution 4 required.

Next, the prescription ID recorded on the IC consultation ticket 23 is input from the patient 1 (step S12).
0). Specifically, the patient 1 has the IC consultation ticket 2
3 is inserted into the pharmacy terminal 20 (step S121). The pharmacy terminal 20 reads the prescription ID recorded on the inserted IC consultation ticket 23, and transmits this prescription ID together with the prescription data request to the treatment management server 13 via the in-pharmacy communication server 22 (step S122, S1
23).

When receiving the prescription ID together with the prescription data request, the treatment management server 13 of the medical institution 4 searches the prescription data based on the prescription ID (step S).
124). The treatment management server 13 manages the prescription data of the dispensing pharmacy 6 by using the retrieved prescription data, that is, the prescription data including the drug name, the dosage, the dosage condition, and the information such as the patient name and the medical institution name necessary for confirming the patient. This is transmitted to the server 21 (step S125).

When the prescription management server 21 of the dispensing pharmacy 6 receives the prescription data and the information such as the patient name and the medical institution name, the prescription management server 21 stores the information, that is, the information such as the prescription ID, the prescription data, the patient name and the medical institution name. It registers itself (step S126), and then transmits the prescription data to the pharmacy terminal 20 (step S131), and displays the prescription data on the pharmacy terminal 20 so that the pharmacist 7 of the dispensing pharmacy 6 can prepare a dispensing drug (step S126). S132). Pharmacist 7
Dispenses the medicine based on the prescription data displayed on the pharmacy terminal 20 (step S130).

On the other hand, in parallel with the above processing, the pharmacy terminal 20 that has obtained the prescription data performs an accounting process based on the drug name, dosage, etc. (step S133), and based on this accounting process, generates a bill. It is created and presented to the pharmacist 7 (step S134).

Next, the pharmacist 7 pays out the dispensed medicine (step S140). That is, the pharmacist 7 queries the prescription management server 21 from the pharmacy terminal 20 for information for identifying the patient, such as a patient name and a medical institution name (step S141). The prescription management server 21 transmits information such as a patient name and a medical institution name to the pharmacy terminal 20 in response to the inquiry and displays the information (step S142). The pharmacist 7 looks at the information displayed on the pharmacy terminal 20, confirms the patient himself (step S143), hands the drug to the patient 1, and explains the effect of the drug, the method of taking the drug, the conditions for taking the drug, and the like. , And a payment request is made (step S144). The patient 1 pays for this request (step S151), whereby the medicine reception and the accounting process are completed (step S150). Pharmacist 7
When the payment is received, a processing completion notification is transmitted from the pharmacy terminal 20 to the prescription management server 21 and the prescription management server 21
Registers information such as the processing date and time (step S153),
This completes a series of medicine dispensing processes.

According to the above-described processing, only the pharmacist 7 or the dispensing pharmacy 6 registered in advance can access the prescription data in the medical institution 4, and it is possible to obtain a relief that the patient can trust the dispensing pharmacy.

Also, since only the prescription ID is recorded on the IC consultation ticket 23 brought by the patient, there is no loss, copy, or alteration of the prescription as in the conventional case.
No privacy leaks or malicious acquisition of drugs. Although the prescription data sent from the medical institution 4 is stored in the prescription management server 21 of the dispensing pharmacy 6,
Basically, it is managed by the dispensing pharmacy 6 with the prescription ID,
The privacy of the patient is not easily leaked to the pharmacist 7 or other concerned parties. Furthermore, in the delivery of drugs to patients,
Since the identity of the patient is confirmed by the name of the patient, the name of the medical institution, etc., troubles such as erroneous delivery of the medicine can be avoided.
In addition, since the pharmacy terminal 20 performs the accounting processing such as the settlement in addition to the display of the prescription information, the efficiency of the operations in the dispensing pharmacy can be improved and simplified.

Next, referring to FIG. 5, when the patient brings the medicine and returns home to take the medicine, a process of inquiring or inquiring about the efficacy and usage of the medicine from the patient terminal 30 of the patient's home 3 is performed. A description will be given of a processing procedure between a patient and a medical institution as an example.

The patient 1 wants to know a typical pattern such as the date and time of taking the medicine, the number of times, the condition, and the efficacy of the medicine, and wants to make an inquiry about the medicine taking, from the patient terminal 30 of the patient home 3 to the pharmacy of the dispensing pharmacy 6. Access the internal communication server 22 (step S211). Pharmacy communication server 2
2 accesses the patient terminal 30 of patient 1 for this access.
Request C consultation ticket 23 (steps S212, S21)
3). Patient 1 responds to this request by sending an IC
The consultation ticket 23 is inserted (step S214), and the data of the IC consultation ticket 23 recorded on the IC consultation ticket 23 is transmitted to the in-pharmacy communication server 22 (step S215).

The in-pharmacy communication server 22 has an IC consultation ticket 23
When receiving the data, a prescription ID is acquired from the data, and an inquiry about access authority and a search for corresponding data are performed (step S216).

Then, the prescription management server 21 of the dispensing pharmacy 6 transmits the prescription data history such as the date and time of the corresponding prescription ID to the patient terminal 30 and causes the patient terminal 30 to display the history (steps S217 and S218). The patient 1 browses the prescription data history displayed on the patient terminal 30 and, using a simple GUI or the like, for example, uses the prescription data history to send specific data such as usage for a required prescription and dosage to the prescription management server 21. Request (steps S219, S
220). The prescription management server 21 transmits the requested data, that is, specific data such as usage, efficacy, and taking conditions to the patient terminal 30 and causes the patient terminal 30 to display the data.
The patient 1 acquires the specific data displayed on the patient terminal 30 (steps S221 and S222).

Next, when the patient 1 wants to ask a question or make an inquiry about an atypical pattern other than the above, for example, the prescription data history from the prescription management server 21 described above is stored in the patient terminal 30.
Is displayed from the patient terminal 30, the contents of the question are transferred from the patient terminal 30 to the pharmacy terminal 20 via the in-pharmacy communication server 22 (step S232). When the content of the question is displayed on the pharmacy terminal 20 (step S233), the pharmacist 7 looks at the displayed content of the question and creates an answer on the pharmacy terminal 20 (step S234). This answer is sent to the patient terminal 30
Is transferred to the patient terminal 30 via the in-pharmacy communication server 22 (steps S245 and S246), and the patient 1 can acquire the answer displayed on the patient terminal 30 (step S247).

Next, referring to FIG. 6, since the symptom has changed after the patient has returned home, the patient consults with a doctor about a method of coping with the symptom or requests a change of the appointment with the patient. The processing procedure between medical institutions will be described as an example.

First, when making an office change such as an appointment for an examination (step S310), the patient 1 accesses the in-hospital communication server 14 of the medical institution 4 from the patient terminal 30 of the patient home 3 (step S311). Hospital communication server 14
Responds to this access with an IC
A request is made for the consultation ticket 23 (step S312), and this request is displayed on the patient terminal 30 (step S313). The patient 1 responds to the request by displaying the IC consultation ticket 23 on the patient terminal 30.
Is inserted (step S314), and data such as the reservation and the prescription ID recorded on the IC consultation ticket 23 are transmitted to the patient management server 12 (step S315).

The in-pharmacy communication server 22 has an IC consultation ticket 23
When the data of (1) is received, the access right is inquired and the patient data is searched (step S317). then,
The patient management server 12 causes the patient terminal 30 to display the administrative data such as the corresponding reservation (steps S318 and S318).
319). The patient 1 makes a request for changing necessary data from the displayed data from the patient terminal 30 to the patient management server 12 (steps S320, S32).
1). This change may include change candidates 1, 2,....

Upon receiving the change request from the patient terminal 30, the patient management server 12 adjusts the change according to the priority order (step S322), and sends the change data such as the date, time, place, and condition with the priority order to the patient terminal 30. Transmit, display, and present to patient 1 (steps S323, S32
4). The patient 1 checks possible changes from the change data displayed on the patient terminal 30, inputs change information, and registers the changes in the patient management server 12 (step S325, step S325).
S326). The patient management server 12 updates and registers the previous reservation data and the like with the change data, transmits a completion notification to the patient terminal 30, displays the completion notification on the patient terminal 30, and notifies the patient 1 (step S327, S328).

Next, when the patient 1 makes an inquiry about a method of responding to a change in symptoms (step S330), the patient 1 displays the reservation data and the like from the patient management server 12 on the patient terminal 30. Thereafter, the content of the inquiry, that is, the content of the question is input to the patient terminal 30 (step S331). This question is sent from the patient terminal 30 to the hospital communication server 14.
Is transferred to the doctor terminal 10 through the step S33 (step S33).
2). The doctor 5 is the patient 1 transferred to the doctor terminal 10
Is displayed (step S333), and an answer to this question is created and input at the doctor terminal 10 (step S335). This doctor 5 answers the doctor terminal 10
Is transferred to the patient terminal 30 via the in-hospital communication server 14 (step S336). The patient 1 displays and acquires the answer transferred to the patient terminal 30 (step S337).

As described above, a patient's question about a change in appointment in a fixed pattern is electronically answered from the patient management server 12 or a question about a countermeasure against a change in symptoms. Individual questions can be answered from the doctor terminal 10 when the doctor 5 is free, so that not only can the doctor's busy time be used effectively, but also the patient can easily ask questions. , Deeper communication with more advanced communication is possible. In addition, even for elderly patients, sufficiently gentle medical care can be performed by utilizing a simple GUI that is easier to see in the standard pattern.

The processing procedure of the medical service providing method of the above embodiment is recorded as a program on a recording medium.
A medical service providing system that implements a medical service providing method by incorporating this recording medium into a computer system, downloading or installing a program recorded on the recording medium into the computer system, and operating the computer system with the program. Needless to say, it can be made to function, and by using such a recording medium, its distribution can be enhanced.

[0096]

As described above, according to the present invention,
The patient management server of the medical institution receives the electronic consultation ticket issuance request from the medical institution terminal, issues the electronic consultation ticket in which the patient ID is recorded to the patient, and based on the patient ID, the patient information,
Register and manage the electronic consultation ticket, the medical institution terminal accepts the patient's electronic consultation ticket, accepts medical treatment reservations, reservation status confirmation, reservation change, and medical treatment applications from patients, and the patient management server accepts medical treatment reservations from patients Receiving appointment status confirmation, appointment change, medical treatment application, and performing each processing, using electronic consultation ticket instead of paper consultation ticket as in the past, falsification of prescription which occurred conventionally In addition, the leakage of privacy and the movement of prescriptions can be prevented, and the patient can perform processing such as reservations from home.

According to the present invention, the treatment management server of a medical institution receives medical treatment information and prescription information from a doctor, assigns a prescription ID to the prescription information, and manages it.
The prescription ID is recorded on the patient's digitized consultation ticket, and the prescription management server of the pharmacy receives the prescription ID recorded on the patient's digitized consultation ticket from the pharmacy terminal, and receives the prescription ID.
Is received from the treatment management server of the medical institution, registered and managed together with the patient information and the prescription ID, and the prescription information is controlled so as to be displayed on the pharmacy terminal. There is no need to bring the written prescription to the pharmacy, only the electronic consultation ticket with the prescription ID recorded. No leakage or tampering with prescriptions.

Further, according to the present invention, the patient terminal accepts the patient's electronic consultation ticket, transmits the prescription ID recorded on the electronic consultation ticket to the pharmacy prescription management server, and returns this request. The prescription information is displayed, an information request or question for the displayed prescription information is transmitted to the prescription management server, the answer is received and displayed, the prescription management server receives the prescription information request from the patient terminal,
In response to this request, the prescription information is returned to the patient terminal, an information request or question from the patient terminal for this prescription information is received, and the response is returned to the patient terminal. Patients can easily ask questions about the efficacy of the drug, even from home.

According to the present invention, the patient terminal accepts the patient's electronic consultation ticket, transmits a reservation status confirmation request or a reservation change request from the patient to the patient management server of the medical institution, and is returned in response to the request. Confirms the reservation status, transmits a reservation change request to the patient management server if necessary, and the patient management server transmits the patient's medical treatment reservation information to the patient terminal in response to the request from the patient terminal. Since the patient's reservation status is changed based on the reservation change request, the patient can easily confirm or change the reservation even from the patient terminal at home.

Further, according to the present invention, the patient terminal accepts the patient's digitized medical examination ticket, transmits a question about medical treatment or prescription information from the patient to the doctor terminal of the medical institution,
Since the doctor terminal returns the answer input from the doctor to the question from the patient terminal to the patient terminal, the patient can easily ask the doctor about the medical treatment or prescription information from the patient terminal at home and obtain an answer. be able to.

[Brief description of the drawings]

FIG. 1 is a diagram showing an overall configuration of a medical service providing system according to an embodiment of the present invention.

FIG. 2 is a diagram showing a flow of information in the medical service providing system shown in FIG.

FIG. 3 is a sequence diagram showing a patient's application and issuance of an IC consultation ticket, consultation appointment, consultation request, and reception of a prescription ID in the medical service providing system of the embodiment shown in FIG. 1;

4 is a sequence diagram showing a process in which a patient brings an IC consultation ticket to a dispensing pharmacy, receives a dispensing drug, and performs an accounting process in the medical service providing system of the embodiment shown in FIG. 1;

FIG. 5 is a sequence diagram showing a process in which a patient makes an inquiry or a question about a drug's efficacy or usage from a patient terminal in the medical service providing system of the embodiment shown in FIG. 1;

6 is a sequence diagram showing a process in a case where a patient consults a doctor from a patient terminal at home or requests a change of reservation in the medical service providing system of the embodiment shown in FIG. 1;

FIG. 7 is an explanatory diagram showing a flow of a conventional medical service.

FIG. 8 is a flowchart showing a flow of a conventional medical service.

[Explanation of symbols]

 4 Medical Institution 6 Dispensing Pharmacy 10 Doctor Terminal 11 Hospital Terminal 12 Patient Management Server 13 Treatment Management Server 14 Hospital Communication Server 20 Pharmacy Terminal 21 Prescription Management Server 22 Intrapharmacy Communication Server 30 Patient Terminal 35 Internet

Claims (15)

[Claims] 1. A medical service providing system in which a patient receives a medical examination at a medical institution and issues a medical consultation ticket to the patient and digitizes processing including medical treatment appointment. A medical institution terminal that accepts a request for issuing a medical consultation ticket together with patient information, accepts an electronic consultation ticket issued to a patient based on this request, and accepts medical treatment reservations, reservation status confirmation, reservation change, medical treatment application from a patient The medical institution is connected to the medical institution terminal, is provided in the medical institution, receives an electronic consultation ticket issuance request from the medical institution terminal together with patient information, issues a patient ID to the patient,
In addition to controlling to issue the electronic consultation ticket recorded in D to the patient, the patient information and the electronic consultation ticket are registered and managed based on the patient ID, and medical treatment reservation, reservation status confirmation, reservation change, A medical service providing system, comprising: a patient management server that receives a medical application from a medical institution terminal and performs each process. 2. A medical service providing system in which a patient receives medical treatment at a medical institution, and the patient receives a drug based on a prescription issued based on the medical treatment result from a pharmacy. Receiving medical treatment information and prescription information on medical treatment performed by a doctor on a patient,
A prescription ID is assigned to the prescription information, and the prescription ID is
A management server for managing the prescription information and the medical treatment information, and controlling the prescription ID to be recorded on the patient's digitized consultation ticket; and a computerization provided at the pharmacy where the patient's prescription ID is recorded. A pharmacy terminal that accepts a consultation ticket; and a prescription ID that is provided in the pharmacy connected to the pharmacy terminal and that is recorded in the digitized consultation ticket of the patient accepted by the pharmacy terminal together with the patient information and specified by the prescription ID. A request for prescription information is transmitted to the treatment management server via a network, the prescription information transmitted from the treatment management server in response to the request is registered and managed together with patient information and a prescription ID, and a pharmacy is stored in accordance with the prescription information. A prescription management server that controls prescription information to be displayed on pharmacy terminals so that pharmacists can create dispensing drugs Medical service providing system characterized in that it has. 3. A patient terminal provided to be operated by a patient, wherein the patient terminal receives an electronic consultation ticket inserted by the patient, and receives patient information and a prescription ID recorded on the electronic consultation ticket from the patient. The prescription information is transmitted to the prescription management server of the pharmacy via the network together with the prescription information request, and the prescription information returned from the prescription management server in response to the request is received and displayed. A patient terminal for transmitting a request or question for information to a prescription management server via a network, receiving and displaying an answer to the request or question, and further comprising: Receiving the transmitted prescription information request together with the patient information and the prescription ID, The patient information and the prescription I
A prescription information returning means for returning prescription information registered and managed together with D to the patient terminal via the network; and receiving a request or question for desired information transmitted from the patient terminal with respect to the returned prescription information. 3. The medical service providing system according to claim 2, further comprising: answer reply means for replying to the patient terminal via the network a reply prepared by the pharmacy terminal for the request or the question. 4. A patient terminal provided to be operated by a patient, accepting an electronic consultation ticket inserted by the patient, confirming a reservation status from the patient together with patient information recorded on the electronic consultation ticket. Sending a request or a reservation change request to the patient management server of the medical institution via the network, displaying and confirming the reservation status returned from the patient management server in response to this request, and making a reservation for this reservation status if necessary A patient terminal that transmits the change request together with the contents of the reservation change to the patient management server via the network, wherein the patient management server receives a reservation status confirmation request or a reservation change request transmitted from the patient terminal via the network; In response to this request, the patient's medical care reservation information managed by itself is transmitted to the patient terminal via the network. A reservation information sending unit, a reservation change requests sent back from the patient terminal received with reservation changes to this transmitted medical opinions,
2. The apparatus according to claim 1, further comprising a reservation changing unit configured to change a reservation state of the patient based on the contents of the reservation change.
The medical service providing system as described. 5. A doctor terminal which is provided so as to be operated by a doctor who treats a patient and which inputs medical treatment information and prescription information and answers a question from the terminal. The electronic consultation ticket is accepted, and a question regarding the patient's own medical treatment or prescription information is transmitted to the doctor terminal of the medical institution via the network together with the patient information and the prescription ID recorded in the electronic consultation ticket, and the 4. The medical service providing system according to claim 3, further comprising: answer display means for receiving and displaying an answer returned from the doctor terminal via the network. 6. A medical service providing method in which a patient receives a medical treatment at a medical institution and issues an electronic medical examination ticket to the patient and digitizes processing including medical treatment appointment, the medical institution terminal provided in the medical institution Accepts a request for issuing an electronic consultation ticket of a patient together with patient information, and a patient management server provided in the medical institution receives a request for issuing an electronic consultation ticket together with the patient information from the medical institution terminal and issues a patient ID to the patient. In addition to controlling to issue the electronic consultation ticket in which the patient ID is recorded to the patient, the patient information and the electronic consultation ticket are registered and managed based on the patient ID, and the medical institution terminal receives the electronic consultation ticket from the patient. Accept, accept medical appointments from patients, confirm appointment status, change appointments, and apply for medical treatment. Confirmation, reservation change, medical service providing method, wherein a medical application received from the medical institution terminal to perform each process. 7. A medical service providing method in which a patient receives medical treatment at a medical institution and the patient receives from a pharmacy a drug based on a prescription issued based on the result of the medical treatment. The received treatment management server receives the medical treatment information and the prescription information regarding the medical treatment performed by the doctor on the patient, assigns the prescription ID to the prescription information, and manages the prescription information and the medical treatment information with the prescription ID. The prescription ID is controlled to be recorded on the patient's digitized medical examination ticket. The pharmacy terminal provided at the pharmacy accepts the digitized medical examination ticket with the patient's prescription ID recorded, and is connected to the pharmacy terminal. The prescription management server provided at the pharmacy terminal receives the prescription ID recorded in the patient's digitized medical examination ticket received at the pharmacy terminal together with the patient information. Take off,
A request for the prescription information specified by the prescription ID is transmitted to the treatment management server via a network, and the prescription information transmitted from the treatment management server in response to the request is registered and managed together with the patient information and the prescription ID. A method of providing prescription information on a pharmacy terminal so that a pharmacist at a pharmacy can prepare a dispensing drug according to the prescription information. 8. The patient terminal receives an electronic consultation ticket inserted by a patient, and transmits the patient information and prescription ID recorded in the electronic consultation ticket together with a prescription information request from the patient to the pharmacy via a network. The prescription management server transmits the request to the prescription management server, receives and displays the prescription information returned from the prescription management server in response to the request, and requests the requested information or question for the displayed patient's own prescription information via the network. The prescription management server receives the prescription information request transmitted from the patient terminal via the network together with the patient information and the prescription ID, and transmits the prescription information request to the server. Prescription information registered and managed together with patient information and prescription ID within the network To the patient terminal via the network, receive the request or question for the desired information transmitted from the patient terminal in response to the returned prescription information, and reply to the request or question created by the pharmacy terminal on the network. 8. A reply is sent to the patient terminal via the PC.
The medical service providing method described in the above. 9. A patient terminal receives an electronic consultation ticket inserted by a patient, and transmits a reservation status confirmation request or a reservation change request from the patient together with the patient information recorded in the electronic consultation ticket via a network. The request is sent to the patient management server of the institution, and the reservation status returned from the patient management server in response to this request is displayed and confirmed. If necessary, a reservation change request for this reservation status is sent together with the reservation change content via the network. The request is transmitted to the patient management server, and the patient management server receives a reservation status confirmation request or a reservation change request transmitted from the patient terminal via the network, and in response to the request, the patient's medical care reservation information managed by itself. Is transmitted to the patient terminal via the network. It receives a request with reservation changes,
7. The medical service providing method according to claim 6, wherein the reservation status of the patient is changed based on the details of the reservation change. 10. A patient terminal receives a patient's digitized medical examination ticket, and inquires about the patient's own medical treatment or prescription information together with the patient information and prescription ID recorded in the electronic medical examination ticket via a network at a medical institution. The doctor terminal receives the question from the patient terminal via the network, returns an answer input from the doctor to the question to the patient terminal via the network, and the patient terminal A medical service providing method, comprising: receiving and displaying an answer returned from a terminal via a network. 11. A medical service providing program in which a patient receives a medical examination ticket at a medical institution and issues a computerized consultation ticket to the patient and digitizes processing including medical treatment appointment, the medical institution terminal provided at the medical institution In the case of accepting a request for issuance of a patient's digitized medical examination ticket together with patient information, accepting a digitized medical examination ticket issued to the patient based on this request, medical treatment reservation from the patient, reservation status confirmation, reservation change,
In the patient management server connected to the medical institution terminal and provided in the medical institution, a medical treatment application is received, a request for issuing an electronic consultation ticket is received from the medical institution terminal together with the patient information, and a patient ID is issued to the patient. In addition to controlling to issue a digitized consultation ticket in which the patient ID is recorded to the patient, registering and managing the patient information and the digitized consultation ticket based on the patient ID, medical treatment reservation from the patient, reservation status confirmation, A medical service providing program characterized by receiving a change of appointment and a medical application from a medical institution terminal and performing each processing. 12. A medical service providing program in which a patient receives medical treatment at a medical institution and the patient receives a drug based on a prescription issued from the medical treatment result from a pharmacy, and the medical service is provided in the medical institution. The received treatment management server receives the medical treatment information and the prescription information on the medical treatment performed by the doctor on the patient, and adds the prescription ID to the prescription information.
And the prescription ID is used to manage the prescription information and the medical treatment information, and the prescription ID is controlled to be recorded on the patient's digitized medical consultation ticket. Prescription ID
In the prescription management server connected to this pharmacy terminal and provided in the pharmacy, the prescription ID recorded in the electronic consultation ticket of the patient accepted at the pharmacy terminal is received by the patient. Information, and transmits a request for prescription information specified by the prescription ID to the treatment management server via a network,
In response to this request, the prescription information transmitted from the treatment management server is received, registered and managed together with the patient information and the prescription ID, and the prescription information is displayed on the pharmacy terminal so that the pharmacist of the pharmacy can prepare a dispensing medicine according to the prescription information. Medical service providing program characterized by such control. 13. The patient terminal receives an electronic consultation ticket inserted by a patient, and transmits the patient information and prescription ID recorded in the electronic consultation ticket together with a prescription information request from the patient via a network. To the prescription management server of the pharmacy, receives and displays the prescription information returned from the prescription management server in response to this request, and requests or queries for the desired information for the displayed patient's own prescription information through the network. Via the prescription management server, receives and displays the answer to this request or question, and in the prescription management server, transmits a prescription information request transmitted from a patient terminal via a network together with patient information and a prescription ID. Received and registered and managed in response to this request along with patient information and prescription ID. The prescription information is returned to the patient terminal via the network, a request or a request for desired information transmitted from the patient terminal is received for the returned prescription information, and the request or the question is created at the pharmacy terminal. 2. The method according to claim 1, wherein the reply is sent back to the patient terminal via a network.
2. The medical service providing program according to 2. 14. A recording medium for recording a medical service providing program in which a process including a medical appointment is issued by electronically issuing a medical consultation ticket to a patient when the patient receives a medical treatment at a medical institution, and provided in the medical institution. The medical institution terminal received the request to issue the patient's digitized medical examination ticket together with the patient information,
Based on this request, the patient receives an electronic consultation ticket issued to the patient and accepts medical appointment, reservation status confirmation, reservation change, and medical application from the patient. The management server receives an electronic consultation ticket issuance request together with patient information from the medical institution terminal, issues a patient ID to the patient, and issues an electronic consultation ticket in which the patient ID is recorded to the patient. Control and patient ID
Medical services characterized by registering and managing patient information and digitized medical consultation tickets based on medical treatment, receiving medical appointments from patients, confirming appointment status, changing appointments, and receiving medical treatment applications from medical institution terminals and performing various processes. A recording medium on which the provided program is recorded. 15. A recording medium storing a medical service providing program in which a patient receives a medical treatment at a medical institution, and a medical service in which the patient receives a medicine based on a prescription issued from the medical treatment result from the pharmacy is digitized. A treatment management server provided at a medical institution receives medical treatment information and prescription information on medical treatment performed by a doctor on a patient, and adds the prescription ID to the prescription information.
And the prescription ID is used to manage the prescription information and the medical treatment information, and the prescription ID is controlled to be recorded on the patient's digitized medical consultation ticket. Prescription ID
In the prescription management server connected to this pharmacy terminal and provided in the pharmacy, the prescription ID recorded in the electronic consultation ticket of the patient accepted at the pharmacy terminal is received by the patient. Information, and transmits a request for prescription information specified by the prescription ID to the treatment management server via a network,
In response to this request, the prescription information transmitted from the treatment management server is received, registered and managed together with the patient information and the prescription ID, and the prescription information is displayed on the pharmacy terminal so that the pharmacist of the pharmacy can prepare a dispensing medicine according to the prescription information. Recording a medical service providing program, characterized in that it is controlled as described above.