JP2005326984A - Method for providing remote medical service, and computer system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a method for providing remote medical service. <P>SOLUTION: This method has steps for: receiving reservation information from a patient computer, and registering the reservation information into a reservation information database; allowing a medical specialist to medically examine a patient via a network by establishing communication between the patient computer and a medical specialist computer on the basis of the reservation information registered in the reservation information database; receiving medical examination information from the medical specialist computer, and registering the medical examination information into a patient personal information database; allowing a doctor of a tie-up medical institution to perform treatment to the patient on the basis of the medical examination information by providing the medical examination information registered in the patient personal information database to a tie-up medical institution computer; and receiving treatment information from the tie-up medical institution computer, and registering the treatment information into the patient personal information database. <P>COPYRIGHT: (C)2006,JPO&NCIPI

Description

  The present invention relates to a method and a computer system for providing a telemedicine service, and in particular, performing medical treatment of a patient by a doctor who provides medical care in a rare specialized field while maintaining confidentiality with respect to a third party. The present invention relates to a method and a computer system for providing a telemedicine service that can be performed.

  In recent years, with the advancement of medical care, there is an increasing need for patients who want to receive medical care from doctors who provide advanced medical care in specific specialized fields.

  However, in order to receive medical care in a specialized field, the patient had to go to a doctor (specialist) who provided medical care in the specialized field. For this reason, patients are forced to move for a long time each time they receive medical care, or have to give up medical treatment by a specialist and give up medical treatment by a general doctor. Such inconveniences tend to become more pronounced the more specialized the field is. For example, it may happen that there is only one doctor in the country that can provide medical care in that rare specialized field.

  In addition, there are cases where a patient does not want other people to know that he / she is a doctor in such a specialized field. Therefore, it may be desirable for the medical treatment of a patient by a doctor to be performed in a state where confidentiality is maintained with respect to a third party.

  The present invention has been made in view of the above-described problems, and an object thereof is to provide a method and a computer system for providing a telemedicine service. In particular, the present invention relates to a method and a computer system for providing a telemedicine service capable of providing patient medical care by a doctor who provides medical care in a rare specialized field to a third party in a confidential manner. The purpose is to provide.

  The method of the present invention uses a computer system that includes a patient computer operated by a patient, a specialist doctor computer operated by a specialist, a partner medical institution computer installed in the partner medical institution, and a telemedicine service center. A method for providing medical services, wherein the telemedicine service center includes a server device, a reservation information database configured to be accessible by the server device, and a patient personal information database configured to be accessible by the server device. The server device, the patient computer, the specialist doctor computer, and the partner medical institution computer are connected to each other via a network, and the method includes: (a) the server device is operated by the specialist Of the patient's practice Receiving reservation information indicating about from the patient computer, and registering the reservation information in the reservation information database; and (b) the server device based on the reservation information registered in the reservation information database, Enabling the professional doctor to treat the patient via the network by establishing communication between the patient computer and the specialist doctor computer; and (c) the server device comprising the specialist doctor Receiving medical information indicating the contents of the patient's medical care from the specialist doctor computer, and registering the medical information in the patient personal information database; and (d) the server device registers in the patient personal information database. By providing the medical information to the partner medical institution computer Enabling a doctor of the partner medical institution to prescribe the patient based on the medical information; and (e) a prescription performed by the doctor of the partner medical institution for the patient. Receiving prescription information indicating the contents of the information from the partner medical institution computer and registering the prescription information in the patient personal information database, thereby achieving the above object.

  Preferably, the method further includes a step in which the server device charges the patient.

  The method preferably further includes a step in which the server device charges the partner medical institution.

  In the step (b), it is preferable that the medical examination of the patient via the network by the specialist is performed in a form that keeps confidentiality with respect to a third party other than the patient and the specialist. .

  The specialist doctor is preferably a doctor who can provide medical care in a rare specialized field.

  The patient personal information database stores at least an electronic medical record or an address to the electronic medical record for each patient, and registering the medical information in the patient personal information database in the step (c) Information is recorded in the patient's electronic medical record, and in the step (e), registering the prescription information in the patient personal information database records the prescription information in the patient's electronic medical record. Is preferably carried out by

  The computer system of the present invention is a computer system that provides a telemedicine service, and the computer system is a patient computer operated by a patient, a professional doctor computer operated by a specialist, and an alliance set up in a partner medical institution. A server device connected to a medical institution computer via a network, a reservation information database configured to be accessible by the server device, and a patient personal information database configured to be accessible by the server device, The server device receives, from the patient computer, reservation information indicating a medical treatment reservation of the patient by the specialist, and registers the reservation information in the reservation information database; and the reservation registered in the reservation information database information And means for enabling the specialist to treat the patient via the network by establishing communication between the patient computer and the specialist physician computer, and treating the patient by the specialist. Means for receiving medical information from the specialist doctor computer, registering the medical information in the patient personal information database, and providing the medical information registered in the patient personal information database to the partner medical institution computer And a means for enabling a doctor of the partner medical institution to prescribe the patient based on the medical information, and a content of the prescription performed by the doctor of the partner medical institution for the patient. Prescription information is received from the partner medical institution computer, and the prescription information is received from the patient personal information data. And means for registering the over scan, thereby the objective described above being achieved.

  According to the present invention, a method and a computer system for providing a telemedicine service can be provided. In particular, according to the present invention, a method for providing a telemedicine service capable of performing medical treatment of a patient by a doctor who provides medical care in a rare specialized field to a third party in a confidential manner, and A computer system can be provided.

  Hereinafter, embodiments of the present invention will be described with reference to the drawings.

1. Diagram 1 of a computer system for providing a remote medical service is an example of a computer system 1 that provides remote medical service configuration.

  The computer system 1 includes at least one patient computer 10, at least one specialist doctor computer 20, at least one affiliated medical institution computer 30, and a telemedicine service center 40.

  The patient computer 10 is a computer operated by a patient. The patient computer 10 is installed in the patient's home, for example.

  The specialist doctor computer 20 is a computer operated by a specialist doctor. The specialist doctor computer 20 is installed, for example, in the specialist doctor's office, home, or university. Here, the “specialist” means a doctor who can provide medical care in a specific specialized field. The particular specialization is preferably a rare specialization (eg, male menopause).

  The affiliated medical institution computer 30 is a computer installed in the affiliated medical institution. The partner medical institution computer 30 is operated by a doctor of the partner medical institution. Here, the “partner medical institution” refers to any medical institution that has a business alliance contract (for example, a franchise contract) with the telemedicine service center 40. “Medical institution” refers to any institution (eg, hospital, clinic, clinic, etc.) capable of treating a patient.

  The telemedicine service center 40 includes a server device 50, a reservation information database 60 configured to be accessible by the server device 50, and a patient personal information database 70 configured to be accessible by the server device 50.

  The server device 50, the patient computer 10, the specialist doctor computer 20, and the affiliated medical institution computer 30 are connected to each other via a network 80. It does not matter whether the form of connection is wireless or wired.

  The network 80 can be any type of network. However, considering the ease of connection and cost, the network 80 is most preferably the Internet.

  When the network 80 is the Internet, each of the patient computer 10, the specialist doctor computer 20, and the affiliated medical institution computer 30 can be a Web browser, and the server device 50 functions as a service provider that provides a telemedicine service. It can be a web server.

  Note that each of the patient computer 10, the specialist doctor computer 20, and the affiliated medical institution computer 30 may be any type of computer. These computers display, for example, a network communication unit that communicates with the server device 50 via the network 80, a CPU that executes various programs, a memory that stores various data and various programs, and execution results of the various programs. Display unit.

  Server device 50 may also be any type of computer. However, the server device 50 is preferably a high-end computer capable of high-speed processing. The server device 50 stores, for example, a network communication unit that communicates with the patient computer 10, the specialist doctor computer 20, and the affiliated medical institution computer 30 via the network 80, a CPU that executes various programs, various data, and various programs. It includes a memory and a display unit that displays execution results of various programs.

  FIG. 2A shows an example of the structure of the reservation information database 60. The reservation information database 60 is configured to be able to register reservation information indicating a reservation for medical treatment of a patient by a specialist doctor.

  In the example shown in FIG. 2A, reservation information is stored in the reservation information database 60 for each specialist doctor. In this example, the reservation information includes “year / month / day” and “medical time zone” (for example, medical time zone # 1, medical time zone # 2,..., Medical time zone N). For example, the row 210 shown in FIG. 2A is a medical treatment time zone # 1 on May 1, 2004 (for example, 9:00 AM to 9:30 AM) as medical appointment information by the specialist A (specialist ID = 1). ) Includes a reservation for patient a (patient ID = 56), and patient b (patient ID = 22) in the medical examination time zone # 3 (for example, 10:20 AM to 10:50 AM) on May 1, 2004. ) And there is no appointment for any patient in the medical examination time zone # 2 (for example, 9:40 AM to 10:10 AM) on May 1, 2004. In FIG. 2A, the symbol “---” indicates a medical treatment time zone in which medical treatment by the specialist doctor A is not possible (that is, appointment is impossible).

  The medical examination time zone does not need to be a fixed time length, and may be a variable time length. There may be a closed time between the medical examination time zone and the next medical examination time zone as appropriate.

  FIG. 2B shows an example of the structure of the patient personal information database 70. The patient personal information database 70 is configured to be able to register medical information indicating the content of medical treatment of a patient by a specialist doctor and prescription information indicating the content of a prescription given to a patient by a doctor of an affiliated medical institution. .

  In the example shown in FIG. 2B, patient personal information is stored in the patient personal information database 70 for each patient. In this example, the patient personal information includes “patient ID”, “password”, “person specific information”, “personal billing information”, and “personal medical information”. For example, in the row 220 shown in FIG. 2B, the patient ID of a patient is “56”, the password of the patient is “1961”, and the individual identification information of the patient is “Taro Yamada”, “Men”. , “1960/10/03”), the personal billing information of the patient is (“VISA”, “0010210077268877”, “10/06”), and the personal medical information of the patient is “electronic file # 1”. Indicates that

  In the example shown in FIG. 2B, the personal identification information is expressed as a set of (name, sex, date of birth). However, the method of expressing the personal identification information is not limited to this. The personal identification information can be expressed by any method capable of identifying the individual. For example, the personal identification information may be expressed using a social insurance number or the like.

  In the example shown in FIG. 2B, the personal billing information is expressed as a set of (credit card type (VISA, MASTER, etc.), credit card number (16 digits), credit card expiration date (4 digits)). Yes. However, the method of expressing personal billing information is not limited to this. The personal billing information can be expressed in any way that can charge the individual. For example, the personal billing information may be expressed using a bank account number or the like.

  In the example shown in FIG. 2B, the personal medical information is expressed as an address to an electronic file. The electronic file itself may be stored in the patient personal information database 70. However, the electronic file itself is stored in a file system separate from the patient personal information database 70, and the address to the electronic file is assigned to the patient personal information database 70. It is preferably stored in the database 70. This is because the capacity of the electronic file is usually enormous. As personal medical information, addresses to a plurality of electronic files may be stored.

  Examples of electronic files include electronic medical records and medical image data (chest X-ray data, CT data, MRI data, etc.). These electronic files have a standardized format. Any format can be adopted as the standardized format.

  For example, a data format conforming to the MML standard can be adopted as a standardized format for electronic medical records. The MML standard is a product of the Ministry of Health and Welfare commissioned business since 1995, electronic medical record development business. The MML standard defines a part for describing patient ID information, a medical history, a disease name, a finding, and a format for description based on the No. 2 paper format of the medical standard.

  For example, a data format conforming to the DICOM standard can be adopted as a standardized format of medical image data. The DICOM standard is a standard for transmitting image data and inspection-related data to and from other devices with a focus on image inspection devices such as CT and MRI.

  Registering medical information indicating the contents of medical treatment of a patient by a specialist in the patient personal information database 70 is achieved by recording the medical information in the electronic medical record of the patient, for example. For example, registering prescription information indicating the content of a prescription performed for a patient by a doctor of an affiliated medical institution in the patient personal information database 70 is achieved by recording the prescription information in the electronic medical record of the patient. .

  Note that both the reservation information database 60 and the patient personal information database 70 need not be composed of a single database. Any of these databases may be obtained by integrating a plurality of databases.

  Moreover, the patient computer 10 does not necessarily need to be installed in the patient's home. For example, the patient may use a computer installed in a private booth having confidentiality (for example, a personal booth for self-study in an English conversation classroom in front of the station) as the patient computer 10. In this case, since a plurality of patients share one patient computer 10, the patient himself / herself can input the patient ID and password to the patient computer 10 in order to identify the patient. preferable. Such an input may be made, for example, by a patient hitting a key on a keyboard, or a patient card with a magnetic tape that records a patient ID and password (or an IC memory that stores the patient ID and password). The patient card may be read by a card reader connected to the patient computer 10. The same applies to the specialist doctor computer 20. The specialist doctor may use a computer installed in a private booth having confidentiality as the specialist doctor computer 20.

2. Process for Providing Telemedicine Service The patient computer 10, the specialist doctor computer 20, the affiliated medical institution computer 30 and the server device 50 cooperate with each other to execute a process for providing the telemedicine service. This process can be expressed in the form of a program that can be executed by the CPU. This process includes four processes: “patient registration”, “medical appointment”, “conducting medical care”, and “providing prescription”. Hereinafter, each process will be described in detail.

2.1 Patient Registration FIG. 3A shows an example of the procedure of the “patient registration” process.

  The patient computer 10 generates patient personal information indicating the patient's personal information based on the input from the patient (step 310), and transmits the patient personal information to the server device 50 via the network 80 (step 311).

  The server device 50 receives the patient personal information transmitted from the patient computer 10 (step 312), and registers the patient personal information in the patient personal information database 70 (step 313).

  FIG. 4A shows an example of a screen 410 displayed on a display unit (for example, a liquid crystal display) of the patient computer 10. The screen 410 is displayed, for example, when the patient computer 10 (Web browser) accesses a Web page provided by the server device 50 (Web server).

  The screen 410 is configured so that the patient can input patient personal information to the patient computer 10. For example, a patient enters a 4-digit number as a password, enters a name, gender, and date of birth as personal identification information, and enters a credit card type, number, and expiration date as personal billing information. A button 411 is pressed. By this operation, the password, personal identification information, and personal billing information input to the patient computer 10 are transmitted to the server device 50 via the network 80.

  The server device 50 automatically determines the patient ID corresponding to the patient in response to the information transmitted from the patient computer 10, and uses the personal identification information transmitted from the patient computer 10 as a clue to personal medical care of the patient. Get information. The patient ID is determined so that the patient can be uniquely identified. Acquisition of the patient's personal medical information is obtained by, for example, obtaining the address of the patient's electronic medical record stored in the personal medical information management center by inquiring to the personal medical information management center that centrally manages the personal medical information. Achieved by: In addition to the information transmitted from the patient computer 10, the server device 50 registers the patient ID and personal medical information in the patient personal information database 70 as patient personal information. In this way, the patient personal information as shown in FIG. 2B is stored in the patient personal information database 70.

2.2 Reservation of medical treatment FIG. 3B shows an example of a procedure of “reservation of medical treatment” processing.

  Based on the input from the patient, the patient computer 10 generates reservation information indicating the appointment of the medical treatment of the patient by the specialist (step 320), and transmits the reservation information to the server device 50 via the network 80 (step 321). ).

  The server device 50 receives the reservation information transmitted from the patient computer 10 (step 322), and registers the reservation information in the reservation information database 60 (step 323).

  The telemedicine service center 40 may charge the patient when the reservation information is registered in the reservation information database 60, or may charge the patient when the medical treatment actually ends. Such a billing process is executed by the server device 50, for example. There is no limitation on the manner of charging. For example, the patient is charged by referring to the personal charging information stored in the patient personal information database 70 by credit card settlement. At least a part of the fee collected from the patient by the telemedicine service center 40 is paid to the specialist doctor as a medical fee.

  FIG. 4B shows an example of a screen 420 displayed on a display unit (for example, a liquid crystal display) of the patient computer 10. The screen 420 is displayed, for example, when the patient computer 10 (Web browser) accesses a Web page provided by the server device 50 (Web server).

  The screen 420 is configured so that the patient can input reservation information into the patient computer 10. For example, a patient inputs a patient ID and a password to identify himself / herself, inputs a specialist doctor ID to identify a specialist doctor who desires medical treatment, and sets a date, a medical treatment time zone for which a reservation is desired. Then, the user presses the “OK” button 421. As a result of this operation, the patient ID, password, specialist doctor ID, date, and medical hours input to the patient computer 10 are transmitted to the server device 50 via the network 80.

  As described above, inputting the patient ID and the password into the patient computer 10 may be performed by causing the card reading device connected to the patient computer 10 to read the patient card. Moreover, you may make it input the arbitrary information (for example, name of a specialist doctor) which specifies a specialist doctor instead of inputting specialist doctor ID.

  The server device 50 stores the information transmitted from the patient computer 10 in the reservation information database 60. In this way, reservation information as shown in FIG. 2A is stored in the reservation information database 60.

2.3 Implementation of Medical Treatment FIG. 3C shows an example of the procedure of the “execution of medical treatment” process.

  The server device 50 establishes communication between the patient computer 10 and the specialist doctor computer 20 based on the reservation information registered in the reservation information database 60 (step 330), and interrupts the communication (step 333).

  In the example shown in FIG. 2A, the server device 50 has a current time that is a predetermined time (for example, the start time of the medical treatment time zone # 1 on May 1, 2004 (or the start time of the medical treatment time zone # 1). 1 time)), the patient computer 10 operated by the patient a identified by the patient ID = 56 and the specialist doctor computer 20 operated by the specialist A identified by the specialist ID = 1 The current time is the end time of the medical examination time zone # 1 on May 1, 2004 (or the time after the end time of the medical examination time zone # 1 by a predetermined time (for example, 1 minute). ), The communication between the patient computer 10 and the specialist doctor computer 20 is cut off. By controlling the establishment / cutoff of communication in this manner, the patient can remotely receive medical treatment by a desired specialist doctor during a desired medical treatment time zone.

  While communication between the patient computer 10 and the specialist doctor computer 20 is established, the specialist doctor treats the patient via the network 80 (steps 331 and 332). In performing such network medical treatment, it is preferable that the patient and the specialist doctor can have a two-way conversation in real time while confirming their faces. Since software and / or hardware enabling such two-way communication is well known, detailed description thereof is omitted here. Video telephones can also be used as means for enabling such two-way communication.

  Such network medical care can be performed in a form in which confidentiality is maintained with respect to third parties other than patients and specialist doctors. This is because a patient can make a medical appointment and conduct a medical treatment using the patient computer 10, so that the patient computer 10 is even installed in a place where confidentiality can be maintained with respect to a third party. This is because there is no fear that others will even know that they are receiving medical treatment by a specialist.

  The specialist doctor explains the contents of the medical treatment to the patient during the network medical treatment, and instructs a medical examination at the partner medical institution as necessary. For example, a specialist doctor says, “Your symptoms are xx. It ’s not a big deal, but let ’s take medicine just in case. My partner tells me to partner medical institution A closest to your home. I will give you an indication that you should visit the medical institution A in the near future to receive the treatment. " In this case, the specialist doctor inputs medical information including a prescription for the patient and an instruction to the partner medical institution A into the specialist doctor computer 20.

  In addition, when there are a plurality of partner medical institutions, one of the partner medical institutions may be designated as a partner medical institution that encourages the patient to consult. Such designation may be made according to an instruction from a specialist doctor or may be made according to the patient's wishes.

  In addition, when a partner medical institution database is connected to the server device 50, the partner medical institution database is searched to find a partner medical institution that matches a desired search condition, and the partner medical institution is designated as a patient. You may make it designate as an affiliated medical institution which recommends a medical examination.

  The telemedicine service center 40 charges a designated partner medical institution among a plurality of partner medical institutions. Such a billing process is executed by the server device 50, for example. There is no limitation on the manner of charging. For example, charging to a designated partner medical institution is performed by bank account settlement. At least a part of the fee collected from the partner medical institution by the telemedicine service center 40 is paid to the specialist doctor as a medical fee.

  The telemedicine service center 40 may charge both patients and affiliated medical institutions.

  Based on the input from the specialist doctor, the specialist doctor computer 20 generates medical information indicating the contents of the patient's medical treatment by the specialist doctor (step 334), and transmits the medical information to the server device 50 via the network 80 (step 334). Step 335).

  The server device 50 receives the medical information transmitted from the specialist doctor computer 20 (step 336), and registers the medical information in the patient personal information database 70 (step 337).

  The medical information includes a prescription for the patient and an instruction from the specialist doctor to the partner medical institution as necessary. Registering the medical information in the patient personal information database 70 is achieved, for example, by recording the medical information in the electronic medical record of the patient.

2.4 Provision of prescription network Patients who have received medical care visit partner medical institutions for consultation according to the instructions of a specialist. In this case, the doctor of the affiliated medical institution accesses the telemedicine service center 40, acquires medical information (a prescription by a specialist doctor, instructions to the affiliated medical institution) from the patient personal information database 70, and the acquired medical information Based on the prescription for the patient.

  In this way, doctors of affiliated medical institutions can prescribe appropriate prescriptions for their patients based on the instructions of specialist doctors, even if they do not have specialized knowledge in the specialized field. Become. A partner medical institution can obtain insurance medical treatment points for patient treatment.

  If the telemedicine service center 40 has the functions of a medical institution, the medical institution, the prescription, and instructions to the partner medical institution are given in the form of a patient referral letter. Can also be added to the insurance medical score.

  According to network practice, patients do not have to visit a specialist doctor far away to receive a specialist doctor's practice. A patient can receive medical treatment from a specialist doctor wherever he lives in the country, and can receive a prescription based on the medical treatment result of the specialist doctor from a doctor of an affiliated medical institution.

  FIG. 3D shows an example of the procedure of the “provide prescription” process.

  The affiliated medical institution computer 30 generates a request for obtaining medical information registered in the patient personal information database 70 by the specialist doctor based on the input from the doctor of the affiliated medical institution (step 340). To the server device 50 (step 341). This request requires the patient ID and password to be included. Entering the patient ID and password into the affiliated medical institution computer 30 is performed, for example, by causing a card reader connected to the affiliated medical institution computer 30 to read the patient card.

  The server device 50 receives the request transmitted from the affiliated medical institution computer 30 (step 342), and searches the patient personal information database 70 using the request as a search condition (step 343), whereby the medical treatment corresponding to the request is performed. Information is acquired (step 344). The server device 50 transmits the acquired medical information to the affiliated medical institution computer 30 (step 345).

  The affiliated medical institution computer 30 receives the medical information transmitted from the server device 50 (step 346).

  The doctor of the affiliated medical institution confirms the contents of the medical information received by the affiliated medical institution computer 30 (prescription by the specialist doctor, instructions to the affiliated medical institution), and prescribes the patient based on the medical information (for example, , Provide treatment to the patient). The doctor of the affiliated medical institution inputs prescription information indicating the contents of the prescription to the affiliated medical institution computer 30.

  The affiliated medical institution computer 30 generates prescription information indicating the content of the prescription performed on the patient based on the input from the doctor of the affiliated medical institution (step 347), and the prescription information is transmitted to the server device via the network 80. 50 (step 348).

  The server device 50 receives the prescription information transmitted from the partner medical institution computer 30 (step 349), and registers the prescription information in the patient personal information database 70 (step 350).

  Registering the prescription information in the patient personal information database 70 is achieved, for example, by recording the prescription information in the electronic medical record of the patient.

  As mentioned above, although this invention has been illustrated using preferable embodiment of this invention, this invention should not be limited and limited to this embodiment. It is understood that the scope of the present invention should be construed only by the claims. It is understood that those skilled in the art can implement an equivalent range based on the description of the present invention and the common general technical knowledge from the description of specific preferred embodiments of the present invention.

  The present invention is useful as a method and computer system for providing a telemedicine service. In particular, the present invention relates to a method and a computer system for providing a telemedicine service capable of providing patient medical care by a doctor who provides medical care in a rare specialized field to a third party in a confidential manner. Useful as such.

The figure which shows an example of a structure of the computer system 1 which provides a telemedicine service The figure which shows an example of the structure of the reservation information database 60 The figure which shows an example of the structure of the patient personal information database 70 The figure which shows an example of the procedure of a "patient registration" process The figure which shows an example of the procedure of "reservation of medical treatment" processing The figure which shows an example of the procedure of "execution of medical care" processing The figure which shows an example of the procedure of "Provision of provision" processing The figure which shows an example of the screen 410 displayed on the display part of the patient computer 10 The figure which shows an example of the screen 420 displayed on the display part of the patient computer 10

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 Computer system 10 Patient computer 20 Specialist doctor computer 30 Partner medical institution computer 40 Remote medical service center 50 Server apparatus 60 Reservation information database 70 Patient personal information database 80 Network

Claims (7)

A method for providing telemedicine services using a computer system including a patient computer operated by a patient, a specialist doctor computer operated by a specialist, an affiliated medical institution computer installed in an affiliated medical institution, and a telemedicine service center Because
The telemedicine service center includes a server device, a reservation information database configured to be accessible by the server device, and a patient personal information database configured to be accessible by the server device, and the server device and the patient The computer, the specialist doctor computer and the partner medical institution computer are connected to each other via a network,
The method
(A) the server device receives reservation information indicating the appointment of the patient's medical treatment by the specialist from the patient computer, and registers the reservation information in the reservation information database;
(B) The server device establishes communication between the patient computer and the specialist doctor computer based on the appointment information registered in the appointment information database, so that the specialist doctor transmits the communication via the network. Allowing the patient to be treated,
(C) The server device receives medical information indicating the content of the medical care of the patient by the specialist doctor from the specialist doctor computer, and registers the medical information in the patient personal information database;
(D) The server device provides the medical information registered in the patient personal information database to the partner medical institution computer, so that a doctor of the partner medical institution prescribes the patient based on the medical information. Steps that make it possible to do
(E) The server device receives prescription information indicating the contents of a prescription performed by the doctor of the partner medical institution for the patient from the partner medical institution computer, and registers the prescription information in the patient personal information database. A method comprising the steps of:   The method of claim 1, further comprising the server device charging the patient.   The method of claim 1, further comprising the server device charging the partner medical institution.   In the step (b), the medical examination of the patient via the network by the specialist is performed in a form that keeps confidentiality with respect to the patient and a third party other than the specialist. The method according to 1.   The method according to claim 1, wherein the specialist doctor is a physician who can provide rare specialized medical care. The patient personal information database stores at least an electronic medical record or an address to the electronic medical record for each patient,
In the step (c), registering the medical information in the patient personal information database is performed by recording the medical information in the patient's electronic medical record,
The method according to claim 1, wherein in step (e), registering the prescription information in the patient personal information database is performed by recording the prescription information in an electronic medical record of the patient. A computer system for providing telemedicine services,
The computer system includes:
A patient computer operated by a patient, a specialist doctor computer operated by a specialist, a partner medical institution computer installed in the partner medical institution, and a server device connected to each other via a network;
A reservation information database configured to be accessible by the server device;
A patient personal information database configured to be accessible by the server device,
The server device is
Means for receiving from the patient computer appointment information indicating appointment of the patient's medical treatment by the specialist, and registering the appointment information in the appointment information database;
Based on the reservation information registered in the reservation information database, by establishing communication between the patient computer and the specialist doctor computer, the specialist doctor can treat the patient via the network. Means to
Means for receiving medical information indicating the content of the medical care of the patient by the specialist from the specialist doctor computer, and registering the medical information in the patient personal information database;
Means for providing the medical information registered in the patient personal information database to the partner medical institution computer to allow a doctor of the partner medical institution to prescribe the patient based on the medical information; ,
Means for receiving prescription information indicating the content of a prescription performed by the doctor of the partner medical institution for the patient from the computer of the partner medical institution, and registering the prescription information in the patient personal information database. .

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