JP2011113300A - Hospital registration system - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To allow patient's burden on hospital registration to be reduced. <P>SOLUTION: In a hospital registration system 1, a hospital server 2 exchanges clinical record information with and transmits medical bills to a health insurance server 3. The health insurance server 3 exchanges clinical record information with and transmits payment information to the hospital server 2. A settlement agency server 4 receives billing from and transmits payment information to the hospital server 2. An insurance card 6 is held by a patient, and stores personal information and settlement means information for an insurance certificate. At the time of health insurance registration for a person, personal information including an insurance certificate number is stored in the health insurance server 3 and the insurance card 6. When a patient visits a hospital, the insurance number is transmitted to the hospital server 2 from the insurance card 6 through a terminal, and an inquiry for the clinical record information is made to the health insurance server 3 from the hospital server 2 by using the insurance certificate number as a key. At the time of payment after medical examination, the settlement means information is transmitted from the insurance card 6 to the hospital server 2, and payment processing is performed based on the transmitted information between the hospital server 2 and the settlement agency server 4. <P>COPYRIGHT: (C)2011,JPO&INPIT

Description

  The present invention relates to a system for reducing a burden on a patient in a hospital procedure.

Conventionally, when a doctor visits a hospital, he / she must take his / her insurance card at the time of a new visit or at the beginning of the month. At that time, it takes time to fill out the necessary information on the documents, and it is necessary to make a dedicated card for the hospital at the newly visited hospital. After the examination, it takes time to pay the fee and receive the prescription. This situation has the following problems.
(1) It is very difficult to write documents when you are in poor health.
(2) Cards will be made for each hospital, increasing the number of cards. For people who have many transfers, this is a huge amount. If there are children, the amount will increase further.
(3) It is very difficult for the sick to wait for payment after the examination.

  As a means for solving these problems, Patent Document 1 discloses that the server sends data of an appropriate regional hospital to the user terminal from the symptom or address of the user, and the hospital and reservation time selected by the user terminal. A method is disclosed in which a band is reserved and a medical expenses transfer bill is sent to a credit sales company terminal by e-mail. Patent Document 2 discloses a system in which an RFID chip that can handle a plurality of medical institutions at the same time is used as an examination ticket. Patent Document 3 discloses a medical expenses payment system that manages medical expenses by adding them together with family expenses, electricity charges, and the like. Patent Document 4 discloses an apparatus that transmits appropriate information from an introduction source medical institution to an introduction destination medical institution according to progress of an introduction patient introduction procedure, a medical reception reception procedure, and the like.

JP 2002-15060 A JP 2005-259033 A JP 2008-269191 A JP 2009-37481 A

  However, the techniques of the above prior art have the following problems.

  Regarding the technique of Patent Document 1, there is a department that deals with illness symptoms and the like, and a hospital with a close address is selected, but a patient does not necessarily want a close hospital. In addition, it is premised on payment by credit card, and there is no flexibility in the payment method.

  Regarding the system of Patent Document 2, since the hospital where the patient consulted is registered in the RFID chip of the examination ticket and the information of the electronic medical record is shared in the hospital concerned, it was performed last time when the patient changed the hospital The status of consultation at a hospital is not known unless electronic medical record information is obtained from the previous hospital. If it does so, the effort and expense, such as having an introduction letter written in the last hospital, will be needed, and it will be a burden on the patient.

  As for the system of Patent Document 3, it is known that the family member has received his / her medical condition or medical practice in the combined payment (there may not be known even within the family). Also, if the utility bills can be paid together, for example, when moving the electric contract from the electric power company A to the electric power company B for moving, the address change is notified to the electric power companies A and B and the proposed system. It becomes necessary and troublesome.

  With regard to the device of Patent Document 4, the transfer of an electronic medical record in which the referral hospital that consulted in the past sends the electronic medical record to the referral destination hospital cannot be applied to the hospital that the patient visited urgently.

  The present invention has been made in view of the above-mentioned problems, and its main object is to reduce the burden on patients due to hospital procedures.

  In order to solve the above-mentioned problems, the present invention is a hospital procedure system, which is possessed for each patient and is unique to the insurance card number that is unique to the patient's insurance card and the health insurance association to which the patient belongs. A medical card that stores the health insurance number, a hospital server that is installed for each hospital and obtains the insurance card number and the health insurance number from the card of the patient who has visited the hospital, and is installed for each health insurance association. A health insurance server that associates and stores a certificate number and medical record information including a medical history and a treatment history of a patient who possesses the card of the insurance card number, and the hospital server obtains the acquired insurance card number A message indicating that the medical record information corresponding to the insurance card number is requested is transmitted to the health insurance server of the health insurance association corresponding to the acquired health insurance number, and the health insurance Means for receiving the medical chart information from the client and displaying it on a doctor's display, and obtaining medical examination information indicating the medical examination status of the patient who has visited the hospital, updating the medical chart information with the medical examination information, and updating the updated medical chart information. Means for transmitting medical chart information and the insurance card number to the health insurance server, and when the health insurance server receives the message from the hospital server, the health insurance server is associated with the insurance card number included in the message. When the medical chart information and the insurance card number are received from the hospital server, the means for reading the stored medical chart information and transmitting it to the hospital server, the medical chart information is associated with the insurance card number and updated and stored. And means for performing.

  According to this configuration, each hospital server obtains the insurance card number from the card possessed by the visiting patient, and obtains the medical record information reflecting the past reception history corresponding to the insurance card number from the health insurance server. And display it on a doctor's display. According to this, even when a patient visits a new hospital by changing the hospital, the doctor can check the patient's past medical history and treatment history in detail based on the latest medical record information displayed on the display. Therefore, appropriate treatment can be performed. The patient can easily complete the reception procedure with the card storing the insurance card number, and it is not necessary to explain the medical examination history in detail to the doctor, so the burden of the hospital procedure can be reduced.

Further, the present invention is the hospital procedure system, wherein the card further stores payment information regarding a plurality of payment means that can be performed by a patient who owns the card, and the hospital server receives the examination information of the patient who has visited the hospital. The medical cost is calculated based on the medical examination information, the medical cost is associated with the insurance card number and stored, and the insurance card number and the one settlement means selected from the card When the payment information is acquired, the medical cost stored in association with the insurance card number may be read out, and a process for processing the payment of the medical cost based on the payment information may be further provided.
According to this configuration, the patient can easily complete the payment procedure using the card storing the information related to the payment means, so the waiting time can be shortened and the burden can be reduced. Moreover, the settlement means can be selected according to the circumstances at that time.

Further, in the hospital procedure system according to the present invention, the card further stores a health insurance number before the change and a health insurance number after the change when the health insurance to which the patient belongs is changed, and the hospital When the server stores the health number before the change and the health number after the change stored in the card, the server acquires the health number before the change from the card and stores the message before the change. Means for receiving the medical record information from the health insurance server of the health number before the change, displaying the chart information on the display, and obtaining the updated health care number from the card It is good also as a means to transmit medical chart information and the said insurance card number to the health insurance server of the health insurance number after the change.
According to this configuration, the patient can receive the latest medical record information from the health insurance server before the change even if the health insurance to which the patient belongs is changed. There is no need to explain the medical history in detail, and the burden can be reduced. Then, since the medical record information reflecting the medical examination status at that time is transmitted to the health insurance server after the change, the latest medical record information can be acquired even after changing the hospital and appropriate treatment can be performed.

Further, in the hospital procedure system, the present invention may be arranged such that the card includes means for displaying a name of a health insurance corresponding to the stored health insurance number after the change.
According to this configuration, the health insurance name after the change (current) is displayed on the card. According to this, even if the health insurance to which the health insurance belongs is changed, it is not necessary to re-create the insurance card, so that it is possible to respond to the global environment without consuming the plastic of the card.

In the hospital procedure system, the present invention is installed at a reception desk of a hospital, obtains the insurance card number from the card, and obtains a consultation department of a patient, and each examination room of the hospital. A doctor terminal installed and having the display, the reception terminal further comprising means for transmitting the acquired insurance card number to the doctor terminal corresponding to the acquired medical department, The doctor terminal may include means for receiving the insurance card number from the reception terminal, transmitting the message to the hospital server, receiving the medical chart information from the hospital server, and displaying it on the display. Good.
According to this configuration, in the examination room belonging to the hospital, the patient's medical record information is delivered to the doctor's terminal of the department that the patient desires, so the doctor in charge of the department can see the medical history and treatment history of the patient to be examined. It can be viewed in advance, and appropriate medical examinations can be performed.

  In addition, the problems disclosed by the present application and the solutions thereof will be clarified by the description of the mode for carrying out the invention and the drawings.

  ADVANTAGE OF THE INVENTION According to this invention, the burden of the patient by the procedure of a hospital can be reduced.

1 is a diagram illustrating a configuration of a hospital procedure system 1. FIG. It is a figure which shows the hardware constitutions of a server and a card | curd, (a) shows the hardware constitutions of the hospital server 2, (b) shows the hardware constitutions of the health insurance server 3, (c) is the insurance card 6 Indicates the hardware configuration. It is a figure which shows the structure of the data memorize | stored in the server of the hospital procedure system 1, (a) shows the structure of the hospital data 25A memorize | stored in the memory | storage part 25 of the hospital server 2, (b) shows the health insurance server 3's The structure of the health insurance data 35A stored in the storage unit 35 is shown. It is a figure which shows the structure of the data memorize | stored in the memory | storage part 64 of the insurance card 6, (a) shows the structure of personal information 64A, (b) shows the structure of payment information 64B. It is a flowchart which shows the process performed inside a hospital. It is a flowchart which shows the process performed outside a hospital.

  Hereinafter, embodiments for carrying out the present invention will be described with reference to the drawings. A hospital procedure system according to an embodiment of the present invention is based on a card having a health insurance card function and a settlement function, and a hospital server and a medical chart for each health insurance association (hereinafter referred to as health insurance). Exchanges information, and exchanges payment information with a settlement institution server, and smoothly advances reception, examination and payment at the hospital.

≪System configuration and overview≫
FIG. 1 is a diagram showing a configuration of a hospital procedure system 1. As shown in FIG. 1, the hospital procedure system 1 is configured such that one or more hospital servers 2, one or more health insurance servers 3, and one or more settlement agency servers 4 can communicate via a network 5 such as the Internet. Is done. In FIG. 1, the structural example which consists of the some hospital server 2, the some health insurance server 3, and the 1 settlement organization server 4 is shown. The hospital server 2 is installed in each hospital, sends / receives electronic medical record information to the health insurance server 3 and transmits a charge request, sends a payment request to the settlement institution server 4, and sends information related to the payment. Received from the clearinghouse server 4. The health insurance server 3 is installed for each health insurance, and transmits and receives information on electronic medical records and information on fee payment to the hospital server 2. The settlement institution server 4 is installed in a settlement institution such as a credit card company or a bank, receives a request for payment from the hospital server 2, and transmits information related to the payment to the hospital server 2.

  The insurance card 6 is possessed by a patient who visits a hospital and receives medical care, and stores personal information relating to the insurance card and settlement information relating to a method for paying medical expenses. When personal information is input from the health insurance card 6 to the health insurance server 3 through the card reader / writer connected to the health insurance server 3 when the individual is registered with the new health insurance as a result of employment or job change, the health insurance server 3 An insurance card number is given to the insurance card 6 and personal information including the insurance card number is stored in both the health insurance server 3 and the insurance card 6. When a patient visits a hospital, the insurance card number is transferred from the insurance card 6 to the hospital server 2 via a terminal, etc., and the medical record information is inquired from the hospital server 2 to the health insurance server 3 using the insurance card number as a key. Is done. Then, at the time of payment after completion of the examination, information on the payment means designated from the insurance card 6 is transferred to the hospital server 2, and a fee is charged between the hospital server 2 and the payment institution server 4 based on the information. Information regarding billing and payment procedures is sent and received. The payment procedure may be performed as it is from the amount charged in the insurance card 6.

  As shown in FIG. 1, the hospital procedure system 1 allows the hospital server 2, the reception terminal 7, the doctor terminal 8, and the pharmacy terminal 9 to communicate via a network 10 such as a LAN (Local Area Network). Composed. In addition to the contents described above, the hospital server 2 receives access from the reception terminal 7, the doctor terminal 8, and the pharmacy terminal 9 in the hospital according to the progress of the patient's consultation. In addition to performing transmission / reception and updating, transmission / reception of medical record information to / from the health insurance server 3 as necessary. The reception terminal 7 is installed at a hospital reception desk, acquires personal information from the insurance card 6 possessed by the patient through a card reader / writer, and transmits the personal information to the hospital server 2 and the doctor terminal 8. In addition, the reception terminal 7 includes an input device (for example, a touch panel) for selecting a consultation department desired by the patient. The doctor terminal 8 is installed at the doctor's seat in the examination room, receives personal information from the reception terminal 7, acquires and displays medical chart information from the hospital server 2 using the personal information as a key, and displays prescription information. Is transmitted to the pharmacy terminal 9. The pharmacy terminal 9 is installed in the pharmacy, receives prescription information from the doctor terminal 8, and displays it.

  FIG. 2 is a diagram illustrating a hardware configuration of the server and the card. FIG. 2A shows the hardware configuration of the hospital server 2. The hospital server 2 includes a communication unit 21, a display unit 22, an input unit 23, a processing unit 24, and a storage unit 25. The communication unit 21 is a part that performs IP (Internet Protocol) communication with other servers via the network 5, and is realized by, for example, a NIC (Network Interface Card) or the like. The display unit 22 is a part that displays data in accordance with an instruction from the processing unit 24, and is realized by, for example, a liquid crystal display (LCD). The input unit 23 is a part where an operator inputs data (for example, the IP address of the health insurance server 3), and is realized by, for example, a keyboard or a mouse. The processing unit 24 exchanges data between each unit and controls the entire hospital server 2, and is realized by a CPU (Central Processing Unit) executing a program stored in a predetermined memory. The The storage unit 25 stores data from the processing unit 24 and reads the stored data, and is realized by, for example, a nonvolatile storage device such as a flash memory or a hard disk device.

  FIG. 2B shows the hardware configuration of the health insurance server 3. The health insurance server 3 includes a communication unit 31, a display unit 32, an input unit 33, a processing unit 34, and a storage unit 35. The communication unit 31 is a part that performs IP communication with other servers via the network 5 and is realized by, for example, a NIC or the like. The display unit 32 is a part that displays data according to an instruction from the processing unit 34, and is realized by, for example, a liquid crystal display. The input unit 33 is a part where an operator inputs data (for example, a medical cost burden ratio), and is realized by, for example, a keyboard or a mouse. The processing unit 34 exchanges data between each unit and controls the whole health server 3 and is realized by a CPU (Central Processing Unit) executing a program stored in a predetermined memory. The The storage unit 35 stores data from the processing unit 34 and reads the stored data, and is realized by, for example, a nonvolatile storage device such as a flash memory or a hard disk device.

  The other servers and terminals are assumed to have the same hardware configuration as the hospital server 2 and the health insurance server 3.

  FIG. 2C shows the hardware configuration of the insurance card 6. The insurance card 6 includes a communication unit 61, a display unit 62, a processing unit 63, and a storage unit 64. The communication unit 61 is a part that communicates with a terminal or a server via a card reader / writer. The display unit 62 is a part that displays data (for example, a name of health insurance) by an instruction from the processing unit 63 or a printing function of an external device, and is realized by, for example, electronic paper or a rewrite card. Some electronic papers require a power source only when the display is rewritten, and some electronic papers do not require a power source in order to retain the already displayed contents. The rewrite card can record desired information such as character information, graphic information, bar code, and the like on a recording surface by using a predetermined rewriting device, and the display can be changed several hundred times. For example, the usage period printed on the surface of a Suica commuter pass is rewritten whenever it is updated. Such a card is a rewrite card. The processing unit 63 delivers data between the units and controls the insurance card 6 as a whole. The processing unit 63 is realized by the CPU executing a program stored in a predetermined memory. The storage unit 64 stores data from the processing unit 63 and reads the stored data, and is realized by a non-volatile storage device such as a flash memory, for example.

<< Data structure >>
FIG. 3 is a diagram illustrating a configuration of data stored in the server of the hospital procedure system 1. FIG. 3A shows the configuration of the hospital data 25 </ b> A stored in the storage unit 25 of the hospital server 2. The hospital data 25A is data related to a patient who has visited the hospital, and includes a record including an insurance card number 25A1, medical chart information 25A2, medical examination information 25A3, and medical expenses 25A4. The insurance card number 25A1 is a number unique to the insurance card and is a number unique to the registrant related to the insurance card 6 and is set at the time of the first health insurance registration. The medical record information 25A2 is the medical record information of the registrant associated with the insurance card number 25A1, and every time the registrant visits the hospital, the medical examination information at that time is accumulated as a history. The medical examination information 25A3 indicates the latest medical examination status of the patient, for example, a disease name, a symptom, a treatment method, and the like. Calculated. The medical cost 25A4 is the latest medical cost of the patient at the hospital, and is calculated based on the examination information 25A3.

  FIG. 3B shows a configuration of the health insurance data 35 </ b> A stored in the storage unit 35 of the health insurance server 3. The health insurance data 35A is data relating to a registered person of the health insurance and includes a record including the insurance card number 35A1 and the medical chart information 35A2. The insurance card number 35A1 is a number unique to the insurance card and is a number unique to the registrant associated with the insurance card 6 and is set when the insurance card is registered with the health insurance. The medical record information 35A2 is medical record information of the registrant associated with the insurance card number 35A1, and the latest history information is transferred from the hospital server 2 to the health insurance server 3 and set every time the registrant visits the hospital. .

  FIG. 4 is a diagram showing a configuration of data stored in the storage unit 64 of the insurance card 6. FIG. 4A shows the configuration of the personal information 64A. The personal information 64A is registration information related to the insurance card, and includes a name 64A1, age 64A2, date of birth 64A3, insurance card number 64A4, health insurance number 64A5, and old health insurance number 64A6. The name 64A1 is the name of the health insurance registrant. Age 64A2 is the age of the health insurance registrant. The date of birth 64A3 is the date of birth of the health insurance registrant. The health insurance card number 64A4 is a number unique to the health insurance card, and is a number unique to the registrant related to the health insurance card 6 and is set when the health insurance is registered for the first time by employment, etc. The set number is not changed. The health insurance number 64A5 is a number unique to the health insurance to which the health insurance currently belongs. The former health insurance number 64A6 is a number unique to the health insurance health that belonged to the previous health insurance number. The health insurance number 64A5 and the old health insurance number 64A6 are updated when the health insurance to which the individual belongs is changed, and the old health insurance number 64A6 becomes invalid at the first visit after the health insurance change.

  The old health insurance number 64A6 is required when the health insurance to which the health insurance registrant belongs changes due to a job change or the like. That is, when visiting a medical institution for the first time after moving to a new health insurance, since the previous health record information is not stored in the new health insurance server 3, the medical record information from the previous health insurance server 3 specified by the old health insurance number 64A6. Need to get.

  FIG. 4B shows the configuration of the payment information 64B. The payment information 64B is information related to payment means that can be registered by the health insurance registrant, and includes name 64B1, age 64B2, date of birth 64B3, card number 64B4, account number 64B5, and charge amount 64B6. The name 64B1 is the name of the health insurance registrant. Age 64B2 is the age of the health insurance registrant. The date of birth 64B3 is the date of birth of the health insurance registrant. The card number 64B4 is a credit card number owned by the health insurance registrant. The account number 64B5 is an account number of a bank or the like established by a health insurance registrant. The charge amount 64B6 is the amount currently charged to the insurance card 6. As the payment means, it is sufficient that at least one of the card number 64B4, the account number 64B5, and the charge amount 64B6 is set, and the patient who performs the payment procedure of the hospital can select any of the set payment means. Or one of them can be selected.

≪System processing≫
FIG. 5 is a flowchart showing processing performed in the hospital. This processing is performed inside the hospital according to the progress stage of the consultation of the patient who has visited. First, when the patient holds the insurance card 6 over a card reader / writer installed at the reception window, the receiving terminal 7 connected to the card reader / writer acquires and stores the personal information 64A of the insurance card 6 ( S501). In this case, the reception terminal 7 displays the personal information on the display, so that the person in charge of reception can confirm the identity of the patient and the health insurance belonging thereto. According to this, the reception procedure is completed only by the patient holding the insurance card 6 over the card reader / writer.

  Next, by operating an input device for selecting a consultation department desired by the patient, the reception terminal 7 including the input apparatus acquires the patient's consultation department, and the doctor terminal 8 of the corresponding medical department receives the consultation department. The personal information of the patient is transmitted (S502). The transmission of the personal information also notifies the doctor terminal 8 that the patient has been accepted. Information transmission from the reception terminal 7 to the doctor terminal 8 is performed by referring to a table in which the clinical department and the IP address of the doctor terminal 8 in the medical department are associated with each other. This is performed by specifying the IP address of the service terminal 8 and transmitting information to the IP address via the network 10.

  The doctor terminal 8 receives the personal information from the reception terminal 7 that has received the patient, and requests the patient's medical chart information from the hospital server 2 using the insurance card number and the health insurance number included in the personal information as keys. A message to be transmitted is transmitted (S503). In this case, the hospital server 2 searches the hospital data 25A in the storage unit 25, and if there is a corresponding insurance card number 25A1, reads the corresponding medical chart information 25A2 and transmits it to the doctor terminal 8. If there is no health insurance card number 25A1 corresponding to the hospital data 25A, the health insurance server 3 corresponding to the health insurance number is referred to the health insurance card number. At this time, in order to obtain the IP address of the health insurance server 3 for the health insurance number, the hospital server 2 transmits the health insurance number to a server that stores a table in which the health insurance number and the IP address are associated with each other, for example. As an IP address. Alternatively, the same table may be stored by itself and converted from the health insurance number to the IP address using the table.

  Then, the doctor terminal 8 receives the patient chart information from the hospital server 2 and displays it on the display (S504). The doctor can examine the patient while referring to the medical chart information displayed on the display and referring to the medical history and treatment history of the patient.

  When the doctor finishes the examination, the doctor inputs the contents of the examination on the keyboard as items to be added to the chart information. The doctor terminal 8 connected to the keyboard acquires the examination information that is the contents of the entered examination, updates the chart information with the examination information, stores the information as voluntary storage, and further transmits it to the hospital server 2. (S505). In response to this, the hospital server 2 updates the hospital data 25A with the medical chart information received from the doctor terminal 8, and transmits the updated medical chart information 25A2 to the corresponding health insurance server 3. The hospital server 2 acquires medical examination information from the doctor terminal 8, sets the medical examination information 25A3 in the hospital data 25A, updates the medical chart information 25A2 with the medical examination information 25A3, and calculates the medical expenses 25A4 based on the medical examination information 25A3. It may be calculated and set.

  Subsequently, the doctor writes a medicine prescription based on the contents of the examination, and inputs the contents as prescription information on the keyboard. The doctor terminal 8 connected to the keyboard acquires prescription information and transmits it to the pharmacy terminal 9 (S506). Information transmission from the doctor terminal 8 to the pharmacy terminal 9 is performed via the network 10 by the IP address of the pharmacy terminal 9.

  The pharmacy terminal 9 receives the prescription information from the doctor terminal 8 and displays it on the display (S507). The pharmacist at the pharmacy refers to the prescription information displayed on the display of the pharmacy terminal 9, prepares the medicine, passes it to the patient, calculates the pharmacy fee based on the prescription information, and puts it on the keyboard of the pharmacy terminal 9. input. The pharmacy terminal 9 obtains the medicine fee from the keyboard and transmits it to the hospital server 2 together with the insurance card number (S508). The hospital server 2 receives the insurance card number and the medicine fee from the pharmacy terminal 9, and adds the medicine fee to the medical cost 25A4 of the insurance card number 25A1 in the hospital data 25A.

  The patient receives the medicine from the pharmacist and holds the insurance card 6 over a card reader / writer connected to a predetermined terminal. At this time, the convenient settlement means is selected from the settlement means displayed on the display of the terminal. Select as the payment method. When withdrawal from a credit card or bank is selected, the card number 64B4 and account number 64B5 of the insurance card 6 are transmitted to the hospital server 2 and paid between the hospital server 2 and the settlement institution server 4. Information about procedures is exchanged. When payment from the charge of the insurance card 6 is selected, the share of medical expenses is subtracted from the charge amount 64B6 on the spot. Patients who have paid in this way will be able to return home immediately.

  FIG. 6 is a flowchart showing processing performed outside the hospital. This process assumes a case where the patient A changes his / her health care after the patient A changed his job, and this flowchart will be used to explain data transmission / reception between the hospital server 2 and the health insurance server 3. . The hospital server 2A belongs to hospital A, the hospital server 2B belongs to hospital B, the health insurance server 3X belongs to X health insurance, and the health insurance server 3Y belongs to Y health insurance.

  First, Patient A who belongs to X Health Insurance goes to Hospital A. In the hospital A, the hospital server 2A requests the medical record information of the patient A from the health insurance server 3X of the X health insurance by the health insurance number 64A5 of the insurance card 6 (S601), and receives the medical chart information from the health insurance server 3X as a response (S601). S602). When the examination ends, the hospital server 2A transmits the chart information updated with the examination information to the health insurance server 3X (S603). The hospital server 2A stores the medical chart information for reference.

  Next, Patient A goes to Hospital B and is examined. Then, the hospital server 2B of the hospital B requests the chart information of the patient A from the health insurance server 3X of the X health insurance using the health insurance number 64A5 of the insurance card 6 (S604), and receives the medical chart information from the health insurance server 3X as a response thereto. (S605). Thereby, in B hospital, the contents of the examination which patient A received in A hospital by terminal 8 for doctors can be browsed, for example. That is, the doctor of Hospital B can know the medical history, treatment history, etc. of the patient A without hearing the previous treatment details from the patient A. When the examination ends, the hospital server 2B transmits the chart information updated with the examination information to the health insurance server 3X (S606). The hospital server 2B stores the medical chart information for reference.

  Here, it is assumed that patient A changes his affiliation from X Health Insurance to Y Health Insurance, and then goes to A Hospital. In the hospital A, the hospital server 2A has the health insurance number 64A5 and the old health insurance number 64A6 out of the personal information 64A of the insurance card 6 received from the reception terminal 7. Recognize that it has changed to Y Health Insurance. Therefore, the hospital server 2A requests the chart information of the patient A from the health insurance server 3X of the X health insurance before the change (S611), and receives medical chart information from the health insurance server 3X as a response (S612). When the examination ends, the hospital server 2A transmits the chart information updated with the examination information to the health insurance server 3Y of Y health insurance after the change (S613). The hospital server 2A may store the chart information of the patient A for later reference by a doctor in the hospital. And if it can be confirmed that the medical record information has been acquired from the health insurance server 3X of X health insurance before the change, the old health insurance number 64A6 of the personal information 64A of the insurance card 6 is obtained by the terminal 7 for reception, the terminal 8 for doctors, etc. To disable. As a result, only the health insurance number 64A5 is valid from the next visit, and only the health insurance server 3Y of Y health insurance is accessed based on this.

  Subsequently, Patient A goes to Hospital B and is examined. Then, the hospital server 2B of the hospital B requests the chart information of the patient A from the health insurance server 3Y of Y health insurance by the health insurance number 64A5 of the insurance card 6 (S614), and receives the medical chart information from the health insurance server 3Y as a response thereto. (S615). Thereby, in B hospital, the contents of the examination which patient A received in A hospital by terminal 8 for doctors can be referred, for example. That is, the doctor of Hospital B can know the medical history, treatment history, etc. of the patient A without hearing the previous treatment details from the patient A. When the examination ends, the hospital server 2B transmits the chart information updated with the examination information to the health insurance server 3Y (S616). The hospital server 2B stores patient chart information for reference.

  In order to identify the health insurance server 3 from the health insurance number, the hospital server 2 or the dedicated server stores a table in which the health insurance number and the IP address of the health insurance server 3 are associated with each other.

  The insurance card 6 displays the health insurance name corresponding to the health insurance number 64A5 in the storage unit 64 on the display unit 62. The health insurance name may be stored from the health insurance server 3 to the health insurance card 6 at the time of health insurance registration, or a table in which the health insurance number and the health insurance name are associated with each other is stored in the health insurance card 6 and used. May be.

  In the above embodiment, in order to make each device (server, terminal) in the hospital procedure system 1 shown in FIG. 1 function, a program executed by the CPU is recorded on a computer-readable recording medium, and the recording is performed. It is assumed that the hospital procedure system according to the embodiment of the present invention is realized by causing a computer to read and execute the program. In this case, the program may be provided to the computer via a network such as the Internet, or a semiconductor chip or the like in which the program is written may be incorporated in the computer.

  According to the embodiment of the present invention described above, when the patient visits the hospital, the reception procedure is completed simply by holding the insurance card 6 over the card reader / writer of the reception window. , Paper savings such as entry forms. In addition, it is not necessary to make a dedicated card for the hospital, and even if the patient's health insurance is changed, the same insurance card 6 is used, so it is environmentally friendly because the card plastic is not consumed. Simplification of reception work (reduction of labor costs) can be achieved.

  In addition, by acquiring medical chart information from the health insurance server 3 based on the personal information 64A of the insurance card 6 and displaying it on the doctor terminal 8, the patient is in charge of the medical examination results at the previous hospital even if the patient is the first medical examination. Since it can be disclosed to a doctor, appropriate treatment can be received. For example, when moving from Tokyo to Hiroshima, a referral letter was written to pay a referral fee when changing a hospital that had previously been in Tokyo to a Hiroshima hospital. , Can reduce the patient's economic burden. In addition, since the medical record information stored in the health insurance server 3 stores all the medical examination history in each hospital, for example, the doctor B of the hospital A who has performed an inappropriate medical examination, It is also possible to find a doctor, and it is possible to achieve high quality and high reliability of doctors and their examinations and treatments. Furthermore, the doctor can know a medical condition other than the specialized department that he is in charge of, and can perform a diagnosis while making a comprehensive judgment. Even if the health insurance to which the patient belongs has changed, the hospital server 2 obtains the medical chart information from the previous health insurance health insurance server 3 at the first visit. You can refer to your medical history.

  The insurance card 6 has a payment function such as a credit function, an account withdrawal function, and a charge charge function that can be used only for medical examinations. Payment can be made. The payment procedure is not accepted by the accountant, and it is only necessary to hold the insurance card 6 over the card reader / writer and select the payment method, so that there is no waiting time and the user can return immediately.

  As mentioned above, although the form for implementing this invention was demonstrated, the said embodiment is for making an understanding of this invention easy, and is not for limiting and interpreting this invention. The present invention can be changed and improved without departing from the gist thereof, and equivalents thereof are also included in the present invention.

DESCRIPTION OF SYMBOLS 1 Hospital procedure system 2 Hospital server 25 Memory | storage part 25A Hospital data 25A1 Insurance card number 25A2 Medical record information 25A3 Medical examination information 25A4 Medical expenses 3 Health insurance server 35 Memory | storage part 35A Health insurance data 35A1 Insurance card number 35A2 Medical record information 4 Insurance card 6 Insurance card (card)
64 storage unit 64A personal information 64A4 insurance card number 64A5 health insurance number (health insurance number after change)
64A6 Old health insurance number (health insurance number before change)
64B Settlement information 7 Acceptance terminal 8 Doctor's terminal (display)
9 Pharmacy terminals

Claims (5)

A card that is held for each patient and stores a health insurance card number that is unique to the patient's health insurance card and a health insurance number that is unique to the health insurance association to which the patient belongs;
A hospital server that is installed for each hospital and obtains the insurance card number and the health insurance number from the card of the patient who visited the hospital;
A health insurance server that is installed for each health insurance association and stores the insurance card number and medical record information including a medical history and a medical history of a patient having the card of the insurance card number in association with each other;
With
The hospital server
A message indicating that the medical record information corresponding to the insurance card number is requested, including the acquired insurance card number is transmitted to the health insurance server of the health insurance association corresponding to the acquired health insurance number, and the health insurance server Means for receiving the medical chart information from and displaying it on a doctor's display;
Means for acquiring medical examination information indicating a medical examination status of the patient who has visited the hospital, updating the medical chart information with the medical examination information, and transmitting the updated medical chart information and the insurance card number to the health insurance server;
With
The health insurance server is
Means for reading out the medical chart information stored in association with the insurance card number included in the message when the message is received from the hospital server, and transmitting to the hospital server;
Means for storing and updating the medical chart information in association with the health insurance card number when the medical chart information and the health insurance card number are received from the hospital server;
A hospital procedure system characterized by comprising: The hospital procedure system according to claim 1,
The card further stores payment information related to a plurality of payment means that a patient carrying the card can perform,
The hospital server
Means for acquiring the medical examination information of the patient who has visited the hospital, calculating medical expenses based on the medical examination information, and storing the medical expenses in association with the insurance card number;
When the payment information related to the insurance card number and the selected one payment means is acquired from the card, the medical cost stored in association with the insurance card number is read out, and the medical cost based on the payment information is read A means to process payments for
A hospital procedure system characterized by further comprising: The hospital procedure system according to claim 1 or claim 2,
The card further stores a health insurance number before the change and a health insurance number after the change when the health insurance to which the patient belongs is changed,
The hospital server
When the health insurance number before the change and the health insurance number after the change are stored in the card,
The health insurance number before the change is acquired from the card, the message is transmitted to the health insurance server of the health insurance number before the change, the medical record information is received from the health insurance server of the health insurance number before the change, and is displayed on the display Means to
Means for acquiring the changed health insurance number from the card and transmitting the updated medical record information and the insurance card number to the health insurance server of the health insurance number after the change;
A hospital procedure system characterized by further comprising: A hospital procedure system according to claim 3,
The card
A hospital procedure system comprising means for displaying a name of a health insurance corresponding to the stored health insurance number after change. A hospital procedure system according to any one of claims 1 to 4,
A reception terminal installed at a hospital reception desk, obtaining the insurance card number from the card, and obtaining a patient's consultation department;
A doctor terminal installed in each examination room of a hospital and having the display;
Further comprising
The reception terminal is
Means for transmitting the acquired insurance card number to the doctor terminal corresponding to the acquired department;
The doctor terminal is
A hospital procedure system comprising means for receiving the insurance card number from the reception terminal, transmitting the message to the hospital server, receiving the medical chart information from the hospital server, and displaying it on the display. .

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