JP2013257618A - Medical information management system, medical information management method, and personal medical information management server and program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To easily perform application of medical expense deduction to be applied in a single household unit as high medical expenses and final income tax return.SOLUTION: A personal medical information management server 1 manages receipt information of a user acquired from an insurer server 2, and medical related cost information related to medical care of a user for each user in association with each other for every user; adds up the medical related cost information of the users grouped according to the types of application at a periodic or designated timing, and transmits information on necessity of application to a personal terminal 5; and transmits application information to the insurer server 2 or a revenue office server 4 on the basis of a request from the personal terminal 5.

Description

  The present invention relates to a technique for collectively managing personal medical information centering on medical expenses.

  In Japan, a universal health insurance system has been introduced in which all citizens take out public medical insurance and the insurer bears part of the necessary medical expenses. The patient's self-payment is about 10-30%, but in the case of long-term treatment such as cancer and other serious illnesses or serious injuries, the total amount of medical expenses will increase. The amount of self-pay will also increase. In such a case, as a mechanism to reduce the burden on patients, a high medical cost system has been implemented in which an upper limit on the amount of self-pay per month is set, and the amount over that amount is covered by insurance premiums (high medical expenses system In the following, this is called the high-cost medical expenses system). In order to receive a reimbursement of medical expenses paid under the high medical expenses system, it is necessary for the patient to apply to the insurer to which he / she belongs.

  On the other hand, when the annual medical expenses exceed a certain amount, the amount of medical expenses paid can be deducted at the time of final tax return. This is called medical expense deduction. In order to receive medical expenses deduction, the patient must apply at the time of final tax return.

  With the recent digitization of medical information, services that support various applications related to the above-mentioned medical expenses are provided.

  QR code (registered trademark) printed on a receipt issued by a dispensing pharmacy as part of a personal health information management service (PHR: Personal Health Record) to support the accumulation of medical expenses information by individuals A service is provided in which prescription information and medical cost information are taken in and managed on a predetermined server (see Non-Patent Document 1, for example).

  In addition, in terms of supporting individuals to calculate high medical expenses, etc., services on the Internet that calculate high medical expenses and self-pay limits by entering the total medical expenses accumulated and calculated by individuals offline. Is provided (see, for example, Non-Patent Document 2).

  In addition, in terms of supporting individuals to apply, there is a service that can carry out final income tax return that has been carried out in the form of paper media submitted to the tax office from a user terminal connected to the Internet. For example (see Non-Patent Document 3).

[Online], pocket chart, [searched on June 1, 2012], Internet <URL: https: // packetkarte. net / g_top. action> [Online], simulation of high-cost medical expenses, [searched on June 1, 2012], Internet <URL: http: // www. bms. co. jp / kogakuryoyo / program01. html> [Online], national tax electronic application / tax payment system e-Tax, [searched on June 1, 2012], Internet <URL: http: // www. e-tax. nta. go. jp / gaiyo / gaiyo2. htm>

  In many cases, unless the patient applies for medical care, no refunds or medical expenses deductions will be made. However, all the annual medical expenses (including medical expenses in the case of medical expenses deductions) such as family members and relatives who are the unit of application and family and relatives who make a living are managed individually, and the trail is also accumulated. Is actually quite difficult. In addition, it is difficult for the general public who has little knowledge of insurance system and tax system, etc., to understand the complicated summation conditions and formulas completely. It is difficult to determine the amount to be refunded when judging or applying.

  For example, if the service of Non-Patent Document 1 described above is used, a part of medical cost information can be easily accumulated by an individual registering. However, there is a problem that all necessary information at the time of application cannot be stored, receipt data and the like are not automatically stored, so that an individual registration burden is large and information is eventually lost. In addition, many PHR services such as Non-Patent Document 1 manage data on an individual basis, and it is necessary to manually add the medical expenses for each household required when applying for high medical expenses or medical expenses deductions. is there.

  On the other hand, if the total amount of medical expenses for each household has been calculated, the above-mentioned non-patent document 2 service is used to calculate the high medical expenses and the self-pay limit, or the non-patent document 3 service is used. It is possible to apply for medical expenses deduction. However, as mentioned above, there is no mechanism to manage medical expenses in household units, and management of medical expenses information until calculation and application and judgment whether the amount that can be applied has been reached depends on human hands It will be.

  In this way, there is no mechanism to provide total support for the accumulation of medical expenses information associated with households, calculations necessary for application, notification when application becomes possible, and application procedures, so we receive a refund. There are many cases where the patient loses due to omission of an application despite being in a situation.

  The present invention has been made in view of such problems, and an object of the present invention is to manage medical information that can easily apply for medical expenses deductions that are billed in the same household as high-priced medical expenses or final income tax returns. A system, a medical information management method, a personal medical information management server, and a program are provided.

  In order to achieve the above object, the present invention provides an insurer server that manages user's receipt information and subscriber information, a local government server that manages user's residence information, a personal terminal, and a personal medical information management server. Is a medical information management system to which a national tax bureau server is further connected via a network when various applications are required to the national tax bureau. The personal medical information management server is obtained from the insurer server. The user's receipt information and the medical-related cost information related to the user's medical care are managed in association with each user, and the user's subscriber information or the local government managed by the insurer server according to the type of application Acquire at least one of the user's Juki information managed by a server, and based on the subscriber information or Juki information, the user Grouping and sending the application necessity information to the personal terminal by summing up the medical related expenses information of users grouped according to the type of application at regular or specified timing, and request from the personal terminal The application information is transmitted to the insurer server based on the information, and the application information is transmitted to the national tax bureau server when an application is required to the national tax bureau.

  In the present invention, an insurer server that manages user receipt information and subscriber information, a local government server that manages user residence information, a personal terminal, and a personal medical information management server are connected via a network. A medical information management method for a medical information management system in which a national tax bureau server is further connected via a network when various applications are required to the national tax bureau, wherein the personal medical information management server is acquired from the insurer server The user's receipt information, the step of managing the medical-related cost information related to the user's medical care in association with each user, and the subscriber information of the user managed by the insurer server according to the type of application, or Obtain at least one of the user's residence information managed by the local government server, and based on the subscriber information or the residence information A step of grouping the users, and a step of transmitting the application necessity information to the personal terminal by adding the medical related expenses information of the users grouped according to the type of the application at regular or designated timings, And transmitting application information to the insurer server based on a request from the personal terminal, and transmitting application information to the National Tax Bureau server when an application is required to the National Tax Bureau. .

  In the present invention, an insurer server that manages user receipt information and subscriber information, a local government server that manages user residence information, a personal terminal, and a personal medical information management server are connected via a network. In addition, when various applications are required to the National Tax Bureau, the National Tax Bureau server is a personal medical information management server of a medical information management system connected via a network, and the user's receipt information acquired from the insurer server; The medical-related cost information related to the medical care of the user is managed in association with each user, and according to the type of application, the subscriber information of the user managed by the insurer server or the user managed by the local government server Obtain at least one of the Juki information, group the users based on the subscriber information or the Juki information, and periodically Alternatively, at the specified timing, the medical-related cost information of the users grouped according to the type of application is added together to transmit the necessity information of the application to the personal terminal, and based on the request from the personal terminal The application information is transmitted to the insurer server, and the application information is transmitted to the national tax bureau server when an application is required to the national tax bureau.

  In the present invention, an insurer server that manages user receipt information and subscriber information, a local government server that manages user residence information, a personal terminal, and a personal medical information management server are connected via a network. In the case where various applications are required from the NTA, the user's receipt obtained from the insurer server is stored in a computer that constitutes the personal medical information management server of the medical information management system to which the NTA server is further connected via the network. Information and a step of managing medical-related cost information related to the user's medical care for each user, and depending on the type of application, the subscriber information of the user managed by the insurer server or the local government server Obtaining at least one of the user's residence base information, based on the subscriber information or the residence base information A step of grouping the users, a step of adding the necessity information of the application to the personal terminal by adding the medical related expenses information of the users grouped according to the type of the application periodically or at a designated timing; And a step of transmitting application information to the insurer server or the national tax bureau server based on a request from the personal terminal.

  The present invention also provides an insurer for managing user's receipt information and subscriber information, a local government server for managing user's residence information, a personal terminal, a user identifier, and a communication pseudonym. A medical information management system in which the IF server, the local government / national tax bureau IF server, and the personal medical information management server are connected via a network, and when various applications are required for the national tax bureau, the national tax bureau server is further connected via the network. The personal medical information management server manages the user's receipt information acquired from the insurer server, the medical related cost information related to the user's medical care, and the user identifier in association with each user, Depending on the type, the subscriber information of the user managed by the insurer server or the user's residence managed by the local government server Obtain at least one of the information, group the users based on the subscriber information or the Juki information, and group the users according to the type of application at regular or specified timings. When the application information is transmitted to the insurer server based on a request from the personal terminal, and application to the National Tax Bureau is required. When transmitting application information to the NTA server and transmitting / receiving information to / from the insurer server, the user identifier included in the information to be transmitted / received is converted to a communication pseudonym, and the insurer IF server uses the communication pseudonym The user identifier of the insurer server is converted and transmitted / received to / from the insurer server via the insurer IF server, and the information of the local government server and the National Tax Bureau server When performing reception, the user identifier included in the information to be transmitted / received is converted into a communication pseudonym, and the local government / Tax IF server converts the communication pseudonym into the user identifier of the local government server and the National Tax Bureau server. -It transmits / receives information to the local government server and the National Tax Bureau server via the National Tax Bureau IF server.

  The present invention also provides an insurer for managing user's receipt information and subscriber information, a local government server for managing user's residence information, a personal terminal, a user identifier, and a communication pseudonym. A medical information management system in which the IF server, the local government / national tax bureau IF server, and the personal medical information management server are connected via a network, and when various applications are required for the national tax bureau, the national tax bureau server is further connected via the network. The personal medical information management server associates, for each user, the user's receipt information acquired from the insurer server, medical-related cost information related to the user's medical care, and a user identifier. And the user's subscriber information or the local government service managed by the insurer server according to the type of application and the type of application. Obtaining at least one of the user's residence base information managed by the host, grouping the users based on the subscriber information or the residence base information, and applying at regular or designated timing Summing the medical-related cost information of users grouped according to the type of information and transmitting application necessity information to the personal terminal, and applying the application information to the insurer server based on a request from the personal terminal And transmitting application information to the NTA server when an application is required to the NTA, and when exchanging information with the insurer server, a user identifier included in the transmitted / received information is used for communication. The insurer IF server converts the communication pseudonym into a user identifier of the insurer server, and converts the insurer server through the insurer IF server. And when transmitting / receiving information to / from the local government server and the national tax office server, the user identifier included in the transmitted / received information is converted into a communication pseudonym and communicated by the local government / national tax office IF server. And converting the user name into a user identifier of the local government server and the national tax office server and transmitting / receiving information to / from the local government server and the national tax office server via the local government / national tax office IF server.

  The present invention also provides an insurer for managing user's receipt information and subscriber information, a local government server for managing user's residence information, a personal terminal, a user identifier, and a communication pseudonym. A medical information management system in which the IF server, the local government / national tax bureau IF server, and the personal medical information management server are connected via a network, and when various applications are required for the national tax bureau, the national tax bureau server is further connected via the network. Personal medical information management server, which manages the user's receipt information acquired from the insurer server, the medical-related cost information related to the user's medical care, and the user identifier in association with each user, and the type of application According to the subscriber information of the user managed by the insurer server or the resident information of the user managed by the municipal server. Acquire at least one, group the users based on the subscriber information or the Juki information, and group the users according to the type of application at regular or specified timings. Summarizing the cost information and sending the application necessity information to the personal terminal, sending the application information to the insurer server based on the request from the personal terminal, and if the application is required to the National Tax Bureau When transmitting application information to the NTA server and transmitting / receiving information to / from the insurer server, the user identifier included in the information to be transmitted / received is converted to a communication pseudonym, and the insurer IF server converts the communication pseudonym from the communication pseudonym The information is transmitted to and received from the insurer server via the insurer IF server after being converted into the user identifier of the insurer server, and the information is transmitted to and received from the local government server and the National Tax Bureau server. When performing, the user identifier included in the information to be transmitted and received is converted into a communication pseudonym, and the local government / national tax bureau IF server converts the communication pseudonym into the user identifier of the local government server and the national tax bureau server, and the local government / national tax Information is transmitted / received to / from the local government server and the national tax office server via a station IF server.

  The present invention also provides an insurer for managing user's receipt information and subscriber information, a local government server for managing user's residence information, a personal terminal, a user identifier, and a communication pseudonym. A medical information management system in which the IF server, the local government / national tax bureau IF server, and the personal medical information management server are connected via a network, and when various applications are required for the national tax bureau, the national tax bureau server is further connected via the network. Managing the user's receipt information acquired from the insurer server, the medical-related cost information related to the user's medical care, and the user identifier for each user in a computer configured as a personal medical information management server Depending on the type of application, the subscriber information of the user managed by the insurer server or the local government server Acquiring at least one of the user's residence base information to be managed, grouping the users based on the subscriber information or the residence base information, and the type of application periodically or at a designated timing And adding the medical-related cost information of the users grouped according to the information to send application necessity information to the personal terminal, and sending the application information to the insurer server based on the request from the personal terminal When the application is required to the NTA, the application information is transmitted to the NTA server, and when transmitting / receiving information to / from the insurer server, the user identifier included in the information to be transmitted / received is used as a communication pseudonym. And the insurer IF server converts the communication pseudonym to a user identifier of the insurer server and the insurer server through the insurer IF server. When transmitting and receiving information, and when exchanging information with the local government server and the national tax office server, the user identifier included in the information to be transmitted and received is converted into a communication pseudonym and used for communication with the local government / national tax office IF server. A program that converts a pseudonym into a user identifier of the local government server and the national tax bureau server, and transmits and receives information to and from the local government server and the national tax bureau server via the local government / national tax bureau IF server.

  According to the present invention, it becomes possible to easily apply for medical expenses deductions that are billed in the same household unit as high medical expenses and final income tax returns, and patients suffer disadvantages due to omission of applications for high medical expenses and medical expenses deductions. This can be prevented.

It is a block diagram which shows the structure of the medical information management system which concerns on the 1st Embodiment of this invention. It is a figure which shows an example of the user basic data which a personal medical care related expense information storage part manages. It is a figure which shows an example of the medical related expense data classified by user which a personal medical related expense information storage part manages. It is a flowchart explaining the specific operation | movement of the high medical expenses application applicability determination. It is a flowchart explaining the specific operation | movement of medical expenses deduction application applicability determination. It is a block diagram which shows the structure of the medical information management system which concerns on the 2nd Embodiment of this invention. It is a figure which shows an example of the management data which an insurer user information storage part manages. It is a figure which shows an example of the management data which a local government user information storage part manages. It is a figure which shows an example of the management data (user basic data) which a personal medical care related expense information storage part manages.

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

  FIG. 1 is a block diagram showing a configuration of a medical information management system according to the first embodiment of the present invention. As shown in FIG. 1, the medical information management system according to the first embodiment manages the personal medical information management server 1 according to the present invention, the insurer server 2 that manages the receipt information, and the Juki information and the like. It includes a local government server 3, a national tax office server 4 that accepts various applications, and a personal terminal 5 such as a high-function mobile terminal or a PC (personal computer). The personal medical information management server 1 can be connected to the insurer server 2, the local government server 3, the national tax office server 4 and the personal terminal 5 through a communication network such as the Internet, the Internet VPN, and a dedicated line.

  First, an outline of processing performed by the personal medical information management server 1 will be described. The personal medical information management server 1 supports the receipt data (receipt information) acquired from the insurer server 2 and medical data such as receipts entered by the user (collectively referred to as medical related cost information) for each individual. At the regular or specified timing, the user's medical expenses information grouped according to the type of application such as medical expenses deduction is added together, and the necessity information for the application is sent to the user's personal terminal 5 The application information is transmitted to the insurer server 2 or the national tax bureau server 4 based on a user request from the personal terminal 5.

Specifically, the personal medical information management server 1 has the following characteristics.
-The receipt data received from the insurer server 2 is managed for each user. In addition, the master information of the receipt data is managed, and normalization processing is performed by referring to the master data when storing the receipt data.
The user himself / herself has an interface for operating his / her stored data, and manages data related to medical expenses such as a receipt inputted by the user from the personal terminal 5 for each user in association with the receipt data. Data entered by the user is matched with the date and stored in association with the receipt data. Data that cannot be automatically matched can be manually associated by the user from the personal terminal 5. When data obtained by scanning a paper medium such as a receipt is input from the personal terminal 5, the data is converted into electronic data using OCR or the like. In addition, the user can access and refer to the stored medical-related cost information from the personal terminal 5 at any time. The medical expenses information can be sorted by date and paying institution, and can be referred to separately from the receipt data and other data, and the specified paying institution's receipt data and related medical expenses (eg transportation expenses) can be summarized. Can be referred to.
In order to be able to perform summation processing in units of high medical billing, the insured and its dependents are grouped by data acquired from the insurer server 2 or by the user's own input. In addition, in order to be able to perform summation processing in units of medical expense deduction applications, spouses and other relatives who live together are grouped by data acquired from the local government server 3 or input by the user himself / herself.
・ Automatically add up the accumulated medical-related cost information for each individual person at regular or specified timing and monitor. User attribute information and calculation restrictions necessary for the summing process are acquired by inquiring the insurer server 2 and the local government server 3.
a. When the total amount of medical-related cost information reaches an amount that satisfies the application condition for high-priced medical expenses or medical expenses deduction, the user's personal terminal 5 is notified. Further, the amount that can be acquired by the user by the application is automatically calculated and presented to the user's personal terminal 5.
b. In calculating the high medical expenses, the medical related expenses information of the group insured and the dependents is added up. In calculating the medical cost deduction, the user medical related cost information that unites the grouped livelihood is added up.
c. In response to the user's request, a large amount of medical bill is sent to the insurer server 2. At that time, the insurer server 2 is inquired of the subscriber information to confirm whether the user grouping information is appropriate. Also, a medical cost deduction application is sent to the National Tax Bureau server 4 in response to a user request. At that time, the local government server 3 is inquired about the Juki information to check whether the user grouping is appropriate.

  Further, the personal medical information management server 1 is configured to provide an ID such as an insured person ID that is a personal identifier of the insurer server 2 and an ID such as a resident ID that is a personal identifier of the local government server 3 and the national tax server 4 respectively. It is also possible to adopt a system configuration in which management is performed by another server, the real ID is replaced with a communication pseudonym, and the medical related cost information is aggregated in the personal medical information management server 1 using the real ID.

  Details of each component of the personal medical information management server 1 will be described below. As shown in FIG. 1, the personal medical information management server 1 includes a storage unit 11, a processing unit 12, a user interface unit 13, and a communication interface unit 14. The function of each component of the personal medical information management server 1 stores a program describing processing contents for realizing these functions in the storage unit 11 of the server, and is executed by a central processing unit (CPU) of the server. This can be realized by reading and executing this program.

[Storage unit]
First, the storage unit 11 will be described. The storage unit 11 includes a receipt data master storage unit 111 and a personal medical related expense information storage unit 112.

(Receive data master storage)
The receipt data master storage unit 111 manages the format, version, and application period of computer receipt data. In addition, for each version of the receipt data format, the association of data items with the data format of the personal medical related expense information storage unit 112 is managed. The mapping information stored in the receipt data master storage unit 111 may be input by an operator or the like via the user interface unit 13 or acquired from an external system such as the insurer server 2 via the communication interface unit 14. Absent.

(Personal medical related expenses information storage)
The personal medical related expense information storage unit 112 manages user basic data and user-specific medical related expense data. FIG. 2A is a diagram illustrating an example of user basic data managed by the personal medical related expense information storage unit 112. As shown in FIG. 2A, the personal medical related expense information storage unit 112 uses, as basic user data, an identifier (user ID) for uniquely identifying a user in the personal medical information management server 1, and a user in the insurer server 2. An identifier for uniquely identifying (insurer ID and insurer ID), an application grouping ID indicating the relationship between users (in the example, the application grouping ID (a) is grouping information for applying for high-priced medical expenses Manage contact information such as e-mail addresses used to contact users.

  In addition, when applying for medical expenses deduction using this system, as user basic data, an identifier (resident group ID and local government ID) for uniquely identifying the user in the local government server 3 and the national tax office server 4 and the user An application grouping ID (application grouping ID (b) indicates grouping information for medical expenses deduction application) indicating the relationship between each other is added. Further, basic four information may be optionally added for searching when trouble occurs. These basic user data shall be registered at the time of application for use of this system.

  FIG. 2B is a diagram illustrating an example of user-related medical-related cost data managed by the personal medical-related cost information storage unit 112. The personal medical related cost information storage unit 112 is an identifier (data ID) that uniquely indicates medical related cost data in the personal medical information management server 1 and an identifier (receipt data ID) that uniquely indicates receipt information as medical related cost data for each user. ), Medical-related cost name, amount (total medical-related cost, insurer payment amount, window payment amount, etc.), medical institution name, date of use, data ID related to the data ID (related data ID) , And manage user IDs.

  Among these, the receipt data ID is data described only when the receipt data is registered. Also, the related data ID is data that is described only when registering data other than the receipt data. For example, in the case of transportation expenses for hospital visits, the data of the receipt data issued by the medical institution that visited the hospital Describe the ID. Also, trail documents such as a file obtained by converting the read receipt into PDF may be managed in association with the data ID as necessary.

[Processing part]
The processing unit 12 includes a receipt data reception processing unit 121, a user input data reception processing unit 122, a user grouping processing unit 123, an application information calculation processing unit 124, and an application information issue processing unit 125.

(Receive data reception processing part)
The receipt data reception processing unit 121 stores the receipt data passed from the user interface unit 13 or the communication interface unit 14 in the personal medical related expense information storage unit 112. When the receipt data is sent from the insurer server 2, the receipt data is received from the communication interface unit 14 and stored in the personal medical related expense information storage unit 112. Further, when the user registers the receipt data from the personal terminal 5 by reading the QR code (registered trademark) of the medical statement, for example, the user receives the receipt data from the user interface unit 13 and stores the personal medical related expense information storage unit. 112. If duplication of data is found at the time of storage, it is returned to the user interface unit 13 and a deletion operation by the user is prompted.

  The format of the receipt data is uniform regardless of the insurer at a certain point in time, but since it is revised at any time, the personal medical related expense information storage unit with reference to the master information stored in the receipt data master storage unit 111 After normalization processing for conversion into the format 112 is performed, storage in the personal medical related expense information storage unit 112 is performed.

  In addition, when an insurer is provided with compensation such as high medical expenses or a lump sum for childbirth and childcare, the user interface unit 13 (input by the user) or the communication interface unit 14 (insurer) is the same as the above receipt data. The data received from the server 2 is stored in the personal medical related expense information storage unit 112 as “income”. This is used to calculate a medical cost deduction target amount at the time of a medical cost deduction request to be described later.

(User input data reception processing part)
The user input data reception processing unit 122 performs processing for storing input data in the personal medical related cost information storage unit 112 and processing for referring to data stored in the personal medical related cost information storage unit 112.
<Storage of input data in personal medical related expenses information storage unit>
The user input data reception processing unit 122 stores the user input data passed from the user interface unit 13 in the personal medical related expense information storage unit 112. The input data includes a medical-related cost name, an amount, a payment institution name, and a use date. For example, in the case of drug store receipt data, data such as “marketed drug, xx yen, xx drug store, 2011/09/19” is delivered.

  The user input data reception processing unit 122, when the user inputs hospitalization benefits provided by a life insurance contract, etc., uses the data passed from the user interface unit 13 as “income” as personal income related expenses. The information is stored in the information storage unit 112. This is used to calculate a medical cost deduction target amount at the time of a medical cost deduction request to be described later.

  The user input data reception processing unit 122, when the data stored in the personal medical related expense information storage unit 112 includes data whose use date matches the input data, selects the related receipt data candidate as the user interface unit 13. And ask the user for confirmation. When the related receipt data is correct, the data ID of the receipt data is set as the “related data ID” of the input data. When the data is corrected by the user, the corrected content is set to the “related data” of the input data. ID ”.

<Refer to data stored in personal medical related expense information storage unit>
The user input data reception processing unit 122 passes the data stored in the personal medical related expense information storage unit 112 requested by the user via the user interface unit 13 to the user interface unit 13.

  The user input data reception processing unit 122 can pass designated data among the data stored in the personal medical related cost information storage unit 112, and can also receive the data stored in the personal medical related cost information storage unit 112. You can also sort and filter by specified data items such as date and payment institution. For example, if narrowing is performed based on the presence or absence of the receipt data ID, the receipt data and the others can be provided separately. In addition, by extracting the same data ID from the data ID related to the receipt data ID, it is possible to collectively provide the receipt data of the designated payment institution and the related medical expenses (for example, transportation expenses).

(User grouping processing part)
The user grouping processing unit 123 uses the request from the user via the user interface unit 13 or the calculation start notification from the application information calculation processing unit 124 as a trigger, so that the insured person and their dependents can be added at the time of application. Group.

<Grouping for high medical expenses application>
The user grouping processing unit 123 uses a flag (for example, as shown in FIG. 2A, the same number is assigned to the insured person and the dependent person) so that the group can be identified in the application grouping ID in the personal medical related expense information storage unit 112. And give the dependent a further child number).

  The user grouping processing unit 123 automatically extracts from the insured ID for a user who makes a high-priced medical cost application using this system in order to be able to perform a summing process in units of high-priced medical expenses. Alternatively, a flag is assigned to the application grouping ID (a) by inputting the insured card ID from the user via the user interface unit 13. Whether or not the group can be automatically grouped based on the insured person ID depends on how the insurer's insured person ID is assigned, so whether or not the user input is entered in a setting file or the like.

<Grouping for medical expenses deduction application>
The user grouping processing unit 123 flags the application grouping ID (b) for a user who makes a medical cost deduction application using this system in order to be able to perform a summation process in units of medical cost deduction applications. Is granted. The user grouping processing unit 123 uses the one or more Juki IDs as search keys to inquire about the relationship of the spouse and other relatives who make a living with the local government server 3, and obtains the result as an application grouping ID (b). Describe in. For example, a flag may be considered such that the same number is assigned to the householder himself / her and the spouse who makes the living with the person and the child number other than the householder himself / herself.

(Application information calculation processing department)
When the set date and time is reached, the application information calculation processing unit 124 adds up the period according to the application type and the medical related cost in the personal medical related cost information storage unit 112 of the user group for each preset application type. In addition, when the preset application applicability determination value is reached, the application information issue processing unit 125 is notified of the sum and the fact that the application is possible.

There are the following two types of applications handled in this embodiment.
<1. Calculation to determine whether to apply for high medical expenses>
The application information calculation processing unit 124 satisfies the following total conditions among all users who are given the same number by the application grouping ID (a), such as a window payment amount within a preset period for each application type. Sum the amount (this is called the amount for high medical expenses application).
1. Receipt data (data to which a receipt data ID is assigned).
2. Within the period, the total amount of payment at the same user, the same medical institution (medical institution name, etc.) and the same type (medical related cost name) is more than the partial contribution limit.
3. Within the period, the amount paid by the same user and two or more medical institutions (medical institution names, etc.) is more than the partial contribution limit.
4). Within the period, the payment amount of the same user and the same medical institution (medical institution name) at the window (may be a different type (medical related cost name)) will be more than the partial contribution limit.
5. Within the period, the amount of payment at each window of two or more users of the same group (application grouping ID (a)) becomes more than the partial contribution limit.

  After that, it is determined whether the amount of money for high medical expenses application has reached the amount that can be applied for high medical expenses.

  High medical expenses are paid by applying to an insurer when the monthly medical expenses exceed the insurer's self-payment amount. Since the value such as the burden burden varies depending on the insurer and various conditions such as age / income classification of the user, it is necessary to send the user's condition to the insurer server and acquire the self-pay limit. The condition items necessary for inquiries about the self-pay limit are stored in the personal medical information management server for each insurer. The correspondence table between the user's conditions and the values required for summation of the self-pay limit and partial contribution restrictions is not checked each time, but is obtained from the insurer server 2 in advance, You may manage in a medical information management server.

  FIG. 3 is a flowchart for explaining a specific operation for determining whether or not to apply for high medical expenses. In addition, although data transmission / reception with the insurer server 2 in the flow and the local government server 3 is implemented via the communication interface 13, description is abbreviate | omitted in the figure.

  The application information calculation processing unit 124 first refers to a setting file, etc., and confirms the conditions necessary for the self-payment amount inquiry for the medical expenses deduction application to the insurer server 2 (S101). 3 is determined whether or not information that needs to be inquired is included (S102). If it is included (Yes in S102), the local government server 3 is inquired using the residence group ID of the main target user (insured person) as a search key, and necessary information (for example, income classification) Is acquired (S103).

  The application information calculation processing unit 124 acquires the necessary information or if the information that needs to be inquired is not included in S102 (in the case of No), the age calculated from the date of birth and the local government server in S103 The income classification acquired from 3 is sent to the insurer server 2 and information necessary for calculation (for example, self-payment reduction and partial contribution restrictions) is acquired (S104).

  Next, the application information calculation processing unit 124 adds up the above-mentioned sum of the payment amount for a period of time set in advance for each application type for all users to which the same number is assigned by the application grouping ID (a). The amounts that satisfy the condition are added together (S105), and it is determined whether or not the value obtained by subtracting the self-payment reduction amount obtained in S104 from the added amount is greater than 0 (S106). If the value obtained by subtracting the amount of reduction of self-pay from the total value is greater than 0 (in the case of Yes), the application information calculation processing unit 124 determines that a high-cost medical fee application is possible (S107). In the case of (), it is determined that the application for high medical expenses is not possible (S108).

<2. Calculation to determine whether or not to apply for medical expenses deduction>
The application information calculation processing unit 124, for all users who are given the same number in the application grouping ID (b), pays the window within the period preset for each application type (provided by the aforementioned life insurance contract etc.) (Including income such as supplementary payments such as high medical expenses paid by insurers, lump sums for childbirth and childcare, etc.) (this is called the amount deducted from medical expenses). Thereafter, it is determined whether or not the amount subject to medical expenses deduction has reached an amount that can be applied for medical expenses deduction.

  Medical expenses deduction application is paid by applying to the tax office at the time of final tax return when payment of annual medical expenses exceeds the amount stipulated by the government, but it is used to calculate the amount subject to medical expenses deduction Since the value (for example, the deduction amount) varies depending on the income amount of the user, it is necessary to send the user's condition to the local government server 3 for acquisition.

  FIG. 4 is a flowchart for explaining a specific operation for determining whether to apply for medical expenses deduction. In addition, although data transmission / reception with the local government server 3 in a flow is implemented via the communication interface 13, description is abbreviate | omitted in the figure.

  The application information calculation processing unit 124 first makes an inquiry to the local government server 3 using the residence group ID of the main target user (household owner) as a search key, and acquires necessary information (for example, income classification) (S201). ), It is determined whether or not the acquired income amount is less than 2 million yen (S202). The application information calculation processing unit 124 sets the deduction amount to 5% of the income amount if it is less than 2 million yen (in the case of Yes) (S203), and subtracts if it is 2 million yen or more (in the case of No) The amount is set to 100,000 yen (S204), and for all users who are given the same number in the application grouping ID (b), the window payment amount for a period set in advance for each application type is added up (S205) ).

  Next, the application information calculation processing unit 124 subtracts the deduction amount set in S203 or S204 from the summed amount to calculate the medical cost deduction target amount (S206). Is determined (S207). The application information calculation processing unit 124 determines that a medical cost deduction application is possible when the medical cost deduction target amount is greater than 0 (in the case of Yes) (S208), and in the case of 0 or less (in the case of No), the medical cost is deducted. It is determined that a deduction application is not possible (S209).

(Application information issue processing department)
Upon receiving notification from the application information calculation processing unit 124 that the application is possible, the application information issue processing unit 125 provides / returns the application according to the fact that the application can be applied to the email address of the user described in the contact information. Notify the amount to be paid.

  When receiving an application request from a user via the user interface unit 13, the application information issue processing unit 125 performs an application information calculation processing unit 124 for a server set for each application type via the communication interface unit 14. Send the calculated target amount. Alternatively, instead of directly sending it to another server, the user may be able to download or print the application contents and the trail document via the user interface unit 13.

<Application information issuance process for high medical expenses application>
The application information issue processing unit 125 sends to the insurer server 2 the amount for high medical expenses application calculated by the application information calculation processing unit 124. Before sending to the insurer server 2, the insurer server 2 may be inquired and confirmed about the authenticity of the user grouping information of the application grouping ID (a).

<Application information issuance process for medical expenses deduction application>
The application information issue processing unit 125 sends the medical fee deduction application target amount calculated by the application information calculation processing unit 124 to the National Tax Bureau server 4. At this time, if necessary, a trail document of the data stored in the medical-related cost data for each user may be attached as evidence documents. Moreover, before sending to the national tax bureau server 4, you may ask the local government server 3 and confirm about the authenticity of the user grouping information of the application grouping ID (b).

[User interface section]
The user interface unit 13 has a function of providing a user interface for the user to operate data from the personal terminal 5 to the personal terminal 5 via the communication interface unit 14. The user interface unit 13 generates a screen operated by, for example, a web browser so that the user can input and output data. The user interface unit 13 passes information input by the user to the processing unit 12. When image data obtained by scanning a paper medium such as a receipt is sent from the personal terminal 5, the user interface unit 13 identifies a character from the image data based on the shape of the character. The data is converted to electronic data using software having an OCR (Optical Character Reader) function for conversion into character data that can be handled on a computer, and then transferred to the processing unit 12.

[Communication interface part]
The communication interface unit 14 provides a function for the personal medical information management server 1 to transmit / receive data to / from the insurer server 2, the local government server 3, the national tax office server 4, the personal terminal 5 and the like via a communication network such as the Internet. To do. The communication interface unit 14 may limit the connection server and the terminal by performing IP address confirmation, key exchange, or the like as necessary.

  Next, a second embodiment of the present invention will be described. In general, the insured person ID and the Juki ID are important user identifiers to be strictly managed. As in the first embodiment, the personal medical information management server 1 associates and manages various user identifiers of the same person from the viewpoint of simplification of the system, but the personal medical information management server 1 There is a security disadvantage that all user identifiers can be obtained in an expression that is attacked.

  Therefore, in the second embodiment, when data is transmitted / received between the insurer server and the personal medical information management server, and between the local government server / Tax server and the personal medical information management server, the insurer IF (interface) is used. The server and the local government / national tax bureau IF (interface) server are configured, and the insurer IF server and the local government / national tax bureau IF server are each provided with a function of converting a user identifier. Thereby, even if the personal medical information management server does not manage all user identifiers, the same person can be associated, and the above-described threat can be avoided. Further, only the pseudonym used for cooperation (cooperative pseudonym) is distributed on the communication path, and the risk of leakage due to interception is reduced.

  FIG. 5 is a block diagram showing a configuration of a medical information management system according to the second embodiment of the present invention. As shown in FIG. 5, the medical information management system according to the second embodiment includes a personal medical information management server 10, an insurer server 20, a local government server 30, a national tax office server 40, a personal terminal 50, An insurer IF server 60 and a local government / Tax IF server 70 are provided. The personal medical information management server 10 is a personal terminal such as an insurer server 20, a local government server 30, a national tax office server 40, a high-function mobile terminal, or a PC (personal computer) via a communication network such as the Internet, the Internet VPN, or a dedicated line. In addition to 50, it can be connected to an insurer IF server 60 and a local government / Tax IF server 70.

  In addition, since it is assumed that the insurer server 20, the local government server 30, and the National Tax Bureau server 40 are managed in a closed network, the personal medical information management server 10 and the like via the public gateway It may be configured to be connected to the insurer IF server 60 or the local government / Tax IF server 70.

  The feature of the second embodiment is that when the personal medical information management server 10 transmits / receives data to / from the insurer server 20, the user ID is converted into the insured ID by passing through the insurer IF server 60. When communicating with the insurer server and transmitting / receiving data to / from the local government server 30 or the national tax office server 40, the local government server converts the user ID into the resident ID through the local government / national tax office IF server 70. 30 or communicating with the tax server 40.

  In the second embodiment, only the receipt data reception processing unit and the user grouping processing unit are distributed to the insurer IF server 60 and the local government / national tax office IF server 70. However, all the functions are the personal medical information management server. The insurer IF server 60 and the local / national tax office IF server 70 may be requested to perform only the above-described user ID conversion while being arranged on the network 10.

  Conversely, data acquired from the insurer server 20, such as receipt data, is managed by the insurer IF server 60, data acquired from the local government server 30 is managed by the local government / Tax IF server 70, and personal medical information management is performed. Data may be provided in response to a request from the server 10.

  Further, in the second embodiment, as shown in FIG. 8, the personal medical information management server 10 is configured to hold a linked pseudonym for another server. However, the personal medical information management server 10 also has an insurer IF server 60 or Similar to the local government / national tax IF server 70, it has only a linked pseudonym for its own server, and the linked pseudonyms for all linked servers including the personal medical information management server 10 are collectively managed by another intermediary server. Also good.

  The second embodiment will be described centering on differences from the first embodiment.

  The insurer IF server 60 includes a storage unit 601, a processing unit 602, a user interface unit 603, and a communication interface unit 604. The storage unit 601 includes a receipt data master storage unit 6011 and an insurer user information storage unit 6012. The processing unit 602 includes a receipt data reception processing unit 6021, a user grouping processing unit 6022, and an ID linkage processing unit 6023. Is provided.

  The insurer IF server 60 manages the user ID (insured ID and insurer ID) of the server associated with the same user in association with the associated pseudonym in the insurer user information storage unit 6012. FIG. 6 is a diagram illustrating an example of management data managed by the insurer user information storage unit. The ID cooperation processing unit 6023 plays a role of converting the user ID of the own server and the cooperation pseudonym when straddling servers.

  The local government / National Tax Bureau IF server 70 includes a storage unit 701, a processing unit 702, a user interface unit 703, and a communication interface unit 704. The storage unit 701 includes a local government user information storage unit 7011, and the processing unit 702 includes a user grouping processing unit 7021 and an ID linkage processing unit 7022.

  The local government / National Tax Bureau IF server 70 manages, in the local government user information storage unit 7011, the user ID (residence group ID) of the server associated with the same user and the associated pseudonym. FIG. 7 is a diagram illustrating an example of management data managed by the local government user information storage unit. The ID cooperation processing unit 7022 plays a role of converting the user ID of the own server and the cooperation pseudonym when straddling servers.

  The personal medical information management server 10 includes a storage unit 101, a processing unit 102, a user interface unit 103, and a communication interface unit 104. The storage unit 101 includes a personal medical related expense information storage unit 1011. The processing unit 102 includes a user input data reception processing unit 1021, an application information calculation processing unit 1022, an application information issue processing unit 1023, and an ID linkage processing unit. 1024.

  The personal medical information management server 10 uses the personal medical related expense information storage unit 1011 (user basic data), the user ID (user ID) of the server related to the same user, the cooperative pseudonym for the insurer server, and the local government / national tax office IF server. To manage the associated kana. FIG. 8 is a diagram showing an example of management data (user basic data) managed by the personal medical related expense information storage unit. The ID cooperation processing unit 1024 plays a role of converting the user ID of the own server and the cooperation pseudonym when straddling servers.

  When data is transmitted from the insurer server 20 to the personal medical information management server 10, the ID link processing unit 6023 of the insurer IF server 60 refers to the insurer user information storage unit 6012 and sends it from the insurer server 20. The insured card ID assigned to the data is converted into a cooperative pseudonym for the insurer IF server and then sent to the personal medical information management server 10. The ID cooperation processing unit 1024 of the personal medical information management server 10 converts the insurer IF server cooperation pseudonym assigned to the data sent from the insurer IF server 60 into a user ID. When data is transmitted from the personal medical information management server 10 to the insurer server 20, the user identifier is converted along the reverse path.

  When transmitting data from the local government server 30 to the personal medical information management server 10, the local government user information storage unit 7011 of the local government / National Tax Bureau IF server 70 is referred to the local government user information storage unit 7011 and sent from the local government server 30. After the Juki ID assigned to the data is converted into the local government IF server cooperation pseudonym, it is sent to the personal medical information management server 10. The ID cooperation processing unit 1024 of the personal medical information management server 10 converts the local government IF server cooperation pseudonym assigned to the data sent from the local government / national tax office IF server 70 into a user ID. When data is transmitted from the personal medical information management server 10 to the local government server 30 or the national tax bureau server 40, the user identifier is converted by following the reverse route.

  Other processes are the same as those in the first embodiment. When the functions of the processing unit to each server are distributed, when the data access to the storage unit has to span multiple servers, the above-mentioned ID linkage processing unit converts the user ID of the own server and the linked pseudonym. .

As described above, according to the present invention, in the personal medical information management server connected to the insurer server and the local government server, not only the individual but also the individual while checking the personal attributes and relationships with the local government server and the insurer server. By managing medical expenses related cost information together with relationships between individuals such as households, it is possible to calculate the amount required for the application and notify the user whether or not the application is possible.
In addition, according to the present invention, medical-related cost information is stored in the personal medical cost information management server connected to the insurer server and the National Tax Bureau server, so that it is possible to directly apply for a high medical cost application or medical cost according to a user request. You can easily apply for a deduction.
Further, according to the present invention, by connecting the personal medical information management server to the insurer server, it is possible to acquire the receipt data from the insurer server and store it without the user's trouble.
Furthermore, according to the present invention, it is possible to collectively manage data and trail documents entered by an individual such as transportation costs and purchase costs for over-the-counter drugs.

  As a result, the present invention can prevent a patient from suffering a disadvantage due to omission of an application for high medical expenses or medical expenses deduction. Furthermore, by introducing the application support mechanism as described above, it can be expected that the number of users of the PHR service, which is not widely spread only by the motivation for health promotion, will increase. If the PHR service and the like become widespread and the habit of accumulating personal medical / health information becomes widespread, it can be used for other purposes such as confirmation of a medical history at the time of a disaster.

1, 10 Personal medical information management server 2, 20 Insurer server 3, 30 Local government server 4, 40 National tax office server 5, 50 Personal terminal 11, 101, 601, 701 Storage unit 12, 102, 602, 702 Processing unit 13, 103, 603, 703 User interface unit 14, 104, 604, 704 Communication interface unit 111, 6011 Receipt data master storage unit 112, 1011 Personal medical related expense information storage unit 121, 6021 Receipt data reception processing unit 122, 1021 User input data Reception processing unit 123, 6022, 7021 User grouping processing unit 124, 1022 Application information calculation processing unit 125, 1023 Application information issue processing unit 1024, 6023, 7022 ID linkage processing unit 6012 Insurer user information storage unit 7011 User information storage

Claims (8)

An insurer server that manages user receipt information and subscriber information, a local government server that manages user residence information, a personal terminal, and a personal medical information management server are connected via a network, and various applications are made with the National Tax Service. Is a medical information management system in which the National Tax Bureau server is further connected via a network,
The personal medical information management server includes:
The user's receipt information acquired from the insurer server and the medical-related cost information related to the user's medical care are associated and managed for each user,
According to the type of application, at least one of the user's subscriber information managed by the insurer server or the user's residence information managed by the local government server is acquired, and the subscriber information or the residence information is acquired. Group the users based on base information,
Periodically or at a designated timing, the medical-related cost information of the users grouped according to the type of application is summed up and the necessity information for application is sent to the personal terminal,
A medical information management system, wherein application information is transmitted to the insurer server based on a request from the personal terminal, and application information is transmitted to the national tax bureau server when an application is required to the national tax bureau. An insurer server that manages user receipt information and subscriber information, a local government server that manages user residence information, a personal terminal, and a personal medical information management server are connected via a network, and various applications are made with the National Tax Service. Is a medical information management method of a medical information management system in which the National Tax Bureau server is further connected via a network,
The personal medical information management server includes:
Managing the user's receipt information acquired from the insurer server and medical-related expense information related to the user's medical care in association with each user;
According to the type of application, at least one of the user's subscriber information managed by the insurer server or the user's residence information managed by the local government server is acquired, and the subscriber information or the residence information is acquired. Grouping the users based on base information;
Sending the application necessity information to the personal terminal by summing up the medical related expenses information of users grouped according to the type of application at regular or specified timing;
Sending application information to the insurer server based on a request from the personal terminal, and sending application information to the National Tax Bureau server if an application is required to the National Tax Bureau;
A medical information management method comprising: An insurer server that manages user receipt information and subscriber information, a local government server that manages user residence information, a personal terminal, and a personal medical information management server are connected via a network, and various applications are made with the National Tax Service. Is a personal medical information management server of a medical information management system to which the National Tax Bureau server is further connected via a network,
The user's receipt information acquired from the insurer server and the medical-related cost information related to the user's medical care are associated and managed for each user,
According to the type of application, at least one of the user's subscriber information managed by the insurer server or the user's residence information managed by the local government server is acquired, and the subscriber information or the residence information is acquired. Group the users based on base information,
Periodically or at a designated timing, the medical-related cost information of the users grouped according to the type of application is summed up and the necessity information for application is sent to the personal terminal,
A personal medical information management server that transmits application information to the insurer server based on a request from the personal terminal, and transmits application information to the national tax bureau server when an application is required to the national tax bureau . An insurer server that manages user receipt information and subscriber information, a local government server that manages user residence information, a personal terminal, and a personal medical information management server are connected via a network, and various applications are made with the National Tax Service. If the computer is configured as a personal medical information management server of a medical information management system to which the National Tax Bureau server is further connected via a network,
Managing the user's receipt information acquired from the insurer server and medical-related expense information related to the user's medical care in association with each user;
According to the type of application, at least one of the user's subscriber information managed by the insurer server or the user's residence information managed by the local government server is acquired, and the subscriber information or the residence information is acquired. Grouping the users based on base information;
Sending the application necessity information to the personal terminal by summing up the medical related expenses information of users grouped according to the type of application at regular or specified timing;
Transmitting application information to the insurer server or the National Tax Service server based on a request from the personal terminal;
A program that executes Insurer server for managing user's receipt information and subscriber information, local government server for managing user's residence information, personal terminal, insurer IF server for converting user identifier and communication pseudonym, and local government / national tax A medical information management system in which a bureau IF server and a personal medical information management server are connected via a network, and when various applications are required to the National Tax Bureau, the National Tax Bureau server is further connected via a network,
The personal medical information management server includes:
The user's receipt information acquired from the insurer server, medical-related cost information related to the user's medical care, and user identifiers are managed in association with each user,
According to the type of application, at least one of the user's subscriber information managed by the insurer server or the user's residence information managed by the local government server is acquired, and the subscriber information or the residence information is acquired. Group the users based on base information,
Periodically or at a designated timing, the medical-related cost information of the users grouped according to the type of application is summed up and the necessity information for application is sent to the personal terminal,
Sending application information to the insurer server based on a request from the personal terminal, and if application is required to the National Tax Bureau, send application information to the National Tax Bureau server,
When transmitting / receiving information to / from the insurer server, the user identifier included in the information to be transmitted / received is converted to a communication pseudonym, and the insurer IF server converts the communication pseudonym to the user identifier of the insurer server. Sending and receiving information to and from the insurer server via the insurer IF server,
When transmitting / receiving information to / from the local government server and the national tax office server, a user identifier included in the transmitted / received information is converted into a communication pseudonym, and the local government / national tax office IF server converts the communication local pseudonym to the local government server and national tax office. A medical information management system that converts a user identifier of a server and transmits / receives information to / from the local government server and the national tax office server via the local government / national tax office IF server. Insurer server for managing user's receipt information and subscriber information, local government server for managing user's residence information, personal terminal, insurer IF server for converting user identifier and communication pseudonym, and local government / national tax The medical information management method of the medical information management system in which the bureau IF server and the personal medical information management server are connected via a network, and the National Tax Bureau server is further connected via the network when various applications are required to the National Tax Bureau. There,
The personal medical information management server includes:
Managing the user's receipt information acquired from the insurer server, medical-related cost information regarding the user's medical care, and a user identifier in association with each user;
According to the type of application, at least one of the user's subscriber information managed by the insurer server or the user's residence information managed by the local government server is acquired, and the subscriber information or the residence information is acquired. Grouping the users based on base information;
Sending the application necessity information to the personal terminal by summing up the medical related expenses information of users grouped according to the type of application at regular or specified timing;
Sending application information to the insurer server based on a request from the personal terminal, and sending application information to the National Tax Bureau server if an application is required to the National Tax Bureau;
When transmitting / receiving information to / from the insurer server, the user identifier included in the information to be transmitted / received is converted to a communication pseudonym, and the insurer IF server converts the communication pseudonym to the user identifier of the insurer server. Sending and receiving information to and from the insurer server via the insurer IF server;
When transmitting / receiving information to / from the local government server and the national tax office server, a user identifier included in the transmitted / received information is converted into a communication pseudonym, and the local government / national tax office IF server converts the communication local pseudonym to the local government server and national tax office. A step of transmitting / receiving information to / from the local government server and the national tax office server via the local government / national tax office IF server by converting into a server user identifier;
A medical information management method comprising: Insurer server for managing user's receipt information and subscriber information, local government server for managing user's residence information, personal terminal, insurer IF server for converting user identifier and communication pseudonym, and local government / national tax A personal medical information management server of a medical information management system in which a bureau IF server and a personal medical information management server are connected via a network, and the National Tax Bureau server is further connected via a network when various applications are required to the National Tax Bureau Because
The user's receipt information acquired from the insurer server, medical-related cost information related to the user's medical care, and user identifiers are managed in association with each user,
According to the type of application, at least one of the user's subscriber information managed by the insurer server or the user's residence information managed by the local government server is acquired, and the subscriber information or the residence information is acquired. Group the users based on base information,
Periodically or at a designated timing, the medical-related cost information of the users grouped according to the type of application is summed up and the necessity information for application is sent to the personal terminal,
Sending application information to the insurer server based on a request from the personal terminal, and if application is required to the National Tax Bureau, send application information to the National Tax Bureau server,
When transmitting / receiving information to / from the insurer server, the user identifier included in the information to be transmitted / received is converted to a communication pseudonym, and the insurer IF server converts the communication pseudonym to the user identifier of the insurer server. Sending and receiving information to and from the insurer server via the insurer IF server,
When transmitting / receiving information to / from the local government server and the national tax office server, a user identifier included in the transmitted / received information is converted into a communication pseudonym, and the local government / national tax office IF server converts the communication local pseudonym to the local government server and national tax office. A personal medical information management server, which converts the information into a user identifier of a server and transmits / receives information to / from the local government server and the national tax office server via the local government / national tax office IF server. Insurer server for managing user's receipt information and subscriber information, local government server for managing user's residence information, personal terminal, insurer IF server for converting user identifier and communication pseudonym, and local government / national tax A personal medical information management server of a medical information management system in which a bureau IF server and a personal medical information management server are connected via a network, and the National Tax Bureau server is further connected via a network when various applications are required to the National Tax Bureau On the computer you configure as
Managing the user's receipt information acquired from the insurer server, medical-related cost information regarding the user's medical care, and a user identifier in association with each user;
According to the type of application, at least one of the user's subscriber information managed by the insurer server or the user's residence information managed by the local government server is acquired, and the subscriber information or the residence information is acquired. Grouping the users based on base information;
Sending the application necessity information to the personal terminal by summing up the medical related expenses information of users grouped according to the type of application at regular or specified timing;
Sending application information to the insurer server based on a request from the personal terminal, and sending application information to the National Tax Bureau server if an application is required to the National Tax Bureau;
When transmitting / receiving information to / from the insurer server, the user identifier included in the information to be transmitted / received is converted to a communication pseudonym, and the insurer IF server converts the communication pseudonym to the user identifier of the insurer server. Sending and receiving information to and from the insurer server via the insurer IF server;
When transmitting / receiving information to / from the local government server and the national tax office server, a user identifier included in the transmitted / received information is converted into a communication pseudonym, and the local government / national tax office IF server converts the communication local pseudonym to the local government server and national tax office. A step of transmitting / receiving information to / from the local government server and the national tax office server via the local government / national tax office IF server by converting into a server user identifier;
A program that executes

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