JP2014016923A - Medical information management system and program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a medical information management system installed in a medical institution capable of extending an accessible period to a piece of medical examination information on a transferred patient during the period that the patient is under medical care in the medical institution.SOLUTION: A medical information database 31 stores a medical information data including medical examination information on a patient the accessible period to which is preset. Receiving an access request to the medical examination information from a terminal in a hospital of a patient received, and when the hospital is a medical institution permitted to access to the information and when medical examination information of the patient is opened, an access right determination section 35 obtains a medical expense detailed data made on the patient in the transferred hospital from a medical expenses detailed information storage 33, and when medical consultation date of the medical expense detailed data is in the accessible period and when the medical consultation in the transferred hospital is opened, the access request is accepted. When the access request is determined to be accepted, a medical information management section 32 extends the preset accessible period for a predetermined period.

Description

  The present invention relates to a medical information management system and program.

  In Patent Literature 1, when the use of medical information is permitted to another medical facility to which the patient is introduced, such as when a patient is introduced to another medical facility, the usage range and period of use of the medical information are described. A medical information management system that can be restricted is disclosed.

  In Patent Document 2, when access to a database for managing medical information is permitted from a medical facility at a transfer destination, the medical accounting system on the side of the medical information discloses the access authority for medical information about the patient to be transferred. A medical cooperation system that is granted to a previous medical facility is disclosed.

JP 2002-269243 A JP 2010-237833 A

  An object of the present invention is to provide a medical information management system capable of extending the period during which medical information can be viewed with respect to the medical information system in the transfer destination medical institution while the patient is receiving medical care in the transfer destination medical institution, and Is to provide a program.

[Medical information management system]
The present invention according to claim 1 includes medical information of a patient who is undergoing a medical examination, and whether or not the medical information is disclosed to other medical information management systems is permitted to be viewed by which medical institution. Medical information management means for managing medical information data in which which department is to be made public and how long it can be browsed, and
Storage means for storing consultation status data transmitted from a medical information management system in another medical institution;
When a browsing request for medical information of a patient has been transmitted from a device in another medical institution, the browsing determination means for determining whether to permit browsing of the medical information of the patient,
When the browsing determination unit receives a browsing request from a device in another medical institution, the medical institution that has transmitted the browsing request permits the browsing, and browsing of medical information is requested by the browsing request. If the patient is a patient for whom medical information is disclosed, the medical checkup data obtained when the patient has received a medical checkup at the medical institution that has sent the browsing request is acquired from the storage means, and the medical checkup date in the acquired medical checkup status data Is within the browsing period set for the patient's medical information, and if the medical department in the consultation status data is a medical department to be disclosed, browsing of the medical information requested for browsing is permitted. Then,
When the medical information management unit determines that the browsing determination unit permits browsing of the medical information for which the browsing request has been received, the medical information management unit extends the browsing available period set for the medical information of the patient by a predetermined period. Is a medical information management system characterized by

The present invention according to claim 2 further comprises validity determination means for determining whether or not the medical examination status data stored in the storage means is valid,
The browsing determination means receives a browsing request only when the diagnosis status data is determined to be valid in the determination result by the validity determination means when acquiring the diagnosis status data from the storage means. The medical information management system according to claim 1, wherein permission for browsing medical information is given.

  According to the third aspect of the present invention, the validity determination means confirms that the medical examination status data is electronically signed by an electronic certificate issued to the patient, and the medical examination status data is valid. The medical information management system according to claim 1, wherein the medical information management system is determined to be present.

  According to a fourth aspect of the present invention, in the medical information management according to any one of the first to third aspects, the medical examination status data is medical cost statement data when the patient has a medical examination at a medical institution to which a hospital is transferred. System.

[program]
The present invention according to claim 5 stores the consultation status data transmitted from the medical information management system in another medical institution;
When a browsing request for medical information of a patient is transmitted from a device in another medical institution, the medical institution that has transmitted the browsing request is a medical institution that permits browsing, and browsing of the medical information by the browsing request is performed. If the requested patient is a patient whose medical information has been made public, obtain the consultation status data from the stored consultation status data when the patient received a consultation at the medical institution that sent the browsing request. Steps,
When the medical treatment date in the obtained medical examination status data is within the browsing period set for the medical information of the patient, and the medical department in the medical examination status data is the clinical department to be disclosed, This is a program for causing a computer to execute a step of extending a browsing-enabled period set for medical information by a predetermined period and determining that browsing of medical information for which browsing has been requested is permitted.

  According to the first aspect of the present invention, while the patient is undergoing medical care at the medical institution at the transfer destination, the period during which the medical information can be browsed with respect to the medical information system at the medical institution at the transfer destination is It is possible to provide a medical information management system that can be extended based on information.

  According to the second aspect of the present invention, in addition to the effect obtained by the first aspect of the present invention, it is possible to improve the reliability of the medical examination status data from the medical information management system of the medical institution at the hospital transfer destination. A medical information management system can be provided.

  According to the third aspect of the present invention, in addition to the effect obtained by the first or second aspect of the present invention, the medical examination status data from the medical information management system of the medical institution to which the hospital is transferred is that of the patient. It is possible to provide a medical information management system capable of improving the reliability.

  According to the present invention according to claim 4, in addition to the effect obtained by the present invention according to any one of claims 1 to 3, a medical information management system that can save the trouble of creating consultation status data Can be provided.

  According to the fifth aspect of the present invention, while the patient is undergoing medical care at the medical institution at the transfer destination, the period during which the medical information can be browsed with respect to the medical information system at the medical institution at the transfer destination is A program that can be extended based on information can be provided.

It is a system figure for demonstrating a mode that the some medical information management system of one Embodiment of this invention was mutually connected by the network. It is a block diagram which shows the hardware constitutions of 10 A of medical information management systems in one Embodiment of this invention. It is a block diagram which shows the function structure of 10 A of medical information management systems in one Embodiment of this invention. It is a figure which shows an example of the medical information management table stored in the medical information database. It is a figure which shows an example of the patient information management table stored in the medical information database. It is a figure which shows an example of the medical department corresponding | compatible management table stored in the medical information database. It is a figure which shows an example of the affiliated medical institution management table stored in the medical information database. It is a figure which shows an example of the affiliated doctor information management table stored in the medical information database. It is a figure which shows an example of the patient information corresponding | compatible management table stored in the medical information database. It is a figure which shows an example of the format of medical expenses statement data. It is a flowchart for demonstrating the setting registration operation | movement performed with respect to the medical information management system of a self-hospital when it determines the transfer treatment in a patient's other hospital in the hospital of a transfer origin. It is a flowchart for demonstrating operation | movement when the medical information management system 10A of the hospital A of the transfer origin receives the browsing request | requirement of the patient's medical information from the medical information management system 10B of the hospital B of the transfer destination. It is a flowchart for demonstrating the detail of the process (step S204) which confirms the effectiveness of the medical expenses description in the flowchart of FIG.

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

  FIG. 1 is a system diagram for explaining a state in which a plurality of medical information management systems according to an embodiment of the present invention are connected to each other via a network.

  In FIG. 1, medical information management systems 10A, 10B, and 10C and terminal devices 20A, 20B, and 20C are provided in three hospitals (medical institutions) A, B, and C, respectively, and they are mutually connected by a network 30 such as the Internet. It is connected to the.

  Here, since the medical information management systems 10A, 10B, and 10C have the same configuration, the following description will be made using the medical information management system 10A installed in the hospital A.

  Next, the hardware configuration of the medical information management system 10A installed in the hospital A is shown in FIG.

  As shown in FIG. 2, the medical information management system 10 </ b> A includes a CPU 11, a memory 12, a communication interface (IF) 13 that transmits and receives data to and from an external device via a network 30, a hard disk drive ( A storage device 14 such as an HDD). These components are connected to each other via a control bus 15.

  The CPU 11 executes a predetermined process based on a control program stored in the memory 12 or the storage device 14, and controls the operation of the medical information management system 10A. In the present embodiment, the CPU 11 has been described as reading and executing a control program stored in the memory 12 or the storage device 14, but the program is stored in a storage medium such as a CD-ROM and stored in the CPU 11. It is also possible to provide.

  FIG. 3 is a block diagram showing a functional configuration of the medical information management system 10A realized by executing the control program.

  As shown in FIG. 3, the medical information management system 10 </ b> A of the present embodiment includes a medical information database 31, a medical information management unit 32, a medical cost statement storage unit 33, and a medical cost statement validity determination unit 34. An access right determination unit 35, a communication unit 36, and a medical expense statement creation unit 37.

  The communication unit 36 is connected to the terminal device 20A via the network in the hospital A, or connected to the medical information management systems 10B and 10C and the terminal devices 20B and 20C of other hospitals B and C via the network 30. Data transmission and reception. Specifically, the communication unit 36 receives a request for browsing medical information from the terminal devices 20B and 20C of other hospitals B and C, and transmits medical information permitted to be viewed. Moreover, the communication part 36 is also performing the transmission / reception of medical expense statement data between the medical information management systems 10B and 10C of the other hospitals B and C.

  The medical information database 31 includes medical information of a patient undergoing a medical examination, and permits browsing to which hospital (medical institution) whether or not to open the medical information to other medical information management systems. Or medical information data in which which department is to be disclosed and how long it can be browsed are stored.

  Specifically, the medical information database 31 includes a medical information management table as shown in FIG. 4, a patient information management table as shown in FIG. 5, a medical department correspondence management table as shown in FIG. Such a partner medical institution management table, a partner doctor information management table as shown in FIG. 8, and a patient information correspondence management table as shown in FIG. 9 are stored.

  As shown in FIG. 4, the medical information management table is configured by associating a patient ID, a document ID, a document name, a creator ID, and a disclosure flag.

  Here, the patient ID is patient-specific identification information assigned to a patient managed in the hospital from which the patient is transferred. The document ID is unique identification information assigned to a medical information document such as a patient chart, an inquiry form, an X-ray photograph, an examination record, a medication history, etc., managed at the hospital from which the patient is transferred. The document name indicates the name of a document such as medical information specified by the document ID. The creator ID is identification information for identifying the person who created the document managed in the hospital from which the hospital is transferred. Furthermore, the publication flag is a flag indicating whether this document is to be published or not to be published.

  In addition, as shown in FIG. 5, the patient information management table includes a patient ID, a patient name, an attending physician ID, an affiliated hospital ID, an affiliated physician ID, a consultation department, an open medical department, and a viewable period. Are associated with each other.

  Here, the attending physician ID is identification information for identifying the doctor who is the attending physician of the patient in the hospital of the transfer hospital. The affiliated hospital ID is identification information for identifying a hospital affiliated as a transfer destination. The affiliated doctor ID is identification information for identifying a doctor who is the patient's primary doctor at the hospital to which the patient is transferred.

  Further, as shown in FIG. 6, the clinical department correspondence management table is configured by associating a clinical department, a clinical department ID, an affiliated hospital ID, and an affiliated clinical department ID.

  Here, the medical department ID is identification information that identifies the medical department of the hospital from which the hospital is transferred. The affiliated medical department ID is identification information for specifying the medical department of the hospital to which the hospital is transferred.

  Further, as shown in FIG. 7, the affiliated medical institution management table is configured by associating an affiliated hospital ID with an affiliated medical department ID.

  Further, as shown in FIG. 8, the affiliated doctor information management table is configured by associating an affiliated hospital ID, an affiliated medical department ID, an affiliated doctor ID, and an affiliated doctor name.

  As shown in FIG. 9, the patient information correspondence management table is configured by associating a patient ID, a partner hospital ID, and a partner patient ID.

  Here, the partner patient ID is identification information for specifying a patient managed in the hospital at the transfer destination. That is, by referring to FIG. 9, the correspondence relationship between the patient ID in the partner hospital that is the hospital to which the hospital is transferred and the patient ID in the hospital from which the hospital is transferred can be understood.

  Further, the medical information management unit 32 illustrated in FIG. 3 manages medical information stored in the medical information database 31. When the medical information management unit 32 receives a browsing request for the patient's medical information from a medical institution such as another hospital via the communication unit 36, the access right determination unit 35 determines whether or not to permit the browsing request. Check the judgment result. When the access right determination unit 35 determines that the browsing is permitted, the medical information management unit 32 sends the medical information requested to be browsed to the medical information management system that has transmitted the browsing request. Forward.

  The medical expense statement storage unit 33 stores medical expense statement data transmitted from a medical information management system in another hospital.

  The medical cost statement validity determination unit 34 determines whether or not the medical cost statement data stored in the medical cost statement storage unit 33 is valid. Specifically, the medical expense statement validity determination unit 34 confirms that the medical expense statement data is electronically signed by an electronic certificate issued to a patient who has been requested to view medical information. Then, it is determined that the medical expense statement data is valid.

  When an access request for medical information of a patient is transmitted from the terminal devices 20B and 20C in the other hospitals B and C, the access right determination unit 35 determines whether to permit browsing of the patient's medical information. It functions as browsing judgment means.

  Specifically, when the access right determination unit 35 receives a browsing request from the terminal devices 20B and 20C in the other hospitals B and C, the access right determination unit 35 is a medical institution that has permitted browsing by the hospital that has transmitted the browsing request. If the patient who is requested to view the medical information by the browsing request is a patient who has published the medical information, the medical cost statement data when the patient visits the hospital that has sent the browsing request. Obtained from the document storage unit 33. Then, the access right determination unit 35 indicates that the medical treatment date in the acquired medical expense description data is within the browsing enabled period set for the medical information of the patient, and the medical department in the medical expense specification data is In the case of a medical department that is a disclosure target, it is determined that browsing of the medical information that has received the browsing request is permitted.

  When the access right determination unit 35 determines that the access to the medical information for which the browsing request has been received is permitted, the medical information management unit 32 determines the browsing available period set for the medical information of the patient. Extend only the period.

  It should be noted that the length of the period during which the medical information management unit 32 extends the viewable period can be changed according to the type of illness that the patient is undergoing treatment, the content of treatment being received, and the like. For example, if you are undergoing treatment that is expected to have a short visit interval, such as artificial dialysis treatment, the extension period may be short, but it is expected that the visit interval will be longer. If you are undergoing a long-term treatment, you need to extend the period of extension.

  The access right determination unit 35 determines that the consultation status data is valid in the determination result by the medical cost statement validity determination unit 34 when acquiring the medical cost statement data from the medical cost statement storage unit 33. Only in the case where the medical care information of the patient is set, the viewing-permitted period set for the medical information of the patient is extended, or the medical information that has been requested to be browsed is permitted to be browsed.

  The medical cost statement creation unit 37 creates medical cost statement data of a patient who has been transferred from another hospital, and transmits it to the medical information management system of the transfer source via the communication unit 36. Here, the medical expense statement creating unit 37 uses the electronic certificate issued to the patient, for example, the electronic signature stored on the medical expense statement data by the electronic certificate stored in the patient's examination ticket. The medical expense statement data with the electronic signature is transmitted to the medical information management system of the transfer source.

  The format of this medical expense statement data is common to the hospital of the transfer source and the hospital of the transfer destination. For example, as shown in FIG. 10, patient ID, hospital ID, doctor ID, clinical department, medical treatment contents It is composed of information such as medical treatment dates. Here, the medical expense statement data sent to the hospital of transfer is omitted without including information such as medical expenses and the number of insurance medical points.

  In the medical information management system of the present embodiment, when a patient visits a hospital at a transfer destination in order to determine whether or not to permit viewing of medical information from other medical information management systems and to extend the browsing period. However, the present invention is not limited to such a configuration.

  If the visit status data indicates the status of the patient at the transfer destination hospital, this diagnosis status data is transmitted from the medical information management system of the transfer destination hospital to the medical information management system of the transfer destination hospital. Accordingly, the browsing request may be permitted, non-permitted, and the browsing period may be extended.

  Next, the operation of the medical information management system of this embodiment will be described in detail with reference to the drawings.

  First, referring to the flowchart of FIG. 11, a setting registration operation performed for the medical information management system of the own hospital when the transfer treatment at the other hospital is first determined in the hospital of the transfer source will be described.

  In the following description, a patient who has been treated in the hospital A shown in FIG. 1 (patient ID = “A0001”, patient name = “Fujitaro”) is transferred to the hospital B (affiliated hospital ID = “H1100”). An explanation will be given by taking as an example the case of receiving treatment.

  First, when the transfer of the patient to the hospital B is determined in the transfer-source hospital A (step S101), in the hospital A, it is determined whether or not the transfer-destination hospital B is registered in the partner medical institution table shown in FIG. Confirmed (step S102).

  In step S102, if the hospital B as the transfer destination is not registered in the affiliated medical institution management table in the hospital A, the hospital B to be transferred is registered as an affiliated hospital in the affiliated medical institution management table after a predetermined examination ( Step S103).

  Then, in the hospital A, it is confirmed whether or not the department that the patient is scheduled to receive in the transfer destination hospital B is registered in the affiliated medical institution table shown in FIG. 7 (step S104).

  In step S104, if the department that the patient plans to visit at the hospital B as the transfer destination is not registered in the affiliated medical institution management table at the hospital A, the patient receives a diagnosis at the hospital B that is scheduled to be transferred after a predetermined examination. The medical department scheduled to be registered is registered as an affiliated medical department in the affiliated medical institution management table (step S105).

  Further, in hospital A, it is confirmed whether or not a doctor in the department of medical care that the patient is scheduled to receive in hospital B as the transfer destination is registered in the affiliated doctor information management table shown in FIG. 8 (step S106).

  In step S106, if the doctor in the department to whom the patient is scheduled to consult at the hospital B at the transfer destination is not registered in the affiliated doctor information management table at the hospital A, the patient at the hospital B at the hospital to be transferred after a predetermined examination. Is registered as a partner doctor in the partner doctor information management table (step S107).

  In the medical information management system of the hospital A as the transfer source, the medical information management system of the hospital B as the transfer destination accesses the patient's medical information data that can be browsed by the medical information management system of the hospital A as well. Issue necessary information for. Here, the information necessary for accessing the patient's medical care information data includes information such as an access destination URL, a login account, a password, and a patient ID of the patient who is a transfer source.

  Then, in the hospital A, the patient information management table in the medical information management system 10A, for example, as shown in FIG. The possible period is set. In the example shown in FIG. 5, for a patient whose patient ID is “A001”, a hospital whose affiliated hospital ID is “H1100”, a doctor whose affiliated doctor ID is “PD0800”, and the department at the transfer destination are “ In the case of “surgery”, the case where the period until April 12, 2012 is set as the viewable period is shown.

  Next, the operation when the medical information management system 10A of the hospital A as the transfer source receives a request for browsing the patient's medical information from the terminal device 20B of the hospital B as the transfer destination will be described with reference to the flowchart of FIG. .

  First, when the medical information management system 10A receives a browsing request for medical information of a patient from the terminal device 20B of the hospital B as the transfer destination (step S201), the access right determination unit 35 determines that the patient who has received the browsing request has received another hospital. It is determined based on the patient information management table whether or not the patient is allowed to view medical information (step S202).

  In step S202, when it is determined that the patient who has received the browsing request is a patient whose medical information can be viewed in another hospital, the access right determination unit 35 further displays the browsing request by the doctor who has requested the browsing. It is determined based on a patient information management table whether it is a doctor of the hospital who permitted (step S203).

  In step S203, when it is determined that the doctor who has requested browsing is a doctor of a hospital that has permitted browsing, the access right determination unit 35 accesses the medical cost statement validity determination unit 34, The determination result about the effectiveness with respect to the medical expense statement data of the patient transmitted from the medical information management system 10B of the hospital B that has made the browsing request is acquired (step S204).

  If it is determined in step S204 that the medical cost statement data of the patient is valid (Yes in step S205), the access right determination unit 35 determines that the medical cost statement data is valid. It is determined whether or not the medical treatment date is within the browseable period set in the patient information management table (step S206).

  In step S206, when it is determined that the medical treatment date of the medical expense statement data is within the browsing enabled period set in the patient information management table, the access right determination unit 35 is determined to be valid. Information on the medical department that the patient consulted at the hospital B at the transfer destination is acquired from the medical bill statement data, and whether or not it is registered as an open medical department at the hospital at the transfer source based on the medical department correspondence management table. Determination is made (step S207).

  For example, in the medical expense statement data as shown in FIG. 10, since the department ID is “R0002”, the hospital A corresponding to this department ID “R0002” from the department correspondence management table shown in FIG. It can be confirmed that the medical department is “internal medicine” and is registered as the public medical department of the patient whose patient ID is “A0001” in the patient information management table of FIG. 5 (Yes in step S207).

  Therefore, the medical information management unit 32 extends the viewable period in the patient information management table of FIG. 5 for two months, for example, from “April 12, 2012” to “June 12, 2012” (step S208). ).

  Then, the access right determination unit 35 refers to the medical information management table of FIG. 4 and confirms that the public flag of the document (medical information) requested to be browsed is not private (step S209). The medical information that has been requested to be browsed is permitted to be browsed (step S210).

  In addition, when it determines with no in any of step S202, S203, S205, S206, S207, and S209, the access right determination part 35 does not permit browsing of the medical information which received the request | requirement of browsing (step S211). ).

  Finally, the details of the process for confirming the validity of the medical expense statement in the flowchart of FIG. 12 will be described with reference to the flowchart of FIG.

  When medical expense statement data is received from another medical information management system and stored in the medical expense statement storage unit 33 (step S301), the medical expense statement validity determination unit 34 determines that the medical expense statement data is It is determined whether or not an electronic signature is made with an electronic certificate corresponding to the patient ID (step S302). If the medical cost statement data is digitally signed with an electronic certificate corresponding to the patient ID (Yes in step S302), the medical cost statement validity determination unit 34 adds the medical cost statement data to the medical cost statement data. It is determined whether or not necessary information is described (step S303). Here, the necessary information is hospital ID, doctor ID, patient ID, medical department, and medical date information.

  If it is determined in step S303 that the necessary information is described in the medical expense statement data, the medical expense statement validity determination unit 34 determines that the medical expense statement data is valid ( Step S304).

  Note that if it is determined in step S302 that the medical billing statement data is not digitally signed by an electronic certificate corresponding to the patient ID, or in step S303, information necessary for the medical billing statement data. When it is determined that is not described, the medical expense statement validity determination unit 34 determines that the medical expense statement data is invalid (step S305).

10A, 10B, 10C Medical Information Management System 11 CPU
12 Memory 13 Communication interface (IF)
DESCRIPTION OF SYMBOLS 14 Memory | storage device 15 Control bus 20A, 20B, 20C Terminal device 30 Network 31 Medical information database 32 Medical information management part 33 Medical expense specification storage part 34 Medical expense specification validity judgment part 35 Access right judgment part 36 Communication part 37 Medical Expense statement preparation department

Claims (5)

Includes the medical information of the patient undergoing the examination, whether or not the medical information is disclosed to other medical information management systems, which medical institutions are allowed to view, and which clinical departments are subject to disclosure Or medical information management means for managing medical information data in which the period of time that can be viewed is set,
Storage means for storing consultation status data transmitted from a medical information management system in another medical institution;
When a browsing request for medical information of a patient has been transmitted from a device in another medical institution, the browsing determination means for determining whether to permit browsing of the medical information of the patient,
When the browsing determination unit receives a browsing request from a device in another medical institution, the medical institution that has transmitted the browsing request permits the browsing, and browsing of medical information is requested by the browsing request. If the patient is a patient for whom medical information is disclosed, the medical checkup data obtained when the patient has received a medical checkup at the medical institution that has sent the browsing request is acquired from the storage means, and the medical checkup date in the acquired medical checkup status data Is within the browsing period set for the patient's medical information, and if the medical department in the consultation status data is a medical department to be disclosed, browsing of the medical information requested for browsing is permitted. Then,
When the medical information management unit determines that the browsing determination unit permits browsing of the medical information for which the browsing request has been received, the medical information management unit extends the browsing available period set for the medical information of the patient by a predetermined period. Medical information management system characterized by Further comprising validity determination means for determining whether or not the consultation status data stored in the storage means is valid,
The browsing determination means receives a browsing request only when the diagnosis status data is determined to be valid in the determination result by the validity determination means when acquiring the diagnosis status data from the storage means. The medical information management system according to claim 1, wherein browsing permission for medical information is given.   3. The validity determination means determines that the medical examination status data is valid by confirming that the medical examination status data is digitally signed by an electronic certificate issued to the patient. The medical information management system described.   The medical information management system according to any one of claims 1 to 3, wherein the medical examination status data is medical cost statement data when the patient has a medical examination at a medical institution at a transfer destination. Storing consultation status data transmitted from a medical information management system in another medical institution;
When a browsing request for medical information of a patient is transmitted from a device in another medical institution, the medical institution that has transmitted the browsing request is a medical institution that permits browsing, and browsing of the medical information by the browsing request is performed. If the requested patient is a patient whose medical information has been made public, obtain the consultation status data from the stored consultation status data when the patient received a consultation at the medical institution that sent the browsing request. Steps,
When the medical treatment date in the obtained medical examination status data is within the browsing period set for the medical information of the patient, and the medical department in the medical examination status data is the clinical department to be disclosed, A step of extending the viewable period set for the medical information by a predetermined period and determining to permit browsing of the medical information for which the browsing request has been received;
A program that causes a computer to execute.

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