JP2016110247A - System and method for executing reservation of medical care and adjustment of medical care charge and medical product charge - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a system and method for consistently executing the registration of a hospital in which a patient wants medical examination, the reservation of a medication examination time, the adjustment of medical care charge, the designation of a pharmacy in which the patient wants to receive prescribed medical products, and the charge adjustment of the prescribed medical products by a smartphone.SOLUTION: A system management host 102, a smartphone 103, hospital hosts 104a to 104d and pharmacy terminals 105a and 105e are connected to an Internet network 101. A patient activates a preservation adjustment application installed in the smartphone 103 to register a hospital in which the patient wants medical examination. The patient selects the reservation of medical examination from the reservation adjustment application, and makes an inquiry for reservation to the hospital in which the patient wants medical examination. When the reservation is accepted, the reservation acceptance is displayed in the smartphone. When the medical examination is finished, medical care charge is displayed in the smartphone, and when the patient clicks a payment button, the adjustment is completed. Also, when prescription drug is prescribed, the patient designates a pharmacy in which the patient receives the prescribed drug from the smartphone, and executes the adjustment of medical product charge.SELECTED DRAWING: Figure 1

Description

  The present invention relates to a system and method for reimbursing a medical fee at a clinic (hospital, clinic) or a pharmaceutical fee prescribed at a dispensing pharmacy, and more specifically, using a patient's portable information terminal device, The present invention relates to a system and method for reserving reservations, medical fees and pharmaceutical fees.

  In general, appointments for examination hours are made at the clinic counter, and the medical fee for the examination by the doctor is paid at the checkout counter of the clinic. In addition, prescriptions issued by doctors are prescribed to pharmaceuticals at the dispensing pharmacy, and the drug fee is paid at the dispensing pharmacy.

  In contrast, Japanese Patent Laid-Open No. 2001-357307 discloses a medical appointment system that performs a procedure from a patient appointment in a medical institution to a drug purchase after the examination using a wide area medical appointment system constructed on the Internet. And a medical appointment method.

  In the invention disclosed in the above publication, a patient who wishes to see a patient inputs personal information such as the patient's name, the subject in charge, the desired time for the examination, the desired pharmacy, etc. from the medical appointment homepage provided by the hospital (FIG. 2). ) When the reservation content (FIG. 3) displayed on the patient reservation information registration screen is confirmed and the transmission button is clicked, the patient reservation information registration completion screen (FIG. 4) is transmitted from the hospital to the patient. When the patient is examined at the scheduled examination time, the doctor inputs prescription information and the like into the doctor terminal. The information is transmitted to the pharmacy designated by the patient, and the purchased drug information (FIG. 7) is transmitted to the patient so that the patient can know the drug price and delivery time.

JP 2001-357307 A

  The invention disclosed in the above publication discloses that after making a medical appointment at a hospital that desires medical examination and receiving medical examination at a scheduled time, a doctor in charge issues a prescription to a predetermined pharmacy. However, the above-mentioned invention does not disclose that the medical fee in the hospital and the medical fee in the pharmacy are settled by the patient's portable terminal device consistently from the medical appointment.

  The present invention relates to a system management device, a plurality of portable information terminal devices, a plurality of clinic management devices, and a plurality of pharmacy terminal devices coupled to an telecommunications network to reserve medical treatment at a clinic, and In a reservation settlement system that settles the medical fee for medical treatment prescribed by the medical examination and the prescription, the medical treatment fee and the pharmaceutical fee received from the system management device are inquired of the medical facility management device for the medical treatment reservation of the clinic. A portable information terminal device for instructing the system management device to perform payment, a reception of a medical appointment is transmitted to the portable information terminal device in response to an inquiry of a medical appointment, and a patient's medical information including a prescription of a medicine is received; A clinic management device that calculates a medical fee for a patient based on medical information, and the clinic management device system manages the medical information and the medical fee. A pharmacy terminal device that calculates the drug fee based on the clinic information received from the system management device and transmits the drug fee to the system management device, and the payment from the portable information terminal device. And a system management device that performs the payment of the medical fee and the medicine fee based on the instruction of the reservation.

  Further, the present invention relates to a reservation settlement method for reserving a medical treatment in a clinic and reimbursing a medical fee and a pharmaceutical fee prescribed based on a prescription by a doctor's examination. Inquiries to the clinic management device about the medical appointment, and in response to the medical appointment inquiry, the stage where the portable information terminal device receives the reception of the medical appointment transmitted by the clinic management device, and the patient's medical information including the prescription of the medicine The portable information terminal device receives and displays the patient's medical fee calculated by the clinic management device, and the portable information terminal device instructs the system management device to settle the medical fee; The portable information terminal device receives and displays the drug fee calculated by the pharmacy terminal device based on the medical information, and the portable information terminal device displays the drug fee. The system management device, the portable information terminal device, the clinic management device, and the pharmacy terminal device are a reservation settlement method coupled to the telecommunications network. is there.

  According to the present invention configured as described above, a patient can register a clinic where he / she wishes to receive medical care through a portable information terminal device, and can perform medical treatment at the registered clinic in the portable information terminal device. You can make a reservation from In addition, it is possible to know the medical fee calculated based on the medical information created by the doctor and the pharmaceutical fee of the medicine received by the dispensing pharmacy designated by the patient with the portable information terminal device, You can pay for the drug charges. Therefore, it is possible to consistently perform display and settlement of medical fees and pharmaceutical fees from the appointment of medical treatment using the portable information terminal device.

1 shows an overall configuration diagram of a reservation settlement system according to an embodiment of the present invention. FIG. The functional block diagram which shows the basic composition of the portable information terminal device used for one Example of this invention is shown. It is a flowchart which shows the procedure of the hospital registration which concerns on one Example of this invention. It is a flowchart which shows the procedure of the examination reservation which concerns on one Example of this invention. It is a flowchart which shows the payment procedure of the medical treatment fee which concerns on one Example of this invention. It is a flowchart which shows the designation | designated of the dispensing pharmacy and the payment procedure of a pharmaceutical fee which concern on one Example of this invention. FIG. 7 shows an example of a display screen of a payment portable information terminal device at the time of hospital registration, medical appointment reservation and medical fee settlement, and pharmaceutical fee settlement according to an embodiment of the present invention. FIG. The example of a display screen of the pharmacy terminal device based on one Example of this invention is shown.

  In recent years, the development of information communication technology has made it possible to give various functions to terminal devices such as mobile phones and personal portable information terminal devices (including smart phones and tablet terminals). . In particular, when such a terminal device is incorporated into a communication network, information can be shared between the terminal devices, and more various functions can be exhibited. The embodiment of the present invention to be described below, among various events that occur when using a hospital, performs medical appointment and medical fee and pharmaceutical fee settlement, dispensing pharmacy designation, and dispensing pharmaceutical receipt and settlement. Provided are a system and a method performed using a portable information terminal device, a so-called smartphone. Hereinafter, although the case where a smart phone is used is illustrated, it is not necessarily limited to a smart phone, It can implement | achieve even if it uses a normal mobile phone.

  The present invention consistently uses a smartphone to register a hospital where a patient wishes to see a medical examination, schedule a medical examination time, settle a medical fee, specify a dispensing pharmacy that wants to receive a prescription drug, and settle a fee for a prescription drug. The present invention relates to a system and method that can be performed. The patient first activates application software (hereinafter referred to as “app”) for executing the system installed in advance on the smartphone, and uses the system from the user registration provided in the application. Personal information, credit card number, user ID, password, etc. are registered in the system management host. When the medical fee or medicine fee is settled, the application is started and a user ID or password is entered to inquire about the medical fee or pharmaceutical fee. In response to the inquiry, the system management host transmits a medical fee and a medicine fee to the smartphone. When the patient confirms the medical treatment fee and the medicine fee displayed on the screen of the smartphone, the payment is completed by transmitting a payment confirmation from the smartphone to the system management host. Details of this system will be described below.

  FIG. 1 shows an overall configuration diagram of a reservation settlement system 100 according to an embodiment of the present invention. The reservation settlement system 100 includes a system management host 102, a patient smartphone 103, hospital hosts 104a to 104d, and pharmacy terminal devices 105a to 105e coupled to the Internet network 101. The system management host 102 includes a central processing unit, a memory device, a communication device, and the like, and is formed by a well-known personal computer or server device. The smartphone 103 is a mobile phone network, for example, connected to the network 101 via a 3G line, but the mobile phone network is not limited to a 3G line. The hospital hosts 104a to 104d are formed by well-known personal computers and server devices, and are connected to a wired or wireless local area network (LAN) (not shown) installed in the hospital. Connected to devices and accounting-related terminal devices. The pharmacy terminal devices 105a to 105e are formed by a well-known personal computer.

  In FIG. 1, the smartphone 103 has a built-in GPS function for detecting the position of the smartphone 103 by the global positioning system (GPS), receives GPS signals from a plurality of GPS satellites, and determines the position where the user is located. measure. The position information is transmitted to the system management host 102 via the Internet network 101. The system management host 102 can know the position where the patient is located from this position information.

  FIG. 2 shows a functional block diagram 200 showing the basic configuration of the smartphone 103 used in one embodiment of the present invention. The processor 201 includes a read only memory (ROM) 202 including a nonvolatile memory such as a flash memory, a random access memory (RAM) 203, a communication unit 204, a GPS processing unit 205, an input / output unit 206, and a touch panel. Coupled to the expression display 207. The communication unit 204 includes an antenna 208 and can handle data communication such as a normal telephone line (3G) and a wireless LAN. An application that executes the present invention is stored in the ROM 202, and a calculation result in the middle is stored in the RAM 202. The communication unit 204 performs data communication with the system management host 102, and data transmitted from the system management host 102 is stored in the RAM 202. The GPS 205 receives a GPS signal from a GPS satellite, calculates the position of the smartphone 103, and the result is stored in the RAM 202. The display unit 207 is, for example, a liquid crystal display. In the present invention, the display unit 207 is used for displaying a medical fee, a drug fee, and a name of a nearby hospital to a patient, as described later.

  In the reservation settlement system 100 shown in FIG. 1, a hospital registration, a dispensing pharmacy designation, a medical fee and a pharmaceutical fee settlement method according to the present invention will be described below. In order to register a hospital, specify a dispensing pharmacy, and settle a medical fee or a medicine fee using a smartphone, the patient needs to perform user registration in the reservation settlement system 100. This user registration may be performed first. In order to register a hospital, it is premised that an examination ticket has already been acquired at the hospital, that is, that the examination ticket number of the hospital is possessed.

  FIG. 3 is a flowchart 300 showing a procedure for hospital registration according to an embodiment of the present invention. The flowchart 300 divides the processing performed by the system management host 102 in the center, the processing performed by the smartphone 103 on the right side, and the processing performed by the hospital hosts 104a to 104d on the left side. In order to perform user registration, the patient needs to install a reservation settlement application for using the reservation settlement system in the smartphone 103 in advance according to a predetermined procedure.

  In order to install the reservation settlement application and use the reservation settlement system, it is necessary to first complete user registration. User registration is performed according to the following procedure. The reservation settlement application of the smartphone 103 is activated. Start the reservation settlement application, display the startup screen, and proceed from the startup screen to the new registration screen. When the new registration screen is displayed, the reservation settlement application will display the patient's account information such as the patient's address, name, credit card number, user ID, and password used to settle the medical fee and medical fee. Since inputs are requested, they are input to a predetermined area of the display unit of the smartphone 103. The user ID is a user name and is used for specifying a user. The password is set to prevent others from using the reservation settlement application without permission. When the above information is input, the smartphone 103 transmits them to the system management host 102. If the above user registration is completed, the registration of a hospital, the designation of a dispensing pharmacy, the appointment for a medical examination, and the check-up of a medical fee or a medicine fee, which will be described below, can be performed.

  With reference to FIG. 3, the registration procedure of the hospital which a patient desires to see is demonstrated. When the reservation settlement application of the smartphone 103 is activated in step 301, the smartphone 103 uses the GPS function of the smartphone 103 in step 302 and the patient's account using the reservation settlement application of the smartphone 103. Information is transmitted to the system management host 102. If the received account information is not registered in step 303, the system management host 102 proceeds to step 304, notifies the patient that the account information is not registered, and ends the reservation settlement application.

  When the account information received by the system management host 102 is confirmed in step 303, as shown in FIG. 7A on the display screen of the smartphone 103, the system management host 102, in step 305, the patient is registered and re-registered in the hospital. Inquire about whether you want to receive a medical examination (consultation appointment) or purchase a medicine at a dispensing pharmacy. In step 306, when the patient clicks hospital registration, the process proceeds to step 307, and the system management host 102 searches for a hospital in the vicinity of the position indicated by the GPS position information that has already been received (for example, a predetermined range from the position of the smartphone 103). And extract. The extracted list of hospital names is transmitted to the smartphone 103 in step 307. When the smartphone 103 receives the list of hospital names, in step 308, the hospital list shown in FIG. In step 309, the patient clicks (designates) the corresponding hospital (hereinafter referred to as “blue sky hospital”). Next, in step 310, the appointment settlement application asks the patient to input the designated hospital examination ticket number, and in step 311, the patient enters the examination ticket number. In step 312, the appointment settlement application transmits the designated hospital and examination ticket number to the system management host 102. The patient designates a hospital name to be registered from a list of hospital names based on the GPS position information, but is not described in the flowchart of FIG. The hospital name may be entered directly.

  When the system management host 102 receives the designated hospital name and patient examination ticket number, the process proceeds to step 313, and the patient name registered in the system management host 102 is acquired from the account information already input in step 302. In step 314, the patient name and examination ticket number are transmitted to the A hospital host 104a of Aozora Hospital. When the A hospital host 104a receives the patient name and the examination ticket number at step 315, it checks whether they are registered in the database of the A hospital host 104a at step 316. If not registered, the A hospital host 104a notifies the system management host 102 (step 317) and the smartphone 103 (step 318) that the received patient name and examination ticket number are not registered at Aozora Hospital. If the patient name and the examination ticket number are registered at the Aozora Hospital, the Hospital A host 104a notifies the system management host 102 that the patient name and the examination ticket number are registered at the Aozora Hospital in Step 316. In step 319, the system management host 102 registers the blue sky hospital as a hospital visit. In step 320, the system management host 102 notifies the smartphone 103 that the blue sky hospital has been registered, and the registration is displayed on the screen of the smartphone 103 in step 320. Once the outpatient hospital is registered, the hospital registration procedure ends. When the registration procedure of the hospital is completed, it is possible to make an appointment for a consultation at the registered hospital. The following describes how to make appointments for medical examinations (reexaminations).

  FIG. 4 is a flowchart showing a procedure for making a medical appointment according to an embodiment of the present invention. First, steps 401 to 404 are the same as the steps 301 to 304 in FIG. When the account information received by the system management host 102 is confirmed in step 403, the system management host 102 confirms that the patient is registered and re-registered in the hospital in step 405 as shown in the display screen of the smartphone 103 in FIG. Inquire about whether you want to receive a medical examination (consultation appointment) or purchase a medicine at a dispensing pharmacy. In step 406, when the patient clicks on the revisit acceptance, the process proceeds to step 407, where the system management host 102 checks whether the hospital is registered in the account information transmitted from the smartphone 103. If there is no registered hospital, the process proceeds to step 408 to inform the patient that there is no hospital registered in the system management host 102, and the reservation settlement application is terminated.

  When the registered hospital is confirmed in step 407, the process proceeds to step 409 to check whether there are a plurality of registered hospitals. If multiple hospitals are registered, in step 410, the database of the system management host 102 is searched to extract the registered hospitals. The extracted hospital name is transmitted to the smartphone 103 in step 411, and is displayed as shown in FIG. When the patient designates the name of the hospital (Aozora Hospital) that he / she wishes to see from the hospital name displayed in step 413, the designated hospital name is transmitted to the system management host 102 and proceeds to step 414. Also, if there is only one registered hospital in step 409, the process proceeds to step 414.

  In step 414, the system management host 102 searches for the examination ticket number from the account information transmitted from the smartphone 103 in step 402, and transmits the examination ticket number to the A hospital host 107a of the blue sky hospital designated in step 415. Inquire about clinical subjects. In step 416, the A hospital host 107a searches the database of the A hospital host 107a with the received medical examination ticket number, and extracts the medical subjects that the patient is receiving. The extracted medical subjects are transmitted to the system management host 102 in step 417 and further transferred to the smartphone 103 in step 418. In step 419, the smartphone 103 displays the transferred medical subjects as shown in FIG. In step 420, when the patient designates a desired medical subject among the medical subjects displayed on the smartphone 103, the designated medical subject is transmitted to the system management host 102.

  When the system management host 102 receives the designated medical subject from the smartphone 103, in step 421, the medical subject designated as the examination ticket number is transmitted to the A hospital host 107a. When the A hospital host 107a receives the medical treatment subject designated as the examination ticket number, in step 422, Aozora Hospital accepts the patient's reexamination and proceeds to step 423 to register the reexamination appointment in the database of the A hospital host 107a. Then, the predetermined process is completed. In addition, the A hospital host 107 a receives a reexamination and transmits a reexamination reception to the system management host 102. When the system management host 102 receives acceptance of the reexamination of the blue sky hospital, in step 424, the system management host 102 records that the blue sky hospital has received the reexamination. And it progresses to step 425, the reception completion is transmitted to the smart phone 103, and the patient can confirm that the blue sky hospital received the reexamination in step 426. When the reception completion is displayed on the smartphone 103, the reservation settlement application ends. When the patient visits the reserved medical subject, the doctor in charge fills the medical record (for example, electronic medical record) with the result of the diagnosis and creates a prescription for the patient. The medical information including the prescription is transmitted from the terminal operated by the doctor in charge to the A hospital host 107a via the LAN in the hospital. When the medical information is stored in the A hospital host 107a, the medical fee is calculated and the medical supplies described in the prescription are arranged next.

  FIG. 5 is a flowchart showing a procedure for adjusting a medical fee according to an embodiment of the present invention. First, in step 501, when the medical treatment by the doctor in charge is completed and the A hospital host 107a receives the medical information from the doctor in charge, the A hospital host 107a of Aozora Hospital calculates the medical fee and pays out by the patient's smartphone. Confirm that is registered. In step 502, the A hospital host 107 a transmits the examination ticket number and the calculated medical fee (billed amount) to the system management host 102 in order to send it to the patient's smartphone. When the system management host 102 receives the examination ticket number and the billing amount from the A hospital host 107a, the billing amount is transferred to the smartphone 103 together with the billing content in step 503.

  In step 504, when the patient's smartphone 103 receives the billing amount and the billing details, they are displayed on the smartphone 103 as shown in FIG. 7 (d). When the patient confirms and approves the billing amount and the billing content displayed on the smartphone 103, when the payment button is clicked in step 505, the process proceeds to step 506, and the payment confirmation is transmitted to the system management host 102. When the system management host 102 receives the payment confirmation from the patient's smartphone 103, in step 507, payment by a pre-registered credit card number is executed. When this payment is executed, the system management host 102 transmits the payment completion to the A hospital host 107a of the blue sky hospital and the patient's smartphone 103 in step 508. When the A hospital host 107a receives the payment completion, the database of the A hospital host 107a records in step 509 that the payment of the patient's medical fee has been completed. In addition, the patient can also confirm that the payment has been completed in step 510 by the completion of the payment displayed on the smartphone 103. With the payment completion record in step 509 and the payment completion display in step 510, the procedure for payment of the medical fee of the reservation payment application is completed.

  When the check-up procedure for the medical fee is completed, the patient can receive the medicine by the prescription and pay the fee with the smartphone. FIG. 6 is a flowchart showing a procedure for designating a dispensing pharmacy and adjusting a pharmaceutical fee according to one embodiment of the present invention. Steps 601 to 604 are the same as the processes of steps 301 to 304 in FIG. When the account information received by the system management host 102 is confirmed in step 603, as shown in the display screen of the smartphone 103 in FIG. Inquire about whether you want to receive a medical examination (consultation appointment) or purchase a medicine at a dispensing pharmacy. In step 606, when the patient clicks on the purchase of medicine, the process proceeds to step 607, where the system management host 102 inquires of the hospital A from the hospital A host host 107a about the medical treatment contents. The A hospital host 107a searches for the patient's medical subjects from the database using the examination ticket number received in step 608, and proceeds to step 609 to transmit the examination result including the patient's prescription to the system management host 102.

  In step 610, when the system management host 102 receives the examination result including the prescription from the A hospital host 107a, it registers them in the database. In step 611, it is determined whether or not a medicine is prescribed. If no medicine is prescribed, the fact that no medicine is prescribed is transmitted to the patient's smartphone 103, and displayed on the smartphone 103 in step 612. If it is determined in step 611 that the medicine is prescribed, the database of the dispensing pharmacy in the system management host 102 is searched in step 613, and the location information is within a predetermined range from the position information acquired by the GPS function of the smartphone 103. Extract dispensing pharmacies to do. The extracted dispensing pharmacy is transmitted to the smartphone 103 in step 614, and is displayed in step 615 as shown in FIG. When the patient designates a dispensing pharmacy (Aozora pharmacy) that desires to receive a drug from the list of neighboring dispensing pharmacies displayed on the smartphone 103 in step 616, the designation is transmitted to the system management host 102.

  When the system management host 102 receives the designated dispensing pharmacy name (blue sky pharmacy) sent from the smartphone 103, the system management host 102 displays the prescription, patient name, insurance card symbol number, etc. in step A617. It transmits to the pharmacy terminal 105a. In step 618, based on the prescription received from the system management host 102, the A pharmacy terminal 105a calculates the cost of the medicine to be prescribed, and in step 619, the contents of the prescription medicine to be prescribed and the billing amount of the medicine fee are system-managed. Transmit to the host 102. In step 620, the system management host 102 that has received the prescription drug and the billed amount transfers them to the patient's smartphone 103. The smartphone 103 displays a prescription drug, a billing amount, etc. as shown in FIG. In addition, when the content of the medicine taken and the billing amount of the medicine fee are transmitted to the system management host 102, the A pharmacy terminal 105a displays the name, the examination ticket number, the prescription content, etc. on the screen shown in FIG. In step 622, the screen displayed on the A pharmacy terminal 105a is printed. In step 623, the prescribed drug is prepared in the dispensing pharmacy according to the contents indicated in the print result.

  On the other hand, in step 624, the smartphone 103 displays the content of the received medicine and the billed amount of the medicine fee. Subsequently, in step 625, the patient confirms the content and accepts the payment, and then clicks the payment button. When the payment button is clicked, the smartphone 103 transmits the payment confirmation to the system management host 102 in step 626. In step 627, the system management host 102 that has received the payment confirmation from the patient executes a settlement with the already registered patient's credit card number, and settles the drug bill. When the medicine fee is settled, it is transmitted to the A pharmacy terminal 105a of the blue sky pharmacy in step 628 and also to the smartphone 103. In step 629, the A pharmacy terminal 105a records the payment completion result of the medicine fee, and ends the processing for the patient. In step 630, payment completion is displayed on the smartphone 103, and the patient confirms that payment has ended. With this display, the medical fee settlement procedure of the reservation settlement application is completed.

  As described above, by using the reservation settlement application installed on the smartphone by the patient, the patient can use the smartphone for the system management host, hospital host, and pharmacy terminal device coupled to the reservation settlement system. Registration of hospitals for medical examinations, appointments for consultation hours, payment of medical fees, designation of dispensing pharmacies that wish to receive prescription drugs, and consistent payment of prescription drugs on the smart phone I can do it.

DESCRIPTION OF SYMBOLS 100 Reservation settlement system 101 Internet network 102 System management host 103 Smartphone 104a-104d Hospital host 105a-105e Pharmacy terminal device

Claims (12)

A system management device, a plurality of portable information terminal devices, a plurality of clinic management devices, and a plurality of pharmacy terminal devices are connected to a telecommunications network to reserve a medical treatment at a clinic and a medical fee by a doctor's examination And in the reservation settlement system that settles the drug fee of the drug prescribed based on the prescription,
A portable information terminal device for inquiring of the clinic management device for a medical treatment reservation of the clinic and instructing the system management device to settle the medical fee and the medicine fee received from the system management device;
In response to the medical reservation inquiry, the mobile information terminal device receives the medical reservation reception, receives the medical information of the patient including a medical prescription, and calculates the medical fee of the patient based on the medical information A clinic management apparatus, wherein the clinic management apparatus transmits the clinical information and the medical fee to the system management apparatus;
A pharmacy terminal device that calculates the pharmaceutical fee based on the medical information received from the system management device and transmits the pharmaceutical fee to the system management device;
A system management device for performing the settlement of the medical fee and the pharmaceutical fee based on the settlement instruction from the portable information terminal device;
Reservation and settlement system characterized by comprising   The portable information terminal device may register, in the system management device, a clinic where the medical appointment and the medical fee can be settled, and a pharmacy which can receive the pharmaceutical and settle the pharmaceutical fee. The reservation settlement system according to claim 1, wherein the reservation settlement system can be used.   Position information indicating the position of the portable information terminal device acquired using the GPS function of the portable information terminal device is transmitted to the system management device, and the system management device is configured to transmit the position information based on the position information. The name of a clinic located within a predetermined range from the position of the clinic is transmitted to the portable information terminal device, and the portable information terminal device receives the name of the designated clinic from the received name of the clinic. The appointment settlement system according to claim 1, wherein the appointment settlement apparatus transmits an inquiry to the place management apparatus to inquire about the medical appointment.   Position information indicating the position of the portable information terminal device acquired using the GPS function of the portable information terminal device is transmitted to the system management device, and the system management device is configured to transmit the position information based on the position information. The name of a pharmacy located within a predetermined range from the position of the pharmacy is transmitted to the portable information terminal device, and the portable information terminal device receives the name of the designated pharmacy from the received name of the pharmacy. The reservation settlement system according to claim 1, wherein the prescription is transmitted to the pharmacy.   2. The reservation settlement system according to claim 1, wherein the telecommunications network is an internet network.   2. The appointment settlement system according to claim 1, wherein the clinic appointment of the clinic is inquired of the clinic management apparatus via the system management apparatus. In the reservation settlement method of reserving medical treatment at a clinic and reimbursing the medical fee of a prescription based on a medical fee and prescription by a doctor's examination,
The portable information terminal device inquires of the clinic management device about the medical appointment of the clinic, and the portable information terminal device receives the reception of the medical appointment transmitted by the clinic management device in response to the inquiry of the medical appointment. And the stage of
The portable information terminal device receives and displays the patient's medical fee calculated by the clinic management device based on the patient's medical information including a medical prescription, and
The portable information terminal device instructs the system management device to settle the medical fee;
The portable information terminal device receives and displays the drug price calculated by the pharmacy terminal device based on the medical information;
The portable information terminal device instructs the system management device to settle the pharmaceutical fee;
Consisting of
The system management device, the portable information terminal device, the clinic management device, and the pharmacy terminal device are coupled to a telecommunication network.
A reservation settlement method characterized by that.   A step of registering in the system management device a clinic where the portable information terminal device can settle the medical appointment and the medical fee, and a pharmacy which can receive the pharmaceutical and settle the pharmaceutical fee. The reservation settlement method according to claim 7, further comprising: The position information indicating the position of the portable information terminal device acquired by using the GPS function of the portable information terminal device is transmitted to the system management device, and the name of the clinic located in a predetermined range from the position information is obtained. Receiving and displaying the portable information terminal device from the system management device; and
Designating a clinic for which a medical appointment is desired from among the displayed clinic names;
The reservation settlement method according to claim 7, further comprising:   Position information indicating the position of the portable information terminal device acquired using the GPS function of the portable information terminal device is transmitted to the system management device, and the system management device is configured to transmit the position information based on the position information. The name of a pharmacy located within a predetermined range from the position of the pharmacy is transmitted to the portable information terminal device, and the portable information terminal device receives the name of the designated pharmacy from the received name of the pharmacy. The reservation settlement system according to claim 7, further comprising a step of transmitting the prescription to the pharmacy.   8. The reservation settlement method according to claim 7, wherein the telecommunications network is an internet network.   The step of receiving the reception of the medical appointment by the portable information terminal device includes the step of inquiring of the medical clinic management device via the system management device about the medical appointment of the clinic. The reservation settlement method according to Item 7.

Images