JP2018088061A - Medical act management system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a medical act management system which can reduce a wrong diagnosis by allowing references to the contents of diagnostic results made by different medical facilities.SOLUTION: A server set in a public facility and terminals set in a plurality of medical facilities are connected by a closed area network. The server in a public facility relates, to a user, information on medical acts which have been done to the user in any of the medical facilities, and stores the information into a database. In the next consultation, The server thereafter reads, from the database, the information on the history of the medical acts the user has received, and determines whether a medical act that the user is going to have may be actually done to the user. Accordingly, whether a medical act that the user desires may be done can be known on the spot, which avoids unnecessary medical acts to be done and prevents a false diagnosis.SELECTED DRAWING: Figure 1

Description

  The present invention relates to a management system for medical practice, and collects and accumulates medical examination results output from any of a plurality of medical institutions so that the contents of medical examination results between different medical institutions can be referred to. It relates to a medical practice management system that can prevent misdiagnosis.

  Recently, with the development of telecommunications equipment, especially communication networks, terminals have been introduced into medical institutions, and the spread of various medical systems has begun. These medical systems are used independently in each medical institution and record the medical examination information of the examinee in a dedicated medical record in each medical institution, and between several affiliated medical institutions. There are things that cooperate and those that notify the medical staff about the schedule of medical practice.

  Patent Document 1 creates a basic immunization schedule for users based on personal information (mainly the date of birth and registration date of children) and information extracted from immunization information regarding infant immunization. Based on the change request from the user to the basic schedule or the update of the vaccination history after user registration, prioritize vaccination and adapt the vaccination schedule to the current situation, An invention is disclosed in which a simple schedule is provided, a vaccination schedule is transmitted by e-mail, notification is received for vaccination, and a reply e-mail from the user to this e-mail is received.

JP2012-59155A

  The system management device disclosed in Patent Document 1 prioritizes vaccination in consideration of the possibility of simultaneous vaccination based on the past vaccination history of the user when there are multiple vaccinations that can be vaccinated. Avoiding vaccinations. Therefore, in the medical system disclosed in Patent Document 1, when receiving various vaccinations continuously at a medical institution, as long as the user's vaccination history stored in the system is correct, It does not cause accidents of misinoculation.

  However, in the system management device of Patent Document 1, it is assumed that the user receives vaccination according to the inoculation plan, and when the vaccination is not inoculated according to the inoculation plan, it is returned to the system that it has not been inoculated. If you forget without sending an e-mail, the past vaccination history of the user will not be accurately stored in the system, so it is possible to prioritize various vaccinations based on the various vaccination visit history There was a problem that it was impossible to do so, resulting in an accidental vaccination accident.

  Furthermore, the system management apparatus described in Patent Document 1 transmits a vaccination consultation schedule from a medical institution to a user (guardian) thereof. For example, when the user has not received a vaccination, By clicking on the URL described in the text and inputting information that the patient has not visited the hospital, schedule change information, etc., the schedule change information for vaccination is stored in the system management device. That is, in the system management device of Patent Document 1, the input (change) of the vaccination check result is entrusted to the user (guardian) who received the check at the medical institution, and the user (guardian) receives the vaccination check-up. When the input (change) of the result is forgotten, the vaccinated information is not stored as a history.

  In general, since various immunization histories are managed in the medical chart (paper) of the same medical institution, accidents of misinoculation of various immunizations are not caused. However, it may be necessary to receive vaccinations at a different medical institution than your primary medical institution. In this case, since the history of vaccination will be managed separately with different medical records at the medical institution different from the primary medical institution, it is impossible to manage the history of various vaccinations in an integrated manner, There was a problem in that it was impossible to determine whether or not to allow various vaccinations and prioritize the vaccinations, resulting in accidental vaccination accidents.

  Accordingly, an object of the present invention is to send a medical practice consultation result received at any of a plurality of medical institutions from a medical institution to a public institution and store it in a database, thereby receiving a medical practice corresponding to a user. It is to provide a medical practice management system capable of managing history collectively and avoiding misdiagnosis even if medical practice is received at different medical institutions.

  The present invention is a medical practice management system for managing a medical practice to be consulted in a medical institution, wherein a server installed in a public institution and a terminal installed in a plurality of medical institutions are connected via a closed network, and the server Includes an information management unit that stores information on past medical treatments received by a user at any one of the plurality of medical institutions in a database corresponding to the user, and the past medical treatment of the corresponding user from the database. A determination unit that reads out information on a medical examination that has been received by the user and determines whether or not the user is scheduled to receive a medical action scheduled for medical examination, and the terminal receives information on the user who receives medical examination at any of the plurality of medical institutions And an input unit for inputting management information including information on at least one scheduled medical examination, the management information is transmitted to the server via the closed network, and the determination unit is A communication unit that receives the information on whether or not the medical examination is received by the closed network, and a display unit that displays the information on the user who receives medical examination at any of the plurality of medical institutions and the information on whether or not the medical examination is determined by the determination unit It is characterized by having.

  The determination unit of the medical practice management system according to the present invention determines whether or not the medical examination is possible and outputs the information to the communication unit when the information on the user and the information on the medical practice scheduled to be examined are transmitted from the communication unit. It is characterized by that.

  The determination unit of the medical practice management system according to the present invention manages, for each user, at least information on a combination of a plurality of medical practices that can be consulted at the same time, and information on due dates that can be consulted on each medical practice, The management information is collated with information on medical practices that the user has received in the past, and whether or not the medical practices scheduled to be consulted is determined.

  The input unit of the medical practice management system according to the present invention further inputs the information of the user who undergoes a medical examination at any of the plurality of medical institutions and at least one medical examination information about the medical examination scheduled to be examined, The information management unit of the server stores the received information about a medical action scheduled to be received in the database as received information about the past medical action.

  The terminal of the medical practice management system according to the present invention is characterized in that, after the user has received the medical practice, the terminal receives information on the medical practice scheduled to be received, which is input by the input unit, to the server. To do.

  The information management unit of the medical practice management system according to the present invention stores the past medical practice in the database in time series.

  The terminal of the medical practice management system according to the present invention has a reader unit, and reads and inputs the user information from a recording medium carried by the user.

  The closed network of the medical practice management system according to the present invention includes a mobile communication network to which the communication unit of the terminal is wirelessly connected, and a private network that transmits information from the mobile communication network to the server. And

  The present invention is a medical practice management method for managing a medical practice to be examined at a medical institution, wherein a server installed in a public institution and a terminal installed in a plurality of medical institutions are connected by a closed network, and the server In the information management unit, using the determination unit, a step of storing in the database corresponding to the user medical information on past medical practices that the user has received at any of the plurality of medical institutions, The information of the past medical practice of the corresponding user is read from the database, and the user determines whether or not to accept the medical practice scheduled to be consulted, and using the input unit at the terminal Inputting management information including information on the user who visits at any one of the plurality of medical institutions and information on at least one scheduled medical treatment; Transmitting the management information to the server through the closed network using the communication unit, and receiving the information on whether or not to receive the diagnosis determined by the determination unit through the closed network, and using the display unit, Displaying the information of the user who receives a medical examination at any one of the medical institutions and the information indicating whether or not the medical examination is possible, which is determined by the determination unit.

  As described above, according to the present invention, the server of the public institution provides the user with received information (hereinafter referred to as a visit history) of past medical practices that the user has visited at any of a plurality of medical institutions. Correspondingly stored in one database, at the next visit, by reading the visit history of the user's past medical practice from the database, and determining whether or not the user is available for the medical practice scheduled to be consulted Since it is possible to know whether or not the user wishes to receive a medical practice that the user wishes to receive on the spot, it is possible to avoid medical practices that cannot be conducted and prevent misdiagnosis.

In addition, the information management unit of the server stores, for each user, the consultation history in a time series in one database, and the determination unit of the server includes a plurality of medical practices that can be received simultaneously for each user. Information on the combination date of each of the medical treatments and information on the due date of each medical practice, and the information on the medical history of the medical examination scheduled to be consulted by comparing the managed information with the information on the medical examination history of the user. By determining whether or not to receive a medical check and transmitting it to the terminal, the user and the medical institution can grasp the combination of medical actions that can be received on the spot.
By this determination, an appropriate medical practice can be selected from a plurality of medical practices that can be consulted, and thus misdiagnosis due to a wrong combination of medical practices can be prevented.

  In addition, after the user visits the medical practice, the medical institution is configured to receive information on the user who receives a medical examination at any one of the plurality of medical institutions from the input unit of the terminal, and the user is scheduled to receive the medical examination. After receiving the medical practice, the information management unit of the server inputs the medical history of at least one medical practice scheduled for the medical examination and transmits the medical history to the server. A consultation history is stored in the database as the consultation history of the past medical practice. By immediately storing the data in the database after the medical examination, it is possible to reliably avoid an uninputted mistake in the medical examination result, accumulate the medical examination history of the user, and use the medical examination scheduled for the next medical examination.

  In addition, according to the present invention, the server installed in the public institution and the terminal installed in the plurality of medical institutions are connected by a closed network, thereby disabling connection to a public line such as the Internet. Thus, it is possible to ensure high security, such as preventing leakage of personal information.

  The closed network includes a mobile communication network to which a communication unit of the terminal is wirelessly connected, and a private network that transmits information from the mobile communication network to the server, so that the terminal is connected to the mobile communication network. Since it has the communication unit for transmitting and receiving, the medical institution where the terminal is installed may be an urban area or a mountainous area, and if there is an environment that can be connected from a mobile communication network to the closed network, installation of a communication line, etc. This system can be easily introduced without the need for construction and expensive capital investment.

  In addition, the user's confirmation screen (for example, a homepage or the like) that can be viewed on the terminal possessed by the user, which is recorded in the database by the information management unit, and the medical action that the user has received and the medical action that is scheduled to be received. ) Is displayed in a list, the user can visually check the checkup status such as already received, not received, and scheduled checkup date, and can grasp the status. In addition, since the medical action scheduled for medical examination is immediately updated after the medical examination, the user can check the latest medical examination history and the future scheduled medical examination date for the medical practice.

  The terminal installed in the medical institution further includes a reader unit, and reads and inputs the user information from a recording medium carried by the user. Since the recording medium records information that allows the medical practice to be received at any of the plurality of medical institutions, the user simply brings the recording medium and can perform the same medical practice at any medical institution. Can be received without errors and prevent misdiagnosis.

It is a figure which shows the structure of the medical practice management system which concerns on embodiment of this invention. It is a processing sequence diagram concerning the embodiment of the present invention. It is a figure which shows the update of a database among the processing sequences which concern on embodiment of this invention. It is a processing sequence figure concerning new user registration concerning an embodiment of the present invention. It is a figure which shows the example of the schedule at the time of the new creation which concerns on embodiment of this invention. It is a figure which shows the example of the schedule under update which concerns on embodiment of this invention. 7A and 7B are diagrams showing a display screen of a terminal according to an embodiment of the present invention, FIG. 7A is a diagram showing an example of a job selection screen input by the medical institution 20, and FIG. 7B is a screen for reading a recording medium 31; (C) is a diagram showing an example of a password input screen by the user 30, (d) is a diagram showing an example of a vaccination selection screen, and (e) is a display state of a vaccination consultation history. (F) is a diagram showing an example of a screen for selecting a plurality of vaccinations, (g) is a diagram showing an example of a screen for inputting detailed information of vaccinations and consultation, (h) is a prevention The figure which shows the example of the screen display prompting actual implementation of inoculation, (i) is a figure which shows the display state which notifies that the consultation result of the vaccination was memorize | stored in the database 14 of the server 11. FIG. It is a processing flow figure concerning vaccination of an embodiment of the present invention.

Hereinafter, embodiments of the present invention will be described with reference to the drawings.
FIG. 1 is a diagram showing a configuration of a medical practice management system 1 according to an embodiment of the present invention.
The medical practice management system 1 includes a public institution 10, a communication data center 16, and one or more medical institutions 20, and a communication line between the public institution 10 and the communication data center 16 is connected by a private network 3. The communication line between the communication data center 16 and the medical institution 20 is connected by the mobile communication network 4. In addition, the private network 3 and the mobile communication network 4 constitute a closed network 2 and cannot be connected to the Internet line like a dedicated line, and transmission / reception data in the closed network 2 flows out to the Internet line. Without having high security.

  The public institution 10 includes a server 11 and an external transmission server 15. Further, the server 11 includes a determination unit 12, an information management unit 13, and a database 14.

When the determination unit 12 receives user management information (hereinafter referred to as user management information) including information on the user 30 (hereinafter referred to as user ID) and information on a medical practice scheduled to be examined from the communication unit 24 of the terminal 21, The medical examination history of the corresponding user is read out from the database 14, and it is determined whether or not the medical practice scheduled for medical examination can be received and output to the communication unit 24. The determination unit 12 manages, for each user 30, at least information on a combination of a plurality of medical practices that can be examined at the same time and information on due dates that can be consulted on each medical practice. The medical history that the user wishes to receive is checked against the medical checkup history.
Specifically, in consideration of one user's consultation history read by the information management unit 13, two types of determination processes are performed for medical actions that can be consulted by the user.

  Here, the “scheduled consultation date” indicates a period during which the medical practice calculated by the determination unit 12 is available. Further, “the day of consultation” is a date when the user 30 desires to receive an actual medical practice, and is a date when the user 30 goes to a medical institution.

  As the first determination process, the determination unit 12 receives the information on the due date stored in the database 14 and the reception history when the information on the user 30 and the information on the medical treatment scheduled to be received are transmitted from the communication unit 24. From this, it is determined whether or not a medical practice related to the user 30 is available on the day of the medical examination, and the result is output to the communication unit 24. Since the date of consultation is determined based on the date input to the terminal 21, it can be determined on the spot of the date of consultation when the user 30 visits the medical institution 20.

  Then, it is determined whether the medical action selected by the user is available on the day of the medical examination. For example, when the medical practice A is not received because the user has not reached the consultation age, and the medical practice B is received a plurality of times, refer to the consultation history and set the interval between the first and second times to X days. Based on the date of the day of the visit, such as making the visit impossible on the day of the visit because it has to be opened, the process of determining whether or not the visit is possible over time is performed.

  In addition, as the second determination process, the determination unit 12 can simultaneously receive a medical action from a plurality of medical actions that can be received on the day of the medical checkup and information on the dates that can be received and the medical history stored in the database 14. Judge the combination of. For example, if medical action A, medical action B, and medical action C are available on the day of the visit, “medical action A and medical action B” can be received at the same time, but “medical action C” cannot be received at the same time. In the case where there is a medical practice, the medical treatment that can be received on the day of medical examination is a combination of medical practice such as “medical practice A and medical practice B” or “medical practice C”.

  As described above, the determination unit 12 determines whether or not to receive a medical check, outputs the determination result to the communication unit 24, and displays whether or not a medical check is possible on the display unit 23.

The information management unit 13 performs a process of storing in the database the received medical information (hereinafter referred to as a medical history) of a medical practice that the user has received at any of a plurality of medical institutions in association with the user.
Specifically, the information management unit 13 performs two types of determination processing, that is, extraction processing and update processing.

  The extraction process of the information management unit 13 will be described. When the information management unit 13 receives the user management information to be received from the terminal 21 before receiving the medical practice, the information management unit 13 extracts the consultation history of the user 30 from the database 14 using the user ID of the user management information as a search key. Here, the user ID is an ID that uniquely identifies the user in association with the information of the user 30 such as “name, date of birth, sex, and address” registered in the database 14. At this time, for example, when the medical practice A is selected on the terminal 21, the medical practice A that is a scheduled consultation date (future day) after the retrieved date is extracted. When medical action B is selected at the terminal 21 in addition to the medical action A, the medical action A and the medical action B are scheduled for a future consultation date.

The update process of the information management unit 13 will be described with reference to FIG.
The information management unit 13 stores in the database 14 information on the medical examination scheduled for medical examination (the result of the medical examination on the day of the medical examination) together with the medical examination history that has already been stored. In addition, the medical history is stored in the database 14 in time series.

  When the user 30 receives a medical practice at the medical institution 20, the medical examination result input to the terminal 21 is notified to the information management unit 13 of the server 11 (step S 21 shown in FIG. 3). Update the consultation history associated with the information. Basic information on medical practice has already been created when a new user is registered. Based on the results of the medical examination, the date of the medical examination on the day of medical examination, detailed information (medical institution name, name of doctor in charge, lot number of vaccine) , Special notes), etc. Then, the consultation history is rearranged in chronological order (step S22 shown in FIG. 3).

  Further, the date in the schedule of the user 30 is recalculated based on the date of the result of this medical examination. For example, the scheduled medical checkup date is updated for a medical practice that has not yet been checked and needs to be updated (step S23 shown in FIG. 3). For example, if the first visit of medical practice B is required and an interval of X days is required until the second medical examination, update 59n1 of the first inoculation date (scheduled consultation date) of medical practice B with the date of the consultation Then, the second scheduled visit date is recalculated as “inoculation date 59n1 + X day”, and the stored contents of the second inoculation date (scheduled visit date) 59n2 are updated. The recalculation is performed not only between the same number of medical actions, but also between other medical actions A, B, C,. Based on the recalculation result, the schedule of the user 30 is updated to the latest state (step S24 shown in FIG. 3).

  The external transmission server 15 is notified that the schedule has been updated (step S25 shown in FIG. 3), and the external transmission server 15 updates the confirmation screen that the user 30 can view on the user terminal 32 (FIG. 3). Step S26).

  As described above, when the medical institution receives the medical examination result in the terminal 21 and transmits it to the information management unit 13 of the server 11, the examination history in the database 14 is immediately updated in time series, and the new schedule is immediately re-established. Calculated. In addition, any medical institution 20 can input the result of the medical examination, and the medical examination history is collectively managed by the server 11 (database 14) of the public institution 10, thereby avoiding misdiagnosis due to the medical practice medical history not being entered. Can do.

  The database 14 uses general database software. It has a record for each user, and stores detailed information such as the date and time of visit, location, number of times of visit, doctor in charge, etc. for one or more medical practices designated by the country for each user.

  The external transmission server 15 is a server for transmitting data to the user terminal 32. Since the server 11 can communicate only in the closed network 2, data cannot be transmitted from the server 11 to the user terminal 32 owned by the user 30 through the Internet line. Therefore, the external transmission server 15 replaces the server 11 with an e-mail (including a two-dimensional code) to be transmitted to the user terminal 32 and confirmation screen data to be viewed on the user terminal 32 (stored in the database 14). Receiving a medical history of a medical practice and a schedule of scheduled medical appointments) from the server 11, and sending a mail to the user terminal 32 and performing a confirmation screen viewing service.

  By permitting communication in only one direction from the server 11 to the external transmission server 15, access to the server 11 from the external Internet line via the external transmission server 15 is prohibited, and high security is ensured.

  Next, the configuration of the medical institution 20 will be described. As shown in FIG. 1, one or more medical institutions 20 are provided with one or more terminals 21.

  The medical institution 20 is a facility registered with the public institution 10, and is a large hospital, a private hospital, a clinic, a nursing facility, etc., and may be of any size.

  One to a plurality of terminals 21 are installed in each medical institution 20 depending on the scale of the medical institution 20. The terminal 21 includes an input unit 22, a display unit 23, a communication unit 24, and a reader unit 25. In consideration of installation and carrying, a portable tablet terminal, a notebook PC or the like is suitable, but a stationary terminal may be used.

  In addition, since the terminal 21 includes the communication unit 24 that is wirelessly connected to the mobile communication network 4 of the closed network 2, communication with the server 11 can be performed while a separate communication line or the like is not required. Therefore, the terminal 21 may be located in an urban area or a mountainous area where the medical institution 20 is located, and if the mobile communication network 4 can be connected to the closed network 2, installation work such as an optical cable or a communication line is expensive. There is no need for capital investment and the system can be easily introduced. Also, even inside the medical institution 20, if there is a place (indoor, underground, outdoor, etc.) that can be connected to the mobile communication network 4, the portable type is particularly portable, so it is not restricted by the installation place in the medical institution 20. A system can be introduced.

  The input unit 22 requests at least one of the scheduled medical examinations among the user ID recorded on the recording medium 31 of the user 30 who receives medical examinations at any one of the plurality of medical institutions 20 and the medical action displayed on the display unit 23. It has a function to input medical information selection and other information. The input user management information (user ID and information on the medical practice) is transmitted to the server 11 via the communication unit 24. As the device of the input unit 22, touch panel input (integrated with the display unit 23) that can be input by touching the display screen is suitable, but a keyboard, a mouse, or the like may be used.

  The display unit 23 has a function of displaying the user management information, the information on whether or not to receive the medical examination determined by the determination unit 12, and the like. The display unit 23 is preferably a visual device such as a liquid crystal panel.

  The communication unit 24 has a function of transmitting data between the servers 11 via the closed network 2 and receiving information on the availability of the diagnosis determined by the determination unit 12 by the closed network 2. The communication unit 24 includes a SIM card (Subscriber Identity Module card: not shown) for specifying the closed network 2 as a communication line. By providing the SIM card, the communication unit 24 can access the mobile communication network 4, so that the terminal 21 can be installed at any place in the medical institution 20 or carried. In addition, since there is no need to install a communication line or the like, the initial cost is low, installation work for the communication line or the like is unnecessary, and the medical institution 20 can easily introduce the terminal 21.

  The reader unit 25 has a function of reading the user ID that is the content of the recording medium 31. The read contents are displayed on the display unit 23. The reader unit 25 may be any device that can read the contents of the recording medium 31, and is configured by an IC card reader, a camera (reading a two-dimensional code), and the like. The reader unit 25 may be configured to be either a built-in type of the terminal 21 or an external type.

Next, the closed network 2 and the communication data center 16 will be described.
The closed network 2 is a communication line that connects the server 11 installed in the public institution 10 and the communication unit 24 of the terminal 21 installed in the medical institution 20, and includes a private network 3 and a mobile communication network 4.

  The mobile communication network 4 is a communication network of a communication carrier that the communication unit 24 connects to specific connection destination information described in the SIM card. Since it is a wireless communication network, the communication unit 24 and the server 11 can communicate with each other as long as radio waves can communicate, and ground equipment such as a communication line is not required in the medical institution 20.

  The private network 3 may use a dedicated private line or a virtual private network (VPN: Virtual Private Network) using an Internet line, and can communicate between bases without being connected to an external network. Note that a VPN is a network in a virtual organization constructed using a public line of a communication carrier, and communication can be performed as if inside a network using a dedicated line.

  The communication data center 16 is a relay base for communication of a communication carrier, and has a wireless network control device 17.

  The wireless network control device 17 has a function of distributing a communication network route of a communication carrier. For example, it has a function of distributing data communication received from the mobile communication network 4 to the private network 3, another private network, or the Internet network (not shown) according to specific connection destination information described in the SIM card. In the present invention, the communication content transmitted from the communication unit 24 to the mobile communication network 4 is always routed to the private network 3 as the connection destination described in the SIM card by the wireless network control device 17 and received by the server 11. The transmission from the server 11 passes through the private network 3 and is distributed to the mobile communication network 4 by the wireless network control device 17 and received by the communication unit 24.

  As described above, the closed network 2 always uses the private network 3 and the mobile communication network 4 as a route, does not distribute communication to other communication networks, and data is strictly protected and managed by authentication and encryption. Therefore, the risk of interference, leakage, eavesdropping, etc. is reduced and the security is high.

Next, the belongings of the user 30 will be described. A user 30 possesses a recording medium 31 and a user terminal 32.
The recording medium 31 records a user ID of a user 30 who can receive the medical practice at any of a plurality of medical institutions 20.

  The recording medium 31 is issued by the public institution 10 when the information of the user 30 is newly registered in the server 11. An actual card shape such as an IC card or a two-dimensional code (QR code (registered trademark)) transmitted to the user terminal 32 by e-mail is suitable.

  The user 30 brings the recording medium 31, and any medical institution 20 reads the recording medium 31 with the reader unit 25 of the terminal 21, so that the server 11 can authenticate the person and receive a medical practice. become.

  The user terminal 32 is a terminal possessed by the user 30, and a medical action contact notification (e-mail) from the external transmission server 15 of the public institution 10 and a schedule of the user 30 provided in the external transmission server 15. It is used to view a confirmation screen for confirmation (for example, an Internet homepage, not shown). The user terminal 32 only needs to be able to receive an e-mail and view a confirmation screen. The device may be a general mobile phone, smartphone, tablet terminal, or personal computer (notebook type or desktop type).

[Processing sequence of medical practice management system]
The present invention connects a server installed in a public institution and terminals installed in a plurality of medical institutions through a closed network, and the recording medium possessed by the user 30 when the user 30 receives a medical practice at the medical institution 20 31 is read by the terminal 21 installed in the medical institution 20, the medical action is extracted from the database of the server 11 from the read user ID, and one or more selected medical actions can be received on the spot by the determination unit 12. It is determined to be impossible and displayed on the display unit 23 of the terminal 21, and after the user has received a medical action that can be consulted, the result of the medical examination is transmitted from the terminal 21 to the server 11, and the information management unit 13 receives the medical examination result. By storing actions in the database 14 in chronological order, the history of medical actions can be collectively managed in correspondence with the user, and even if medical actions are received at different medical institutions, misdiagnosis can be avoided. It is.

With reference to FIG.2 and FIG.4, the process sequence of the medical practice management system 1 is demonstrated.
FIG. 2 is a diagram illustrating a processing sequence according to the embodiment of the present invention, and FIG. 4 is a diagram illustrating a processing sequence according to new user registration.

  First, the user ID recorded on the recording medium 31 brought by the user 30 is read by the reader unit 25 at the terminal 21 of the medical institution 20 (step S1). As described above, the recording medium 31 is an IC card, a two-dimensional code, or the like. Next, the user 30 inputs a password from the input unit 22 of the terminal 21 (step S2).

  When the input is completed, the communication unit 24 transmits the user ID and password to the mobile communication network 4. The user ID and password are further distributed to the private network 3 by the wireless network control device 17 and transmitted to the server 11 (step S3).

  The server 11 authenticates the user 30 on the basis of the received user ID and password (step S4), and if the contents are valid, login is permitted, and if the contents are invalid, the authentication result notification indicating that the login is not permitted is sent to the communication unit 24. A reply is made (step S5). When the authentication notification result is login permission, the terminal 21 displays the user information associated with the user ID and a list of medical practices on the display unit 23.

  Next, the medical institution 20 selects from the list of medical practices displayed on the display unit 23 (input unit 22) of the terminal, the medical procedure that the user 30 desires to receive on the day of the medical examination, and inputs it from the input unit 22 (step). S6). When the communication unit 24 transmits the user management information (the selected medical practice and user ID) to the mobile communication network 4, the communication unit 24 distributes the user management information to the private network 3 by the wireless network control device 17 and transmits it to the server 11 (step S7). .

  The information management unit 13 of the server 11 extracts the medical action desired by the user from the consultation history in the database 14 using the selected medical action and user management information as a key (step S8).

  Then, the determination unit 12 determines whether or not a medical examination is possible from the extracted medical examination history (step S9). Here, since the selected medical practice is one type, it is determined not to determine whether or not to receive medical examinations between other medical practices, but to determine whether it is possible to receive medical examinations on the date of the medical examination date. And as a determination result, the medical action which can be consulted on the day of a medical examination is transmitted to the communication part 24 (step S10), and the list of medical actions which can be examined on the day of a medical examination is displayed on the display part 23 (step S11).

  Here, when it is desired to receive not only the medical practice but also another medical practice on the day of the medical examination (YES in step S12), the process returns to step S6, and further medical practice can be selected. And the process of step S6 thru | or step S11 is repeated again. At this time, since a plurality of medical actions are selected, the determination unit 12 determines whether or not a plurality of medical actions can be received simultaneously. For example, medical actions A and B transmit to the communication unit 24 a determination that medical examination is possible or impossible at the same time.

  When it is not desired to receive an additional medical checkup (NO in step S12), the medical institution 20 requests a medical checkup on the day of the medical checkup from the medical measures displayed on the display unit 23 (input unit 22) of the terminal 21. A medical practice is finally selected (step S13). Then, detailed data on medical practice (physician name, vaccine lot, special remarks) is input as a consultation result (step S14), and after receiving an actual medical practice, the execution button is pressed (step S15).

  When the execution button is pressed, the consultation result is transmitted from the communication unit 24 to the server 11 (step S16), and the information management unit 13 immediately updates the consultation result. Based on the user management information, the user's consultation history is updated in chronological order based on the date, the schedule is recalculated, and the database is updated (step S17).

  When the information management unit 13 finishes updating the consultation history, the server 11 notifies the communication unit 24 of the update (step S18), and the display unit 23 displays “updating update” to indicate the medical institution. 20 can know that the consultation result has been updated.

  In this way, the medical examination results received at any one of the plurality of medical institutions 20 are transmitted from the medical institution 20 to the public institution 10 and stored in the database 14, so that the medical action corresponding to the user 30 can be stored. Even if the histories are collectively managed and a medical practice is received at a different medical institution 20, misdiagnosis can be avoided.

  Next, a processing sequence when a new user is registered in the medical practice management system 1 will be described with reference to FIG.

  First, the server 11 receives new user information from an external system (steps S31 and S32). Operation is performed while ensuring security between the closed network 2 and the external network, such as reading new user information via a medium or the like.

  Next, a new user record is created in the database 14 based on the new user information (step S33). At this time, the basic information includes a name, date of birth, sex, address, and the like, and a user ID that uniquely identifies the user associated with them is given.

  The information management unit 13 creates a medical practice schedule for a new user (step S34). First, all dates in the schedule are initialized as day 0, and then the information management unit 13 determines the actual date of the new user based on the system date of the server 11 and the date of birth of the new user's information. The age is calculated, and the date in the schedule is recalculated and updated based on the age (step S35). As a result, it is possible to grasp medical actions that can be presently examined.

  Next, the server 11 issues a new recording medium 31 for a new user (step S36). When the recording medium 31 is an actual card such as an IC card, a card issuing machine (not shown) is connected to the server 11 for issuing. When the recording medium 31 is a two-dimensional code, it is transmitted from the external transmission server 15 to the user terminal 32 by electronic mail.

  When the server 11 notifies the external transmission server 15 that a new user has been registered (step S37), the external transmission server 15 displays the schedule of the new user 30 on a confirmation screen that can be viewed by the user 30 ( In step S38, an e-mail is transmitted to the user terminal 32 (step S39). The reason why the e-mail is transmitted from the external transmission server 15 and the confirmation screen is displayed is because the server 11 exists in the closed network 2 that cannot be connected to the Internet.

  As described above, by registering a new user, the new user registers a medical history in the medical practice management system 1 and receives the same medical practice at any of the multiple medical institutions 20. In addition, the medical examination results output from any medical institution 20 can be collected and accumulated in one database 14.

[Example: Vaccination]
The “medical practice” shown in the present invention refers to the doctors and nurses stipulated by the Medical Law based on national guidelines (start date, number of visits, interval between visits, whether or not to receive multiple medical actions simultaneously) Not only “medical activities” that are prohibited from being carried out by persons who do not have a license, such as vaccinations, group vaccinations at school, and elderly care / disabled persons other than medical institutions Includes care.

  Hereinafter, as an example of the medical practice management system 1 of the present invention, an example in which a medical practice is used as vaccination will be described with reference to FIGS. When the person to be vaccinated is an infant, the name of the user 30 is an infant, but the possession of the recording medium 31 and the input of a password are actually performed by an infant guardian.

  FIG. 5 is a diagram showing an example of a new creation schedule related to the vaccination system according to the embodiment of the present invention. FIG. 6 is a diagram showing an example of a schedule being updated according to the vaccination system of the present invention. 7 is a diagram showing a display screen of the terminal 21 installed in the medical institution 20 according to the vaccination system of the present invention, and FIG. 8 is a processing flow diagram related to vaccination according to the vaccination system of the present invention.

  5 and 6 are screens in which the consultation history of one user 30 stored in the database 14 related to the vaccination system is edited for the confirmation screen by the server 15 for external transmission.

  FIG. 5 and FIG. 6 are display examples of a confirmation screen homepage that publishes the contents of the consultation history stored in the database 14 on the external transmission server 15, and the user 30 can browse the user terminal 32. Note that the actual storage / update to the database 14 may be performed using a general SQL (Structured Query Language).

  Storage and update to the database 14 will be described with reference to FIGS. 5 and 6. It is a figure which shows the example of the schedule at the time of the new preparation concerning the vaccination system which is embodiment of this invention, and corresponds to step S34 shown in FIG.

  In this example, “medical practice” is “vaccination”, and the vertical axis is “Hib”, “pediatric pneumococci”, “hepatitis B”, “four types”, “BCG” Is stored. The horizontal axis stores the initial vaccination (recommended date) 56, the number of vaccinations 57, and the vaccination status (vaccination status 58, vaccination date 59) as temporal elements of each vaccination name.

  FIG. 5 shows the initial creation time. After the age 53 is first created on the first day of age (0 year 0 month 1 day in FIG. 5), the scheduled visit date 59a1 to 59an is recalculated on the system date 54, and the database 14 stored.

  FIG. 6 is a diagram showing a state in which the age 53 has progressed with the lapse of time and the age 53 has elapsed (in FIG. 6, 1 year old 0/1). For vaccinations that have already been examined, the multiple inoculation statuses such as the inoculation date 59a1 and the inoculation status 58a1 are updated to “inoculated” as the results of the consultation.

  In addition, when there are multiple vaccinations and the most recent n-th visit result has been stored, the next n + 1-th vaccination date 59 is recalculated by the information management unit 13 and updated on the latest scheduled visit date. Is done. For example, since the third inoculation status 58a3 and the inoculation date 59a3 of the inoculation name 55a “Hib” have been stored, the fourth inoculation status 58a4 is changed to “inoculation possible”, and the scheduled visit date 59a4 is It is recalculated and updated to “June 1, 2017 to May 31, 2020”.

  In this way, the server 11 sequentially updates the visit history of the database 14, and the user 30 browses the confirmation screen, thereby confirming the confirmed vaccination and the next scheduled visit date of the scheduled vaccination. Can be confirmed.

  Further, when any scheduled vaccination date and system date approach within a predetermined period, a guidance mail for prompting vaccination is transmitted from the external transmission server 15 to the user terminal 32 of the user 30. . The user 30 may visit the medical institution 20 upon receiving the mail and actually receive a vaccination.

  Further, as shown in FIG. 6, the user 30 determines that “inoculation allowed” is “Hib: addition (inoculation status 58a4, inoculation date 59a4)” and “four types of mixture: addition (inoculation status 58d4, inoculation date 59d4). ) "And" Hemp shin style shin (first stage): (inoculation status 58f1, inoculation date 59f1) ". In addition, “no vaccination” is determined as “pediatric pneumococci: first time (vaccination status 58b2)” or the like.

  The determination unit 12 can inoculate “Hib”, “hepatitis B”, and “measles-like shin (first stage)” in any combination, but “pediatric pneumococci” in combination with these. This is because it was determined that it was impossible to inoculate. By making such a determination that combination is impossible, it is possible to prevent erroneous vaccination of vaccination as a misdiagnosis.

  FIG. 7 is a diagram showing a screen of the terminal 21 used at the time of vaccination. FIG. 7A shows an example of a job selection screen input by the medical institution 20, and FIG. 7B reads the recording medium 31. 7C shows an example of a password input screen by the user 30, FIG. 7D shows an example of a vaccination selection screen, and FIG. 7E shows a display state of a vaccination consultation history. Example, Fig. 7 (f) is an example of a screen for selecting a plurality of vaccinations, Fig. 7 (g) is an example of a screen for inputting detailed information and visits for vaccination, and Fig. 7 (h) is an actual vaccination. It is an example of a screen display prompting implementation.

  FIG. 7A shows a screen for displaying buttons used by the medical institution 20 to select a job. Examples of work include “vaccination” for the user 30 to consult, “report / invoice creation”, “history / plan”, “statistical data”, and the like for business processing of the medical institution 20. Hereinafter, the vaccination operation is started by pressing the vaccination button 231.

  FIG. 7B is a screen for reading the recording medium 31 in order to authenticate the user 30 after the start of the vaccination work. The user 30 or the worker of the medical institution 20 causes the reader unit 25 (not shown) to read the recording medium 31 possessed by the user 30. The information to be read is a user ID.

  FIG. 7C is a screen for inputting a password displayed when the reader unit 25 (not shown) reads the recording medium 31 in FIG. 7B. For security reasons, it is desirable that 30 users (or guardians) input the password.

  FIG. 7D transmits the user ID and password acquired by the terminal 21 in FIGS. 7B and 7C to the server 11, and when the user 30 is permitted to access by authentication in the server 11, the user 30 can be selected. This is a screen for displaying a list of vaccinations 233 and selecting a vaccination for which further consultation is desired. The immunization list 233 displays the immunization names stored in the database 14. When the user 30 selects a immunization name that the user 30 desires to receive from the immunization list 233, the medical history of the immunization name stored in the database 14 is transmitted from the server 11 to the terminal 21.

  FIG. 7E is a screen that displays the history of vaccination consultation selected in FIG. Along with past consultation results, vaccinations that can be received on the scheduled date (current) of the consultation are displayed as “inoculation possible” or the like, and the user 30 and the medical institution 20 can prevent misidentification of the consultation status.

  FIG. 7F is a screen for performing selection to be added when it is desired to receive another vaccination simultaneously with the vaccination selected in FIG. When the addition is desired, FIG. 7D is displayed again, and the immunization to be added is selected from the immunization list 233.

  Fig. 7 (g) is a screen for entering detailed information and consultation for vaccination. Enter / change detailed information such as the name of vaccination to receive, the number of times, the dose of vaccine, the lot number of vaccine, and the name of the doctor in charge. This is the screen to perform. Detailed information is input, and the execution button 235 is pressed at the timing of actual vaccination execution.

  FIG. 7H is a screen displayed after the execute button 235 is pressed. In this state, the consultation result is transmitted to the server 11, processed over time by the information management unit 13, and stored in the database 14. With this process, the result of vaccination consultation can be reliably stored in the database 14, and misdiagnosis due to the non-input of the consultation result can be prevented.

  FIG. 7 (i) is a diagram showing a state in which the terminal 21 is notified that the consultation result is stored in the database 14 in the server 11 and is displayed on the display unit 23. The medical institution 20 and the user 30 can confirm that the consultation result is stored in the database 14 by looking at the display of FIG.

  Next, a processing flow when the “medical practice” of the present invention is “vaccination” will be described with reference to FIG. FIG. 8 is a diagram showing a processing flow related to vaccination according to the embodiment of the present invention, and basically shows a processing flow in which “medical practice” in the sequence shown in FIG. 2 is replaced with “vaccination”. Yes.

  First, on the screen shown in FIG. 7A (step S51), “Vaccination” is selected and input as a medical practice to be consulted with the user 30 (step S52), and on the screen shown in FIG. The user ID recorded on the brought recording medium 31 is read by the reader unit 25 (step S53). As described above, the recording medium 31 is an ID card, a QR code (registered trademark), or the like. Next, the user 30 inputs a password from the input unit 22 of the terminal 21 (step S54, FIG. 7C).

  When the input is completed, the communication unit 24 transmits the user ID and password to the mobile communication network 4. The user ID and password are further distributed to the private network 3 by the wireless network control device 17 and transmitted to the server 11 (step S55).

The server 11 authenticates the user 30 based on the received user ID and password, and if the contents are valid, login is permitted, and if the contents are invalid, the authentication result notification indicating that the login is not permitted is returned to the communication unit 24 (Step S11). S56).
When the authentication notification result is login permission, the terminal 21 displays the user information associated with the user ID and the vaccination list 233 on the display unit 23 (step S57, FIG. 7D).

  Next, the medical institution 20 selects a vaccination that the user 30 desires to receive on the day of the consultation from the vaccination list 233 shown in FIG. 7D, and inputs it from the input unit 22 (step S58, FIG. 7D). . When the communication unit 24 transmits the selected vaccination and user management information including the user ID to the mobile communication network 4, the wireless network control device 17 distributes the user management information to the private network 3 and transmits it to the server 11 (step S59). ).

  The information management unit 13 of the server 11 extracts the immunization desired by the user 30 from the consultation history in the database 14 using the selected immunization name and user management information as keys (step S60).

  Then, using the extracted consultation history, the determination unit 12 determines whether or not consultation is possible (step S61). Here, since there is one type of vaccination selected, the determination as to whether or not to receive a medical checkup between other vaccinations is not performed, and a determination over time is made as to whether or not to receive a checkup on the date of the checkup. And as a determination result, the medical action which can be consulted on the day of a consultation is transmitted to the communication part 24 (step S62), and the consultation history and determination result of the selected vaccination are displayed on the display part 23 (step S63, FIG. 7 ( e)).

  Here, in addition to the vaccination, if it is desired to receive another vaccination on the day of the visit, further vaccination can be selected (YES in step S64). Then, the processing from step S58 to step S63 is repeated again. At this time, since a plurality of vaccinations are selected, the determination unit 12 determines whether or not a plurality of vaccinations can be simultaneously received. For example, vaccinations A and B transmit to the communication unit 24 a determination that they can or cannot receive a medical examination at the same time.

  If the patient does not wish to receive additional vaccination (NO in step S64), the medical institution 20 finally selects the vaccination that he / she wishes to receive from the vaccination displayed on the display unit 23 of the terminal 21 on the day of the consultation. (Step S65). And as shown in FIG.7 (g), the detailed data (a doctor name, a vaccine lot, special remarks) of vaccination are input as a consultation result (step S66), and after performing the actual medical practice, the implementation button 235 is clicked. Pressing down (step S67).

  When the execution button 235 is pressed, FIG. 7 (h) is displayed on the display unit 23 of the terminal 21, and the consultation result is transmitted from the communication unit 24 to the server 11 (step S68), and the information management unit 13 immediately displays the consultation result. Update process. Based on the user management information, the user's consultation history is updated in chronological order based on the date, the schedule is recalculated, and the database is updated (step S69).

  Then, when the information management unit 13 finishes updating the consultation history, the server 11 notifies the communication unit 24 of the update (step S70), and FIG. 7 (i) is displayed on the display unit 23 of the terminal 21. Thus, the medical institution 20 can confirm that the consultation result is recorded and updated in the database 14.

In addition, when the update of the database 14 is completed, the server 11 notifies the external transmission server 15 and updates the confirmation screen data browsed by the user 30 (step S71).
Then, a series of processes related to receiving a vaccination is completed (step S72).

  In this way, the user 30 can bring the same vaccination at any medical institution 20 by bringing the recording medium 31 to the medical institution 20, and the medical examination result from the terminal 21 of the medical institution 20 immediately after the medical examination. Is immediately transmitted to the server 11 and stored in the database 14 by the information management unit 13, so that it is possible to prevent misdiagnosis due to non-entry of the consultation result, and the user 30 can confirm a new vaccination schedule on the confirmation screen. it can.

  The present invention can be embodied in many forms without departing from its essential characteristics. Therefore, it is needless to say that the above-described embodiment is exclusively for description and does not limit the present invention.

DESCRIPTION OF SYMBOLS 1 Medical practice management system 2 Closed network 3 Private network 4 Mobile communication network 5 Internet line 10 Public organization 11 Server 12 Judgment part 13 Information management part 14 Database 15 Server for external transmission 16 Communication data center 17 Wireless network control apparatus 20 Medical institution 21 terminal 22 input unit 23 display unit 24 communication unit 25 reader unit 30 user 31 recording medium 32 user terminal 53 age 54 system date 55 name of vaccination 56 initial vaccination time 57 number of vaccinations 58 vaccination state 59 vaccination date / planned date 231 prevention Inoculation button 233 List of vaccinations 235 Implementation button

Claims (9)

A medical practice management system for managing medical practice to be consulted at a medical institution,
A server that is installed in a public institution and a terminal that is installed in multiple medical institutions are connected via a closed network.
The server
An information management unit that stores in a database corresponding to the user, information that has been received in the past medical practice that the user has received at any of the plurality of medical institutions;
A determination unit that reads out information on the past medical practice of the corresponding user from the database and determines whether the user is allowed to receive a medical practice scheduled to be examined;
The terminal
An input unit for inputting management information including information on the user who receives a medical examination at any one of the plurality of medical institutions and information on at least one scheduled medical examination;
A communication unit that transmits the management information to the server through the closed network and receives the information on whether or not to receive the diagnosis determined by the determination unit;
A display unit that displays information about the user who visits at any of the plurality of medical institutions and information about whether or not the visit is determined by the determination unit;
A medical practice management system characterized by comprising:   2. The determination unit according to claim 1, wherein when the information on the user and the information on a scheduled medical practice are transmitted from the communication unit, the determination unit determines whether or not to receive the diagnosis and outputs the information to the communication unit. The medical practice management system described. The determination unit
For each user, at least managing information on a combination of a plurality of medical practices that can be consulted at the same time, and information on due dates that can be consulted on each of the medical practices,
3. The medical practice management system according to claim 2, wherein the medical information management system determines whether or not to accept the medical practice scheduled to be consulted by comparing the managed information with information on a medical practice that the user has consulted in the past. . The input unit further includes:
Enter the information of the user to be examined at any of the plurality of medical institutions and at least one information on the medical treatment scheduled for the medical examination,
2. The medical care according to claim 1, wherein the information management unit of the server stores, in the database, the received information about a medical action scheduled for a medical checkup as received medical information of the past medical action. Action management system.   5. The terminal according to claim 1, wherein, after the user has received the medical practice, the terminal transmits, to the server, received information about the medical practice scheduled to be received, which is input by the input unit. The medical practice management system described.   5. The medical practice management system according to claim 4, wherein the information management unit stores the past medical practice in the database in time series.   2. The medical practice management system according to claim 1, wherein the terminal has a reader unit, and reads and inputs the user information from a recording medium carried by the user.   The medical system according to claim 1, wherein the closed network includes a mobile communication network to which the communication unit of the terminal is wirelessly connected and a private network that transmits information from the mobile communication network to the server. Action management system. A medical practice management method for managing medical practice at a medical institution,
A server that is installed in a public institution and a terminal that is installed in multiple medical institutions are connected via a closed network.
In the server,
Using an information management unit to store in a database corresponding to the user, information that has been received in the past medical practice that the user has received at any of the plurality of medical institutions;
Using the determination unit, reading the past medical practice information of the corresponding user from the database, and determining whether or not the user is allowed to receive a medical practice scheduled to be examined;
Run
In the terminal,
Using the input unit to input management information consisting of information on the user to be examined at any of the plurality of medical institutions and information on at least one scheduled medical examination;
Using the communication unit, transmitting the management information to the server by the closed network and receiving the information on whether or not to receive the diagnosis determined by the determination unit by the closed network;
Using the display unit, displaying the information of the user who visits at any of the plurality of medical institutions and the information on whether or not to receive the diagnosis determined by the determination unit;
A medical practice management method characterized in that

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