JP2021177305A - Telemedicine and medication guidance system - Google Patents

Abstract

To provide a convenient telemedicine and dispensing system.SOLUTION: In a telemedicine and medication guidance system 1, a patient terminal 10 used by a patient, a concierge terminal 20, a management device 30, a medical institution terminal 50 used by a medical institution, and a pharmacy terminal 70 used by a pharmacy are communicatively connected to each other via a network 90. The management device 30 includes a settlement agency processing unit that acquires medical treatment costs at medical institutions and dispensing costs including medical guidance at pharmacies, and calculates a billing amount including these. The patient terminal 10 includes a settlement processing unit that settles the billing amount.SELECTED DRAWING: Figure 1A

Description

The present invention relates to a telemedicine and medication guidance system.

Various methods have been proposed for remotely performing medical treatment and the like using information and communication technology.

For example, in Patent Document 1, when a patient conducts a self-questioning or self-measurement of blood pressure or the like using a terminal device and sends the result to a server, and the server determines that the questioning or measurement result is abnormal, a doctor asks. A system that enables remote diagnosis is described.

Patent Document 2 describes a system in which a call center operator talks with a patient over a telephone to ask a question, and a doctor suitable for the patient is called according to the result of the question.

Patent Document 3 describes a dispensing pharmacy capable of dispensing a drug listed in prescription data, and a system for searching and displaying the dispensing cost for each dispensing pharmacy.

Japanese Unexamined Patent Publication No. 10-31430 JP-A-2019-185518 JP-A-2018-156165

However, we still provide a system that focuses on facilitating the use of information on telemedicine and medication guidance and actively supporting the use of these applications to improve the user experience in telemedicine and medication guidance. It has not been.

In this regard, applications, etc. that can be used on smartphones, PCs (Personal Computers), etc. by digitizing the "medicine notebook" that was conventionally provided on paper (hereinafter, these are collectively referred to as "medicine notebook application"). In recent years, it has become possible to manage the dispensing history of patients.

However, existing medication notebook apps were primarily aimed at managing information about offline dispensing. Therefore, sufficient proposals have not yet been made for a method for effectively utilizing the medicine notebook application in the above-mentioned telemedicine and remote medication guidance.

The present invention has been made to solve such a problem, and an object of the present invention is to provide a highly convenient telemedicine and medication guidance system.

According to one embodiment, the telemedicine and medication guidance system has a patient terminal and a management device, and the management device acquires medical treatment costs at a medical institution and dispensing costs including medication guidance at a pharmacy. The patient terminal has a settlement processing unit that calculates the billing amount including these, and the patient terminal has a settlement processing unit that setstles the billing amount.
According to one embodiment, the telemedicine and medication guidance system receives from the management device the billed amount of the medical care cost at the medical institution and the dispensing cost including the medication guidance at the pharmacy, and setstles the billed amount. Has a part.

INDUSTRIAL APPLICABILITY According to the present invention, it is possible to provide a highly convenient telemedicine and medication guidance system.

It is a block diagram which shows an example of the hardware composition of the telemedicine and medication instruction system 1. It is a correlation diagram of a typical user who uses the telemedicine and medication instruction system 1. It is a block diagram which shows an example of the functional structure of the telemedicine and medication instruction system 1. It is a block diagram which shows an example of the functional structure of the telemedicine and medication instruction system 1. It is a block diagram which shows an example of the functional structure of the telemedicine and medication instruction system 1. It is a block diagram which shows an example of the functional structure of the telemedicine and medication instruction system 1. It is a block diagram which shows an example of the functional structure of the telemedicine and medication instruction system 1. It is a flowchart which shows an example of the operation of the telemedicine and medication instruction system 1.

Hereinafter, specific embodiments to which the present invention is applied will be described in detail with reference to the drawings.

FIG. 1A is a diagram showing an example of the hardware configuration of the telemedicine and medication guidance system 1 according to the embodiment of the present invention. The remote medical care and medication guidance system 1 includes a patient terminal 10 used by a patient, a concierge terminal 20, a management device 30, a medical institution terminal 50 used by a medical institution, and a pharmacy terminal 70 used by a pharmacy. The management device 30 is communicably connected to the patient terminal 10, the medical institution terminal 50, and the pharmacy terminal 70 via the network 90.

FIG. 1B is a correlation diagram of a typical user who uses the system 1. The patient who uses the patient terminal 10 conducts a preliminary interview by himself / herself or with the support of the concierge who uses the concierge terminal 20. After that, the doctor who uses the medical institution terminal 50 is accessed to receive medical treatment remotely. When the doctor prescribes the drug, the doctor sends the prescription data to the pharmacist who uses the pharmacy terminal 70. The prescription data may be sent directly from the doctor to the pharmacy (pharmacist) or via the concierge. The pharmacist prepares the drug, delivers the drug to the patient, and provides remote medication guidance. In this paper, the services provided by pharmacies (pharmacists) to patients, including drug preparation and medication guidance, are referred to as dispensing. Each record of interview, medical treatment, prescription, and dispensing is accumulated in the management device 10. Each of the patient terminal 10, the medical institution terminal 50, and the pharmacy terminal 70 can access necessary information on the management device 10.

The patient terminal 10, the concierge terminal 20, the medical institution terminal 50, or the pharmacy terminal 70 is typically an information processing device such as a smartphone, a tablet, a wearable device, or a PC (personal computer). The management device 30 is an information processing resource that is typically accessible via a network 90 such as a server computer, a cloud computing environment, an edge computing environment, and a fog computing environment. These information processing devices (information processing environment) include hardware such as a CPU (central processing unit), a storage device, a communication device, a display device, and an input device, and the CPU reads and executes a program stored in the storage device. By doing so, it is possible to realize a predetermined function as shown below.

2A to 2E are block diagrams showing an example of the functional configuration of the telemedicine and medication guidance system 1 according to the embodiment. The remote medical care and medication guidance system 1 includes an information providing unit 101, a remote medical care / medication guidance application unit 102, a patient information input / storage unit 103, a dispensing information input / storage unit 105, an interview information input unit 107, and an interview information storage unit 109. , Evaluation information input unit 111, payment processing unit 113, patient information input / reading unit 201, interview information input / reading unit 203, diagnostic information input / reading unit 205, prescription information input / reading unit 207, dispensing information input / reading unit 209, Accounting Information Input / Browsing Unit 211, Patient Information Management Department 300, Dispensing Information Management Department 301, Questionnaire Information Management Department 303, Evaluation Information Management Department 305, Diagnosis Information Management Department 307, Prescription Information Management Department 309, Settlement Agency Processing Department 311 It has a patient information browsing unit 700, an interview information browsing section 701, a dispensing information input / browsing section 703, a prescription information browsing section 705, and an accounting processing section 709. A typical implementation example of each processing unit is shown below. However, it is basically arbitrary which of the hardware shown in FIG. 1 each processing unit is mounted, and for example, a certain processing unit may be distributed and mounted on a plurality of hardware.

<Patient terminal>
The patient terminal 10 includes an information providing unit 101, a remote medical care / medication guidance application unit 102, a patient information input / storage unit 103, a dispensing information input / storage unit 105, an interview information input unit 107, an interview information storage unit 109, and an evaluation information input. The unit 111 and the settlement processing unit 113 are included. These processing units can be realized as one function of the medicine notebook application that operates on the patient terminal 10. The medicine notebook application may be implemented in any form such as a local application or a web application. The present invention is not limited to the implementation in the medicine notebook application, and can be provided in any form such as a dedicated application specialized in telemedicine and medication instruction.

The information providing unit 101 provides various information to the patient. Typically, the medicine notebook application can provide a news distribution function and a doctor referral function.

News distribution function: The information providing unit 101 displays on the screen news received from the management device 30 or another distribution server, advertisements provided by the sponsor, and the like.

Master doctor referral function: The information providing unit 101 can display the evaluation information acquired from the evaluation information management unit 305 (described later) together with the profile of the doctor who provides the telemedicine by the system 1. The doctor's profile may include, for example, diseases with a proven medical record.

The telemedicine / medication guidance application unit 102 accepts applications for telemedicine and medication guidance from patients. For example, the telemedicine / medication guidance application unit 102 detects that the “online medical treatment / medication guidance” menu provided in the medication notebook application has been selected, and detects that the “online medical treatment / medication guidance” menu is selected, and the telemedicine / medication guidance management unit 313 of the management device 30. Request (described later) to start the telemedicine / medication guidance process.

The telemedicine / medication guidance application unit 102 can accept the following requests at the time of application.
Pharmacy designation: Accept pre-designation of pharmacies that provide remote medication guidance.
Doctor designation: Accept pre-designation of doctors who perform telemedicine. For example, a specific doctor can be selected from the doctor referral function of the information providing unit 101 and designated as a request destination for telemedicine.

In addition, the telemedicine / medication guidance application unit 102 may accept telemedicine and medication guidance only for specific chronic diseases and the like. For chronic diseases, it is possible to assume the content of medical treatment and the type of drug to be prescribed to some extent, so for example, doctors who are familiar with medical treatment for specific chronic diseases and pharmacies that stock specific drugs. Etc. are easy to assign. In other words, by limiting the target of telemedicine and medication guidance to chronic diseases, the burden of doctors having to deal with telemedicine of a wide range of diseases and the need for pharmacies to stock a large number of drugs. The burden on the patient can be reduced. In this case, the telemedicine / medication guidance application unit 102 detects that, for example, the "chronic disease-specific online medical treatment / medication guidance" menu provided in the medication notebook application has been selected, and determines the number of predetermined numbers. Display the name of the chronic disease. When it is detected that the patient has selected a specific chronic disease name, the telemedicine / medication guidance application unit 102 sends the telemedicine / medication guidance management unit 313 (described later) of the management device 30 to the telemedicine / medication guidance management unit 313 (described later). Request the start of the medication instruction process.

The patient information input / storage unit 103 accepts the input of patient information. Patient information includes, for example, patient's health insurance card information (health insurance card number, etc.), payment information (credit card information, etc.), attribute information (name, age, gender, address, etc.), results of past medical examinations, etc. Information etc. are included. The patient information input / storage unit 103 associates the input patient information with the patient ID and transmits the input patient information to the patient information management unit 300 of the management device 30. The patient information management unit 300 stores the received patient information.

In addition, the patient may send a health insurance card, a credit card, or documents including the results of medical examinations received in the past to the concierge by any means such as fax or e-mail. The patient information input / storage unit 103 can also be provided with means for uploading these images. The information included in the transmitted image is input from the patient information input / viewing unit 201 by the concierge. Alternatively, the patient information input / viewing unit 201 may input patient information digitized by an automated means such as OCR.

In addition, the patient can import various medical data and the like related to himself / herself from any data source and register them as patient information. For example, the patient information input / storage unit 103 requests a server (not shown) of the examination company to transmit the examination data of the patient held by the server. At this time, if necessary, information (ID, passcode, etc.) indicating consent by the patient can be transmitted. The patient information input / storage unit 103 transmits the received test data to the patient information management unit 300 of the management device 30 and stores it.

In addition, the patient information input / storage unit 103 can accept the registration of the referral letter that the patient has been issued by the doctor in the past. The letter of introduction may be issued online or offline. The patient information input / storage unit 103 may accept the contents of the referral letter as text data. Alternatively, you may accept the input of online location information in which the contents of the letter of introduction are stored. Alternatively, input of data (QR code (registered trademark), etc.) in which such information is encoded may be accepted. Alternatively, the input of the image of the letter of introduction may be accepted. The information included in the image may be input from the patient information input / reading unit 201 patient information input / reading unit 201 by the concierge, and the patient information input / viewing unit 201 may be converted into data by an automated means such as OCR and input. Is also good.

Preferably, the patient information input / storage unit 103 can give the doctor described in the referral letter an access permission to the patient's personal information in advance. That is, in the management device 30, restrictions are provided so that various personal information can be accessed only when a passcode issued based on the patient's will is input. The patient information input / storage unit 103 issues a passcode for accessing each processing unit of the management device 30 to the medical institution terminal 50 of the doctor. The passcode may be a one-time passcode that can be accessed only once, or a passcode that can be accessed permanently or for a predetermined period of time. This allows the physician listed in the referral letter to access the patient's medical information at any time, for example, in the event of an unforeseen event for the patient.

Further, the patient information input / storage unit 103 can duplicate the patient information managed by the patient information management unit 300 and store the patient ID issued by the patient information management unit 300 in the patient terminal 10. In addition, the saved information can be edited and transmitted again to the patient information management unit 300. The patient information management unit 300 stores the received patient information.

The dispensing information input / storage unit 105 is a main function of the medicine notebook application, and stores and displays the dispensing information of the patient. The dispensing information is a history of dispensing performed by a pharmacy to a patient so far, and includes, for example, a patient ID, a dispensing date, a name and amount of a drug, a record of medication instruction, and the like. Dispensing information is typically input from the dispensing information input unit 705 of the pharmacy terminal 70 each time dispensing is performed, and is stored in the dispensing information management unit 301 of the management device 30. The dispensing information input / storage unit 105 can duplicate the dispensing information related to its own patient ID from the dispensing information management unit 301 and store it in the patient terminal 10 or display it on the display device.

In addition, the dispensing information input / storage unit 105 browses various contents (videos, texts, etc. prepared in advance for explaining the medication method, etc.) for medication guidance stored in the dispensing information management unit 301. Alternatively, it may be provided with means for sending and receiving a message to and from the dispensing information input / reading unit 703 of the pharmacy terminal 70 to receive remote medication instruction.

The interview information input unit 107 accepts the input of the interview information by the patient. The interview is a question that is asked prior to receiving telemedicine and medication instruction, and the interview information is the answer to the question. The interview information includes, for example, "What are your symptoms today?" (Chief complaint), "What kind of illness have you had in the past?" (History), "Have you had allergies in the past?" Includes answers to questions such as "Are you there?" (History of allergies). The question is typically transmitted from the interview information management unit 303 of the management device 30. The interview information input unit 107 displays these questions on the screen of the patient terminal 10 and can obtain an answer that the patient selects or freely inputs. The inquiry information input unit 107 transmits the acquired inquiry information to the inquiry information management unit 303 of the management device 30. The interview information management unit 303 stores the received interview information in association with the patient ID of the transmission source.

The interview information storage unit 109 is a means for storing reusable interview information among the interview information input by the patient in the past. For example, information such as medical history and allergy history does not change frequently, and it is highly likely that the same information will be entered each time an interview is made. Therefore, these interview information can be reused. The interview information storage unit 109 stores the reusable interview information input by the patient at the time of the interview, and at the next interview, the reusable answer is entered in the answer input field of the interview information input unit 107. It can be in a pre-entered state. As a result, the time and effort required to input the interview information can be significantly reduced.

The patient can also edit the stored interview information as appropriate. That is, when accepting the input of the interview information, the inquiry information input unit 107 allows the editing of the initial value input in advance. The interview information storage unit 109 stores the edited interview information, and can reuse the edited interview information as an initial value at the next inquiry. As a result, the patient can update or deepen the contents of the interview information.

In the present embodiment, the interview information storage unit 109 is provided in the patient terminal 10, but the present invention is not limited to this, and may be provided in, for example, the management device 30. In this case, the reusable interview information is stored in association with the patient ID. As a result, even when the same patient uses a plurality of different patient terminals 10, a part of the interview information can be reused.

The evaluation information input unit 111 accepts the input of the evaluation to the doctor by the patient. Typically, the evaluation information input unit 111 causes the doctor in charge of the medical treatment to input the evaluation of the doctor in charge of the medical treatment, for example, by selecting the evaluation value from several stages after the telemedicine is completed. You may enter free comments. The evaluation input by each patient is transmitted as evaluation information to the evaluation information management unit 305 of the management device 30. The evaluation information is accumulated and processed by the evaluation information management unit 305, and is used by the above-mentioned information providing unit 101 and the like. Further, the evaluation information input unit 111 may notify the medical institution terminal 50 of the content of the input evaluation. Such feedback allows doctors to improve the content of their medical care.

Further, the evaluation information input unit 111 may input the evaluation for the pharmacy, the evaluation for the concierge, and the evaluation for the application (medicine notebook application, etc.) that realizes the patient terminal 10 by the same method. These evaluations are notified to the pharmacy terminal 70, the concierge terminal 20, and the like, and are fed back to each user. If the evaluation information input unit 111 is equal to or higher than a predetermined standard (for example, 3 or more in 5 stages) for an application (medicine notebook application, etc.) that realizes the patient terminal 10, the evaluation information input unit 111 of the application in the application distribution platform. Patients may be encouraged to fill in an assessment as well.

The settlement processing unit 113 acquires the accounting amount for telemedicine, medication guidance, etc. from the settlement agency processing unit 311 of the management device 30. That is, the settlement agency processing unit 311 of the management device 30 automatically calculates the amount to be paid by the patient to the medical institution or the pharmacy in relation to the telemedicine and the medication instruction, and notifies the settlement processing unit 113. The settlement processing unit 113 collects the acquired accounting amount from the patient. For example, the payment processing unit 113 has a function of executing payment by a patient using a credit card, a debit card, electronic money, another payment agency service, or the like. Since such so-called online cashless payment is a known technique, the description of a specific implementation method is omitted in this paper.

<Concierge terminal>
The concierge terminal 20 includes a patient information input / reading unit 201, an interview information input / reading unit 203, a diagnostic information input / reading unit 205, a prescription information input / reading unit 207, a dispensing information input / reading unit 209, and an accounting information input / viewing unit. Including part 211. These processing units can be realized as one function of a concierge application running on the concierge terminal 20. The concierge application may be implemented in any form such as a local application or a web application. The concierge can assist various tasks while communicating with each user (patient, doctor or pharmacist), for example, in a call center or the like.

The patient information input / reading unit 201 accepts the input of patient information that the concierge has heard from the patient. Hearing from a patient means obtaining information from the patient via telephone, video call, electronic transmission of text or images, or other remote communication means or face-to-face. The patient information that can be input includes, for example, health insurance card information (health insurance card number, etc.), payment information (credit card information, etc.), attribute information, and the like. The patient information input unit 201 associates the input patient information with the patient ID and transmits the input patient information to the patient information management unit 300 of the management device 30. The patient information management unit 300 stores the received patient information.

In addition, the concierge can import various medical data related to patients from any data source and register them as patient information. For example, the patient information input / viewing unit 201 requests a server (not shown) of an examination company to transmit examination data of a patient held by the server. At this time, if necessary, information (ID, passcode, etc.) indicating the consent of the patient or doctor can be transmitted. Here, the patient information input / reading unit 201 shall hold in advance information indicating the consent of the patient or the doctor, or shall hear from the patient or the doctor. The patient information input / viewing unit 201 transmits the received examination data to the patient information management unit 300 of the management device 30 and stores it.

In addition, the patient information input / reading unit 201 can accept the registration of a letter of introduction for which the patient has been issued by a doctor in the past. The letter of introduction may be issued online or offline. The patient information input / reading unit 201 may accept the content of the referral letter as text data. Alternatively, you may accept the input of online location information in which the contents of the letter of introduction are stored. Alternatively, input of data (QR code (registered trademark), etc.) in which such information is encoded may be accepted. Alternatively, the content of the referral letter may be heard from the patient by receiving an image of the referral letter. The description content of the referral letter may be input from the patient information input / reading unit 201 by the concierge, or the patient information input / reading unit 201 may input the image as data by an automated means such as OCR.

Preferably, the patient information input / reading unit 201 can give the doctor described in the referral letter an access permission to the patient's personal information in advance. That is, in the management device 30, restrictions are provided so that various personal information can be accessed only when a passcode issued based on the patient's will is input. The patient information input / viewing unit 201 issues a passcode for accessing each processing unit of the management device 30 to the medical institution terminal 50 of the doctor. The passcode may be a one-time passcode that can be accessed only once, or a passcode that can be accessed permanently or for a predetermined period of time. This allows the physician listed in the referral letter to access the patient's medical information at any time, for example, in the event of an unforeseen event for the patient.

In addition, the patient information input / viewing unit 201 can view specific patient information stored in the patient information management unit 300 of the management device 30. The patient information that can be viewed includes the patient ID issued by the patient information management unit 300. It may provide an editing function and a duplication function of the accumulated patient information. As a result, patient information can be updated and new patient information can be easily input.

The interview information input / reading unit 203 accepts the input of the interview information heard by the concierge from the patient. The question used in the interview is transmitted from the inquiry information management unit 303 of the management device 30. The interview information storage unit 107 displays these questions on the screen of the concierge terminal 20 and accepts the input of the answer by the concierge. The interview information input unit 203 transmits the acquired interview information together with the patient ID to the interview information management unit 303 of the management device 30. The interview information management unit 303 stores the received interview information.

In addition, the inquiry information input / reading unit 203 can browse the specific inquiry information stored in the inquiry information management unit 303 of the management device 30. It may provide an editing function and a duplication function of the accumulated interview information. As a result, the interview information can be updated and new interview information can be easily input.

The diagnostic information input / reading unit 205 accepts the input of the diagnostic information that the concierge has heard from the doctor. Hearing from a doctor means obtaining information from a doctor via telephone, video call, electronic transmission of text or images, or other remote communication means or face-to-face. The diagnostic information is information indicating the result of telemedicine including the diagnosis name and the like, and includes, for example, a patient ID, a medical treatment date, a diagnosis name and the like. If a remote test such as blood pressure, body temperature, or blood glucose level is performed, the test result may be included. The diagnostic information input unit 205 transmits the input diagnostic information to the diagnostic information management unit 307 of the management device 30. The diagnostic information management unit 307 stores the received diagnostic information.

In addition, the diagnostic information input / reading unit 205 can browse the specific diagnostic information stored in the diagnostic information management unit 307 of the management device 30. It may provide an editing function and a duplication function of the accumulated diagnostic information. As a result, the diagnostic information can be updated and new diagnostic information can be easily input.

The prescription information input / reading unit 207 accepts the input of the prescription information that the concierge has heard from the doctor. The prescription information is a record of a drug prescribed by a doctor based on findings in telemedicine, and is an electronic prescription, and includes, for example, a patient ID, a prescription date, a name and amount of the drug, and the like. The prescription information input / reading unit 207 transmits the input prescription information to the prescription information management unit 309 of the management device 30. The prescription information management unit 309 stores the received prescription information. After that, the prescription information viewing unit 705 of the pharmacy terminal 70 refers to the prescription information accumulated in the prescription information management unit 309 and uses it for dispensing to the patient.

In addition, the prescription information input / reading unit 207 can browse the specific prescription information stored in the prescription information management unit 309 of the management device 30. It may provide an editing function and a duplication function of the accumulated prescription information. As a result, the prescription information can be updated and new prescription information can be easily input.

The dispensing information input / reading unit 209 accepts the input of prescription information that the concierge has heard from the doctor. The dispensing information is a record of dispensing performed by a pharmacy to a patient, and includes, for example, a patient ID, a dispensing date, a name and amount of a drug, a record of medication instruction, and the like. The dispensing information input unit 209 transmits the input dispensing information to the dispensing information management unit 301 of the management device 30. The dispensing information management unit 301 stores the received dispensing information.

In addition, the dispensing information input / viewing unit 209 can view specific dispensing information stored in the dispensing information management unit 301 of the management device 30. It may provide an editing function and a duplication function of the accumulated dispensing information. As a result, the dispensing information can be updated and new dispensing information can be easily input.

The accounting information input / reading unit 211 accepts the input of accounting information that the concierge has heard from a doctor or a pharmacy. The accounting information includes the accounting amount for telemedicine at a medical institution or the accounting amount for dispensing including remote medication guidance at a pharmacy. The accounting information input unit 211 transmits the input accounting information to the settlement agency processing unit 311 of the management device 30. After that, the settlement agency processing unit 311 adds up these amounts and bills the patient.

<Medical institution terminal>
The medical institution terminal 50 includes a patient information viewing unit 500, a medical inquiry information viewing unit 501, a dispensing information viewing unit 503, a diagnostic information input / viewing unit 505, a prescription information input / viewing unit 507, and an accounting processing unit 509. These processing units can be realized as one function of a doctor's application operating on the medical institution terminal 50. The doctor's application may be implemented in any form, such as a local application or a web application.

The patient information viewing unit 500 acquires patient information stored in the patient information management unit 300 of the management device 30 and associated with the patient ID to be treated, and displays it on the screen. The patient information includes, for example, health insurance card information (health insurance card number, etc.), attribute information, and the like. By using the patient information browsing unit 500, the doctor can perform telemedicine while browsing the patient information. The patient information viewing unit 500 can also duplicate the information acquired from the patient information management unit 300 and store it in the medical institution terminal 50.

In addition, doctors can import various medical data related to patients from any data source and register them as patient information. For example, the patient information viewing unit 500 requests a server (not shown) of an examination company to transmit examination data of a patient held by the server. At this time, if necessary, information (ID, passcode, etc.) indicating consent by the doctor can be transmitted. The patient information viewing unit 500 transmits the received test data to the patient information management unit 300 of the management device 30 and stores it. Of course, the test data stored in the patient information management unit 300 can be viewed by the patient information viewing unit 500.

The inquiry information viewing unit 501 acquires the inquiry information stored in the inquiry information management unit 303 of the management device 30 and is associated with the patient ID to be treated, and displays it on the screen. The patient shall have registered the interview information in advance before receiving telemedicine and medication guidance. By using the interview information viewing unit 501, the doctor can perform telemedicine while viewing the interview information input prior to the medical treatment. It is also possible for the interview information viewing unit 501 to duplicate the information acquired from the interview information management unit 303 and store it in the medical institution terminal 50.

The diagnostic information input / reading unit 505 accepts the input of diagnostic information by a doctor. The diagnostic information is information indicating the result of telemedicine including the diagnosis name and the like, and includes, for example, a patient ID, a medical treatment date, a diagnosis name and the like. If a remote test such as blood pressure, body temperature, or blood glucose level is performed, the test result may be included. The diagnostic information input / viewing unit 505 transmits the input diagnostic information to the diagnostic information management unit 307 of the management device 30. The diagnostic information management unit 307 stores the received diagnostic information.

Alternatively, the doctor may send a document containing the diagnostic information related to the telemedicine to the concierge by any means such as fax or e-mail. The diagnostic information input / viewing unit 505 may also be provided with means for uploading these images. The diagnostic information included in the transmitted image is input from the diagnostic information input / viewing unit 205 by the concierge. Alternatively, the diagnostic information input / viewing unit 205 may input diagnostic information digitized by an automated means such as OCR.

Further, the diagnostic information input / viewing unit 505 acquires the diagnostic information stored in the diagnostic information management unit 307 of the management device 30 and associated with the patient ID to be treated, and displays it on the screen. .. By using the diagnostic information input / reading unit 505, the doctor can perform telemedicine while browsing the past diagnostic information of the patient. The diagnostic information input / viewing unit 505 can also duplicate the information acquired from the diagnostic information management unit 307 and store it in the medical institution terminal 50.

The dispensing information viewing unit 503 acquires the dispensing information stored in the dispensing information management unit 301 of the management device 30 and associated with the patient ID to be treated, and displays it on the screen. The dispensing information management unit 301 stores a history of dispensing that the pharmacy has performed on patients so far, such as a dispensing date, a name and amount of a drug, and a record of medication instruction. By using the dispensing information browsing unit 503, the doctor can perform telemedicine while browsing the past dispensing information of the patient. The dispensing information viewing unit 503 can also duplicate the information acquired from the dispensing information management unit 301 and store it in the medical institution terminal 50.

The prescription information input / reading unit 507 accepts the input of prescription information by a doctor. The prescription information is a record of a drug prescribed by a doctor based on findings in telemedicine, and is an electronic prescription, and includes, for example, a patient ID, a prescription date, a name and amount of the drug, and the like. The prescription information input / reading unit 507 transmits the input prescription information to the prescription information management unit 309 of the management device 30. The prescription information management unit 309 stores the received prescription information. After that, the prescription information viewing unit 705 of the pharmacy terminal 70 refers to the prescription information accumulated in the prescription information management unit 309 and uses it for dispensing to the patient.

Alternatively, the doctor may send a document including prescription information related to the telemedicine, for example, a prescription to the concierge by any means such as fax or e-mail. The prescription information input / viewing unit 507 can also be provided with means for uploading these images. The diagnostic information included in the transmitted image is input from the prescription information input / viewing unit 207 by the concierge. Alternatively, the prescription information input / viewing unit 207 may input diagnostic information digitized by an automated means such as OCR.

Further, the prescription information input / viewing unit 507 acquires the prescription information stored in the prescription information management unit 309 of the management device 30 and associated with the patient ID to be treated, and displays it on the screen. .. The prescription information management unit 309 stores prescriptions prepared by doctors so far. By using the prescription information input / reading unit 507, the doctor can perform telemedicine while browsing the patient's past prescription information. The prescription information input / viewing unit 507 can also duplicate the information acquired from the prescription information management unit 309 and store it in the medical institution terminal 50.

The accounting department 509 calculates the insurance points for this telemedicine and sends it to the computer of the insurer (health insurance association, etc.). Further, the accounting processing unit 509 calculates the accounting amount, that is, the amount billed to the patient based on the insurance points, and transmits it to the settlement agent processing unit 311 of the management device 30. Since there are many publicly known techniques for automatically calculating insurance points and accounting amounts, the specific processing details will be omitted in this paper.

Alternatively, the doctor may send a document including information on the accounting amount for the telemedicine, for example, an image of an invoice or a receipt, to the concierge by any means such as fax or e-mail. The accounting unit 509 may also provide means for uploading these images. The accounting amount included in the transmitted image is input by the concierge from the accounting information input / viewing unit 211. Alternatively, the accounting information input / viewing unit 211 may input the accounting amount converted into data by an automated means such as OCR.

<Pharmacy terminal>
The pharmacy terminal 70 includes a patient information browsing unit 700, a medical inquiry information browsing section 701, a dispensing information input / browsing section 703, a prescription information browsing section 705, and an accounting processing section 709. These processing units can be realized as a function of a pharmacist application running on the pharmacy terminal 70. The pharmacist application may be implemented in any form, such as a local application or a web application.

The patient information viewing unit 700 acquires patient information stored in the patient information management unit 300 of the management device 30 and associated with the patient ID to be treated, and displays it on the screen. The patient information includes, for example, health insurance card information (health insurance card number, etc.), attribute information, and the like. By using the patient information browsing unit 700, the pharmacist can prepare a drug, provide remote medication guidance, and the like while browsing the patient information. The patient information viewing unit 700 can also duplicate the information acquired from the patient information management unit 300 and store it in the pharmacy terminal 70.

The medical inquiry information viewing unit 701 acquires the medical inquiry information stored in the medical inquiry information management unit 303 of the management device 30 and is associated with the patient ID to be treated, and displays it on the screen. The patient shall have registered the interview information in advance before receiving online medical treatment and dispensing. By using the interview information viewing unit 701, the pharmacist can perform dispensing while viewing the interview information input in advance. It is also possible for the interview information viewing unit 701 to duplicate the information acquired from the interview information management unit 303 and store it in the pharmacy terminal 70.

Dispensing information input / reading unit 703 accepts input of dispensing information by a pharmacist. The dispensing information is a record of dispensing performed by a pharmacy to a patient, and includes, for example, a patient ID, a dispensing date, a name and amount of a drug, a record of medication instruction, and the like. The dispensing information input / viewing unit 703 transmits the input dispensing information to the dispensing information management unit 301 of the management device 30. The dispensing information management unit 301 stores the received dispensing information.

Alternatively, the pharmacist may send a document containing the dispensing information to the concierge by any means such as fax or e-mail. The dispensing information input / viewing unit 703 can also be provided with means for uploading these images. The dispensing information contained in the transmitted image is input from the dispensing information input / viewing unit 209 by the concierge. Alternatively, the dispensing information input / viewing unit 209 may input the dispensing information digitized by an automated means such as OCR.

Further, the dispensing information input / viewing unit 703 acquires the dispensing information stored in the dispensing information management unit 301 of the management device 30 and associated with the patient ID to be treated, and displays it on the screen. .. The dispensing information management unit 301 stores the history of dispensing that the pharmacy has performed on the patient so far, for example, the dispensing date, the name and amount of the drug, and the like. The pharmacist can perform dispensing while browsing the past dispensing information by using the dispensing information input / reading unit 703. The dispensing information input / viewing unit 703 can also duplicate the information acquired from the dispensing information management unit 301 and store it in the pharmacy terminal 70.

The prescription information viewing unit 705 acquires the prescription information stored in the prescription information management unit 309 of the management device 30 and associated with the patient ID to be treated, and displays it on the screen. The prescription information management unit 309 stores prescription information that the doctor has given to the patient, such as the prescription date, the name and amount of the drug, and the like. By using the prescription information viewing unit 705, the pharmacist can perform dispensing while browsing the electronic prescription online. The prescription information viewing unit 705 can also duplicate the information acquired from the prescription information management unit 309 and store it in the pharmacy terminal 70.

The prescription information viewing unit 705 may have a function of transmitting the prescription information acquired from the prescription information management unit 309 of the management device 30 by FAX, e-mail, or the like. For example, the prescription information viewing unit 705 automatically acquires new prescription information by fetching the prescription information management unit 309 or pushing from the prescription information management unit 309, and sends the acquired prescription information to the fax or e-mail address of the pharmacy. Send by push type. This allows the pharmacy to receive new prescription information more reliably.

The accounting department 709 calculates the insurance points for this dispensing and sends it to the computer of the insurer (health insurance association, etc.). Further, the accounting processing unit 709 calculates the accounting amount, that is, the amount billed to the patient based on the insurance points, and transmits it to the settlement agent processing unit 311 of the management device 30. Since there are many publicly known techniques for automatically calculating insurance points and accounting amounts, the specific processing details will be omitted in this paper.

Alternatively, the pharmacy may send a document containing information on the accounting amount for this dispensing, such as an image of an invoice or a receipt, to the concierge by any means such as fax or e-mail. The accounting unit 709 may also provide means for uploading these images. The accounting amount included in the transmitted image is input by the concierge from the accounting information input / viewing unit 211. Alternatively, the accounting information input / viewing unit 211 may input the accounting amount converted into data by an automated means such as OCR.

<Management device>
The management device 30 includes a patient information management unit 300, a dispensing information management unit 301, a medical inquiry information management unit 303, an evaluation information management unit 305, a diagnostic information management unit 307, a prescription information management unit 309, a settlement agency processing unit 311 and a remote medical care / remote medical care / Includes medication guidance management department 313. These processing units can be realized as a function of an application or service operating on the management device 30.

The patient information management unit 300 stores and provides patient information. The patient information is input from the patient information input / storage unit 103 or the patient information input unit 201 by the patient or the concierge. The patient information management unit 300 accumulates the input patient information. The patient information includes, for example, health insurance card information (health insurance card number, etc.), attribute information, and the like. When new patient information is registered, the patient information management unit 300 unique patient ID is issued and added to the patient information. In addition, the patient ID is notified to the patient information input / storage unit 103 or the patient information input / reading unit 201. Further, the patient information management unit 300 responds to a request from the patient, concierge, doctor or pharmacist, and has a patient information input / storage unit 103, a patient information input / reading unit 201, a patient information viewing unit 500, and a patient information viewing unit 700. The accumulated dispensing information is transmitted to.

The dispensing information management unit 301 accumulates and provides dispensing information. The dispensing information is input by the pharmacist from the dispensing information input / reading unit 703 every time the pharmacy dispenses the patient. The dispensing information management unit 301 accumulates the input dispensing information. In addition, in response to a request from a patient, concierge, doctor or pharmacist, it has been accumulated in the dispensing information input / storage unit 105, the dispensing information input / reading unit 209, the dispensing information viewing unit 503 or the dispensing information input / reading unit 703. Dispensing information is sent.

The interview information management unit 303 transmits questions related to the interview, stores and provides the interview information.

Transmission of questions: The interview information management unit 303 sequentially transmits questions for interviews to the interview information input unit 107 of the patient terminal 10 or the interview information input / viewing unit 203 of the concierge terminal 20. Sequential transmission means that when an answer to a certain question is received, the next question is transmitted. You may send multiple questions at once.

The interview information management unit 303 may change the question to be transmitted next according to the answer. For example, first, a question for estimating the subject or disease name to be examined is sent, and the subject or disease name to be examined is estimated based on the answer. For example, the interview information management unit 303 first sends a question "What are the symptoms today?". If "stomach hurts" is selected as the answer to this, the interview information management department 303 presumes that the subject to be examined is "gastroenterology internal medicine". Or, if the answer is "high blood sugar level", it is presumed that the disease name is "diabetes". Here, it is assumed that the interview information management unit 303 holds in advance the correspondence relationship between the answer and the subject to be examined, the name of the disease, etc. in the form of a table or the like. The question for estimating the subject to be examined or the name of the disease may be one or a plurality of questions.

If the subject or disease name to be examined is presumed, the interview information management unit 303 then sends a question specific to the subject or disease name to be examined. For example, if the subject to be examined is "Gastroenterology Internal Medicine", a question prepared for a patient in Gastroenterology Internal Medicine is sent. If the disease name is "diabetes", send a question prepared for diabetics. Here, it is assumed that the medical inquiry information management unit 303 holds in advance questions for each medical examination subject or disease name. The question for each subject or disease name may be one or may consist of a plurality of questions.

It should be noted that the generation and transmission of the question does not necessarily have to be performed by the interview information management unit 303, and for example, the interview information input unit 107 or the interview information input / viewing unit 203 may perform this.

Memory and provision of interview information: The answer to the question, that is, the interview information is input by the patient from the interview information input unit 107 prior to the implementation of the telemedicine and the medication instruction. The interview information management unit 303 accumulates the input interview information until at least the telemedicine and medication instruction are completed. Further, in response to a request from the concierge, a doctor or a pharmacist, the stored inquiry information is transmitted to the inquiry information input / reading unit 203, the inquiry information viewing unit 501 or the inquiry information viewing unit 701.

The evaluation information management unit 305 collects, processes, stores and provides evaluation information.
Collection and processing: Evaluation information is input from the evaluation information input unit 111 by a patient who has undergone telemedicine. The evaluation information may include, for example, a stepwise evaluation value (score out of 5 points, etc.). The evaluation information management unit 305 can process the evaluation values received from one or more patients by a predetermined algorithm and calculate the statistical evaluation values of the doctor. For example, a statistical evaluation value can be calculated by taking a simple average or a weighted average of evaluation values collected from a plurality of patients.
Accumulation and provision: The evaluation information management unit 305 accumulates the calculated evaluation information. In addition, the evaluation information is distributed to the information providing unit 101 of the patient terminal 10. When selecting a doctor in telemedicine, the patient can refer to the evaluation information displayed on the medication notebook application.

The diagnostic information management unit 307 accumulates and provides diagnostic information. The diagnostic information is input by the doctor from the diagnostic information input / viewing unit 505 each time the doctor treats the patient online. The diagnostic information management unit 307 accumulates the input diagnostic information. Further, in response to a request from the concierge and the doctor, the accumulated diagnostic information is transmitted to the diagnostic information input / reading unit 205 and the diagnostic information input / reading unit 505.

In the prescription information management unit 309, the prescription information is input from the prescription information input / viewing unit 507 by the doctor every time the doctor prescribes a drug to the patient. The prescription information management unit 309 accumulates the input prescription information at least until the dispensing is completed. Further, in response to a request from the concierge, a doctor or a pharmacist, the stored prescription information is transmitted to the prescription information input / reading unit 207, the prescription information input / reading unit 507, and the prescription information viewing unit 705.

The settlement agency processing unit 311 receives the accounting amount for telemedicine from the accounting processing unit 509 of the medical institution. Similarly, the accounting amount for dispensing including remote medication instruction is received from the accounting department 709 of the pharmacy. When the settlement agent processing unit 311 receives the accounting amount for the series of telemedicine and medication guidance, the settlement agent processing unit 311 transmits the total billing amount to the patient's settlement processing unit 113. The settlement processing unit 113 setstles the billed amount by cashless settlement. In this way, the settlement agency processing unit 311 can add up the accounting amounts for telemedicine, medication guidance, etc., and bill the patient collectively.

For example, when dispensing is not performed only by telemedicine (no prescription is issued), the settlement agency processing unit 311 can charge the patient only the accounting amount for telemedicine.

The Telemedicine / Medication Guidance Management Department 313 coordinates to provide a series of services from receiving applications for telemedicine and medication guidance by patients, providing telemedicine and medication guidance, and making payments in an appropriate order. It is a processing unit that performs. The operation of the telemedicine / medication guidance management unit 313 will be described step by step using the flowchart of FIG.

Step 1 (S1): Application for telemedicine and medication guidance The telemedicine / medication guidance management department 313 detects a request from the telemedicine / medication guidance application department 102 of the patient terminal 10 and starts the telemedicine / medication guidance process. do.

If a doctor or pharmacy is designated at the time of application, the telemedicine / medication guidance management unit 313 determines whether or not the doctor or pharmacy can carry out telemedicine. Here, the logic for determining whether or not medical treatment is possible is not particularly limited in this embodiment, but the determination can be made according to, for example, a schedule preset by a doctor or a pharmacy, the maximum number of people that can be accepted, the attributes of patients that can be accepted, and the like. If acceptable, the Telemedicine / Medication Guidance Management Department 313 determines the doctor or pharmacy designated by the patient as the request destination for telemedicine and medication guidance. If it is unacceptable, the Telemedicine / Medication Guidance Management Department 313 notifies the Telemedicine / Medication Guidance Application Department 102 that the designation of the doctor or pharmacy has not been accepted.

If a specific chronic disease name is specified at the time of application, the Telemedicine / Medication Guidance Management Department 313 extracts doctors who can treat the disease and pharmacies that can dispense the drugs used for the disease. Determine the request destination for telemedicine and medication guidance from the doctor or pharmacy. Here, it is assumed that the telemedicine / medication guidance management department 313 holds a list of doctors or pharmacies that can deal with a specific chronic disease name in advance.

If a doctor, pharmacy or chronic disease name is not specified at the time of application, the telemedicine / medication guidance management department 313 can determine the doctor or pharmacy to which the telemedicine / pharmacy is requested according to an arbitrary logic. After receiving the interview information described later, the telemedicine / medication guidance management department 313 extracts a doctor or pharmacy that can handle the consultation subject or disease name estimated by the interview information management department 303, and selects the doctor or pharmacy. It may be decided as a request destination for telemedicine and medication guidance. Here, it is assumed that the telemedicine / medication guidance management department 313 holds in advance the correspondence relationship between the subject to be examined or the name of the disease and the doctor or pharmacy who can handle it in the form of a table or the like.

In addition, regardless of whether a doctor, a pharmacy, or a chronic disease name is designated, the telemedicine / medication guidance management department 313 may perform a preliminary examination as to whether or not to accept telemedicine and medication guidance. For example, if, as a result of receiving the inquiry information described later, the interview information management unit 303 cannot guess the consultation subject or disease name, etc., or if it is not possible to extract a doctor or pharmacy that can handle the estimated consultation subject or disease name, etc. You can decline the application. In this case, the telemedicine / medication guidance management unit 313 can send a notification to the telemedicine / medication guidance application unit 102 indicating that the application has not been accepted. As a result, the risk of accidents such as misdiagnosis in cases unsuitable for telemedicine / medication guidance can be suppressed.

The telemedicine / medication guidance management department 313 can select a plurality of doctors or pharmacies as candidates for requesting telemedicine and medication guidance, and let the patient or concierge decide the request destination from the candidates. ..

When accepting an application for telemedicine / medication guidance, the telemedicine / medication guidance management department 313 grants doctors and pharmacies access authority to various personal information related to patients. The processing unit that manages personal information preferably requires the consent of the patient for inputting, viewing, and editing personal information by anyone other than the patient (and concierge). Therefore, the medical institution terminal 50 or the pharmacy terminal 70 is restricted so that it can access various personal information managed by the management device 30 only when the passcode issued based on the patient's will is input. .. The telemedicine / medication guidance management department 313 determines that access permission to various personal information has been granted upon approval of the application for telemedicine / medication guidance, and issues a passcode for accessing each processing unit of the management device 30. Issued to medical institution terminal 50 or pharmacy terminal 70. The passcode may be a one-time passcode that can be accessed only once, or a passcode that can be accessed permanently or for a predetermined period of time. The latter is convenient because the doctor or pharmacy can continuously provide medical care or medication guidance to the patient.

In addition, when performing such processing, a provision stating that "access permission to various personal information shall be granted with the consent of the application for telemedicine / medication guidance" shall be provided in advance in the terms of use of System 1. Is preferable.

As the processing unit that is preferable to perform access control by such a passcode, for example, the patient information management unit 300 that manages patient information, the dispensing information management unit 301 that manages dispensing information, and the interview information management unit that manages interview information. 303, there is a diagnostic information management unit 307 that manages diagnostic information, and the like, but the present invention is not limited to these.

Step 2 (S2): Reception of interview information The telemedicine / medication guidance management unit 313 activates the interview information input unit 107 of the patient terminal 10 to input the interview information. The input inquiry information is transmitted and accumulated in the inquiry information management unit 303 of the management device 30. In this case, the patient enters the interview information himself, but may do so with the advice of the call center concierge.

Alternatively, the concierge may listen to the interview information from the patient and input the interview information from the inquiry information input / reading unit 203 of the concierge terminal 20. In this case, it is preferable that the concierge confirms the identity of the patient prior to hearing the interview information. For example, the concierge first interviews the patient's health insurance card number and name, and a record containing the same combination of health insurance card number and name exists in various personal information stored in the management device 30 and is valid. Check if it is actually used as information. If present, it is presumed that this insurance card number and name are genuine. For example, a record including a combination of a health insurance card number and a name heard from a patient and a patient ID is recorded in the patient information management unit 300, and a record including the patient ID is recorded in the dispensing information management unit 301. If so, it can be inferred that the patient's identity and existence are certain because it is known that the patient with the health insurance card number and name has been dispensed in the past. If there is another personal identification number (for example, My Number) managed by the management device 30 instead of the health insurance card number, the same processing may be performed using the number. Further, other personal authentication means such as biometric authentication may be combined. The inquiry information input / reading unit 203 can accept the input of the inquiry information only when the identity verification is cleared. On the other hand, if the identity cannot be confirmed, it is possible to notify that the reception cannot be performed.

Step 3 (S3): Implementation of telemedicine The telemedicine / medication guidance management department 313 notifies the patient terminal 10 and the medical institution terminal 50 of the doctor determined as the request destination that the telemedicine can be started. do. Telemedicine is carried out by the patient terminal 10 and the medical institution terminal 50, for example, making a video call or transmitting / receiving test data via a communication line. Since a specific method for carrying out telemedicine is disclosed in, for example, Patent Document 1, the description thereof will be omitted in this paper. The medical treatment may be conducted face-to-face as needed.

At this time, for example, the diagnostic information input / viewing unit 505 can record the state of telemedicine in a format such as video, voice, image, or text data. The recorded information is transmitted to the diagnostic information management unit 307 of the management device 30. The diagnostic information management unit 307 stores the received information for each patient. The patient can browse these contents as many times as he / she wants using the patient terminal 10.

At present, telemedicine cannot always deal with all diseases. When the doctor determines that telemedicine cannot be used, the medical institution terminal 50 may electronically create a letter of introduction to a specialist and send it to the patient terminal 10. Patients can receive more specialized medical care by bringing the received referral letter to a specialist.

Step 4 (S4): Implementation of remote medication guidance When the remote medical care / medication guidance management unit 313 detects that the prescription information has been input by the doctor and stored in the prescription information management unit 309 of the management device 30, it serves as a request destination. Notify the pharmacy terminal 70 of the determined pharmacy that dispensing can be started. The pharmacist refers to the medical inquiry information recorded in the medical inquiry information reading unit 701, the past dispensing information accumulated in the dispensing information input / reading unit 703, and the electronic prescription stored in the prescription information reading unit 705. Prepare the drug based on this.

The telemedicine / medication guidance management unit 313 notifies the patient terminal 10 and the pharmacy terminal 70 of the pharmacy determined as the request destination that the remote medication guidance can be started. The remote medication instruction is carried out by the patient terminal 10 and the pharmacy terminal 70, for example, making a video call, a voice call, a text chat, or the like via a communication line. The telemedicine / medication guidance management unit 313 may record a video call, a voice call, or a text chat and store it in the dispensing information management unit 301. In addition, the dispensing information management unit 301 may store a video or text prepared in advance for explaining the medication method or the like to the patient. The patient can browse these contents as many times as he / she wants using the patient terminal 10.

The patient terminal 10 aggregates and displays the content containing the state of remote medical treatment stored in the diagnostic information input / viewing unit 505, the content containing the state of remote medication instruction stored in the dispensing information management unit 301, and the like. , May provide a means for browsing. The patient can select and browse only arbitrary contents, or can continuously browse a plurality of contents from telemedicine to remote medication instruction.

The pharmacy arranges for the prepared drug to be delivered to the patient. The patient can notify the pharmacy that the drug has been received. The dispensing information input / storage unit 105 of the patient terminal 10 may include an input means for transmitting a drug receipt notification. Upon receiving the receipt notification, the telemedicine / medication guidance management unit 313 notifies the dispensing information input / viewing unit 703 of the pharmacy terminal 70 to that effect. In addition, the fact that the receipt notification has been received is added to the dispensing information. This allows the pharmacy to ensure that the drug has been delivered to the patient.

Here, the dispensing information input / viewing unit 703 of the pharmacy terminal 70 may have a function of generating and displaying a list of patients who have arranged the delivery of the drug. The list may include, for example, the presence or absence of receipt notification, the patient's contact information (telephone number, email address, etc.), and a link to the ability to send comments to the patient. This allows the pharmacy to check the receipt status of the drug in a list. In addition, the receipt status can be easily confirmed by sending a comment from the list to the patient who has not received the receipt notification or by contacting the patient by telephone or e-mail.

Further, the dispensing information input / storage unit 105 of the patient terminal 10 may be provided with a means for inputting a medication record, a question to a pharmacist, or the like as medication information. For example, the dispensing information input / storage unit 105 displays a menu such as "Ask a pharmacist here" on the medicine notebook application when the patient inputs a notification of receipt of the medicine. When the menu is selected by the patient, the dispensing information input / storage unit 105 accepts input of medication information such as a question. The input medication information is transmitted to the dispensing information management unit 301 of the management device 30. The dispensing information management unit 301 stores the received medication information and transmits a reception notification to the dispensing information input / viewing unit 703 of the pharmacy terminal 70. Dispensing information input / storage unit 105 accepts input of medication information such as questions. The dispensing information input / reading unit 703 of the pharmacy terminal 70 displays new medication information on the screen and accepts input of comments for questions and the like. The input comment is transmitted to the dispensing information management unit 301 of the management device 30. The dispensing information management unit 301 stores the received comment and transmits a reception notification to the dispensing information input / storage unit 105 of the patient terminal 10. The dispensing information input / storage unit 105 displays a new comment on the screen and accepts the input of the reply comment. As a result, the system 1 functions as a platform for remote medication instruction by the pharmacist. In particular, for patients with a specific chronic disease, it is a great advantage because it can provide continuous and professional support.

Step 5 (S5): Settlement agency When the telemedicine / medication guidance management unit 313 detects that the dispensing information has been input by the pharmacy and stored in the dispensing information management unit 301 of the management device 30, the settlement agency processing unit 311 is set. to start. Alternatively, the settlement agency processing unit 311 may automatically start the operation triggered by the receipt of the accounting amount from the accounting processing unit 509 of the medical institution and the accounting processing unit 709 of the pharmacy. As a result, the billed amount for telemedicine and medication guidance, etc. is settled in a lump sum.

<Other embodiments>
The present invention is not limited to the above embodiment, and can be appropriately modified without departing from the spirit. For example, in the above-described embodiment, the user of the medical institution terminal 50 is assumed to be a doctor and the user of the pharmacy terminal 70 is a pharmacist, but the present invention is not limited to this, and any medical treatment in a medical institution or a pharmacy is not limited to this. Workers and the like may be users of these terminals.

Further, in the above-described embodiment, it is assumed that the user of the patient terminal 10 is a patient himself, but the present invention is not limited to this, for example, a child, a parent, or a caregiver of the user of the patient terminal 10. It can also be applied when a guardian, etc. receives telemedicine and medication guidance as a patient. Further, the present invention is not limited to human medical treatment and dispensing, and can be applied to, for example, pets, livestock and the like receiving telemedicine and medication guidance.

Further, in the above-described embodiment, an example is shown in which a doctor or a pharmacist browses patient information, interview information, dispensing information, prescription information, etc. using the medical institution terminal 50 or the pharmacy terminal 70. Not limited to. For example, a concierge who has obtained prior consent from a doctor or pharmacist may acquire and compile this information using the concierge terminal 20 and provide it to the doctor or pharmacist by means such as fax or e-mail.

Further, the present invention can be realized by hardware, and can also be realized by causing a CPU (Central Processing Unit) to execute a computer program. In this case, the computer program can be stored and supplied to the computer using various types of non-transitory computer readable medium. Non-transient computer-readable media include various types of tangible storage media (tangible storage media). Examples of non-temporary computer-readable media include magnetic recording media (eg, flexible disks, magnetic tapes, hard disk drives), magneto-optical recording media (eg, magneto-optical disks), CD-ROMs (Read Only Memory), CD-Rs, It includes a CD-R / W, a semiconductor memory (for example, a mask ROM, a PROM (Programmable ROM), an EPROM (Erasable PROM), a flash ROM, and a RAM (random access memory)). The program may also be supplied to the computer by various types of temporary computer readable media. Examples of temporary computer-readable media include electrical, optical, and electromagnetic waves. The temporary computer-readable medium can supply the program to the computer via a wired communication path such as an electric wire and an optical fiber, or a wireless communication path.

10 Patient terminal 101 Information provision unit 102 Remote medical care / medication guidance application unit 103 Patient information input / storage unit 105 Dispensing information input / storage unit 107 Questionnaire information input unit 109 Questionnaire information storage unit 111 Evaluation information input unit 113 Payment processing unit 20 Concierge Terminal 201 Patient information input / reading unit 203 Questionnaire information input / reading unit 205 Diagnostic information input / reading unit 207 Prescription information input / reading unit 209 Dispensing information input / reading unit 211 Accounting information input / reading unit 30 Management device 300 Patient information management Department 301 Dispensing Information Management Department 303 Questionnaire Information Management Department 305 Evaluation Information Management Department 307 Diagnosis Information Management Department 309 Prescription Information Management Department 311 Payment Agency Processing Department 313 Remote Medical Care / Medication Guidance Management Department 50 Medical Institution Terminal 500 Patient Information Viewing Department 501 Questionnaire Information Browsing Department 503 Dispensing Information Browsing Department 505 Diagnosis Information Input / Browsing Department 507 Prescription Information Input / Browsing Department 509 Accounting Processing Department 70 Pharmacy Terminal 700 Patient Information Browsing Department 701 Questionnaire Information Browsing Department 703 Dispensing Information Input / Browsing Department 705 Prescription Information Browsing Department Department 709 Accounting Department

Claims (2)

It has a patient terminal and a management device,
The management device is
It has a settlement agency processing department that acquires medical expenses at medical institutions and dispensing expenses including medication guidance at pharmacies and calculates the billing amount including these.
The patient terminal is
A telemedicine and medication guidance system that has a settlement processing unit that settles the billed amount. A telemedicine and medication guidance system having a settlement processing unit that receives a billed amount of medical expenses at a medical institution and dispensing costs including medication guidance at a pharmacy from a management device and settles the billed amount.

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