JP2023010476A - Medical information sharing database for platform-type medical institution support system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a platform-type medical institution support system and a medical information sharing database for conducting a settlement by using personal information of a patient that belongs to the medical institution.

SOLUTION: A platform-type medical institution support system 1 for providing a medical management support service includes: a medical institution system 9; a medical institution management business support system 10; a medical institution settlement support system 102; a medical fee calculation system 173; and a medical fee automatic charging system 174. The system and a plurality of doctors as solo proprietors in a multi-diagnosis medical facility each perform a parallel-type business management at the same time.

SELECTED DRAWING: Figure 1

COPYRIGHT: (C)2023,JPO&INPIT

Description

The present invention relates to a medical information sharing database for a platform-type medical institution support system.

Currently, there is a movement to actively utilize medical information systems in the medical field and actively construct an efficient and high-quality medical care provision system. However, for medical institutions, the current medical information system has not been standardized, so each medical institution develops a custom-made system, and the cost of introducing and replacing the system is enormous. (For example, Non-Patent Document 1). In addition, the medical industry has an old way of thinking about IT, and due to the nature of the business, it is difficult to handle personal information, and security measures for the data acquired are necessary. For example, Non-Patent Document 2).

In addition, in the COVID-19 epidemic in 2020, the number of people who visited medical institutions decreased when comparing the same period in 2019 and 2020 (for example, Non-Patent Document 3). Although this document is based on the results of a survey conducted in Kanagawa Prefecture, it is presumed that a similar trend is occurring throughout Japan.

Due to the decrease in the number of people visiting medical institutions, medical institutions are experiencing a decrease in revenue, and as a result, it is presumed that investment in the introduction and updating of medical information systems is not being made. .

“Research report on the actual situation concerning the standardization of medical information systems in Japan”, [online], Ministry of Health, Labor and Welfare [searched on July 2, 2021], Internet <URL: https://www.mhlw.go.jp/content /10808000/000685907.pdf＞ “Which industries are lagging behind in IT adoption? Explanation of the reasons and points of IT adoption” [online], Urchin & Company Co., Ltd. [searched on July 2, 2021], Internet <URL: https://start-it. jp/business/it-delay/＞ “Concern about deterioration of health due to refraining from seeing a doctor Emergency transportation, delay in cancer diagnosis, tooth extraction due to exacerbation of inflammation, and other serious cases”, [online], Kanagawa Health Insurance Physician Association [searched July 2, 2021], Internet < URL: https://www.hoken-i.co.jp/outline/20200811_covid19AK-part3.pdf＞

The current profit structure of medical institutions is a business model that depends on the number of patients. As disclosed in Non-Patent Literature 2, the medical field is lagging behind in improving operational efficiency, which has become common in many business categories in recent years, and this is also a factor in the deterioration of business.

The present invention uses a platform-type medical institution support system to provide medical logistics and settlement services, management support and medical support for medical institutions, health support for users, and provision of services to patients. It is intended to

Various information such as information in the medical information system of medical institutions and information in the medical economic zone DB handled by the electronic medical record of the platform-type medical institution support system is stored in various databases on the medical information sharing database. . We will provide systems and databases that can sustain the business and the sustainability of the system by improving the management of medical institutions by preparing a mechanism to obtain profits using this information.

The medical economic zone DB, one of the various databases on the medical information sharing database, contains personal information of people who use the medical economic zone, business information of companies using the medical economic zone, and the personal information Recognition information for recognizing individuals is stored. In addition, the accounting business DB stores various information such as accounting and expenses generated when companies using the medical economic zone use the system in the platform-type medical institution support system to conduct business in a virtual environment. there is

The platform-type medical institution support system of the present disclosure utilizes the information stored in the medical economic zone DB and the accounting business DB, and various systems in the platform-type medical institution support system to create a medical economic zone. Provide management support for companies that use it.

The medical information sharing database on the platform-type medical institution support system of the present disclosure consists of various databases linked to the personal information of patients stored in the medical economic zone DB, and is stored in the medical economic zone DB. Information for recognizing a person is stored in the recognition information. This identification information can be used as a management number for managing patients at medical institutions, and by using this information, it is possible to use the electronic chart of the conventional medical information system and the platform-type medical institution support system in combination. can do.

The management support system in the platform-type medical institution support system can be used for the management system used for management by companies that use the virtual medical economic zone. This system uses the medical economic zone database for equipment expense information in the medical and nursing care facilities that are stored as corporate information in the medical economic zone DB, and the equipment expense information in the accounting operation DB that is linked to companies and businesses. The amount of equipment consumed by each, the consumption status of the amount paid out, the amount of inventory, etc. are stored.

The management support system in the platform-type medical institution support system automatically places an order with the supplier when the consumption status or inventory status of equipment reaches a separately defined threshold, and the payment for the ordered equipment is made by the medical institution. It is done automatically using a support system. This threshold is variable according to the trend of inventory or consumption.

The management support system in the platform-type medical institution support system calculates the consumption status or inventory status of supplies and automatically processes the order to the supplier based on the order quantity determined separately, and the payment for the ordered supplies is sent to the medical institution. It is done automatically using the settlement support system.

In the medical economic zone where multiple companies using the medical economic zone are virtualized, the recurring system selects items from the total order quantity of equipment consumed by multiple companies at a volume price. In order to make a comprehensive contract that can be purchased, the equipment to be contracted is automatically selected by the comprehensive selection AI, a request is made to the contract candidate for the price estimate amount of the comprehensive contract, and based on the reply, a favorable comprehensive contract can be made. is automatically selected, an order is automatically placed with the selected contractor, and payment after delivery is automatically performed using the medical institution payment support system.

Items selected from equipment that totals the order quantity of equipment consumed by multiple companies by using a subscription system in a virtualized medical economy zone by multiple companies using the medical economy zone In order to make a subscription contract that can be purchased at a fixed price for a certain period of time, the subscription AI automatically selects the equipment to be contracted from among the equipment, requests the contract candidate for the price estimate amount of the comprehensive contract, and responds favorably Automatically select contractors who can make a subscription contract, automatically place orders to the selected contractors, and automatically make payments after signing contracts using the medical institution payment support system.

A plurality of companies using the medical economic zone reduce capital investment for business management of the companies in the accounting business DB in the virtualized medical economic zone. By using the recurring system, in order to make a comprehensive contract that allows you to purchase equipment selected from the total order quantity of equipment for which multiple companies invest in equipment at a volume price, Comprehensive selection AI automatically selects, requests the price estimate amount of the comprehensive contract from the contract candidate, automatically selects the contractor who can make an advantageous comprehensive contract from the reply, and automatically selects the selected contractor , and payment after delivery is automatically performed using the medical institution payment support system.

Multiple companies using the medical economic zone will reduce the amount of capital investment in business management and reduce property taxes in the virtualized medical economic zone. By using a subscription system, items selected from the total order amount of equipment for management equipment investment stored in the accounting business DB at multiple companies are selected every year for a certain period of time. In order to make a subscription contract that does not need to pay property tax because it can be used for a fixed amount but is not an asset of the company, the equipment to be contracted is automatically selected by subscribing AI, and a comprehensive contract is made to the candidate for the contract. , automatically selects a contractor who can make an advantageous subscription contract from the response, automatically places an order to the selected contractor, and makes payment after the contract using the medical institution payment support system. Do it automatically.

Multiple companies using the medical economic zone will provide management support to reduce disposal costs of multiple medical institutions and multiple nursing care institutions in the virtualized medical economic zone.
By sharing the waste information and equipment cost information stored in the accounting business DB and using the waste collection system, special management industrial waste purchased as equipment by medical institutions, nursing care institutions, and business operators Predict the amount of waste that is specially disposed of as a commodity, and apply the predicted result to the candidate for a comprehensive contract based on the total amount of volume waste for medical institutions, nursing care institutions, and business operators. A price estimate is requested, and based on the responses, contractors who can enter into advantageous comprehensive contracts are automatically selected, and management support is provided to reduce disposal costs.

Using the information (data) in the required consultation time DB, the patient's required consultation time is predicted.
Prediction by the examination time system predicts the results of machine learning using disease name information, disease name information, and required examination time information as predicted examination time information.
In addition, the estimated required consultation time information when the doctor in charge changes, etc. is obtained by machine learning using the disease name information, disease name information, consultation required time information, and doctor consultation required time information in the consultation required time DB. It is predicted as information on the predicted time required for medical examination by a doctor.
The predicted time can be used as a guideline for the patient's stay at the medical institution as the time required for the next medical examination. A platform-type medical institution support system that eliminates waiting time for medical examinations, avoids close contact between patients in the waiting room, and enables examinations to be started at the scheduled appointment time.

When making an appointment for the next consultation at a medical institution, a reservation service that uses the required consultation time on the consultation time system will provide information on the estimated consultation time required for the time required from the consultation start time to the consultation end time. is applied to make an appointment based on the patient's unique consultation time, and the consultation starts and ends at the scheduled time on the day of the consultation. We will provide a platform service that allows various medical institutions to use the reservation service that can prevent infection.

When making an appointment for the next examination after medical treatment at a medical institution, the appointment date of the new appointment processing system that automatically reflects the information on the appointment status of the medical institution and the patient's schedule information, according to the convenience of the patient. This is a reservation service aimed at eliminating future reservation changes from patients. The patient's schedule information uses two types of patient information: the patient's schedule information in the schedule system in the external system and the patient's patient schedule information in the medical economic zone DB of the medical information sharing database. You can book a doctor's appointment. This is a reservation system that can reflect the examination start time and examination end time of the date and time reserved by the patient in the patient's schedule information.

Using the reservation status information stored in the reservation DB in the medical information sharing database, the reservation sales calculation system on the platform-type medical institution support system calculates the number of patients booked for one day at the time of reservation based on the reservation status information. It is possible to acquire the medical fee point information of medical examinations from the medical information DB, aggregate the medical fee points for one day, and grasp the sales situation for one day for reserved patients.

In addition to the consultation time system equipped with artificial intelligence that calculates the estimated time required for medical examination by a doctor, machine learning work to be stored is performed in real time by a method based on real-time self-learning to increase the accuracy of the calculated required time for medical examination.

The electronic device utilization system of the platform-type medical institution support system is connected to smart speakers or electronic devices installed in the user's home. A user and a smart speaker or electronic device can have a conversation using a scenario (script) created for the conversation. Conversation using the created scenario (script) is conducted based on a scenario of knowing the medical condition, and the information of the conversation extracted from the content of the conversation with keywords related to the medical condition is saved and accumulated in the conversation medical condition information on the user voice DB. .
In addition, a conversation is held according to a scenario for knowing the living situation, and keywords related to the living situation are saved and accumulated in the user's voice DB from the contents of the conversation.
The user's situation or the user's condition is analyzed by using the saved and accumulated conversational medical condition information and conversational life information.

The electronic equipment utilization system converses with the user and analyzes changes in the user's medical condition using conversational medical condition information.
Keywords relating to the user's medical condition are stored and accumulated in the conversational medical condition information in the user voice DB. Information of the user's disease state or keywords related to the user's disease state is stored in the conversational medical state information.
A medical condition conversation script for deriving information about a disease from a user is created by a script creation program, and a conversation script to obtain an answer to a medical condition is stored in a conversation script DB.
The electronic device can execute the medical condition conversation script created by the electronic device utilization system and converse with the user.

The electronic device utilization system analyzes changes in the user's health condition by using conversational life information in the user voice DB created from questions to the user.
The user voice DB stores and accumulates various keywords related to life obtained from conversations with users. Keyword information.
A script creation program is used to create a useless life conversation script that derives the user's desired answer about life. The script is stored in the conversation script DB in the medical economy zone DB as a daily conversation script.
The electronic device can execute the daily conversation script created by the electronic device utilization system and converse with the user.

Analyze the user's situation from keywords related to medical conditions in the conversational medical condition information or keywords related to living conditions in the conversational life information in the user voice DB of the electronic equipment utilization system. The content of the action is saved in the action assistance information in the user voice DB.

Methods of providing behavior assistance information to users include conversations with electronic devices that ask questions to users via electronic devices, display of images or videos on the screens of electronic devices, and Displaying an image or video on a screen is performed using at least one means.

A conversation script for acquiring the details of going out is created, and information on going out of conversation acquired during conversation by speaking to a user from an electronic device is saved and accumulated in a user voice DB.
In the conversation outing information, various information such as required time, transportation method, conversation with acquaintances, eating out, etc. are stored and accumulated.
Conversation outing information that has been accumulated from the past is analyzed from the two aspects of medical care and health management based on information such as the amount of exercise, diet, medical condition, and mental state.
In the method of asking the user about the details of going out, when the electronic device judges that the user has returned home after going out for a certain period of time, the electronic device uses a conversation script for the purpose of listening to the details of going out. Talk to the person and get it.

By sharing the user's conversational life information or conversational medical condition information stored in the terminal in the medical institution, the electronic device installed in the user's home, and the user's voice DB, the user's conversational life information or Using the conversational medical condition information, the medical institution can investigate changes in the user's conversational life information or conversational medical condition information, such as situations and conditions, and perform health management and medical condition management.
Script creation program for life conversation scripts or medical condition conversation scripts to ask the user about the content of meals, exercise status, wake-up time, bedtime, physical condition, weight, body fat percentage, blood pressure, body temperature, chronic disease status, etc. and store and accumulate live conversation life information or conversation medical condition information obtained from a conversation between an electronic device using a conversation script and a user in a storage destination corresponding to the conversation script.
Information is acquired from the user's conversational life information or conversational medical condition information, and changes in conditions and conditions are investigated from various information such as dietary habits, health conditions, physical conditions, and underlying diseases, and health management and pre-symptomatic management are performed.
The medical institution uses a script creation program to tell the user that there is a part that seems to be a problem for the user from the above-mentioned survey using the above-mentioned user's conversational life information or conversational medical condition information, and to encourage the user to make improvements. , create a conversation script, and transmit a message prompting improvement through conversation between the user and the electronic device using the created conversation script. This conversation between the user and the electronic device is performed synchronously or asynchronously.

Values of information such as wake-up time, bedtime, physical condition, weight, body fat percentage, blood pressure, body temperature, etc. stored in conversational life information or conversational medical condition information in the user voice DB exceed a predetermined threshold or conversational life information Or, if the electronic device utilization system determines that there is a specific difference between the continuous value transition from the past saved in the conversational medical condition information and the acquired value, the medical institution will A conversation script is created by using a script creation program, based on the part that the user seems to have a problem based on the investigation using
A message for prompting improvement is conveyed through a conversation between the user and the electronic device using the created conversation script. This conversation between the user and the electronic device is performed synchronously or asynchronously.

In order to improve the life in a bad environment due to the difference between the room temperature and the outside temperature in the user's house, we use a conversation script that gives advice from an electronic device and talk to the user to create a living environment with an appropriate room temperature. Give advice that leads to Room temperature information for giving advice is obtained from an external device using a home network, and outside temperature information is obtained from a public system.
The electronic device utilization system calculates the temperature difference between the outside air temperature and the room temperature, and provides advice leading to an appropriate living environment according to the temperature difference.

The daily conversation medical condition information and conversation life information stored in the user's voice DB are acquired, compared with the user's voice information acquired most recently, and if there is a difference, it is recognized as a change in the user's physical condition.
Based on the recognized content, the electronic device performs a conversation by speaking to the user to give advice to guide them to the correct living environment.

If it is not possible to confirm that the user has made improvements in response to advice that leads to an appropriate living environment according to the temperature difference or advice that leads to a correct living environment based on the recognized content, it is determined that the user has an abnormality. and notify to the notification destinations stored in advance in the electronic device utilization system.

Shopping support is provided to a user via an electronic device by using shopping history information accumulated in a payment-related DB.
Purchase histories of purchases made locally by a cashless system and purchase histories of purchases made using an electronic device utilization system are stored and accumulated in a settlement relationship DB. Determine the content of support by using separate condition information from the purchase history accumulated in the payment-related DB, and calculate the consumption time of consumables from the separate condition information. Determine various support contents that will be convenient for users such as products to be provided. The content of the determined support is communicated to the user by speaking to the user via the electronic device.

Having a medication management DB for storing medication status information on a medical information sharing database,
The information on the medication status is acquired by talking to the user via the electronic device according to the medication status script, and is recorded and accumulated in the medication management DB. This conversation is conducted at an inquiry timing that is arbitrarily set in separate condition information. When it is found that the user is not taking medication from the acquired medication status, by talking to the user through a medication habit script via an electronic device for the purpose of helping the user take medication or forming a habit. Acquisition of the user's medication status and advice provide medication support or habit formation.

The information system of the medical institution and the electronic equipment utilization system are linked to share the medication status information or remaining medication information accumulated in the medication management DB from the information system of the medical institution.
The information system of the medical institution cooperates with and refers to the medication management DB to acquire either the medication status or the remaining medication amount. The information system of the medical institution shares the information on the medication status or the amount of remaining medication, and adjusts the prescription amount for the next prescription based on the information.

Using a crime prevention DB in which facial photographs of criminals, etc., are registered on a medical information sharing database, advice on crime prevention measures is given through conversation with the user based on a crime prevention script via an electronic device.
This advice is based on the visitor's image data obtained from an intercom with a camera on a home network connected to an electronic device or from a camera linked to an intercom on a home network connected to an electronic device, and the same photograph of the visitor's face as the crime prevention database. When a visitor is registered on the crime prevention DB, the electronic device uses a crime prevention script to notify or advise the user so that the visitor is not involved in a crime.

Using the crime prevention DB in which the voice information of criminals, etc. on the medical information sharing database is registered, advice on crime prevention measures is given through conversation with the user based on the crime prevention script via electronic equipment.
This advice is obtained by searching the security DB for the same voice data as the voice data obtained from the conversation of the call from outside to the device on the home network connected to the electronic device, and registering the voice data in the crime prevention database. If so, the electronic device uses a crime prevention script to notify or advise the user so as not to be involved in a crime.
In addition, the electronic device carries out a conversation using the crime prevention alternative script on behalf of the user for a call received from the outside, and disconnects the call received from the outside.

Using a crime prevention DB in which keyword information related to crimes on a medical information sharing database is registered, advice on crime prevention measures is given in conversation with a user based on a crime prevention script via an electronic device.
This advice is obtained by searching the crime prevention DB for the same information as the information obtained by recognizing voice data acquired by conversation with a third party on a home network device connected to an electronic device for each keyword, and recognizing each keyword. When the received information is registered on the crime prevention DB, the electronic device uses a crime prevention script to notify or advise the user so as not to be involved in a crime.

When a disaster or the like occurs, it is possible to provide users with information on necessary actions using electronic devices. This provision of information is stored in the medical economic zone DB in the medical information sharing database and the information in the disaster action DB, which stores the actions that users should take in disasters, etc. on the medical information sharing database for each case. Information on disasters, etc. is provided by using information on the user's residence and information on disasters, etc. that can be obtained from public systems, and when information on disasters, etc. is announced in the area where the user lives is performed by notifying action information corresponding to Information such as a disaster is at least one of disaster information, weather warning information, and evacuation information.
When the connection between the electronic device and the terminal owned by the user is disconnected, the electronic device determines that the user has evacuated and saves that the user has evacuated in the disaster action DB. Local governments can check the information of users who have evacuated from the disaster action DB.

If the user does not evacuate despite being notified of the action information requiring evacuation, the electronic device uses the conversation script to confirm with the user the reason for not evacuating, and uses it in the disaster action DB. Preserve that no one has evacuated and why. Local governments can check the information of users who have not evacuated from the disaster action DB.

There is a patient information DB linked to personal information and authentication information stored in the medical economic zone DB in the medical information sharing database of the platform-type medical institution support system, and personal information is provided to create a payment medium. Instead, by using the patient's personal information stored in the patient information DB and addressing this patient's personal information to the basic information for creating the patient's medical payment account, payment at the medical institution is possible. It is possible to issue a payment medium that can be used and open a medical payment account.
By using the information in the patient information DB used by medical institutions, the issuance of payment media and the opening of medical payment accounts can be done quickly at the reception desk of the medical institution. It is stored in the settlement-related DB in the medical economy zone DB.
Payments at medical institutions can be made using the payment medium or the patient's biometric information in the authentication information.

Payments at medical institutions within the medical economic zone are made using accounts stored in the payment-related DB, which are the medical institution's medical payment account and the patient's medical payment account opened in the medical institution payment support system. Payment is made by sending payment information from the patient's medical payment account and accumulating various payment information in the medical payment account of the medical institution that received the patient's payment information. Accumulated payment information can be used to receive cash by making a request to the payment-related DB of the medical institution payment support system, or payment can be made with the electronic information.

Payments to multiple medical institutions can be made on behalf of any of the medical institutions to which payments are made, and payments to multiple medical institutions can be made all at once.

Payment at a place other than a medical institution can be made by using a payment medium or biometric information of the patient and presenting it to a payment terminal. Payment is made to businesses other than medical institutions by sending information corresponding to the payment amount from the patient's medical settlement account to the settlement account of businesses other than medical institutions.
Payment details, payment results, and information on purchased goods are stored as shopping history information in a payment-related DB in the medical economy zone DB on the medical institution payment support database.

If a patient or a patient's family wishes to safely manage the patient's living expenses and personal assets for the rest of his or her life, the institution will make a request for either trust management, inheritance management, or will management, and receive the request. We provide trust services such as patient information provision processing and trust contract management processing to institutions that want to do business.

Even patients who have difficulty providing personal information by themselves due to their medical conditions can easily and quickly settle payments by using the patient's personal information in the patient information DB of the medical information sharing database and the basic information for creating the patient's medical payment account. means can be created.
Even patients who always lose or forget their payment media due to their medical conditions can make payments using their authentication information in the medical economic zone DB of the medical information sharing database.
We provide a payment service that allows payment across multiple medical institutions in one place, and a payment service with a limit function that protects the patient's living expenses from the medical condition and allows the patient to use the payment safely. In order to safely protect personal assets, it is possible to search for trust institutions, provide patient information during the period of search results, and manage trust agreements.

The medical institution payment support system stores user attribute information stored in the patient information DB linked to personal information and authentication information in the medical economic zone DB and the payment related DB in the platform type medical institution support system. It is installed at the place where payment is made when the user pays, which can be obtained by the location information acquisition system in the platform-type medical institution support system and the shopping history information of various information generated at the time of payment by the user. You can obtain and refer to the location information of the payment terminal and the payment location information stored and registered in the medical economic zone DB in the platform-type medical institution support system.

The payment location information includes both the address information where the payment terminal is installed and the calculated address location information calculated from the address information. Payment is made when it is determined that the position information of the terminal and the calculated address position information registered in the payment location information are substantially the same.

From the modern payment environment where convenience is emphasized and cashless payment can be done easily anywhere, various payment terminals are installed for the purpose of preventing the loss of living expenses and personal property of sick people and elderly people. The user sets the upper limit of the settlement amount for each business operator, and settlement can be made up to the amount set by the user at the time of settlement. Information that allows the user to set the upper limit of the payment amount for each business operator for security purposes is stored in the shopping history information in the payment-related DB.

From the modern payment environment where convenience is emphasized and cashless payment can be done easily anywhere, various payment terminals are installed for the purpose of preventing the loss of living expenses and personal property of sick people and elderly people. The user sets the upper limit of the payment amount for each business type, and cashless payment can be made up to the amount set by the user at the time of payment. The information that the user sets the upper limit of the payment amount for each type of business of various business operators for safety protection is stored in the shopping history information in the payment relation DB.

Cashless payment is a modern payment environment where convenience is emphasized and payment can be made easily anywhere. Payment can be made if the user purchases items registered on the medical institution payment support system for each business operator.

A system that realizes a business model that provides a cashless social environment for patients and the elderly who have not been able to have a payment card in the past, with the aim of providing a payment method that allows users with medical conditions such as dementia to live with peace of mind. , The user selects an area for payment on the medical institution payment support system, the selected area is registered as payment range information on the payment relationship DB, and the area where payment is made is registered in the payment range information Payment can be made if

Payment is not made outside the area registered in the payment range information, and a record that payment is not possible due to reasons outside the area is registered in the payment-related DB, and the pre-registered user's terminal indicates that payment is not possible. It has a security protection function from the area of the settlement place to which notification is made.

If search information and purchase restriction information are described as attribute information in the patient information DB, at the time of payment by the user, to the contact information in the trust information in which the information of the patient's trustee is registered in advance in the patient information DB By notifying the current location information that displays the address and map of the place where the settlement was attempted, the trustee is automatically notified that the elderly and people with certain medical conditions are here, and the settlement is made. has a safety protection function. When search information and purchase restriction information are described as attribute information in the patient information DB, when the user tries to make a payment, the contact address registered in advance in the patient information DB is notified of the place where the payment was attempted. be.

The medical institution payment support system can also acquire and refer to payment range information in which the user registers the area where the user can make payment at the payment place registered as payment place information on the payment relationship DB, and the patient When purchase area restriction information is described as attribute information in the information DB When the user makes a payment outside the area registered in the payment range information information is registered to the contact in the trust information. It has a safety protection function for settlement that automatically notifies the trustee of the information that has gone and now is here.

Digital currency managed directly by the server in the next-generation financial system also requires a function that can be used safely at the time of payment even by the elderly and people with some medical conditions. Elderly people and people with some medical conditions can use digital currency through safety protection functions set by users themselves, such as areas where users can make payments in advance and amounts that can be settled in advance by users. It provides a cashless social environment for patients and elderly people who could not use payment cards in the past.

In addition to conventional security functions, at least one of the security functions that use location information at the time of payment and the security function that allows users to set the area and amount of money that can be settled in advance is used. A payment service that provides cashless payment with a high security function and a function to notify patients, elderly family members, trustees, etc. of the place where the payment was made by a notification function when payment is impossible. becomes.

There is a patient information DB linked to user information in personal information stored in the medical economic zone DB in the medical information sharing database. In this patient information DB, the name of the medical institution described in the patient's patient registration card, the management number for managing the patient at that medical institution, and biometric information such as the patient's fingerprint and face are stored as authentication information. The medical institution support system has a patient authentication processing system that can authenticate individuals using at least one of the information stored in the authentication information. By presenting at least one of the management number written on the patient registration card and the management number written on the patient registration card, the reception at the medical institution is performed. offer.

The medical institution support system identifies an individual by using at least one of the management number written on the patient registration card issued by multiple medical institutions held by the patient stored in the patient information DB and biometric information such as the patient's fingerprint and face. having a patient authentication unit that can be authenticated,
It has a function to derive the patient management number used in the medical institution from the identified information,
By presenting at least one of the patient's biometric information and the management number of the patient's patient registration card at the reception of the medical institution, reception processing and examination at the medical institution can be performed using the derived management number.

Individual identification is performed by presenting the patient's biometric information stored in the patient information DB and the management number written on multiple patient registration cards issued by multiple medical institutions already owned by the patient. At a medical institution where a patient visits for the first time, reception is performed using existing patient information already stored in the patient information DB without issuing a new patient registration card or issuing a new management number listed on it. can be performed, without issuing a new patient registration card, the management number of the medical institution can be newly saved in the patient information DB and accepted by substituting the patient registration card already owned.

Both the conventional medical information system used by medical institutions and the medical information system in the platform-type medical institution support system are used in combination, and the conventional medical information system is attached to the examination ticket issued by the medical institution. Patients are managed with a certain management number, and in the platform-type medical institution support system, the management number and the patient's biometric information written on the patient's patient registration card issued by multiple medical institutions stored in the patient information DB and are managed.
In order to use both the conventional medical information system and the medical information system in the platform-type medical institution support system, the medical information system in the platform-type medical institution support system must recognize the patient from the information stored in the patient information DB. By doing so, the patient's management number required in the conventional medical information system can be searched from the patient information DB, making it possible to use both systems together and issue a patient registration card for each medical institution. At the same time, it provides a process of reception processing of medical institutions and a process of patient information management using management numbers for joint use with medical information systems conventionally used in medical institutions.

A system service that reduces media costs for patient registration cards issued by multiple medical institutions. To provide a reception process of a medical institution and a patient information management process using a management number, in which a patient does not need a patient identification card, by means of a service of an identity authentication system that enables medical examination even without a patient identification card due to forgetting or loss.

Providing a system that reduces physical costs by eliminating the need for a patient registration card, reducing the number of receptionists at reception, and burdening medical management in authenticating patients and accepting medical care using patient registration cards and management numbers that are common to domestic medical institutions. Provide a system that reduces the burden on patients, provide a convenient system that simplifies the management of multiple consultation tickets held by patients, and provide reception processing and patient information management for medical institutions that do not require the issuance of consultation tickets for each medical institution. provide the process of

There is a patient information DB linked to user information in personal information stored in the medical economic zone DB in the medical information sharing database. In this patient information DB, the bank account information includes the financial institution name, financial institution number, branch number, account number, and account information described in the cash cards issued by multiple financial institutions owned by the user. is stored as
When a cash card issued by each financial institution is used at an ATM, it is linked to the account of a financial institution other than the financial institution that issued the cash card linked to the bank account information, so all linked financial institutions account can be used, and by using one of the multiple cash cards you own, you can use the accounts of all financial institutions.

To transfer cash from an account of a financial institution owned by a user to an account of another financial institution when using a cash card linked to bank account information at an ATM. This transfer involves withdrawing cash from the original financial institution's ATM and using a cash card at the ATM to transfer cash from the original financial institution to another financial institution without depositing cash from another financial institution's ATM into an account. Since the cash can be transferred to the receiving financial institution on the screen of the ATM, the cash can be transferred without withdrawing it.

It is a technical method for visualizing the future planning of the medical system and sustainable management of medical institutions derived from Japan's declining population, using information owned by local governments and regional medical information.

It is a medical information processing system technology necessary for medical management that sustains the regional medical system and medical institutions without increasing the number of medical institutions.

It is the technology of the system that can claim the medical fee of the sole proprietorship doctor in the 24-hour management and multi-clinical department management that sustains the regional medical system and medical institutions.

It is the technology of a system that bills and receives medical fees for individual business doctors in 24-hour operation and multi-specialty management.

It is a system technology that shares employment for management cost reduction in multi-clinical department management.

Technology for a system that calculates the total amount of medicines based on the information prescribed by multiple medical institutions in the medical economic zone DB, which is necessary for medical institutions using the system in the virtual medical economic zone to improve their management.

In a virtual medical economic zone, it is a system technology that assumes a large medical institution that virtualizes medicines prescribed to patients, and concludes comprehensive contracts with volume prices for large orders.

In a virtual medical economic zone, it is a system technology that concludes a subscription contract for a fixed-price purchase of large-scale drugs by imagining drugs prescribed to patients as virtual large medical institutions.

In a virtual medical economic zone, it is a system technology that assumes drugs taken by chronic patients as a large virtual medical institution, and makes either a comprehensive contract or a subscription contract for ordered drugs.

In order to improve the management of medical institutions, it is part of the service to increase the ability to attract patients by providing services that are close to patients.
The user has a system to reserve a special vehicle, an accompanying caregiver or a medical worker,
A system that manages the time and operation of the vehicle in movement is performed at the same time as the next medical appointment,
After the next medical examination, we have a settlement service that pays each payment at once, the medical examination fee of the medical institution, the prescription drug of the dispensing pharmacy, etc.
Information on the user's medical condition and the means of transportation used by the user to visit the hospital is acquired, and when the user who moves in a special vehicle makes a reservation for the next examination within the medical institution, the movement necessary for the next examination A system that secures all of the means at the same time as making an appointment for a medical examination and makes all reservations including operation management of the means of transportation necessary for movement;
Reservations for vehicles, attendants, and medical staff are made according to the user's medical condition at the same time as the next medical examination appointment at the medical institution, and transportation is operated according to the medical institution's appointment reservation time and expected examination time. It is a medical version MaaS service with management.

Based on the optimal route from the external system to the user's home and hospital and the time required to visit the hospital, a function to calculate the departure time in time for the user's reservation time at the medical institution,
Based on the function to calculate the time required in the hospital for a series of flow from the expected examination time required for the user's examination and reception of the examination to receiving the examination and paying the bill, and the total time of support for the user from visiting the hospital to returning home. Search for companies that can rent the vehicles, attendants, and medical staff, display them on the reservation terminal in the hospital, secure all the means of transportation necessary for moving to the next examination at the same time as making a reservation, and manage operation It is a medical version MaaS service that has something to do.

It is a medical version MaaS service that has a comprehensive contract with medical institutions in a certain area and with vehicles, caretakers, and medical staff for users who move in a special way in a wider area. .

This is a medical version MaaS service that allows a user to book a medical examination and secure a means of transportation at the same time using a terminal owned by a user, and to change the medical examination reservation and change the means of transportation at the same time. .

This is a medical version MaaS service that informs the terminal of the user and the smart speaker at the user's home that the service will arrive at the user's home on the day of reservation.

It is a medical version MaaS service that can secure transportation means using terminals owned by users and manage the operation of transportation means necessary for movement, even for uses other than hospital visits.

When using for hospital visits or purposes other than hospital visits, the operation time of public transportation, the connecting route and driving time of multiple public transportation in the route from the departure point to the arrival point are acquired from the external system, and according to the medical condition This is a medical MaaS service that can arrange vehicles, attendants, and medical staff.

A system that automatically makes payments to vehicle operators, attendants, and medical staff to the medical payment accounts of the operators in the medical institution payment support system.

A system that automatically collects payments to vehicle operators, attendants, and medical staff, medical examination fees at medical institutions, and prescription drug fees to dispensing pharmacies into a medical payment account.

Using the location information of the terminals possessed by the user, caregiver, and medical staff who are visiting the hospital, if the hospital is within a certain distance, it is possible to automatically receive a preliminary medical treatment reception at a medical institution. system.

For patients who go to the hospital in a special way, a reservation service that reserves a special vehicle, caregiver, and medical staff together with an appointment for the next medical examination at the medical institution, and operation management of the vehicle that does not have to wait for a long time at the medical institution It is a system that provides a service that performs

Based on the patient's medical condition information, we will search for transplant candidates who are likely to receive IPS, that is, transplantation treatment using induced pluripotent stem cells, recommend induced pluripotent stem cell treatment to patients, primary care physicians, and related businesses, and promote induced pluripotent stem cells. Information about the patient's induced pluripotent stem cell transplantation treatment, It is an induced pluripotent stem cell treatment support system that provides information on artificial organ culture, monitoring information in daily life after transplant surgery, and sharing of various other information.

Information on patients who are likely to receive organ transplantation treatment using induced pluripotent stem cells of kidney, pancreas, liver, heart, and eyeballs is treated as personal information, so it is handled by the primary medical institution, the medical institution performing the transplant operation, the operating doctor, and the artificial organ. The induced pluripotent stem cell treatment support system where information is shared between the production company and related companies by a server on a network that can guarantee security or by an institution that can deposit and provide personal information based on laws and regulations.

Various information related to artificial cells and organs held by the artificial organ production company is shared between the patient undergoing the transplant operation, the patient's family doctor, the medical institution performing the transplant operation, and the operating doctor. Information, quality control information, progress information related to production, and information related to traceability are shared using a server on a network that can guarantee security, or an institution that can deposit and provide personal information based on laws and regulations. Induced pluripotent stem cell treatment support system.

The family doctor selects medical institutions capable of performing transplant surgery, doctors capable of performing transplant surgery, and medical staff engaged in transplant surgery from the information in the medical economic zone DB, medical service-related DB, and business accounting DB. The selection of , selects an artificial organ manufacturing business that owns a cultured organ that matches the blood data of the patient with the DNA data and blood data of the artificial organ cultured and held by the artificial organ manufacturing business. It is an induced pluripotent stem cell treatment support system that also shares schedule adjustment information such as organ donation schedules for patients, patient organ culture schedules, organ DNA information, transplant surgery schedule information, and hospital bed schedule information. .

If there is no match between the patient who wishes to undergo transplant surgery and the organ cultured by the artificial organ manufacturing business, the induced pluripotent stem cell treatment support system will select another patient who matches the patient's DNA data and blood data. Then, the patient's information is processed anonymously, the information is provided (sold) to the artificial organ production business, and artificial organs that match the DNA data and blood data are cultured (produced) for multiple patients. It is an induced pluripotent stem cell treatment support system aiming at efficiency improvement by culturing at the same time ahead of schedule, increased profits for artificial organ production companies, profits on the system side, and the future of patients.

The cost of the medical industry is high, and for the purpose of reducing the cost borne by the patient in this induced pluripotent stem cell transplant surgery and maintaining and operating the system, the patient who is the party to the transplant surgery, the medical institution that performed the transplant surgery, and the artificial pluripotent stem cell Medical institutions and artificial organ production that are considering entering regenerative medicine from now on, with various information on successful transplant surgery by organ production companies etc. being anonymized, NFT (non-fungible token) and security guaranteed. This is an induced pluripotent stem cell treatment support system sold to business operators.

Doctors who have a history of transplant surgery, medical institutions who have a history of transplant surgery, and artificial organ manufacturing companies who have a history of providing artificial organs, who want to advertise about transplant surgery It is a pluripotent stem cell treatment support system.

In order to improve the performance of artificial organ manufacturers and medical institutions, it has a function to search for patients who are suitable for the artificial organs owned by the company and show the way to transplant surgery at an early stage.
The artificial organ data held by the artificial organ production business operator as inventory and the matching information of the suitable patient are sold to the artificial organ production business operator, and the induced pluripotent stem cell therapy is provided to the suitable patient and their family doctor. It is an induced pluripotent stem cell treatment support system that connects the artificial organ of the artificial organ manufacturing company and the patient using the notification recommended by the artificial organ and the DNA information of the artificial organ.

Instead of waiting for a patient to come to the hospital, we have a function to receive a request to find a patient who can be operated at this medical institution from the database,
A function that searches for patients who can perform induced pluripotent stem cell therapy from transplant candidate patient information, recommends induced pluripotent stem cell therapy to those patients and their family doctors, and connects medical institutions that can perform transplant surgery. It is an induced pluripotent stem cell treatment support system.

In order to support transplantation treatment using induced pluripotent stem cells, we use information from the medical information sharing database to support patients, family medical institutions, medical institutions that perform transplantation treatment, business operators, and patients. It is a business model that aims to support induced pluripotent stem cell treatment by using the advertising method of transplant treatment using induced pluripotent stem cells for doctors who have experience in transplant treatment.

From lifelong treatment to induced pluripotent stem cell therapy for transplant candidate patients and their primary care physicians. providing a business operator that produces an artificial organ for a patient;
A mechanism for sharing patient medical information,
To sell and provide all medical information on successful organ transplantation of patients;
A service to introduce patients to medical institutions that want to undertake transplant surgery, organ production companies that want to improve results, and operating doctors that want to improve results, and their fees,
Advertisement from medical institutions that want to undertake transplant surgery and businesses that want to produce organs
A business model that provides support services for IPS transplant treatment.

Since it is somewhat difficult to find excellent human resources with a proven track record from social systems or social sites, we will find excellent human resources based on the business performance information of the tutors and be a tutor who will reliably produce the results of the requested work. A business model that seeks out excellent human resources with a proven track record in order to request work.

In order to enhance the information on master workers, we will add information to the social work result information in the master worker evaluation DB, and use the information obtained from the social work result information to recruit excellent master workers. A business model that allows you to search and request work, and a business model that allows you to search for excellent hidden masters by adding and enriching information on the achievement status of work from users who actually requested work.

In order to find a doctor who can cure your medical condition, various information in the medical economic zone DB on the medical information sharing database is used to identify the user's place of residence, purpose of use, disease name, etc. By narrowing down the search by using various factors such as treatment, expertise, new drugs used, etc., we were able to find practitioners who had a track record that met their objectives and were evaluated for their work results, but were buried under the surface. It is characterized by being able to discover, and it is a business model that uses a system that searches for excellent human resources with a proven track record and makes business requests.

In order to increase the utility value of the system for both users and practitioners, and to increase the number of users By acquiring the results of the above from the users, registering them in the database, and reflecting them in the system for tutor workers, the information on the user's results by the users is added, and excellent human resources with a wide range of tutors A business model that uses a system for workers who can search for and request work.

In-house production is carried out using a development process DB and a development process system that have various information on financing, various information on contracts, and various information on licenses and rights necessary for in-house production of the system. , a development process system with a license management function that manages licenses and rights.

Funding classification information that categorizes funds, user information that uses the system to be built in-house, and funding information related to funding, in the development process DB used for in-house building of the system installed on the network. , A development process system that supports in-house production by using information such as funding method information that categorizes funding sources and advertising information that categorizes funding methods.

Information such as overview information and explanation information of the program to be produced in-house in the development process DB is used as explanatory materials for raising funds, and the development process system selects the funds to be procured and selects the procurement sources of the funds to be procured. A development process system that decides what kind of method to procure from the supplier, decides on the procurement method, attaches explanatory materials, and starts procurement.

A development process system that visualizes the procurement status of funds to be procured for each fund classification and for each fund procurement source based on the content of the answers from the procurement sources that have started procurement.

An organization that manages information about licenses and rights of in-house produced systems and owns property rights of in-house produced systems can manage the sale or provision of duplicates through the license management system, and in-house production A license management system and a development process system that manages only the right to use the license management system and grants the right to use the system to users and organizations who wish to use it by operating a system that has been made into a platform.

Digitize outlines of ideas in the minds of doctors, nurses, caregivers, clerical workers working in medical institutions, companies engaged in medical care, and medical researchers as flashes to digitize rights infringements and devising summary information A development process system that protects and manages the rights of developers and developers and protects against infringement of rights by unauthorized duplication.

Digitize the outlines of ideas in your head as various inspirations such as medical equipment, pharmaceuticals, nursing care equipment, and programs that can be used in the work that doctors, nurses, and caregivers are engaged in. , the name of the company, the name of the financial institution, the function of searching for companies to raise funds and commercialize products for general investors, and the development companies, manufacturers, pharmaceutical companies, etc. A license management system and a development process system having a function of managing rights by NFT.

Funds raised and funds invested by investors are not limited to yen currency, but are developed using cryptocurrencies, digital currencies, and medical payment systems using medical payment accounts by using general-purpose payment systems. process system.

According to the present invention, by using the platform-type medical institution support system 1, the medical institution 4 can be used not only for acute-phase patients and chronic disease patients who have been seen in the past, but also for users who want to maintain their health and who are usually in hospitals. Patients who are sick enough to not go to the hospital will also visit medical institutions.

It is the figure which showed the system configuration|structure used by each embodiment. It is a structure of a medical information shared database, and is a figure which shows the database used by each embodiment. 4 is a configuration diagram of information in a database used in the first embodiment; FIG. 1 is a schematic diagram of the structure of a medical economy; FIG. It is a figure which shows an example of a medical economic zone. It is a figure which shows prediction of the inventory amount of fixtures. It is an image diagram of a comprehensive contract for fixtures. FIG. 10 is a configuration diagram of information in a database used in the second embodiment; FIG. It is a figure which shows an actual consultation time and an attendant doctor. It is a figure which shows the example of a patient's movement route calculation. FIG. 4 is a diagram showing an example of zones set by a hospital; FIG. 11 is a system image diagram of the third embodiment; FIG. 11 is a configuration diagram of information in a database used in the third embodiment; FIG. FIG. 10 is a comparison diagram of audio sequences by home speakers according to the related art and the third embodiment; It is a figure which finds a change point from transition of the blood-pressure value measured by the user. It is a figure which shows the change of body weight. It is a figure which shows the conversation creation image using a conversation script program. 1 is a configuration diagram of an exhaustion period calculation system; FIG. It is a figure which shows the example of shopping using an electronic device. It is a figure which shows the example of inventory check of medicine using an electronic device. It is a figure which shows the example of the crime prevention measure using the facial photograph registered into crime prevention DB. It is a figure which shows the example of the crime prevention measure using an electronic device. FIG. 11 is a configuration diagram of information in a database used in the fourth embodiment; FIG. 1 is a configuration diagram of a settlement support system; FIG. It is a figure which shows the example of the preparation method of a payment medium. It is a figure which shows the example of the acquisition method of a positional information. It is a system diagram of an address position information database in which payment terminals are installed. It is a system diagram of trust contract utilization. It is a figure which shows the example of preparation of a will. FIG. 11 is a configuration diagram of information in a database used in the fifth embodiment; FIG. FIG. 10 is an image diagram showing how the old medical information system and the medical information system of the present invention can be used together by reception using patient's biometric information. It is a system diagram in which one patient registration card is shared and used in medical institutions. It is a system diagram for sharing a bank account with one cash card. FIG. 12 is a configuration diagram of information in a database used in the sixth embodiment; FIG. It is an image diagram of a 24-hour hospital. It is an image diagram of a multi-clinical hospital. It is an image diagram of claiming medical fees from a sole proprietorship doctor at a 24-hour hospital. It is an image diagram of claiming medical fees from individual business doctors in a multi-specialty hospital. It is an image diagram of collective billing and distribution receipt of medical fees for the same hospital. FIG. 12 is a configuration diagram of information in a database used in the seventh embodiment; FIG. It is an image diagram of a subscription contract for prescription medicine. It is a figure which shows examples, such as a medical condition and a necessary caregiver. FIG. 12 is a configuration diagram of information in a database used in the eighth embodiment; FIG. It is a cooperation flow figure of a reservation system, an operation control system, and each business operator. It is a flowchart in the case of obtaining information from the reservation system of each company. It is a flowchart when using a shared reservation system. It is a schematic diagram of a calculation method of labor borrowing time. It is a figure in the image at the time of using public transportation etc. FIG. 14 is a configuration diagram of information in a database used in the ninth embodiment; FIG. 1 is a diagram of a system for searching for suitable patients for cultured organs owned by artificial organ manufacturing business operators. FIG. It is a figure explaining the format of a database. FIG. 20 is a configuration diagram of information in a database used in the tenth embodiment; FIG. 10 is an image diagram of retrieval of result information of a teacher (patent attorney). FIG. 10 is an image diagram of retrieval of results obtained by requesting work to a person engaged in a training business (patent attorney). FIG. 10 is an image diagram of retrieval of result information of a medical worker; FIG. 10 is an image diagram for searching results obtained by requesting work from a medical worker. FIG. 13 is a configuration diagram of information in a database used in the eleventh embodiment; It is a figure which shows the difference of the right of a package product and an in-house manufactured product. It is a fund flow chart required for developing an in-house production system.

Next, 11 modes for carrying out the present invention will be specifically described with reference to the drawings. In the description, the same reference numerals are given to the same elements, and overlapping descriptions are omitted as appropriate.

<First embodiment>
In the medical institutions 4 including the hospital 4a, there are information systems related to clerical work such as a medical appointment management system 62, a reception system 9f, an accounting system, a payroll system, an expense management system, an inventory management system, a personal information management system, and a tax management system. There are an information system specialized for hospital management, such as a system, and a medical information system 9 specialized for medical treatment, such as an electronic chart 9a and an examination order system. Various information systems and the medical information system 9 in the medical institution 4 often operate in cooperation with each other within the medical institution 4 . However, there are few systems in which medical institutions 4 cooperate with each other, such as a regional medical cooperation system. Even if the medical institutions 4 cooperated with each other, it was within a limited range such as the medical institutions 4 in the same company or in the same group. In particular, cooperation with a privately run medical institution 4 has not been established.
There are also problems with regional medical cooperation systems that are already in operation in each region. However, medical institutions operate without realizing it. The problem of the regional medical cooperation system is divided into three sides: the side that provides the funds, the side that receives the funds, and the side that uses them. It has a structure. The parties that provide funds (local governments and governments) are aware that their funding will eventually stop or run out, but they are operating regional medical cooperation. Physicians are starting to run out of funds, and there are areas where they are terrified and discontinued.
In order to solve the problem of funds in this operation, it is most important to make a plan to sustain a solid business model from the planning stage. It is necessary to have a plan to cut it off in a few years. The present disclosure is a device that enables sustainability of medical management by an autonomous regional medical business model.

However, in society, the concept of digital transformation (DX) has begun to change the business structure.
Conventionally, a plurality of services exist and are used on a network mainly using electronic medical charts 9a used by medical staff 5. FIG. With this, it is impossible to change the business structure such as DX.
Due to various burdens, it is far from reforming the business structure for privately managed medical institutions 4 to introduce medical version DX.
In order for various information systems to cooperate beyond the boundaries of the group, a third party operates the information system related to the medical institution 4 without being bound by the company that operates the medical institution 4 or its group. It can be realized by providing the medical institution 4 with a medical management service centered on management and business structure as a platform service.
Looking at it from a different perspective, does the above system used by each medical institution 4 have different business profits depending on the manufacturer? Differences in systems will not affect business profits. This is the same for systems used not only in the medical industry but also in other industries, and it is the same as the fact that differences in personnel systems and payroll systems do not result in differences in business earnings from those of competitors. It can be said that there is no effect on the system or difference in business profit even if the same thing is used in any medical institution 4 . In the financial industry (banks), development costs, maintenance costs, maintenance costs, replacement costs, etc., incurred by developing internal systems through co-creation between banks, using each other, and owning them individually. Since several years ago, efforts have been made to work together in the same industry beyond the boundaries of banking groups. The same is true for the medical industry.
By collectively developing a system used in the medical industry as a base system that can be shared and using it as a platform service, the medical institution 4 can use it. It will also greatly reduce the cost of opening small medical institutions 4 and clinics 4e, and under COVID-19, which put pressure on management, the cost of going out of medical institutions 4 will be reduced, and the pressure on medical management will be relieved a little. I think it will lead to what we can do.
In order to solve this invisible IT cost problem in medical management, a business model based on a way of thinking that medical institutions cooperate with each other and break away from the conventional way of thinking of "use as a joint system or use an industry standard system" This disclosure can eliminate the funds (costs) that go out of medical institutions through a system that generates new revenues. It is a device that can provide the service of

The platform service is provided to users 3 as a platform-type medical institution support system 1 (medical institution support system 1), and a medical information sharing database 2, which is a single large database, serves as the core database of the system.
In this medical information sharing database 2, there are various databases that store information linked to medical information in electronic medical charts 9a used by a plurality of medical institutions 4. , medical institutions 4, nursing care institutions, business operators, other industries, etc. can share and use. Databases on the medical information sharing database 2 include a medical economic zone DB 21, an accounting business DB 31, a required consultation time DB 51, a user voice DB 71, a settlement-related DB 101, a practitioner evaluation DB 241, a regional prescription DB 191, an IPS artificial multi Potential stem cell transplantation treatment candidate patient database 221, development process database 261, recurring database 41, and the like. The description of each database will be appropriately described in the present embodiment and each embodiment after the second embodiment. The configuration of the platform-type medical institution support system is shown in FIG. 1, and the configuration of the medical information sharing database 2 is shown in FIG. FIG. 3 shows the database configuration of the first embodiment.

First, items common to various databases in the medical information sharing database 2 will be described. Various databases in the medical information sharing database 2 are information linked to part of the information in the medical information system 9 in the medical institution 4, or medical records handled by the electronic medical record 9a of the platform-type medical institution support system 1. It is configured by adding various new information in addition to the information that is partly linked to the information in the economic zone DB 21 .
The medical economy zone DB 21 is a database that includes personal information 22 of people who use the medical economy zone 24 and business information of companies that use the medical economy zone 24 . Details of the medical economic zone DB 21 will be described later.

By using the information accumulated and saved in various databases in the medical information sharing database 2, the present invention makes it possible for the medical institution 4 to earn profits and to sustain the business and system by improving the management of the medical institution 4. The aim is to create a business model that enables
In the first embodiment, an information sharing mechanism necessary for creating this business model will be described. In the second and subsequent embodiments, business models that can be implemented by using shared information will be described.

It has been explained that the medical economic zone DB 21 described above includes the personal information 22 of people who use the medical economic zone 24 and the business information of companies using the medical economic zone 24 . People who use the medical economic zone 24 here include patients, working production workers, residents of nursing care facilities 6, people working at medical institutions 4, pensioners, medical insurance recipients, etc. It indicates a person who uses the service within the medical economic zone 24 or a person who is involved in the provision of the service within the medical economic zone 24. In addition, companies that use the medical economic zone 24 include medical institutions 4, nursing care institutions, pharmaceutical companies, medical companies, business operators, and various companies and organizations in other industries that are involved in business within the medical economic zone 24. This refers to corporations, sole proprietors, local governments, etc.
The personal information 22 stored in the medical economic zone DB 21 includes patients, working production workers, residents of the nursing care facility 6, people working at the medical institution 4, pensioners, medical insurance recipients, and the like.
The corporate information 23 stored in the medical economic zone DB 21 includes business information such as medical institutions 4, nursing care institutions, pharmaceutical companies, medical companies, business operators, and various companies in other industries that use the medical economic zone 24. . A schematic diagram of the structure of a medical economy is shown in FIG. 4, and an example of a medical economy is shown in FIG.
So far, we have used the term medical economic zone 24 without explanation. The medical economic zone 24 is an economic zone composed of people, companies, regions, etc. who use the medical institution payment support system 102 described in the fourth embodiment, unlike a general economic zone divided by region. It is a virtual (virtual) economic zone on the network.
In addition, in the medical economic zone DB 21, information for identifying the individual user is also stored in a form linked to the personal information 22 of the user 3. FIG. This information for identifying the individual user consists of information for performing biometric authentication such as the face, fingerprint, and voiceprint of the user 3, and information for performing authentication using a device owned by the user 3. ing.

Next, the accounting business DB 31 will be explained. In the accounting business DB 31, various information generated by using the system in the platform-type medical institution support system 1 in the process of business implementation in a virtual environment by a company using the medical economic zone 24 is accumulated and stored. there is The accumulated and saved information includes the accounting, expenses, attendance, salaries, fixtures, equipment investment, equipment and materials, disposal costs, etc. of the companies that use the medical economic zone 24 .

The medical information sharing database 2 consists of at least the information stored in the medical economic zone DB 21 and the accounting business DB 31 respectively, and a plurality of databases linked to the information stored in the medical economic zone DB 21 and the accounting business DB 31. It is one of the elements that make up the platform-type medical institution support system 1.
In addition, by using various systems in the medical information sharing database 2 and various information stored in the database that can be used by the system, management support of companies that use the medical economic zone 24 is provided. can also

On the platform service, the medical information system 9, which is always owned by each medical institution 4 for medical treatment, is linked with the electronic medical record system 9a and the receipt computer system 9b on the network, and the settlement system 9c for settlement. Each medical institution 4 can share and use the system in such a state.
On the platform service, each system handles the following four pieces of information as a basis. "Patient's personal information 22" is the core basic information, and "Patient's medical information history" is information that handles the details of medical care of the patient. From this "patient's medical information history", the contents of the medical examination are automatically collected and "receipt information to be billed to the insurance institution" and "medical expense billing information to the patient" are calculated. "Patient settlement information" for settlement by the patient based on the "medical billing information to the patient" is handled.
This information is handled by each system on the platform service. "Patient's medical information history" is handled by the electronic chart system 9a, and this information is treated as a master. The receipt computer system 9b linked with the electronic medical record system 9a acquires items listing the contents of the consultation date registered by the doctor 5a or the score information of the medical examination from the "patient medical information history" in the electronic medical record system 9a. , "score information (receipt information) for billing to insurance institutions" and "medical expense billing information for patients" are calculated and stored. In the payment system 9c linked with the electronic medical record system 9a (electronic medical record 9a) and the receipt computer system 9b, settlement processing of the consultation fee is performed based on the "medical billing information for the patient" calculated by the receipt computer system 9b. is performed, the "patient payment information" is saved. These four pieces of information (data) can be processed in cooperation with each other by three systems on the platform system. It is also linked with various systems not described here on the platform service, and the information described here is used mutually.
The process by this system cooperation does not differ from the system used in the conventional medical institution 4 as a result. However, it is incomparable when you compare the cost of sustainable use and the cost of replacement. "Information written by the doctor 5a in the electronic medical record 9a is automatically taken into the receipt computer and the medical care score is calculated." will calculate the amount to be paid.” There is no change, and the same processing is being done on the platform.
Each piece of information handled on the platform service is handled by the hospital that uses it, but each data is handled as source data of the medical institution 4 that created it, and the source data is not used by anyone other than the medical institution 4 that created the information. Data is treated like a normal cloud system that cannot be viewed or used. Each system is shared, but data is not shared. However, since it is treated as DX, patient information can be shared with the patient's own permission. Sharing on platform services is possible.

The medical institution 4 has various management systems used for management of the medical institution 4 in addition to the medical information system 9 described above. The platform service includes a medical institution management support system 10 that includes a medical institution management support system 10a and a medical institution business support system 10b that are equivalent to the various management systems described above. This medical institution management business support system 10 (management support system) is a system that can handle various management information generated in management, such as accounting information, expense information, attendance information, salary information, etc., through a platform service. These information can be provided by a data warehouse (DWH) that performs various business analyses.
Each piece of information is handled by the hospital that uses it, but each piece of information is treated as source data of the medical institution 4 that created it, and the source data cannot be viewed or used by anyone other than the medical institution 4 that created the information. Data is handled like a normal cloud system where you can't. Each system is shared, but data is not shared.
This medical institution management business support system 10 can also cooperate with the electronic chart 9a, the receipt computer system 9b, and the payment system 9c for medical affairs.
The medical institution management support system 10a includes functions for cashless cashless management of in-hospital accounting, payroll management for medical staff 5, labor management functions for medical staff 5, and the like.
The medical staff 5 here refers not only to doctors 5a, dentists 5d, and co-medicals 5j, but also to people working in medical institutions 4, including medical clerks and medical clerks.
The medical institution business support system 10b includes functions such as patient medical appointment management, ordering and inventory management of medical materials, ordering and inventory management of medicines, and the like. An example of a medical component ordering and inventory management system is the technology disclosed in Japanese Patent No. 6620302 of the present applicant.
The platform service includes an information system related to clerical work, a medical information system 9 specializing in medical treatment, and an information system specializing in hospital management. (medical institution settlement support system) is also included. Since this platform service is a system on a network that can be accessed from a plurality of medical institutions 4 as the platform-type medical institution support system 1, a single system can be shared and used by a plurality of medical institutions 4. .
By linking a medical system specializing in medical care and a system specializing in management, it is possible to cover all the clerical work that needs to be done at the medical institution 4, from reception to claiming receipts and filing tax returns. Office work is labor-saving, and management balance can be improved.
Until now, for standardized paperwork such as billing for receipts, systems have been procured for each medical institution 4 . By using the medical institution support system 1 of the present disclosure, it is possible to perform standardized business processing on the platform, furthermore, it is possible to reduce the cost of procurement and system maintenance and continuation, and the processing of multiple medical institutions 4 can be done together in one place. In addition, since this platform service includes an automatic settlement function, it is possible to avoid handling cash at the reception of the hospital 4a. As a result, the efficiency and reduction (labor saving) of the personnel assigned to the reception and clerical work of the medical institution 4 can be improved, and the management of the hospital 4a can be improved by reforming the work style of medical clerical work and reducing personnel and fixed costs. leads to
On the platform service, the electronic medical record 9a, the receipt computer system 9b, and the settlement system 9c for medical affairs operate in cooperation with each other.
This cooperation means that "what is written in the electronic medical record 9a is automatically taken into the receipt computer and the medical care score is calculated." and so on.
Further, the platform service includes a medical institution management support system 10 including a medical institution management support system 10a and a medical institution business support system 10b. This medical institution management business support system 10 can also cooperate with the electronic chart 9a, the receipt computer system 9b, and the payment system 9c for medical affairs.
The medical institution management support system 10a includes functions for cashless cashless management of in-hospital accounting, payroll management for medical staff 5, labor management functions for medical staff 5, and the like. The medical staff 5 here refers not only to doctors 5a, dentists 5d, and co-medicals 5j, but also to people working in medical institutions 4, including medical clerks and medical clerks.
The medical institution business support system 10b includes functions such as patient medical appointment management, ordering and inventory management of medical materials, ordering and inventory management of medicines, and the like. An example of a medical component ordering and inventory management system is the technology disclosed in Japanese Patent No. 6620302 of the present applicant.
The platform service includes an information system related to clerical work, a medical information system 9 specializing in medical treatment, and an information system specializing in hospital management. (medical institution settlement support system 102) is also included. Since this platform service is a system on a network that can be accessed from a plurality of medical institutions 4 as the platform-type medical institution support system 1, a single system can be shared and used by a plurality of medical institutions 4. .
By linking a medical system specializing in medical care and a system specializing in management, it is possible to cover all the clerical work that needs to be done at the medical institution 4, from reception to claiming receipts and filing tax returns. Office work is labor-saving, and management balance can be improved.
Until now, standardized paperwork such as medical billing has been performed by procuring a system for each medical institution 4 . By using the medical institution support system 1 of the present disclosure, it is possible to perform standardized business processing on the platform, furthermore, it is possible to reduce the cost of procurement and system maintenance and continuation, and the processing of multiple medical institutions 4 can be done together in one place. In addition, since this platform service includes an automatic settlement function, it is possible to avoid handling cash at the reception of the hospital 4a. As a result, the efficiency and reduction (labor saving) of the personnel assigned to the reception and clerical work of the medical institution 4 can be improved, and the management of the hospital 4a can be improved by reforming the work style of medical clerical work and reducing personnel and fixed costs. leads to

In the platform-type medical institution support system 1 of the present disclosure, consumption of equipment including medical supplies such as bandages and masks used in the medical institution 4 from the medical institution management business support system 10 owned by the medical institution 4 and inventory quantity. As a method of acquiring the consumption amount and inventory amount of medical products used in the medical institution 4, there is a method using a common inventory DB disclosed in Japanese Patent Application Laid-Open No. 2020-113143 devised by the applicant.
When the system of the present disclosure detects that the acquired consumption amount or inventory amount has reached a preset threshold, the system automatically places an order for the detected equipment to a preset contractor. can be done with

In the above description, the consumption amount and inventory amount of equipment used in the medical institution 4 are used, but the total consumption amount and inventory amount of a plurality of medical institutions 4 such as medical institutions 4 within a region may be acquired.
When the total consumption and total inventory of multiple medical institutions 4 are acquired, a threshold may be set for the total inventory and consumption of multiple medical institutions 4. reaches a threshold, a plurality of medical institutions 4 may collectively place an order for supplies. Even when a plurality of medical institutions 4 collectively place an order, the order can be automatically placed to a preset contract destination.

The thresholds for the amount of supplies consumed and the amount of inventory set for automatic ordering of supplies are set in consideration of the period from when the order is placed to when the supplies arrive at the medical institution 4 . That is, it calculates the time when the inventory of equipment in the medical institution 4 will run out, and places an order so that the inventory will not run out.
Calculation of the timing when the inventory of fixtures will be depleted is performed using the trend of increase in consumption and the trend of decrease in inventory due to the use of fixtures. FIG. 6 shows an example of calculating the depletion time using the declining trend of inventory. In FIG. 6, it is predicted that the inventory of equipment A will be exhausted around March 12th and the inventory of equipment B will be exhausted around May 21st if the current situation continues.
In addition, it is also possible to acquire information such as the inventory status of equipment manufacturers and wholesalers' warehouses, the production status of equipment manufacturers, information on whether partial deliveries are possible, and the like, and reflect these in the threshold values.
For example, if the inventories of equipment manufacturers and wholesalers are abundant and the ordered equipment arrives in a few days after the order is placed, increase the consumption threshold (decrease the inventory threshold). On the other hand, if it is necessary to wait for production, such as when the inventory of equipment is low, the consumption amount threshold is decreased (the inventory amount threshold is increased). If the ordered equipment can be received by installment delivery, the threshold is adjusted according to the installment delivery schedule.
This is clearly different from the method disclosed in Japanese Patent Application Laid-Open No. 2020-113143 devised by the applicant, where the threshold was a fixed value that was set to be a variable threshold according to the situation.
An example of threshold setting is shown using fixture A used in FIG. Assuming that today is February 1st, it will take two weeks from order to delivery of equipment A. About 400 pieces of equipment A are used in four weeks, and considering the delivery date, it is necessary to place an order at least two weeks before the stock runs out (around February 26). Two weeks ago, the inventory was barely about 200 pieces, so the threshold for not depleting the inventory was set to consume 200 more pieces (the inventory amount is about 400 pieces).

In the above description, the system of the present disclosure preliminarily sets the order destination to place an order when the system determines that the consumption amount of equipment or the inventory amount has reached the threshold. However, the system of the present disclosure may automatically select a supplier and place an order instead of placing an order to a supplier specified in advance.
To select a supplier, a process of presenting a desired purchase quantity and requesting an estimate from several candidate suppliers is performed. As a result of the request for an estimate, the supplier who has presented the most advantageous conditions among the suppliers who have responded from the candidates of the supplier is selected as the supplier. The trader presenting the most advantageous terms is usually the trader with the lowest estimated price. However, even if the price is a little high due to circumstances, if there is an item that should be given priority, such as ``immediate delivery is required because the inventory at medical institution 4 is low,'' the company that can deliver immediately has presented the most advantageous conditions. become an entrepreneur.
The desired purchase quantity of fixtures is based on the difference between the inventory quantity and the standard inventory at the time of delivery, but is not limited to this.
Candidates for orders may be companies that meet certain conditions, such as companies that have opened medical payment accounts described in the fourth embodiment, in addition to companies that have been designated in advance.
If the supplier has a medical payment account, payment for the ordered equipment may be made using the payment system 9c using the medical payment account.

Some fixtures are used on a daily basis. Items that are used on a daily basis naturally consume more and are often purchased on a regular basis.
Equipment that is purchased in large quantities may be purchased through a subscription that can be purchased at a fixed price during the contract period regardless of the purchased quantity.
The system of the present disclosure has a function of automatically selecting a subscription purchaser. This function requests and collects quotes for subscription contracts from prospective subscription contract suppliers based on the consumption and inventory of equipment. From the collected estimates, select the one with the best conditions from the viewpoint of contract period and contract price, and make a subscription contract.
The system of the present disclosure can predict when inventory will run out based on the increasing trend in consumption and the decreasing trend in inventory, so it will place an order to the subscription contractor as appropriate so as not to run out of inventory.

A recurring system 42 will be described in which the medical institutions 4 that use the medical economic zone 24 place orders for equipment in a comprehensive contract with a plurality of medical institutions 4 located within a certain area and purchase the equipment.
Purchasing of supplies under the comprehensive contract is performed using the recurring system 42 of the platform-type medical institution support system 1 . Business companies that receive contract orders using this system are the medical institutions 4 registered in the business information of the companies in the medical economic zone DB 21 and equipment sellers.
Information on the types of equipment used by the medical institutions 4 that use the medical economic zone 24 and the amount of equipment consumed or dispensed is stored in the accounting work DB 31 as equipment expense information.
The amount of usage in the entire region, which is the sum of the usage amounts of a plurality of medical institutions 4 in this area, is the volume order amount, and the contract is made at a price that can be purchased at a lower price than the conventional purchase price.
In addition, it is necessary to select equipment suitable for a comprehensive contract and a supplier company (companies to which the comprehensive contract is made). By using an artificial intelligence (AI) called Comprehensive Selection AI for this selection processing method, the troublesome selection can be automated.
The comprehensive selection AI program selects target fixtures from fixtures that are likely to be purchased at volume discounts, fixtures that have been purchased in the past, order quantity, fixtures that have been included in comprehensive contracts in the past, etc., and concludes a comprehensive contract. A process of selecting a company that is likely to receive a volume discount price or a company that has a contract record in the past as a comprehensive contract candidate company.
Companies to be selected as candidates are companies (wholesalers, manufacturers, etc.) that are registered as suppliers of equipment in the business information of companies in the medical economic zone DB 21 .
As the information necessary for selection, information on the minimum order quantity of equipment, information on the name of equipment to be ordered, information on the order quantity of equipment, information on comprehensive contract candidate companies, and information on delivery date are stored in the medical economic zone DB 21 is stored as comprehensive information in the recurring DB 41 in .
If the order quantity of some of the equipment included in multiple medical institutions 4 is not enough to meet the minimum order quantity of equipment, adjust the order quantity by increasing the number of medical institutions 4, or It also has a function of selecting one of the items to be deleted from items that include only fixtures.
In order to determine the price of the blanket contract, the recurring system 42 performs a process of sending a notification requesting a price estimate of the blanket contract to the blanket contract candidate companies stored in the blanket information. This notification contains various information necessary for the comprehensive contract, such as information on the name of the equipment to be ordered and information on the order amount of the equipment stored in the comprehensive information. Comprehensive response information received from comprehensive contract candidate companies in response to this notification is stored in the recurring DB 41 .

Candidate companies for comprehensive contracts that receive a request for quotation for a comprehensive contract do not have to prepare a written estimate in the conventional way. A blanket contract is, in a sense, an exclusive contract for contract fixtures, and the contract quantity is the total quantity to be ordered in the comprehensive region. Since it is clear that if this contract cannot be strictly adhered to, orders from the region during the contract period will be "zero", so bid rigging with competitors is not possible. Since the total amount ordered in the region is a large amount, it is a form of contract with the company rather than the contract with the sales department, so collusion between top-class companies is not possible, and only the contract amount of the estimate is mechanically processed. There is nothing to choose from. Comprehensive contract candidate companies usually put effort into the content of the contract in order to obtain the contract.

Comprehensive contracts are concluded electronically by the recurring system 42 .
The recurring system 42 automatically selects a company that is advantageous for making a comprehensive contract from the comprehensive response information on the recurring DB 41, automatically creates a digital contract with the selected company as the contract partner, and Both recurring systems 42 process the binding with digital signatures.
The process of automatically creating a digital contract by the recurring system 42 uses a contract template. A digital contract is created by acquiring information such as the contract price and payment terms and inputting them into the contract template.
It has a function to automatically process orders for equipment when the fastening is completed. The contracted company, the contract amount, the date of the contract, and various other information necessary for the contract are also stored as comprehensive information.
That is, various detailed information related to the comprehensive contract is stored in the recurring DB 41 as comprehensive information. Figure 7 shows an image of a comprehensive contract.

Comprehensive selection AI will be explained.
Comprehensive selection AI is artificial intelligence that uses machine learning techniques to select fixtures that are likely to be purchased at volume discounts and comprehensive contract candidate companies.
These selections are made using the method of association analysis in unsupervised learning using the information saved as equipment expense information and the information saved as comprehensive information.

In the medical institutions 4 that use the medical economic zone 24, a subscription contract is described in which a plurality of medical institutions 4 located in a certain area purchases equipment by subscription contract.
The subscription system 43 of the platform-type medical institution support system 1 is used to purchase the equipment under the subscription contract. Business companies that receive contract orders using this subscription system 43 are the medical institutions 4 registered in the business information of the companies in the medical economic zone DB 21 and equipment sellers.
Information on the types of equipment used by the medical institutions 4 that use the medical economic zone 24 and the amount of equipment consumed or dispensed is stored in the accounting work DB 31 as equipment expense information.
A contract is made whereby the usage amount of the entire area, which is the sum of the usage amounts of a plurality of medical institutions 4 in this area, can be purchased at a fixed price discounted from the normal purchase price for a fixed year period.
In addition, it is necessary to select equipment suitable for the subscription contract and a company to purchase from (comprehensive contract company). By using artificial intelligence (AI) called subscription selection AI for this selection processing method, the troublesome selection can be automated.
The subscription AI program is based on equipment that can be purchased at a volume discount for a certain period of time, equipment that has been purchased in the past, the amount to be ordered, regular price, equipment that has been a subscription contract in the past, etc. Select equipment from the list, and select companies that are likely to receive a volume discount price in a subscription contract for the selected equipment or companies that have a contract record in the past as candidate companies for subscribing contracts.
Companies to be selected as candidates are companies (wholesalers, manufacturers, etc.) that are registered as suppliers of equipment in the business information of companies in the medical economic zone DB 21 .
The information necessary for selection includes information on the minimum order quantity of equipment, information on the name of the equipment to be ordered, information on the order quantity of equipment, information on the comprehensive contract candidate company, information on the contract period, contract execution date The information is stored as subscription information in the recurring DB 41 in the medical economic zone DB 21 .
If the order quantity for some of the equipment ordered by a plurality of medical institutions 4 is insufficient to meet the standard minimum order quantity for the equipment, increase the number of medical institutions 4 to adjust the order quantity, or It also has a function of selecting one of items to be deleted from items that include only the equipment.
To determine the price of the subscription contract, the recurring system 42 performs a process of sending a notification requesting a price quote for the subscription contract to the potential subscription contract companies stored in the subscription information. This notification contains various information necessary for the subscription contract, such as information on the name of the equipment to be ordered stored in the subscription information and information on the order quantity of the equipment. The subscription response information received from the subscription contract candidate company as a response to this notification is stored in the recurring DB 41 .

A prospective subscription contract company that receives a request for quotation for a subscription contract does not have to create a quotation in the conventional way. A subscription contract is, in a sense, an exclusive contract for the supply of equipment over a long period of time (1 to 5 years). Potential subscription partners will have to offer a price to win the deal. Since it is clear that if a contract cannot be obtained, orders from this region will be "zero" for many years, the company will appeal to the contractor (medical institution 4) to appeal the superiority of its products. Trying to win a contract by focusing on the content of the contract that includes various ideas that have merits other than the price. A subscription contract is a contract system that can be said to be a collection of ideas on the company side.

The conclusion of the subscription contract is made electronically by the recurring system 42 .
The recurring system 42 automatically selects a company that is advantageous for making a subscription contract from the subscription reply information on the recurring DB 41, automatically creates a digital contract with the selected company as the contract partner, and and the recurring system 42 process the binding by means of digital signatures.
The process of automatically creating a digital contract by the recurring system 42 uses a contract template. Information such as the contract price and payment terms are acquired and input into the contract template to create a digital contract.

It has a function to automatically process orders for equipment when the fastening is completed. The contracted company related to this contract, the contract amount, the contract date, and various information necessary for the contract are also stored as subscription information.
That is, various detailed information related to the subscription contract is stored in the recurring DB 41 as subscription information.

I will explain the subscription AI.
Subscription AI is artificial intelligence that uses machine learning techniques to select equipment that can be purchased through subscription and candidate companies for subscription contracts.
These selections are made using the method of association analysis in unsupervised learning using information saved as equipment expense information and information saved as subscription information.

Up to this point, the method of comprehensive contract and subscription contract used by the medical institution 4 when purchasing equipment has been explained. This method can be used not only for the purchase of fixtures, but also for the purchase of various facilities and equipment (facilities) shared by the medical institution 4 and nursing care institutions.

The joint use of various equipment by the medical institution 4 and the nursing care institution can be expected to reduce the equipment investment cost and the equipment cost in terms of management. When equipment is jointly used, the equipment information in the accounting operation DB 31 includes the product name, manufacturer, number of possessions, manager, date of purchase, and introduction price of the equipment owned by each medical institution 4 and nursing care institution. , scheduled calibration time, scheduled replacement time, users, borrowers, patients with reserved use, and other information related to the equipment are stored.
The facility/equipment system 32 in the platform-type medical institution 4 support system 1 uses various information stored in the facility/equipment information to manage the operation of various facilities/equipment shared by the medical institution 4 and nursing care institutions. It can be carried out.
The equipment operation management performed by the equipment/equipment system 32 includes managing the reservation status of each piece of equipment and accepting reservations for the equipment. This reservation accepts reservations not only from medical institutions 4 and nursing care facilities 6 that own the equipment, but also from other institutions sharing the equipment, and saves the received reservations in the equipment information.
The facility/equipment system 32 also has a function of searching for facilities, and can search for facilities/equipment to be used from the information in the facility/equipment information. can be done against
As a result, companies that use the medical economic zone 24 that conducts business within the virtual medical economic zone 24 can accelerate the collection of capital investment costs by lending equipment and equipment, and can be reduced.

As mentioned above, the method of comprehensive contracts and subscription contracts used by the medical institution 4 when purchasing equipment can also be used to purchase equipment, which can be done by using comprehensive selection AI and subscription AI. The method itself is the same as when purchasing fixtures, so the explanation is omitted.

As business is conducted in the medical institution 4, the nursing care facility 6, etc., waste is naturally generated. This waste includes not only general waste, but also biohazardous infectious waste such as needles, bodily fluid deposits, biological fragments, etc. There are also waste acids such as fixers. Such wastes other than general wastes are called specially controlled wastes, which cannot be treated by limited companies and require strict treatment. Therefore, there is a current situation that the disposal cost of the wastes discarded by the medical institution 4 or the like is high.
The system of the present disclosure includes a waste recovery system 33 that collects information on waste from medical institutions 4 and nursing care facilities 6 in the area and requests comprehensive treatment in the area.
The waste collection system 33 acquires waste information and equipment expense information stored in the accounting DB 31 from medical institutions 4 in the medical economic zone 24 by sharing them. Based on the acquired information, the amount of waste to be disposed of as specially controlled industrial waste among the items purchased as equipment is predicted from the consumption status of each equipment. The value calculated by totaling the predicted results is used as the volume discard amount for making a comprehensive contract for waste treatment. Based on this volume waste amount, a comprehensive waste treatment contract is made between the waste disposal company and medical institutions 4 in areas belonging to the medical economic zone 24, and individual contracts are made with the waste disposal company. It can be expected that waste can be treated more cheaply than when
The waste information stores information such as the type of waste, the waste disposal company such as the medical institution 4, the amount of waste, the waste disposal company, and the disposal cost. Further, the information on the waste disposal company and the waste disposal company is linked to the information on the medical institution 4, nursing care institution, and business operator in the company information 23 stored in the medical economic zone DB 21 .
When making a comprehensive contract, the waste collection system 33 automatically selects from the comprehensive information in the accounting work DB 31 from waste disposal companies that can conclude an advantageous comprehensive contract. In addition, settlement after disposal is performed using the medical institution settlement support system 102 .

The “system for sharing information of a plurality of medical institutions 4 ” described here allows a plurality of medical institutions 4 to share and use various systems in the virtual environment of the medical economic zone 24 . There are four companies called GAFA in the United States that provide similar sharing systems: Google (registered trademark), Amazon (registered trademark), Facebook (registered trademark), and Apple (registered trademark). )”. GAFA of the United States provides the system to companies, but there is an aspect that the data generated by companies using the system becomes the property of GAFA. From the common sense in Japan, we tend to think of data as corporate data (property of the company), but what is generated on the system is not the property of the company, and that is the business model of the cloud system. Japanese companies using this GAFA cloud system are companies that do not mind having their business data stolen, or are indifferent to the fact that the cloud is the owner of the data generated in their business. Companies use it, and once they use the cloud in the United States, they have to keep using the cloud for the rest of their lives because the generated data cannot be returned. . This is expected to become a problem for Japanese companies someday, and it makes sense to build a similar system in Japan in the sense that data will not be taken by GAFA, and medical data is personal information 22 From this aspect, it cannot be handed over to foreign companies.
In the present invention, a system in the medical economic zone 24 is used by multiple medical institutions 4 and companies, and data generated from the medical institutions 4 and companies is shared and used in the medical economic zone 24. The data can be used to create data through various processing methods, and the processed data can be used to generate profits from the system. The difference from GAFA is that the profits generated are returned to system costs, medical institutions 4, companies and users 3, and the business model of devising profitable systems and services and returning them from the pursuit of profits. . I think it is necessary for Japan to build a medical economic zone 24 that is in line with GAFA.
The "system for sharing information of multiple medical institutions 4" described here shares and uses data generated from multiple medical institutions 4 within the medical economic zone 24, thereby enabling the use of medicines that are directly related to conventional management. It is a system related to holding down costs related to capital investment, property taxes, and contracts for industrial waste disposal. It was devised in order to stabilize the management of the medical institution 4 and expand the service to patients. Even a relatively small medical institution 4 can become a virtual large medical institution 4 if multiple small medical institutions 4 are gathered in a virtual environment, and the scale of the medical institution is larger than that of a real large medical institution 4. 4 is done. Making the most of this advantage is Medical Economic Zone 24.
In the future, the hospital 4a will be redundant due to population decline. When the time comes when medical institutions 4 will compete for patients, the medical institutions 4 selected by patients will be medical institutions 4 that provide services to patients. We want the medical institution 4, which has neglected to provide services to patients, to provide services to patients. By using this medical economy zone 24, various services can be provided to patients. By using the services described in the other embodiments within the medical economic zone 24, there will be no expenditure from the medical institution 4, and the sustainability of medical management and the service to patients will be improved. The patient will choose the medical institution 4 that provides the service. We believe that the era of providing various medical services to patients will begin.

<Second embodiment>
It can be said that the improvement of incidental work of hospital management and medical care/examination in the medical institution 4 is one of the urgent tasks.
At present, in many medical institutions 4, it is said that "after visiting the hospital, you will be kept waiting in the waiting room for several hours, and you will be examined for several minutes." In particular, at a large medical institution 4, people wait early in the morning before the start of the reception, wait for the examination in the large waiting room before the examination, wait for the examination in the middle waiting room when their name is called, wait for a long bill after the examination, and wait for prescriptions at the dispensing pharmacy 4b. , It is becoming chronic that there is no consideration for patients against such "patients waiting".
As a result, many patients are waiting in the waiting room. Furthermore, even if an appointment is made for a medical examination at the hospital 4a, the patient is forced to wait together in the waiting room where many patients are waiting for medical examination. These are things that should be improved as part of incidental work of medical care and examination.
Furthermore, in a situation where infectious diseases are prevalent, patients do not go to the hospital 4a for fear of infection in the hospital. In particular, elderly patients stopped going to Hospital 4a for fear of infection in the hospital. Therefore, hospital management deteriorates due to the decrease in the number of patients. In the medical information system 9 of the present disclosure, in order to deal with infectious diseases for which there are no scientific preventive measures and no cures, the patient can go to the hospital 4a with peace of mind without fear of in-hospital infection by "diagnosis without waiting". It is also a way to improve hospital management.

First, the number of patients waiting to be examined in the waiting room of the hospital 4a is reduced, or the number of patients waiting to be examined is distributed to other places such as commercial facilities and restaurants around the hospital. As a method of dispersing to different times, I devised a method of making an appointment for a medical examination. Second, we devised a method to reduce the waiting time in the waiting room by using a system that allows patients to visit the hospital according to the examination time. With these two, it is expected that patients who have avoided coming to the hospital for fear of infection will reconsider their safety and come back to the hospital again. Therefore, even under a pandemic situation, the management of the hospital 4a is not affected. I would like to recommend "examination without waiting" at the medical institution 4 by this idea.

Conventionally, the medical institution 4 uses a reservation system 9d to schedule several patients for a certain period of time. The cause of this congestion is that the reservation system 9d is a system based on simple logic that does not take into account the waiting time between patients waiting to be examined.
If doctors 5a and managers of medical institutions 4 all over Japan take a closer look at patients and take more patient-focused medical care, the problem that "patients will not come to hospital 4a" pointed out in this case will be a harmful effect that they have caused themselves. It is necessary to reconsider that it is necessary to notice what is happening in Japan and take measures by oneself.
In order to solve the problem that the current reservation system 9d causes delays in waiting for medical examination, it is possible to eliminate the waiting time between patients by making a medical examination reservation based on logic that uses the patient's own medical examination required time.
To achieve this, a method is used in which, after predicting the time required for an appropriate medical examination for the patient himself, the next consultation appointment is made using the estimated time required for the examination, and the reserved patient arrives at the scheduled time. By implementing a method of starting the examination at the time reserved by the patient and ending the examination at the estimated time required for the examination, an environment can be constructed in which people do not stay in the waiting space, and "examination without waiting" can be performed.
However, the patient's examination required time required here is not described on the electronic medical record 9a, so it cannot be used for reservation. Therefore, it is necessary to estimate the time required for medical examination by using appropriate items from among various information recorded at the time of medical examination. The predicted visit duration can be used to schedule the next visit during the patient's visit duration. Prediction of the time required for medical examination uses artificial intelligence that uses information such as the medical condition and the medical examination time according to the medical condition.

Here, the artificial intelligence used for predicting the time required for examination will be explained. Artificial intelligence that uses neural networks in machine learning is used for predicting the time required for medical examination.
The information source information, which is the information source necessary for learning to produce the prediction result of the time required for medical examination, will be explained. The information source information is the following information that can be acquired from the electronic medical chart 9a used in the medical institution 4, and the acquired information is stored in the DB 51 of required consultation time. The information obtained from the electronic medical record 9a includes the patient name, age, gender, degree of illness at the first visit, corresponding site at the first visit, chronic disease name and disease name of multiple patients (disease name information), degree of disease name ( name of medical condition), the name of the doctor in charge, the time when the doctor 5a opened the patient's electronic medical record 9a when the patient visited the hospital, the time when the doctor 5a saved the patient's diagnosis and finished the patient's diagnosis, artificial intelligence using these information of machine learning shall be performed.
In order to calculate the required consultation time information, which is the required consultation time for each disease name information or medical condition name information, regardless of the doctor 5a, the time required for consultation, that is, the time required for consultation, is calculated from the "end time of consultation" to "start of consultation". When replacing the information on the electronic medical chart 9a with the information on the electronic medical chart 9a, the "time when the patient's electronic medical chart 9a was opened" was subtracted from the "time when the patient's diagnosis was saved and finished". It's time. The medical examination required time information is one of the information source information, and is stored in the medical examination required time DB 51 . In addition, when the time required for consultation by specifying the doctor 5a is calculated by the above method in addition to the disease name information or the information on the name of the medical condition, the time required for consultation by the doctor, which is one of the information source information, is stored in the required time for consultation DB 51. be.

The method of acquiring the information sources necessary for learning is as follows: the consultation time system 52 on the platform-type medical institution support system 1 extracts the age, gender, and time of first visit from the electronic medical records 9a used by the medical institutions 4 linked on the network. Degree of medical condition at hospital visit, corresponding site at first visit, chronic disease name and disease name of multiple patients, degree of medical condition of disease name, name of doctor in charge, time when doctor 5a at patient visit opened patient's electronic medical record 9a, that doctor 5a acquires information such as the time when the patient's diagnosis was saved and finished, and saves it as learning source information in the examination required time DB 51. FIG.

The learning method for obtaining the result of predicting the time required for medical examination performs learning using the information stored as learning source information in the required time for medical examination DB 51 and the calculated necessary time for medical examination as teacher data. As a result of learning, a model can be created that can predict the time required for medical examination for each medical condition or the time required for medical examination for each symptom. By inputting information such as the patient's medical condition and sex to be predicted into this model, it is possible to predict the time required for examination of patients with the same medical condition.
Prediction processing is performed by applying information other than doctor consultation time information such as age and sex of patients among learning source information such as consultation time required for a plurality of patients with the same medical condition to this model to the above correlation. The result of this prediction process is stored in the required consultation time DB 51 as information on the estimated time required for consultation.
In the above, information other than the required time for doctor's examination information, such as the patient's age and sex, among the learning source information is used. can also The result of the prediction process in this case is stored in the required consultation time DB 51 as information on the estimated time required for medical examination by a doctor.
The information on the estimated time required for medical examination or the information on the estimated time required for medical examination by a doctor is the result of predicting the time required for medical examination of the patient.

By learning in real time, the latest learning result can always be used to predict the consultation time. For example, if there is a discrepancy between the predicted time and the actual time required for a medical examination, the difference between the expected and current medical condition is acquired in real time, and self-learning improves the accuracy of the learning system. . In this case, the consultation time system 52 starts learning and updates the learning results when the patient's consultation ends. In addition, when the learning result can be reflected immediately, it can be used as a result of predicting the examination required time to be used for the next examination reservation at the time of the examination. By learning in real time, the latest learning results can always be used.
Real-time self-learning is used in an unmanned store called Amazon Go (trademark) operated by Amazon.com in the United States. It is a method such as "learning and reflecting in the system", and it shows that if additional information is given to artificial intelligence, it can immediately learn and reflect in the system. A feature of this real-time learning is that there is no intervening personnel for learning on the operator side.
The system of the present disclosure and the real-time self-learning of Amazon.com's system differ in the following two points.
In the Amazon.com system, the person who made the purchase, i.e., the user 3, works with a smartphone, and the work is performed as learning to artificial intelligence. On the other hand, in the case of the system of the present disclosure, at the time of appointment at the medical institution 4, i.e., the examination time system 52 on the side of the business operator that operates the artificial intelligence automatically performs calculation processing, thereby learning the artificial intelligence.
In addition, Amazon.com's system only aims to improve the accuracy of image recognition to prevent mistakes due to recognition. On the other hand, the system of the present disclosure aims at improving the accuracy of the time required for examination.

The learning method for predicting the duration of the consultation can be used when the patient is new. If the patient is a new outpatient (new outpatient), among the learning source information in the consultation required time DB 51, the patient who has visited the hospital for the first time in the past has information on the symptoms and the parts where the symptoms appear on the questionnaire. Information such as the patient's age and gender, the time required for the initial consultation, and training data are used for learning. As a result of learning, it is possible to create a model capable of predicting symptoms and the time required for medical examination for each site where symptoms appear.
If it is applicable to patients who have not made an appointment, such as new outpatients for the first time, use the data of the medical questionnaire on the disclosed system. This questionnaire assumes a method in which the patient selects symptoms from a pull-down format according to the symptoms, a method in which the patient selects the applicable symptom from the pre-written symptom selection items, and a method in which the symptoms are entered freely. but not limited to these. In addition, the input to this medical questionnaire is performed by a method of inputting on a WEB site such as a portal site for the patient to make a new appointment for medical examination, an application installed on a mobile terminal, or by calling the medical institution 4. It is done by the method that the person 5 listens and inputs into this system. An example of a portal site is the technology disclosed in FIG. 10 of Japanese Patent No. 6558669 devised by the applicant.
By inputting the questionnaire data obtained by the above method into a model that can predict the time required for medical examination, the time required for medical examination is predicted.

FIG. 8 shows the database configuration of the second embodiment.

An example of a method of predicting the time required for a consultation and making an appointment for a first-time patient complaining of abdominal pain will be shown.
The first-visit patient entered information such as age and gender, and information about pain in the entire abdomen in a questionnaire on the disclosed system. Based on the input information, the system of the present disclosure acquires information on a plurality of patients who have visited the hospital in the past complaining of pain in the entire abdomen from the learning source information in the DB 51 of examination time required. Based on the acquired information, artificial intelligence was used to predict the time required for consultation, and the time required for consultation was estimated to be 10 minutes.

In addition, the learning method for predicting the time required for consultation can be used to predict the time required for consultation for patients such as chronic patients who regularly visit a doctor.

A diabetic patient is shown as an example of a method of predicting a patient who regularly visits a clinic, such as a chronic patient.
There is data for 10 diabetic patients with similar medical conditions, and two doctors 5a examine the 10 patients. Ten persons are examined by either or both of Doctor A 5a and Doctor B 5a. The times and doctors 5a in charge of the last four consultations of the 10 patients were the times and doctors 5a shown in FIG.
When machine learning is performed using the information shown in FIG. 9, it is learned that the younger the age, the shorter the consultation time for the male among the males and females, and the doctor A 5a as the attending physician.
Suppose there is a 54-year-old woman with the same medical condition as the illustrated medical condition. When Doctor B 5a examines this woman next time, artificial intelligence predicts that the next consultation time will be 10 minutes using the learning result.

If there is no change in the patient's condition and the patient is examined by the same doctor 5a at the same hospital 4a, or if there is no patient data because there is no patient with the same disease name and almost the same condition in the information of the electronic medical record 9a, the patient's own examination is performed. You may use only the time required for medical examination in the past as time which estimated the average time of the medical examination necessary time when it was performed.
The reason for using the average time for medical examinations by the same doctor 5a at the same hospital 4a without any change in medical condition is that using the average of the time required for medical examinations in the past is as accurate as or better than using artificial intelligence. This is because there is no need to use artificial intelligence because the time required for medical examination is required.
The reason for using the average time when there is no patient with the same disease name and almost the same medical condition in the information of the electronic medical record 9a is that the information necessary for AI to learn does not exist in the learning source information. This is because it is not possible to make predictions using

By combining the time required for medical examination when the patient himself/herself is examined with the time required for medical examination of the patient with the same medical condition or the same symptom obtained from the electronic medical record 9a, the accuracy of the prediction result of the time required for medical examination can be improved. I can expect it. Further, the time required for medical examination may be predicted using only the time required for medical examination when the patient himself/herself is examined without using the time required for medical examination of a patient with the same symptoms.

When making an appointment for the next consultation for a new outpatient who is visiting the hospital for the first time or for an existing patient who has already been treated at the hospital 4a, the medical institution 4 makes a reservation using the information on the estimated examination required time predicted by the medical institution support system 1. be able to. If the patient changes the reservation due to the completion of the reservation, there will be a vacant examination time corresponding to the time required for the examination of the reserved patient whose reservation was changed or canceled on the day. This idle time has a negative impact on medical management. For this reason, the following method will be described as a process for eliminating reservation changes and cancellations that result in vacant time. This is a method of making a reservation by merging the patient's schedule at the time of making a medical appointment. At this time, if the patient has entered and saved patient schedule information in the personal information 22 in the medical economic zone DB 21 on the medical institution support system 1, candidate dates and times for visiting the hospital taking into account the schedule. are displayed on the terminal of the hospital 4a having a reservation function of the time when the medical examination can be performed at the hospital 4a or the terminal of the patient, among the calculated candidates, and the reservation is made in accordance with the desired date and time of the patient. Information reserved by the patient is registered in the reservation DB 61 as reservation information. By making an appointment using the prediction of the examination time, the examination can be performed efficiently. In the above description, it is assumed that the patient has entered the patient schedule information into the medical economic zone DB 21 on the medical institution support system 1. However, it is possible to acquire the patient's schedule as patient schedule information from an external schedule management system and use it. may

The actual appointment to be made at the medical institution 4 is obtained by combining the predicted examination required time information, the patient schedule information, the result of merging these two pieces of information, and the appointment status information, which is the appointment availability (appointment status) of the hospital 4a. A process is performed to display candidate dates and times that can be reserved together on the terminal, and the date and time selected by the patient from the displayed consultation start time, the patient's estimated required consultation time information, and the consultation end time are displayed. This is performed by being recorded and saved in the reservation DB 61 as the patient's reservation information. By providing the patient's schedule information, the estimated required consultation time, and the next consultation appointment, it can be expected that the patient will not change the appointment after the date of the appointment. Acquisition of reservation status information is performed by acquiring the reservation status from the reservation system 9d in the medical information system 9 used by the medical institution 4, or by acquiring the reservation status from the reservation DB 61 in the medical information sharing database 2. .
The purpose of making an examination appointment according to the convenience of the patient at the time of appointment is to eliminate the possibility of the patient changing or canceling the appointment after the appointment is completed, so that the examination can be performed as scheduled. This is done to eliminate the blank time.

Here, an operation example of medical examination reservation using the prediction of the time required for medical examination will be described.
Doctor A 5a has an appointment to examine three patients in one hour from 9:00, and the required time for each patient is 10 minutes for Mr. C, 15 minutes for Mr. D, and 20 minutes for Mr. E. In addition, spare time (time for cleaning up the examination of the previous patient and preparing for the next examination) is provided between each patient.
10 minutes from 9:00 to 9:10 is a 5-minute spare time for Mr. C's examination time. The 20 minutes of 55 is an example of operation in the medical examination reservation management system 62 of the present invention, which is the spare time of Mr. E's medical examination time of 5 minutes.

In the case of a chronic patient, the consultation time is estimated using the past consultation times by the primary care doctor, so that the doctor 5a who examines the patient is given sufficient consultation time. Since sufficient examination time is given, the hospital 4a can perform examinations according to the schedule of the day. is afraid of infection and no longer avoids hospital 4a,
If you go to the hospital 4a, you will be able to receive a "medical examination without waiting", which will be a new type of medical examination, which will lead to stabilization of management.

In the above description, it is described that when making an appointment for medical examination at the medical institution 4, the appointment can be made in consideration of patient schedule information. If the patient schedule information is taken into account when making a reservation, the date and time of the next consultation appointment, etc., will be stored in the personal information 22 in the medical economic zone DB 21 on the medical institution support system 1, or the patient schedule information in an external schedule management system. can be added to. This postscript may be added on the portal site of the medical economic zone 24 . An example of a portal site is the technology disclosed in FIG. 10 of Japanese Patent No. 6558669 devised by the applicant. Patients' schedules can be viewed and appointments can be changed on the portal site.

Conventionally, the medical institution 4 accepts reservations for multiple people per hour. The number of patients waiting to be examined increased, and the waiting room was closed.
The devised system will make an appointment according to the time required for the examination. This means that the patient is examined according to the schedule of the reserved examination time, and by deriving the correct required consultation time, the patient can be examined according to the schedule without making the patient wait. However, if the patient does not come to the hospital according to the appointment time, there remains the problem that the examination cannot be performed according to the schedule even if the examination time is predicted with high accuracy or even if the prediction accuracy of the examination time is improved.

In order to have the patient come to the hospital by the appointment time, it is necessary to encourage the patient to come to the hospital at the appointment time by notifying the patient that it is the time to come to the hospital without forgetting it, which is realized by the system of the present disclosure. can. In addition, if the hospital 4a can obtain information such as whether the patient will arrive by the appointment time, how much time the patient will be late if the patient is late, and whether or not the patient will come to the hospital in the first place, the operation of the hospital 4a will be smoother. can do
Therefore, it is sufficient to know when the patient will start moving out of the house in time for the appointment time at the medical institution 4 . The travel start time is determined by the route from the patient's residence address to the hospital address, the travel distance on that route, the travel time required by the hospital visit method (travel method), and the arrival time (medical institution 4 appointment appointment time). This can be found by calculating the time to leave the hospital (starting time of hospital visit). A method for calculating each of them is shown below.
In order to obtain the patient's residence address, the medical institution support system 1 performs processing to acquire the patient's address from the electronic medical record 9a, the medical information system 9, etc., which are linked via a network. In addition, acquisition of consultation appointment time can be obtained from consultation appointment information stored in the reservation DB 61 in the medical economic zone DB 21 .
By using the acquired information and an external system, it is possible to know at the same time the patient's departure time from home (start of hospital visit), travel route, and required travel time.
The external system is, for example, a drive navigation function system, an Internet service such as Google Maps (trademark), or the like. This external system is a service that provides the optimal route by travel method, the required time by travel method, the arrival time by travel method, and the departure time that matches the arrival time, if the departure and arrival places are known. FIG. 10 shows an example of moving route calculation.
The medical institution support system 1 provides the external system with the departure place (patient residence address acquired by the patient residence acquisition unit), the arrival place (hospital address), and the arrival time (consultation appointment time) from the medical economic zone DB 21. By performing the processing, it is possible to acquire from the external system the travel time required for each travel method (walking, vehicle, etc.) and the hospital visit start time (the patient's departure time from home).
The medical institution support system 1 informs the patient that it is time to leave the house (predicted hospital visit start time) a little before the hospital visit start time acquired from the outside or a smart speaker, mobile terminal, or other device owned by the patient. Perform processing to automatically notify the terminal. The smart speaker referred to here indicates the electronic device 73 or the like described in the third embodiment.
The patient responds to this notification using a terminal or the like owned by the patient, and when receiving processing is performed that the medical institution support system 1 of the hospital 4a has responded, the hospital 4a determines that the patient is coming to the hospital, At that stage, provisional pre-examination acceptance processing is performed.
Further, the medical institution support system 1 has a function of notifying the patient of the predicted hospital visit start time, and a function of acquiring the patient's current location (positional information) from the patient's terminal. Prepared as an information acquisition unit. This patient current location information acquisition unit performs a process of acquiring information on the patient's current value at the predicted hospital visit start time, and if the acquired current value is away from the patient's place of residence and in the direction of the hospital 4a, A process of judging that the patient has already moved to the hospital 4a is performed, a process of provisionally receiving a pre-examination without notification is performed, and a process of receiving a medical examination is performed. The patient's current location is acquired using GPS or mobile communication network radio waves, wifi radio waves, network IP address information, and the like. Obtaining location information using such information is commonly known as Geolocation API, and is used in various places such as private services and programs.
In the above description, the position is set at the predicted hospital visit start time, but it may be the time between the predicted hospital visit start time and the examination appointment time. Furthermore, a 360° circular zone is provided at a constant distance (radius) from the hospital 4a, and if there is a patient on the hospital 4a side of the zone, provisional pre-examination acceptance processing is performed. For example, a plurality of zones may be set such as within 1 km of zone 1 30 minutes before the reserved time and within 250 m of zone 2 10 minutes before the reserved time. In addition, the medical institution support system 1 may have a function of displaying which zone the patient is in on a terminal installed in the hospital 4a. Processes display using an external map system. For example, there is a device for predicting the arrival time based on the location information, such as the special table 2019-521432. The obvious difference between this idea and the idea of the present disclosure is the difference between the method of predicting according to the patient's movement and the method of calculating the departure time by calculating backward from the fixed arrival time. An example of zones is shown in FIG.
When a patient who has undergone a provisional pre-examination reception visits the hospital, the image information of the camera installed in the medical institution 4, the fingerprint information that can be acquired by the fingerprint sensor, and the face photo data that is stored in the medical institution support system 1 in advance. Biometric authentication using biometric information such as , fingerprint data, etc., and patient identification information linked from the management number that is presented to the receptionist and the patient identification card is used to identify the patient. There may be a function to convert the reception into a formal examination reception.
In the explanation, it is read as a formal acceptance of medical examination after arriving at the hospital 4a, but it may be regarded as a formal acceptance of medical examination at the time of provisional preliminary reception of medical examination in the explanation.
When a provisional pre-examination acceptance or a formal consultation acceptance process is performed, processing is performed to notify the patient's terminal that the acceptance has been performed. In that case, it may have a function of displaying the estimated time of arrival at the hospital 4a on a terminal installed in the hospital 4a.

Conventionally, in medical institutions, medical examinations have been performed in the order in which patients visited the hospital and received medical examinations (the order in which medical examinations were received at each appointment time). In the case of the present disclosure, provisional pre-examination acceptance and formal consultation acceptance are performed at the stage of going to the hospital 4a or when staying within a certain distance from the hospital 4a. Therefore, the culture of the new hospital 4a is to secure the patient's own examination time slot and then visit the hospital according to that time, instead of the conventional reception of "examination in order of arrival and examination reception". Become. In addition, as shown in the operation example of medical appointment reservation, the patients to be examined are determined for each hour. Therefore, regardless of the order of reception, examinations will be performed in the order that matches the reservation time. The traditional culture of going early in the morning, waiting in line for the reception, and then waiting for a long time to see a doctor is a burden on the elderly and those suffering from illness. It became chronic that I did not think about things other than medical care from the patient's point of view. The idea of the present invention is to stay close to the patient, that is, to reserve a table and time to sit and eat in advance, just like a general reservation at a restaurant.

Acquisition of the route and required time in the above description is performed without using elements other than the distance. The external information acquisition unit on the medical information system 9 may process the prediction of the route and the required time in consideration of weather information, road conditions, and outside temperature acquired from an external network such as the Internet. This prediction is performed using techniques generally used for ``searching for routes with many roofs'' and ``searching for routes that do not get wet in the rain.'' Furthermore, the patient's condition information and usual means of transportation are acquired from an information system such as an electronic medical chart 9a in which patient information is recorded and the patient's condition information and usual means of transportation are recorded, and the route and required A time prediction process may be performed. This prediction is performed using the technology generally used for "searching for routes with few steps" and "searching for barrier-free routes". In the medical economic zone DB 21 in which patient information is recorded, the patient's condition and the means of transportation of the patient are also stored.
The result of predicting the route and the required time may have a function of notifying the medical institution support system 1 of the hospital 4a and the terminal owned by the patient, and the route, required time and estimated arrival time to the hospital 4a is notified, and processing is performed to notify the patient of the time required for movement. By the process of notifying the medical institution support system 1 of the hospital 4a of the estimated arrival time and other predicted results, the hospital 4a can know how many minutes will be delayed from the predicted result of the estimated arrival time, and can examine another patient. can do By sending the prediction result to the patient, it is possible to grasp how many minutes the patient will be late. The patient is sent the required time to move to the hospital 4a, and when it is found that he/she will not be able to make the appointment, the patient takes action such as changing the means of transportation to meet the appointment. can also For example, if a patient who is walking to the hospital 4a is found to be unable to meet the reservation time from the required time, he or she can take a bus or a taxi to go to the hospital 4a.
Also, when the patient is late for the examination, the history is stored in the tardiness information on the medical economic zone DB 21 . In this case, we will also include possible factors for lateness, including whether it is due to the patient, such as the delay between when we are told it is time to leave and when we actually leave the house, or whether it is due to external factors. Perform processing to save in lateness information.
For a patient who often misses the consultation time due to the patient's own reasons or the patient's medical condition, processing such as notifying the visit start time earlier than usual may be performed.
The patient's condition indicates that he or she can walk normally, that he or she can walk with a cane or a silver car, that he can move around in a senior car, or that he needs assistance because he is in a wheelchair. The usual means of transportation indicates whether the patient usually visits the hospital on foot, by car such as a private car or a taxi, or by public transportation such as a bus.
For example, the patient currently lives 1 km away from the hospital 4a and can walk with a cane. I usually go to the hospital on foot. It is predicted that it will normally take about 17 minutes to reach the hospital 4a. However, the weather information obtained from an external network such as the Internet indicated that it was raining, so the system of the present disclosure determined that it would take longer than usual to visit the hospital. In addition, information that a traffic accident has occurred on the assumed route has also been obtained from an external network such as the Internet, and the system of the present disclosure has determined that there will be a further delay due to the detour around the accident site. The medical institution support system 1 predicted the route the patient would take from the two pieces of information, rain and traffic accident, and as a result, the prediction process required 27 minutes, which is 10 minutes longer than usual. This result is notified to the patient and the hospital 4a.

By "predicting the time required for examination and making an examination appointment based on the patient's schedule" and "automatic reception using location information" shown in this embodiment, the patient does not have to wait for a long time in the waiting room for a "diagnosis without waiting". be able to. In addition, since the appointment is made in consideration of the patient's schedule, the medical institution 4 does not have to change or cancel the appointment due to the convenience of the patient, and can perform medical examinations efficiently.

As an extension of the automatic reception of the present disclosure, in cooperation with commercial facilities and restaurants around the medical institution 4, it is also possible to guide the patient to the commercial facilities and restaurants around the medical institution 4 and have them wait for a medical examination. This is also one of the ways to prevent crowding in the waiting room. For example, when notifying the medical institution 4 of the completion of automatic reception, a process of distributing coupons that can be used at commercial facilities and restaurants around the medical institution 4 valid only before the examination appointment time is performed. The patient uses the coupon to wait for the examination. When a patient uses a coupon to wait for an examination at a commercial facility or restaurant near Medical Institution 4, a little before the appointment time, the patient should be notified that it is the appointment time. It is also possible to prevent the patient from being late for the appointment time by providing a service such as "notify the terminal to be notified".
It is also expected that the number of users 3 (patients) in the commercial facilities and restaurants around the medical institution 4 will increase by having the commercial facilities and restaurants around the medical institution 4 wait for medical examinations.

So far, we have explained the business model of ``predicting the time required for medical examination and considering the patient's schedule'' and ``automatic reception using location information''. The medical institution 4 can also predict sales by using the information of "examination appointments made".
The reservation sales calculation system 63 on the platform-type medical institution support system 1 acquires from the medical information DB 53 the medical fee point information for medical examinations performed by the reserved patients at the time of reservation for one day from the reservation status information. This appointment status information is the appointment status stored in the appointment DB 61 in the medical information sharing database 2 or the appointment status obtained from the consultation appointment management system 62 in the medical information system 9 used by the medical institution 4. ing.
By summing up the acquired medical fee points for one day, it is possible to grasp the sales situation for one day for reserved patients.

In order to realize the "diagnosis without waiting" explained here, we will invest in system development at medical institution 4, such as "a system that predicts the time required for examination and makes an appointment" and "a system that allows patients to go to the hospital at the appointment time". Even if we do, we think that we cannot recover the investment amount from the patient's consultation fee. Therefore, by sharing the platform system with many medical institutions 4 in the medical economic zone 24, the expenditure of each medical institution 4 is reduced, and not only one medical institution 4 but also the medical economic zone 24 The expenditure of all medical institutions 4 that use the is reduced. Furthermore, by using the services described in other embodiments within the medical economic zone 24, expenditures from the medical institution 4 will be eliminated, and medical management will be sustained and services for patients will be improved. Patients no longer choose medical institutions 4 that do not use this system, and this is presumed to be an effect of staying close to patients. We believe that the era of various medical services for patients will begin.

A business that provides services that use the services described in the present embodiment, such as "reservation for consultation based on prediction of time required for consultation and consideration of patient's schedule", "prediction of sales using reservation status information", and "automatic reception using location information". The model makes it possible to improve the management of the medical institution 4 that is close to patients.

<Third Embodiment>
Hospital management has traditionally been medical management dependent on the number of patients. The more patients, the higher the profit. It would be nice to have a lot of patients (i.e. chronically ill) who come to the hospital every time. However, at the time of filing of the application of the present invention, due to the global spread of infectious diseases, patients were fearful of being infected at the hospital 4a and stopped coming to the hospital 4a, which affected the hospital management. Hospital 4a is not limited to efforts to increase the number of visitors by taking safety measures so that patients can come to the hospital with peace of mind. It is necessary to run a business. In various aspects, such as curing illness, increasing the number of patients who are not sick, taking care of them before they get sick, providing safe living support for the sick, and providing longevity support for longevity. of new businesses, which will enable sustainable medical management.

Recently, the number of medical institutions 4 that incorporate telemedicine into their medical examinations has increased. Telemedicine is just a remote remote 1:1 face-to-face examination in the conventional examination room, and the number of patients will increase visibly, unlike the conventional style of waiting for patients to come to the hospital. This is an aspect that does not lead to management improvement. In addition, the operation of the equipment used for telemedicine is difficult for the elderly and some patients with illnesses, and is limited to patients who can operate it. Therefore, although remote medical care is safe from infection, it does not improve the business condition in terms of medical management, and is an IT tool that only improves convenience in medical work for the doctor 5a. In order to improve medical management, rather than increasing the number of patients who need treatment, it is desirable for society to focus on patients who do not need treatment and to increase the number of pre-disease patients (pre-disease patients). I think it is.

The present disclosure uses the electronic device 73 installed at the home of the user 3 to provide various services for supporting the lives of healthy elderly people and sick people, including contributing to the health management of the user 3 and the formation of a non-disease society. Then, the conversation with the user 3 is "virtual dialogue or conversation" using a scenario (script) conceived for the user 3 by doctors 5a and nurses 5b working at the medical institution 4, It is devised that various data can be acquired from dialogues or conversations, the acquired data can be analyzed, and services such as social support, life support, health support, and medical care support can be developed. This has changed from a business targeting patients suffering from illness to those who are not sick, those who are conscious of their health, those who are worried about future illness and life, and those who do not want to get sick. We will improve the sustainable management of medical institutions 4 by expanding the market target from patients to a wide range of users 3, such as those who are highly conscious of health and those who want to end their lives satisfactorily. Needless to say. As with telemedicine, it is possible to have a conversation remotely, but it can be applied to various services because the target conversation partner is expanding beyond just sick people. The difference from telemedicine is that in telemedicine, the time between the patient and the medical institution 4 or the doctor 5a is synchronized and face each other, whereas the present invention allows the user 3 and the medical institution 4 or the doctor 5a to face each other. The difference is that they do not match each other's time and conduct an asynchronous conversation. Furthermore, the difference from telemedicine is that the doctor 5a and the patient are face-to-face on the screen by 1:1, whereas the present invention is 1:N between the doctor 5a and the user 3 to acquire from the user 3 The difference is that health checkups are performed using various data obtained from These two points are the biggest differences from telemedicine.
In addition, even if the user 3 does not come to the hospital 4a, since the daily data of the user 3 is stored, it is a new business model for hospital management to support the user 3 by looking at the data. In other words, it is a platform that allows not only the medical institution 4 but also local governments and various business entities to develop and participate in various businesses targeting the user 3 . This platform business conducts a conversation with a remote user 3, collects and stores information from the conversation, and uses various information that can be collected from daily life to provide medical examinations and various support services for the user 3. Also, by analyzing the information of all the users 3 and obtaining statistics from the data, it is possible to develop new services and businesses that make use of the data, and to easily enter the market.

To briefly explain the smart speakers already in use on the market, the electronic device 73 installed in the home of User 3 has a function of recognizing User 3's voice and a function of conversing with User 3 in natural language. and the AI system prepared on the external network by the business operator, and the function to search and acquire information on the external network. The electronic device 73 having such a function is generally called a smart speaker, and Amazon Echo (registered trademark), Google Home (registered trademark), HomePod (registered trademark), ClovaWAVE (registered trademark), etc. are generally known. If the electronic device 73 has a similar function, its name is not limited to smart speaker, but may be called home speaker, AI speaker, or the like. The electronic devices 73 also include car navigation systems that can or are equipped with AI, such as Android Automotive (trademark) and Apple CarPlay (registered trademark), and car navigation systems that can use AI by linking with mobile terminals. be In the present disclosure, the operator system refers to a system on an external network that is used to operate electronic devices 73 generally called smart speakers such as Amazon Echo (registered trademark) and Google Home (registered trademark).
Furthermore, as an electronic device 73 already in use on the market, there is an electronic device 73 called a smart device.
Briefly describe smart devices. A smart device is attached directly to the body of the user 3, and has a function of measuring physical conditions such as weight, body temperature, blood pressure, heart rate, blood sugar, blood oxygen concentration, etc., and can be connected to a network.
Among the businesses that sell these smart devices, there are businesses that deploy AI systems on external networks. This involves accumulating data measured from the body by a smart device in a server installed on an external network, viewing the measured data accumulated in the AI system using the terminal of User 3, and evaluating the measured data by the AI system. Some operators can see
As an example of a smart device, there is a wearable device that can be worn on the body in a shape such as clothes or a wristwatch.
In this invention, we have devised things that cannot be done with the functions of smart speakers and smart devices, and have gone one step further.

In the present invention, in addition to the electronic device 73 generally called a smart speaker and the system of its operator, by connecting the electronic device utilization system 72 installed in the platform type medical institution support system 1 on the network, the following basic It is a device that realizes a function. The basic functions that can be realized are "(1) a function to collect conversational information from a conversation with the user 3", "(2) a function to analyze the state of the user 3 from the collected conversational information", and "(3 ) A function to create a conversation script 92 for analyzing the state of the user 3”, “(4) A function to give advice to the user 3 using the analyzed information”, “(5) Collected conversation and the function of sharing the information with the medical institution 4”.

Here, FIG. 12 shows an overall view of the electronic device 73 and the electronic device utilization system 72 of the present disclosure. The electronic device 73 is installed in the user's home and connected to the electronic device utilization system 72 on the platform-type medical institution support system 1 on the network using a network such as the Internet. In addition, the electronic device 73 and the electronic device utilization system 72 are also connected to business operator systems and institutions belonging to the medical economic zone 24 via networks. Furthermore, the electronic device 73 is connected to domestic devices such as a telephone, an interphone, and a television receiver. Some electronic devices 73 are connected to home devices using a home network such as a wireless LAN or a wired LAN.

The above five basic functions are realized by using the information in the medical information sharing database 2 on the electronic equipment utilization system 72 . We will focus on the database that stores the information retrieved from the conversation. This invention is an information-driven business that acquires various information from conversations with User 3 and provides services to User 3 by using various processes based on the various information.
In the platform-type medical institution support system 1, a medical information sharing database 2 is configured as one large database composed of a plurality of various databases. One of the multiple databases in this one large medical information sharing database 2 is a "user voice DB 71". This "user voice DB 71" stores information acquired from the conversation between the user 3 and the smart speaker, and serves as a basic database for providing services using this information.
One large database composed of multiple various databases, the medical information sharing database 2, which is a so-called big database, is used to conduct business in the medical economic zone 24, "people, medical institutions 4, companies, businesses The personal information 22 of this user 3 is managed in a medical economy zone database (hereinafter referred to as a medical economy zone DB 21).
This medical economic zone DB 21 is a core database linked with a plurality of databases in the medical information sharing database 2 .
Furthermore, there is a "user voice DB 71" linked with the personal information 22 stored in the medical economic zone DB 21. Various information obtained from the electronic device 73 is stored in the user voice DB 71 as the information of the user 3 .
The electronic device utilization system 72 has a function of storing various information acquired from the electronic device 73 in the user voice DB 71 .

The user voice DB 71 in the medical information sharing database 2 of the present disclosure stores conversation medical condition information, conversation life information, behavior assistance information, and conversation outing information.
Conversational medical condition information is conversation information obtained by extracting keywords related to medical conditions from the content of the conversation between the user 3 and the smart speaker. Conversation life information is conversation information obtained by extracting keywords related to living conditions from the content of the conversation between the user 3 and the smart speaker.
The action assistance information is information on action contents to be performed by the user 3 by analyzing the situation of the user 3 from the keywords relating to the medical condition or the keywords relating to the living situation.
The out-of-conversation information includes information about where the user 3 went out, how long it takes to go to the place, how to travel there, the purpose and content of the outing, people he met on the way out, and conversations he remembered with acquaintances on the way out. Contents, details of eating out on the go, various information remembered about the time of going out.
The medical information sharing database 2, which is big data, the medical economic zone DB 21, which is its core database, and the user voice DB 71 linked therewith have been explained. Furthermore, various information in the user voice DB 71 has also been explained.

FIG. 13 shows the database configuration of the third embodiment.

Now let's go back to the five basic functions. From here, we will explain the five basic functions one by one.

A first basic function is a function of collecting conversational information through a conversation with the user 3 . This is to derive the desired answer from the user 3 by rallying the conversation between the electronic device 73 and the user 3 multiple times. The electronic device 73 also extracts voice information of the conversation that serves as a necessary answer from the conversation, and accumulates it in the user voice DB 71 in the medical information shared database 2 as conversation medical condition information or conversation life information.
In the case of the electronic device 73, which is generally called a smart speaker, it is a conversation to answer a question from the user 3, that is, a simple conversation with one return, and the content of the conversation is saved as it is.

As a method of recognizing words from voice, the technology described in Japanese Patent No. 6733891 is generally known as an existing technology.

The electronic device 73 can have a conversation with the user 3 by the electronic device 73 utilization system 72 of the platform type medical institution support system 1, and the electronic device 73 installed at the home of the user 3 and the user 3 can have a conversation by multiple returns. extract only the gist of the conversation, that is, the information of the desired answer part, and store it in the user voice DB 71 on the system on the network (medical information sharing database 2 of the electronic equipment utilization system 72 on the platform type medical institution support system 1) It has the function of accumulating information.
Conversation medical condition information and conversation life information are stored on the user voice DB 71 .
Conversational medical condition information stores and accumulates information on conversations about medical conditions, extracted from conversations with the user 3 to find out the disease conditions and disease conditions.
Conversation life information stores and accumulates information on conversations about life extracted from the conversations with the user 3 in order to know the living conditions and living conditions.
The disease status and disease state include the results of measurements taken by the user 3 such as body temperature and blood pressure, physical condition information such as headache, and information on symptoms such as coughing, sputum, and injuries. Information about a condition or condition, measurement, etc., related to symptoms, etc.
The living conditions and living conditions refer to information related to living conditions or situations, such as sleep time, meal content and amount eaten, exercise content, outing content, daily events, and anxiety.
A conventional electronic device 73, which is generally called a smart speaker, stores the content of the conversation as it is. However, in the electronic device 73 of the present disclosure, there is a clear difference that the electronic device utilization system 72 saves the information extracted from the conversation.
FIG. 14 shows the difference between the conventional home speaker and the proposed electronic device.

The second basic function is to analyze the state of the user 3 from the collected conversation information. This is saved and accumulated in the user voice DB 71 on the system connected to the electronic device 73 of the present disclosure (medical information sharing database 2 of the electronic device utilization system 72 on the platform type medical institution support system 1). It is a function to analyze the situation of the user 3 or the state of the user 3 by using the conversation information obtained and the status of the conversation information related to life saved and accumulated in the conversation life information. This function is provided using a program on the electronic device utilization system 72 .
The analysis function is a function that analyzes all sorts of things such as the physical condition, hobbies and tastes, and behavior patterns of the user 3 based on conversational medical condition information and conversational life information acquired in conversations with the user 3. ing. The analysis performed by the electronic device utilization system 72 is performed using machine learning using conversational medical condition information and conversational life information as teacher data. This machine learning finds correlated information from the information stored in the conversational medical condition information and the conversational life information, and calculates (analyzes) the situation of the user 3 or the state of the user 3 from the correlation. At this time, in addition to correlated information, information that is generally considered to have a causal relationship may be used to calculate (analyze) the situation of the user 3 or the state of the user 3 .
Some examples of analysis using conversational medical condition information and conversational life information are shown.
Example 1 "Analysis using blood pressure data, event content, and exercise content"
Assume that blood pressure data for the past one week has been acquired as conversational medical condition information, and details of diet and exercise for the past one week have been acquired as conversational lifestyle information. Out of the blood pressure over the past week, only one day had high blood pressure, and on the day before the blood pressure was high, the patient ate a higher-salt diet than usual and did not exercise outside of daily activities. In general, it is believed that there is a correlation between the amount of salt in the diet and the content of exercise and blood pressure, and that a high-salt diet and lack of exercise increase blood pressure. Based on this, the AI program on the electronic device utilization system 72 performed analysis calculation processing that the cause of the high blood pressure was diet and lack of exercise. This example can be done without artificial intelligence because it is a simple example.
Example 2 "Prediction of illness from lifestyle patterns and symptoms"
As conversational medical condition information, information that wounds healed slowly three days ago and information that fatigue remained two days ago, and as conversational life information, the content of meals and exercise for the past week and the recent feeling of being thirsty. Assume that you have acquired information and Meals for the past week were meals containing a lot of sugars such as carbohydrates. No exercise other than activities of daily living was performed. The combination of these pieces of information generally leads to suspicion of diabetes. For this reason, the AI program presumes that User 3 may have diabetes, and at the same time, the AI program on the electronic device utilization system 72 believes that due to diabetes, the wound heals slowly and symptoms such as fatigue appear. Calculation processing for analysis was performed.
Machine-learned artificial intelligence will combine multiple pieces of information stored in conversational medical condition information and conversational life information, and by correlating them, let's perform analyzes related to patients that have not surfaced until now. In the case of Example 1 above, the correlation between blood pressure, salt content, and exercise amount is used, and in the case of Example 2, the correlation between carbohydrate intake and exercise is used.

The third basic function is the function of creating a conversation script 92 for analyzing the state of the user 3 . This is to create a conversation script 92 for obtaining the information necessary for analyzing the state of the user 3 from conversations with the user 3 using a script creation program on the electronic device utilization system 72. . Using the script created by this script creating program, the electronic device 73 processes the conversation with the user 3 and extracts the main point from the content of the conversation. If the content of the conversation is a conversation about life, it is stored in the conversational life information in the user's voice DB 71 in the conversational medical condition information in the user's voice DB 71 .
This script creation program is a program for creating a conversation scenario in text sentences for eliciting the desired answer from the user 3 . When the contents to be obtained, that is, the contents to be heard are input to this program, a question is created that can obtain an answer to the contents to be obtained by conversation. In addition, this program estimates some assumed answers to the created questions, and creates the contents of the question conversation by developing the conversation according to the estimated answers.
The conversation script 92 includes a medical condition conversation script 92 and a daily life conversation script 92 . The purpose of the medical condition conversation script 92 is to acquire keyword information related to disease, which is information about keywords that are used to obtain a desired answer related to the medical condition of the user 3 or the medical condition of the user 3, and to store the information in conversation medical condition information. It is a conversation script 92 that has been written. The purpose of the life conversation script 92 is to acquire keyword information related to life, which is information about keywords that are used to obtain a desired answer related to the living situation of the user 3 or the living situation of the user 3, and accumulate the information in the conversation life information. It is a conversation script 92 that has been written. The created medical condition conversation script 92 and the created daily life conversation script 92 are stored in the conversation script DB 91 in the medical economy zone DB 21 .
The electronic device 73 of the present disclosure has a conversation with the user 3 using the medical condition conversation script 92 or the life conversation script 92, and uses the keyword information related to illness or the keyword information related to life to acquire the keyword. The conversation script 92 is stored and accumulated in a storage destination on the user voice DB 71 corresponding to the conversation script 92 . That is, the keyword information related to disease is stored in conversation medical condition information, and the information related to life is stored in conversation life information.
AI (artificial intelligence) may be used to create questions that allow conversation to obtain answers to the desired content and to estimate some expected answers to the questions, which is necessary for creating the conversation script 92 . When AI is used, the contents of questions and their answers in the past conversation script 92 are used as teacher data. In learning using this training data, if the expected answer to the question is received, the AI learns that the answer was on target, and if an unexpected answer is received, the AI learns that it was an inappropriate answer. learns. This AI uses the results of its learning to create a conversation script 92 for the user 3 using the right questions.
The created conversation script 92 is stored in the conversation script DB 91 in the medical economic zone DB 21 .
Answers can be obtained from conversations using various conversation scripts 92 prepared to obtain various answers, and the answers are accumulated. Therefore, scripts for obtaining various answers and information on answers corresponding to them are accumulated. I will go. From this, we realize that we can create AI that is the opposite of AI using chatbots. By learning the answer and the script for obtaining the answer for the purpose of machine learning, it is possible to create a highly accurate conversation script 92 from the answer by AI, which is the opposite of the chatbot.

The fourth basic function is a function of giving advice to the user 3 using the analyzed information. This is because the keyword information related to medical condition and the keyword information related to daily life, which have been stored and accumulated in the user voice DB 71 by the electronic device utilization system 72 of the present disclosure, are stored in conversation medical condition information, conversation life information, and the like. It is possible to analyze the situation of the user 3 from the information of the user 3 that has been collected by the second basic function. be. This action assistance information becomes the contents of advice to the user 3 .
As an example, the body temperature information of the user 3 obtained from the conversation using the medical condition conversation script 92 asking the user 3 about the body temperature, and the conversation life obtained from the conversation using the life conversation script 92 asking the user 3 about the living situation A specific example of action assistance information, which is information on actions to be taken by the user 3 from the situation determined (analyzed) from the information on the meal of the user 3, will be shown.
The electronic device utilization system 72 of the present disclosure is based on the information that the body temperature is "37 degrees 5 minutes" from the body temperature information of the conversation medical condition information of the user 3 and the conversation life information from the conversation between the user 3 and the electronic device 73. Suppose that the information "I can't eat much" is acquired. In this case, the electronic device utilization system 72 determines (analyzes) that the user 3 has a cold, and recommends that the user 3 go to bed early and take cold medicine, or if the condition is the same the next day, the user is advised to see a medical institution 4. to create and save action assistance information for A conversation script 92 for giving advice is used to have a conversation with the user 3, and the information stored in the action assistance information is communicated to the user 3 as advice.
In addition, behavior assistance information such as changes in body weight, changes in sleep time, amount of meals, bedtime and wake-up routines, and changes in seasonings and preferences are created.
The created action assistance information uses the electronic device 73 of the present disclosure. to the user 3 by using a method such as "convey by displaying an image or video of the auxiliary information" or "convey by displaying an image or video of the action auxiliary information on a screen on a device outside the electronic device 73". I can tell you.

The advice stored in the action assistance information of the user 3 is not only given to the three users themselves, but also includes a function of notifying family members who live together and family members whose contacts are registered and who live far away.
Since the structure is such that the information of the user 3 is acquired over a long period of time and stored in the database, it is possible to easily find the point of change from the information accumulated from the past. This change point avoids an important problem. For example, from the information acquired from the conversation with the user 3, the time to answer the question (the time it takes to answer) started to get longer, the time when the content of the answer to the question started to deviate, Time when you made a mistake in a simple answer that should have been given, time when no known answer came out, time when you forgot to make an appointment to go out, etc. You can look to These changes include physical strength, aging, fatigue-related reactions, forgetfulness, etc., memory impairment, single memory impairment, senile memory impairment, early dementia, and various other things. Judgment processing can be performed, and data can be sent to the doctor 5a of the medical institution 4 to ask for medical judgment by the doctor 5a. Early decision can be made. In today's society, a person suspected of having dementia never comes to the hospital 4a alone to receive medical treatment. In most cases, the family suspects dementia and takes them to see a doctor, but at that point the dementia has already progressed.
The progression of dementia is gradual, so only minor changes occur in the short term. As a result, family members do not recognize the symptoms of dementia at an early stage, and it is difficult for them to notice. By the time the family finds out, the dementia has progressed, and it is a mistake in today's society that people often go to the doctor in the advanced state.
If I had visited the medical institution 4 at an early stage, if I had been able to make a judgment at an earlier stage, I might have been able to recover from the treatment at an early stage. In the present invention, changes can be found from the information of the user 3 acquired from daily conversations without the familiar family noticing it, and as a result of judgment processing by the electronic device utilization system 72, the doctor 5a examines the data and makes a diagnosis. Even if the family does not recognize dementia, the system notices it and informs the doctor 5a, so that the doctor 5a can suspect dementia at an early stage. Advice in this case is given to the family. The doctor 5a can send an advice "Come to the hospital 4a for an examination."
Although it is a very bad expression, if we talk from the opposite point of view, it can be said that the doctor 5a has had the electronic device utilization system 72 introduce the patient. The electronic equipment utilization system 72 has captured the transition from the non-infirmed person's daily routine to the patient.
In general, the doctor 5a diagnoses dementia and examines the progress of dementia using the "mini-mental state test", the "Hasegawa dementia scale", and the like. These methods consisted of ``tests that answer questions that a healthy person can easily answer, such as your date of birth, today's date, your home address, and where you are from. It consists of a memory test in which you answer the word shown first after doing it, and a test in which you show the word and answer what you associate with that word. Since these examination methods can be performed by oral examination, as a function of the electronic device 73 of the present disclosure, it is possible to perform examinations equivalent to "mini-mental state examination" and "Hasegawa dementia scale" from daily conversation, not in the examination room. There may be a function that can be performed by conversation of the electronic equipment utilization system 72 at home of the user 3 away from the room. This equivalent test can also use a conversation script 92 that has been prepared in advance with a script generation program. Furthermore, in this system, instead of a 1:1 medical examination such as a medical examination room or a remote medical examination, an asynchronous medical examination using the data returned by the user 3 at the user's home via the medical examination room and the electronic device utilization system 72 is performed. It is possible to examine the data of multiple users 3 by 1:N status.
For example, the contents of the dinner are asked twice, once after the meal and once in the next morning, to check whether the contents are memorized. When cherry blossoms bloom in User 3's hometown, the conversation script 92 is used to say, "Cherry blossoms have bloomed in Mr. XX's hometown." or answer. In the case of judging by words connected to hometown, if the answer is the name of the region or place of origin, it is judged to be normal, and if the name of a place different from the name of the region or place of origin is answered, it is suspicious. judge there is.
In particular, if the user 3 is a "pre-disease person who is not sick", a "health-conscious pre-disease person", or a "person who feels uneasy about future illness and life", a user who wants such a service I think 3 is too many. It is also possible to set up a process for periodically performing an inspection. The initial diagnosis based on conversational data in daily life is a new medical treatment system and a new service business model.
As a dementia diagnosis support system using conversation, there is a technique described in Japanese Patent No. 6733891 and the like. This technology is supposed to support the diagnosis of dementia through free conversation with the doctor 5a instead of the mini-mental state examination. "Conversation with the doctor 5a", ie, the fact that the test can be performed without going to the hospital 4a, and the learning assessment based on sentence vectors and word vectors are used for determination.
On the other hand, the method shown in this disclosure is to find changes in various things from a database that acquires conversation information of user 3 over a long span over a long period of time in everyday conversation. Being able to suspect the road to dementia at an early stage. In other words, it is a technology that can support dementia diagnosis over a long span without going to the hospital 4a.
In addition, if there is suspicion in people who are highly health conscious and do not want to get sick, or who want to end their lives satisfactorily, aging has begun at an early stage with beta-amyloid tests and blood tests. Confirmation and countermeasures can be started, and the doctor 5a can make a recommendation for an early dementia countermeasure test by measuring blood flow in the brain by PET or the like. A doctor in charge of health management can provide a countermeasure service according to the wishes of the user 3.
Early detection is also possible in diet. If the answers to questions about food include "the food is not good", "the food is not good", "the food cooked by my wife or daughter-in-law is not good", etc. It is also possible to output a processing result that judges that "the wife or daughter-in-law is dissatisfied".
Moreover, it can be found even when going out. If a change such as a change in the travel time (required walking time) from the supermarket where you usually go to buy daily necessities and foodstuffs to your home has become longer from a certain period, data is sent to the doctor 5a. "It took longer to walk due to lack of physical strength due to aging", "Due to early-stage dementia or sudden memory impairment, I made a detour for a moment and made a detour to return home." etc., the doctor 5a can suspect.

The content of going out acquired during conversation by talking to the user 3 is saved and accumulated in the user voice DB 71 as conversation going out information.
This conversation outing information includes various information related to going out, such as the time required to go out, transportation methods, conversations with acquaintances, eating out, etc., based on the content of the conversation. You can also share information. By using the information about going out contained in the conversation going out information in the electronic equipment utilization system 72 of the present disclosure, it is also possible to analyze from the two aspects of "medical care and health management" such as the amount of exercise, diet, medical condition, and mental state. can. This analysis is performed by finding correlations using various information related to going out, such as the time required for the user 3 to go out, the method of transportation, conversations with acquaintances, eating out, and the like.
For example, if the electronic device utilization system 72 of the present disclosure determines that the person is constantly taking a walk through a specific place without meaning, it is determined that there is a suspicion of wandering due to dementia, and the medical institution 4 and the Share information, etc.
By acquiring the contents of going out from conversation going out information, it is possible to know the range of activities of the user 3, the person to meet, and the like, and to estimate the behavioral ability and tendency to go out of the user 3. The electronic device utilization system 72 of the present disclosure can also grasp trends such as behavioral ability and changes in going out tendencies by continuously storing and acquiring details of going out over a long period of time. When the electronic device utilization system 72 recognizes a change in the ability to act or the tendency to go out, a conversation script 92 for asking the reason can be created and asked to the user 3 in a conversation.

The contents of what the user 3 said while he was out and his actions while he was out are saved and accumulated in the user voice DB 71 as information while he was out. For example, in the case of driving a car, out-of-home information includes information about where the car is going, words spoken while driving, number of times the car was started or braked suddenly, and whether the collision avoidance braking system (AEBS) was activated. number of times the vehicle was driven at a speed significantly deviating from the legal speed limit. In the case of a car, this information can be acquired by a car navigation system that can be equipped with AI or can be used by linking with a car navigation system equipped with AI or a mobile terminal.
Current vehicles can be linked with AI-equipped car navigation systems and mobile terminals such as Android Automotive (trademark) and Apple CarPlay (registered trademark) described above. Questions and requests from the person 3 (driver) to the AI are transmitted to the user 3 by the processing by the AI on the business side through wireless communication of the vehicle. For example, when the user 3 asks, "Tell me about a restaurant nearby," the AI in the business responds and the restaurant name is displayed on the display of the vehicle that the user 3 is driving. By using this function, it is possible to obtain voice information from the user 3 in exactly the same way as the electronic device 73 installed at home. Moreover, it is possible to acquire not only the voice of the user 3 but also information from various sensors installed in the navigation system mounted on the vehicle.
The electronic device utilization system 72 of the present disclosure can estimate the physical condition of the driver of the car (user 3) by combining the acquired out-of-home information. Helps prevent accidents.
Early detection of dementia and the like is performed by using changes in words unconsciously uttered while driving. Patients with dementia often undergo aggressive personality changes after the onset of dementia. Therefore, it is possible to estimate the onset of dementia by using the words uttered while driving, which is one of the information while out, and the driver who did not utter offensive words while driving can Dementia can be suspected if the frequency of saying
In addition, elderly drivers may make operational errors due to age-related decline in motor function and may overlook signs due to decline in cognitive function. If there is an operational error due to a decline in motor function due to aging or an oversight of a sign due to a decline in cognitive function, it may cause behavior such as "misstepping the accelerator and brake" or "running the wrong way on the road." Misapplication of the accelerator and the brake, and driving on the wrong side of the road can cause traffic accidents. Accidents can be prevented by stopping driving at the stage when operation mistakes or cognitive function deterioration occurs due to age-related decline in motor function, that is, by returning the driver's license. As a method to detect operational errors and declines in cognitive functions due to age-related decline in motor function, we use the number of times the car is suddenly started or braked, the number of times AEBS is activated, etc. The reason why the number of times of sudden start or sudden braking or the number of times of AEBS is high is that it takes time for the brain to recognize the occurrence of an event, and as a result, it takes time for the brain to actually react. Although the recognition of the occurrence of the event can be performed normally, it takes time to react due to the deterioration of motor function. Become. By using out-of-home information, it is possible to estimate the occurrence of deterioration in cognitive function and motor function from changes in the number of occurrences, such as the number of sudden starts or sudden braking. By continuing to accumulate information from the past, it becomes possible to understand changes and estimate declines in behavior and ability.
Even if dementia is suspected, cognitive function decline is estimated, and motor function decline is estimated, the three users are not necessarily stopped driving. Therefore, the electronic device utilization system 72 of the present disclosure also performs a process of notifying the family of the user 3 of suspected dementia, estimation of cognitive function deterioration, and estimation results of motor function deterioration.
By using the function of the present disclosure to encourage people to stop driving, it is possible to achieve the following: “A vehicle runaway accident caused by a man in his 80s in Toshima Ward, Tokyo in April 2019” “At the Tomei Expressway in Shizuoka Prefecture in October 2012 It is expected that there will be no more accidents and incidents such as the "wrong-way driving incident" caused by a man in his 90s. The 2019 accident was presumed to be caused by the driver's operational error, and the 2012 incident was attributed to cognitive decline.

There is no point in talking to the user 3 from the electronic device 73 when the user 3 is not at home or when no one is home. The electronic device 73 can speak only when it determines that the user 3 is present. The electronic device 73 needs to automatically determine whether the user 3 is at home or not, and whether the user 3 has returned from going out. For this determination method, the connection state of the mobile terminal possessed by the user 3 using a wireless signal is used.
When the portable terminal possessed by the user 3 and the electronic device 73 of the present disclosure are connected by a direct wireless signal (pair link), the electronic device 73 determines that the user 3 is staying. Then, when the state in which the mobile terminal and the electronic device 73 are connected by a wireless signal is switched to the disconnected state, the electronic device 73 determines that the user 3 has gone out, and the mobile terminal and the electronic device 73 of the present disclosure are connected. The electronic device 73 determines that the user 3 has returned from going out when the state of being disconnected by a radio signal is switched to the connected state.
Further, the connection (pair link) method includes direct connection between the electronic device 73 and the mobile terminal owned by the user 3, such as direct communication between the electronic device 73 and the mobile terminal without going through another device. In addition, it also has an indirect connection using a home network. The method of determining whether the user 3 is at home or out, and the method of determining whether the user 3 has returned home after going out are merely examples, and the determination processing is based on information that the electronic device 73 can directly or indirectly acquire. Any other way of doing the

The fifth function, which is the function of sharing the collected conversational information with the medical institution 4, is information on keywords related to medical conditions, conversational life information, conversational medical condition information, and conversational life information that have been stored and accumulated in the user voice DB 71. Such information can also be shared with the medical institution 4 by referring to or acquiring information in the user voice DB 71 by the terminal of the medical institution 4 connected to the electronic device utilization system 72 of the present disclosure.
The information to be shared with the medical institution 4 includes the content of meals, exercise status, wake-up time, bedtime, physical condition, weight, body fat percentage, blood pressure, body temperature, and chronic illnesses obtained from the user 3 in the scenario created by the conversation script 92. This information is stored and accumulated in a storage destination corresponding to the conversation script 92 in the conversation life information or conversation medical condition information of the user voice DB 71 .
By sharing the information in the user voice DB 71 with the medical institution 4, the doctor 5a can see the changes in the daily living conditions of the user 3 and the measurement results of blood pressure and the like, which can be useful for treatment. can.
In the case of numerical data such as wake-up time, bedtime, physical condition, weight, body fat percentage, blood pressure, body temperature, etc., a threshold is set in advance, and when the acquired value exceeds the threshold, the value is communicated with the medical institution 4. may be shared. The threshold value may not be an explicit value, but may be a specific difference between a transition of consecutive values from the past saved in conversational lifestyle information or conversational medical condition information and an acquired value. Here, the specific difference means "within the normal value, but deviating from the daily value (such as the value indicated by the arrow in FIG. 15, the blood pressure value is usually within the normal value. Although the measured value is high, the measured value is a low value within the normal range, etc.)” “The change in the measured value decreased in a downward-sloping manner, but the value decreased significantly from the decrease (diet During the period, the body weight decreased in a downward-sloping manner, but the value of the downward-sloping value became a deviating value.”
As an example, FIG. 16 shows an example in which the body weight decreased in a downward-sloping manner, but the value of the downward-sloping decrease deviated from the reference value. Up until just before the point indicated by the arrow in the figure, the weight decreased with a downward slope. However, at the points indicated by the arrows in the figure, the values that greatly decreased were values that deviated from the standard values.
Blood pressure will be described as an example in which the daily measured values of the user 3 are used for treatment. The blood pressure measured at the medical institution 4 may be higher than the blood pressure measured at home. Conventionally, in such cases, the blood pressure measured at the medical institution 4, which is higher than usual, was often used for treatment. Therefore, in order to grasp daily blood pressure, a method of grasping by using a blood pressure notebook is used.
Daily measurement values of the user 3 can be confirmed via the electronic chart 9a.

As a result of information sharing with the medical institution 4, the medical institution 4 asks the user 3 about a part that seems to be a problem with the user 3 from the survey using the conversational life information or the conversational medical condition information of the user 3. 3, it is also possible to use the conversation script 92 to contact the user 3 with the contents of prompting the user 3 to improve.
For example, when the doctor 5a gives advice on treatment to the user 3, when the nurse 5b communicates precautions in life due to seasonal changes, and when the nutritionist considers the patient's medical condition, recommended ingredients for each season (for example, , it is recommended to eat eel or pork to prevent summer fatigue), etc.
This contact can be made at any timing by the medical institution 4 and can be made even when the user 3 is not near the electronic device 73 .
When the user 3 is not near the electronic device 73, the information is communicated to the user 3 when the user 3 is near the electronic device 73 or when the user 3 is recognized to have returned from going out. process. In addition, even in the case of a communication that urges improvement for multiple users 3 or multiple patients for the same improvement, processing for transmitting the communication is performed regardless of the convenience of the patient or user 3, and the electronic device 73 is used at home. When the process of determining that the person 3 is present is performed, the electronic device 73 can perform the process of communicating by conversation, but this is performed asynchronously with all the users 3 and patients. The fact that the doctor 5a can convey the contents to a plurality of subjects is something that cannot be done in telemedicine. When the so-called doctor 5a performs a process of simultaneously communicating to the users 3 by conversation, if all the users 3 are at home, the conversation is transmitted in a synchronized manner. Since it is confirmed that the user 3 has returned home, the conversation is transmitted asynchronously.
A conversation script 92 may be created and the electronic device 73 may be used to notify that the medical institution 4 will call the user 3 using the electronic device 73 .
FIG. 17 shows an example of a conversation between the medical staff 5 and the user 3 using the script created by the conversation script program and using the electronic device 73 .

The function of sharing information with the medical institution 4 is also useful for managing the health of the user 3 who is not currently sick, and for maintaining a state of pre-symptomatic disease. For the medical institution 4, by managing and maintaining the health of the healthy user 3, it will lead to the development of new users 3 (customers), the healthy users 3, who are unrelated to the hospital 4a.

The electronic device utilization system 72 in the platform-type medical institution support system 1 of the present disclosure has various programs that supplement the processing of the electronic device 73 of the present invention. Among them, the electronic device 73 of the present invention has a function of linking with an external device, an external system, or an external program, and this linking function may be performed using an API (Application Programming Interface). . This API may run on at least one of the electronic device 73 and the server of the electronic device utilization system 72 on the external network connected to the electronic device 73 .

By using the basic functions of the electronic device 73 of the present disclosure, in addition to the five basic functions, the medical institution 4 has the following five extended functions: "(1) advice function using acquired information" and "(2) purchase support function,” “(3) medication status management function,” “(4) crime prevention function,” and “(5) user safety confirmation function” can be provided.
Each extended function will be described in order.

(1) Advisory function using acquired information The electronic device 73 of the present disclosure exchanges information through conversation with the user 3. In addition, the electronic device 73 acquires information from its own sensor or other input device. It is also possible to give advice to the user 3 to guide them to an appropriate living environment based on information obtained from devices on the network, information obtained from an external network, and the like. The electronic device utilization system 72 is expected to be able to perform necessary advice processing early by performing advice processing based on the acquired information. Or, it is expected that the user 3 will be able to take action before the user 3 is conscious of going to the hospital 4a. The method of giving the advice to the user 3 may be carried out through a conversation between the user 3 and the electronic device 73 or through a conversation using the conversation script 92 . Here, it is assumed that the message is conveyed by conversation between the user 3 and the electronic device 73, but a method of displaying the contents on the screen of the electronic device 73 or an external device connected to the electronic device 73 such as a television receiver is used. It is also possible to display the contents on the screen by pressing the

In the present disclosure, two methods are disclosed: a “method of giving advice using the outside temperature and room temperature acquired by the electronic device 73” and a “method of giving advice using the voice acquired by the electronic device 73”.

The "technique of giving advice using the outside air temperature and room temperature acquired by the electronic device 73" acquires two types of temperatures, namely, outside temperature information and room temperature information in the user's house, A difference is calculated, and advice is given using the electronic device 73 using the calculated temperature difference. Acquisition of outside temperature information is performed by either the electronic device 73 or the electronic device utilization system 72 automatically acquiring the outside temperature of the area where the user 3 lives from a system open to the public such as the database of the Japan Meteorological Agency. done by Room temperature information is acquired using a device that can measure the outside room temperature using a home network or using the temperature measurement function of the electronic device itself.
The electronic device utilization system 72 of the present disclosure calculates the two acquired temperature differences, and performs determination processing based on the acquired temperatures and the temperature difference as to whether or not the environment (bad environment) is unfavorable for living.
For example, "In the summer, the difference between the outside temperature and the room temperature is small, and the room temperature is high, so there is a risk of heatstroke." Therefore, the living environment in the home is a bad environment, such as when there is a concern about hypothermia, and it is determined that the person is living in a bad environment.
When living in a bad environment, the electronic device 73 automatically performs a process of advising to adjust to a suitable living environment.
For example, when the room temperature is higher than the temperature difference between the outside temperature and the room temperature, it is possible to ``encourage the use of air conditioners'', ``close the curtains to prevent sunlight from entering the room'', ``cold drinks and food If the room temperature is low, there are advice such as "recommend to wear thick clothes", "recommend to use heating equipment", and "advance drinks and food that warm the body". Here, the appropriate living environment means a room temperature of 15 to 25 degrees, which generally does not require air conditioning. In particular, when the user 3 suffers from dementia or similar symptoms, there are many tendencies to remain as they are regardless of whether it is cold or hot without feeling changes in the room temperature, and tend to go out with the clothes indoors. Therefore, there is a need to call attention by the present invention.
So far, the description has been made using the adverse environment caused by the small difference between the outside air temperature and the room temperature in summer and winter. Appropriate living environment advice is provided not only in summer and winter, but also in spring and autumn, when there is a large or small difference between the outside temperature and the room temperature, and there is a bad environment.

In the above description, it is assumed that the electronic device 73 gives advice by conversation when the environment is bad due to the difference between the outside air temperature and the room temperature. However, if the user 3 is out of the house, there is no need to give advice even if the environment in the user's house becomes bad, because there is no harm.
Also, when the electronic device system determines that the environment is bad, if the bad environment can be improved by using a device on the home network connected to the electronic device 73, and a suitable living environment can be created, the home can be used without advice. Devices on the network may be operated and directed to appropriate living environments.

The "technique of giving advice using the voice acquired by the electronic device 73" is based on conversation information on daily life from the past to the present accumulated in the conversation medical condition information and conversation life information on the user's voice DB 71. The most recently acquired conversation life information of the user 3 is used for comparison with the conversation information related to life, and the electronic device utilization system 72 uses the electronic device 73 to perform advice processing using the comparison result. .
The electronic device utilization system 72 of the present disclosure compares the daily voice information on the user voice DB 71 with the most recently acquired voice information of the user 3, "It's different from normal when you start talking""Answers to questions during conversations are inconsistent and different from everyday answers""There is no answer (ignored or not heard)" When the electronic device utilization system 72 determines that the person 3 has a change in appearance or physical condition, processing of advice leading to an appropriate living environment is performed.
In particular, when there is information such as "There is no response (ignored or not heard)", etc., by monitoring whether the same thing is happening, flagging a suspected medical condition from the interval between occurrence and onset By doing so, it becomes possible to share and manage with the medical institution 4 .
It is assumed that the electronic device 73 performs the process of judging that "the volume of the voice is different from that of everyday life and the voice is hoarse". In this case, the electronic device 73 provides an example of advice that leads to an appropriate living environment, such as "recommend rinsing the throat by gargling" or "recommend seeing a doctor at the medical institution 4 if the throat does not improve even after moistening the throat". There is
In addition, there are cases where it is narrowed down, such as "Ask again about your physical condition."

First, I would like to explain the social situation regarding “dementia”. I will finish my life without going to the institution 4 for a medical examination. As dementia progresses, people start to show offensive remarks and attitudes, and people around them think, ``That person must have dementia,'' and avoid it. Become.
Also, if you live with your family, there are many cases where you do not take the subject to medical institution 4 for a checkup unless all the family members suspect that the subject may have dementia. In this case, even if the subject's family takes the subject to the medical institution 4 for examination, the subject's condition has already progressed. The current situation in modern society for this disease is that people miss the time when they start to develop dementia and start treatment at medical institution 4 after the progress of dementia has progressed.
In addition, even if the examination starts in front of the doctor 5a, the subject cannot explain his/her own medical condition by himself/herself. We can only explain parts of it, and we cannot explain the details of the invisible parts. I feel that the ideal way to recover is to notice and pay attention to invisible changes such as changes in the subject, and to start medical treatment early. The present invention finds a point of change from conversational data in daily life and makes the visit to the medical institution 4 early, and the doctor 5a of the medical institution 4 can examine the details of the daily data provided and start medical treatment early. It has become an electronic device utilization system 72. The electronic device utilization system 72 will watch the beginning of the medical condition from the data of daily life.
By acquiring daily voice information on the user voice DB 71 over a long period of time, it is possible to presume early onset of dementia, which is difficult to notice in daily life.
People around the user 3 can intuitively compare it with the most recent (several days to several weeks) voice. However, in the case of dementia, the progress is often mild, and the difference in the content of speech is small within several weeks, making it difficult to notice changes.
In the case of the system of the present disclosure, if there is only data acquired from conversation, it is possible to compare an arbitrary period (for example, data from several years ago) with current data, and notice differences in voice content. In addition, by comparing continuous (daily or weekly) data, it is possible to detect changes early on because it is possible to determine whether or not they have occurred due to minor changes.

Even if the electronic device 73 gives the user 3 advice leading to an appropriate living environment, it is meaningless if the user 3 does not respond. In addition, it is assumed that the user 3 cannot respond or react to the advice, such as when the user 3 is sick at home due to heatstroke or the like.
Therefore, if the user 3 does not follow the advice given to the user 3 by the electronic device 73 of the present disclosure, or if the user 3 does not improve even if the countermeasure is taken, the worst situation is assumed, and the user 3 is abnormal. The electronic device utilization system 72 may have a function of notifying a notification destination (emergency contact) prestored in the system when the electronic device utilization system 72 determines that there is an emergency.

(2) Purchase support function In the electronic device utilization system 72 of the present disclosure, by using the shopping history information accumulated in the payment relationship DB 101 on the medical information sharing database 2, the user 3 can make purchases via the electronic device 73. It has the function of providing support.
Accumulation of shopping history information in the payment-related DB 101 includes the purchase history of purchases made using the electronic equipment utilization system 72 and the cashless payment system 102 of the medical institution payment support system 102 in the platform-type medical institution support system 1 that can be used in the medical economic zone 24. A purchase history when using the system 103 is saved and accumulated. The electronic device utilization system 72 analyzes this information and provides shopping assistance to the user 3 via the electronic device 73 .
Purchasing using the electronic device utilization system 72 is a method in which the user 3 purchases a product through conversation with the electronic device 73, and is one of the functions of the electronic device 73 generally called a smart speaker.
Purchasing using the cashless system 103 of the medical institution payment support system 102 is a method of shopping using a medical payment medium issued by the medical institution 4, biometric information, etc., and is a method described in the fourth embodiment described later. indicates that Since the details are described in the fourth embodiment, the description is omitted in this section.
A medical payment medium is a payment terminal for making payments at a medical institution 4 or the like using an insurance card, a medical examination card, or a terminal required by the user 3. It is issued by linking with a terminal or the like required by the user 3 .
In the present invention, it is an important function and feature to determine the content of purchase support for the user 3 .

The electronic device utilization system 72 acquires various information from the shopping history information accumulated in the payment-related DB 101, and can perform various support processes according to separately set condition information.
As a function for notifying the user 3, information on items corresponding to consumables is acquired from the shopping history information, and the consumption time for the consumables by the user 3 is calculated from the frequency with which the user 3 purchases the consumables. , immediately before the consumption time, the user 3 is notified that the consumable is due to be consumed. Since the consumption period varies depending on the family composition and preferences of the user 3 , the consumption period information for the consumables of the user 3 is stored in the consumption period information DB 111 of the medical information sharing database 2 .
"Calculate the consumption time of the consumables and notify the user 3 that it is the consumption time just before the consumption time""Inform the user 3 of the weight of the product and the purchase time of the product that will be purchased many times"" Inform the user 3 that seasonally purchased products for the user 3, such as seasonal products, are now on sale.” Inform the user 3 of the information".
As a purchase function for user 3 (a function that supports purchase for user 3),
In the case where the user 3 is an elderly person, there are consumables for daily life that are purchased regularly but cannot be purchased unless the user travels a long distance. Consumables that are a burden, consumables that are too large for the elderly to bring back home and are burdensome to carry, and the size, weight, and undecided arrival of such consumables. can be calculated using the consumption period calculation system 112 of the electronic device utilization system 72, and the electronic device 73 has a function of conversationally purchasing. FIG. 18 shows the configuration of the exhaustion timing calculation system 112. As shown in FIG.
The content of the support at this time is determined using condition information in consideration of the state of the user 3 .
Condition information refers to shopping conditions set for each user 3 based on the information on the disease that the user 3 is suffering from, the information on the family structure, etc. in the medical information sharing database 2. show.
Describe an example of purchasing a heavy item. It can be seen from the purchase history of user 3 that he purchased 5 kg of polished rice. Furthermore, it is possible to search from the purchase history that this rice is purchased in a cycle of about 3 months. When the electronic device use system 72 determines that it is better to switch to purchasing through the electronic device use system 72 instead of purchasing at the store based on the age, amount of exercise, health condition, and medical condition of the user 3, Advice to that effect is processed for Person 3. If the user 3 responds to the advice, the purchase using the electronic device utilization system 72 can be made by conversation around the time of consumption and can be delivered to the home.
An example of purchase using the electronic device 73 is shown in FIG.

The technology disclosed as the purchase support function is also an extended function of the function described in Japanese Patent No. 6671609, which is the patent of the present applicant. This technology acquires the living conditions, shopping history, etc. of the user 3, and when it is estimated that the health condition needs to be improved, notifies a supporter such as a helper or caregiver.

(3) Medication status management function In the electronic device utilization system 72 of the present disclosure, by using the medication management DB 121 on the medical information sharing database 2, the medication status, which is information as to whether or not the user 3 has taken medication, is known. It is possible to develop a habit of taking medicine and adjust the next prescription amount based on the remaining amount of medicine. This can reduce prescription drug costs for user 3 .

Acquisition of the medication status of the user 3 uses a conversation script 92 for knowing the medication status, acquires the medication status through conversation between the electronic device 73 and the user 3, and gives advice using the acquired information. It is an electronic device utilization system 72 having a function of performing processing.
The information on the medication status of the user 3 acquired from the conversation script 92 is stored as medication status information in the medication management DB 121 on the medical information sharing database 2 and is recorded and stored. Conversations for obtaining information on medication status are conducted periodically, such as once a day, each time a medication is taken, or immediately before the next hospital visit, or at timing according to various conditions specified by the medical institution 4 or the like. you can go An example of confirmation is shown in FIG.
Based on the acquired medication status information, the electronic device utilization system 72 confirms whether or not the user 3 is taking medication correctly. Using the medication habit script, which is the conversation script 92, the process of regularly or irregularly advising the patient to take medication is performed.
By checking the medication status regularly or irregularly and, as a result of the confirmation, performing the process of advising when there are many forgetting to take medications, it can be expected that it will lead to habituation of taking medications and prevention of forgetting to take medications.

In the above, we confirmed the information on whether or not the drug was taken,
Before the next regular hospital visit, the remaining amount of medicines prescribed last time is checked (inventory), and the amount of prescribed medicines (prescription amount) subtracted from the inventory of medicines that were forgotten at the time of prescription is used for the purpose of reducing medicine costs. It is an electronic device utilization system 72 having the functions as described above.
Immediately before the next hospital visit date, etc., the remaining amount of medicine is confirmed by the conversation script 92, and information on the remaining amount of medicine obtained from the user 3 is saved as remaining medicine information in the medication management DB 121, and recorded and stored. good. Confirming the remaining amount of medicine By doing this, it is possible to confirm whether or not the taking status of the medicine is correct. In addition, if the drug compliance status and remaining drug amount are known, the amount of medicine to be prescribed (prescription amount) can be adjusted according to the drug compliance status and remaining drug amount at the time of prescription at the next medical examination.
In order to adjust the amount of medicine according to the medication status and the remaining amount of medicine at the time of prescription at the next medical examination, the information system of the medical institution 4 such as the hospital 4a or the pharmacy 4b refers to the information stored in the medicine management DB 121, or This can be done by linking the information system of the medical institution 4 and the electronic device utilization system 72 by transmitting the information stored in the medication management DB 121 to the information system of the medical institution 4 .
It is assumed that the medical institution 4 can adjust the prescription amount by grasping the medication status and the remaining amount of medicine, but as a result, the prescription cost of the medicine that the user 3 pays to the hospital 4a and the pharmacy 4b can be reduced and the health insurance burden will be reduced. mitigation can be done. In addition, by the medical institution 4 grasping the medication status and the remaining amount of medication, it can be used as a reference for patient treatment.
For example, if a person frequently forgets to take medicine and the results of medical examinations and examinations are not favorable, it can be inferred that forgetting to take medicine is one of the causes of the unfavorable results. It is conceivable that amnesia or the like develops and forgets for the first time.
In the medical information system 9 (electronic medical chart prescription system 9e) used by the doctor 5a, the remaining drug amount can be displayed or the automatically prescribed amount can be recalculated by adding the remaining drug amount.
A simple example of how to adjust the amount of medicine according to the medication status and the remaining amount of medicine will be given.
For example, it is assumed that the user 3 is prescribed medicine for four weeks. When processing to confirm the medication status and the remaining amount of medicine was performed, it was found that there was a week's worth of medicine that was forgotten, and that a week's worth of medicine was left over. When the doctor 5a tries to prescribe the same drug for 4 weeks at the next medical examination, the system considers the remaining amount of the drug and determines that the prescription for 3 weeks is sufficient. The information system of the medical institution 4 is used to notify the patient that a minute prescription is sufficient. At this time, the doctor 5a may have already prescribed the drug in consideration of the remaining dose. For this reason, information on the date of the next medical examination may be obtained separately, and the prescribed amount may be adjusted in consideration of the date of the next medical examination. For example, in the case of the above example, if the next medical examination is after 4 weeks, the doctor 5a will judge that it has not been considered and will inform that the prescription for 3 weeks will be fine, but if the next medical examination is after 5 weeks , the physician 5a does not contact the doctor 5a to adjust the prescription amount.

It is advantageous for the pharmacy 4b to recalculate the remaining drug amount at the time of prescription.
When dispensing medicine, it is performed in the following three steps.
(1) Check whether the prescribed medicine is safe for the patient to use. This is confirmation such as "whether drugs with the same efficacy or the same ingredients have been prescribed by a plurality of medical institutions 4" and "whether the dosage and administration instructed by the doctor 5a is correct for how to use the drug".
(2) Dispensing medicines In the case of individually packaged medicines, simply taking them out of the storage shelf is enough. However, in the case of medicines provided in bulk, medicines provided by mixing a plurality of medicines, or medicines provided by dividing tablets, the medicines are weighed and mixed according to instructions from the doctor 5a to dispense. In addition, depending on the patient's request, a plurality of tablets or capsules to be taken at one time are packed for each dose and prepared.
(3) Checking whether the medicine has been properly dispensed In the case of individually packaged medicine, the work involves counting the number of sheets, and since this is done by totaling the number of sheets and the number of odd parts of one sheet or less, it is relatively Easy to do. However, in the case of medicines that are provided in bulk or that are provided by mixing multiple medicines, the results of weighing are collated to confirm the amount and number of finished medicines. When a plurality of tablets or capsules to be taken at one time are packed and dispensed for each dose, it is checked whether the number of types of drugs in each package is correct.
Of these three steps, steps 2 and 3 take longer as the amount and type of drugs increase. Therefore, it can be said that there is an advantage for the pharmacy 4b because the amount of medicine to be prescribed is reduced and the time required for dispensing is reduced.
In addition, it also leads to a reduction in the time required for the remaining medicine adjustment work that has conventionally been performed at the pharmacy 4b. Remaining drug adjustment is performed by the pharmacist of the pharmacy 4b confirming the remaining drug amount from the patient and reducing the prescription amount according to the remaining drug amount. In order to adjust the remaining medicines, it is necessary to include a statement to the effect that the remaining medicines can be adjusted in the prescription, or to contact the medical institution 4 to refer a question. If the prescription states that the remaining medicines can be adjusted, there is no need to contact the medical institution 4 before dispensing, but it is necessary to report after dispensing.
If the remaining medicines are adjusted, there is a difference before and after the dispensing, but since it is necessary to contact the medical institution 4, the working time at the pharmacy 4b is used. Recalculation taking into account the amount of remaining medicine at the time of prescription eliminates the time required for the work of adjusting the remaining medicine, so it can be said that this point is also advantageous for the pharmacy 4b.

(4) Crime prevention function In the electronic device utilization system 72 of the present disclosure, by using various information in the crime prevention DB 131 on the medical information sharing database 2, the image and voice of the visitor, and the voice of the other party on the phone It has a function of judging whether the person is related to a crime and of using the electronic device 73 to give advice on how to deal with crime prevention.

In the crime prevention DB 131, various pieces of information related to crime prevention such as "criminal face photo information", "criminal voice information", and "crime-related keyword information" are stored in the crime prevention DB 131. One of them is used to perform a process of advising crime prevention measures. The face photo information of a criminal or the like indicates a face photo of a person who committed a crime in the past or participated in a crime. The voice information of a criminal or the like indicates the voice information of a person who committed a crime in the past or participated in a crime. Keyword information related to crime indicates words frequently used for special fraud, words frequently used for malicious door-to-door sales and mail-order sales by malicious telephone, such as "I am from XX bank", "〇 Indicates things such as "I'm from the 〇〇 government office", "I'm from the 〇〇 fire department", "I'm from the 〇〇 water department", "Regular gas checkup", "XX collection", etc.

A method of giving advice on crime prevention measures using face photo information of criminals etc. will be explained. First, using a device on the network connected to the electronic device utilization system 72, such as an interphone with a camera, a camera linked to the interphone, a camera attached to the electronic device 73, a security camera, etc., Get face data of When the electronic equipment utilization system 72 acquires the face data of the other party using the equipment on the network, the information in the crime prevention DB 131 and the acquired face data are compared and searched. As a result of the comparison search, if there is face information of the other party in the crime prevention DB 131, the electronic device utilization system 72 uses the crime prevention script, which is the conversation script 92 for crime prevention, to the user 3 to identify the other party. is highly likely to be a person involved in a crime, and perform necessary advice processing.
The content of the advice is, for example, "Do not open the front door.""Please contact a reliable third party or the police."
FIG. 21 shows an example of crime prevention measures using facial photographs registered in the crime prevention DB.

A method of giving advice on crime prevention measures using voice information of criminals etc. will be explained. First, using a device on the network connected to the electronic device utilization system 72 such as an interphone, a microphone attached to the electronic device 73, and a telephone, data of the voice spoken by the other party such as a visitor or the other party on the phone is collected. to get When the electronic device utilization system 72 acquires the voice data of the other party using the device on the network, it performs a comparison search process between the voice information of the criminal etc. in the crime prevention DB 131 and the acquired voice data. As a result of the comparison search, if there is information about the other party's voice in the crime prevention DB 131, the electronic device utilization system 72 uses the crime prevention script, which is the conversation script 92 for crime prevention, to the user 3 to find the voice of the other party. is highly likely to be a person involved in a crime, and perform necessary advice processing.
This speech comparison processing is performed using a method (text-independent method) used for authentication by registering atypical natural speech data that does not depend on specific phrases, among techniques used for speaker verification. An example of speaker verification using the text-independent method is the technology used in the Bio-IDiom (registered trademark) of NEC Corporation.
In addition, the electronic device 73 may have a function of processing a telephone response in place of the user 3 before the user 3 picks up the call. If there is a high possibility that the person is a person involved in a crime, it may have a function of performing processing to end the call. This telephone answering may be performed using a crime prevention alternative script, which is the conversation script 92 for answering the telephone.

A crime prevention function using the sender's caller ID will be described. Filter function using caller ID.
The electronic device 73 at the user's home stores the caller number of the caller in the crime prevention DB 131 by carrying out storage processing.
The process of defrauding fraud over the phone does not end with a single phone call. Calls are often received from various caller numbers within a day or two. Also note that the number of incoming calls during this period is higher than the number of incoming calls in everyday life. To organize this fraud process, the case is completed within 2 days, or within 24 hours from the first call, and there are cases where 1 to 3 types of caller IDs are used, or caller IDs are rejected. , calling a plurality of elderly people's homes with the same caller number.
First, the process starts with the telephone equipment and the electronic equipment 73 being connected. Fixed-line connections require a wired connection, and mobile phones require an app to be installed.
The application installed on the mobile phone is a simple API that transmits the caller number of the incoming call to the electronic equipment utilization system 72 .
The crime prevention system 132 in the electronic device utilization system 72 processes and accumulates the caller number of the call to the user 3 and the date and time information as the caller number information in the crime prevention DB 131, and this information is used as the crime prevention system. It will be useful for
The crime prevention system 132 searches the information in the crime prevention database 131 for the caller number of the user 3 who is an elderly person and is calling only to the elderly person's house or to the elderly person's mobile phone. Filter and search only for numbers that have called the elderly multiple times within the last 24 hours. The caller numbers remaining after these filters are accumulated in the crime prevention DB 131 as warning caller number information. From here, the explanation of the use of this system by User 3 begins. When a call is received from the outside, the electronic device 73 performs a process of acquiring a caller number, and searches the crime prevention DB 131 for caution caller number information. As a result of the search processing, if the caller number does not exist, the caller number is not a cautionary caller number, so processing is performed to connect the call to the user 3 . As a result of the search, if there is a caller number, the process of not connecting to the user 3 is performed, and the electronic device 73 is changed to switch to the process of having a conversation with the other party of the call, thereby providing crime prevention measures to protect the elderly. conduct. In the switching process performed by the electronic device 73, a conversation is conducted according to the prepared conversation script 92 for the crime prevention person, and the call is ended.
Also, if there is no notification of the caller number, the process of not connecting to the telephone of the user 3 is performed, and the corresponding process is performed on the electronic device 73 side. As for the switching, the user 3 does not even know that a call has been received. This is because phone calls from scammers are terrifying, especially for older people only. The correspondence of the electronic device 73 in this case is also processed by the prepared conversation script 92 for the crime prevention person, and the correspondence processing is performed to request presentation of the caller number and prompt the caller to make a call again.
In addition, as the caution caller number, not only the caller number collected by the electronic device 73, but also the caller number related to crime collected by administrative agencies such as the police or communication companies may be used. In order to obtain caller numbers collected by government agencies and telecommunications companies, there may be a function of sharing caller numbers related to crime with government agencies such as the police and telecommunications companies.
FIG. 22 shows an example of crime prevention measures using the electronic device 73 .

A method of performing a process of acquiring keyword information related to crimes in the crime prevention DB 131 and giving advice on crime prevention measures will be described. First, using the telephone connected to the electronic device utilization system 72, processing is performed to obtain voice data spoken by the person on the other end of the telephone line. Perform processing to decompose the acquired voice of the other party for each keyword. The electronic device utilization system 72 performs a process of searching whether or not the decomposed keyword is registered in the crime prevention DB 131. As a result of the search, if the decomposed keyword exists in the crime prevention DB 131, the electronic device utilization system 72 sends the user For 3, a crime prevention script, which is a conversation script 92 for crime prevention, is used to notify that the other party is highly likely to be involved in a crime, and to provide necessary advice. conduct. At the same time as the advice is given, processing is performed to register the acquired voice of the other party in the voice information of the criminal or the like.
Also, an interphone connected to the electronic device utilization system 72 may be used instead of the telephone.
Furthermore, when the face image of the other party can be obtained by a camera or the like, the obtained face photograph is registered in the face photograph information of the offender or the like.

In the above description, the conversation script 92 is used to give notice and advice. good too.

So far, when registered in the crime prevention DB 131, it has been described that "processing is performed to notify that the other party is highly likely to be involved in a crime, and necessary advice is processed." However, I think it is safe and important to provide the opposite as a service. Visitors may come to the user's house for reasons such as inspection of water supply, gas, electricity, etc. In this case, since the visit appointment is notified in advance, the voice information and face photo of the prospective visitor are registered in the disaster prevention DB 131 as the visitor permitted, and the planned visit date and time are also stored.
When a visitor registered at the scheduled visit date and time comes to visit, the electronic device utilization system 72 determines that the visitor has no problem even if the visitor corresponds to the keyword information related to crime.

(5, Emergency information provision)
The electronic device utilization system 72 of the present disclosure has a function of prompting the user 3 to take appropriate actions during a disaster by using the disaster action DB 151 on the medical information sharing database 2 . In addition, when evacuation becomes necessary, there is also a function to store information on whether or not evacuation has been carried out and the reason for not evacuating in the disaster action DB 151, and it also has a function that enables local governments to check the stored contents. there is The disasters here include natural disasters such as earthquakes and heavy rains, accidents such as fires, and events that interfere with life such as water outages and power outages.

The function to encourage appropriate action in the event of a disaster using the action DB 151 at the time of disaster is achieved by arranging three items of action information necessary for each disaster case, residence information of user 3, and disaster information. realizable.
Actions required for each disaster case include "stay away from fire sites in case of fire" and "stay away from mountains and cliffs in case of heavy rain". This information is stored in advance in the disaster action DB 151 as action information necessary for each disaster case.
For the user 3's place of residence information of the user 3, information stored in the medical economic zone DB 21 on the medical information sharing database 2 is used.
The disaster information is one of disaster information, weather warning information, and evacuation information, and is acquired from systems (public systems) operated by local governments, the Meteorological Agency, and the like. Disaster information refers to information on events such as fires, water outages, power outages, earthquakes, and heavy rains. Weather warning information refers to weather warnings and advisories issued by the Japan Meteorological Agency. Evacuation information indicates information such as evacuation instructions, evacuation orders, and evacuation preparation information.
When disaster information is announced near the place of residence of user 3, electronic device utilization system 72 performs processing to acquire action information in line with the announced disaster from action DB 151 at the time of disaster. , the electronic device 73 is used to perform a process of notifying and communicating the information of the disaster that has occurred and the acquired action information.
The electronic device 73 may have a function of acquiring the presence or absence of evacuation and the reason why evacuation is not possible when the content of the notification communication is the content that should be evacuated.
This function has a function of recording in the disaster action DB 151 that evacuation has started when the connection between the electronic device 73 and the terminal owned by the user 3 is disconnected, and a function of recording in the disaster action DB 151 that evacuation has started, and of not being able to evacuate or having to evacuate if the user 3 has not evacuated. The reason for not evacuating is confirmed with the user 3 by using the conversation script 92, and the reason and the information that they are not evacuating are recorded in the action DB 151 at the time of disaster.
The information recorded in the disaster action DB 151 may be confirmed by the local government via a network. Since the local government can confirm, it can be expected that the search and rescue of the user 3 who has started to evacuate but has not come to the evacuation center or the user 3 who has not evacuated can be prioritized.
Examples of reasons for not being able to evacuate recorded in the disaster action DB 151 include:
"Even when an evacuation order is issued due to heavy rain, it is impossible to evacuate safely because the area in front of your home is already flooded."

By using the five basic functions and the five extended functions of the electronic device 73 that have been described in the present disclosure, the electronic device 73 enables the user 3 to live safely and securely.
Since the daily information of the user 3 (patient) can be acquired, the medical institution 4 can use the daily information as a judgment material for more advanced diagnosis and treatment.
In the medical institution 4, by providing the electronic device utilization system 72 of the present invention to the existing patient in charge, the electronic device utilization system 72 collects the patient's daily data and sends it to the doctor 5a of the medical institution 4. By providing information, the doctor 5a can see a large number of patients. Furthermore, since the electronic device utilization system 72 identifies change points in daily data and test values different from the reference values and performs processing to transmit information to the doctor 5a, it is possible to prevent the doctor 5a from overlooking the information, so that the patient can be examined more deeply. As a result, it leads to the improvement of the patient's condition. Even if the patient is not a patient, he or she can use data to watch over the patient's body and perform data diagnosis. Therefore, it can be inferred that the management of the medical institution 4 will improve if the doctor 5a finds and approaches a patient who can be presumed to be ill.
In addition, it can be assumed that by using the patient's daily data, more patients (user 3) can be examined than with the telemedicine service, thereby increasing profits.
It can be inferred that by using the services of the medical institution 4 for health management, it is possible to attract users 3 who are not ill in addition to patients, and to further improve management.

The electronic device 73 of the present disclosure may have a communication function from the user 3 to the medical institution 4 . This function allows the user 3 to contact the medical institution 4 by speaking to the electronic device 73 when the user 3 wants to contact or consult with the medical institution 4, such as when the user 3 is in poor physical condition or has doubts about the prescribed medicine. can be done. The content to be communicated is obtained from the user 3 using the conversation script 92 . The contents heard are sent to the medical institution 4 as information such as voice and text. The sent medical institution 4 confirms the content of the inquiry from the user 3 and uses the electronic device 73 to reply to the user 3 either synchronously or asynchronously.

By using the "medical version MaaS system 213" described in the eighth embodiment together with the electronic device utilization system 72 of the present disclosure, a patient using a special vehicle can secure the vehicle or caregiver 8 by voice. be able to
For example, if User 3 wants to go shopping on Thursday, when User 3 asks the smart speaker, "I want to go shopping in Shinjuku on Thursday," the smart speaker responds with questions such as the time required for shopping and the desired pick-up time. Do with User 3. Using the result of the question, the time for securing the vehicle, the attendant 8, etc. is calculated, and the vehicle, the attendant 8, etc. are secured in the calculated time.

The "electronic device utilization system 72" described here enables the doctor 5a of the medical institution 4 to check the medical condition of the patient, who is the user 3, from the conversation data, thereby supporting medical care. Furthermore, for a non-ill user 3 who has little connection with a medical institution 4, a service that allows them to monitor their health condition and suspicion of illness from conversation is
For the user 3 who wishes to end his life without getting sick, it is a service that hopes not to become dementia and hopes for improvement from dementia by starting treatment at an early stage.
By providing services through the platform, many medical institutions 4 can use the services, which is desirable for the patients of those medical institutions 4.
As the population decreases, medical institutions 4 will begin to compete for patients, and the time will come when the medical institutions 4 will be eliminated.
From a business model that dealt only with patients who would leave once their illnesses were cured, this service will become a business model of an attempt to start harvesting in a new field where there are unaffected people who have no connection with the medical institution 4.
"Electronic device utilization system 72", which expands and provides services from patients to users 3, is a service that the medical institution 4 wants to use.
In the future, patients and users 3 will be in an age of choosing medical services.
By using the services described in the other embodiments within the medical economic zone 24, there will be no expenditure from the medical institution 4, and the sustainability of medical management and the service to patients will be improved.
We believe that the era of providing various medical services to patients will begin.

Businesses entering the system of the present invention can develop various businesses in a short time for the users 3 who have narrowed down the target in advance, from the roundabout business of searching for customers from a wide range of markets. for example,
When advertising, it is possible to conduct an indirect conversation with the user 3 by narrowing down the advertisement by age group, gender, occupation, patient with medical condition, health-conscious person, etc. Conversation that can be obtained from the conversation of the advertisement , it is possible to obtain various answer information of the user 3 . Opinions and requests can be collected directly in the conversation.
Furthermore, manufacturers who wholesale their products to retail stores can sell their products through advertisements or direct conversations with the users 3 . Business entry is expected.

<Fourth Embodiment>
Conventionally, cash was handled at the window of the medical institution 4 or in paperwork to make payments. The labor costs of medical clerical workers, which have been allocated to office processing and the like, account for a proportion that cannot be ignored as costs in the medical institution 4 .
In order to stabilize the management of medical institution 4, it is necessary to make money such as "accounting work at medical institution 4's window", "settlement work accompanying the purchase of medicine and medical materials", and "salary payment work to medical staff 5". It can also be done by automating the work to be handled. This is because the automation of money-handling work can reduce the number of clerks engaged in this work.
In order to realize this, it is necessary to perform cashless settlement without handling cash at the medical institution 4 . However, cashless payments at medical institutions 4 have not progressed except for large hospitals. In some small and medium-sized hospitals and clinics 4e, cashless payment is possible, but even if it can be used for payment, it is limited to cases where the payment amount exceeds the minimum amount, such as 5,000 yen or more, or for private medical treatment. In many cases, it can only be used under certain conditions. There is no cashless payment at private clinics. Reasons for the lack of progress in cashless payments include: "Medical Institution 4 thinks that payment fees are high,""The procedure for refunds for insurance medical treatment is complicated," It is difficult to pay the full amount out-of-pocket and then apply for insurance at a later date to get a refund.""Some patients are unable to use payment cards because they are unable to obtain approval to make a payment card due to their age or medical condition."
If the medical institution 4 becomes cashless as a whole, the accounting process can be automated, tax returns can be automated, and the administrative staff at the medical institution 4 can be saved. In addition, by preparing a payment system 9c and an accompanying payment account that can be used in common by the patient and the hospital 4a, payment can be made by electromagnetic money transfer by recording transfer information within the system. In addition, since the payment system is linked to health insurance card information and medical certificate information for medical expense subsidies by public institutions, even if the information on the insurance card or medical certificate changes, the processing ends within the payment system 9c. , settlement can be performed without delay, and the medical institution 4 and the patient do not need to perform complicated procedures.
Furthermore, by using the settlement system 9c and its associated settlement account, the medical institution 4 can also pay salaries to the medical staff 5 and pay the expenses of the medical institution 4 associated with the purchase of medicines and medical materials. It becomes a common process for exchanging money in medical institutions, and the system of the present invention becomes a platform for medical payment.
Conventional payment is based on healthy people, and if a person with a medical condition uses it, there are cases where the property can be lost in an instant. Payment that can be safely used is a necessary payment in the future society.

The medical institution payment support system 102 (payment support system 102) of the present disclosure can be used by passing a dedicated payment medium (payment card, patient terminal capable of displaying payment information, etc.) from the hospital 4a to the patient.
In addition, the personal information 22 (personal basic information) necessary for creating payment media uses information stored in the medical economic zone DB 21 in the medical information sharing database 2 of the platform-type medical institution support system 1. By using this information, the medical institution 4 can instantly create a settlement medium. When a general person applies for a payment card to a financial institution or credit company, it is created by presenting a passport, insurance card, or driver's license as basic information for identifying an individual. The reason why the payment medium made by the medical institution 4 can be made instantaneously is exactly the same as this, and the information stored in the medical economic zone DB 21 includes the information of the insurance card as the information of the patient. Therefore, by using the information in the medical institution 4, it becomes possible to instantly create a payment medium. Regarding the health insurance card, the theory is that the health insurance card is approved and distributed by the local government or health insurance association, so there is no need for a second examination based on that. By handing the medium to the patient at the hospital 4a, the patient can naturally create a flow of using the payment system 9c, and the patient can immediately create a flow of shifting from cash payment to cashless payment. In addition, this cashless system 103 is characterized in that not only a payment medium but also a medical payment account can be created at the same time. Since the settlement account is created at the hospital 4a, the account can be created immediately without the troublesome wait time for opening the account, which occurs when creating a conventional cashless settlement account. Financial institutions were unaware of how the medical information of this disclosure could be used to create payment vehicles.
At the time of the patent filing of this disclosure, there are no payment methods such as cash cards, credit cards, debit cards, etc. that are considerate of sick patients.
This section describes what is available or can be expected for the increasing number of patients with medical conditions in the future.
By making it possible to use the payment medium handed to the patient at the hospital 4a even in the city, and in the case of a patient with symptoms such as dementia or forgetfulness, by providing a mechanism that supports the use in the city according to the symptoms. , increasing patient convenience and reducing shopping caused by disease symptoms. In particular, in the medical condition of dementia, it is possible to make impulsive purchases without recognition, shop due to symptoms such as shopping addiction, make payments without recognition, and delusions that are symptoms of the disease, such as cash and wallets. In some cases, you may forget that you hid it to prevent it from being stolen.

In addition, the settlement account of this settlement support system 102 can also be used by the medical staff 5 to pay salaries to the medical staff 5 by creating and adapting basic information whose own medical information is in the medical economic zone DB 21. It can also be used for payment when the medical worker 5 visits the hospital 4a and for settlement of shopping in town.

Furthermore, a settlement account for the settlement support system 102 can be created by a client of the medical institution 4 such as a pharmaceutical company, drug wholesaler, or medical supply company that uses the medical economic zone 24 for business purposes. If the representative of the company has been treated at the medical institution 4, the personal information 22 and the information of the health insurance card are registered in the medical economic zone DB 21, so they become the basic information and create the payment medium and the medical payment account 104. be able to. The creation of a payment account for a business partner can also be used as a payment account for the medical economic zone 24 .

The settlement support system 102 of the present disclosure is composed of several sub-systems on the medical management service centered on management and business structure.

When applying for the creation of payment media for financial institutions, credit card companies, etc., personal information (name, date of birth, address, telephone, gender) as basic information, employment information, financial institution account information, and in some cases is a process that allows you to apply for and possess information from a public institution that certifies your name and address. The medical institution 4 has all the information necessary for this application.
Since the medical information system 9 in this medical institution stores the patient's personal information 22 such as name, date of birth, address, telephone number, gender, patient registration card number, and health insurance card number, this information is stored. There is no reason not to use it as it is. If you use this information, you can instantly create a payment medium with a single click.
In the settlement support system 102 of the present disclosure, in addition to the personal information 22 that can be obtained from the medical information system 9, my number, driver's license number, passport number, residence card number, etc. are stored as personal information 22. In addition, as payment method information, which is information on the payment method used by the patient for payment in this system, the patient's designated bank account, credit card, financial institution account information, cryptocurrency information, digital currency information, post-payment payment information, prepaid Payment information and the like can also be stored in the payment-related DB 101 in the medical economic zone DB 21 .
This payment method information can also be set from the patient's terminal. Furthermore, biometric information such as the patient's fingerprint and face is also stored in the payment-related DB 101 as authentication information. This setting may be set on the portal site of the medical economy zone 24 . An example of a portal site is the technology disclosed in FIG. 10 of Japanese Patent No. 6558669 devised by the applicant.
If you omit the personal information 22 described in the application form when creating a new credit card etc. and use the settlement support system 102 of the present disclosure from now on, you will be able to apply to the credit card company, financial institution, or credit company. All necessary basic information can be notified with one click.

FIG. 23 shows the database configuration of the fourth embodiment.

The medical information system 9 of the present invention includes information such as biometric information and authentication information as the patient's personal information 22 . By using this information, the medical institutions 4 that use the conventional electronic medical record 9a can share data by browsing patient data. A technique for sharing information between medical institutions 4 includes a technique disclosed in Japanese Patent No. 6660655 devised by the applicant.
As an example of sharing, when a patient who came to A internal medicine hospital wants to refer to the findings of doctor 5a at B clinic, the patient's consultation number (management number) is added to the conventional electronic medical record 9a used in B clinic. can be searched and browsed using the key.

The payment support system 102 of the present disclosure is characterized by handing the payment medium to the patient at the reception of the hospital 4a, and the information of this payment medium becomes the basic account information. The personal information 22 is acquired from the medical information system 9 that manages patient information stored in the hospital 4a or the like, and the acquired basic account information of the payment medium is used. When handing over the payment medium to the patient, a medical payment account 104 linked to the unique management number of the payment medium is created. The patient's biological information obtained from the medical information system 9 is added to the medical payment account 104 . Furthermore, payment method information that the patient uses for payment in this system is registered. FIG. 24 shows the configuration of the settlement support system 102. As shown in FIG.

Payment at the medical institution 4 using the payment support system 102 of the present disclosure can be performed by presenting the medium to the payment terminal and additionally presenting the patient's personal information 22 or the patient's biometric information. The payment terminal performs processing for sending the read payment medium information, the patient's personal information 22, or the patient's biometric information to the authentication server on the medical institution payment support system 102 of the present disclosure. The authentication server that receives the biometric information authenticates the patient by comparing it with the patient's biometric information stored as authentication information in the medical economic zone DB 21, and sends the authentication result to the payment server on the medical institution payment support system 102. process.
Cashless payment is made by depositing the advance payment to the medical payment account 104 on the payment server. The details of the advance payment will be described later.

Settlement fund information and cash flow of the medical institution payment support system 102 using the medical payment account 104 will be described.
When the payment is made, the patient's medical payment account 104 on the medical institution payment support system 102 will be transferred from the patient's medical payment account 104 on the medical institution payment support system 102 to the medical institution 4 on the medical institution payment support system 102. Transfer information indicating that the payment has been transferred to the settlement account 104 is recorded in the medical settlement account 104 as information. The recording of this transfer information occurs substantially at the same time that the patient makes the payment. The information recorded in the transfer information includes the information on the medical payment account 104 of the patient who made the payment, the information on the medical payment account 104 of the medical institution 4 to which the payment was made, and the detailed payment information such as the amount transfer information generated by the payment. A recording process is performed.
As the expenses paid by the patient to the medical institution 4, the examination fee, the dispensing fee, etc. are described as examples. indicates all expenses paid to medical institution 4.

The medical institution payment support system 102 may have a function of making payments for a series of medical institutions 4 used in the medical care of a patient all at once. This function allows the patient to select an arbitrary medical institution 4 from among a series of medical institutions 4 that the patient has used for medical treatment, and to make payments to the series of medical institutions 4 at the selected medical institution 4 .
Payment to a medical institution other than the selected medical institution 4 is performed by sending information necessary for payment such as a payment method to the other medical institution 4 via the medical institution payment support system 102 .
For example, when a doctor is examined at a medical institution 4 and a prescription is issued, normally, the medical institution 4 pays the examination fee, and then the patient goes to the dispensing pharmacy 4b and pays for the prescribed medicine. The ``function of making payments for a series of medical institutions 4 all at once'' explained here is that when the medical institution 4 completes the examination and settles the payment at the medical institution 4, the medical institution 4 also pays the cost of the prescription drug to be paid at the next dispensing pharmacy 4b. I'm going to pay for it.

So far, it has been explained that payment is made by presenting the payment medium and either the patient's personal information 22 or the patient's biometric information. Japanese Patent Application No. 2021-113927 of the present applicant states that settlement is performed without a settlement medium. Thus, by sending the patient's biometric information to the authentication server on the medical institution payment support system 102 and authenticating the patient, payment may be made without a payment medium.

In addition, the medical institution payment support system 102 of the present disclosure may have a function of issuing texts related to payment issued by the medical institution 4, such as receipts and medical specifications. Further, there may be a function of calculating the medical examination history and the total amount of money for a certain period of time and issuing a sentence describing the medical examination history and the total amount of money for the certain period of time.
The text may be printed by a terminal such as a settlement terminal installed in the medical institution 4, or may be issued as an electronic text. The electronic document is issued by designating the delivery destination to the medical institution payment support system 102 from a terminal installed at the medical institution 4 or a terminal such as a personal computer or smart phone owned by the patient. In addition to sending texts by operating the terminal as needed, texts can be sent automatically at the timing when texts can be issued, such as when payment is made, by specifying the destination in advance. may

From now on, the payment medium and the medical payment account 104 and the advance payment will be explained.
A unique management number is assigned to the payment medium created by the medical institution payment support system 102 and delivered to the patient at the hospital 4a.
The medical payment account 104 created by the medical institution payment support system 102 is automatically created in association with the management number of the payment medium handed over to the patient. The medical payment account 104 has a function of automatically linking the patient's personal information 22 and the patient's biological information stored in the patient information DB 161 on the medical institution payment support system 102 .
Before you can make payments with a payment medium, you need to activate the payment medium. First, before activation, it is confirmed that the patient's biometric information has been acquired and linked to the medical payment account 104 . Once the biometric information has been confirmed, it is necessary to deposit the initial advance payment into the medical payment account 104 at the reception of the hospital 4a for activation. This advance payment can be made at the window of the hospital 4a to which the payment medium has been handed.
FIG. 25 shows an example of a method of creating payment media.
Explain prepayments.
The advance payment refers to the amount deposited in advance in the medical payment account 104, and is the money for actual payment. If there is no advance payment or it is insufficient for the settlement amount, the settlement cannot be made. Payment of the first advance payment is performed at the reception of the hospital 4a. For the second and subsequent prepayments, payment is made at a terminal installed in the hospital or at the window of the hospital 4a, payment by bank transfer, payment by transfer from the payment method recorded in the payment method information, and the like. This transfer is performed by a method that is carried out by existing technology, such as "automatically deposit money at regular intervals" and "pay money when the balance of the advance payment falls below the set lower limit".
There may be a function to temporarily invalidate the payment medium and the medical payment account 104 when there is no balance of the advance payment in the medical payment account 104 of the user 3 .

So far, the description has been made on the premise that the payment medium is used in the hospital 4a. From here, I will focus on patients who use the service in the city and explain why payment methods centered on medical care are necessary.
Since the payment medium itself is not much different from prepaid or electronic money, which are existing technologies, it would be nice if there was a function that could be used for payment outside the hospital, such as at a store in the city. The payment is made by presenting the payment medium to the payment terminal of the shop in the city, and by transferring the money from the advance payment to the account of the shop in the city. This money transfer is sent as transfer information from the medical payment account 104 of the patient (user 3) to an account in a store in the city, and the actual money transfer may be performed collectively for each closing date.
In addition to the method described above, the advance payment to the patient's (user 3) medical payment account 104 may be made at a store in the city.

The settlement function in the market may include the function of managing funds in daily life. Some patients continue to shop due to addictions arising from their medical conditions, making it essential for patients with medical conditions to have a save function on the system. The settlement system 9c is close to the patient according to the patient's medical condition.
Functions for managing funds in daily life include ``a function to set an upper limit for living expenses for each item or place of purchase'' and ``a function for setting an upper limit for living expenses within a certain period of time''. It can be used as a household expense management function for planning funds, leading to a comfortable life for the user 3. It also has a function that matches the symptoms of the user 3 whose attribute information on the patient information DB 161 includes information such as dementia.
Four examples of the details of the "function of setting the upper limit of living expenses for each living item and each place of purchase" are shown below.

(1) Mr. A, who uses the payment medium given to the patient at the hospital 4a, has set a total monthly payment amount of 30,000 yen as living expenses, 5,000 yen for food, 3,000 yen for daily necessities, We set 5,000 yen for alcoholic beverages and sweets, and 3,000 yen for eating out. In addition, 5,000 yen for B store, 10,000 yen for C mart, and 10,000 yen for D store are set as upper limits for each place of purchase, and 10,000 yen is set for medical expenses. With this setting, Mr. A had a total balance of 7,000 yen left in the medical payment account 104 at the end of the month. When trying to buy 4,000 yen for groceries and meat in total at C-mart, User 3 was automatically notified by processing an alarm notification prompting him to improve his shopping after the payment because the set value that was set in advance in the system was exceeded. reach your mobile device. The household expenses management function issues an alarm notification to the user 3 to grasp the current situation. In the content of the alarm notification, as a report of the current situation to User 3, as of _____, the amount of groceries has already exceeded the monthly upper limit of 1,000 yen, and the amount at C-mart I have exceeded the purchase limit setting of 2,000 yen, and the balance of the upper limit settlement amount is 0,000 yen, and I will report the balance that can be used until 0 days and the settlement tally up to the current situation, and the content of the warning will be until the next month. This is an alarm notification requesting improvement of the shopping amount, shopping items, and shopping place, and requesting suppression of shopping in general. Thus, the function of setting the upper limit of living expenses for each living item or each purchase place indicates the function of setting the upper limit amount for each item or each purchase place.
The above set amount is "set amount for the past one week or one month including the current day", "set amount for one month from the 1st to the end of each month or one week from Sunday to Saturday". For example, a fixed period may be determined and the upper limit amount within that period may be set.
In other words, the household expense management function refers to a function that can actually be used by determining the amount of money that can be used for a certain period of time and the amount that can be used for each item, similar to the management of general living expenses.
Also, although an example of specifying and setting an amount of money has been described above, a percentage may be set instead of the amount of money. The percentage is defined as a percentage for each item or a percentage for each place of purchase, assuming that the total cost of living is 100%.

(2) Describe security specific to the medical institution settlement support system 102 of the present disclosure. The payment support system 102 of the present disclosure has a payment security function that restricts payment unless the location information of the payment terminal and the address where the payment terminal is installed are substantially the same.
The payment terminal acquires location information using GPS or mobile communication network radio waves, wifi radio waves, network IP address information, and the like. Acquisition of location information is performed by sending the location information acquired by the payment location acquisition unit in the payment terminal to the location information acquisition system 105 in the platform-type medical institution support system 1, and is generally known as Geolocation API. Use a method that is
The address where the payment terminal is installed is registered in advance in the medical economic zone DB 21 as payment location information, and position information such as latitude and longitude is calculated from the address.
FIG. 26 shows an example of acquisition of position information, and FIG. 27 shows a system diagram of an address position information database in which payment terminals are installed.
The payment support system 102 determines whether the location information acquired by the payment terminal and the location information calculated from the address of the place where the payment terminal is installed are substantially the same. Payment is allowed. This is a security function that uses location information discrepancies.
When the payment is permitted, the user 3 including the patient makes the payment using the advance payment already deposited in the medical payment account 104 or the payment method registered as the payment method information.
That is, there is a security function that prevents payment from a payment terminal whose address is not registered in the payment location information.
For example, Mr. A tried to make a payment at a store B in a multi-tenant building because it was not possible to make a payment at a place other than those registered in the system, but the payment was not possible. Since this store B was not registered as a business, it was not permitted to install a payment terminal, so it was protected so that payment could not be made.

(3) The payment support system 102 has a function of restricting payment unless the position information obtained by the payment terminal and the position information calculated from the address of the place where the payment terminal is installed are substantially the same. The payment method database on the payment support system 102 may have a function of setting the upper limit of the purchase amount for each business operator (store). This setting can be performed using a terminal or the like owned by the patient (user 3). The business operator list can be used from the payment location information of the address where the payment terminal is installed. The upper limit of the amount of money that can be purchased for each business operator may be set for each type of industry that runs the same business. Also, there may be a function that allows purchase of only items set for each business or type of industry. Here, the type of business that operates the same business may be not only a wide type of business such as retail, but also a small type of business such as department stores, supermarkets, and convenience stores. This security provides user 3 self-restraint and anti-crime measures. For example, if User 3 loses the payment medium or has the payment medium stolen, if the shop where the third party tried to use the payment medium is not registered as a shop, the stolen payment medium payment is not possible. An alarm notification is issued by the household expenses management function to indicate that payment is about to be made at a store that is not set for the user 3. You can make payments at registered stores, but you can only make payments up to the maximum amount.

(4) In the payment support system 102, which has a function to restrict if the location information acquired by the payment terminal and the location information calculated from the address of the place where the payment terminal is installed are not substantially the same location, the user 3 designates in advance. There may be a security function that allows settlement only in the region where the payment is made. Region registration is performed in the settlement range database on the settlement support system 102 . The registration of this area can be performed using a terminal or the like held by the patient. Determination of whether it is within the registered area is made by the settlement support system 102, using either the location information of the settlement terminal or the address where the settlement terminal is installed.
As a method of setting the area, ``within a certain distance in a straight line from a specific point such as the home of user 3 or the hospital visit of user 3'', ``within a specified municipality or town area'', etc. However, it is not limited to this.
This payment support system may have a function of notifying the terminal of the user 3 of the result of the payment regardless of whether the payment is successful or not when the payment is made outside the registered area.

The items set to restrict the shopping of user 3 by the function of setting the upper limit of living expenses for each living item and for each purchase place explained so far are stored in the payment relation DB 101 as usage restriction information. there is

Here, the safety protection security function for people with diseases such as dementia in this payment will be explained.
As an additional function of the payment support system 102 having a function of restricting payment unless the position information obtained by the payment terminal and the position information calculated from the address of the place where the payment terminal is installed are substantially the same, There may be a user 3 information database in which attribute information is stored. Search information and purchase restriction information are described in this attribute information. Search information indicates information that family members or public institutions are looking for User 3 for reasons such as wandering or missing, and purchase restriction information indicates restrictions or prohibitions on purchasing products due to reasons such as dementia. It indicates information that When the user 3 intends to purchase a product or the like, the function notifies the pre-registered contact address of the place where the payment was made. In addition, if the user 3 whose attribute information includes purchase area restriction information that restricts the area where the product can be purchased tries to purchase the product outside the area where the product can be purchased, It is a function to notify the location where you tried to make a payment to the contact who has
The hospital 4a has created a payment medium, and the information of the user 3 (patient) can be obtained from the medical information system 9 owned by the medical institution 4. Therefore, the user 3 who has symptoms of wandering or forgetfulness due to dementia, etc. As an additional function for providing appropriate support to the purchaser, the user 3 describing search information and purchase restriction information and purchase area restriction information are described, and appropriate support can be provided according to the restriction of the user 3. Conventionally, various cashless payment business operators have released payment media, but the application of the sick person is not accepted and the business operator does not have information on the medical condition. In addition, there was no company that gave consideration to User 3 who had a medical condition.
For example, dementia can cause symptoms of impulse buying and shopping addiction. In this case, the purchase itself is the purpose, and the purchased item is not of interest. In addition, in the case of mail-order purchases, dementia patients may misunderstand that packages have been delivered to them without permission, and may be more satisfied than shopping in the market. If a patient with these symptoms goes shopping, it will cause trouble for the store where they purchased it and their families. . In addition, when a purchase is made, information such as the store where the purchase was made is communicated to a pre-registered contact address such as a family member or guardian, so that even if an unnecessary item is purchased, it can be dealt with quickly. In this way, it is very important to incorporate into society the platform base of the medical institution payment support system 102, which allows payment from the viewpoint of the medical society, which has not existed in the past.

So far, we have discussed the "function to set the upper limit of living expenses" that can be used for payment, and the "security that allows payment only in the area specified by user 3 in advance". However, these two functions may be used together, that is, a payment security function may be provided in which only the maximum amount of money set in the registered area can be used.

So far, the medical payment account 104 and the payment support system 102 have been explained from the perspective of three users. The medical settlement account 104 may also be used for "transactions with companies" and "payments from insurers, local governments, etc.". The medical payment account 104 is used for many deposits and withdrawals, and the medical institution payment support system 102 is the central counterparty, so that the medical institution payment support system 102 calculates the payment and withdrawal of the bank account of the medical institution 4. Since the difference is good, the fee for money transfer (bank transfer, transfer, etc.) will be reduced. In addition, when deposits and withdrawals are made in the medical payment account 104, the history of transactions can be easily obtained by obtaining the history of deposits and withdrawals from the medical payment account 104. FIG. Easy acquisition of transaction history simplifies the creation of books and makes it easier to file tax returns. As a result, it will lead to labor saving of medical clerical workers related to accounting.

So far, the method of making a payment using the payment medium handed over to the patient by the medical institution 4 has been explained. In addition to payment, points issued by the medical institution 4 may be issued and used for business. Japanese Patent Application No. 2021-113927 of the present applicant discloses the use of points in business. By using points for business, we can expect to increase the number of patients. Items such as the Blue Chip (registered trademark), Green Stamp (registered trademark), and Bellmark (registered trademark) that existed in the Showa era were collected as points equivalent to modern-day Japanese culture that began after the war. is. For the Japanese, collecting things and making them a part of their lives has not changed from the past to the present.

So far, the functions of the settlement assistance system 102 of the present disclosure have been described. By using this settlement support system 102, it is possible to make payments without using cash, that is, to make "cashless payments".

The payment cashing using the payment support system 102 of the present disclosure has a function of restricting purchases according to the attribute information of the user 3 stored in the patient information DB 161 . It also has a function of storing information generated by the payment made by the user 3 in the payment-related DB 101 as shopping history information.
The shopping history information stored here includes the place of payment, details of payment (contents of shopping), time of payment, and the like.

Convenience is emphasized and cashless payment can be easily made anywhere, so it cannot be said to be preferable for some people such as sick people and the elderly. This is because payments can be made anywhere as long as there is a terminal used for payment. A user 3 with dementia does not remember whether the payment medium has been dropped or lost, and until the user realizes that the payment medium has disappeared, it will be used by a third party. Therefore, the settlement support system 102 of the present disclosure also has a function of restricting settlement for the purpose of preventing the loss of living funds and personal property of sick people and elderly people.
This function is realized by saving information that restricts payment in usage restriction information.
Information for the user 3 to set the upper limit of the settlement amount for each of various business operators or various industries for the purpose of security protection and to set items that can be purchased is also stored in the use restriction information. The upper limit of the payment amount and the items that can be purchased may be set by the user 3 himself/herself using a portable terminal owned by the user 3, or may be set by a family member of the user 3 or the like.
The user 3 for whom this information is set can settle only up to that amount in the set business operator or business type.

Moreover, you may restrict the area which can settle. For this, areas where settlement (shopping) is possible are set in advance and stored in the settlement relation DB 101 as settlement range information. Payment cannot be made outside the set area.
When a settlement is attempted outside the settlement range, a record is stored in the settlement-related DB 101 indicating that the settlement was made outside the area. Almost at the same time as recording in the payment-related DB 101, a notification to the effect that payment is impossible is also sent to the notification destinations registered in advance in the payment-related DB 101, such as the mobile terminal of user 3 and the mobile terminals of the family members of user 3. . This notification also includes information such as payment details, payment location, and payment time.

In this way, by setting an upper limit on the amount of payment for each business or industry, setting items that can be purchased, and restricting payment locations, patients and elderly people who could not have a payment card in the past can also use it. A cashless social environment can be provided.
The reasons why patients and elderly people could not have a payment card were that the payment card issuer judged that their creditworthiness was low due to their low income, and that bank accounts were restricted by medical conditions such as dementia. Being unable to pay for it.

By knowing the place where the payment was made, it is possible to know where the user 3 is now. This function can be used when search information and purchase restriction information are described as attribute information in the patient information DB 161 .
The settlement support system 102 of the present disclosure has a function that enables acquisition of information such as the settlement location when the user 3 makes a settlement using the settlement support system 102 of the present disclosure. Among the position information acquired by this function, if search information and purchase restriction information are registered as attribute information in the patient information DB 161, this position information is treated as current information.
The current information is sent to the contact information registered in the trust information of the patient information DB 161 as the information of trustees of the patient, such as the family and guardian of the user 3 (patient). This notification contains information such as the address and map of the place where the payment was made, the place where the payment was made, and the content of the payment.
This trust information also includes information on a proxy contract for fund management of user 3 using a family trust or the like, information on a voluntary guardian, an adult guardian, and the like.
In addition, it can be used by a patient whose purchase area restriction information is registered as attribute information in the patient information DB 161 . In the case of user 3 who has registered purchase area restriction information, if he tries to make a payment outside the area registered in the payment range information, the contact information registered in the trust information will be sent to the current location and payment information. You will be notified of the content.
When payment is made, the contact information listed in the trust information will be contacted, so even if an elderly person such as User 3 who has a habit of wandering or someone with some medical conditions goes out alone, they can watch over them with peace of mind. can be done. Even in the unlikely event that someone goes missing due to reasons such as going far away, it is possible to find them from the information that is here now.

Shopping history information, payment location information, maximum payment amount information for each household item or purchase location stored in usage restriction information, maximum payment amount information for a certain period of time, location information of User 3's home, external system By combining and using information such as the weather at the time of payment that can be obtained from , it will be possible to detect early symptoms of dementia and other diseases from changes in thoughts and intentions of actions and remarks, and food preferences and intentions. "The elderly can live a safe and healthy life without getting sick," and "A social environment in which User 3, who has a medical condition such as dementia, can safely wander and shop based on their thoughts, intentions, and preferences regarding behavior and food. It is also possible to build a system for the purpose of "construction of
When the information described above is used in combination, it is possible to obtain information on the frequency of shopping by the user 3, which is information on behavior patterns such as various thoughts, intentions, and preferences of the user 3, and the direction in which the user 3 goes shopping. Information, information on the range in which the user 3 does shopping, and information on the shopping preferences of the user 3 are naturally known. By combining this with the settlement range information and plotting the settlement location on a map obtained from an external system, including whether it is within or outside the area specified by the settlement range information, the range of action can be understood. The action pattern information and action range are stored in the medical economic zone DB 21 as action pattern information.

``Early detection of medical conditions such as dementia from changes in thoughts and intentions of behavior and remarks and changes in food preferences and intentions, and the safe and healthy life of elderly people without dementia and other diseases.'' A description will be given of the intended case.
First, the payment support system 102 of the present disclosure acquires the medical condition of the user 3 from the patient information DB 161 . Behavioral pattern information of a plurality of users 3 having almost the same medical condition as the acquired medical condition is acquired from the medical economic zone DB 21, including changes from the past. In addition, behavior pattern information of a plurality of users 3 who are healthy and do not have the acquired medical condition is acquired from the medical economic zone DB 21, including changes from the past. Machine learning is performed using the acquired behavioral pattern information of a plurality of users 3 who have almost the same medical conditions as the acquired medical conditions and the acquired behavioral pattern information of a plurality of healthy users 3 who do not have medical conditions. . The settlement support system 102 uses this machine learning to derive the difference between the behavioral patterns of people with medical conditions and the behavioral patterns of people without medical conditions. The difference in the derived behavioral patterns is presumed to be the cause of the disease, and the person who does not have the disease is urged not to perform the behavior that is the presumed cause of the disease. Also, when the estimated behavior pattern is found, it is determined that the user is suspected of being sick, and the user 3 is urged to go to the hospital 4a and receive the judgment of the doctor 5a. As a result, early detection of medical conditions and the prevention of diseases such as dementia enable the elderly to lead safe and healthy lives.

A case will be described where the purpose is to "build a social environment in which the user 3, who has a medical condition such as dementia, can safely wander and shop based on his thoughts, intentions, and preferences regarding behavior and food."
First, the behavior pattern information of the target user 3 is acquired including changes from the past. Machine learning is performed using the acquired behavioral pattern information. By this machine learning, the user 3 predicts the range of loitering due to dementia. By knowing the range of wandering, it is possible to estimate the behavior of the user 3 who has a medical condition such as dementia, and to construct and provide a social environment in which safe wandering and shopping can be performed.
Machine learning using the acquired behavior pattern information is performed using a method such as that used in Ray Frontier's SilentLog Analytics (trademark).

Currently, as a new payment method, payments using digital currencies that are backed by the state, such as those issued by central banks, are about to begin. The payment system disclosed in this disclosure can also be applied to payments using digital currency. By using restrictions, etc., elderly people and people with some medical conditions will be able to use digital currency with peace of mind.

The payment system of this disclosure is equipped with notifications based on information about where you are now, notifications of payment locations, notifications of payment details, etc., so that family members, trustees, and others can know, and User 3 can feel at ease. We can provide payment services.

The settlement system of the present disclosure utilizes information accumulated as shopping history information, and the electronic device 73 provides the user 3 with a service using conversation with the user 3 such as a patient or the elderly based on the payment history information. can also This function is the function described in "(2) Purchase support function" among the extended functions of the third embodiment.

By installing and using the settlement support system 102 of the present disclosure by a business such as a retail store, the business can be a patient with some medical conditions for which an adult guardian is set, or an elderly person with weakened physical function. , From the business operator, it is possible to respond to patients who do not seem to have dementia.
By using the settlement support system 102 of the present disclosure, unnecessary shopping by the user 3 as described above can be suppressed, and the business operator can reduce troublesome operations such as return processing.

By combining and using the functions described in this embodiment, when a patient or a patient's family wishes to safely manage the patient's living expenses and personal assets for the rest of his or her life, trust management and inheritance management can be performed. It is possible to perform any request processing out of will management to an institution, and to perform trust services such as patient information provision processing and trust contract management processing to a desired institution. FIG. 28 shows a system diagram for using the trust contract.

In addition to the conventional trust service for deposit assets, this trust service can also manage a will that prepares for inheritance (property distribution) that will occur after the user 3 dies. Traditionally, wills were managed by lawyers and judicial scriveners, or entrusted to public institutions such as legal affairs bureaus and notary public offices.
In addition, in order to execute a will, information about the family lineage such as parents, children, brothers and sisters from the perspective of the decedent is required. By linking the trust service of the present invention with the medical information providing system described in Japanese Patent No. 6886209 devised by the applicant, it becomes possible to easily acquire a family tree on the system.
Once diagnosed with dementia, it is very difficult to create these documents and contracts, so it is important to prepare early.
Some of the users 3 have a disease, and by using the smart speaker described in the third embodiment of the present disclosure, what can be done to find changes even if there are no signs of dementia at present? also requires early preparation. In particular, the bank account of the user 3 may be locked at the discretion of the financial institution, which can be avoided by taking action early. It has a program for making trust agreements and, in the case of the elderly, making wills. FIG. 29 shows an example of making a will.

According to an analysis by the Dai-ichi Life Research Institute, the total financial assets held by patients with dementia will reach 215 trillion yen around 2030. If no measures are taken, 215 trillion yen, equivalent to about 40% of GDP, will be tied up in financial institutions, and financial assets that should be used for consumption and investment will decrease, and real estate transactions will decline. As a result, the economic cycle will not work well, and there is concern that GDP will decline. Although there is an impact on society, the impact on the family is large because the bank account that is the mainstay of the family is frozen. think it's the best. By entering into a trust agreement before the onset of dementia, financial assets are not left in a salty state and can be maintained in a usable state, making it possible to manage and dispose of assets for the benefit of financial asset holders.

By utilizing this trust service, the following services can be provided.
Even a patient who is difficult to provide the personal information 22 by himself/herself due to the medical condition can provide a service that can easily and quickly create a settlement means by using the patient's basic information in the patient information DB 161 of the medical information sharing database 2.例文帳に追加
In addition, it is possible to provide a settlement service that allows a patient who always loses or forgets a settlement medium due to a medical condition to make a settlement using the patient's authentication information in the medical economy zone DB 21 of the medical information sharing database 2 .
As a result, the provision of a payment service that allows payment across multiple medical institutions 4 in one place and the provision of a payment service with a restriction function that protects the patient's living expenses from the medical condition and allows the patient to use the payment safely, and the progress of the medical condition. In order to safely protect the patient's personal assets, it will be a service that can search for trust institutions, provide patient information processing, and manage trust contracts.

The "cashless payment" explained here is for some patients with medical conditions and elderly people who could not make a payment card, but can instantly use the information in the medical institution 4 as a payment medium and a medical payment account. can be created. As a result, the patient can receive various services associated with cashless payment, and the medical institution 4 can also obtain benefits within the hospital.
Many medical institutions 4 use the platform system in the medical economic zone 24, and by sharing the information generated from them, various services can be devised and provided to patients. The services described in other embodiments are services for patients on the premise of cashless payment. After all, the service is no longer viable for cash payments.
By using the medical economic zone 24 and using various systems, the expenditure from the medical institution 4 is eliminated, and the sustainability of medical management and the service to patients are improved. Patients no longer choose medical institutions 4 that do not provide services to patients, and this is presumed to be an effect of staying close to patients. I believe that the era of providing medical services to patients will begin.

In the description of the present embodiment, the elderly and sick people are targeted. The settlement support system 102 of the present disclosure may be used to target minors in addition to the elderly and people with illnesses. When targeting minors, parents may be notified of payments and the like. The content of the notification may have a function of changing the content depending on the age. For example, if the user 3 is in the lower grades of elementary school, the results of all payments are notified, but if the user 3 is a junior high school or high school student, only the results of payments equal to or greater than a predetermined amount are notified.

<Fifth Embodiment>
Conventionally, each medical institution 4 issues a unique medical examination card, and when a patient (user 3) visits the medical institution 4, the patient (user 3) brings the medical examination card and presents it at the reception desk for medical treatment. rice field. As the number of medical institutions 4 visited by the patient increases, the number of consultation cards owned by the patient also increases accordingly. As the number of medical examination cards increases, the storage space for carrying the medical examination card, such as a card case or wallet, becomes burdensome. In addition, when the number of consultation cards increases, the patient may mistakenly bring the consultation card of another medical institution 4 or present it at the reception desk by mistake. It is also a common occurrence for patients suffering from some medical conditions to lose their consultation card. Therefore, it is better for patients to have fewer medical examination cards. Patients suffering from some medical conditions have lost their medical card and have it reissued repeatedly, and the patient has a mental awareness of the medical condition, such as "I hide my important things so that they won't be stolen." It is an act that comes from the beginning, and if the medical condition is not completely cured, the loss will continue for a long time. Patients with such medical conditions and their families who live with them are eagerly awaiting the creation of an “indestructible medical examination card”.
In addition, the medical institution 4 manages patients within the hospital using the number (management number) written on the issued medical examination card. When the medical institution 4 digitizes the medical chart, this number is used as the management number of the electronic medical chart 9a that manages the patient.
In the present disclosure, the medical examination card of any hospital 4a among the medical examination cards issued for each medical institution 4 can be used, or the medical examination reception of the medical institution 4 can be performed without a medical examination card, and some patients with dementia or forgetfulness We will provide a service business model that aims to create a friendly environment for medical examinations.

In order to receive a medical examination without a medical examination card using the method of the present disclosure, the patient must store his/her own personal information in the patient information DB 161 in the medical economic zone DB 21 in the medical information sharing database 2 of the platform-type medical institution support system 1. 22 must be registered. This registration can be done by creating the medical payment account 104 described in the fourth embodiment.

A medical examination reception that does not require a medical examination card is performed at the reception of the medical institution 4 by the patient presenting the patient's control number of the medical institution 4 or biometric information such as the patient's fingerprint and face. When the management number or biometric information is presented at the reception of the medical institution 4, the reception system 9f of the medical institution 4, which is linked with the platform medical institution support system 1, receives the patient from the platform medical institution support system 1 on the network. The information DB 161 is referenced to identify the individual, search for the management number within the medical institution 4, and accept the request. The management number and biometric information are stored in the authentication information in the patient information DB 161 on the medical economic zone DB 21 . This process is performed using a patient authentication processing system 162 that can authenticate an individual by presenting a control number or biometric information.
Authentication using biometric information uses technology that is widely known as a fingerprint authentication system or a face authentication system. FIG. 30 shows the database configuration of the fifth embodiment.

Medical institutions 4 that can accept medical examinations without medical examination cards may share information on management numbers so that they can be accepted even if the management numbers of other medical institutions 4 are presented. Even if a patient presents a so-called medical examination card of another hospital 4a, the patient can be authenticated and accepted.
The personal information 22 in the patient information DB 161 in the platform-type medical institution support system 1 stores a plurality of medical institution names and management numbers corresponding to the medical institutions 4 . With this database, a patient's control number can be searched from the name of the medical institution, and the number of any medical institution 4 can also be searched from the control number.
Using this patient authentication processing system 162, when a patient brings a medical examination card issued by another medical institution 4 and goes to the reception of the medical institution 4, the patient receives the management number written on the medical examination card of the other medical institution 4. and the name of the medical institution that issued the management number, the reception system 9f of the medical institution 4 linked with the platform medical institution support system 1 refers to the patient information DB 161 in the platform medical institution support system 1 and presents From the obtained medical institution name and management number, the management number of the medical institution 4 where the reception is to be performed is automatically acquired by the search processing, and the reception can be performed.

When the patient presents the control number of another medical institution 4 or presents the biometric information and tries to accept the reception, if the control number of the medical institution 4 is not found, it is judged as a new patient (new outpatient) process. If the patient is determined to be a new patient for the above reason, the reception system 9f of the medical institution 4 that is linked with the patient authentication processing system 162 on the platform medical institution support system 1 receives the management number and biometric information presented at the reception. By using this, processing for searching the patient information DB 161 in the platform-type medical institution support system 1 may be performed, processing for acquiring the patient's personal information 22 may be performed, and reception processing may be performed. At the time of this reception, it is not necessary to issue a new medical examination card or a new management number described in it, and the name of the medical institution and the management number used in the medical institution 4 are newly entered in the patient information DB 161. Processing to save is done.
For this reason, conventionally, when a new patient goes to reception, the personal information 22 must be written in the medical examination application form, and the medical institution 4 must manage the personal information 22 written in the medical examination application form according to the law. I had to. This method will eliminate them.

The medical information system 9 conventionally used in the medical institution 4 and the medical information system 9 in the platform-type medical institution support system 1 are linked and the medical institution 4 that uses the system together to perform business is also disclosed. It is possible to receive a medical examination without this medical examination card. When a patient tries to accept by presenting the management number of the medical institution 4 that accepts the reception, presentation of the management number of another medical institution 4, or presentation of biometric information, the medical system linked to the platform-type medical institution support system 1 The reception system 9f of the institution 4 refers to the patient information DB 161 in the platform-type medical institution support system 1, performs processing to identify the individual, performs processing to search for the management number in the medical institution 4, and retrieves the retrieved management number. The reception can be performed by performing the process of passing the number to the conventional medical information system 9 . FIG. 31 shows a usage image in a system that uses both systems.

When this function is used, in addition to the medical examination card issued by the medical institution 4, the unique number of the medical insurance card, my number card, credit card, library card issued by the local government, etc. prepared by the user 3 is entered. A management number may be substituted for the number stored in the patient information DB 161, and a card whose issuer can be identified may be used to register the authentication information in the patient information DB 161. FIG. A card with a barcode or QR code (registered trademark) printed on it, or a smartphone application that can display a code specific to the person as shown on the left may be used. By registering these cards prepared by the user 3 in the patient authentication processing system 162 of the platform medical institution support system 1, the reception of the medical institution 4 is performed by presenting the card prepared by the user 3. will be By providing this service, the medical institution 4 will no longer issue a medical examination card. FIG. 32 shows a system diagram of a system in which one patient registration card can be used at multiple medical institutions.

The management numbers issued by a plurality of medical institutions 4 may be registered not only at the medical institutions 4 but also by the user 3 himself using his own portable terminal or the like. In addition, registration of a card that can identify the management number and card issuer such as a medical insurance card, my number card, credit card, or library card issued by a local government prepared by the user 3 is also possible. can be done with

The "medical card that cannot be lost" explained here will free patients with some medical conditions and their families from having to search around the house for their lost medical card. For the family of the patient, the liberation from "searching inside the house" is a service that gives a sense of liberation that only the family living with the patient can experience.
In addition, it is a convenient service that eliminates the harmful effects of increasing the number of consultation cards for patients who have multiple consultation cards.
Needless to say, it is possible to reduce the costs related to the reception of the medical institution 4 and the management of patient's medical information, and it is meaningless for the patient if only one medical institution 4 provides this service. neither. Medical institutions 4, dental clinics 4f, dispensing pharmacies 4b, and even as an alternative to government-issued book cards, the card can be used by companies and local governments that manage medical care by numbers.
Financial institutions such as banks, trust banks, and securities companies issue their own cash cards. By using the mechanism of the present disclosure for these, it is possible to do things at any financial institution counter or ATM by carrying only one card.
This mechanism is provided as the cash card sharing system 163 in the platform type medical institution support system 1 by the following method.
Information on financial institutions is registered in the patient information DB 161 in the medical economy zone DB 21 as bank account information. When the user 3 uses the cash card of the bank account linked to the bank account information, not only the account linked to the cash card but also the information of other accounts registered in the bank account information can be referred. . Accounts that are not linked to cash cards that can be referenced can be used in the same way as accounts linked to cash cards. In addition, even without a cash card, it may be possible to use a financial institution account using a smartphone or biometric information.
For example, when an ATM is used with a cash card created by this mechanism, all accounts of financial institutions participating in the cash card sharing system 163 among the accounts owned by the user 3 are displayed on the ATM screen. is displayed in a list. You can use that account by selecting the account you want to deposit and withdraw, transfer money between registered accounts, transfer money, etc. from the displayed account.
In particular, money can be easily transferred between registered accounts by selecting a withdrawal account and a deposit destination account. Normally, when transferring money between accounts, the cash card of the withdrawal source account is used to withdraw money, and then the cash card of the deposit destination account is used to deposit money. This work can be done at a single ATM in the case of a financial institution connected to the Nationwide Cash Service (registered trademark). After making the payment, it is very troublesome to transfer the money to the ATM of the financial institution where the money is to be deposited.
FIG. 33 shows a system diagram for sharing a bank account with one cash card.
Here I would like to mention the government-led My Number Card, which is doing something similar.
Driver's licenses and insurance numbers are linked to nationally managed numbers (My Numbers) listed on My Number Cards. Is it about feeling that it disappears from On the other hand, for the businesses that own the linked numbers, the work of number management will not be eliminated, and conventional card issuance and management costs will not decrease, making it difficult for businesses to feel convenience.
The difference between the My Number Card and the present invention is that the My Number Card is used as the top of the pyramid and other cards are linked to the My Number Card. This means that if the My Number Card is lost, it will not be effective, and the system of the My Number Card cannot be used as an "incurable medical examination card".
On the other hand, according to the present invention, the management number of the medical examination card issued by various medical institutions 4, the name of the medical institution, and the biometric authentication are linked in both directions, so that even if any medical examination card is lost, only one medical examination card can be obtained. If you have a face, you can achieve your goal, and if you have a face, you can reach your goal.
It also differs from the My Number Card in that it allows the use of cards and codes other than the medical examination card, as well as in the fact that it has a structure that expands the degree of freedom.
The "indestructible consultation card" is equipped with services for medical institutions 4 and services for patients, and we believe that providing services to patients is especially important in future medical care.
Therefore, not only one medical institution 4 but all medical institutions 4 that use the medical economic zone 24 can share information to provide services to patients.
By sharing information with many medical institutions 4 in the medical economic zone 24, each medical institution 4 will provide services to patients,
Furthermore, by using the services described in other embodiments within the medical economic zone 24, expenditures from the medical institution 4 will be eliminated, and medical management will be sustained and services for patients will be improved. Patients do not choose medical institutions 4 that do not use this system, that is, medical institutions 4 that do not provide services to patients. We believe that the era of various medical services for patients will begin.

By using the method disclosed so far, the medical institution 4 can accept a patient without issuing a medical examination card, which leads to a reduction in the cost required to issue a medical examination card. In addition, since the reception can be performed using the diagnosis control number and biometric information of the other medical institution 4, patients with some medical conditions may lose or forget their consultation card or misplace the consultation card of the other medical institution 4. Even if you present it, you will be able to accept it. Conventionally, it is possible to reduce the number of reception staff who searched for the patient from the patient's medical record information by obtaining personal information 22 such as the name from the patient, which was conventionally done when the patient forgot the medical card. Cost reductions will also reduce the burden on medical management. In addition, for patients, especially for patients suffering from certain medical conditions, the reception process at the medical institution 4 that does not require a patient registration card and the patient information management process based on the management number are convenient and optimal for business. It can be provided to a plurality of medical institutions 4 as a model.
In addition, by introducing the present disclosure system in many medical institutions 4, it becomes a common base for the medical examination reception system 9f that is commonly performed by domestic medical institutions 4, reducing the number of reception staff at reception and reducing the burden of medical management. , The provision of services using a system that simplifies the management of multiple patient identification cards held for patients is the process of reception processing and patient information management by the management number of the medical institution 4 where patients do not need identification cards. business model can be provided.

<Sixth embodiment>
At present, the medical institutions 4 are severely biased in terms of clinical departments and consultation hours, so depending on the region, there may be no hospitals 4a that can handle nights and holidays.
For example, according to the results of a survey conducted by the Ministry of Health, Labor and Welfare in 2017, there are about 71,000 hospitals and clinics that advocate general internal medicine, while there are about 4,600 hospitals and clinics that advocate obstetrics or obstetrics and gynecology. It's becoming In addition, there are about 68,000 hospitals 4a and clinics that claim to be dentists 5d. The number of dental 4f clinics slightly exceeds the number of convenience stores, and the number of general medicine clinics is 30% higher than the number of convenience stores. However, there are very few obstetrics or obstetrics and gynecology departments. If the population decline progresses, the number of medical institutions 4 will increase, and it cannot be said that it is an appropriate medical system.
In this disclosure, by opening a hospital 4a that can provide medical care 24 hours a day, including hours when doctors 5a are few, such as nights and holidays, and opening medical departments that are lacking in the region, the new regional medical system will be reorganized and the population will decrease. The aim is to increase the number of medical institutions and the medical system that can handle the situation. In order to achieve this purpose, we will not increase the number of medical institutions, but rather change to a medical institution 4 (24-hour medical institution 4g) that provides 24-hour medical examinations for the purpose of extending the time that medical care is provided. Information necessary for changing the method to a medical institution 4 that has a shortage of clinical departments instead of increasing the number of medical institutions, and changing to a 24-hour medical institution 4g or a multi-specialty medical institution 4h. system will be described in this embodiment.

Various information that can be acquired about how to change to a medical institution 4 that provides 24-hour medical examinations, how to change to a medical institution 4 that has a shortage of clinical departments, or a review of the medical institution 4 and medical system in the region. I will explain how to do it from.
First, the medical institution opening support system 171 of the present disclosure acquires regional medical information, which is medical information within a region. The regional medical information is information in the medical economic zone DB 21 in the medical information sharing database 2 of the platform-type medical institution support system 1, and includes information on local governments and information that can be obtained from the medical information system 9 of the regional medical institution 4. Yes, it is information that is accumulated every year.
Information on local governments includes population, annual number of outpatients, annual number of inpatients, number of people by generation, number of medical institutions by department, annual number of patients at each medical institution4, and number of medical institutions by department. , the annual number of patients by clinical department, the number of emergency hospitals, the annual number of patients in emergency hospitals, the names of diseases and the number of patients treated at emergency hospitals, the number of doctors 5a by clinical department, the number of nursing staff, etc. Indicates information.
The information that can be obtained from the medical information system 9 of the local medical institution 4 indicates information such as the name and number of annual outpatients by age and the annual number and age of inpatients.

The medical institution opening support system 171 in the platform-type medical institution support system 1 acquires from the information stored in the regional medical information, various analysis values required for regional medical institution planning, and necessary for replanning. Perform processing to calculate various planned values.
In addition, local governments and medical associations can use the medical institution opening support system 171 of the present disclosure to look at the retirement age when they can work as doctors 5a from the current age of doctors 5a in the area, business succession plans and business succession clinical department plans are prepared by local governments and medical associations. These plans to be created are information related to business succession, and are plans for business succession of the hospital 4a and individual clinical departments in the hospital in time for the retirement age of the doctor 5a decided by the local government and the medical association. It's becoming
Information related to the planned business succession, various analytical values required for the calculated local medical institution plan, and details of replanning are stored in the medical economy zone DB 21 as regional medical plan information.
Furthermore, in order to perform calculation processing for deriving information necessary for planning for building an optimal medical system for local residents and sustainability of the medical institution 4, the medical institution opening support system 171 saves it in the regional medical information. Perform processing to acquire the various information obtained, perform processing by a calculation method that can be derived as information that can be considered from various perspectives and viewpoints necessary for planning the medical system, and use the calculated and processed information Various plan values proposed by local governments and medical associations are input, and the input information is also stored and accumulated in the medical economy zone DB 21 as regional medical plan information.
The medical institution opening support system 171 uses regional medical information that is updated every year, performs processing to display the progress of the plan and indicators for replanning based on the difference from the previous year's plan value, and notifies the relevant parties. Also process.

FIG. 34 shows the database configuration of the sixth embodiment.

According to the planned value information, if there is a shortage of medical departments in the area, there is a method to increase the number of medical institutions 4, or to change the medical department to an existing medical institution 4 to prevent patient scramble between medical institutions 4 in consideration of cost. The method for doing so is also stored in the regional medical plan information.

In the planned value information, if there is a shortage of 24-hour medical institutions 4g in the area, a method to increase 24-hour medical institutions 4g, doctors 5a and nurses 5b, and medical institutions 4 in anticipation of future population decline A method of changing an existing medical institution 4 that does not increase and emphasizes the cost of opening a hospital to a 24-hour medical institution 4g by a plurality of independent business doctors 5a, a plan for unmanned and automated operations to reduce human rights costs, a medical cost reduction plan, and medical care Decentralization and centralization of technology are also stored in regional medical planning information.

If there is a shortage of medical departments in the area, or if there is a shortage of 24-hour medical institutions 4g in the area, by linking information to map sites and statistical processing sites of external systems on the network , perform the process of visualizing the display of the replanned information. In addition to processing to display the progress of planning and an index indicating whether to reschedule, display processing is also performed to confirm the presence or absence of a difference from the planned value and the magnitude of the difference. Based on this difference, the plan is carried out while repeatedly revising the target value every year.
In addition, it is possible to confirm by displaying the index and notify the concerned parties of the planned value. A medical institution that can provide visualized information services for planning and revising plans to sustain the system and medical institution 4, increase the number of medical institutions 4g 24 hours a day, and have a medical department that is lacking. lead to an increase in

A proposal for streamlining administrative work at a medical institution 4 with an increased number of 24-hour medical institutions 4g and multi-examination medical institutions 4h will be described.
In order to reorganize and enhance the medical system in the region or to create a medical system that responds to the declining population, multiple individual business doctors 5a use existing medical institutions 4 without increasing the number of medical institutions to build medical facilities. It will be changed to a 24-hour medical institution 4g and a multi-examination department medical institution 4h, which are new medical management formats in which medical care is shared. As a result, the doctor 5a can keep a place where he/she can work without surplus. It can be expected to become a medical institution 4 that manages a sustainable medical institution by making it a 24-hour medical institution 4g or a multi-examination medical institution 4h.
When a plurality of sole proprietorship doctors 5a share medical equipment and provide medical care at an existing medical institution 4, doctors at the existing medical institution 4 may A space (examination room) can be rented to a doctor 5a different from 5a for examination, or an examination room that is not used even during the hours when the existing medical institution 4 is conducting examinations can be used by the existing medical institution 4. This indicates that the space is lent to a doctor 5a different from the doctor 5a in the above and the doctor 5a examines the patient. This is the same as a modified version of obtaining rent in addition to izakaya income by renting the lunch time zone, which is open only from evening to night, to another business. When the existing medical institution 4 lends the space to another doctor 5a, the existing medical institution 4 and the lending destination are different medical institutions 4. - 特許庁By setting them as separate medical institutions 4, the medical institutions 4 have departments equivalent to those of the large hospital 4a without creating a large organization hospital 4a of the large general hospital 4a. In addition, since each medical institution 4 is small in scale, it can be expected to have the effect of suppressing corporate tax.

When a plurality of sole proprietorship doctors 5a share medical facilities and provide medical care, using a conventional IT system may pose a problem. Also, using a separate IT system for each doctor 5a results in poor cost performance. Therefore, a shared use system 172 between medical devices, which is a platform type system that can be shared by the existing medical institution 4 and the lending doctor 5a, and that can also be used by other medical institutions 4, is constructed.
The inter-medical equipment shared use system 172 consists of the medical information system 9, the medical institution management business support system 10, the medical institution payment support system 102, the medical fee calculation system 173, and the medical fee automatic Billing system 174 consists of five systems.

When renewing an existing medical institution 4 as a 24-hour medical institution 4g, the IT used in the conventional medical institution 4 is assumed to be used by a doctor 5a in one medical institution 4. It is not possible to use IT for both diagnosis and management among multiple individual business doctors 5a by sharing terminal personal computers in the same medical institution 4 in chronological order for each hour. It cannot be used while maintaining privacy between the doctors 5a. Therefore, using the inter-medical device shared use system 172, privacy is provided for information shared and non-shared portions and hospital management management information with multiple individual business doctors 5a at the same address and same medical institution 4, Time-series type business management can be performed with a plurality of individual business doctors 5a for each hour regarding medical care and management. FIG. 35 shows an example of a 24-hour medical institution 4g.

In the case of renewal of the existing medical institution 4 to the above-mentioned multi-examination medical institution 4h, the IT used in the conventional medical institution 4 is replaced with the IT premised on the use by the doctor 5a in the single medical institution 4. Therefore, in parallel business management by multiple examination departments by multiple individual business doctors 5a at the same address and the same medical institution 4, IT for both diagnosis and management cannot be shared among multiple individual business doctors 5a. In particular, management information on hospital management cannot be used while maintaining privacy. Therefore, by using the inter-medical device shared use system 172, information shared and non-shared portions are provided with multiple individual business doctors 5a at the same address and same medical institution 4, and medical care and management are provided by multiple medical departments. Parallel type business management can be performed simultaneously with a plurality of individual business doctors 5a. FIG. 36 shows an example of the multi-examination department examination medical institution 4h.

By using the inter-medical device shared use system 172, information shared with multiple individual business doctors 5a in chronological order and information shared with multiple individual business doctors 5a in multiple departments can be electronically These include patient's personal data, patient medical care information and prescription information, medical reception information, medical reservation information, patient referral information, medicine purchase information, etc., which are referred to as chart 9a. On the other hand, the information that is not shared chronologically with the multiple individual business doctors 5a and the information that is not shared with the multiple individual business doctors 5a in multiple departments is accounting information, expense information, and business management information. , employee information, salary information, tax information, and other information related to medical institution management.

Mechanisms of the time-series business of the 24-hour medical institution 4g and the parallel business of the multi-examination medical institution 4h will be explained. The business owner of the medical institution 4 before the renewal has the advantage of receiving rental income from the multiple individual business doctors 5a, and the multiple individual business doctors 5a have the advantage of not needing opening funds to rent medical facilities. It is a mechanism that exists. This mechanism is carried out using the inter-medical device shared use system 172 .

As a result, the provision of a medical management support service that supports the management of the existing medical institutions 4 in the region as a 24-hour medical institution 4g in the region where the population is declining, and the increase of the existing medical institutions 4 in the region in the region where the population is declining. It is possible to provide a medical management support service that provides management support as the examination department medical institution 4h.

In the 24-hour medical institution 4g and the multi-examination department medical institution 4h, each doctor 5a is a separate medical institution 4. FIG. Since they are separate medical institutions 4, clerical work for each medical institution 4 also needs to be done separately. However, since the 24-hour medical institution 4g and the multi-examination department medical institution 4h of the present disclosure use a common system, clerical work can be performed collectively. As an example of collectively performing clerical work, the explanation will be made using medical fee billing.
In the present disclosure, the medical institution 4 uses a shared use system 172 between medical devices. This system includes a medical fee calculation system 173 having a function of calculating medical fees. Calculation of medical fees at the conventional medical institution 4 is done manually. In addition, many ideas have been devised for methods of calculating medical fees by computer. The present disclosure does not claim the calculation method, but is a devised method for calculating and outputting the calculation result.
The medical fee calculation system 173 calculates the medical fee for the patient examined by the individual business doctor 5a who conducts the medical examination business at the 24-hour medical institution 4g or the multi-examination department medical institution 4h. It is not processed as a medical fee for the institution 4, but processed as a medical fee for each individual business doctor 5a. This processing is a request for medical fees from insurers such as health insurance associations and local governments as a private business doctor 5a, and is a service for providing management support to a 24-hour medical institution 4g or a multi-examination medical institution 4f. provided as Conventionally, medical fees were billed one by one medical institution, but in the present disclosure, billing is made for each individual business doctor 5a of one medical institution.

The results calculated by the medical fee calculation system 173 are processed by the automatic medical fee billing system 174 above the platform-type medical institution support system 1 . The medical fee automatic billing system 174 processes medical fee billing to health insurance association insurers and local governments based on the calculation results that have been sent.
FIG. 37 shows an image diagram of claiming medical fees from individual business doctors in a 24-hour hospital, and FIG.
This medical fee billing process refers to the efficient medical institution information stored as one of the company information 23 in the medical economic zone DB 21, and refers to the insurance doctor information of a plurality of private business doctors 5a at the same address and the same medical institution 4. exists, the processing of totaling the medical fees of each of a plurality of individual business doctors 5a is performed, and the processing of automatically billing the medical fees to insurers such as health insurance associations and local governments is performed.
The efficient medical institution information stores information on the sole proprietor of the same medical institution 4 at the same address and information on the insurance doctor of the sole proprietor.
Medical fees received from insurers and local governments are made using the medical payment account 104 of the platform-type medical institution support system 1, and the payment information is transferred to the medical payment account 104 of the same medical institution 4. receive an amount equivalent to the medical fee of the individual business doctor 5a from the medical payment account 104 of the same medical institution 4. FIG. 39 shows an image diagram of collective billing and distribution receipt of medical fees for the same hospital.
As a result, the service enables automatic billing and receipt of medical fees to insurers and local governments, and is provided as management support to 24-hour medical institutions or multi-examination medical institutions.

In the case of a multi-department medical institution 4h, a plurality of sole proprietorship doctors 5a perform examinations in the same time zone. Personnel expenses are wasted if the sole proprietorship doctor 5a employs staff within one facility. Therefore, by sharing the employment of the staff working in the medical institution 4, it is possible to reduce the human rights expenses of each individual business doctor 5a. When individual business doctors 5a share staff, it is necessary for individual business doctors 5a to jointly manage attendance and salaries. This management can be performed using the staff sharing function in the platform-type medical institution support system 1, and the plurality of sole proprietorship doctors 5a is automatically performed with reduced staff salary management.
As a result, it becomes a service that shares the employment of staff working in the multi-specialty medical institution 4h, and is provided as management support to the sole proprietorship doctor 5a.

<Seventh Embodiment>
The platform-type medical institution support system 1 of the present disclosure is based on the patient information DB 161 in the medical economic zone DB 21 in the medical information sharing database 2, the name of the drug used for each patient, the amount of drug used (prescribed amount), and the patient's It has a function that can acquire attribute information such as age and gender of the patient, patient's medical history and disease outcome as regional prescription information. In addition, by using an external system on the network, it also has a function of acquiring the type of medicine, including efficacy, from the name of the acquired medicine. An example of the function of acquiring the amount of medicine used from the electronic medical record 9a of the medical institution 4 is Japanese Patent Laid-Open No. 2020-123106 devised by the applicant. In addition, by using an external system on the network, it also has a function to acquire the type of drug, including efficacy, from the name of the acquired drug. For example, if the name of the acquired drug is acetylsalicylic acid (aspirin) or ibuprofen, the type of drug is an analgesic, and if the name of the acquired drug is orcetamivir or zanamivir, the type of drug is an antiviral drug against influenza. In the medical institution 4, the medicine instructed to be used by the patient is used by administering it to the patient in the hospital, or the doctor 5a gives the patient a prescription and the patient directly purchases the prescribed medicine and uses it. Divided into what you get. For the purposes of this disclosure, we refer to the "prescription or dosage of medication" for medications that are prescribed for use by outpatients and inpatients.
In addition, the amount of medicine used by all patients who are receiving treatment at one medical institution 4 can be calculated by totaling the obtained amounts of medicine used for each drug name, and is used as the amount of medicine used at the medical institution 4. be able to.
The amount of medicine used by all patients at the medical institution 4 is obtained by acquiring the amount of medicine used for each patient from the electronic medical record 9a of the medical institution 4 to be tabulated, and totaling the amounts for each drug name. The processed drug usage amount, which is totaled for each drug type and drug name for all patients in the medical institution 4, is stored in the medical economic zone DB 21 as regional prescription amount information.
In addition, not only one medical institution 4, but also the amount of medicine prescribed by a plurality of medical institutions 4 within a certain area is calculated.
In addition, the regional prescription DB 191 stores, as the same drug information, information regarding drugs with the same active ingredients from different pharmaceutical manufacturers as one type of drug. Using the same drug information, we aggregated regional prescription amount information for all patients in medical institution 4 by drug type and drug name. Store in area DB 21 .
Fixed areas refer to administrative areas such as municipalities, functional areas such as economic areas and commercial areas, and medical areas. In addition, areas that combine multiple of these are also included in certain areas. The idea is to collectively handle the medicines handled by the entire medical institution 4 existing within a certain area as a unified medicine for the area.
If there is only one or a small number of medical institutions 4 to be totaled within a certain area, it is not so preferable for the reasons described later. Therefore, it is also possible to perform a process of expanding a certain area to be aggregated, totaling a plurality of medical institutions 4 into a plurality of areas, increasing the number, and calculating the total for each drug name. On the other hand, if there are many medical institutions 4 to be totaled in a certain area, even if the area is smaller than the unit, it is possible to obtain sufficient merits of scale by summing up by drug name, or if the scale is too large to cause disadvantages of scale. , the area may be divided or reduced, and the total calculated for each drug name.

FIG. 40 shows the database configuration of the seventh embodiment.

Purchasing under a comprehensive contract to collectively purchase medicines prescribed by all medical institutions 4 in the area by summing up each medicine name within a certain area as regional prescription amount information and disease prescription information, etc. Taking advantage of economies of scale, it is expected that drugs can be purchased at low prices. (This is also called volume discount in society.) In order to take advantage of scale merit, a certain amount of volume is required. less likely to receive benefits.
In addition to the purchase under the comprehensive contract, subscription purchase that allows purchase at a fixed price within the contract period may be used regardless of the amount of purchase. The contract period is determined on an annual basis through consultation.
Conventionally, each medical institution 4 purchased medicines for each medical institution 4, and the purchase unit was small, such as one box. In the case of the method of the present disclosure, since a bulk purchase contract is made jointly with a plurality of medical institutions 4, all the medical institutions 4 have the same price and the price is reduced, which is a completely different method of purchasing prescription medicines from the conventional method.
From the point of view of the medical institution 4 and the patient, it can be expected that the price of the medicine will become cheaper with the purchase under the comprehensive contract and the subscription purchase. An example of a subscription contract that reduces the amount of medicine used is the method disclosed in Japanese Patent Application No. 2021-020719 devised by the applicant. This device calculates the amount of medicine from the size of the body and lowers the medicine cost of the patient who takes it for the rest of his life through a subscription contract. On the other hand, the present invention aims at the effect of regional medical management by changing the object to drugs handled by medical institutions 4 in the entire region.

So far, I have described the benefits of purchasing from the perspective of the four medical institutions and the fact that prescription drugs are cheaper from the perspective of patients.
In addition, from the perspective of the drug manufacturer, in a comprehensive contract, all quantities are provided by the contracted pharmaceutical company. Since there is no order to the contracted company, it will be in a state where one contracted company monopolizes the area, and it is possible to receive a large amount of orders, so it is easy for the factory to establish a production schedule, easy to plan material procurement at the factory, and easy to make a sales schedule. In addition, in the subscription contract, during the contract period, competitors are not allowed to enter sales, and all medical institutions 4 in the region can be operated under a monopoly by one company, which increases sales.In addition, annual order volume and demand Knowing the time period when there are many defects will make it easier to set up a production schedule.
In this way, the provision method is advantageous for the patient, the medical institution 4, and the manufacturing side.
However, there are also disadvantages.
The medical institution 4 cannot stop because both the comprehensive contract and the subscription contract are purchased at a low price.
If neither the blanket contract nor the subscription contract can be concluded, there will be no large-scale orders until the contract expires in either case. It is what the medical institution 4 and the patient want that when the contract with the company that has made a contract in advance expires, competition will naturally begin with the rival company.
Major private companies began procuring materials and software through comprehensive contracts and subscription contracts in 2000, and they continue to do so today. Furthermore, the range has expanded from being limited to major companies to capital affiliates and subcontractors.

Among the medical institutions 4 within a certain area, the method of purchasing medicines comprehensively or by subscription by the medical institutions 4 belonging to the medical economic zone 24 is based on the business information of the company in the medical economic zone DB 21 as a candidate for ordering medicine. , a request for an estimate is made, and as a result of the request for an estimate, the trader who presents the most advantageous conditions is selected as the trader from among the traders who have responded from the candidates of the order destination. The trader presenting the most advantageous terms is usually the trader with the lowest estimated price. This method is the same method as the system disclosed in the first embodiment.

Described below is a prescription recurring system 202 in which a medical institution 4 that uses a medical economic zone 24 places orders for drugs to be prescribed to patients in a plurality of medical institutions 4 located within a certain area under a blanket contract and purchases the drugs. .
Purchasing drugs under a comprehensive contract is performed using the prescription recurring system 202 of the platform-type medical institution 4 support system 1 . Business companies that receive contract orders using this system are medical institutions 4 registered in the business information of companies in the medical economic zone DB 21 and pharmaceutical sales companies. "Information on the amount of medicine prescribed to patients by medical institution 4 that uses the medical economic zone 24 is stored in the medical economic zone DB 21 as regional prescription information for each drug type and drug name.
The amount of usage in the entire region, which is the sum of the usage amounts of a plurality of medical institutions 4 in this area, is the volume order amount, and the contract is made at a price that can be purchased at a lower price than the conventional purchase price.
Furthermore, it is necessary to select drugs suitable for comprehensive contracts and purchasing companies (companies to which comprehensive contracts are made). By using artificial intelligence (AI) called comprehensive prescription drug selection AI for this selection processing method, the troublesome selection can be automated.
The prescription drug comprehensive selection AI program selects drugs from drugs that are likely to be purchased at volume discounts, drugs that have been purchased in the past, order quantity, drugs that have been comprehensively contracted in the past, etc. A process of selecting a company that is likely to receive a volume discount price or a company that has a contract record in the past as a comprehensive contract candidate company.
Companies to be selected as candidates are companies (pharmaceutical wholesalers, pharmaceutical companies, and pharmaceutical companies) registered as drug ordering companies in the business information of companies in the medical economic zone DB 21 .
As information necessary for selection, information on the minimum order amount of medicine, information on the name of the medicine to be ordered, information on the order amount of medicine, information on comprehensive contract candidate companies, and information on delivery date are stored in the medical economic zone DB 21. is stored as comprehensive information in the prescription recurring DB 201 in .
If the order amount of some of the medicines that are included in a plurality of medical institutions 4 is not enough to meet the minimum order amount of the medicine, increase the number of medical institutions 4 to adjust the order quantity, or It also has a function to select whether to delete from items that include only drugs.
In order to determine the price of the blanket contract, the prescription recurring system 202 performs a process of sending a notification requesting a price quote for the blanket contract to the blanket contract candidate companies stored in the blanket information. This notification contains various information necessary for the comprehensive contract, such as information on the name of the drug to be ordered and information on the order amount of the drug stored in the comprehensive information. Comprehensive response information received from comprehensive contract candidate companies in response to this notification is stored in the prescription recurring DB 201 .

Candidate companies for comprehensive contracts that receive a request for quotation for a comprehensive contract do not have to prepare a written estimate in the conventional way. A blanket contract is, in a sense, an exclusive contract for contracted drugs, and the contracted quantity is the total quantity to be ordered in the region covered by the region. Since it is clear that if this contract cannot be strictly adhered to, orders from the region during the contract period will be "zero", so bid rigging with competitors is not possible. Since the total amount ordered in the region is a large amount, it is a form of contract with the company rather than the contract with the sales department, so collusion between top-class companies is not possible, and only the contract amount of the estimate is mechanically processed. There is nothing to choose from. Comprehensive contract candidate companies usually put effort into the content of the contract in order to obtain the contract.

Comprehensive contracts are concluded electronically through the prescription recurring system 202 .
The prescription recurring system 202 automatically selects a company that is advantageous for making a comprehensive contract from the comprehensive response information on the prescription recurring DB 201, automatically creates a digital contract with the selected company as the contract partner, and Both the company and the prescription recurring system 202 process the closing with a digital signature.
The process of automatically creating a digital contract by the prescription recurring system 202 uses a contract template. , information such as the contract amount, and payment terms are acquired and input into the contract template to create a digital contract.

It has a function to automatically process orders for drugs as soon as the contract is completed. The contracted company, the contract amount, the date of the contract, and various other information necessary for the contract are also stored as comprehensive information.
That is, various detailed information related to the comprehensive contract is stored in the prescription recurring DB 201 as comprehensive information.

The comprehensive prescription drug selection AI will be explained.
Comprehensive prescription drug selection AI is artificial intelligence that uses machine learning techniques to select drugs that are likely to be purchased at volume discounts and candidate companies for comprehensive contractual agreements.
These selections are performed using the method of association analysis in unsupervised learning using information stored as regional prescription information and information stored as comprehensive information.

Describes a subscription contract in which a medical institution 4 that uses a medical economic zone 24 purchases drugs by a subscription contract for the amount of drugs to be prescribed to patients at multiple medical institutions 4 located within a certain area. .
The purchase of medicines under a subscription contract is performed using the prescription subscription system 203 of the platform-type medical institution support system 1 . Business companies that receive contract orders using this prescription subscription system 203 are the medical institutions 4 registered in the business information of the companies in the medical economic zone DB 21 and pharmaceutical sales companies.
Information on the amount of drugs prescribed to patients by medical institutions 4 that use the medical economic zone 24 is stored in the medical economic zone DB 21 as regional prescription information for each drug type and drug name.
A contract is made whereby the usage amount of the entire area, which is the sum of the usage amounts of a plurality of medical institutions 4 in this area, can be purchased at a fixed price discounted from the normal purchase price for a fixed year period.
In addition, it is necessary to select drugs suitable for subscription contracts and purchasing companies (comprehensive contract companies). By using artificial intelligence (AI) called prescription drug subscription selection AI for this selection processing method, the troublesome selection can be automated.
The prescription drug subscription AI program includes drugs that are likely to be purchased at volume discounts for a certain period of time, drugs that have been purchased in the past, the amount to be ordered, regular prices, drugs that have had a subscription contract in the past, Select a drug from among others, and select a company that is likely to receive a volume discount price with a subscription contract for the selected drug or a company that has a contract record in the past as a candidate company for a subscription contract.
Companies to be selected as candidates are companies (pharmaceutical wholesalers, pharmaceutical companies, and pharmaceutical companies) registered as drug ordering companies in the business information of companies in the medical economic zone DB 21 .
The information necessary for selection includes information on the approximate minimum order amount of the drug, information on the name of the drug to be ordered, information on the order amount of the drug, information on the current drug price, information on the comprehensive contract candidate company, and contract period. Information and contract execution date information are stored as prescription subscription information in the prescription recurring DB 201 in the medical economic zone DB 21 .
If the order amount of some of the medicines put together by a plurality of medical institutions 4 is insufficient to meet the minimum order amount of the medicine, the number of medical institutions 4 may be increased to adjust the order quantity, or It also has a function to select whether to delete from the items that include only the drug.

The selection criteria for drugs with subscription contracts are different from those with blanket contracts. For drugs that use subscription contracts, if multiple companies sell drugs with the same efficacy as generic drugs, the company aims to provide a monopoly.
It would be more advantageous to conclude a contract that allows the purchase of drugs such as drugs used for cancer immunotherapy (nivolumab), expensive anti-cancer drugs, spinal muscular atrophy gene therapy drugs, etc. at low prices over a long period of time.

To determine the price of the subscription, the prescription recurring system 202 processes a notification requesting a price quote for the subscription to the potential subscription company stored in the prescription subscription information. This notification contains various information necessary for the subscription contract, such as information on the name of the drug to be ordered, which is stored in the prescription subscription information, and information on the order amount of the drug. The subscription response information received from the subscription contract candidate company in response to this notification is stored in the prescription recurring DB 201 .

A prospective subscription contract company that receives a request for quotation for a subscription contract does not have to create a quotation in the conventional way. A subscription contract is, in a sense, an exclusive contract for long-term drug supply for a certain period of time (eg, 1 to 5 years). Potential subscription partners will have to offer a price to win the deal. Since it is clear that if a contract cannot be obtained, orders from this region will be "zero" for many years, the company will appeal to the contractor (medical institution 4) to appeal the superiority of its products. Trying to win a contract by focusing on the content of the contract that includes various ideas that have merits other than the price. A subscription contract is a contract system that can be said to be a collection of ideas on the company side.

The conclusion of the subscription contract is made electronically by the prescription recurring system 202 .
The prescription recurring system 202 automatically selects a company that is advantageous for making a subscription contract from the subscription response information on the prescription recurring DB 201, automatically creates a digital contract with the selected company as the contract partner, and concludes the contract. Both the target company and the prescription recurring system 202 process the closing with a digital signature.
The process of automatically creating a digital contract by the prescription recurring system 202 uses a contract template. , information such as the contract amount, and payment terms are acquired and input into the contract template to create a digital contract.
It has a function to automatically process orders for drugs as soon as the contract is completed. The contracted company related to this contract, the contract amount, etc., the contract date, and various information necessary for the contract are also stored as prescription subscription information.
That is, various detailed information related to the subscription contract is stored in the prescription recurring DB 201 as prescription subscription information. FIG. 41 shows an image of a prescription drug subscription contract.

Prescription drug subscription AI will be explained.
Prescription drug subscription AI is artificial intelligence that uses machine learning techniques to select drugs that are likely to be purchased by subscription and candidate companies for subscription contracts.
These selections are made using the method of association analysis in unsupervised learning using information stored as regional prescription information and information stored as prescription subscription information.

With purchases based on comprehensive contracts and subscription contracts, most of the companies selected as contract partners are inevitably drug manufacturing companies such as pharmaceutical companies. At the time of the estimate before the contract, the contract price will be superior. An estimate from a drug wholesaler, which is located between the drug manufacturer and the medical institution 4 and incurs an intermediate cost, is inferior in price. Drug producers and users 3 (patients and medical institutions 4) to reduce intermediate costs such as distribution costs described in Japanese Patent Application No. 2021-020719 devised by the applicant, aiming for a distribution structure that cuts off intermediate costs It is an invention that changes the distribution structure of the medical industry and lowers drug prices by directly connecting
Since the Showa era, various invisible interests have been at work in the medical industry, where sales activities are conducted by human labor. I didn't think about it. By using the system of the medical economic zone 24 of the present invention, it becomes possible to reduce costs by placing orders through a system that does not involve human intervention.
This is a general cold medicine prescribed to outpatients, which is a general cold medicine that is prescribed by a doctor 5a to outpatients when they catch a cold. Common drugs used when performing inexpensive cecal surgery were chosen as computational models, and these two models were utilized. This is the result of a simulation based on the annual number of outpatients and inpatients. In this simulation, only the intermediate costs of the pharmaceutical wholesaler are targeted, and the discount price, which is expected to have an actual effect, is not included in the calculation of the simulation because the calculation is unknown. The target city is Shinjuku-ku, Tokyo, and the number of outpatients is 440,000, and the number of inpatients is 200,000. This result alone confirms that annual savings of 150 million yen can be achieved, and it can be inferred that the effects of comprehensive contracts and subscription contracts will actually exceed expectations. We believe that this will produce very good results for patients and medical institutions 4 . In particular, I think it will be the best medicine for improving the management of medical institution 4. For the drug model this time, we chose a low-cost general cold medicine that costs more than 10 yen per package, but since some drugs used in actual medical examinations are more expensive, further effects can be expected.
From this simulation, even if we look at the calculation results for distribution cost reduction alone, we can see that the effect will be greater as the quantity of contracted drugs is increased. it is clear. That is why we have expanded the number of medical institutions 4 in an expanded region in order to increase the number of medical institutions 4 in the region.
No matter how new the latest medical equipment is, the industrial structure itself remains old, so I would like the medical institution 4 to notice where it needs to be repaired.
Furthermore, it is explained that not only medicines to be prescribed to patients but also medicines used by the medical institution 4 during treatment and treatment described in other embodiments will be procured through blanket contracts and subscription contracts. Therefore, synergistic effects can be enhanced by changing the procurement method of both prescription drugs for patients and drugs used for surgical treatment. Therefore, it may not be strange from a business point of view to improve from medical care for patients to flat-rate medical care that does not use insurance, and I expect that to happen.

Here, I will describe the review of the management policy due to the lowered procurement price of chemicals.
1) A method of recording all of the cost cut portion as a profit as a reduction effect on the management of the hospital. The expenses that go out from the medical institution 4 do not decrease but increase.
2) A method of allocating the sales of the medical institution 4 to the payment to the outside, making the payment to the outside zero for management, and allocating the usage fee of the medical economic zone 24 .
3) A method of making the payment to the outside from the sales of the medical institution 4 close to zero, and a method of ratio conversion with the sales portion of the reduced purchase cost, a so-called 1+2 mixed method.
Of these three methods, the ideal would be number 3, which would save money, followed by number 2. When a large private company begins to experience financial difficulties, the first measure to be taken is “cost reduction,” which is the same as cutting back on expenses paid to outside parties.
Originally, most of the purchases of medicines in the medical institution 4 were from wholesalers of medicines. Since this is a small order, it will be the drug wholesaler that can absorb the order volume. On the other hand, when a large-scale order is placed under a blanket contract or a subscription contract, the contract price is negotiated with the manufacturer, the pharmaceutical company. However, the price that the pharmaceutical company presents in the contract is the same as the price offered to the wholesaler, and the distribution cost of the pharmaceutical wholesaler is not incurred, so the contract with the pharmaceutical company can be concluded naturally. This is a contract method based on the business model of this invention, which changes from conventional human ordering to sharing medical information in the hospital and jointly ordering, and the system naturally does not involve intermediaries. It is possible to change the structure of the medical industry to reduce costs by sending drugs directly from the factory.
In the case of a large order, even if the contract method on the left is not used, there will be a gap between the price presented by the drug wholesaler and the price presented by the pharmaceutical company, and the medical institution 4 will be able to reduce the purchase cost. Become. Looking at the industrial structure of society, during the Showa period, there were many retail stores and wholesalers supported small-lot procurement, but from the Heisei period, the number of large-scale stores in the suburbs increased, and distribution and procurement were directly handled by large-scale stores. It has expanded to private products, and large-scale stores have come to make products by directly working with manufacturers. Even in agriculture and fisheries, distribution that does not go through intermediate wholesalers such as direct delivery from production areas is now commonplace, and the present invention is to integrate medical institutions 4 in a virtual medical economic zone 24, although there are no medical institutions 4 corresponding to large stores. Ordering drugs as a large-scale transaction by a large-scale store is the same idea as ordering by a large-scale store.

When purchasing medicines within a certain area as a package or by subscription, it is necessary to conclude a contract between the ordering party of the medicine and the medical institution 4 within the certain area. The contract to be created at the time of the contract may be provided as a plurality of templated electronic contracts (digital contracts), and the platform-type medical institution support system 1 may manage the contracts. In addition, when signing a contract with an electronic contract, the contracting party of the contract may be different between the drug ordering party and the medical institution 4 side. region", and "the contracting party on the side of the medical institution 4 is the drug ordering party".
A digital signature is used to sign the contract, and the entire contract is digital, making it easy to manage and manage. This management is performed by the prescription recurring system 202 for blanket contracts and by the prescription subscription system 203 for subscription contracts. In addition, since this contract is automatically performed by the system, it is also a contract that eliminates invisible human rights in the medical industry.

Payment for ordering the medicine may be made using the medical institution payment support system 102 using the medical payment account 104 described in the fourth embodiment.
By limiting orders to companies using the medical payment account 104, transactions are completed within the medical economic zone 24 using the medical payment account 104.

If the method disclosed in this embodiment is used, it can be expected that the price of medicines purchased within a certain area will be reduced. First, a comprehensive or subscription drug purchase agreement is made in a given region. Then, as mentioned above, the contracted drug will be provided exclusively by one company within the specified area. Then, drug deliverers other than the contracted party will not deliver drugs in the entire fixed area. It is natural to wonder why the supply of medicines has stopped for the entire region, and it is expected that an investigation will be conducted to find out the reasons for the lack of supply. As a result of the investigation, if it is found that the cause is the purchase by comprehensive or subscription using the system of this disclosure, the drug supplier other than the original contract partner will take measures for the next contract can be expected. In that case, it can be expected that the medical institution 4 will receive a proposal for delivery under favorable conditions in order to conclude a contract, and as a result, it can be expected that the price of medicines purchased within a certain area will be reduced.

So far, we've discussed how to buy drugs in a geographic area under blanket or subscription contracts. For patients with underlying or chronic conditions that require them to take prescription drugs for the rest of their lives, this approach can help reduce the cost of medications for the rest of their lives.

Patients with chronic diseases need to take medicine for the rest of their lives. However, the number of patients suffering from chronic diseases in one medical institution 4 is small, and the number and names of prescribed drugs are also small. Therefore, it is difficult for one medical institution 4 to buy drugs at a low price using a package or a subscription.
When the medical institution 4 uses the virtual medical economic zone 24, a plurality of medical institutions 4 are combined to form the medical economic zone 24, and the chronic prescription drug system 192 in the platform-type medical institution support system 1 is used. By doing so, it is possible to reduce the cost burden of prescription drugs as much as possible from the cost burden of taking drugs prescribed for chronic patients for the rest of their lives. It is possible to provide medicine in a form that is close to
The chronic prescription drug system 192 retrieves the patient information DB 161 used by the medical institution 4 that uses the virtual medical economic zone 24, the name of the disease of the chronic patient, the name of the prescription drug prescribed to the chronic patient, and the prescribed amount. , its purchase price, and the total amount of prescription drugs prescribed to chronic patients in multiple medical institutions 4 in the region. From the prescription drugs and prescription amount totaled by this function, the chronic prescription route AI automatically selects one of the purchase method by the comprehensive contract and the purchase method by the subscription contract. Make a drug purchase contract. In selecting a contracting party, the chronic prescription drug system 192 acquires the contract amount, the contract period, and contract conditions including inclusion or subscription from potential purchasers such as pharmaceutical companies and drug wholesalers. Then, the chronic prescription drug contract information on the prescription recurring DB 201 is registered and saved.
As for the method of executing this drug purchase contract, a method using the prescription recurring system 202 is used for the comprehensive contract, and a method using the prescription subscription system 203 is used for the subscription contract.
Chronic prescription route AI is the name of the disease of the chronic patient, the price of the usual drug, the information calculated from the annual prescription amount of the chronic patient as the number of prescriptions per year, the supplier of the prescription drug, the information of the supplier, A model (chronic drug contract method selection model) that selects the contract method to be used for purchase is created by learning using information such as comprehensive contract business operators and subscription contract business operators. Chronic prescription drug system 192 adapts the information of drugs purchased by blanket or subscription to the purchase drug contract method selection model, thereby performing automatic selection processing from the business operator who makes a comprehensive contract and the business operator who makes a subscription contract. do.
As a result, lifelong drug costs can be reduced for patients with underlying or chronic conditions.

The method of reducing the cost of medicines for patients with underlying or chronic diseases benefits not only patients but also pharmaceutical companies and drug wholesalers.
With blanket contracts and subscription contracts, pharmaceutical companies and drug wholesalers know how much they plan to purchase for a certain period of time, such as a year, so they can prepare enough drug inventories. If there is an excess inventory of medicines, the unsold portion of the medicines will become bad inventory. On the other hand, if there is a shortage, the patient will be inconvenienced because the medicine cannot be given to the patient. In the case of pharmaceutical companies, in particular, there is a risk of having excess inventories per production lot if they produce a large amount of drugs in preparation for shortages. Once the amount of medicine to be purchased is known, a production schedule can be planned and manufactured according to the purchase amount, which will lead to more efficient production.

As one of the utilization examples of the system of the present disclosure, there is also a function that can acquire not only the amount of medicine used by the patient, but also attribute information such as the patient's age and gender, and the patient's medical history and outcome from the patient information DB 161. .
By combining these pieces of information, the following utilization methods can be expected.
For the doctor 5a, it is possible to utilize other examination data of patients with the same disease name, condition, age, and external appearance to compare prescriptions issued by the attending physicians (other medical institutions 4) of those patients with similar patients. I have high hopes for the medical examination.
By combining the patient's disease name and symptoms, patient outcome, patient attribute information, information such as the patient's body shape (height and weight), prescribed drugs, etc., it is possible to estimate the effect of the drug on the patient. The estimation results for a single patient are meaningless, but the estimation results for multiple patients using the same drug provide meaningful data.
The patient's body shape information is the measurement result obtained by measuring using the body shape sensor described in Japanese Patent Application No. 2021-020719 devised by the applicant.
For example, if the outcome is good only in a certain age group, the drug should be used preferentially because it is particularly effective only in that age group. On the other hand, if the outcome is poor only in a certain age group, it is necessary to select a different drug only in that age group. Although it is defined as an outcome, it may also include the occurrence of side effects that cannot be ignored. In addition, if there are adverse events commonly occurring in multiple patients after drug administration, it can be suspected that the adverse events are side effects of the drug.
In addition, when the use of drugs to treat specific diseases such as oseltamivir and zanamivir, which are anti-influenza drugs, has increased, it can be inferred that the disease is prevalent. .

The “each system that lowers the drug procurement price” explained here allows multiple medical institutions 4 to share and use various systems in the virtual environment of the medical economic zone 24 . There are four companies called GAFA in the United States that provide similar sharing systems: Google (registered trademark), Amazon (registered trademark), Facebook (registered trademark), and Apple (registered trademark). )”. GAFA of the United States provides the system to companies, but there is an aspect that the data generated by companies using the system becomes the property of GAFA. From the common sense in Japan, we tend to think of data as corporate data (property of the company), but what is generated on the system is not the property of the company, and that is the business model of the cloud system. Japanese companies using this GAFA cloud system are companies that do not mind having their business data stolen, or are indifferent to the fact that the cloud is the owner of the data generated in their business. Companies use it, and once they use the cloud in the United States, they have to keep using it for the rest of their lives because the generated data cannot be returned, so it becomes like a pet with a chain around its neck. This is expected to become a problem for Japanese companies someday, and it makes sense to build a similar system in Japan in the sense that data will not be taken by GAFA, and medical data is personal information 22 From this aspect, it cannot be handed over to foreign companies.
In the present invention, a system in the medical economic zone 24 is used by multiple medical institutions 4 and companies, and data generated from the medical institutions 4 and companies is shared and used in the medical economic zone 24. The data can be used to create data through various processing methods, and the processed data can be used to generate profits from the system. The difference from GAFA is that the profits generated are returned to system costs, medical institutions 4, companies and users 3, and the business model of devising profitable systems and services and returning them from the pursuit of profits. . I think it is necessary for Japan to build a medical economic zone 24 that is in line with GAFA.
The "each system for lowering the drug procurement price" explained here is a system that reduces the cost associated with conventional drugs by sharing and using data generated from a plurality of medical institutions 4 within the medical economic zone 24. . It was devised in order to stabilize the management of the medical institution 4 and expand the service to patients. Based on the traditional way of thinking about patients, "If you take this medicine, you will be cured," we should be able to provide this medicine at the lowest price possible, and try to reduce the lifetime cost of taking the medicine for patients who will take it for the rest of their lives. considered desirable for patients. In the future, the hospital 4a will be redundant due to population decline. The time will come when medical institutions 4 will compete for patients. In such an era, the medical institutions 4 selected by patients will be medical institutions 4 that provide services to patients. We want the medical institution 4, which has neglected to provide services to patients, to provide services to patients. By using this medical economy zone 24, various services can be provided to patients. By using the services described in the other embodiments within the medical economic zone 24, there will be no expenditure from the medical institution 4, and the sustainability of medical management and the service to patients will be improved. The patient will choose the medical institution 4 that provides the service. We believe that the era of providing various medical services to patients will begin.

By using the method described in this embodiment, medical institutions 4 using the medical economic zone 24 can collectively provide a service that allows them to purchase drugs comprehensively or on a subscription basis. can be lowered.

<Eighth Embodiment>
All ideas aim to create a medical economic zone 24 centered on medical institutions 4 and patients by seeking a new medical industrial structure in order to improve the management of medical institutions 4 and improve them into sustainable medical institutions 4. However, in this invention, the medical institution 4 helps the patient in aspects other than medical practice in order to improve the convenience of some patients who do not appear on the surface of society. It is a device that performs
In recent years, MaaS (Mobility as a Service) is about to start as a movement to realize convenient transportation by integrating various means of transportation in society by programming and moving smoothly between means of transportation using mobile terminals. . I think this movement of MaaS is a very good concept service for able-bodied people. However, I think that it is a service that is unrelated to people with medical conditions. The present invention can be said to be a medical version of MaaS, which was devised targeting some patients who use special means to move from medical conditions.
The way to go to the medical institution 4 is generally on foot or by using public transportation. However, depending on the condition of the patient (user 3), it is possible to use a vehicle that can be easily transferred from a wheelchair, a nursing care taxi that can be boarded in a wheelchair, or a vehicle with a stretcher depending on the patient's condition. It is necessary to go to the hospital in a special vehicle.
If you can easily transfer from a wheelchair to a vehicle by yourself, you can arrange a driver 7 and a vehicle. A caregiver 8 such as a care worker is required. When a patient goes to the hospital using a vehicle with a stretcher depending on the condition of the patient, or when moving in a vehicle with a stretcher while suffering from an illness, medical care such as a doctor 5a and a nurse 5b are provided as attendants 8. In some cases, the accompanying worker 5 is required by local regulations. FIG. 42 shows an example of a medical condition and necessary caregiver 8 and the like.
When a patient requests and arranges a care taxi, a caregiver 8, a medical worker 5, etc. for going to the hospital, various companies to which the vehicle, the caregiver 8, the medical worker 5, etc. belong, and the patient go to the hospital. The effort in securing the schedule on the schedule to be done is great. The doctors 5a who work at the medical institution 4 do not know this. There are many people in the world who don't know because it's under the water surface.
It is necessary to hold down the labor work for the nursing care taxi, the caregiver 8, and the medical worker 5 to be requested in units of half a day or one day. This is due to the unpredictability of the examination time at the medical institution 4, and the schedule is secured for the maximum possible time. Due to the long schedule (securing work time) of half a day or one day, the usage fee is high, and some patients have a heavy burden on the cost. In the patent of the present invention, it is possible to efficiently secure and operate the vehicle and the attendant 8 necessary for going to the hospital, to minimize the time to use the vehicle and the attendant 8, and to reduce the cost of the patient's going to the hospital. We propose measures to reduce the burden as much as possible, and above all, to greatly reduce the considerable labor required to secure such a means of going to the hospital.

The operation management system 211 of the present invention is stored in the patient information DB 161 linked to the personal information 22 stored in the medical economic zone DB 21 in the medical information sharing database 2 of the platform type medical institution support system 1. It has a function of arranging a means of transportation and a caregiver 8 by using the medical condition information of the person 3 and the information of the means of transportation. The patient's method of transportation is recorded in the transportation method information, and if the patient cannot go to the hospital alone and needs a special transportation method, a nursing care taxi that can be boarded by a wheelchair or a vehicle with a stretcher. Among special vehicles such as hospitals, information on those necessary for hospital visits is registered. FIG. 43 shows the database configuration of the eighth embodiment.
When making an appointment for the next consultation at the medical institution 4 using the consultation appointment management system 62 of the medical institution 4, it is possible to secure means of transportation according to the condition of the patient, and to arrange caregivers 8 such as caregivers, doctors 5a, and nurses 5b. It has a function of managing the operation of the secured means of transportation and the caretaker 8, that is, managing the time. In addition, the optimal route and travel time from the user's home to the medical institution 4 can be obtained from the system of the drive navigation function and Internet services such as Google Maps (trademark), and the examination ends after arriving at the medical institution 4. Calculation of estimated stay time of user 3 from medical institution 4 to home after payment, calculation of optimal route from medical institution 4 to arrival at user's house and its travel time, driver 7 and attendant It has a function that can calculate each labor lease time (labor restraint time) of 8.
In the case of a patient who can go to the hospital without a caretaker 8, only a vehicle may be arranged, as long as a vehicle is arranged that allows the patient to easily transfer from the wheelchair or stay in the wheelchair.

In addition, by cooperating with the reservation DB 61 in the medical information sharing database 2 of the platform-type medical institution support system 1, when the patient makes the next medical appointment at the medical institution 4, From among the many business operators dealing with people 8 and medical workers 5, medical care is performed by automatically selecting companies that can borrow labor (constraint on working hours) according to the date and time when the patient visits the hospital. It has a function of performing display processing on the reservation terminal in the institution 4 . At this time, a list of caretakers 8 who can take out labor (labor restraint) during the time period when the user 3 wants to be examined is displayed, and the user 3 can finally select the caretaker 8 from the list. You may do so.
The user's home of the present invention includes not only the home of the user 3 (patient) but also welfare facilities for the elderly, nursing homes, group homes, etc., in which the user 3 resides.

The operation management system 211 in the platform-type medical institution support system 1 cooperates with the reservation DB 61 in the medical information sharing database 2 . The operation management system 211 is network-linked with the reservation system 9 d of the medical institution 4 , and by linking with the network, reservation confirmation can be performed from the data of the reservation system 9 d of the medical institution 4 . The operation management system 211 is network-linked with a plurality of nursing care taxi companies, 8 attendant companies, a company that dispatches nurses 5b and doctors 5a, and a reservation system 9d that handles data such as future reservation status. The data of the reservation status of each company are linked on the reservation system 9d of the medical institution 4, and reservation and reservation confirmation can be performed. As a result, digital transformation ( DX).
In addition, as another cooperation method, the operation management system 211 that cooperates with the reservation system 9d of the medical institution 4 is a platform that has been information-based by the platform-type medical institution support system 1, so there are multiple nursing care taxi companies. , 8 attendant companies, nurses 5b and doctors 5a dispatching companies, etc. can check the reservation status by connecting instead of using the operation management system 211 that has been made into a platform using terminals. Data can be centrally managed.
With either of the two methods mentioned above, the appointment status of various companies can be linked with the appointment data on the consultation appointment management system 62 of the medical institution 4. Also good. FIG. 44 shows the flow of cooperation between the reservation system 9d of the medical institution 4, the operation management system 211, and each company. FIG. 45 shows the flow for obtaining information from each company's reservation system, and FIG. 46 shows the flow for using the shared reservation system.
The reservation system 9d of the medical institution 4 described so far is a legacy conception system 9d. Considering the DX conversion of the medical institution 4 from here, by changing to the "medical examination reservation management system 62" described in the second embodiment, the examination time required and the patient's schedule data can be used. By making an appointment, it is possible to prevent "waiting for medical examination" and waiting in the waiting room, and by making an appointment without changing the appointment, DX has progressed further.

In order to calculate the labor rental time (labor restraint time) of the vehicle and the attendant 8 necessary for the user 3 to go to the hospital 4a, it is necessary to use an external system such as a navigation system or an Internet service. Acquisition of time required to move from the user's house to the hospital 4a on the acquired route" "calculation of departure time to meet the reservation time" "after arrival at the hospital 4a, reception, examination, payment Calculating the required time in the hospital required for a series of flows up to performing the procedure” and “Obtaining the required travel time from the hospital 4a to the user’s home on a separately acquired route using an external system such as a navigation system or Internet service”. necessary.

It is important that the patient leaves home on time for their scheduled appointment. In order to calculate the departure time for the patient to leave home, from the consultation appointment time stored in the consultation appointment information in the appointment DB 61 described in the second embodiment and the time required for movement predicted by an external system, etc., Processing is performed to derive the time when the patient should leave the house.

When returning from the hospital 4a, there are cases in which, due to reasons such as the patient's wishes, the patient may complete errands at a transit point such as a store or a government office before returning home. In this case, the destination may be changed from the user's house to a transit point. In this case, the route and required travel time are also acquired from the external system. Further, the route from the detoured point to the user's house or the next detoured point and the required travel time are similarly acquired from the external system. The time required to move from the hospital 4a to the user's home may be the time including transit points, or may be included in the working hours of the vehicle used for the move, the attendant 8, and the like.

The required in-hospital time at the hospital 4a, that is, ``calculation of the required in-hospital time required for a series of flow from arrival at the hospital 4a to reception, consultation, and accounting'' is ``time from arrival to appointment time''','time required for medical examination (time required for medical examination)', and 'time required for accounting calculation after medical examination'.
That is, it is equal to the time from the arrival of the patient at the hospital 4a to the completion of the examination, the completion of accounting, and the time to go home. There is no need to recalculate the working hours of the means of transportation and the caretaker 8, etc., who are traveling together, based on the same idea.
The first thing that must be considered is that the "time required for post-medical accounting calculation" is based on the time required for the average accounting calculation at the hospital 4a where the patient visited the hospital 4a until the accounting is completed.
Here, Japanese Patent Application No. 2021-113927 devised by the applicant can be used. Japanese Patent Application No. 2021-113927 is a device in which payment is made using face authentication, payment is completed in the examination room instead of the reception or accounting place, and the flow line of movement is short and out of the hospital. The flow line here refers to the movement of patients within the medical facility. There are only a few medical institutions 4 that are designed as flow lines (movements) corresponding to burdens. Shortening the patient's flow line leads to the reduction of the burden on the patient, and in a sense it is an important measure that can be said to be a part of barrier-free.
By using Japanese Patent Application No. 2021-113927 devised by the applicant, patients who move in the hospital using medical equipment for wheelchairs or walking can move in a shorter flow line than usual, payment behavior at the reception counter Accounting is automated on the spot after the medical examination without having to do it. In addition, after the examination, the patient can go out of the hospital through a short flow line and return home smoothly. Therefore, from the viewpoint of calculating working hours, "calculating the time required for the hospital to complete a series of processes from arrival at the hospital 4a to reception, examination, and accounting" is actually "the time required for examination". ”.
Next, the "time required for examination" is determined using the method described in the second embodiment. The method described in the second embodiment is a method based on the idea that "the medical condition acquired by the medical condition information acquiring unit and the required examination time calculated by the required time information acquiring unit corresponding to the medical condition are used." .

In the above description, "reception" is performed after arriving at the hospital 4a, but by using the method described in the second embodiment, it is possible to automatically perform pre-medical reception during movement.
This method is managed by the operation management system 211, and from at least one terminal such as a mobile terminal owned by each of the patient who is visiting the hospital, the vehicle used for movement, the caregiver 8, and the medical worker 5 The positional information is sent to the medical institution support system 1 in the hospital 4a via the program installed in the terminal, and the sent positional information covers a 360° circular zone at a certain distance (radius) centering on the hospital 4a. When a patient enters the hospital 4a side from the zone, pre-medical reception is automatically processed. At this time, the information of each mobile terminal that is required for the position information acquisition process is transmitted from the operation management system 211 to the medical institution support system 1 .

In the explanations so far, we have calculated the labor rental time from the examination at the patient's home and medical institution 4 to the return to the patient's home. Here, we will calculate the working hours that have not been revealed and are in short supply.
Hidden working hours occur in the vehicle (driver 7), attendant 8, and medical worker 5, and are not the same hours. Therefore, it is necessary to calculate each.
First, during the working hours of the vehicle (driver 7) that is not surfaced, it is necessary to pick up a caregiver 8 or a medical worker 5 as necessary on the way from the company to the patient's home.
To calculate the labor up to this point, calculate the route and travel time from the company to the place where the caregiver 8 and medical staff 5 are picked up, and the route and travel time from the meeting point (pick up place) to the patient's home. Calculate time. These two required times must be added to the working time of the vehicle (driver 7).
Next, the unsurfaced labor time of the caregiver 8 or medical worker 5 must be added from pick-up to the patient's home. In the case of the return trip, as well as the outbound trip, the travel time from the patient's home to the meeting point (picked up place) used on the outbound trip, and the travel time from the meeting point (picked up place) to the vehicle (driver 7) company can be added to each to calculate the working hours that are not surfaced. The point at which the vehicle and the caregiver 8/medical worker 5 are separated from each other on the return trip may be a point other than the meeting point.
In addition, the following time may occur as time other than working hours that is not surfaced, but this is time that is not counted as working hours. In the case of the caregiver 8 and the medical staff 5, "the time required from the place where the caregiver 8 or the medical staff 5 departs, such as the previous work point (confluence point) or the office, to the next confluence point", "use the patient It is also necessary to consider the time from the meeting point where the vehicle used for movement after delivery to the person's home to the next business point (meeting point) and the time required to return to the office, etc.
In the explanation so far, in order to calculate the working hours, it is described as "calculating the route and travel time", but in order to calculate the route and travel time, an external system such as a navigation system or Internet service is used. Since it is used, route information and travel time information are actually obtained from an external system.

So far, the calculation of the working hours of the vehicle and the caregiver 8, which has not surfaced separately from the patient's visits to the hospital, has been explained. From here, the calculation of the labor lease time for each total (entire process) and applying it to the operation management system 211 will be described.
First, the labor rental time of the vehicle (driver 7) is divided into "(1) travel time from the company to the meeting point (pick-up point) and from there to the patient's home" and "(2) time from the patient's home to medical care." Time required to travel to institution 4”, “(3) Time required for patient to receive reception/diagnosis/payment at medical institution 4”, “(4) Time required to travel from medical institution 4 to patient’s home”, and “ (5) The sum of the travel time from the patient's home to the meeting point (pick-up point) and from there to the company is the labor hire time.
Furthermore, the start time of the vehicle (driver 7), that is, the departure time, is the time obtained by back-calculating "(1)+(2)" from the patient's medical appointment time to the total required time for the outbound trip.
Next, the labor rental time of the caregiver 8 and the medical staff 5 is divided into "(1) the time required from the meeting point (pickup point) to the patient's home" and "(2) the time required from the patient's home to the medical institution 4". time", "(3) Time required for patient to receive reception/diagnosis/payment at medical institution 4", "(4) Required time from medical institution 4 to patient's home", and "(5) Meeting point from patient's home (pick-up The total "(1) + (2) + (3) + (4) + (5)" of the required time to the point) is the labor lease time.
Further, the start time of the labor contract for the caregiver 8 and the medical staff 5 is the time calculated backward from the total time required for the outbound trip from the patient's medical appointment time ((1)+(2)).
This calculated result is reflected in the operation management system 211 .
The start time and time for renting the vehicle (driver 7), the start time and time for renting the labor for the caregiver 8 and the medical worker 5, and the time for the patient to make the next medical examination reservation in the medical institution 4 At the same time, the hour, minute, and hour are registered in the cooperating operation management system 211 .
FIG. 47 shows a schematic diagram of a method of calculating the labor hire time of the vehicle, attendant 8, and the like.

A case will be described in which the vehicle, attendant 8, and the like used for movement are different between the forward route and the return route.
After the patient arrives at the medical institution 4 and until the medical examination is completed, keeping the vehicle used for transportation and the attendant 8 etc. waiting for a long period of time, if not for a short period of time. It's a waste of time working with 8th graders. Therefore, by using the result of predicting the time required for medical examination at the medical institution 4, it is possible to re-arrange the vehicle and attendant 8 to be used for transportation in time with the end time of the medical examination.
This arrangement need not be the same vehicle and person as the vehicle (driver 7) and attendant 8 that delivered the patient to the hospital 4a. For example, a combination of A care taxi and B caretaker 8 is arranged to deliver the patient to the hospital 4a, and a combination of C care taxi and D caretaker 8 is arranged to send the patient from the medical institution 4 to the patient's residence. You may In this case, the "transportation means and attendant 8 travel time to the next work place after arriving at the hospital 4a" and the "transportation means and attendant 8 travel time from the starting point to the hospital 4a" are also the labor conditions of the present invention. Included in time calculation.

A specific example will be explained using the example of Mr. E's visit to the hospital, which he uses on a round trip.
In the case of Mr. E, it is assumed that the means of transportation information in the patient information DB 161 is stored as a private ambulance in which a trencher can ride. Therefore, when visiting the hospital 4a, it is necessary to arrange a private ambulance that can accommodate a stretcher. In addition, the 71 drivers of the private ambulance cannot carry out the act of putting Mr. E on the stretcher, and another person is needed to assist him. Therefore, it is necessary to reserve both a private ambulance and a nurse 5b for an outpatient visit.
When the medical institution 4 attempts to make a reservation for the next hospital visit for Mr. E, the reservation management system of the medical institution 4 extracts the candidate date and time for the next hospital visit for Mr. E from the examination availability of the medical institution 4 . From the extracted candidate dates and times, a time that can be arranged by a private ambulance of M company and a nurse 5b of Z dispatch company is extracted and a reservation is made.
In addition, since Mr. E's medical treatment is expected to take one hour, the outbound and return trips between the medical institution 4 and Mr. E's home will be made by separate operators, and the return trip will be with a private ambulance of K operator. The appointment was made by nurse 5b from the T dispatch company.

Here, we will explain the details of the ideas for reducing the cost of patients who come to the hospital by special means of transportation.
There are a plurality of patients who visit the medical institution 4 by a special method. It is possible to reduce the cost by making a comprehensive contract with the company (hereinafter referred to as the company) of the vehicle and the attendant 8, which are means of transportation for the plurality of people.
Information on the movement of a plurality of patients visiting the hospital by a special method is searched and extracted from the operation management system 211. - 特許庁
The information extracted from the operation management system 211 is "the direction of the user's house, the distance to the medical institution 4, the vehicle type, the caregiver 8 required from the medical condition, etc.".
Furthermore, the medical information system 9 in the medical institution 4 is searched for information on patients visiting the hospital by a special method, and the information is compiled.
The medical information system 9 acquires the medical condition information and transportation means information of the user 3 stored in the patient information DB 161, and the acquired information is "medical condition, sex, age, transportation means, transportation date, etc.".
The transportation comprehensive system summarizes the information extracted or acquired from these two systems for a plurality of patients, and transmits it to all business operators as comprehensive information on means of transportation for visiting this medical institution 4 .
The companies that were approached were able to stabilize their business by securing regular customers, so price negotiations proceeded due to the natural competitive principle of preferential contract over other companies, and the patient himself made a reservation. It goes without saying that it will be cheaper than the price at the time.

The above explanation is a device for reducing the cost of moving means of patients in one medical institution 4 with a comprehensive contract, but price negotiation can be further advantageous.
First, the medical institution 4 uses the medical information system 9 in the platform-type medical institution support system 1 in the medical economic zone 24, and cooperates with multiple medical institutions 4 in a certain area in the medical economic zone 24. By targeting patients of a plurality of medical institutions 4, the transportation comprehensive system can increase the number of contracted patients. By increasing the number of contracted patients, it is possible to gain an advantage in price negotiations.
It goes without saying that by expanding the target to multiple medical institutions 4 and by using the system according to the first embodiment, comprehensive negotiation becomes advantageous. In order to make the price even more competitive, expanding the number of patients to medical institutions 4 in the expanded area will reduce the cost of patients and increase the number of regular customers, which will stabilize the business of the business. It leads to things. Furthermore, by using a subscription contract from the transportation subscription system 212, there is a possibility that the degree of freedom of patient usage will be increased.
As a result, the working time between the vehicle used for transportation and the caregiver 8 can be made more efficient, and the patient can use the service at a usage fee that matches the time actually required for use, and does not need to pay usage fees for useless waiting time. Gone. This system includes a vehicle, a caregiver 8, etc., and a medical institution 4, which are necessary for comprehensively making reservation arrangements in various ranges such as a single medical institution 4 and a plurality of medical institutions 4 within a region. It also has a function to manage contracts between

A subscription contract using the transportation subscription system 212 in the platform-type medical institution support system 1 means that the user 3 who uses the medical economic zone 24 concludes a subscription contract with a vehicle or attendant 8 business operator. be able to. As an example of the contents of the contract, a plan that allows you to use the service up to several times a month in addition to hospital visits, a plan to visit relatives once a month, and a plan that allows you to visit a relative's house several times a year. The possibility of a contract to receive User 3's wishes and requests, such as a plan to go on a long-distance trip, will also increase. As a result, the life of the user 3, which is limited to movement, is freed from movement.

Up to this point, it has been explained that at the same time as making a reservation for the next medical examination at the medical institution 4, a reservation for the vehicle, the caregiver 8, and the medical staff 5 to be used for transportation at the time of the next visit to the hospital is made at the same time.
The act of making an appointment is not limited to the time of making an appointment for the next examination at the medical institution 4, but may be performed using the terminal of the user 3 (terminal owned by the patient). When using the terminal of the user 3, a reservation is made by connecting to the operation management system 211 in the platform-type medical institution support system 1. You may make a reservation. Reservation using the terminal of user 3 indicates a reservation such as a reservation change of an already made medical examination reservation or a new medical examination reservation. As an example of reservation using the terminal of user 3, there is a method described in Japanese Patent Application Laid-Open No. 2020-113143 devised by the applicant.

Conventionally, such reservations involving a plurality of institutions have been made by analog methods such as telephone and facsimile, and have been made by making individual reservations for each institution, such as vehicles and attendants 8 . Therefore, when trying to change the reservation date and time, it was necessary to contact each institution individually and make adjustments, and it was hard work and difficult to confirm the reservation while adjusting the schedule of each related institution. As a result, there are many cases where the patient's wishes are not fulfilled, such as the patient's convenience, and the reservation is made according to the convenience of the contractor.
When the operation management system 211 of the present disclosure is used, all reservations can be managed on the system side, so even if the reservation date and time changes due to the patient's convenience, the reservation can be made by changing the vehicle or the caregiver 8. You can also make changes. As a result, it becomes a reservation that fulfills the patient's wishes, such as the patient's convenience.

The operation management system 211 of the present invention has, as an additional function, "the function of notifying the user 3 that the vehicle used for movement, the attendant 8, etc. will arrive at the user's house soon before". You may
The function of informing the user 3 that the vehicle used for movement, the attendant 8, etc. will arrive at the user's house soon before it arrives at the user's house is the time when the operation management system 211 leaves the patient's house acquired from the external system. shortly before, or when the vehicle used for movement or the caregiver 8 or the like arrives near the patient's home using the position information from the mobile terminal possessed by the vehicle or the caregiver 8 or the like. It is a function to inform the patient that the pick-up will arrive soon from the terminal or the smart speaker at the patient's home. The method using the location information of the mobile terminal to obtain whether the mobile terminal has arrived near the patient's house is performed using the method using the Geolocation API described in the second embodiment.

In addition, the operation management system 211 of the present invention may be used not only for visiting the medical institution 4, but also for use other than visiting the hospital, such as booking means of transportation, the caregiver 8, and the like.
Appointments are made by accessing a terminal owned by the patient or a web site such as a portal site. As an example of a reservation method using a terminal owned by a patient or using the WEB, there is a method described in Japanese Patent No. 6558669 devised by the applicant.

In the description of the present invention so far, chartered automobiles such as care taxis and private ambulances have been used as means of transportation. Vehicles used for transportation may be not only chartered cars but also public transportation such as buses and trains. When using public transportation, "means of transportation from the patient's home to a public transportation boarding place such as a station or bus stop", "assistance when boarding public transportation", "assistance when getting off public transportation", and "public transportation". Arrangements will be made according to the patient's medical condition from among the means of transportation from the place of boarding to the destination, support in public transportation, and support when transferring at public transportation nodes.
The contents of the arrangement process include the process of securing (reserving) people to assist in boarding and disembarking (purpose) at public transportation boarding and alighting locations, and securing (reserving) places for patients to ride on public transportation. ), and so on.
Also, when moving to a destination using public transportation and a chartered vehicle, move from home to a public transportation station using a chartered vehicle, transfer to public transportation, and arrive at the destination station, When using a means of transportation using a chartered vehicle from a station to a destination, reservation processing for the vehicle may be performed at the same time as arranging for public transportation. FIG. 48 shows an image of using public transportation or the like.

For the payment of the usage fee to the vehicle used for transportation, the caregiver 8, and the medical staff 5, either "pay in cash each time you use" or "pay for the usage for a certain period such as one month" at once. It is common. Both cases have demerits. In the former case, patients need cash each time they use the service because of the convenience of paying each time. In the latter case, it takes a long time until the usage fee is paid to the vehicle used for transportation, the attendant 8, and the medical worker 5. FIG. Furthermore, we are now in an era where a fee is charged just for withdrawing cash from a bank account, and both the fee and the act of cashing are a burden. It is more convenient to use a cashless payment method that does not use cash, such as a credit card. However, since patients using this system cannot use cashless payment, payment can be made without the above disadvantages by using the payment method using the medical payment account 104 described in the fourth embodiment.
A payment method using the medical payment account 104 is shown below. First, a medical payment account 104 is created for each patient and each business operator in the medical institution payment support system 102 linked with the operation management system 211 of the present invention. The patient deposits money into the created medical payment account 104 .
When the patient uses the vehicle used for transportation, the attendant 8, and the medical staff 5, the operation management system 211 requests the medical institution payment support system 102 to pay the usage fee, but the requested medical institution payment is performed. The support system 102 immediately transfers the usage fee from the patient's medical payment account 104 to each business operator's medical payment account 104 for payment. At the time of this payment, not only the payment for the vehicle used for movement, the attendant 8, and the medical staff 5, but also the payment for the medical examination fee to the medical institution 4 and the payment for the prescription drug fee to the dispensing pharmacy 4b are also included. The usage fee is immediately transferred from the patient's medical payment account 104 to the medical payment account 104 of the medical institution 4 or the pharmacy 4b, and payment is made.
If this settlement method is used, the patient does not need to prepare cash each time the patient uses the money if the money is deposited in advance. The need for the patient to deposit money in advance seems to be a disadvantage at first glance, but the settlement method using the medical settlement account 104 described in the fourth embodiment can also be used for settlement of daily life and settlement at the hospital 4a. , the advantage is greater because settlement can be centralized. Since the business company has created the medical payment account 104, the business company can also make payments within the medical economic zone 24 in which information can be shared. By opening a medical payment account 104 in the medical economic zone 24, both the patient and the medical institution 4 can share various information with various businesses and retailers.

By combining the method of the present disclosure, a reservation for a special vehicle, a caregiver 8, and a medical worker 5 for a patient who goes to the hospital in a special way, and a reservation for the next medical treatment at the medical institution 4 together. It provides a service and a business model for managing the operation of vehicles between the user's home and the medical institution 4 so as not to wait for a long time to be examined at the medical institution 4.例文帳に追加

At the time of writing, many MaaS devised in society are being considered for the purpose of the user 3 efficiently connecting and using vehicles. This MaaS system is considered to be how to pursue time and convenience for User 3. I imagine that in the future this will include unmanned automated driving.
On the other hand, the present invention explained so far is clearly different from the MaaS in that it eliminates the inconvenience of the user 3 and the purpose of the user 3 is different. The purpose of the present invention for the user 3 is that he or she needs a lot of help in order to move, and in order to ask for the help verbally, it takes a considerable amount of time and effort to prepare for the move. . For the details of the preparation, it is necessary to adjust the means of transportation, the medical condition of the user 3, the type of work to be assisted, etc. by words (telephone) according to the day and time when the user 3 wants to move. was a great deal of effort. In order to complete this adjustment in the system, the medical information of the patient, the consultation appointment information of the medical institution 4, the business (appointment status) schedule of the business operator, the patient schedule, and the payment method of the medical condition patient must be sent within the medical economic zone 24. By sharing data with each medical institution 4 and business company in the DX, it is characterized by being able to arrange and settle people and vehicles. This improves the convenience for the user 3 who needs special transportation and the service provider.
Also, if unmanned (self-driving) vehicles are used, it will only be necessary to provide route information, time information, and user 3 information to the self-driving vehicle, which will further improve convenience.
Furthermore, by using the patent No. 6647500 devised by the applicant, which connects airlines, ships, and hotels, the user 3 who needs special transportation can continue treatment at the medical institution 4 while continuing domestic treatment. It is also possible to travel and travel abroad.

There are patients and their families who want the "Medical MaaS System 213" explained here. No one made it easy and convenient. Even if you invest in the development of such a system, if you try to recover the investment in a short period of time, it will be reflected in the usage fee, and the usage fee will be high, and patients and families will not use it. In addition, there are factors that require further investment due to system maintenance costs, which are the drawbacks of IT, and replacements due to obsolescence of technology, and there are no business operators who want to pay back in the long term. These welfare systems are not intended to recover the investment amount from patients and their families, and unless they are appropriated from various profitable systems, they will not run well as a business and will not generate profits. For this reason, the medical economic zone 24 has various profit-generating systems in place so that such welfare systems can be provided as services.
By providing a “medical version of MaaS” service to the platform system within the medical economic zone 24, we are dealing with many medical institutions 4, many vehicles, caregivers 8, and medical workers 5. It is considered desirable for the patients of the medical institution 4 because the business can use it. This is a service that the medical institution 4, which has neglected to provide services to patients, would like to use. Furthermore, by using the services described in other embodiments within the medical economic zone 24, expenditures from the medical institution 4 will be eliminated, and medical management will be sustained and services for patients will be improved. Patients will no longer choose medical institutions 4 that do not use this "Medical version MaaS system 213". We believe that the era of providing various medical services to patients will begin.

Conventionally, in order to go on a trip, it is necessary for the user 3 to make a reservation for a transportation facility or an inn. The user 3 simply decides the destination by saying "I want to go there", and then selects the means of transportation to get there, the route to the attendant 8, the selection of the means of transportation, and the arrangement and reservation for that schedule. AI can make all arrangements and reservations, such as reservations up to the hiring of labor. It will also be possible to travel overseas using aircraft and ships. AI learning is calculated by learning the information explained so far and the information of external systems such as route information of public transportation.

<Ninth Embodiment>
In the induced pluripotent stem cell treatment support system 222 disclosed in this embodiment, a plurality of medical institutions 4 in the platform-type medical institution support system 1 have a medical information sharing database 2 that serves as one large sustainable database. It is a system that aims to support transplantation treatment using IPS, that is, induced pluripotent stem cells, through shared use.

This system is provided by using the IPS induced pluripotent stem cell transplantation treatment candidate patient DB 221 in the medical information sharing database 2 . The IPS induced pluripotent stem cell transplantation treatment candidate patient DB 221 contains "information on transplant candidate patients linked to patient medical condition information and patient attribute information from medical information in the medical economic zone DB 21 of the medical information sharing database 2" or "Information about the transplant candidate patient linked to the patient's condition information and attribute information from the information system used by the medical institution 4 linked to the platform-type medical institution support system 1" is saved as the transplant candidate patient information. ing. This transplant patient information is information on candidate patients who may be able to undergo induced pluripotent stem cell transplantation treatment. FIG. 49 shows the database configuration of the ninth embodiment.
A patient's primary care doctor (attendant doctor) may register conditions for extracting candidates for induced pluripotent stem cell therapy as additional information in the transplant patient information. The conditions to be registered indicate the conditions set by the doctor 5a, such as the age range of the person from whom the IPS cells were collected.
The induced pluripotent stem cell treatment support system 222 in the platform-type medical institution support system 1 performs a process of extracting candidate patients for transplantation treatment from the transplantation patient information under separately determined conditions. When a suitable artificial organ is found by this process and becomes a candidate patient, the induced pluripotent stem cell treatment support system 222 connects the suitable candidate patient, the patient's primary care doctor (family doctor), and the operator who owns the suitable artificial organ. automatically notify the user of information recommending induced pluripotent stem cell therapy. Separately defined conditions used for this extraction process are the patient's blood data such as HLA (human leukocyte antibody), ABO blood type, Rh blood type, etc., and the artificial organ manufacturing business operator 223 owns It is a matter of whether or not the DNA information of the artificial organ matches. At the time of this extraction, if the attending physician has registered the conditions for extracting candidates for induced pluripotent stem cell therapy in the additional information of the transplant patient information, the registered conditions are added and the candidates are extracted. I do.
IPS induced pluripotent stem cell transplantation candidate patients among transplant stakeholders if the patient decides to undergo transplantation surgery by notification of information recommending induced pluripotent stem cell therapy to a suitable candidate patient and the patient's attending physician. Share induced pluripotent stem cell treatment information in DB221. The persons involved in transplantation are the patient, the patient's attending physician, the medical institution 4 performing the transplantation operation, the operating doctor 5a (surgeon), the artificial organ production business operator 223, and related business operators. In addition, the affiliated business operator is an insurance company that manages the medical insurance that the patient subscribes to, or a bank that lends funds for the patient to receive treatment. Information on induced pluripotent stem cell therapy includes information on patient induced pluripotent stem cell transplantation therapy, information on culture of artificial organs, monitoring information in daily life after transplant surgery, and various other information. This refers to information generated during transplantation treatment using artificial organs produced by IPS and information after treatment. The monitoring information in daily life after the transplantation surgery is obtained by the method described in the third embodiment, that is, the daily measurement results, meal contents, etc. are obtained by conversation between the user 3 (patient) and the electronic device 73. Indicates information that can be acquired by a method.

In the above explanation, it is assumed that the artificial organ manufacturing company 223 has an artificial organ in stock. However, matching artificial organs are not always in stock. Therefore, if the artificial organ manufacturing company 223 does not have it in stock, a new suitable artificial organ will be produced. After production, information such as induced pluripotent stem cell treatment information will be shared among those involved in transplantation in the same way as when stocks are available.

The organs targeted by the induced pluripotent stem cell treatment support system 222 are not only internal organs such as kidneys, pancreas, liver, and heart, but also body parts such as eyeballs.

When a patient decides to undergo an organ transplant operation and decides to culture induced pluripotent stem cells, information such as transplant candidate patient information and induced pluripotent stem cell treatment information in the transplant candidate patient information is stored as personal information 22. be treated. This is because patient's medical condition information is generally sensitive information that should not be known to others. Therefore, it is necessary to take security measures when sharing information among the family medical institution 4, the medical institution 4 performing the transplant surgery, the surgeon, the artificial organ production business operator 223, and the related business operators.
It is not a good idea from the viewpoint of cost and maintenance of security level to take security measures individually among the parties involved in porting. Therefore, we entrust the management of information to an institution (for example, an information bank) that can deposit and provide personal information 22 based on laws and regulations that manages personal information 22 of user 3 as a service, or This is done by providing a server on the network that can guarantee security as part of it.

The system of the present disclosure is based on various information handled by the information system or platform system used in the artificial organ production used by the artificial organ production business operator 223, the individual identification information of the collected sample of cells, and the quality Processing is performed to acquire management information, progress information related to production, and information related to traceability, and the acquired information can be shared among people involved in transplantation. This sharing also entrusts the management of information to an organization (for example, an information bank) that can deposit and provide personal information 22 based on laws and regulations that manages personal information 22 of User 3 as a service, or This is done by providing a server on the network that can guarantee security as part of the system.

By centrally managing data in this way, it is expected that complicated management caused by differences in the systems used by each person involved in transplantation will be alleviated.

When the attending physician of the patient requests another doctor 5a to treat the patient, he/she would like to request the doctor 5a who can provide the best treatment for the patient and who can be trusted. As one method for selecting a reliable doctor 5a, the evaluation result of the medical staff 5 described in the tenth embodiment can be used.
The induced pluripotent stem cell treatment support system 222 selects the medical institution 4 where the attending physician performs the transplant surgery, the doctor 5a who requests the transplant surgery, the medical staff involved in the transplant surgery, and the artificial organ production business operator 223. Use the selection function. This selection function uses the evaluation result of the medical staff 5 described in the tenth embodiment.
The induced pluripotent stem cell treatment support system 222 selects a medical institution 4 or the like to perform the transplant surgery, based on the medical institution evaluation data stored in the medical practice-related DB 231 in the medical information sharing database 2. information on the medical institution 4 that has a proven track record, and information on the doctor 5a and the nurse 5b who have performed the transplant surgery from the work history information stored in the medical economic zone DB 21.
The selection of the medical institution 4 that performs the transplant surgery is based on the medical institution 4 stored in the medical service related DB 231, and if the distance between the patient's home and the medical institution 4 is too far, or if there is a request from the patient. is based on the information on the equipment owned by the medical institution 4 from the accounting work DB 31 of the medical information sharing database 2, and on the basis of the information on the medical institution 4 that owns the medical equipment that can reliably perform the transplant surgery. selection process.
The selection of the artificial organ production business operator 223 is based on the blood data of the patient in the transplant candidate patient information in the IPS induced pluripotent stem cell transplantation treatment candidate patient database 221 and the artificial organ holding the organ cultured by the artificial organ production business operator 223. DNA data, gene data, and blood data of the organ are collated, and if they match, the artificial organ manufacturing business operator 223 that owns the cultured organ is selected. At the time of selecting an artificial organ manufacturing business operator, the information of the artificial organ manufacturing business operator 223 stored in the business information of the company using the medical economic zone 24 in the medical economic zone DB 21 is acquired, and this information includes the company name , contact information, person in charge, etc.
The doctor 5a, the nurse 5b, the medical institution 4, and the artificial organ production business operator 223, who have acquired or selected so far, make selections in a manner that does not interfere with each other. For example, a combination that has been confirmed that there is no kickback from the artificial organ production business operator 223 to the doctor 5a or a combination that has no interests (for example, the doctor 5a is an investor or an officer of the artificial organ production business operator 223) Make a selection.
The system of the present disclosure performs the selection process of the doctor 5a and the artificial organ production business operator 223 in a combination that has no conflict of interest, and the artificial organ production business operator 223 selected as a result is the schedule of organ donation to the patient or the patient's The organ culture schedule, various information, and the DNA information of the organ are stored in the induced pluripotent stem cell treatment information.
In addition, the system of the present disclosure includes a medical institution 4 that performs transplantation surgery of selected induced pluripotent stem cells, a medical institution 4 such as transplantation surgery schedule information and hospital bed schedule information such as a surgeon and medical staff involved in the transplantation surgery. Information on schedule adjustment up to personnel selection is acquired from the medical information system 9 of the medical institution 4 or the like, and processing is performed to store it in the induced pluripotent stem cell treatment information.
Information on organ donation schedules for patients with induced pluripotent stem cell therapy, patient organ culture schedules, various information, and information on schedule adjustment up to medical institution 4 and personnel selection are shared among transplant stakeholders. can be processed.

The system of the present disclosure can perform collation processing between the blood data of the patient and the DNA data and blood data of the artificial organ owned by the artificial organ manufacturing business operator 223 . As a result of this processing, if the organ cultured by the artificial organ manufacturing business operator 223 does not match, the induced pluripotent stem cell treatment support system 222 matches the patient's DNA data, gene data, and blood data from the transplant candidate patient information. Perform processing to search for patients to be treated. As a result of this search, if there is a matching patient, the information of the matching patient is anonymized and then provided or sold to the artificial organ manufacturing business 223 . The artificial organ production company 223 can be a new sales destination by culturing (producing) artificial organs from the information of a plurality of patients that matches the provided DNA data, gene data, and blood data.

So far, we have explained the production of artificial organs using IPS and information sharing related to treatment using the artificial organs.
Transplantation of induced pluripotent stem cells is a state-of-the-art treatment and is expected to be a costly treatment for patients. In addition, it is expected that the treatment will be even more costly for the patient due to the traditionally high cost of the medical industry.
In the induced pluripotent stem cell treatment support system 222, the cost borne by the patient in the induced pluripotent stem cell transplant operation is reduced, and the induced pluripotent stem cell treatment support system 222 and the IPS induced pluripotent stem cell transplant treatment candidate patient. There is also a function for the purpose of maintenance and operation of DB221.
The induced pluripotent stem cell therapy support system 222 includes the patients who are the parties to the transplantation surgery stored in the IPS induced pluripotent stem cell transplantation treatment candidate patient DB 221, the medical institution 4 that performed the transplantation surgery, the artificial organ production business operator 223, etc. We will sell various information on successful transplant surgery by the medical institution 4 and the artificial organ manufacturing business 223 who are considering entering regenerative medicine from now on. The profits obtained from this sale are used to reduce the costs borne by the patient, to generate profits for the medical institution 4, and to maintain and operate the system of the present invention. Information related to the treatment of patients who have already undergone regenerative medicine and are stored in the IPS induced pluripotent stem cell transplantation treatment candidate patient database 221 is medical information before and after treatment, information on disease conditions, information on organ production, and videos on treatment methods. Information, treatment performance information, etc. are also included.
When the induced pluripotent stem cell treatment support system 222 sells information, information on patient treatment is shared with the information source, the patient who is the owner of the information, the family doctor, and the medical treatment performed by the non-fungible token (NFT). The institution 4, the doctor 5a who performed the operation, and the purchaser of the information or a plurality of purchasers of the information are linked to manage the right and suppress duplication of the information. Since the information management method using NFT is described in the eleventh embodiment described later, the description is omitted here.
In addition, after the patient's treatment information is processed anonymously, the purchaser can view the information using a server that can guarantee security or an organization that can deposit and provide personal information 22 based on laws and regulations. may

The induced pluripotent stem cell treatment support system 222 is intended to increase the results from doctors 5a who have a proven track record in induced pluripotent stem cell transplantation treatment, medical institutions 4, artificial organ production companies 223, etc. There is a function to undertake advertising requests.
Physician 5a with a track record of transplant surgery, medical institution 4 with a track record of transplant surgery, artificial organ manufacturing business 223 with a track record of providing artificial organs, etc. created advertisements that could undertake transplant treatment based on their experience in transplant treatment. Processing to save the advertisement material as advertisement information in the advertisement information of the IPS induced pluripotent stem cell transplantation treatment candidate patient DB 221,
You can apply for an advertisement request to the induced pluripotent stem cell treatment support system 222,
This function is based on a medical institution 4 that acquires the medical institution 4 of the patient's family doctor in the transplant candidate patient information from the patient information DB 161, and
Furthermore, a medical institution 4 that has extracted and acquired a medical institution 4 that has a patient with an organ disorder as a medical condition from the patient information DB 161,
It has an advertising function to provide advertising material information to the acquired medical institutions 4.
This function performs processing to extract medical institutions 4 that have patients with organ disorders from the medical economic zone DB 21, and for the extracted medical institutions 4, a doctor 5a who has a record of transplant surgery, a medical institution 4 with a record of transplant surgery, and so on. , the function of sending advertisements from the artificial organ manufacturing business 223, etc., which has a track record of providing artificial organs. The induced pluripotent stem cell treatment support system 222 undertakes advertisement requests from doctors 5a with a record of transplant surgery, medical institutions 4 with a track record of transplant surgery, artificial organ production companies 223 with a track record of providing artificial organs, etc. The content of the advertisement includes the information contained in the transplant candidate patient information, and the content of the transplant treatment can be contracted.

An example of an advertisement using transplant candidate patient information is shown.
Assume that the induced pluripotent stem cell treatment support system 222 receives an advertisement request from a doctor 5a who wants to perform an artificial kidney transplantation operation.
The induced pluripotent stem cell therapy support system 222 extracts medical institutions 4 that have chronic renal failure patients who require kidney transplantation from the medical economic zone DB 21 . An advertisement is sent to the extracted medical institution 4 that an artificial kidney transplant operation using IPS can be performed. This advertisement contains information on the results of artificial kidney transplant surgery.

In the induced pluripotent stem cell therapy support system 222, an artificial organ production business operator 223 searches for patients who are suitable for the artificial organs they own in order to promote their own business, The purpose is to increase the performance of the artificial organ manufacturing business 223 by having them use their own artificial organs.There is also a patient search function, and it is opposite to the patient who wishes to have an organ transplant looking for an artificial organ that suits him/herself. In addition, the artificial organ manufacturing company 223 has a function of searching for a patient.
This patient search function will be described. First, the artificial organ production business operator 223 sends the DNA information and blood data of the artificial organ it possesses to the induced pluripotent stem cell treatment support system 222, and the IPS induced pluripotent stem cell transplant treatment candidate patient database 221. Save as organ DNA information. The induced pluripotent stem cell therapy support system 222 searches for a patient by comparing and matching artificial organ DNA information with the patient's DNA data or blood data in the transplant candidate patient information. The results of the search compile matching patient information as matching patient information. Matching patient information is created for each organ. The created matching patient information is provided for a fee to the artificial organ production business operator 223 who made the request.
The artificial organ production business operator 223 who has received the matching patient information uses the induced pluripotent stem cell treatment support system 222 to automatically notify the matching patient and the attending physician of the induced pluripotent stem cell treatment. conduct.
FIG. 50 shows a system diagram for searching for suitable patients for cultured organs owned by artificial organ manufacturing companies.
If more than one patient is found to be compatible with the same artificial organ, priority is given to the younger patient. By performing organ transplantation on young patients rather than older patients, it is possible to return to society at a young age and regain an environment where they can live while working. This is because patients who are returned to society at a young age can be expected to play more active roles in society than older patients.
In addition, by prompting the patients found by this search processing to undergo artificial organ transplantation, it becomes possible to quickly find the way to transplant surgery for the patient.

In the above description, the artificial organ manufacturing business operator 223 performs a search to find a patient to be treated with induced pluripotent stem cells. Finding a patient for induced pluripotent stem cell therapy is not limited to the artificial organ production business operator 223, and may be performed by the medical institution 4. When the medical institution 4 finds a patient for induced pluripotent stem cell therapy, it switches from the conventional medical business of waiting for the patient to come to the hospital 4a to the so-called new medical business of going to find the patient. By switching to a new medical business, medical institution 4 can also expect to increase the results of induced pluripotent stem cell therapy and improve business performance.
A method for finding patients for whom the medical institution 4 will receive induced pluripotent stem cell therapy will be explained. The induced pluripotent stem cell therapy support system 222 searches for patients who can undergo induced pluripotent stem cell therapy from the medical information of patients in the transplant candidate patient information in the IPS induced pluripotent stem cell transplantation therapy candidate patient DB 221. I do. This processing is performed at the request of the medical institution 4, and the target patients are those who go to other medical institutions than the medical institution 4 that requested the search.
The medical institution 4 that requested this search uses the induced pluripotent stem cell treatment support system 222 to treat the patient and the attending physician found by this search process with induced pluripotent stem cell treatment at the medical institution 4 that performed the search. Automatically process the contact recommended by This contact is made by an electromagnetic method such as contact by e-mail or contact using the platform-type medical institution 4 support system 1 .
By making contact, the medical institution 4 capable of performing the transplant surgery (the medical institution 4 that performed the search) can be connected with the patient's attending physician who matches the patient, and the performance of the medical institution 4 capable of performing the surgery can be improved.

In this embodiment, by combining the contents described so far, a plurality of medical institutions 4 utilizes the information in the medical economic zone DB 21, which is a single large database that is sustainable, and the patient, the family medical institution 4, and the transplant treatment are performed. We will build and provide a platform that supports transplant treatment for medical institutions 4, businesses, and patients, and supports doctors 5a, medical institutions 4, and artificial organ production companies 223 who have a track record of transplant treatment through various advertising methods. a viable business model.

We believe that there are few patients and families who want the "induced pluripotent stem cell therapy of IPS stem cells using the induced pluripotent stem cell therapy support system 222" described here. Furthermore, I think that there are few doctors 5a whose primary care physicians promote induced pluripotent stem cell treatment of IPS stem cells. For example, the reasons why we cannot proceed to patients undergoing dialysis are that we do not have a guarantee of complete cure, we cannot perform induced pluripotent stem cell treatment because we are a dialysis doctor, and induced pluripotency is also acceptable. If the patient is sent to the hospital 4a that is performing stem cell therapy, the number of patients will decrease, and the doctor 5a will not be able to proceed to the patient due to difficult problems such as the problem of the latest knowledge.
This system has a track record of following and caring for patients from conventional treatment to treatment with the latest medical treatment by following and caring for the patient until the end of the induced pluripotent stem cell treatment by the family doctor who is currently treating. I also aim to be We believe that it is the job of the new doctor 5a and the service to the patient to learn from the treatment that only the doctor 5a can do to the patient's complete recovery while caring for the patient, and to return the patient to society. Until now in medicine, there was no service to the patient, this is a service about treatment. I think that many family doctors are private practice doctors, and if the patients who come to the hospital for artificial dialysis every week are completely cured, the number of patients will decrease and medical management will be affected.
For that reason, the medical economic zone 24 has prepared various systems that generate profits, provides services to patients like this one, and the content is such that medical institutions 4 can also make profits.
By providing a platform system with the “Induced Pluripotent Stem Cell Treatment Support System 222” service within the medical economic zone 24, we will find many patients who are likely to receive induced pluripotent stem cell transplantation treatment. , The family doctor himself finds an artificial organ manufacturing business 223, a medical institution 4 that can perform surgery, and a doctor 5a that can perform surgery, produces a complete cure for the patient, and returns many patients to society. It is a service to patients who are
This service should be used by medical institutions 4 that only provide dialysis and prescriptions to patients. Furthermore, by using the services described in other embodiments within the medical economic zone 24, expenditures from the medical institution 4 will be eliminated, and medical management will be sustained and services for patients will be improved. It is assumed that patients will no longer choose medical institutions 4 that do not provide "services to patients." We believe that the era of providing various medical services to patients will begin.

In this embodiment, the induced pluripotent stem cell therapy support system 222 can provide the following five business models by using the techniques described so far.
1) Providing an information mediation service that recommends switching from lifelong treatment to induced pluripotent stem cell therapy for transplant candidate patients stored in the transplant candidate patient information and their primary care physicians. can.
2) A doctor 5a who can perform an artificial organ transplant operation and a medical institution that can perform an artificial organ transplant operation from the medical economic zone DB 21 for a patient who has decided to undergo an organ transplant and a family doctor stored in the transplant candidate patient information. 4 and businesses that manufacture the patient's artificial organs can be searched and provided.
3) A service based on a system that enables the sharing of patient medical information among the organ production business operator, the family medical institution 4, the medical institution 4 where the transplant operation is performed, the surgeon, the attending physician, the medical staff involved in the transplant operation, and the patient. of can be provided.
4) In order to reduce the patient's treatment costs or hospitalization costs for transplant surgery, medical institutions 4 who want to perform regenerative medicine searched from the information in the medical economic zone DB 21, organ production companies, operating doctors 5a, and On the other hand, all of the patient's successful organ transplantation clinical information can be offered for sale. By allocating the profits provided by sales to the patient's treatment costs or hospitalization costs for transplant surgery, the patient's oversight can be reduced.
5) Perform the following two services to maintain the operation of the platform-type medical institution 4 support system 1 and the medical information sharing database 2, and maintain the platform-type medical institution 4 support system 1 and the medical information sharing database 2 as compensation. I do.
The first service is to provide medical institutions 4 who want to undertake transplant surgery, organ production businesses who want to improve their performance, and doctors who want to improve their performance 5a, etc., from the transplant candidate patients stored in the transplant candidate patient information. Refer patients who want to receive organ transplants.
The second service is to contract advertisements from medical institutions 4 that want to undertake transplant surgery and businesses that want to produce organs, and to transplant candidate patients saved in the transplant candidate patient information and their family doctors. Advertisement deployment.

<Tenth Embodiment>
Currently, it is possible to know the evaluation of those who are engaged in the shishi industry and the results of their work achievements from the social system or the social site. However, finding excellent personnel with a proven track record is a bit of a hurdle and requires time. For that reason, if you find an excellent human resource from the business results information of the service provider on the social system or social site and request the service to a service provider that reliably produces the results of the task, but the desired results are not achieved. There is also
The business result acquisition system 242 of the present disclosure aims to realize a business model of searching for excellent personnel with a proven track record and making business requests.
The shishigyo here refers to the 8 professional trades that have the authority to make a request in the course of their duties, such as lawyers and patent attorneys, as well as engineers, architects, and veterinarians. Refers to occupations with "shi" or "shi". However, occupations related to medical care such as the doctor 5a, the dentist 5d, the midwife 5e, the pharmacist 5c, the physical therapist 5f, and the clinical engineer 5g are excluded.
If you use an internet search engine and find a teacher in the search results, you will find that the content on the homepage is self-praise written by the teacher, and the business You can't find achievement grades.

Regarding patent attorneys, when requesting the preparation of documents for a patent application, fees vary depending on the patent attorney or patent office. Fees are high only for firms that have a large number of patent attorneys, lawyers, and investigators. I guess that there are many clients who wonder if there is an evaluation standard for the degree of achievement of the requested work based on the difference in price. Even if you pay a high price, it will be rejected by the Patent Office. If the reason for refusal is to deny novelty or inventive step due to the existence of prior art, it can be frustrating. The breakdown of the amount includes survey fees and map creation, but there are places where surveys are not conducted satisfactorily or are properly surveyed, but what we are talking about now is the price. In addition, the cost of creating the diagram outside is something that should not be accounted for in accounting audits, but it is actually done and the requesting side cannot go against it and has no choice but to pay. It is a mistake to bear the cost of creating diagrams externally to the client, and even so, it is necessary to obtain the permission of the client if it is to be published externally. Shishigyo's business is such that there is no way out for the requesting side.
Under such circumstances, patent attorneys run by individuals are doing their best, but they are not praised just because they are individuals. At any rate, even individuals have doubts about the high price charged by patent attorneys who cannot produce the results of "acquisition of patent rights" for their clients. Compensation is to deliver the results of the requested work. Currently, it is not possible to find a teacher who can produce results. There is no way to know how much results have been achieved for the client. There is no way to know how much work has been requested. All I know now is the price that I don't know if I can get results. We believe that there is a need for a system that finds masters who are buried in the world and can achieve the client's goals.

The business result acquisition system 242 of the present disclosure is on the platform-type medical institution support system 1, and is based on information on social systems or social sites that publish information on the business results of practitioners on the network. Each process is started when the business result information is acquired.
Here, the "work results of a teacher" and the "social system or social site that publishes information on work results" will be explained using lawyers and patent attorneys as examples.
In the case of a lawyer, the business result indicates the result of a case received from a client, such as defending a civil or criminal trial or dealing with mediation. Bengo4.com is a social site that publishes information on business results.
In the case of a patent attorney, the business result indicates the result of a case such as an application for an intellectual property right received from a client. J-PlatPat is a social site that publishes information on business results.
The business result information acquired by the business result acquisition system 242 is converted into a format that can be processed by a database, and is stored in the teacher trade worker evaluation DB 241 as social business result information. The work result information indicates the number of requested work and the number of completed work for each teacher. The format that can be processed by the database is composed of columns and rows in a matrix on the database table, and each of the multiple components necessary to evaluate the work results of the social worker in the social work result information. Represents a processed structure that fits into a database matrix table. FIG. 51 shows an example of data stored in a format that can be processed by the database.
The work result acquisition system 242 uses functions to obtain the social work result information stored in a database processable format, and obtains the number of requested work and the number of completed work for each worker. is aggregated using a function. In addition, the work result acquisition system 242 calculates and evaluates the work achievement evaluation index value for each of a plurality of master traders from the number of requested work for each master trader and the number of completed work. process. The result of this processing is also stored in the teacher trade worker evaluation DB 241 of the medical information sharing database 2 as social work result information.
A lawyer and a patent attorney are used as an example to explain the number of requested services and the number of completed services for each employee. FIG. 52 shows the database configuration of the tenth embodiment.
In the case of a lawyer, the value of the number of requested services indicates the number of requests received, and the value of the number of completed services indicates the number of cases in which the client's request was met among the requests received. Here are some examples that may not seem like business accomplishment at first glance, but are included in business accomplishment. If the criminal case is almost certain to be guilty, or if the sentence is less than the expected sentence, it can be said that the client's request has been fulfilled, so it can be said that the job has been accomplished. In a civil case, if you become a defendant claiming damages, the judgment is less than the amount claimed, and if the request of the client is met, it can be said that the work has been accomplished.
In the case of a patent attorney, the value of the number of cases of requested work indicates the number of applications filed as an agent, and the value of the number of cases of work achieved indicates the number of cases for which registration is decided.
The work achievement evaluation index value is calculated based on the ratio between the number of requested work and the number of completed work. However, like intellectual property, there are cases where an application is filed but not examined. In this case, the number of applications filed may be replaced with the number of requests for examination.
An example of calculating a business achievement evaluation index value is shown. When the number of requested tasks is 100 and the number of completed tasks is 75, the task achievement evaluation index value is 0.75 (75%).
The business result acquisition system 242 publishes information such as the business achievement evaluation index value saved as the social business result information on the network as an evaluation of business results. At the time of this publication, the value of the number of requested tasks and the value of the number of completed tasks for each worker may be disclosed together.
Publishing on the network means publishing on a website on the Internet.

A process of adding the social work result information saved by the work result acquisition system 242 to the teacher trade worker evaluation DB 241 of the medical information sharing database 2 is performed. By adding this information to the evaluation DB 241 for master workers, it is easy to find an excellent master trader, and by displaying the details of the master trader, it is possible to realize a business model in which excellent human resources with a proven track record are searched and requests are made. It is possible to scale up the information of the system to be used.
In order to scale up, the names of these teachers are keyed by the information of the teacher's worker's attribute information, the social work result information, the work history information, and the work history information stored in the medical economic zone DB 21. A wide range of information is added to the database of relations linked to the teacher industry worker evaluation DB 241 .
In the personal information 22 stored, the teacher's worker attribute information includes the work place of the teacher's worker, the professional field of the teacher's worker, the career of the teacher's worker, and the teacher's worker's career. Attribute information, etc., of teachers and other workers are stored.
The business history information includes the number of consultations and the number of cases accepted, the number of consultations in each case, the number of responses in each case, the period from the first consultation to the completion of each case, the remuneration for each case, and the amount received from User 3. Result information provided by the user 3, such as evaluation after completion, is stored.
As a result, ten or more items of information are stored for one teacher worker in the teacher worker evaluation database 241, so excellent human resources can be searched for through a wide variety of deep searches.
FIG. 53 shows an image of a search for a patent attorney, and FIG. 54 shows an image of a request.

A user 3 who uses the medical economic zone 24 uses the system of the present disclosure for the purpose of searching for an excellent human resource with a proven track record and making a business request. As search conditions when using the system of the present disclosure, factors such as the residence of the user 3 and the purpose of use of the user 3, and conditions of various factors are used.
As a result, ten or more items of information are stored for one teacher worker in the teacher worker evaluation database 241, so excellent human resources can be searched for through a wide variety of deep searches.
For example, in order to search from the location of User 3, by performing a search using various information such as the place of residence of User 3, a multi-dimensional visual effect that matches the purpose can be obtained using the work achievement evaluation index as a guide. It is possible to unearth a teacher who has a track record and is evaluated, but has been buried. This system is a part of the system that publishes the business achievement evaluation index values on the network. In addition, it is possible to easily request work on the system from the narrowed-down or searched results of masters. Easy business requests are defined as ``a request can be made by entering a simple request on the screen of the system published on the network'' and ``a request can be made with a single click on the screen of the system published on the network''. It can be done,” etc.

In order to scale up the system for searching for excellent human resources with a proven track record to a system with increased utility value, the business history information of the teacher business that is accumulated and saved in the teacher business information DB 251 is used.
By using work history information in the system to search for excellent human resources with a proven track record, it is possible to improve the accuracy of discovering teachers who have a track record that meets the purpose and have been evaluated but were buried. User 3 's job achievement satisfaction increases.

The system for searching for excellent personnel with a proven track record described so far in the present embodiment is a system that realizes a business model for searching for excellent personnel with a proven track record and requesting work. The user 3 is a system that can find a teacher who can surely produce results, and a system that allows the teacher to be selected as a teacher who can surely produce the desired result. The system is established by events.
The usage fee of this system is collected as a success fee from both the user 3 who requested the work and the teacher who received the work.

So far, doctors have excluded occupations related to medical care, such as doctors 5a, dentists 5d, midwives 5e, pharmacists 5c, physical therapists 5f, and clinical engineers 5g. However, the system of the present disclosure can be utilized. In addition, it can be expanded to occupations such as MSW 5h (medical social worker), medical researcher 5i, and the like, which do not have ``shi'' or ``shi'' in their occupational titles related to medical care.
The reason why occupations related to medical care have been excluded so far is that there is no social system or social site that publishes information on the work results of medical practitioners on the network. In addition, medical colleges and medical institutions 4 introduce practitioners on their websites, but this is information created by themselves, and there is a possibility that they will find practitioners who can produce results based on this information alone. are low, and there is no actual performance record published by the social system or social site.

Therefore, when using the system of the present disclosure in a profession related to medical care, instead of "social system or social site that publishes information on the work results of practitioners", "platform medical institution support system The information on the work result is obtained by using the electronic medical record 9a that stores the patient's medical care contents stored in the medical information DB on the medical information sharing database 2 in 1.

The business result acquisition system 242 for occupations related to medical care will be described.
The work result acquisition system 242 obtains the number of patients treated by the medical staff, the name of the disease treated by the medical staff, and the name of the disease treated by the medical staff from the electronic medical record 9a that stores the details of medical care of the patient stored in the medical information DB. Number of patients, number of cured or remission patients treated by practitioners, treatment methods used for treatment of intractable diseases treated by practitioners, names of intractable diseases treated by practitioners, practitioners Information such as the names of surgeries and the number of times the person was involved is acquired and stored in the social work result information of the teacher trade worker evaluation DB 241 .
Using this information, the business achievement evaluation index value is calculated in the same way as for doctors other than medical care, and information such as the business achievement evaluation index value saved as social business result information is posted on the network as an evaluation of business results. announce. The number of requested tasks used to calculate the task achievement evaluation index value and the number of completed tasks are the number of patients treated by the nurse practitioner and the number of cured patients treated by the nurse practitioner, respectively. use numbers.

In addition, a wide range of information is added to the relation database in which the attribute information of the practitioner and the social work result information stored in the medical economic zone DB 21 are linked.
The medical worker attribute information includes the work location history of the medical worker 5 recorded by the medical worker himself in the saved personal information 22, the specialty field of the medical worker, the career of the medical worker, The contents of the research of a teacher, the research contents of a teacher, the development relationship of a teacher, and the attribute information of a teacher, etc. are saved.

A user 3 who uses the medical economic zone 24 uses the system of the present disclosure for the purpose of searching for an excellent human resource with a proven track record and making a business request. As a search condition when using the system of the present disclosure,
Various factors such as the residence of the user 3, the purpose of use of the user 3, the name of the disease, treatment, specialization, and the new drug used are used. By performing a search using various information such as the place of residence of User 3, a multi-dimensional visual effect based on the business achievement evaluation index is used as a guideline. It is possible to discover master workers. This system is a part of the system that publishes the business achievement evaluation index values on the network. FIG. 55 shows an image of retrieval for 5 medical workers, and FIG. 56 shows an image of request.
In addition, it is possible to easily request inquiries, medical appointments, consultations, etc. on the system for the doctors who have been narrowed down and searched, and it is possible to easily make medical appointments based on the answers to inquiries and consultations. A service is provided by the nurse practitioner system 243 in the platform-type medical institution support system 1 that can be performed. The easy request for inquiries, medical appointments, consultations, etc. indicates that "the medical institution 4 can be contacted by inputting the content of the consultation or inquiry on the screen of the system published on the network". . In addition, it is possible to easily make a use reservation such as a medical treatment reservation from an inquiry or a consultation response, etc., which means that "a medical examination reservation can be made by selecting a date and time on the screen of the response from the medical institution 4". show.

In order to scale up the system for searching for excellent human resources with a proven track record to a system with increased utility value, the medical work history information of the doctor's work that is accumulated and saved in the doctor's work information DB 251 is used. The medical work history information of the doctor's work includes the number of consultations and cases accepted, the number of consultations for each case, the satisfaction level of the response from the consultation, the number of times each case was handled, and the number of cases from the first consultation to the complete recovery of each case. period, remuneration for each case, period from the start of treatment to complete recovery, and information provided by the user 3 such as the evaluation after the completion of treatment from the user 3 is accumulated.
In addition to social work result information and doctor worker attribute information, by creating a relationship database that links medical work history information, information on user results by user 3 is added, enabling a wide range of doctor workers be a source of information about their operations.
By using medical work history information in the system to search for excellent human resources with a proven track record, it is possible to improve the accuracy of discovering doctors who have a track record that meets the purpose and have been evaluated but have been buried. 3. Job achievement satisfaction increases.

The system for searching for excellent personnel with a proven track record described so far in the present embodiment is a system that realizes a business model for searching for excellent personnel with a proven track record and requesting work. The usage fee of this system is collected as a success fee from both the user 3 who requested the work and the teacher who received the work.

<Eleventh Embodiment>
In the embodiments so far, devising systems necessary for providing management support and medical support for the medical institution 4 has been described. These systems are easy to use in the medical field by incorporating the opinions of the manager of the medical institution 4, the doctor 5a and the nurse 5b working at the medical institution 4, etc. expected to become a system. Making the system in-house is very different from the construction method of the conventional medical institution system. However, it was about 25 years ago, when the downsizing of computers began, that the in-house systems of major private companies began to be built in-house. Private companies were built in-house with specifications tailored to their own business, and group companies also built their own dedicated systems that were built in-house. As a result, each group company shared the same internal system from the proprietary rights of the in-house system and used it company-wide with the right to copy, and now the system has acquired the right to use the cloud. It is a shared use system in which the same system throughout the company has been made into a platform. On the other hand, at medical institution 4, the system specifications were communicated to the IT vendor, and the IT vendor customized and built software packaged according to the specifications. In some cases, software may be delivered as packaged software without customization. As a result of customizing and building packaged software by IT vendors, there are cases where the system becomes difficult to use in the field. Each medical institution 4 purchases and uses the packaged software.
There are also cases where system development has failed. As an example of a development failure, there is a case in which a medical university in Hokkaido placed an order with a major telecommunications company, development began in November 2008, and the development contract was terminated by the medical university in April 2010. In this case, the development failed due to the discrepancy between the opinions of the user 3, the medical school, and the decided specifications. Since the system of the present disclosure builds itself, this will not occur.
One of the reasons for in-house production of in-house systems of major private companies is the reason for "binding". The business will be influenced by the intention of the package maker. Due to discontinuation of support for package products or discontinuation of products, it is possible to shift to another product. If a failure occurs while using Windows (registered trademark), an operating system, after the support period has expired, countermeasure costs will be several times higher than during the support period. Requests for product improvements will not be accepted or high customization fees will be charged. If you choose another company's product that is easy to use for updating due to aging, you will be forced to refuse the migration work of the database and prevent the migration to the other company's product. Even though I purchased packaged software, I was forced to buy a computer as a set. Even though the software is purchased as a package, the maintenance cost of the computer is also expensive. In this way, being tied to the package manufacturer once purchased is happening, and this was happening in the private sector in the early 1990s, but it is still happening in the medical industry that is not seen today.
Under such circumstances, some medical institutions 4 have already noticed the ``restriction'' that occurs from purchasing packaged products, and the annoyance of this society, and have already started practicing doctors 5a in order to escape from the ``restriction''. Some of them are self-manufactured by their own hands, and in some cases, they sell systems that are in-house manufactured by the doctor 5a.
In addition, users 3 such as doctors 5a and nurses 5b who work in the medical institution 4 themselves develop additional functions, publish the developed functions, and use them widely. By incorporating it into the system, it becomes more and more mature and it becomes impossible to let go, and it is provided to affiliated companies like an internal system of a private company, or jointly developed and used with other companies in the same industry like the banking and finance industry. I hope that this kind of thing will happen in the medical industry, and I think that the system of this invention will be better.

In order to incorporate the opinions of the manager of the medical institution 4 and the doctors 5a and nurses 5b who work at the medical institution 4 and make their own ideas in-house, a system to support the in-house production of the system is required. becomes. In addition, when the system is constructed by oneself, or when the user 3 who uses the system develops additional functions, it is necessary to manage the property rights and ownership of the constructed system and the developed additional functions. There is If you do not manage property rights and ownership, you may not notice if a third party uses what you have built or developed without permission, or if a third party claims intellectual property rights, etc. It becomes difficult to fight. It is also possible to obtain a second source of income for the medical institution 4 by exercising the right of reproduction and selling or sharing the amount of use, etc., by in-house production.

A system (development process system 262) for supporting in-house production of the system will be described.
This system is configured using the development process DB 261 in the medical information sharing database 2 of the platform-type medical institution support system 1 . The development process DB 261 contains various information related to funds, various information related to medical institutions 4 and other companies and individuals, various information related to financing, and various information related to contracts, which are necessary for promoting the in-house production of the system. Information and various information about licenses and rights are stored. The term "company" here includes not only private companies, but also groups such as public companies and local governments that are legally regarded as corporations, and sole proprietors.
In addition, the system of the present disclosure classifies the period required for in-house production of the system into three phases ranging from "planning stage", "development stage", and "operation stage after completion of in-house production". , acquires information generated by programs of various functions used in each stage, and stores it in the development process DB 261 . Furthermore, the system of the present disclosure uses information in the development process DB 261 to have a public offering function for public offering, a function for procuring funds, and a license management function for managing licenses and rights. FIG. 57 shows the database configuration of the eleventh embodiment. In addition, FIG. 58 shows the difference between the conventional and the in-house production rights of the present disclosure.

Information stored in the development process DB 261 and functions using the information will be sequentially described from here.

A portion of the system (development process system 262) for supporting the in-house production of the system, which is related to fund procurement, will be described.
In in-house production of the system, it is necessary to procure funds for in-house production. If the medical institution 4 or the like can use only its own funds, there is no need to raise funds. However, developing a system from scratch requires a large amount of funds, and it is difficult to do so with only your own funds. Therefore, it is necessary to procure funds from outside.
Funds raised from outside include investments, loans, donations, and crowdfunding. By creating a system that manages the sources of funds to be procured, the means of raising funds, and the method of making public announcements for the purpose of raising funds, we provide “support for raising funds”. The development process system 262 can provide this "funding assistance."

A system (development process system 262) that supports the collection of development funds necessary for in-house production of a large system participates in the planning stage as a search for companies that will be involved in this in-house production. companies that are considering medical business, companies/local governments that use the system, local governments/national governments that provide subsidies and subsidies, companies that are considering investing or investing in the future, and companies that are considering investment. Overview information and explanations for investors and companies that are considering, companies that are considering contracting development, individuals who want to be interested and involved, overseas companies, etc., in order to make them interested and make connections Development basic information of information such as information is acquired from the development process DB 261 and made public. As a result, the access destination information is acquired from the access status and inquiry information from individuals and companies, and is stored in the development process DB 261 as funding source candidate information, and based on this information, it is used as funding source information. use.

Various information related to the funds for each phase stored in the development process DB 261 includes fund classification information, funding information, and user information.
Fund classification information is information that categorizes various funds related to system construction, such as capital investment fund information, investment fund information, loan fund information, donation fund information, cloud investment fund information, etc. of funds are categorized and stored in a register.
User information is information on companies and people such as medical institutions 4 involved in the construction of the system of this disclosure, such as local governments, medical associations, medical institutions 4, nursing institutions, company names, financial institution names, general investors, etc. and information of medical workers 5 such as a doctor 5a and a nurse 5b who are involved in the construction.
The funding information consists of three pieces of information: funding source information, funding method information, and advertisement information.
Funding source information is classified information on funding sources related to the construction of the system of this disclosure, such as information on capital participants, information on companies that follow industries, and information on companies that do not follow industries. , sponsor information, financial institution information, and general investor information.
The development process system 262 can automatically contact the funding source using the information stored in the potential funding source information and the categorized funding source information.
Fundraising method information is information on the method of procuring each type of fund information classified and saved as fund classification information. Information on methods of fundraising, such as fundraising through advertising and fundraising through FinTech, is stored.
Advertisement information is information classified by means of advertisement that informs you of the outline of the system and that you are raising funds. Information classified into information for advertising on SNS, information for advertising on SNS, etc. is stored.
The development process system 262 uses the fund classification information, the funding information, and the user information, narrows down the funding sources in procuring funds, and classifies the means of procuring funds and classifies them for each funding source. Various information related to funds can be managed for each phase by performing processing such as narrowing down, advertising various information to funding sources, planning funding, and managing and monitoring the status of funds to be raised. .

In the development process DB 261, information such as outline information and explanation information of programs to be produced in-house are stored as basic development information, and this information serves as explanation materials for raising funds.
The development process system 262 of the present disclosure performs processing for narrowing down and selecting from the classification of funds to be procured acquired from the funds classification information. In addition, it performs a process of acquiring information on the procurement source from the funding source information in the classification of the funds to be procured. A procurement source to be procured is determined by fund classification by performing selection processing by narrowing down using the acquisition result of the procurement source information.
As a method of procuring funds from the determined procurement source, the procurement method is determined by acquiring the procurement method corresponding to the procurement source stored in the funding method information.
The development process system 262 performs a process of sending basic development information, which is an explanatory material, to the procurement source when procuring funds from the determined procurement source using the determined funding method. Fund procurement is started by performing this processing.
In addition, the development process system 262 performs a process of developing advertisements using advertising means acquired from advertisement information in order to publicize funding. Planning and execution of a fundraising plan using this advertisement can also be performed.

When the development process system 262 raises funds by advertising and an application for the financing is made, processing is performed to save the applied information in the application information on the development process DB 261 . The application information includes the information of the funding source that applied for the application, the amount of funds, and the content of the contract. This application information is stored separately for each funding category and each funding source, and it is also possible to check the status of fund procurement for each funding category and funding source by visualizing it on the terminal. can.

By combining the functions described so far, it is possible to construct a system for supporting procurement of funds for constructing a system for supporting in-house production of a system. FIG. 59 shows a flow chart of funds necessary for developing an in-house production system.

The development process system 262 has a function of performing calculation processing of income and expenditure forecast after the start of operation from the planning stage. This function performs a process of totaling (totaling) the estimated income amount and the estimated expenditure amount in each of the planning stage, the development stage, and the operation stage, and performs the process of comparing the difference. It is done by processing.
The expected income amount indicates the income expected in each phase, such as the amount of investment received, the amount of financing received, and the license fee and usage fee from external provision of the constructed system.
The planned expenditure amount indicates the planned expenditure for each phase such as development cost payment, development equipment purchase cost, loan repayment, personnel cost, rent, miscellaneous expenses, etc. Also, the cost reduced in each embodiment described so far. You may make income and expenditure forecasts including income from

The in-house built system can be used by people belonging to the medical economic zone 24, including medical institutions 4, nursing care facilities 6, companies, and people who follow them, by operating on the network.

A part related to license management of the system (development process system 262) for supporting in-house production of the system will be described.
As mentioned above, if a third party uses something that has been built or developed without notice, or if a third party claims intellectual property rights, it becomes difficult to legally defend against it. For this reason, it is necessary to manage the rights of the constructed or developed system.

In the development process system 262, ownership rights, property rights, copyrights, usage rights, reproduction rights, and the like are registered as master rights information in the development process DB 261 as various information related to licenses and rights. In this right information, the license of the system built in-house and the information related to the right are saved.
If a person belonging to the medical economic zone 24, that is, another organization, a medical institution 4 in another region, or another municipality wants to use a system built and made in-house to build the medical economic zone 24, the development process An application for use can be made to the license management system 263 on the system 262 .
When an application for use is made, the license management system 263 performs a process of granting permission for use to the organization that owns the property rights of the in-house system based on the information stored in the rights information. . This license includes the right to copy and use the system. When the license management system 263 gives permission to use, it provides or sells the built in-house production system by duplication, and stores the information of the provider or seller in the right information in the development process DB 261. manage.
It is also possible to change the method of providing the built in-house system to a connection using a network to the platform system. In this case, only the right to use the system is registered in the license management system 263 from the right information to the user 3 or the organization who desires to use the system, and the right to use the system is managed.
As a result, it is possible to manage licenses and usage rights of intangible in-house systems and software programs that constitute the systems.

The license management system 263 not only manages the duplication rights and usage rights of the constructed in-house system, but also manages the medical staff 5 working at the medical institution 4 such as the doctor 5a and the nurse 5b, the caregiver, and the medical institution 4. Rights to "ideas in the head as inspiration" such as proposals for improvement of developed in-house systems, proposals for additional functions of programs, etc. devised by working clerical workers, companies engaged in medical care, medical researchers 5i, etc. can manage. The management of rights such as "an idea in my head as a flash of inspiration" can be done in the same way as the management of duplication rights and usage rights of a system that has been built in-house.
Digitize outlines of "ideas in the head as flashes", input the digitized items into the license management system 263, and license management system 263 converts the input content into development process DB 261 as device outline information. It is done by processing to save to. This device outline information is information linked to the right information, and is a right targeted only within the medical economic zone 24 .

The digitization of outlines of "ideas in my head as flashes of inspiration" includes digitized information obtained by recording and digitizing voices explaining ideas verbally, digitized sentences that describe ideas using a word processor, etc., and digitization of ideas. Scanned data of pictures with handwritten explanations, data of idea explanations drawn with graphic software, data of presentation materials of ideas, simulation data of ideas, animation data of ideas, 2D data of ideas Digital data such as CAD data, 3D-CAD data, and flow chart data in which ideas are converted into simple logic are targeted for data managed by NFT.

The management of the device outline information performed by the license management system 263 is performed using a non-fungible token (NFT or non-fungible token) in order to protect against infringement of the rights of the device outline information, duplication or plagiarism of the device outline information. may NFT is digital data with an unforgeable appraisal or ownership certificate, and it is possible to protect ideas from plagiarism by using NFT to manage idea outline information, which is a digitized outline of an idea. The NFT and license management system 263 also has a function of linking and managing the idea summary information, the information of the inventor, and the development company. The use of NFTs has been used in recent years to sell digital art and the like.

In the above, medical workers 5 working at medical institutions 4 such as doctors 5a and nurses 5b, caregivers, clerical workers working at medical institutions 4, companies engaged in medical care, medical researchers 5i, etc. It states that it can manage the rights of "ideas in the head as inspiration" such as improvement plans for in-house systems. However, the ideas of medical workers 5 working at medical institutions 4 such as doctors 5a and nurses 5b, caregivers, clerical workers working at medical institutions 4, companies engaged in medical care, medical researchers 5i, etc. It is not limited to improvement proposals for manufactured systems, but can also manage the rights of ideas that target various inspirations such as medical equipment, pharmaceuticals, and nursing care equipment. The license management system 263 of the present disclosure digitizes ideas for various things such as medical equipment, pharmaceuticals, and nursing care equipment, stores them in the idea summary information, and manages the rights of the digitized idea summary information in the same way using NFT. method. The purpose of using NFT for ``an idea in the head as an inspiration'' in this invention is to protect the rights of the creator of the idea and the development company that develops the idea, and to digitize the data of the idea. One of the objectives is to prevent infringement of rights from unauthorized duplication.
In addition, the development process system 262 of the present disclosure includes medical workers 5 working at the medical institution 4 such as doctors 5a and nurses 5b, caregivers, office workers working at the medical institution 4, companies engaged in medical care, medical researchers You can search for companies that raise funds and commercialize ideas such as medical devices, pharmaceuticals, and nursing care devices devised by 5i, etc. for commercialization and intellectual property rights. The method of searching for a company that raises funds and commercializes it or a company that develops a program is to use the means in the funding method information, and use the advertising method in the advertising information to widely publicize the idea summary information. conduct. At the time of this solicitation, NFT is also used to manage the rights of the idea, and the rights are managed by linking the development companies, manufacturers, pharmaceutical companies, etc. recruited for commercialization to the idea summary information.
In the case of doctors 5a, researchers, engineers, and nurses 5b, documents to academic societies may also be NFT-managed, and products may be produced from the documents. Especially in the case of drugs, drug prices are high in order to recover the amount invested in drugs that have been commercialized within 20 years of obtaining a patent. It is conceivable to extend the original 20 to 25 years if it is possible to obtain a patent before commercialization, as the acquisition of a patent is not under study.

In the development process system 262 of the present disclosure, the method of receiving funds used for development etc. from funds raised and funds invested by investors is not only a general method using yen currency, but also other methods can also be done using General methods using yen currency refer to methods of directly delivering yen currency, such as "giving funds in cash", "giving funds by transferring funds to a bank account", and "giving funds by check".
There are the following two methods that do not use yen currency for exchanging funds that can be used in the present disclosure. The first method is a method of exchanging funds using the medical institution payment support system 102 using the medical payment account described in the fourth embodiment, and the medical institution payment support system 102 raises funds. This is done by transferring funds from the previous medical payment account to the medical payment account of the medical institution 4 that conducts development. The second method is a method of using the general-purpose payment system 9c, which allows the exchange of funds using cryptocurrency or digital currency. The general-purpose payment system 9c refers to a system that allows payment using cryptocurrency, digital currency, etc. described in Japanese Patent Application No. 2021-113927 devised by the applicant.
Funds may be provided not only in yen currency but also in foreign currency.

So far, the development process system 262 has explained how to raise funds for constructing a system built in-house and how to manage ideas conceived by the medical staff 5 . However, raising money and managing ideas is meaningless unless you select a company to actually develop the system. The company that develops the system extracts companies that have placed orders in the past and companies that can be developed from various media, and selects companies that will develop the system by the same method as the method of raising funds.

Up to this point, the subjects for rights management of ideas are medical workers 5 such as doctors 5a and nurses 5b working at medical institutions 4, caregivers, clerical workers working at medical institutions 4, companies engaged in medical care, and medical researchers. It has been described as 5i. Rights of ideas are subject to rights management not only for the above target persons, but also for people such as User 3 who use the medical economic zone 24 and companies not directly related to medical care. may
In addition, this system is a business model that manages the rights of ideas of various users 3 by providing a platform system as a business model that provides a service for managing the rights of ideas.

The "financing for in-house production of the system" explained here enables the system necessary for business to be shared using the virtual environment of the medical economic zone 24. There are four companies called GAFA in the United States that provide similar systems: Google (registered trademark), Amazon (registered trademark), Facebook (registered trademark), and Apple (registered trademark). . GAFA in the United States is a cloud system in which corporate data generated by companies using the system becomes the property of GAFA. Among the Japanese companies that use GAFA, there are companies that do not mind having their business data stolen, and companies that are indifferent to having their business data stolen. I expect the time will come. There is a meaning in constructing in Japan in the sense that the stored data will not be taken by GAFA, and there is a meaning in not handing over the medical data to foreign companies as it is personal information22. The present invention uses a system in the medical economic zone 24 to share and use data generated by medical institutions 4 and companies in the medical economic zone 24, thereby generating profits by using the data. The difference from GAFA is that the system can generate profit from various data processing, and the profit is returned to the user 3. I think it is necessary for Japan to build a medical economic zone 24 that is in line with GAFA.
Needless to say, in the medical economic zone 24 composed of the various systems described here, a considerable amount of money is required to build a system that produces profits for the medical institutions 4 and companies that use it. To construct this system only by the medical institution 4 is to procure the funds necessary for construction, but it is necessary for multiple program development companies necessary for construction, companies that support hardware systems, companies that perform system maintenance, etc. It can be assumed that it is difficult for the medical institution 4 to select a company that specializes in long-term support from the planning stage of development. The purpose of this invention to avoid such a thing is to manage the contents of the funds to be raised, the medical institutions 4 and companies to be procured, the public offering method, etc. in a system and plan in order to collect the necessary development funds. By doing so, it is possible to collect the funds and companies necessary for development. In addition, by managing the rights of the systems and programs to be developed, the medical institution 4 and the medical association own all the rights to the developed system and programs, so that the system can be used in any way at the discretion of the medical institution 4. Being able to change and expand has caught up with the internal systems of private companies that began in the 1990s.

At the time of fundraising by the development process system 262 of the present invention, the system to be developed may be credited and investors may be solicited. In this credit conversion, the required funds are divided by the number of units to be solicited, and the divided amount is the amount of one share. By buying stocks, an investor can receive, for example, preferential use rights and incentives for the developed system in the credit system after the development is completed. This method is the same as the method of forming a syndicate for horse racing stallions, and the distribution of the breeding rights and the yosei breeding in the stallions corresponds to the preferential use rights and incentives of the developed system of this disclosure. increase.

The above has been described based on the embodiments of the present invention. It should be understood by those skilled in the art that each embodiment is an example, and that various modifications are possible in the combination of each component, and that such modifications are also within the scope of the present invention.

1 Platform-type medical institution support system 2 Medical information sharing database 3 User 4 Medical institution 5 Medical worker 6 Nursing facility 7 Driver 8 Caregiver 9 Medical information system 10 Medical institution management business support system 21 Medical economic zone DB
22 Personal information 23 Corporate information 24 Medical economic zone 31 Accounting DB
32 Equipment and equipment system 33 Waste collection system 41 Recurring DB
42 recurring system 43 subscription system 51 required time DB for examination
52 Consultation time system 53 Medical information DB
61 Reservation database
62 Medical examination reservation management system 63 Reservation sales calculation system 71 User voice DB
72 Electronic device utilization system 73 Electronic device 91 Conversation script DB
92 Conversation scripts 101 Settlement-related DB
102 Medical institution payment support system 103 Cashless system 104 Medical payment account 105 Location information acquisition system 111 Consumption time information DB
112 Consumption time calculation system 121 Medication management DB
131 crime prevention database
132 Crime prevention system 151 Disaster action DB
161 Patient Information DB
162 Patient authentication processing system 163 Cash card sharing system 171 Medical institution opening support system 172 Shared use system between medical devices 173 Medical fee calculation system 174 Medical fee automatic billing system 191 Regional prescription DB
192 Chronic prescription drug system 201 Prescription recurring DB
202 Prescription recurring system 203 Prescription subscription system 211 Operation management system 212 Transportation subscription system 213 Medical version MaaS system 221 IPS induced pluripotent stem cell transplantation treatment candidate patient DB
222 Artificial pluripotent stem cell treatment support system 223 Artificial organ production companies 231 Medical-related DB
241 Teacher industry worker evaluation DB
242 Business result acquisition system 243 Teacher business worker system 251 Teacher business information DB
261 Development Process DB
262 Development Process System 263 License Management System

Claims (6)

There is a patient information DB linked to personal information and authentication information stored in the medical economic zone DB in the medical information sharing database of the platform-type medical institution support system,
Instead of providing personal information to create a payment medium, instead using the patient's personal information stored in the patient information DB, the patient's personal information is used as the basis for creating a patient's medical payment account. It is characterized by the issuance of a payment medium that allows payment at a medical institution and the opening of a medical payment account by addressing the information,
Furthermore, by using information in the patient information DB used by medical institutions, the issuance and pre-opening of the payment medium can be performed quickly at the reception desk of the medical institution.
The patient's medical payment account information and payment medium information are stored in a payment-related DB in the medical economic zone DB, and payment at a medical institution is performed by the payment medium or the patient's biometric information in the authentication information. characterized in that it can be performed using
Characterized by storing payment result information in a payment-related DB on the medical institution payment support system,
A platform-type medical institution payment support system that realizes a business model that provides a service that serves as a common payment platform on the network so that it can be used by multiple medical institutions The purpose is to improve the efficiency of settlement within the medical economic zone by using the medical settlement account in the medical institution settlement support system according to claim 1,
Payments at medical institutions within the medical economic zone are made through accounts stored in the payment-related DB, which are the medical institution's medical payment account and the patient's medical payment account, which are established in the medical institution payment support system.
In the medical payment account of the medical institution that received the patient's payment information by sending the payment information from the patient's medical payment account:
Various payment information is accumulated,
Accumulated payment information can be received in cash by requesting it to the payment-related DB of the medical institution payment support system, or a platform type medical institution payment that realizes a business model that provides a service that allows payment with electronic information. support system By using a medical payment account in the medical institution payment support system according to claim 2,
With the aim of streamlining payments within the medical economy,
It is characterized by being able to make payments to multiple medical institutions on behalf of any medical institution from among the medical institutions to which payments are made,
A platform-type medical institution payment support system that realizes a business model that provides services that can make payments to multiple medical institutions at once In the medical institution payment support system according to claim 2, the purpose is to improve the efficiency of payment within the medical economic zone,
It is characterized in that payment can be made at a place other than a medical institution by presenting it to the payment terminal using the payment medium or the patient's biometric information at the time of payment at a place other than the medical institution,
It is characterized by being able to make payments to business operators other than medical institutions by sending information corresponding to the payment amount from the patient's medical payment account to the payment account of the business operator other than the medical institution,
Realize a business model that provides services characterized by the fact that payment details, payment results, and information on purchased items are stored as shopping history information in the payment-related DB in the medical economic zone DB on the medical institution payment support database. platform-type medical institution payment support system In the medical payment support system according to any one of claims 1 to 4, the medical payment support system including a payment-related DB,
If a patient or a patient's family wishes to safely manage the patient's living expenses and personal assets for the rest of his or her life, the institution will make a request for either trust management, inheritance management, or will management, and receive the request. A platform-type medical institution payment support system that realizes a business model that provides services characterized by providing trust services such as patient information provision processing and trust contract management processing to institutions that want to purchase. Using the medical payment support system described in claim 5, even for a patient whose medical condition makes it difficult for the patient to provide personal information, the patient's personal information in the patient information DB of the medical information sharing database is used to create a medical payment account for the patient. Providing a service that allows easy and quick creation of payment methods by using the basic information for
Providing a payment service that allows even patients who always lose or forget payment media due to medical conditions to make payments using patient authentication information in the medical economic zone DB of the medical information sharing database;
Providing a payment service that allows payment across multiple medical institutions in one place, providing a payment service with a limit function that protects the patient's living expenses from the medical condition and allows the patient to use the payment safely, and the patient's individual from the progress of the medical condition A platform-type medical service that realizes a business model that provides services characterized by searching for trust institutions in order to safely protect assets, and performing patient information provision processing and trust contract management processing during the search result period. Institutional Settlement Support System

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