JP2023010523A - Medical information sharing database of platform-type medical institution support system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide sustainable management and earning techniques for providing a service of physical distribution and settlement relating to medical treatment, and providing management support and medical support for the medical institutions, health support for users, and a service to the patients using various types of information generated in a medical information system and management system used in medical institutions by using a platform-type medical institution support system.

SOLUTION: A platform-type medical institution support system serving as one large database, includes various types of information handled by electronic medical records and various types of information by a management support system. A system and a database capable of sustaining a business by management improvement of medical institutions and sustaining a system are provided by using the information and making a business model having a profitable mechanism.

SELECTED DRAWING: Figure 4

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.

In the medical economic zone where multiple companies using the medical economic zone are virtualized, the recurring system selects items from the equipment that totals the consumption 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.

Items selected from equipment that totals the consumption of equipment consumed by multiple companies by using a subscription system in the 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 selects contractors who can make a subscription contract.

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 purchase amount of equipment for which multiple companies invest in equipment at a volume price, Comprehensive selection AI automatically selects what to contract from, requests the price estimate amount of the comprehensive contract from the contract candidate, and automatically selects the contractor who can make an advantageous comprehensive contract from the reply.

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 the subscription system, items selected from among the equipment purchased from the total amount of equipment purchased for management equipment investment stored in the accounting business DB of multiple companies 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. A price estimate amount is requested, and a contractor who can make an advantageous subscription contract is automatically selected from the response.

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.

Aiming to cover the operating costs of the platform-type medical institution support system,
The fee-based service provides a comprehensive contract service that reduces the costs of equipment, equipment, and waste collection from companies that operate within the virtual medical economic zone.

By providing a service that concludes a comprehensive contract between companies that use the medical economic zone and companies that provide comprehensive contracts, and a subscription contract service that reduces the cost of equipment and equipment We provide a service to conclude a subscription contract between a company that uses the economic zone and a company that provides a subscription contract.

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 condition 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.
Predicted time is provided 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 medical 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.

This is a service of a new appointment processing system that automatically reflects the information on the appointment status of the medical institution and the patient's schedule information when making an appointment for the next examination after the completion of medical treatment at the medical institution. . 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 reservation patients for the day you want to predict from the reservation DB. medical fee point information is obtained from the information on the medical examination schedule contents and the medical information DB. You want to predict by using the medical examination schedule contents and medical fee point information of the acquired reservation patient Confirm the sales situation of the medical institution for one day predicted by aggregating the sales using the medical fee points for one day can do

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 the 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 the 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 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.

A conversation script for acquiring details of going out is created, and conversation going out information acquired during conversation by speaking to a user from an electronic device is saved and accumulated in a user voice DB.
Various kinds of information such as required time, transportation method, conversation with acquaintances, eating out, etc. are stored and accumulated in the conversation outing information.
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, to manage health and medical conditions.
Script creation program for life conversation scripts or medical condition conversation scripts to ask users about their diet, exercise status, wake-up time, bedtime, physical condition, weight, body fat percentage, blood pressure, body temperature, chronic illness, etc. , and saves and accumulates 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 the situation 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 with the user from the above-mentioned survey using the above-mentioned user's conversational life information or conversational medical condition information, and that the user wants to urge the user to improve. , a conversation script is created, and a message for prompting improvement is transmitted through a conversation between a user using the created conversation script and the electronic device. 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's 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 using a script creation program to tell the user that there is a part that seems to be a problem for the user from the survey 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 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. Various contents that are convenient for users, such as products for which the consumption time of consumables is calculated from the purchase history accumulated in the payment-related DB, product weights, and products that are purchased many times, are sent to users using electronic devices. Let me know by talking to

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 according to inquiry timing separately set in the 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 in a medical information sharing database, crime prevention measures are conveyed through conversations with users based on a crime prevention script via an electronic device.
The electronic device stores the visitor's image data and the same photograph of the visitor's face as obtained from an interphone with a camera on the home network connected to the electronic device or from a camera linked to the intercom on the home network connected to the electronic device. Search more. When a visitor is registered on the crime prevention DB, the electronic device uses a crime prevention script to notify the user so that the visitor is not involved in a crime.

Using a crime prevention DB in which the voice information of criminals, etc. on the medical information sharing database is registered, crime prevention measures are conveyed through conversation with the user based on a crime prevention script via an electronic device.
tell. A crime prevention DB is searched for the same voice information as the voice data acquired from a conversation of a call from outside to a device on a home network connected to the electronic device. When the other party is registered on the crime prevention DB, the electronic device uses a crime prevention script to notify the user so that he or she is not 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, crime prevention measures are conveyed through conversation with a user based on a crime prevention script via an electronic device.
tell. The same information as the information recognized for each keyword is searched for the same information as the information recognized for each keyword in the voice data obtained by conversation with a third party on the device on the home network connected to the electronic device, and the information recognized for each keyword is searched for crime prevention. When registered on the DB, the electronic device uses a crime prevention script to inform 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.

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 action DB at the time of disaster.

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.

Expanding the scope of application to fields other than healthcare by creating a conversation script for acquiring conversations related to businesses other than the healthcare field by replacing the conversation script created by the script creation program with a medical condition conversation script and a life conversation script. can be done.

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. You can 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 payment account to the settlement account of businesses other than medical institutions.
Payment details, payment results, and information on purchased items 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 is stored in the payment-related DB in the platform-type medical institution support system, and the shopping history information and location information in the platform-type medical institution support system that are generated when the user makes a payment. The location information of the payment terminal installed at the place where the payment is made when the payment is made by the user, which can be obtained by the acquisition system, and the payment location information saved and registered in the medical economic zone DB in the platform-type medical institution support system Can be retrieved and referenced.

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 Notifies you of the information you are here with the address and map of the place where you tried to make a payment.

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.

By setting the purchase area restriction information, it is possible to set the area where the user can wander or come back for a walk. Depending on the user's behavior, the area or area where the user can return home after loitering or taking a walk can be reconfigured any number of times. You can reset any number of times.

The setting of the region or area where the user does not return home after loitering or taking a walk is set using the distance from the home or using the town name or address.

The information entered by the contractor is electronically documented using RPA technology. The electronic signature of the settlor of the guardian agreement, the settlor of the trust agreement, or the electronic signature of the testator on the electronically documented guardian agreement information, trust agreement information or will agreement information is non-fungible. Give using talk technology.

Information on the guardian agreement, information on the trust agreement, or information on the will agreement is saved in the medical economic zone DB as guardian information, trust information, and testator's will information, respectively. and until the death of the testator.

A will execution notice is created by adding execution date information and execution place information to the templated notice statement information required to execute the will stored in the testator's will information. Notify the executor and heirs of the will written in the written will contract of the notice of execution of the will.

A trust contract is created by adding information on the execution date of the trust contract to templated notification text information for notifying parties involved in the trust contract of the start and end of the trust contract described in the trust contract stored in the medical economic zone DB. Create an enforcement notice. A trust agreement termination notice is created by adding trust agreement termination date information to template notice information, and the trust agreement execution notice or Notify the notice of termination of the trust agreement.

When delivering the electronic documents of the guardian contract, trust contract, and will contract stored in the medical economic zone DB to the parties involved in each contract, the medical institution payment support system Give a digital signature using non-fungible talk technology. The digital signature proves that the electronic document is an electronic document created by the medical institution payment support system, and the electronic signature of the trustor of the guardian contract, the electronic signature of the trustee of the trust contract, or the electronic signature of the testator By signing, only the person to whom this proof that the contract is made by the contractor himself/herself and the electronic document is handed over manages (certifies) the right to handle each contract.

Fee-based services for the purpose of covering the operation costs of the platform-type medical institution support system include guardian contracts, trust contracts, and testamentary contracts at the request of trustees of guardian contracts, trustees of trust contracts, and testators. provides a service for creating and managing the created contract. Provide a service to notify parties to the contract that the contract will be enforced at the time of execution of the contract described in the contract

There is a patient information DB that is linked to patient information in the personal information stored in the medical economic zone DB in the medical information sharing database. This patient information DB stores consultation card linking information that links each medical institution name described in a plurality of consultation cards possessed by a patient and the management number that manages the patient at each medical institution. In the medical institution support system, out of the consultation cards issued by multiple medical institutions owned by the patient, the consultation cards issued by other medical institutions are used, and the management numbers written on the consultation cards are used. To provide a service for accepting a medical institution at a medical institution and completing the reception at the medical institution by carrying one medical examination card of any medical institution.

When a patient visits a medical institution for the first time, the medical institution support system does not need to manually enter the basic information of the patient who visited the medical institution for the first time. By linking to information, basic information is linked so that reception processing and storage of medical examination information in electronic medical records can be performed. At a medical institution where a patient visits for the first time, there is a method of issuing a new medical examination card as in the past, that is, a new management number for the medical institution, and a method of examining other medical institutions without issuing a medical examination card. A method of using a card and the management number written on the medical examination card, and substituting a "card with a clear issuing destination" as the medical examination card instead of the medical examination card, and using the number printed on the card as the management number of the medical institution The network reception system displays the alternative method on the screen of the reception terminal at the reception of the medical institution, and requests the selection of processing. The patient or the receptionist selects from the screen of the reception terminal and saves it in the patient information DB as the management number of the patient who manages the medical information of the medical institution with the management number that processed the content.

The medical institution support system acquires the spoken name as name information through voice recognition from the patient's speaking name into the microphone attached to the reception terminal, and saves it in the patient information database using the acquired name information. A process of searching for name information that matches the name information from the medical examination card linking information, and acquiring face photo information, management number information, and name information linked to the matching name information in this search process. and display the acquired information on the screen of the reception terminal. From the displayed information, either the patient, the patient's family, the patient's attendant, or the receptionist of the medical institution can see the patient's information displayed on the reception terminal and confirm that it is the patient himself/herself. Institution's acceptance process is completed.

The medical institution support system uses the acquired name information to search for name information that matches the name information from the medical card link information stored in the patient information DB, and if there are multiple matching results, A process of acquiring face photo information and management number information linked to name information of the same sex and same name for a plurality of persons is performed, and a process of displaying the acquired information of the plurality of persons for the plurality of persons on the screen of the reception terminal is performed. The patient himself/herself, the patient's family, the patient's attendant, or the receptionist of the medical institution selects the patient's information displayed on the reception terminal from among the displayed information of multiple persons, and the medical institution's reception processing is completed.

Management number information and medical examination card information stored in the patient information DB linked information to the medical examination card The number information of the card with a clear card issuer to replace the medical examination card and the virtual code displayed on the screen of the mobile terminal , the patient's facial photograph information, the reading of the patient's name in kana, and the medical examination card linking information. By registering, "card with clear card issuer", "virtual code displayed on mobile terminal screen", and "patient's face and patient's name" can each derive the management number used at the medical institution. Therefore, it can be used without inferiority as a medical examination card. In addition, the number information of cards with different card issuing destinations is also associated with each other.

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. Information on a plurality of financial institutions with which the user has a contract and information on a plurality of cash cards owned by the user are each registered in this patient information DB by the user. When the information of one cash card registered in the patient information DB is linked to the information of a plurality of financial institutions, it becomes a one-to-N (N is a natural number of 1 or more) linkage, and the same applies to the remaining cash cards. By linking the information bank of a plurality of financial institutions to the bank card, the cash card information and the information of the financial institution are linked in an N-to-N relationship. These associations are performed by the user using a portable terminal or a user terminal, and each piece of information associated with this association is registered in the patient information DB as cash card association information. When you use one of the multiple linked cash cards at an ATM, you will be able to use the accounts of all financial institutions linked to that cash card, and the ATM screen will show A list of account information of the financial institution linked to the cash card is displayed, and the user can finish business without carrying multiple cash cards of the financial institution to be used.

When using one of the cash cards linked to bank account information at an ATM, the transfer of deposits is displayed on the screen of the ATM, and the account information for the financial period linked to the cash card is displayed. From the list, select the account information of the source financial institution, select the account information of the destination financial institution, and enter the amount of the deposit to be transferred. It can be done with one action of selecting the transfer source and transfer destination from the list of deposit accounts displayed on one screen of the ATM and entering the amount.

When using a cash card linked to financial institution account information at an ATM, one action is to deposit or withdraw money to a financial institution where the accounts of multiple financial institutions owned by the user are listed on the screen. can be done with The selection of multiple financial institution accounts for deposits or withdrawals at this time,
This can be done by selecting an account displayed on the ATM screen.

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 a system technology for individual business doctors to manage the business of medical institutions at 24-hour medical institutions and multi-disciplinary examination medical institutions for conducting medical management that sustains the regional medical system and 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 staff 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. be.

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.

Acquire the optimal route from the external system to the user's home and hospital, the required time for hospital visits, and the departure time that will meet the user's appointment 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 almost at the same time as the reservation, and manage operation It is a medical version MaaS service that has the ability to perform

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

A system for creating electronic contracts with comprehensive contract partners such as vehicles, attendants, and medical workers, and executing comprehensive contracts by electronic contract.

This is a medical version MaaS service that allows users to change their means of transportation almost at the same time as they change their medical examination appointments using their own terminals.

This is a medical version MaaS service that can be used for purposes other than going to the hospital by using a terminal owned by the user to secure a means of transportation and manage the operation of the means of transportation necessary for movement.

This is a medical version MaaS service that allows users to reduce transportation fees for hospital visits through comprehensive contracts, and businesses that use the operation management system can secure regular customers.

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 It is a medical version MaaS service that can arrange a vehicle and an attendant.

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

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

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 is treated as personal information, so it is shared between the family medical institution, the medical institution performing the transplant surgery, the operating doctor, the artificial organ production business operator, and related business operators. Information sharing is an induced pluripotent stem cell treatment support system that is performed by a server on a network that can guarantee security or 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 on a server on a network that can guarantee security, or based on laws and regulations, personal information is stored and anonymously processed to third parties. An induced pluripotent stem cell treatment support system that uses institutions that can provide

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. Artificial versatility aiming for the profit of the artificial organ manufacturing business, the profit of the system side, and the patient's future It is a sexual stem cell treatment support system.

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 requests from the database to find patients who are likely to be able to undergo surgery at this medical institution, as a form of searching for patients.
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 manufactures artificial organs for patients;
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 educators, we will add information to the social work results information in the educators' evaluation DB, and use the information obtained from the social work results information to recruit excellent educators. A business model that allows searching and requesting work, and a business model that allows you to search for excellent mentors 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.

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 at 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.

The outline of the idea in my head as an inspiration is a development process system obtained by inputting into the web system of doctors, nurses, caregivers, clerical workers at medical institutions, companies engaged in medical care, and medical researchers.

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 an image diagram of a comprehensive contract for fixtures. It is an image diagram of a subscription contract for equipment. 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 in the conventional art and in 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 face 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 drugs. 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. It is a figure which shows the example of a medical examination appointment. It is a figure which shows the example of a consultation reservation change. It is a figure which shows the example of a consultation reservation change. It is a diagram showing a connection configuration between the platform company and the idea of the third implementation liquid. FIG. 10 is a diagram illustrating a connection example between a business operator system and a smart speaker (electronic device 73); It is a list of databases and information that compose the electronic equipment utilization system. It is a figure which shows the example of the support required area set by the distance from home. It is a figure which shows the example of the support required area set by the name of a town and an address. It is a diagram showing a will making process It is a list of information on making a will. FIG. 10 is a diagram showing the will execution process; It is a diagram showing a system configuration diagram in the case of digital currency Indicate how to issue a credit card using information from the medical institution payment support system. FIG. 10 is a diagram showing that a patient information DB is linked to a medical examination card, an intangible code using a mobile terminal, a medical insurance card, an Individual Number card, a name, a face, and the like; It is a diagram showing that a medical examination card, an intangible code using a mobile terminal, a medical insurance card, a My Number card, a name, a face, etc. are linked to a medical examination card and a management number. FIG. 10 is a diagram of a display example of an ATM screen; FIG. 10 is a diagram showing a deposit transfer processing flow according to the conventional method and the invention of the fifth embodiment. It is an image diagram in which multiple cash cards used by users are associated with multiple financial institutions. Image diagram showing multiple medical examination cards combined into a My Number card 1 FIG. 4 is a diagram showing examples of ownership and property rights of constructed systems and programs;

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 accounting 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, a tax system. There are an information system such as a management system used in a management system specialized for hospital management, and a medical information system 9 such as an electronic chart 9a and an examination order system specialized for medical treatment. Other than the medical information system, it is the same as the management information system used by private companies. The various information systems and the medical information system 9 within 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 side that provides funds (local governments and governments) knows that the 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 this, it is most important to formulate a solid business model based on the sustainability of the entire system from the planning stage. It is necessary to have a plan to cut it off in a few years. This disclosure is a device that can sustain medical management by planning even a business model as an autonomous regional medical system.
Speaking of conventional medical information systems, when medical institutions procure conventional medical information systems, they have to continue to pay incidental costs such as annual maintenance costs, maintenance work costs, and version upgrade costs just by using it. In this explanation, the sustainability of medical management means that by using various systems using the medical economic zone 24, annual maintenance costs, maintenance work costs, and version It is possible to sustain the medical management of the medical institution 4 as one means of stabilizing the management by reducing the payment from the medical institution to the outside, such as incidental expenses such as upgrade fees.

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 not possible to reform the business structure such as DX, which has begun to spread in society.
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 system development and manufacturers will not affect business earnings. 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 framework of the banking group. The same is true for the medical industry. Since the development side has the rights to the system being sold, in order to receive an upgrade that receives improvements, it is necessary to continue to pay the price equivalent to that. If a medical institution creates a system to be used in the medical industry, there is no need to continue paying the corresponding price. If it is created jointly with multiple medical institutions, the burden of development costs per medical institution will be reduced. If more medical institutions jointly create, the development cost will be further reduced, and the purpose and function will not change whether it is one medical institution or multiple medical institutions.
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. For small medical institutions 4 and clinics 4e, the cost of opening a hospital can be greatly reduced, 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 reduced. I think it will lead to things that can be released. Even if we briefly consider the above-mentioned DX, even if large medical institutions can share information using DX, the sharing of information using DX by private practitioners is a thick wall of funds. Similarly, it can be presumed that the cost of construction will be reduced if multiple medical institutions instead of constructing DX by one private practitioner. Rather, it is better for multiple medical institutions to develop medical information systems equipped with DX functions with the funds of multiple medical institutions as described above. In addition, it is necessary to consider ways to reduce maintenance costs and costs for incorporating additional functions, that is, maintenance costs. The present invention is a platform-type medical institution support system 1 that also includes a profit-earning service for covering the operation of a platformized medical information system.

The platform service is provided to the user 3 as a platform-type medical institution support system 1 (medical institution support system 1), and there is a medical information sharing database 2, which is one large database, as a database that plays a central role in 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. , the medical institution 4, a nursing care institution, and a business operator can share (share) and use. Various databases on the medical information sharing database 2 include a medical economic zone DB 21, an accounting DB 31, a recurring DB 41, a subscription DB 44, a consultation DB 51, a reservation DB 61, a user voice DB 71, a conversation script DB 91, and an action information DB 93. , payment-related DB 101, exhaustion time information DB 111, living environment DB 113, medication management DB 121, crime prevention DB 131, disaster behavior DB 151, patient information DB 161, regional prescription DB 191, prescription recurring DB 201, prescription subscription DB 205, instructor evaluation DB 241 , a regional prescription DB 191, an IPS induced pluripotent stem cell transplantation treatment candidate patient DB 221, a medical service-related DB 231, a teacher's work evaluation DB 241, a teacher's work information DB 251, and a development process DB 261. Descriptions of these databases will be given as appropriate 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.
In this embodiment, the information in the four databases of the medical economic zone DB 21, the accounting business DB 31, the recurring DB 41, and the subscription DB 44 among the above DBs is used. Business information of companies, personal information 22, and recognition information are stored in the medical economic zone DB 21 . The accounting business DB 31 stores management information, equipment information, equipment investment information, waste information, inventory amount information, consumption amount information, and total consumption amount information. The recurring DB 41 stores comprehensive information, comprehensive response information, comprehensive total consumption information, comprehensive contract assessment information, comprehensive contract candidate companies, and desired contract price information. The subscription DB 44 stores subscription information, subscription reply information, subscription total consumption information, subscription contract assessment information, subscription contract candidate companies, and desired contract price information. The explanation of the information on the four DBs mentioned here will be given when the information is used. 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 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, and businesses that are involved in business within the medical economic zone 24, corporations and sole proprietors, local public Indicates an organization, etc.
The personal information 22 stored in the medical economic zone DB 21 includes the names and ages of patients, working production workers, residents of nursing care facilities 6, people working at medical institutions 4, pensioners, medical insurance recipients, There is information generally called personal information such as address.
The corporate information 23 stored in the medical economic zone DB 21 includes business information of medical institutions 4, nursing care institutions, pharmaceutical companies, medical companies, business operators, etc. that use the medical economic zone 24 . A schematic diagram of the structure of a health economy is shown in FIG. 4, and an example of a health 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) medical economic zone on a network that brings together all medical institutions in the region to form a virtual medical institution in a virtual space and conducts business in a virtual environment. .
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. The accounting business DB 31 accumulates and saves 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. The accumulated and saved information is accounting, expenses, attendance, salaries, fixtures, equipment investment, equipment and materials, and disposal costs of 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 the system in the medical information sharing database 2 and the information stored in the database used in the system, it is possible to support the management of companies that use the medical economic zone 24.

On the platform service, the medical information system 9, which is always owned by the 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. It can be shared and used from the medical institution 4 to the system in the 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.
These information are handled by multiple systems in the platform service. "Patient's medical information history" is handled by the electronic chart system 9a, and this information is treated as a master. In the receipt computer system 9b linked with the electronic medical record system 9a, the information listing the contents of the consultation date registered by the doctor 5a or the score information of the consultation is retrieved from the "patient medical information history" in the electronic medical record system 9a. After acquiring the information, two items of "score information (receipt information) for billing to the insurance institution" and "medical expense billing information to the patient" 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. Information handled on a hospital-by-hospital basis is handled as source data (original information) of the medical institution 4 that created the information. The source data is handled like a normal cloud system that cannot be acquired, browsed, or modified except by the medical institution 4 that created the information. The system is shared, but the data is not shared.
However, personal information handled on existing technology DX can be shared with the permission of the owner of the personal information.

The medical institution 4 has various management systems conventionally 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 management information, such as accounting information, expense information, attendance information, salary information, etc. generated in management, by means of a platform service. These information can be done by a data warehouse (DWH) that performs business analysis. This platform service operates in cooperation with, for example, acquiring data (information) from various management support systems conventionally used by the medical institution 4 .
Each piece of information is handled on a hospital-by-hospital basis, but the information is treated as source data of the medical institution 4 that created it, and the source data can be viewed and used by anyone other than the medical institution 4 that created the information. Data is handled like a normal cloud system that cannot The system is shared, but the 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 and payroll management for the medical staff 5, labor management functions for the 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 the functions of patient medical appointment management, ordering and inventory management of medical materials, and ordering and inventory management of medicines. An example of an ordering and inventory management system for medical components 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 cooperate with each other and operate using their respective information.
As an example of this cooperation, "what is written in the electronic medical record 9a is automatically taken into the receipt computer and the medical score is calculated." will be done.”

From here, as a means to support the management of medical institutions, it is possible to reduce the amount of payments from medical institutions to the outside by purchasing "equipment including medical supplies" used in medical institutions at lower prices than before. We will explain how to make a contract.
First, when explaining the current order quantity and purchase price (purchase price) of "equipment including medical supplies" at the medical institution 4, we realize that there is a problem with the ordering.
That is, in most medical institutions 4, orders for ``equipment including medical supplies'' are placed ``when there is a shortage''. It is the act of placing an order before stock runs out. "When it becomes less" is a threshold value set in the computer system based on human feelings and experience values.
A human sets this threshold "when it becomes low". When viewed chronologically (time axis), it is also the time (timing) to turn on the order switch. How does the actual order amount come about?
It is either how much the ordered quantity is delivered, how much delivered quantity can be placed, or how long it takes to consume. If you turn on the order switch on the time axis of "when it gets low", the order will be placed at the offer price (purchase price) at that time (time axis). In this ordering method, the offer price (purchase price) may change each time an order is placed. In addition, the amount of supplies ordered differs between the small medical institution 4 and the large medical institution. The offer price (purchase price) is different for this order quantity. The medical institution 4 has no way to deal with the purchase price for ordering "when it becomes low" and the purchase price for the "quantity" to be ordered. It will only be endured by patience. It is the present invention that added leverage here.

The idea behind the present invention will be described.
As explained so far, the medical institution 4 meddles with the fact that the medical institution 4 cannot do anything to reduce the purchase price for the "quantity" of the order. Medical institutions that exist in the real world are integrated in a virtual environment into a single virtual medical institution, and the management of medical institutions as a virtual medical economic zone is to turn the medical economy through this single virtual medical institution. thought of doing When a virtual medical institution in this virtual medical economic zone places an order with a wholesaler or a pharmaceutical company, it means that all medical institutions 4 using this virtual medical economic zone place an order. Become. This virtual medical institution, on behalf of all medical institutions, is based on the idea of making a contract to lower the purchase unit price by mass ordering from the virtual medical institution, from the purchase unit price that is influenced by the conventional order volume. be. This contract said that the advantage of the virtual medical economic zone can be used to make use of the advantages of a "comprehensive contract" and a "subscription contract". In the following explanation, the target of the "comprehensive contract" and "subscription contract" is described as the medical institution 4, but not only the medical institution 4 but also the nursing facilities that form the medical economic zone DB 21 ” can be the subject of

Describe blanket agreements.
A “blanket contract” is, as the name suggests, a blanket contract that encompasses multiple medical institutions and contracts for items (equipment in this case) required by each medical institution for a certain period of time.
For example, one medical institution consumed 10 bandages in a year, and 180 bandages were consumed in a year by all 10 medical institutions. This calculated value is used as the amount of consumption by the virtual medical institution, and the virtual medical institution concludes a comprehensive contract on behalf of the patient.
We can expect to be able to negotiate to purchase equipment at a low price by taking advantage of economies of scale that consume a large amount in a virtual medical institution. (In society, this is also called a volume discount.)
Then, it is necessary to calculate and process the optimum amount of consumption required for this comprehensive contract.
This can be achieved by using a network-type platform-type medical information system that can acquire and calculate information on the amount of orders placed by multiple medical institutions.

I will explain comprehensive contracts, which is one of the methods to support the management of medical institutions.
Conventionally, the medical institution 4 has not made any contractual effort to lower the purchase price (purchase price) of "equipment including medical supplies" used in the medical institution. The present invention provides this contract, a blanket contract, to lower prices and reduce out-of-pocket payments from medical institution 4 .
A comprehensive contract is a contract that negotiates "price and quantity" with a company (wholesale company) that selects and sells items to be covered by the contract from equipment such as medical supplies, or with a company that manufactures them. I do. This contract is a form of contract in which a contracted quantity can be purchased for a contracted amount during the contract period. The unit price (purchase unit price) for ordering equipment may fluctuate. Also, the unit price varies depending on the quantity ordered. Since the amount of orders is different between the large medical institution 4 and the medical institution of the sole proprietorship, the purchasing unit price is different. The same is true for dispensing pharmacies. There is an imbalance in the purchase unit price because the order volume (purchase quantity) is completely different between prescription drug sales that are attached to nationwide drugstores, dispensing pharmacies that have multiple stores, and individual dispensing pharmacies. It's out. It is like a social rule that the larger the order quantity (purchase quantity), the lower the purchase unit price.
However, since the word "inclusive" is included, it means that a contract is made at an inclusive price for an inclusive amount of products that are determined by items that include multiple medical institutions. In the case of a blanket contract, the amount to be used during the contract period (necessary amount).
The medical institution management business support system 10 in the platform-type medical institution support system 1 of the present disclosure includes medical supplies such as bandages and masks used in the medical institution 4 from the management system conventionally used by the medical institution 4. acquires the consumption amount and inventory amount of fixtures including , and saves them in the accounting business DB 31 as consumption amount information and inventory amount information. 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.

In the above description, the amount of equipment used in the medical institution 4 and the amount of inventory are used. The consumption amount of equipment used in each medical institution 4 is acquired from a management system conventionally used by a plurality of medical institutions 4 such as medical institutions 4 in the area. Each medical institution 4 saves the consumption amount acquired from the management system that has been used conventionally in the accounting work DB 31 as consumption amount information. In addition, calculation processing is performed to add up the consumption of equipment used in all medical institutions 4 in the region, and processing is performed to store this calculation result in the accounting work DB 31 as total consumption information. This total consumption information is the consumption of equipment used in all of the medical institutions 4 in the area. The consumption amount of this total consumption amount information is used as information for making a comprehensive contract with a wholesale company or a manufacturing company. This consumption will be explained. To conclude a comprehensive contract, each medical institution 4 uses the amount of consumption in a certain period of time as a guideline for the contract.
It can be used for one month, half a year, or one year, but generally contracts are based on one year's consumption. Looking at the amount of consumption for one year, it is treated as the amount to be contracted from the next year, that is, the amount to be contracted for purchase at a discount price to medical institutions throughout the region. It doesn't matter if the amount consumed in one month is multiplied by 12 and calculated as 12 months, or the amount consumed in half a year is doubled and calculated as one year.

In the medical institution 4 using the medical economic zone 24 in the medical institution management business support system 10, a plurality of medical institutions 4 located in a certain area place orders for equipment under a comprehensive contract and purchase equipment. A system 42 is described.
The recurring system 42 is a blanket contract for purchasing equipment by covering medical institutions in the region. A series of processes of this recurring system 42 include calculation of regional consumption (for one month and a half, one year), selection of fixtures for comprehensive contracts, selection of comprehensive contract companies, pre-contract quotation It is a system that performs a series of processes from request, creation of a comprehensive contract, selection, contract estimate, and contract.
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 or equipment manufacturing companies.
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 consumption information.
The amount of consumption (usage amount) of the entire area, which is the sum of the consumption amounts of the plurality of medical institutions 4 in this area, is the volume order amount.
Because the amount of consumption (volume order amount) is significantly increased from the amount (number) that the medical institution had previously ordered on its own, the contract will be cheaper than the purchase unit price that the medical institution purchased on its own. becomes. The contract has an expiration date. 1 year, 2 years, 3 years, 5 years, etc. If the contract is long, there will be risks for both the medical institution side and the provider side in relation to prices and raw material costs, so long-term contracts are not made.
The recurring system 42 uses an artificial intelligence (AI) called comprehensive selection AI to select comprehensive equipment and select a comprehensive contractor to purchase.
The recurring system 42 calculates the total amount of consumption resulting from calculation processing of all the consumption amounts of the equipment of the medical institutions 4 in the region, the name of the equipment consumed in the region, its content, the consumption amount of each medical institution, and the total value of the consumption amount. Comprehensive total consumption information is stored in the comprehensive information of the recurring DB 41 as information on the total consumption of fixtures in which the purchaser, the purchase unit price, and the total value of the consumption are linked. That is, it is the comprehensive total consumption information of medical institutions in the virtual space.
There are multiple sources of equipment purchases for each of the multiple medical institutions. The information of the orderer (supplier) that each medical institution 4 has conventionally used from the management system that has been conventionally used will be referred to as the "equipment purchaser".
The recurring system 42 needs to select a contractor (companies to which the comprehensive contract is made) with which to conclude a comprehensive contract for equipment.
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 selects equipment for which a comprehensive contract is to be made, selects a candidate company to be the contracting party, and selects the final contracting party.

Here, comprehensive selection AI is demonstrated.
In order to enter into a blanket contract, it is necessary to select the fixtures covered by the contract. Hundreds of types of fixtures are used in the medical institutions 4 throughout the region. The comprehensive selection AI is used to automatically select the fixtures to be covered by the comprehensive contract.
The comprehensive selection AI selects equipment for which a comprehensive contract is to be made, selects a candidate company to be the contracting party, and selects the final contracting party.
The selection of equipment by comprehensive selection AI is based on information on equipment that was purchased at multiple medical institutions in the past, and the purchase price of each medical institution varies greatly, and the amount of consumption at each medical institution is high. Information on equipment (conversely, it is better to exclude equipment with low consumption), information on equipment that has been provided for a long time and has begun to appear as new products, and information on products sold by companies with a large purchase record at each medical institution. Using information on equipment that is used by each medical institution, information on equipment sold by companies with little purchase record (companies that do not use it often), and information on equipment that has a track record of comprehensive contracts in the past, Candidate companies are selected. These pieces of information are obtained from comprehensive information in the recurring DB 41 that has already been saved.
In addition, from the equipment purchaser information linked to the selected equipment, comprehensive contract candidate companies for which a comprehensive contract is to be concluded are acquired, and which company to conclude a contract with is selected.
The comprehensive selection AI learns using the information described so far, that is, the information stored in the comprehensive information.
The machine learning method used by comprehensive selection AI uses the association analysis method of unsupervised learning using the information saved as comprehensive information.
With this learned comprehensive selection AI, the selection of equipment and its Candidate companies from which equipment can be purchased are selected, and the purchase unit price (recommended purchase unit price) of the equipment is calculated. Consumption information, purchaser candidate company information, and purchase unit price (recommended purchase unit price) information linked to the equipment information are stored as comprehensive contract assessment information in the recurring DB 41 .
The process up to this selection is based on comprehensive selection AI.
The blanket contract assessment information is used to estimate the blanket contract.
Here, the learning method of the comprehensive selection AI will be described.
Information on fixtures consumed in the region, information on the content of the fixtures, information on the consumption of each medical institution, and the total value of the consumption from the comprehensive total consumption information stored as comprehensive information in the recurring DB 41 and comprehensive total consumption information, which is the sum of the consumption of equipment at all medical institutions, is acquired and used as learning information.
As information on companies, we acquire companies that we have dealt with as equipment suppliers in the past, equipment manufacturing companies, or companies that have a track record of comprehensive contracts in the past from the comprehensive contract company information in the comprehensive information. A company with a contract record is acquired from the subscribing company information in the subscribing information and used as learning information.
The information listed here is used as a learning information source for AI to learn, and AI uses AI that performs learning using the method of association analysis by self-learning without a teacher.
The equipment selected for the blanket contract may not have been the right choice. It may later turn out that a subscription agreement is the better choice than a blanket agreement. Information used for this determination is the inventory information of the medical institution 4 . Originally, blanket contracts focus on the quantity (number) to be consumed. If you have too much inventory near the end of the contract period, you made the wrong blanket choice. On the other hand, if the consumption amount is not large enough and a normal additional order is made, the selection of the comprehensive contract is wrong. Comprehensive selection AI is designed to learn these things and select the most suitable contract.

In order to determine the comprehensive contract price and the contracting party, the recurring system 42 performs processing for sending a request for quotation of the contract price of the comprehensive contract to the comprehensive contracting candidate companies stored in the comprehensive information.
A comprehensive estimate is a request for calculation of a contract fee for requesting a comprehensive contract to a company. The recurring system 42 acquires the equipment information linked to the purchaser candidate company information from the comprehensive contract assessment information, and uses the consumption amount information (here, the amount to be contracted) and the unit price (the cheapest price) of the equipment information. Purchasing unit price) and create a request for quotation. An example of the quote request form for a comprehensive contract includes the information necessary for a quote for equipment A, annual consumption of 100 boxes, purchase price of 100 yen, and equipment B, annual consumption of 500 boxes, purchase price of 300 yen. This is the content of the request for quotation.
Further, the total price in the contents of the comprehensive contract is calculated from the unit prices of the equipment information and the amount of consumption information for all the equipment for which the estimate has been requested. The calculated total price information is stored in the desired contract price information of the recurring DB 41 together with the computerized estimate request electronic document for the comprehensive contract described below as the desired contract price information for the quotation to be requested. . This desired contract price information is used to evaluate the contract price described in the content of quotation that has been answered.
For the request for quotation, an electronic document template is used, and equipment information and consumption information are added to the template to create the quotation request electronic document for the comprehensive contract.
The delivery destination of this electronic document request for quotation electronic document for the comprehensive contract is sent to the company in the candidate supplier company information. The destination information is sent using the contact information of the company information in the medical economic zone DB 21 . Responses with quotations will come in order from each company.
The recurring system 42 receives the reply to this estimate request from the comprehensive contract candidate company, and stores the content of the reply in the recurring DB 41 as comprehensive reply information. The comprehensive reply information contains information necessary for the contract, such as the company name, the equipment name, the quantity of equipment to be contracted, the contract price, and the terms of payment sent from the company.
Here, the companies that provide the products will be explained.
First, why would a company enter into a blanket contract? The answer is "exclusive". The fixtures are a multi-type product manufactured by various manufacturers (manufacturing companies), and a multi-distribution business sold by various wholesale companies. In some cases, the manufacturer sells directly. A comprehensive contract is narrowed down to one brand from a large variety of products. For example, suppose there are 20 companies that manufacture bandages and 10 companies that manufacture bandages. By signing a contract with Company C for bandages, the multiple wholesalers that provided equipment and the direct sales of multiple manufacturers will not be able to sell equipment to this region at all during the contract period of the comprehensive contract. . Only one contracted wholesaler or manufacturing company will provide the product exclusively. Sales increase due to a monopoly state in which no entry (order activity) from other companies is possible. Other companies that were not able to sign a contract will remain untouched during the contract period and just watch. Therefore, aiming for the next contract period, the next contract will be even more intense. Once you win a comprehensive contract and experience a monopoly, you will not be able to get out of it. The medical institution 4 side is exactly the same, and once you get a taste of the management system of being able to buy cheaply, you can't get out of there.
Describes the quotation reply to the request for quotation of the blanket contract.
Each company that has received a request for quotation makes an estimate and submits an estimate. The recurring system 42 acquires the estimated price, the contract period, the equipment, and the supply price of the equipment described in the returned quotation for each company that created the quotation, and stores the estimated price information in the company information. , contract period information, equipment information, offer price information, and the electronic document of the quotation are stored in the quotation reply information of the recurring DB 41 for each company. The estimated price that has been replied and the desired contract price information are compared. Quotations with higher quoted prices by comparison are excluded. Adopt a quote that is cheaper than the desired contract price information and has a price difference. This means that the contracting company has been selected. The contracted company selected by the recurring system 42 is stored as comprehensive contracted company information in the comprehensive information of the recurring DB 41 as a comprehensive contracted company.
Next comes the process of creating a contract.

Explain how to create a contract for a blanket contract.
There are two types of blanket contracts. One is a contract between a large virtual medical institution and a business that makes a contract. The other is a contract between the virtual large medical institution and the actual medical institution 4 . Both contracts are created in the same way.
Comprehensive contracts are concluded electronically by the recurring system 42 . The electronic contract method utilizes existing technology.
The process of automatically creating a digital contract is carried out by using a contract template and a contract creation program as RPA technology for contract creation. Templates and RPA are existing technologies.
The first is about the contract between the large virtual medical institution and the contracting business operator.
Using a template prepared in advance for creating this contract, we acquire list-displayed equipment information, estimated price information, contract period information, and contracted company information from the quotation response information in the recurring DB 41, and use RPA technology to An electronic document of the electronic contract is created using the information and template on the left. To conclude the created electronic contract, the company accesses the WEB using a terminal and presses the "contract conclusion button" displayed on the contract conclusion page, and the electronic signature is applied to the electronic contract. book is created. The electronic signature of the recurring system 42 is automatically performed by the RPA program.
Second, creation of a contract between a large virtual medical institution and the actual medical institution 4 will be described.
As the information necessary for this contract, the equipment information and consumption amount information in the medical institution 4 are obtained from the comprehensive total consumption information stored in the comprehensive information of the recurring DB 41 . The equipment information and consumption information acquired here differ from one medical institution 4 to another in terms of the contents of the equipment and the amount of consumption. Therefore, the information on equipment and its consumption (contracted amount) differs for each medical institution. The contract template includes information on the list of equipment contracted by the medical institution 4, consumption amount information (contracted amount) in the comprehensive information, supply price of the equipment, information on the contract period, and RPA. Using the contract price calculated by the medical institution 4 and the contracted company name as the equipment provider, an electronic text of an electronic contract is created using RPA technology and a template.
The name of the medical institution 4 and the virtual large medical institution are reprinted for the contractor of the contract. The created electronic contract is concluded when the medical institution 4 accesses the WEB using a terminal and presses the "contract conclusion button" displayed on the contract conclusion page to electronically sign the electronic contract. An electronic contract is created. The electronic signature of the recurring system 42 is automatically performed by the RPA program. All the medical institutions 4 of the medical institutions 4 in the region are concluded with this. The contracted electronic contract is stored in the comprehensive contract information of the recurring DB 41 . It is also possible to send to the medical institution an electronic contract in which the owner (ownership) is managed and set by the medical institution 4 and the recurring system 42 by NFT.
Detailed information related to the comprehensive contract is stored in the recurring DB 41 as comprehensive information.
Figure 6 shows an image of a comprehensive contract.

A subscription contract for a method of ordering equipment and lowering the purchase price (purchase price) of the equipment at a medical institution 4 that uses a medical economic zone 24 at a plurality of medical institutions 4 located in a certain area. The amount of payment from the medical institution 4 is reduced due to the purchase of equipment by the medical institution 4 .
Describe this subscription agreement.
Purchase of equipment under a subscription contract is performed using the subscription system 43 in the medical institution management business support system 10 . A series of processes of this subscription system 43 include calculation of regional consumption (for one month and a half, one year), selection of equipment for subscription contract, selection of subscription contract company, contract It is a system that performs a series of processes from preliminary request for quotation, creation of subscription contract contract, selection, contract quotation and contract.
Business companies that accept orders for contracts using this subscription system 43 are medical institutions 4 registered in the business information of companies in the medical economic zone DB 21, equipment sellers, or equipment manufacturing companies. be.
Information on the types of equipment used by the medical institutions 4 that use the medical economic zone 24, the amount of equipment consumed, the purchase price (purchase price), or the amount paid out is stored in the accounting business DB 31 as consumption amount information. It is
Concluding a contract whereby the consumption (usage) of the entire region, which is the sum of the consumption (usage) of multiple medical institutions 4 in this region, can be purchased at a fixed price that is discounted from the normal purchase price for a certain period of time. become. The subscription system 43 stores this consumption amount (usage amount) in the subscription information of the subscription DB 44 as information on the order amount of the equipment.
Furthermore, for subscription contracts, it is necessary to select equipment suitable for the contract and a company to purchase from (subscription system contract company). By using artificial intelligence (AI) called subscription selection AI for this selection processing method, the troublesome selection can be automated.
The subscription selection AI has the function of selecting a company to make a subscription system contract and selecting equipment to make a subscription system contract.
Subscription selection AI is suitable equipment for purchase at a volume discount for a certain period of time, equipment that can be contracted, equipment that has been purchased in the past, amount consumed (quantity to be ordered), normal price, past The equipment is selected from the equipment with a track record of subscription contracts, and is stored in the subscription information of the subscription DB 44 as the information of the name of the equipment to be ordered. In addition, we will select companies that are likely to provide the selected equipment at a volume discount price in a subscription contract, or companies that have a record of contracts in the past, as candidate companies for subscription contracts. Information on contract candidate companies is stored in the subscription information of the subscription DB 44 . Companies to be selected as subscription contract candidates are companies (wholesale companies, manufacturers, etc.) registered as suppliers of equipment in the business information of companies in the medical economic zone DB 21.
In addition, as the information necessary for selection, the subscription selection AI acquires information on the minimum order amount of equipment and information on the delivery date from the system of the selected subscription candidate company, and stores it in the subscription information in the subscription DB 44. save.
To conclude a subscription contract, each medical institution 4 uses the amount of consumption for a certain period of time as a guideline for the contract. The consumption amount (order amount) for one month, half a year, and one year are both used, but in general, the contract is based on the consumption amount for one year. The consumption amount (order amount) of the medical institution 4 is calculated by calculating the total consumption amount for each equipment consumed by the medical institutions 4 in the entire region. The calculated total consumption of the entire area is stored as subscription total consumption information in the subscription information of the subscription DB 44 . That is, it is the total subscription consumption information of the medical institution in the virtual space.
Since comprehensive total consumption information of fixtures is stored in the comprehensive information of the recurring DB 41, it may be used.
As for this consumption amount, the purchase amount (purchase amount) to be contracted from the next year, that is, the contract price of the discount price to the medical institutions in the entire region is determined by looking at the consumption amount for one year. It doesn't matter if the amount consumed in one month is multiplied by 12 and calculated as one year, or the amount consumed in half a year is doubled and calculated as one year.

The selection of fixtures by subscription selection AI will be explained.
The subscribing AI selects equipment for which subscribing contracts are to be made and candidate companies to be contracted.
To subscribe, you need to select the equipment that the contract covers. Hundreds of types of fixtures are used in the medical institutions 4 throughout the region. From among these, subscription selection AI is used to automatically select fixtures for subscription contracts.
The information used for the selection of equipment by subscription selection AI is the equipment that was purchased at multiple medical institutions in the past, and the purchase price of each medical institution varies greatly, and the consumption at each medical institution. Information on equipment with high consumption (conversely, it is better to exclude equipment with low consumption), information on equipment that has been provided for a long time and has begun to appear as new products, and is sold by companies with a large purchase record at each medical institution. Using information on equipment that is used by each medical institution, information on equipment sold by companies with little purchase record (companies that do not use it often), and information on equipment that has a record of subscription contracts in the past, Equipment and contract candidate companies are selected. Acquisition of this information has already been explained in the comprehensive contract, but it is the comprehensive information of the recurring DB 41 that stores this information. This comprehensive information is necessary information for selecting the fixtures explained so far, and this information is used in both the comprehensive selection AI and the subscription selection AI. Since I am explaining the subscription contract here, I would like to replace this comprehensive information with subscription information for the purpose of explanation. The contents of comprehensive information and the contents of subscription information are exactly the same.
In addition, from the equipment purchaser information linked to the selected equipment, comprehensive contract candidate companies that conclude a subscription contract are acquired, and the contracting company is selected as to which company to conclude a contract with.
The subscription selection AI learns using the information described so far, that is, the information stored in the subscription information (comprehensive information).
The equipment selected for the blanket contract may not have been the right choice. It turns out that a subscription rather than a blanket deal was the best choice.
Here, the learning method of the subscription selection AI will be described.
Information on equipment consumed in the area from the total subscription consumption information stored as subscription information in the subscription DB 42, information on the contents of the equipment, information on the consumption of each medical institution, and the total value of consumption Information and subscription total consumption information, which is the sum of the consumption of equipment at all medical institutions, is acquired and used as learning information.
As company information, we acquire companies that we have dealt with as suppliers of equipment in the past, manufacturers of equipment, or companies that have a track record of comprehensive contracts in the past from comprehensive contract company information in comprehensive information, and have subscribed in the past Companies with a record of subscription contracts are acquired from the subscription contract company information in the subscription information and used as learning information.
The information listed here is used as a learning information source for AI to learn, and AI is used for learning using the method of association analysis by self-learning without a teacher.
The equipment you choose for your subscription may not always be the right choice. It may later turn out that a blanket contract is the better choice than a subscription contract.
The information used for this determination is the consumption amount information of the medical institution 4 . Originally, a subscription contract focuses on the amount (number) of consumption. It can be found by looking at the difference between the consumption of local medical institutions just before the contract period ends and the consumption before the contract, which was used as a reference for the subscription contract. If your post-subscription consumption is less than your pre-subscription consumption, then you made the wrong subscription choice. Or it may turn out that choosing a blanket contract was the right choice. Conversely, if post-contract consumption is higher, it turns out that the subscription contract was the right choice. The subscription selection AI is able to learn these things and select the optimal contract.
Here, we will explain the difference between a blanket contract and a subscription contract.
In the comprehensive contract, the comprehensive medical institution 4 is a regional medical institution this time. The contracted amount is the amount consumed by the medical institutions in this region in a certain period of time, that is, the amount used by the medical institutions. This amount is the amount provided by the provider, and the comprehensive contract determines the unit price for this amount. If you order more than the quantity, the excess quantity will be the normal offer price. This is a contract that emphasizes contract volume. Subscription contracts, on the other hand, do not have a “quantity” contract scope. No matter how much quantity you order for a certain period of time, it will be provided at the contracted price within the contract period. It is a contract that emphasizes the contract period. Therefore, depending on the equipment, the contract to be selected is different. If you sign the wrong contract, you will not be able to take advantage of the benefits. For example, there was a year in which many bandages were consumed during the Fukushima disaster. Even if you use a contract for the next year's procurement based on that consumption, there are cases where there is no point in making a contract because there is no consumption in the next year. If you make a comprehensive contract, you cannot expect consumption to exceed the previous year's consumption in the following year. On the other hand, if you choose a subscription contract, there is no limit on the amount (number), so even if the consumption is less than the previous year, the required amount (number) is provided at a low price during the contract period, unlike the comprehensive contract. We do not have a large inventory. There is also the opposite case to this example.
The subscription selection AI (comprehensive selection AI) makes selections using information on equipment and contract methods that have not been fully utilized due to such contracts. Looking at the inventory information, if the inventory of the contracted equipment is large, it turns out that the contract was a failed contract that could not be utilized.
In addition, from the equipment purchaser information linked to the selected equipment, comprehensive contract candidate companies for which a comprehensive contract is to be concluded are acquired, and which company to conclude a contract with is selected.
The subscription selection AI learns using the information described so far, that is, the information stored in the subscription information (comprehensive information).
The machine learning method used by the subscription selection AI uses the association analysis method of unsupervised learning using information stored as subscription information (comprehensive information).
With this learned subscription selection AI, as a result of selecting from information on companies with a large amount of purchases, new products, companies with a large purchase record, and companies with a small purchase record, the selection of equipment and its Candidate companies from which equipment can be purchased are selected, and the purchase unit price (recommended purchase unit price) of the equipment is calculated. The purchase unit price (recommended purchase unit price) here is further calculated with reference to the lowest purchase price at local medical institutions. Consumption information, purchaser candidate company information, and purchase unit price (recommended purchase unit price) information linked to the equipment information are stored as subscription contract assessment information in the subscription DB 44 .
Up to this point, the selection of equipment and candidate companies for purchase (contract candidate companies) is based on subscription selection AI.

In order to determine the subscription contract price and contract destination, the subscription system 43 performs a process of sending a request for quotation of the contract price of the subscription contract to the subscription contract candidate companies stored in the subscription information.
A subscription contract estimate is a request to a company to calculate a contract fee and a contract period for requesting a subscription contract. The subscription system 43 acquires the equipment information linked to the purchaser candidate company information from the subscription contract assessment information, and converts the consumption amount information (here, the amount for calculating the contract fee) and the unit price of the equipment information ( Obtain the lowest purchase unit price) and create a request for quotation. The example described in the quotation request form for the subscription contract is the information necessary for the quotation of equipment A, annual consumption of 100 boxes, purchase unit price of 100 yen, equipment B, annual consumption of 500 boxes, purchase price of 300 yen. This is the contents of the request for quotation.
Further, the total price in the content of the subscription contract is calculated using the unit prices of the equipment information and the amounts of the consumption amount information for all the equipment for which an estimate has been requested. The calculated total price information is stored in the quotation request information of the subscription DB 44 together with the computerized quotation request electronic document of the subscription contract described below as desired contract price information of the quotation to be requested. This desired contract price information is used to evaluate the contents of quotations that have been answered.
The estimate request electronic document for the subscription contract is created by using an electronic document template and adding equipment information and consumption amount information to the template.
The destination of the electronic document request for quotation for the subscription contract, which is electronically documented, is the company listed in the candidate supplier company information. The destination information is sent using the contact information of the company information in the medical economic zone DB 21 . Responses with quotations will come in order from each company.
The subscription system 43 receives a response to this quotation request from the subscription contract candidate company, and stores the response content in the subscription DB 44 as subscription response information. The subscription reply information contains the information necessary for the contract, such as the company name sent from the company, the equipment name, the quantity of equipment to be contracted, the contract amount, and the payment terms.
Here, the companies that provide the products will be explained.
Why do companies subscribe? The answer is "exclusive". Equipment is a wide variety of products manufactured by various manufacturers (manufacturing companies). And it is a multi-distribution business in which many wholesale companies (suppliers) sell. In some cases, the manufacturer sells directly. A subscription contract is narrowed down to one brand out of a large variety of products. For example, suppose there are 20 companies that manufacture bandages and 10 companies that manufacture plasters. , By contracting with Company C for adhesive plasters, multiple wholesale companies that provided equipment and direct sales of multiple manufacturers cannot sell equipment to this region at all during the subscription contract period. become. Only one contracted wholesaler or manufacturing company will provide the product exclusively. Sales increase due to a monopoly state in which no entry (order activity) from other companies is possible. Other companies that were not able to sign a contract will remain untouched during the contract period and just watch. Therefore, aiming for the next contract period, the next contract will be even more intense. Once you win a subscription contract and taste the monopoly, you can't get out of it. The medical institution 4 side is exactly the same, and once you get a taste of the management system of being able to buy cheaply, you can't get out of there.
Describes the quotation responses to requests for quotation for subscription contracts.
Each company that has received an estimate request calculates an estimate and submits an estimate. The subscription system 43 will receive quotations from each company. The subscription system 43 acquires the estimated price, the contract period, the equipment, and the supply price of the equipment described in the returned quotation for each company that created the quotation, and stores the information in the company information. Price information, contract period information, equipment information, offer price information, and the electronic document of the quotation are stored in the quotation response information of the subscription DB 44 for each company. The subscription selection AI compares the returned estimate price with the desired contract price information. Quotations for which the quoted price is higher by this comparison are excluded. In addition, information on estimated prices from companies with which subscription contracts have been concluded in the past is also referred to, and only quotes that are cheaper than the desired contract price information and have a price difference are narrowed down and adopted. This means that the contracting company has been selected. The contracted company selected by the subscription system 43 is stored as the subscribing company information in the subscription information of the recurring DB 41 as the subscribing company.
Next comes the process of creating a contract.

Describe the creation of contracts for subscription contracts.
There are two types of subscription contracts created by the subscription system 43 . One is a contract between a large virtual medical institution and a business that makes a contract. The other is a contract between the virtual large medical institution and the actual medical institution 4 . Both contracts are created the same way.
Conclusion of subscription is performed by electronic contract by the subscription system 43 . The electronic contract method utilizes existing technology.
The process of automatically creating a digital contract is carried out by using a contract template and a contract creation program as RPA technology for contract creation. Templates and RPA are existing technologies.
The first is about the contract between the large virtual medical institution and the contracting business operator.
Using a template prepared in advance for creating this contract, we obtain list-displayed equipment information, estimated price information, contract period information, and contract company information from the quotation response information in the subscription DB 44, and use RPA technology to obtain the information on the left. An electronic document of the electronic contract created using the information and the template is created.
To conclude the created electronic contract, the contracting company accesses the WEB using the terminal and presses the "contract conclusion button" displayed on the contract conclusion page, and the electronic signature is performed on the electronic contract. An electronic contract is created. The electronic signature of the subscription system 43 is automatically performed by the RPA program.
Second, creation of a contract between a large virtual medical institution and the actual medical institution 4 will be described. The information necessary for this contract is acquired from the subscription total consumption information stored in the subscription information of the subscription DB 44 and the equipment information and consumption amount information in the medical institution 4 . The equipment information and consumption information acquired here differ from one medical institution 4 to another in terms of the contents of the equipment and the amount of consumption. Therefore, the information on the contracted equipment and its consumption (contracted quantity and number) differs for each medical institution. In the contract template, list-displayed equipment information contracted by the medical institution 4, the supply price of the equipment, information on the contract period, and the name of the contracting company were created using RPA technology and a template. An electronic text of the electronic contract is created.
The name of the medical institution 4 and the virtual large medical institution are reprinted for the contractor of the contract. The created electronic contract is concluded when the medical institution 4 accesses the WEB using a terminal and presses the "contract conclusion button" displayed on the contract conclusion page to electronically sign the electronic contract. An electronic contract is created. The electronic signature of the subscription system 43 is automatically performed by the RPA program. All the medical institutions 4 of the medical institutions 4 in the region are concluded with this. The contracted electronic contract is stored in the subscription contract information of the subscription DB 44 . It is also possible to send an electronic contract whose owner (ownership) is managed and set by the medical institution 4 and the subscription system 43 by NFT to the medical institution.
Detailed information related to the subscription contract is stored in the subscription DB 44 as subscription information.
Figure 7 shows an image of a subscription contract.

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 equipment (equipment) shared by the medical institution 4 and nursing care institutions. Equipment and equipment include, for example, "expensive medical equipment such as MRIs, CTs, and defibrillators,""smartphones, business-use tablets, personal computers, and displays used for in-hospital communication, which are used in small amounts but are used in large amounts for office automation equipment. equipment in general” and “intangible assets such as operating systems (OS) and software”. That is, it is the equipment information of the medical institution in the virtual space. The facility/equipment system 32 treats such a collection of facilities/equipment as equipment/equipment in a medical institution in the virtual space. The facility/equipment system 32 processes each contract as the facility/equipment of the medical institution in the virtual space.
By jointly using the equipment by the medical institution 4 and the nursing care institution, it is possible to expect a reduction in equipment investment costs and equipment expenses in terms of management. In the shared use of equipment, the equipment information in the accounting work DB 31 includes the product name, manufacturer, number of possessions, manager, date of purchase, introduction price, Information related to scheduled calibration times, scheduled replacement times, equipment for users, borrowers, and reserved patients is stored.
The facility/equipment system 32 in the platform-type medical institution 4 support system 1 can use the information stored in the facility/equipment information to manage the operation of the facilities/equipment shared by the medical institution 4 and nursing care institutions. .
As the facility operation management performed by the facility equipment system 32, it is possible to manage the reservation status of facilities owned by the medical institution 4 or nursing care institution and to accept reservations for the facilities. 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 stores the received reservations in 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 comprehensive contract and subscription contract methods used by the medical institution 4 when purchasing equipment can also be used to purchase equipment, and can be done by using comprehensive selection AI and subscription selection AI. The method itself is the same as when purchasing fixtures, so the explanation is omitted.

Conventionally, the method of introducing equipment (equipment) in a medical institution 4 or a nursing care institution has been carried out by one of the methods of "purchasing equipment as fixed assets" or "lease contract with a leasing company to introduce equipment". When purchased as a fixed asset, the medical institution 4 and the nursing care institution need to continue paying the property tax for the period described in the legal useful life set by the country. If the medical institution 4 or the nursing care institution does not hold the medical institution 4 or the nursing care institution as an asset, it is not necessary to pay the property tax when the equipment is introduced under a lease contract. This is for the leasing company, which is the owner of the asset when it is introduced under a lease agreement. However, since the leasing company does not physically own the property, it does not pay the property tax because it is not an asset that should be subject to property tax. Therefore, in the case of lease contracts, there is a current situation where no one pays property tax. The government sees this situation as a problem due to the lease agreement.
It is from this state of affairs that the subscription contract was born.
In the case of a subscription contract, the medical institution 4 and nursing care institution do not own the equipment, but only have the right to use it. Therefore, there is no need to pay property tax. Therefore, subscription contracts lead to reductions in property taxes for medical and nursing care institutions.

As business is conducted in the medical institution 4 and the nursing care facility 6, waste is generated as a matter of course. This waste includes not only general waste, but also "infectious waste such as needles, bodily fluid deposits, and biological fragments that may come into contact with pathogens carried by the patient and are biologically hazardous." There is also "waste acid such as X-ray fixer". 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 waste discarded by the medical institution 4 or the nursing facility 6 is high.
The system of the present disclosure includes a waste collection system 33 that collects information on waste from medical institutions 4 and nursing care facilities 6 in the area and can request comprehensive treatment in the area.
The disposal collection system 33 acquires consumption amount information and inventory amount information stored in the accounting work DB 31 . Based on the acquired information, the waste collection system 33 predicts the amount of waste to be disposed of as specially controlled industrial waste among items purchased as equipment based on the consumption status of each equipment. . The value calculated by totaling the predicted results is the discard amount for making a comprehensive contract for waste treatment as the volume discard amount, and is stored in the accounting work DB 31 as waste information. In addition, information on the type of waste, businesses such as the medical institution 4 and nursing care facility 6, and the amount of waste (volume waste amount) is also stored in the accounting work DB 31 as waste information. That is, it is the waste information of the medical institution in the virtual space.
Based on the waste information, a comprehensive waste treatment contract is made between the waste disposal company and the local medical institution 4 or nursing care facility 6 belonging to the medical economic zone 24, thereby individually contracting with the waste disposal company. We can expect to be able to dispose of waste cheaper than when we were doing it.
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 comprehensive contract method and the automatic selection method are performed using the method used in the description of the comprehensive contract for fixtures. Since the method used in the explanation of the blanket contract for fixtures is used, the explanation is omitted.

Operating costs to maintain the system of the present invention are essential. A style that can be provided as a business model in which the operating costs of the system are covered by the system is desirable. The system can be operated by a business model in which companies using the medical economic zone provide services that can reduce operating costs for a fee. The fee-based service is a fee-based service that reduces the procurement cost (purchase price) of equipment and equipment as part of cost reduction from management improvement for companies that use the virtual medical economic zone of medical institutions and nursing care facilities. We offer a similar service for a fee that reduces waste collection costs in waste collection. Furthermore, it targets companies that want to win the sales share of the entire region where medical institutions and nursing care facilities using the medical economic zone actually exist. In other words, for companies that want to win the sales share of the rooted area without spending time and effort to go door to door, without sales activities and without spending labor costs, we will contract from the creation of sales contracts based on comprehensive contracts and subscription contracts. We provide services for a fee, from the conclusion of agreements to the management of contracts. Applications for this service are received from companies through the service application page using the WEB. As explained above, comprehensive agreements and subscription agreements that benefit from procurement prices are established through agreements with companies that provide them. This service is a service to conclude each of these contracts. Since payment for paid services is made using existing technology, it is not described here. Examples of existing technologies include cashless, EC sites, net payments, and Japanese Patent Laid-Open No. 2021-113927 devised by the applicant. The reason for using JP 2021-113927 devised by the applicant is that it can be used without changing the usage method even if the current legal currency is replaced by the next-generation digital currency.
This contract creates a win-win relationship between the side receiving the provision and the side providing the provision.
This fee-based service is a mechanism and business model for sustaining the platform-type medical institution support system.

The “system for sharing information of a plurality of medical institutions 4 ” explained here allows a plurality of medical institutions 4 to share and use a system in a 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-scale medical institution 4 can become a virtual large medical institution 4 if a plurality of small-scale 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, you wait early in the morning before the start of reception, wait for the examination in the large waiting room before the examination, wait for the examination in the middle waiting room when your name is called, wait for a long bill after the examination, and wait for the prescription 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. The waiting time of the medical institution 4 includes not only "waiting to open the hospital before the opening time", "waiting for reception before the opening time", "long waiting for accounting", "waiting for prescription medicine", but also "waiting for reception of prescription medicine". There are also waiting times such as "waiting for payment of prescription medicine".
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. This is because of the TV report of "avoiding the 3 Cs of closed, crowded, and close-contact", especially elderly patients are mentally afraid that the waiting room in the medical institution will be crowded with patients, and they will be infected in the waiting room. , "Many elderly patients stopped going to medical institutions" as a measure to prevent infection after having troubled discussions with the patients themselves and their families.
Therefore, hospital management deteriorates due to the decrease in the number of patients. In the medical information system 9 of the present disclosure, it is basically devised to perform a medical examination "NoWaitConsultation" without waiting so that "the waiting room is not closed" or "the medical examination without using the waiting room" can be performed. Also, in order to reduce the waiting time, there is a scheme in which the payment of the examination fee to the hospital is combined with the payment of the dispensing fee to the pharmacy at the dispensing pharmacy. This idea is the technique described in the fourth embodiment. By making a lump sum payment at the pharmacy, it is possible to eliminate the waiting time at the hospital.
Provide patients with a visible system without fear of hospital infection mentally or mentally, create a system that allows them to go to hospital 4a with peace of mind mentally, improve conventional medical business practices, and improve hospital management. It's also a method.

First, to reduce the number of patients waiting for examination in the waiting room of the hospital 4a, to eliminate the long waiting time for examination, or to place patients waiting for examination in other places such as commercial facilities and restaurants around the hospital instead of the waiting room. Disperse and guide patients to other hospitals, eliminate crowding among patients in the hospital, and distribute the waiting time for consultation to another time during the time period when outpatients are concentrated. I devised a solution by starting. Secondly, we devised a method to reduce the waiting time in the waiting room or to eliminate the use of the waiting room with a system that allows patients to visit the hospital according to the reserved examination time. As a result of these two, there is an expectation that patients waiting for medical examinations and accounting in the hospital, who had avoided coming to the hospital for fear of infection from close contact, will be able to receive medical examinations safely and come back to the hospital. Therefore, even in the situation of a pandemic, it will not affect the management of the hospital 4a.We would like to recommend "NoWaitConsultation" at the medical institution 4 by this idea.

Here, let's organize the situation of the patient before the incident that occurred in 2020.
It has become clear that there are many patients waiting to see a doctor even before. Conventionally, the examination time at medical institutions was ambiguous, and it took a long time from the interview and examination between the doctor and the patient. I had finished my medical examination. Due to the accumulation of such ambiguous consultation times, patients have a long-standing habit of waiting for a consultation for a long time without being able to predict (guess) their own consultation time. The patient unconsciously reacts or anticipates the long waiting time arising from this ambiguous consultation time and "comes to the hospital earlier than the scheduled time", and physically and mentally suffers from "perseverance and determination to wait for a long time". Fatigue may occur. Why do patients come early? In the working generation, there is a social habit of "acting five minutes before", but in the case of medical care, it can be said that there is a deep mental psychology that causes "acting one hour ago". It has become a business practice for patients to say, ``If you go early in the morning, you will have a short waiting time and can be examined.'' The large number of patients lined up before the first reception time in the morning speaks to this. It's the same phenomenon as bargain sales lined up in stores early in the morning. In addition, we often hear such things as patient complaints, such as "it takes half a day to get to the hospital" or "a long wait". It is a physical and mental burden (pain) of waiting.
Elimination of this age-old pain is necessary and must be eradicated.
Until now, I have explained mental or physical pain from the patient's perspective, but now I will explain it from the medical perspective.
What is the current response of medical institutions to the fact that patients have to wait? When a patient asks, "How long do you want to wait?", the medical staff responds, "I'll call you when it's your turn to see the doctor, so please wait until then." . It can be said that this point has entered the second stage because the order has become visible. The reception number you are currently seeing and the reception number you will be waiting for next will be displayed on the display. If is not displayed, you cannot know the waiting time. Although the order has been visualized, the current situation is that neither the visualization of the waiting time nor the reduction of the waiting time has been improved. In the past, the only information available to patients was "opening time", "reception start time", "examination start time", "examination end time", and "closure time". On the other hand, the visualized information provided to patients by the informatization of hospitals in recent years is “hospital opening time”, “reception start time”, “examination start time”, “reception number”, “most recent reception number order”, “examination Although the "end time" has come and the "reception number" has been visualized in various ways, the patient's burden of waiting has not changed.
Even if a medical institution makes a large investment in IT, it may not be connected to the patient's perspective. Patients (especially the elderly) suffer from having to sit in waiting room seats for long periods of time waiting to see a doctor.
Explain how visualized information changes human behavior, mental burden and pain.
If a patient or person can grasp the situation, or if the situation is visualized, it is possible to take action based on guesses and speculations, or to take avoidance actions from pain. Perhaps the best example of this is reserved-seat trains or passenger planes. Since these have fixed departure times, people can infer and decide their thoughts and actions according to the visualized or provided "departure time", the weather, and the time to leave home, and unconsciously take action. Furthermore, in some Internet systems, by knowing the congestion status of trains in operation and the congestion status of each train car, it is possible to select a train during an empty time slot or an empty car. In this way, if one's examination start time is determined, one can take action in accordance with that time, and one can take action to avoid the pain of congestion if one understands the congestion situation. However, the patient's behavior will be based on the process of medical examinations starting on time and ending on time at the medical institution.

From here, we will turn our attention to the conventional reservation system used by medical institutions.
Among the information systems of medical institutions, I think that the system used by patients and related to the consultation time is about 9d, a reservation system for making an appointment for consultation. Here, the focus will be on a conventional appointment system 9d that relates to patient consultation times. Appointment system 9d has a logic to cram patient's appointments at a certain time. For example, in the case of logic that accepts appointments for 2-3 people within 30 minutes, it is assumed that there are 2-3 patients with appointments at 10:00 am and 2-3 patients with appointments at 10:30. Become. The number of appointment patients in this 30-minute period is the number of patients the system is crammed into in a 30-minute consultation by one doctor, and if the number of doctors in other departments increases, then in 30 minutes there will be 2 patients per N doctors. There will be ~3 waiting patients. And the number of outpatients who do not have reservations will be added to the waiting room. As a result, it can be imagined that the waiting room is naturally crowded with patients waiting to be examined. One of the causes of this congestion is the reservation system 9d, which does not take into account the time required for the doctor's examination, and merely accepts reservations for 2-3 patients every 30 minutes. Furthermore, it can be seen that the reservation system 9d is a system based on simple logic that does not take into consideration the reasons why patients come early in the morning, the long waiting times of patients in the waiting room for consultation, and the patient's pain while waiting for consultation. So far, I have explained the content of the current reservation system and its shortcomings.
Also, at this point, you will gradually understand how to control the patient's behavior. Taking the railway as an example, the patient should be at the platform at the scheduled departure time of the train, and the doctor should be able to run the train at the departure time and stop at the next station on time. It will be. Furthermore, it would be nice if all seats were designated and there was congestion information.
Furthermore, by providing such information and situational information to the patient, each patient will be able to infer from the information and take an avoidant action to escape from pain by speculation, but some may not. However, there is no one who cannot get on the train that they have reserved. In order to motivate patients to take action, it is necessary to provide them with as much information as possible.
Then, what kind of system will medical institutions need to prepare in the future?
Calculate and quantify the doctor's information so that it can be used in the system as much as possible.
The management of medical institutions should be quantified and timetables like railway companies.
It is only necessary to use the data on the medical condition of each individual patient and provide the information for the patient's decision to take action from the information obtained by multiplying it with the doctor's information.
It will be necessary as a new system to provide information that allows patients to decide on their own how to avoid pain based on the situation of the medical institution, and to allow the employees of the medical institution to infer the patient's behavior from the patient's various information. .
A new system is also required for medical institution employees to guess the patient's behavior.
Doctors' visit times can be quantified, except for patients arriving by ambulance.
such information is needed.
The action taken by the patient is not to go to the hospital due to psychological fear from "crowding" in the waiting room in the medical institution and "waiting there for a long time". All you have to do is get rid of this.
If doctors 5a and managers of medical institutions 4 all over Japan take a closer look at patients and take more care of their patients, the medical institutions themselves will not be able to avoid the problem of "patients not coming to hospitals 4a," as pointed out in this case. It is important to realize what is happening due to the adverse effects that have occurred, and to think again that it is necessary to take countermeasures on your own.
In order to solve the problem that the current appointment system 9d causes delays in waiting for consultation, the doctor schedules the consultation according to the logic that uses the required consultation time of the patient himself/herself, so that the daily consultation schedule is changed to the scheduled consultation schedule. If the process (time allocation) is carried out, patients will unconsciously come to the hospital according to their own time like a train timetable. If the examination can be performed at the time reserved by this reservation system, the number of patients using the waiting room can be reduced, and long waiting times for examination can be eliminated.
How can we manage operations within medical institutions on time? Assembling a day's operation (schedule) based on the required consultation time for each patient, that is, the number of trains operating in a day, like a railway timetable, is the number of patients visiting the hospital, and the operation time between one station is the number of trains. The timetable is a table showing the minutes from the starting station to the terminal station, and in the case of medical institutions, the timetable is a table showing the required consultation time for each patient who visits the hospital in a day. What you build is a reservation system.
However, this timetable (required consultation time for one day at medical institutions) does not include the consultation time required for outpatients at this stage. It is necessary to make an accurate timetable with a reservation system like a railway timetable.
To do so, it is necessary to calculate and quantify the examination time required for an appropriate examination for each patient. The time required for medical examination can be calculated by calculating the working hours of the doctor, that is, the medical examination time.
It can be assumed that the necessary time required for medical examination of the patient can be calculated by using information on the treatment contents and medical examination contents according to the medical condition of the patient in charge and the patient in charge, and past results of the medical examination time required.
In order to calculate the doctor's consultation time, it is necessary to visualize or quantify the contents of the patient's examination, the doctor's way of thinking that decides the contents of the examination, and the competence that is different for each doctor, so-called proficiency and skill. is. This is surprisingly not difficult. Information and visualization of subdivision of doctor's examination work when examining a patient with an appointment.
As for the subdivision of the doctor's examination work, the content of the patient's next examination can be subdivided unexpectedly easily. According to the types of patients to be examined next time, they are roughly classified into (1) outpatients and (2) chronic patients or patients undergoing follow-up or postoperative observation. Further narrowing down from here, it demonstrates as an example. The subdivided examination contents of the next examination of "(1) patients who visited the acute outpatient clinic" are: (A) confirmation of the effect of taking prescribed prescription drugs, (B) retreatment or progress of the affected area, ( C) It is divided into examination contents such as follow-up observation from the medical condition and examination/confirmation. Next, the subdivided examination contents of the next examination of "(2) chronic patients or patients under follow-up or post-operative observation" are (D) physical follow-up examination, (E) post-operative follow-up examination and post-operative treatment , (F) Regular examinations and continuous prescription of medications, (G) Treatment and treatment for specific chronic patients, (H) Chronic treatment (eg dialysis patients). It can be divided into 8 categories easily. However, if we delve into this classification a little deeper, the number of classifications will increase, but for the sake of explanation, we will stop here. As in these examples, the subdivided medical examination contents of the next medical examination can be subdivided to some extent.
In order to calculate the duration of the consultation, the next thing we need is the medical condition of each patient. This patient's medical condition draws information from the electronic medical record. Patients can be divided into acute outpatients, chronic patients who come regularly, and patients undergoing follow-up or postoperative observation.
Here, the information that the consultation time system 52 in the platform-type medical institution support system 1 can acquire from the electronic chart is sorted out. The information that the consultation time system 52 can acquire from the electronic medical record 9a includes the patient name, age, sex, degree of illness at the first visit, corresponding site at the first visit, name of the doctor in charge, patient's disease name, and chronic disease name (disease name information). , the time when the doctor in charge opened the patient's electronic medical record 9a, and the time when the doctor in charge saved the diagnosis contents key-inputted to the patient's terminal and ended the information. The visit time system 52 also makes calculations using this information. The information acquired by the consultation time system 52 from the electronic medical record 9a is stored in the consultation required time DB 51 as calculation basic information.

Now consider the experience and proficiency of doctors.
For engineers working in private companies, the rank and degree of maturity of engineers are determined by a skills check sheet. However, in the case of medicine, that is not the case. In the case of a doctor, the competence or proficiency is only about the treatment results. A doctor's treatment results, so-called experience value, can be obtained from the number of patients in charge and the number of patients in charge from the electronic medical record. Naturally, the doctor's experience value is proportional to the doctor's age, but it reverses when it reaches a certain age. Explain the time required for examination that can be obtained from the electronic medical record.
Since the patient's examination required time required here is not described on the electronic chart 9a, it cannot be used for reservation. Therefore, it is possible to acquire information such as "the time when the doctor in charge opened the patient's electronic medical record 9a" and "the time when the doctor in charge saved and finished the patient's diagnosis" from various information recorded during the medical examination. . The time difference of this information is the examination required time. The time required for medical examination is an actual numerical value based on the patient's age, sex, name of the patient's disease, doctor in charge, and the contents of medical examination on that day, which are recorded in the electronic medical record at that time. When trying to calculate the actual time required for consultation, the patient's age, sex, name of the patient's disease, doctor in charge, and consultation content are quantified, and if the digitized information is used, the required consultation time can be calculated. It is possible to calculate the time. The medical examination contents referred to here are equivalent to the "subdivided medical examination contents of the next medical examination" described above.
It can be inferred that the accuracy of the desired answer will increase if the doctor's experience is digitized and included in the calculation.
It is speculated that intern doctors, doctors in their 40s, and doctors in their 50s have different levels of skill, so they have different time to come up with solutions to cure diseases.
However, if you think about it carefully, the time information acquired from the electronic medical record is the contents of the sentences assembled and written (key input) by the doctor and the time when the sentences were saved. Certainly, a highly skilled doctor will be able to give an accurate answer (diagnosis) sooner. And it can be inferred from experience that the ability to compose the sentences to be written in the medical record can be quickly assembled. However, considering the typing speed of Japanese on the keyboard and the time required for comprehensive key input up to kanji conversion, it is believed that the key input time is faster for young doctors with good torso vision than for older skilled doctors. think. Therefore, based on this idea, it was judged that there was no need to consider factors such as the doctor's skill level and age when it comes to the time that can be obtained from the electronic medical record. This is only as long as the time information is obtained from the electronic medical record.
From the past medical records of patient A and the doctor in charge, from the information of all past hospital visit dates, the "subdivided examination contents of the next medical examination" for each examination content "The doctor in charge is the patient's electronic medical record" From the information of "time when 9a was opened" and "time when the doctor in charge finished saving the patient's diagnosis content", the examination required time for each examination content is calculated, and the average value for each examination content is obtained. There is also a method of using the average value for each content of the next medical examination to determine the time required for the next medical examination of patient A.
In order to further improve the accuracy, the accuracy of the calculation can be improved by expanding the range to include information on all patients treated by the doctor in charge of patient A. Furthermore, it is estimated that the accuracy will be improved by calculating for each disease name, calculating for each medical examination content for each disease name, and further calculating by dividing the patient's age. For example, the diabetic patient's follow-up examination/diagnosis contents in the prescription, and the patient's under teens, teens, 20s, 30s, 40s, 50s, 60s, elderly, etc. are calculated for each age.
In the case of private clinics where there is only one doctor, this is the method.
The consultation time system 52 calculates the average required consultation time for each disease name and for each consultation content from all the information on the patients each of which is in charge of each doctor. The time required for examination is calculated by the method of calculating the time for each age of the patient. The calculated required consultation time is stored in the required consultation time DB 51 as required consultation time information.
In addition, in order to further improve the accuracy of the required examination time, from the medical information system 9 (electronic medical record 9a) using the platform type medical institution support system 1, multiple doctors at multiple medical institutions and the patient who was in charge of the doctor Using this information, the time required for medical examination is calculated for each disease name, each medical examination content, and each age of the patient in the same manner as in the above calculation. The calculated required consultation time is stored in the required consultation time DB 51 as required consultation time information.
If more accuracy is required, artificial intelligence (AI) will be used, and the time required for consultation will be a satisfactory value calculated by repeating machine learning when saving to the electronic medical record is completed.
This artificial intelligence (AI) approach is described in another section.
In the case of acute outpatients, by eliminating the mentality of queuing early in the morning before the opening of a medical institution and giving them the mentality that it is better not to line up than to wait in line, it will become chronic.
Line up early in the morning, open the hospital, complete the reception process, and spend a long time in the waiting room. Reduce the number of people in the waiting room. It is also possible to make an appointment for a medical examination for the next day on the previous day.
This method of accepting a patient or making an appointment for medical examination using a home or mobile terminal is an existing technology.
Only those who already have a medical examination card can register at home or use a mobile terminal to make an appointment for a medical examination. However, when a medical examination is received using a medical examination card of another medical institution, by using the method of the fifth embodiment, the reception of medical examination can be completed using the medical examination card of the other medical institution.
In order to perform the reception at home or using a mobile terminal, it is necessary to fill out a medical questionnaire. The input of the questionnaire through this network is also an existing technique, and the method of obtaining information from the contents described in this questionnaire and calculating the consultation time will be described later.

Here, the artificial intelligence (AI) used to calculate the time required for examination will be described. Artificial intelligence that uses neural networks in machine learning is used for calculating the time required for medical examination. By using AI, it is expected that the predicted (calculated) time required for medical examination will become a more reliable time required for medical examination, the medical examination will be completed on time, and the next patient will be able to start medical examination at the scheduled time. The learning source information, which is the information source necessary for learning to produce the calculation result of the required consultation time, will be explained. The consultation time system 52 acquires the information acquired as the calculation basic information from the electronic medical chart 9a used in the medical institution 4 as the learning source information, and saves it in the required consultation time DB 51 . The information acquired from the electronic medical record 9a as learning source information includes patient name, age, gender, degree of disease at first visit, corresponding site at first visit, chronic disease name and disease name of multiple patients (disease name information), disease name The information includes the extent of the medical condition (medical condition name information), 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, and the time when the doctor 5a saved the patient's diagnosis and finished. The time during which medical examination is performed, that is, the time required for medical examination, is based on the time obtained by subtracting the "start time of medical examination" from the "end time of medical examination" for each disease name information or medical condition name information, regardless of the doctor 5a, and is used as the electronic medical record 9a. When replaced with the above information, the time is obtained by subtracting the "time when the patient's electronic medical record 9a is opened" from the "time when the patient's diagnosis is saved and finished". This calculated time serves as information on required consultation time for calculation by artificial intelligence, and is stored in DB 51 of required consultation time. In addition, the required consultation time information is stored in the required consultation time DB 51 as one of the learning source information. In addition, when the above-described method is used to add the disease name information or disease condition name information and the time required for medical examination for each doctor 5a, the time required for medical examination by a doctor, which is one of the learning source information, is stored in the necessary medical examination time DB 51. be.

The learning method for obtaining the calculation result of the required consultation time performs learning using information stored as learning source information in the required consultation time DB 51 and the calculated required consultation time as teacher data. As a result of learning, a model can be created that can calculate the time required for medical examination for each medical condition or the time required for medical examination for each symptom. Two models are created: a "doctor's consultation required prediction model" when using the doctor's consultation required time information, and a "medical consultation required prediction model" when not using the doctor's consultation required time information. The two created models are updated and saved in the database 51 of required consultation time. By using information such as the patient's medical condition and gender to be predicted in these models, it is possible to calculate the time required for examination of patients with the same medical condition.

The consultation appointment management system 62 predicts the required consultation time of the patient by using information on the medical condition, age, and gender of the patient whose consultation required time is to be predicted in the created consultation required prediction model. calculate. The calculated predicted time required for medical examination is stored in the DB 51 as information on estimated time required for medical examination.
By using the doctor's consultation requirement prediction model instead of the consultation requirement prediction model, it is possible to calculate the expected consultation time required for each doctor. The estimated time required for medical examination calculated for each doctor is stored in the required time DB 51 for medical examination as information on the estimated time required for medical examination by a doctor.
When there is a fixed attending doctor, the time required for consultation is handled by using information on the estimated time required for consultation with a doctor that predicts the time required by the attending doctor.
Also, if there is no fixed attending doctor, the required consultation time information is used to determine the required consultation time by using the predicted time required by the doctor.

Describe real-time learning.
Adopting an artificial intelligence system will increase the maintenance cost of the system. In other words, the maintenance cost of the platform-type medical information system will increase. In order to save labor in the artificial intelligence system, it is necessary for the system to learn by itself in real time. In this real-time learning, learning operations are performed using the behavior of a doctor who is conducting medical care. Real-time self-learning of artificial intelligence (real-time machine learning) is performed by a doctor saving patient's examination contents in the electronic medical record 9a. When the examination time system 52 detects that the doctor has acted to store the patient's examination contents in the electronic medical record 9a, the examination time system 52 acquires information on the end time of the examination time in real time. The examination time actually required for the examination of the patient is calculated from the obtained end time information of the examination time and the examination start time that can be obtained from the electronic medical record. AI performs self-learning based on the time required for examination calculated at the time of appointment saved in the learning source information, the actual time required for examination, and the information on the medical condition saved in the learning source information. Update the model that calculates the required time. The updated model can be expected to improve the calculation accuracy of the time required for medical examination compared to before the update. In this self-learning, the person who operates the system does not input information, but the person who uses the system (in this case, a doctor) uses the information acquired from the actions in their daily work. there is Therefore, it is possible to save the labor of the system without burdening both the system operator side and the system user side.
If the learning results can be reflected immediately, it can also be used as a model for calculating the consultation time required for the next consultation appointment at the time of the consultation. By learning in real time, the latest learning results can always be used.
Real-time self-learning is used in an unmanned store called AmazonGo (trademark) operated by Amazon.com in the United States. When an error in accounting results is pointed out, the artificial intelligence used in the system learns immediately. It is a method of "reflecting on the system", and it shows that if you give additional information to artificial intelligence, it can learn immediately and reflect it on the system. A feature of this real-time learning is that there is no intervening personnel for learning on the operator side.
There are two differences between the system of the present disclosure and the real-time self-learning of Amazon.com's system.
Amazon.com's system uses "customers" who come to unmanned stores to let them learn artificial intelligence, instead of continuing to learn about artificial intelligence by the system operator or specialized employees. It is an idea. When the person who did the shopping, ie, the user 3 works with the smartphone, the work is performed as learning to the 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 consultation time system 52 on the side of the business operator that operates the artificial intelligence automatically performs calculation processing to learn the artificial intelligence. This is a method that allows real learning to be sustained permanently without incurring labor costs for so-called learning, leading to a significant reduction in learning costs.
In addition, Amazon.com's system only aims to improve the accuracy of image recognition to prevent mistakes due to misrecognition. 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 calculating the required consultation time can be used when the patient is a first visit. 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 the learning, a model for predicting the time required for the initial medical examination is created for calculating the time required for the medical examination for each symptom and the site where the symptom appears. The created model is updated and saved in the DB 51 of examination required time.
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.
The time required for medical examination is calculated by inputting the data of the questionnaire obtained by the above method into a model that can calculate the time required for medical examination.

FIG. 8 shows the database configuration of the second embodiment. In this embodiment, refer to the information stored in each database of the medical economic zone DB 21, the reservation DB 61, the medical information DB 53, and the examination required time DB 51 in one large database (medical information sharing database) that can be connected to information. are using it. The information in the medical economic zone DB 21 stores personal information 22, patient schedule information, and tardiness information. The information in the reservation DB 61 stores reservation information, reservation status information, and reservation available date and time information. Medical score information is stored in the information of the medical information DB 53 . The information in the required consultation time DB 51 stores disease name information, disease name information, learning source information, required consultation time information, predicted required consultation time information, and predicted required consultation time information. A description of each piece of information is given when the information is used.

An example of how to calculate the time required to see a first-time patient complaining of abdominal pain and how to make an appointment 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. When the acquired information was input into the model for predicting the time required for the initial medical examination, and the time required for the medical examination was calculated, the time required for the medical examination was predicted to be 10 minutes.

Further, the learning method for obtaining the calculation result of the time required for medical examination can be used for calculating the time required for medical examination for a patient such as a chronic patient who regularly visits a doctor.
A diabetic patient is shown as an example of a calculation method for a patient such as a chronic patient who regularly visits the clinic.
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 examination time for the male among the males and females, and the shorter the examination time for the attending physician, Doctor A 5a.
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, the artificial intelligence calculates the next consultation time as 10 minutes using a model 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. It may be used as the time calculated by calculating the average time required for medical examination using only the time required for medical examination in the past 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 the calculation using

Combining the required consultation time of the patient with the same medical condition and the same symptom acquired from the electronic medical record 9a with the required consultation time when the patient himself/herself is examined increases the accuracy of the calculation result of the required consultation time by the model. can be expected. Further, the required consultation time may be calculated using only the required consultation time when the patient himself/herself is examined without using the required consultation time of the 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 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 time required for consultation calculated 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, a method for reducing (eliminating) reservation changes and cancellations that result in idle time is the method described below. 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 calculation 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

Appointments made by the medical institution 4 using the medical examination appointment management system are calculated by a calculation processing method using the calculation result of the patient's medical examination required time, the medical institution's appointment status information, and the patient's schedule information, A reservation is made using the calculation result.
The processing method for calculating the available appointment time is to combine dates and times that are inconvenient for the patient (dates and times already scheduled) that can be obtained from the patient schedule information and dates and times that have already been reserved that can be obtained from the reservation status information of the medical institution. Perform exclusion processing. Based on the result of this process, a calculation process is performed by searching for the date and time when the calculated required time for examination of the patient can be secured. The result of this calculation process is the reservation available date and time. The medical examination appointment management system displays the patient's appointment available date and time on the terminal of the medical institution 4 . Furthermore, the consultation appointment management system stores the calculated appointment available date and time in the appointment DB 61 as appointment available date and time information.
Explain how to make a reservation.
There are two types of reservation methods: ``Reserve sequentially from the earliest reservation date'' and ``Reserve at random on the reservation date''. The required consultation time used for reservation is the required consultation time of the patient plus the preparation time of the doctor, and is used as the reservation time. For example, assuming that patient A's consultation time is 8 minutes and doctor C's preparation time is 3 minutes, the appointment time used for patient A's appointment is 8 minutes + 3 minutes = 11 minutes. The system is reserved.
This preparation time means the time for the patient to enter after leaving the examination room, because the doctor cannot enter the information in the electronic medical record in front of the patient and the patient cannot hear the examination information. You have to be prepared to look at the incoming and outgoing patient information and start the examination. The time used for such things is the preparation time. The preparation time is arbitrarily determined by the doctor and may be changed for each patient.
``Reserve in order from the examination start time on the reservation date'' is a conventional reservation system method in which reservations are processed in order from the examination start time on the reservation date.
"Appointment at random on the appointment date" is a method in which appointments are processed at the patient's desired time from the time when the appointment is not booked between the consultation start time and the consultation end time on the appointment date.
When making an appointment, it is also possible to make an appointment by adjusting the appointment time of another patient.
When calculating available dates and times for reservations, you can adjust the times when reservations can be made. As appointments are made according to the patient's wishes, there will be blank time slots with available appointments. If you think about it normally, you can only make a reservation for patients who can make a reservation in the blank time span. In the present invention, this blank time can be adjusted. By shifting the appointment times of already booked patients before and after this blank time zone, it becomes possible to widen the blank time span, and to make an appointment for a patient whose examination required time is slightly longer than the original blank time zone. will be able to However, it is not realistic to adjust the appointment time on the day of the examination.
FIG. 60 shows an example of a consultation appointment for "make an appointment at random on the appointment date". FIG. 61 shows an example of changing the reservation and an example of advancing the reservation time.
In FIGS. 60 and 61, the reservable times are indicated by solid-line squares. As shown in FIG. 61, suppose the patient moves the appointment for the 4th to the 8th. Then, the vacancy of the reservation time will occur on the 4th. The result is "free time" - "time with reservation" - "free time". A request to change the appointment time is made to the patient caught between the vacant times, and if the appointment time is advanced, the vacant time will be collected.
FIG. 62 is a diagram showing an example of adjustment of reservation time. As shown in FIG. 62, there are patients A and B who have already made appointments as an example of adjusting the appointment times. A blank time of 15 minutes can be reserved for the consultation time of the patient A and the patient B. Patient C wants to make an appointment for this blank time, but the consultation appointment management system calculates that patient C's consultation time and preparation time are 18 minutes. In this case, the reservation process for patient C can be made by creating a time width of 3 minutes. In this case, the appointment time can be adjusted by (1) shifting the appointment times of patients A and B, who have already made reservations, by 1.5 minutes, and There is a method to shift all patients who have appointments after patient B who is in the hospital by 3 minutes.
The medical examination appointment management system can perform processing for adjusting the appointment time by processing such methods. It is essential to inform the relevant patient that the time has shifted, and this is done by notification.
If the length of the time when the medical institution 4 has no appointments (the time during which appointments can be made) is slightly short of the calculated required examination time, such as 5 minutes, and the required examination time can be secured by moving the reservation time before or after conduct. The schedule information of the patient whose appointment time is to be changed is confirmed, and this time adjustment is performed only when the date and time are not inconvenient for the patient, such as when another schedule is scheduled before or after the visit to the hospital. When the appointment time is adjusted, the patient whose appointment time has been changed is notified of the new appointment time by e-mail or the like from the examination appointment management system. In addition, if the reservation time is to be changed by more than the time predetermined by the system, such as 10 minutes or more, the changed reservation time will be set as a temporary reservation time, and when informing the change of the reservation time, permission to change the reservation time ( acknowledgment). If the change of reservation time is approved, the tentative reservation time becomes the official reservation time. If you do not agree to change the reservation time, the reservation time before the change will remain.
For example, suppose that there is a free time after the appointment immediately after the desired appointment time, which is longer than the time required for the medical examination. By delaying the reservation time of the next patient's reservation time by the amount of time that is not enough for the examination required time, the examination required time is secured and the reservation is made.
In the example, it is immediately after, but it is also possible to secure the time required for medical examination by shifting the reservation of several people.
To obtain the reservation status information of the medical institution used to calculate the available date and time for reservation, the reservation status is obtained from the reservation system 9d in the medical information system 9 used by the medical institution 4, or the reservation in the medical information sharing database 2 is obtained. This is done by acquiring the reservation status from the DB 61 .
If there are multiple dates and times available for appointment, the patient can display the date and time when the patient can visit the hospital on the terminal of the medical institution, and the patient can make an appointment for the date and time selected from the displayed date and time. When the appointment date and time is determined and the appointment is made, the consultation appointment management system records and saves the appointment date and time, the patient's expected required consultation time information, and the consultation completion time in the reservation DB 61 as the patient's appointment information. By calculating the patient's schedule information, the calculated time required for consultation, and making the next appointment, the time required for consultation is calculated and the patient's schedule is taken into consideration when making an appointment for consultation, which can be expected to reduce changes in appointments.
Even if the patient's appointment is taken into account, the patient's schedule may be involved in various circumstances, and it may be necessary to change the appointment.
When a patient changes the appointment time, there is a blank time of several minutes to several tens of minutes unless another patient makes an appointment. Therefore, by applying the method of adjusting the appointment times of other patients and making appointments as described above, it is possible to adjust the appointments and reduce the blank time.
The blank time is reduced by changing the appointment time of the patient who has made an appointment before and after the time left by the appointment change.
The doctor can arbitrarily set the time to prepare for the medical examination in order to start the medical examination on time for the patient who is taking preparation time for the appointment. If you fit in, you can make a reservation You can make a notification that can be embedded in the combined preparation time before and after (preparation time x 2), and the content of the notification is that the reservation time has changed. The time adjusted to make an appointment in the band is the time shifted from the examination start time,
The deviation time is a time that does not affect the patient. In calculating the available appointment date and time, the examination required time calculated by artificial intelligence using the examination requirement prediction model or the doctor examination requirement prediction model can also be used. . By using the calculation results of artificial intelligence, it is expected that the accuracy of the calculation of the time required for medical examination will be improved.

Here, an operation example of medical examination reservation using calculation of medical examination required time will be described. As mentioned above, medical examinations at hospitals are carried out at set times, much like a train timetable.
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, preparation time (time for cleaning up the previous patient's examination and preparation for the next examination) is provided between each patient.
The 10 minutes from 9:00 to 9:10 are the 5-minute preparation time for Mr. C's examination, and the 15 minutes from 9:15 to 9:30 are the 5-minute preparation time for Mr. D's examination, from 9:35 to 9:35: The 20 minutes of 55 is the preparation time for Mr. E's 5 minutes of examination time.

In the case of a chronic patient, since the consultation time is calculated using the past consultation times by the family doctor, 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 can view patient schedules and change appointments on the portal site. In the same way as the actual reservation made by the medical institution 4 using the medical examination reservation management system described above, the change of the reservation made by the patient on the portal site is performed based on the calculation result of the patient's medical examination required time, the reservation status information of the medical institution, and the patient's schedule. This is done by narrowing down the date and time when the patient can visit the hospital by a two-step method using information.

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 scheduled 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 at the appointment time, even if the examination time is accurately calculated, the examination cannot be performed according to the schedule.
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's 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 arrival 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 reception to the terminal held by the patient. 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. If it is known that the patient will be late, the medical institution 4 can take any measures. 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.

With the "calculation of required time for medical examination and appointment of medical examination taking into account 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 "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. A patient uses the coupon to wait for a medical examination at a commercial facility or a restaurant. 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 "Perform notification processing to the terminal that receives the appointment."
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.

Up to this point, we have explained the business model of calculating the time required for medical examination and making an appointment based on the patient's schedule and the automatic reception using location information. The medical institution 4 can also predict sales by using the information of "consultation appointment with consideration of
The reservation sales calculation system 63 on the platform-type medical institution support system 1 obtains the reservation patient information for one day on which the sales forecast is to be performed from the reservation status information. From the medical information DB 53, the medical fee point information corresponding to the scheduled medical examination contents of the acquired reservation patient is acquired. 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 examination appointment management system 62 in the medical information system 9 used by the medical institution 4. ing.
The reservation sales calculation system 63 can grasp the sales situation for one day of reservation patients on the desired prediction day by totaling the acquired medical fee points for the desired prediction day.
The medical fee point information stored in the medical information DB 53 indicates the information of the medical point points determined by the country for each medical treatment. In the case of medical services covered by health insurance, 1 point is set at 10 yen, so sales can be grasped from the points.
In the above explanation, the sales forecast for one day is used, but the forecast for one week, one month, etc. can also be performed in the same manner.

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 calculates 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.

Provide a service that uses the "medical examination reservation that calculates the time required for medical examination and takes into account the patient's schedule", "sales forecast using reservation status information", and "automatic reception using location information" explained in this embodiment. The business model enables us to be closer to patients and to improve traditional medical practices.

<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 is to provide a service capable of supporting the lives of healthy elderly people and sick people, including contributions to health management and formation of a non-disease society.
A smart speaker is used as an interface for the user 3 to provide this healthcare service. The reason for using the smart speaker is to carry out health management, formation of a disease-free society, and life support by having a conversation with the user 3 at home. The conversation with the user 3 using the smart speaker is a "virtual dialogue or conversation" in which a scenario (script) is created, and the scenario (script) for dialogue or conversation with the user 3 is provided by the medical institution 4 A scenario is created by a medical worker 5 such as a doctor 5a or a nurse 5b who works at a hospital.
It is devised that various data can be acquired from the dialogue or conversation, and the acquired data can be analyzed and developed as services such as social support, life support, health support, and medical support.
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 medical care is 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, the user 3 can be supported by looking at the data, and a large number of users 3 can be supported at once. is a new business model for hospital management.
Originally, the smart speaker was a business model of an interface for providing information to the user 3 by the platform company, and here is the foundation of the information business based on the information acquired from the conversation that connects the user 3 and various companies through conversation. It was devised as a platform business model to provide.
This business model can be applied not only to medical institutions 4 and the healthcare field, but also to local governments and business entities in a wide range of fields. It is a platform business model that provides services that can be easily deployed to enter the business.
In this platform business, a medical worker 5 and a remote user 3 have a conversation using an electronic device 73, collect information from the conversation, save it in the medical information sharing database 2, and save it in the medical information sharing database 2. By using information that can be obtained from conversations that have been conducted to examine users 3, provide support services to users 3, and construct new services by analyzing information on all users 3 and taking statistics from the data, data The purpose is to be able to develop as a business that takes advantage of and to make it easy to enter.
In this invention, a method of conversation based on a scenario that is not possible with a business system by a platform company using smart speakers and smart devices, a method of obtaining more desired information from the conversation, and a method of obtaining information related to medical and health care over a long span It was devised to find changes from data (information) and apply it to health management, health maintenance, and early detection of medical conditions. Furthermore, it is a platform business model that allows this system to be used by entities other than the healthcare field.
So far, we have explained the services that can be done using smart speakers, but here we will collectively define all the explained services as "healthcare services".

The hardware (smart speaker) used in the operator system by the platform operator will be explained.
A smart speaker (electronic device 73) already in use in the market is installed in the home of user 3, and has a function of recognizing user 3's voice and a function of easily conversing with user 3 in natural language. , It has a function to operate the AI system prepared on the external network by the platform operator developing the business by voice, and a 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 products such as Amazon Echo (registered trademark), Google Home (registered trademark), HomePod (registered trademark), and ClovaWAVE (registered trademark) 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).
In the explanation of the smart speaker so far, there was a function that allows easy conversation with user 3 in natural language. "Easy conversation in natural language" in this explanation means that the response from the smart speaker to the one-sided question, question, or request from the user 3, and the response to the request can be expressed in "natural language." It is explained as "simple conversation" and is not a conversation rally between user 3 and the smart speaker.
Here, the operator system of the platform company that develops smart speakers will be explained. The business operator system is a system on the cloud (on the external network), and includes an AI assistant system necessary for conversation between the electronic device 73 generally called a smart speaker and the user 3, and the user 3's hobbies and preferences. It is a system that stores information for providing services using the DB and smart speakers. Commonly known AI assistant systems include Alexa (registered trademark), Google Assistant (registered trademark), Siri (registered trademark), and Clova (registered trademark). Generally, the AI assistant system used by this business operator system can only conduct simple conversations such as one question and one answer, and does not speak from a smart speaker (AI assistant system). In addition, when the smart speaker needs to notify the user 3 of something (for example, an update notification), the user 3 is notified by lighting the lamp of the smart speaker. User 3 who sees the notification can communicate the content of the notification for the first time by speaking to the smart speaker.
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 the data measured from the body by the smart device in a server installed on the 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 a step further.

Coordination necessary for realizing the present invention will be described.
Platform companies that develop smart speakers need to cooperate in order to use the company's system that runs the AI assistant system. The platform company owns the ID and password of the user to use the smart speaker. The ID, password and operation status for using the smart speaker will be used as they are by the platform company. The operation by the operator's system of the platform company is started by "calling" the wake word from the user side to the electronic device. For example, in the case of Amazon, "Alexa" and "Call", and in the case of Google, "Ok Google" and "Call" are connected to the operator system of the platform operator.
Similarly, when using the present invention, the operator system of the platform company that receives wake word information for connecting to the communication system 74 "calls for a wake word" connects to the communication system 74 of the present invention. Or switch connections. As a result, the smart speaker at user 3's home and the "communication system 74" are connected. From this connection, you can have a conversation and get the desired information from the conversation. On the other hand, the method of transmitting information after establishing connection communication from the business company side to the user 3 is to "call for a wake word" in the same way when using the present invention. The business system of the platform business company that receives the information connects or switches the connection to the communication system 74 of the present invention. As a result, the smart speaker at user 3's home and the "communication system 74" are connected. From this connection, you can have a conversation and get the desired information from the conversation. On the other hand, the method of transmitting information after establishing communication from the business company side to user 3 is the conventional method of transmitting information from the platform business side to user 3 or establishing communication with the electronic device at home. Sending an action message saying "I have information to convey", and after the user 3 notices it, by making the "call" explained earlier, the connection between the electronic device and the platform company's business system is established and information is transmitted. is performed from the operator's system. In contrast to this method, when information is transmitted from the communication system 74 of the present invention to the user 3, the communication system 74 is directly connected to the electronic device at the home of the target user 3 via the platform company. . However, just because it's connected doesn't mean you can talk to it immediately. Check if there are people in the house, talk to them only when there are people, and the conversation will start from there. How to check whether there is a person in the room is described separately. In this way, it is the business model of the present invention that uses the backbone of the conventional platform company to acquire information through conversation from the user 3 and to acquire information through conversation from a conversation with the user 3 . FIG. 63 shows a connection configuration between the platform company described here and the present invention.
In the present invention, an electronic device utilization system 72 installed in the platform-type medical institution support system 1 on the network is connected separately from the electronic device 73 generally called a smart speaker and the operator system of its operator. basic functions can be used. The basic functions include "(1) a function of collecting conversational information from a conversation with the user 3", "(2) a function of analyzing 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) A function of collecting conversations function to share information with the medical institution 4”.
This invention operates in cooperation with the business system, uses these five basic functions, analyzes the results of conversations with users, and provides services such as social support, life support, health support, medical support, etc. intended to expand. In particular, when the user 3 is near the electronic device 73, it is possible to talk from the electronic device 73 side and to perform a conversation rally in which the conversation between the electronic device 73 and the user 3 returns multiple times. This is a point that is clearly different from the one developed by

Here, the configuration of the system of the present invention including the provider system will be described.
FIG. 64 shows an example of connection between the provider system and the smart speaker (electronic device 73). As shown in FIG. 64, the provider system and the smart speaker are connected via a network. FIG. 12 shows an overall diagram when the electronic device utilization system of the present disclosure is connected to an example of connection between the provider system and the electronic device 73 . As shown in FIG. 12, 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. there is In addition, the electronic device utilization system 72 is connected to a business operator system, institutions belonging to the medical economic zone 24, and the like via a network. Conventionally, the electronic device 73 is connected to domestic devices such as a television receiver.
Further, the electronic device 73 is provided with an interface (connector) that enables connection with domestic devices such as telephones and interphones.
The purpose of using the telephone or intercom connection is to acquire the sender number from the telephone and to acquire the image of the visitor from the interphone, and will be described separately.
Some electronic devices 73 are connected to home devices using a home network such as a wireless LAN or a wired LAN.
Of the overall diagram shown in FIG. 12, the electronic device utilization system 72 will be focused on and explained. The electronic device utilization system 72 is composed of 10 databases and 21 pieces of information in the 10 databases, as shown in FIG.
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 10 databases mentioned above and the 21 pieces of information in the 10 databases will be explained.
The electronic device utilization system 72 refers to 10 databases in the medical information sharing database 2 to perform processing. Reference databases for information by the electronic device utilization system 72 are (1) user voice DB 171, (2) medication management DB 121, (3) settlement-related DB 101, (4) exhaustion time information DB 111, (5) conversation script DB 91, (6) crime prevention DB 131, (7) disaster action DB 151, (8) medical economy zone DB 21, (9) living environment DB 113, and (10) action information DB 93, 10 databases. These 10 databases are 10 databases that are relationally connected to the medical economic zone DB 21 using one of the information stored in the medical economic zone DB 21 as a key.
The categories of information stored in the 10 databases referenced by the electronic device utilization system 72 are information for each piece of information acquired from the conversation between the electronic device 73 and the user 3, and information created for the conversation. It is organized into categories of information and information for each information acquired from electronic devices connected to smart speakers,
The classified information is "conversation medical condition information, conversation life information, activity assistance information, conversation going out information, going out information, medical condition conversation script 92a, life conversation script 92b, shopping history information, exhaustion period information, medication status information, remaining Drug information, face photo information of criminals, etc., voice information of criminals, etc., keyword information related to crime, caller number information, caution caller number information, action information tailored to disasters, evacuation status information, personal information 22, There are 21 pieces of information of "living environment information, behavior information".
The details of each database included in the 10 databases, the databases serving as storage destinations for the 21 pieces of information, and the details of the 21 pieces of information will be sequentially described.
10 databases in one large medical information sharing database 2 shown in FIG.
There is a user voice DB71. This user voice DB 71 stores voice information obtained from the conversation between the user 3 and the smart speaker, and serves as a basic database for providing services using this information.
The electronic equipment utilization system 72 has a function of storing the information of the conversational speech obtained from the electronic equipment 73 in the user speech DB 71 .
One large database consisting of 10 databases, the medical information sharing database 2, which is a so-called big database, is used by people, medical institutions 4, companies, business operators who conduct business in the medical economic zone 24. , and this personal information 22 of the user 3 is managed in a medical economic zone database (hereinafter referred to as a medical economic zone DB 21).
This medical economic zone DB 21 is a core master database in which 10 databases in the medical information sharing database 2 are relationally linked.
It is an information-driven business that provides healthcare services to users 3 by using 21 pieces of information.
Here, 21 pieces of information have been explained in order to provide healthcare services, but in order to provide services in other business entities, so-called businesses other than the healthcare field, information and databases suitable for the field are added again. As a result, it will be possible to provide services in businesses other than the healthcare field.

The user voice DB 71 in the medical information sharing database 2 of the present disclosure stores conversation medical condition information, conversation life information, action assistance information, and conversation outing information.
Conversational medical condition information is voice 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 speech 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 keywords relating to medical conditions or keywords relating to living conditions. Details of the analysis method will be described later.
The out-of-conversation information includes where the user 3 has gone out, the time required to go to the out-of-town, the method of transportation, the purpose and content of the out-of-town, the people whom the user met on the out-of-the-go, and the conversations with acquaintances remembered on the out-of-the-go. Among the information related to going out, such as the content and the details of eating out at the place where the user 3 goes out, it is the information that the user 3 remembers about the time of going out, which is acquired by the electronic device 3 through the conversation between the electronic device 73 and the user 3 .
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 above explanation, it is stated that "extracting the voice information of the conversation that becomes the necessary answer", but the method of extracting this voice information is to Immediately after 73 advances the conversation and speaks a question for eliciting an answer from the user 3, the voice spoken by the user 3 is the desired answer and becomes the voice information. The speech information extracted from this portion is conversational medical condition information or conversational lifestyle information. The scenario (script) is explained hereafter.
In addition, it explains that "things obtained by extracting voice information are conversational medical condition information or conversational life information." Here, a description will be given of how to determine whether the object from which the voice information is extracted is conversational medical condition information, conversational life information, or whether the object from which the voice information is extracted is any of them. To distinguish between these, when creating a scenario (script) for the contents of a conversation rally, create a scenario that is set to extract as conversation medical condition information if the desired answer is a medical condition or an answer related to a medical condition. Also, if the desired answer is an answer about a living situation related to life, the information contents can be handled separately by preparing a scenario in advance so as to extract it as conversational life information.
For example, if the financial business operator creates this scenario and wants to ask the user 3 about their savings method and asset status, the information extracted from the conversation is used as conversation savings information, or the conversation Asset information may be used. In this way, it can be used in a wide variety of business types.
In the case of the electronic device 73, which is generally called a smart speaker, a conversation to answer a question from the user 3, that is, a simple conversation with one return (a simple conversation with one question and one answer) is performed, and the content of the conversation is is preserved as it is.

Here, the replacement of voice information acquired by the electronic device 73 from a conversation with the user 3 as character data will be described.
The electronic device utilization system 72 replaces the voice (audio information) acquired by conversation between the user 3 and the electronic device 73 using a known voice recognition technology (for example, an AI assistant system in the operator's system) into text data. do. After that, the replaced character data is decomposed into words using a known technique (for example, morphological analysis). From character data decomposed into words, main points are extracted and stored in the user voice DB 71 as conversational medical condition information or conversational life information.
Hereinafter, voice information acquired in conversation between the electronic device 73 and the user 3, such as conversation medical condition information and conversation life information stored in the user voice DB 71, is converted into character data and treated as information broken down into words. Not only conversational medical condition information and conversational life information, but also speech information acquired in conversation between the electronic device 73 and the user 3, which will be introduced in the future, is converted into character data and handled as information broken down into word units.
At this time, numerical information such as voice volume, conversation pitch, time until answering a question, etc. is acquired from voice information acquired in conversation with user 3, and voice information converted into character data (for example, conversion into character data It is stored in the user voice DB 71 in association with the conversation medical condition information and conversation life information).
As a method of recognizing words from voice, the technology described in Japanese Patent No. 6733891 is generally known as an existing technology.

With the electronic device utilization system 72 of the platform-type medical institution support system 1, the electronic device 73 can have a conversation with the user 3, and the electronic device 73 installed at the home of the user 3 and the user 3 can return from the 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 device utilization system 72 on the platform type medical institution support system 1) do. 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.
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 the conversation medical condition information of 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) , conversational life information, etc., to analyze the situation of the user 3 or the state of the user 3 . This function is provided using an AI program on the electronic device utilization system 72 .
The analysis function is a function that analyzes the physical condition, behavior pattern, etc. of the user 3 based on conversational medical condition information and conversational life information acquired in a conversation with the user 3 . The analysis performed by the electronic device utilization system 72 is performed using conversational medical condition information and conversational life information, using machine learning using an association analysis method. This machine learning finds related information from the information stored in the conversational medical condition information and the conversational life information, and calculates (analyzes) the status of the user 3 or the state of the user 3 from the relationship. Some examples of analysis using conversational medical condition information and conversational life information are shown.
Example 1 "Analysis using blood pressure data, meal 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 the amount of salt in the diet and the content of exercise are related to blood pressure, and it is believed 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 analyzed 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. analyzed.
Machine-learned artificial intelligence will combine multiple pieces of information stored in conversational medical condition information and conversational life information, and by finding relationships, let's process analyzes about patients that have not surfaced until now. In the case of Example 1 above, the relationship between blood pressure, salt content, and exercise amount is used, and in the case of Example 2, the relationship 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 function uses a script creation program on the electronic device utilization system 72 as a conversation script 92 for obtaining information necessary for analyzing the state of the user 3 from conversations with the user 3 .
Using the script created by this script creation 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 the medical staff 5 or the like to elicit the desired answer from the user 3 . When the medical staff 5 or the like inputs the content to be acquired, ie, the content to be heard, into this program, a question is created that allows the acquisition of an answer to the content to be acquired 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 92a and a daily life conversation script 92b. The purpose of the medical condition conversation script 92a is to acquire keyword information related to disease, which is information on keywords that are used to obtain desired answers 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 92b is to acquire keyword information related to life, which is keyword information that has been obtained by asking for a desired answer related to the living situation of the user 3 or the living situation of the user 3, and to accumulate the information in the conversation life information. It is a conversation script 92 that has been written. The created medical condition conversation script 92a and the created daily life conversation script 92b are stored in the conversation script DB 91 in the medical economy zone DB 21. FIG.
The electronic device 73 of the present disclosure has a conversation with the user 3 using the medical condition conversation script 92a or the daily life conversation script 92b, and uses keyword information related to disease or keyword information related to life to acquire keywords. 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) can be used to create questions from which answers to desired content can be obtained through conversation, and to estimate some expected answers to the questions, which are 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 the correct question, and if the unexpected answer is received, the AI learns that the question was inappropriate. 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 created to obtain various answers, and the answers are accumulated. Therefore, scripts for obtaining various answers and information on answers corresponding thereto 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.
In the above explanation, it is assumed that the conversation script 92 is created by "inputting the content to be heard". It is also possible to input not only the content to be heard, but also the content to be conveyed, and create a conversation script 92 that matches the content.

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 content of advice to the user 3 .
As the original information for creating the action assistance information, the action information DB 93 stores the action information as the basic action information for each case. The electronic device utilization system 72 acquires behavior corresponding to the analysis result from the behavior information. The acquired action information becomes the action assistance information. Storing of the action information DB 93 is registered by the medical staff 5 using a terminal or the like at the medical institution. Also, registration is performed using an AI program that creates behavior information in the electronic device utilization system 72 . This AI program is based on unsupervised learning using information on living conditions acquired and accumulated as conversational life information, information on disease conditions acquired and accumulated as conversational medical condition information, and information on behavior acquired and accumulated as conversation outing information. Works with machine learning techniques. The AI program combines and accumulates information on living conditions or disease conditions acquired through conversation, and information on actions taken immediately after the conversation, learns and learns actions that should be performed by frequently combining, and learns actions to be taken. Register as action information.
As an example, the body temperature information of the user 3 is obtained from conversation medical condition information obtained from the conversation using the medical condition conversation script 92a for asking the user 3's body temperature, and the conversation life obtained from the conversation using the life conversation script 92b for asking the user 3's 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 uses an AI program for analysis to determine (analyze) that the user 3 has a cold, and recommends that the user 3 go to bed early, take cold medicine, or if the condition is the same the next day. For example, it creates and saves action assistance information that prompts the user to visit the medical institution 4 . 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 communicated to the three users themselves, but also processed to be notified to family members who live together and family members whose contacts are registered and who live far away. This contact information is registered by setting it in the patient information DB 161 using a terminal owned by each concerned person such as a family member or guardian.
Assuming that ten years have passed since the user 3 used the service of the present invention, ten years' worth of information history is stored in the database. It is possible to easily find a change point in the accumulated information from the past to the present in the long span information from the start of service use, and the change point is the beginning of the medical condition, and the medical condition is suspected at an early stage and improved in a mild state. can be done.
This change point avoids an important problem.
For example, based on the information acquired from the conversation with the user 3, when the time to reply to the question (time to answer) begins to increase, the question "What did you have for dinner?" Looking at the response time to the same question every time from the present to the past, the current time is 2msec, 10 years ago when I started using it was 1msec, and 5 years ago was 1.5msec. is accumulated, it is calculated that it is obviously taking time to reply.
This makes it possible to find out the corresponding user by the process of calculating the response time from the present to the past from the conversation life information and looking at the process of change from the accumulated information. The determined applicable persons are marked and health management is performed by carefully watching the future situation. If the process of change is severe, the information will be provided to the physician who participates in the health care service and is contracted as the service administrator of the patient in question for professional detection.
Also, at the time of creating the scenario, answers that weren't supposed to come back, times when the answers started to shift, times when simple answers that you should know were wrong, times when public answers stopped appearing, When you forget to make an appointment, such as going out, you can mark these at the time of answering. A new form of information that can be collected from daily conversation can be detected and a doctor's examination can be performed. And these changes are based on the age of the user 3, physical strength, age, reactions caused by fatigue, forgetfulness, etc., memory impairment, single memory impairment, senile memory impairment, early dementia, and information that can be obtained. A variety of inferred medical conditions can be processed by the electronic device-based system 72 . The electronic device utilization system 72 is a method of sending data to the doctor 5a of the medical institution 4 who has a health care service contract with the user 3, or the doctor 5a uses a terminal to send the data to the electronic device utilization system 72 via the network. It is possible to examine the data by any of the methods of connecting to the doctor 5a and ask for a judgment from a medical point of view. As a result of the judgment by the doctor 5a, it is recommended that the user 3 go to the medical institution 4 if a diagnosis is required. Up to this recommendation, the electronic device utilization system 72 performs conversation. Appointments to medical institutions are made using the method described in the second embodiment. This reservation is also made by conversation using the electronic device utilization system 72 . The electronic device utilization system 72 accesses the reservation system in the platform-type medical information system, acquires the patient ID (administration number of the medical institution) of the user 3 from the patient information DB 161, and makes a reservation using that patient ID. . When the reservation is completed, the medical examination start time and the time to leave the house are registered in the reservation date of the user 3's schedule. At the same time, the reservation scenario is used to communicate the appointment date, examination start time, leaving home time, and schedule entry in conversation.
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, dementia has already progressed, and it is a mistake in today's society that there are many cases where people 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 the determination processing by the electronic device utilization system 72, the doctor 5a examines the data and makes a determination. 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. Physician 5a is in the form of a health care service contract with user 3 and a lifelong contract as an attending physician. It leads to being stable without it.
Furthermore, the doctor 5a can acquire the desired information by creating a scenario with a script creation program and having a conversation with the user 3 in order to acquire the desired information from the daily life of the user 3.
The electronic equipment utilization system 72 has captured the transition from the non-infirmed person's daily routine to the patient.
From here, the application of dementia testing using smart speakers will be described.
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. This can be done by talking with the smart speaker of the electronic equipment utilization system 72 at the user 3's home 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. Also, this test has the answer. When the scenario is created, the answer to the question is registered, and if the answer is the same as the registered answer, it is scored 10 points. can be processed.
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.
Early detection of dementia can be performed by using the electronic equipment utilization system 72 as explained so far.
I think it is a very good service for those who are highly conscious of their health and do not want to develop dementia in the future.
In addition, if there is suspicion in people who are highly health conscious and do not want to get sick, or in people who want to end their lives satisfactorily, aging can be detected at an early stage through 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 by acquiring information on daily meals. Acquire information by asking various questions about meals by creating a script. 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 content of the conversation, the time required to go out, the method of transportation, conversations with acquaintances, eating out, etc. It is also possible to share information with the medical institution 4 as the transition. The electronic device utilization system 72 of the present disclosure utilizes the above-described information related to going out contained in the conversation going out information, so that the time of exercise, the time of walking, the time or distance of walking, the time of going out, the amount of exercise, etc. By obtaining information about the amount of exercise and meals such as the amount of exercise when data can be obtained, the content of meals, the number of meals, the amount of meals, the main meal content, etc. through conversation, it is possible to understand the amount and content (tendency) from meals. It is possible to analyze health conditions and aging based on transitions, transitions in amount of exercise, transitions in number of outings, and transitions in distance.
This analysis is performed by finding 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, etc., from the time transition from the past to the present.
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 equipment utilization system 72 grasps the change in the ability to act or the tendency to go out, it is also possible to create a conversation script 92 asking the reason and ask the user 3 in conversation.

From here, the acquisition of information from the vehicle and the determination of the state from the information will be described.
Conversation scripts are created so that the contents of what the user 3 said while he was out and his actions while he was out are stored as information while he is out, and are stored in the user voice DB 71 for storage processing. 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. Explain how the car obtains information. The insurance company sells a drive navigator that acquires information from the car and installs it in the car to acquire information. Impossible. In the description of the present invention, the communication system 74 that utilizes and can be connected to the backbone of the platform operator has been described. As of the filing date, the car is equipped with a unique car navigation system developed by the platform operator. This car navigation system is a car version of the smart speaker installed at home described in the present invention, and has the same functions. Therefore, this car navigation system can also be connected by using the communication system 74 . It becomes possible to have a conversation with the user 3 in the company from the electronic equipment utilization system 72 .
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) developed by the aforementioned platform operators. Questions and requests from the user 3 (driver) to the AI are transmitted to the user 3 through the vehicle's wireless communication by the operator's AI. 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.
In addition, a script (scenario) for acquiring information from the user 3 in the vehicle can be created, and by having a conversation with the user 3 through the navigation system installed in the vehicle, desired information can be acquired and saved. .
The electronic device utilization system 72 of the present disclosure acquires answers such as the physical condition of the driver of the car (user 3) and the delay in response while driving by combining the acquired out-of-home information over a long period of time. It is possible to determine the transition of the state from the acquired information, which is useful for early detection of dementia and the prevention of accidents caused by deterioration of the body.
In the early stages of dementia, it is not a 24-hour cognitive inability to develop. In the early stages, there is a period of time during which unrecognized symptoms develop for only a few hours during the day; In such a state, it will be a serious problem if the unrecognizable time starts while driving the car. Unable to recognize the road, unable to recognize where you are, unable to recognize where you are running, unable to recognize which direction you are running, unable to recognize the accelerator or brake, unable to recognize signals and signs, and unable to drive. Almost every day, there are accidents in Japan where people who suddenly enter a state where they cannot recognize themselves drive in the wrong direction or crash into the road without stepping on the brakes.
As one of the methods for finding symptoms that are not recognized for several hours, the number of times of sudden braking or sudden start can be obtained and used. Information on sudden braking or sudden acceleration is detected by the acceleration gyro sensor built into the drive recorder, and can be acquired by linking the drive recorder and the navigation system. As an example of the acquisition method, there is a method of using automatic detection technology by AI used in Telecom's Dr. License (registered trademark) service.
The state of not being able to recognize it starts from the state of driving in a car, and the act of driving itself turns into wandering in the car, and if you are lucky, the time when you can recognize it naturally without anything happens over time. You will be able to visit and return home safely. However, as dementia progresses, the amount of time that people cannot recognize becomes longer and longer. How to protect from such a situation will be a social contribution. Since the platform operator's navigation system is installed, information on the location and driving conditions of the vehicle can be obtained and the contents can be understood. , it is possible to determine that the user has lost recognition due to the sudden disappearance of the response or the acquisition of an unexpected and strange response. Even with this much information, it is difficult to prevent accidents from occurring. Based on the information up to this point, it is possible to perform processing based on the logic of notifying family members and guardians, or notifying police and fire departments of the situation. The contact information to be notified is saved in the patient information DB, so that information is used. The police and fire department can notify the local police and fire department by searching for the position information of the vehicle position and traveling direction.
Furthermore, since the electronic device utilization system 72 cannot stop the car, it can only perform the process of making the user shout "Stop the car!" rather than having a conversation.
In the future, if automatic driving technology evolves, it will be possible to safely stop the car and automatically call the family, ambulance, or police by collaborating with this invention.
Until such self-driving technology evolves, the user's family or guardian sets the driving distance from home corresponding to the time that can be perceived, and the safe driving area, and the car leaves the area. If you decide that you can no longer recognize it, you have no choice but to make an emergency call.
Early detection is possible by starting a conversation with a created scenario, and acquiring words that are unconsciously uttered from responses during the conversation, that is, changes in words that are not assumed in conversation. Conversation becomes unrecognizable.
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
Even if three users are informed of suspected dementia, presumed decline in cognitive function, and presumed decline in motor function, they do not necessarily stop 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.

A method of talking to the user 3 at home from the electronic device utilization system 72 will be described.
In the operator system operated by the platform operator, the smart speaker does not talk directly to the user. This idea also does not speak directly. In order to talk to the user 3 from the electronic device 73, it is meaningless to talk to the user 3 when the user 3 is not at home or when no one is home. The electronic device 73 can talk to the user 3 only when it determines that the user 3 is at home. In the present invention, before speaking to the user 3, it is determined whether or not the user is present. The electronic device 73 needs to determine whether or not the user 3 is at home or whether or not he or she has returned from going out. This determination method will be described. A portable terminal possessed by a user 3 is used, and a state resulting from receiving and using a wireless signal emitted from the portable terminal is used for determination.
When the mobile 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. The electronic device 73 determines that the user 3 has gone out 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, and the mobile terminal and the electronic device of the present disclosure are determined. The electronic device 73 determines that the user 3 has returned from going out when the state of disconnection with 73 is switched to the connected state by a radio signal. By transmitting the information that the user is present to the electronic device utilization system 72, the electronic device utilization system 72 starts a conversation with the user 3 if set.
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 from going out are only 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 Also, when the user 3 has left the portable terminal at home and leaves the house, if there is no response from the electronic equipment utilization system 72, the user 3 is not at home, and after a certain period of time, it is determined again. Talk to user 3.

The fifth function, which is the function of sharing the collected conversation information with the medical institution 4, saves and accumulates information such as conversation medical condition information and conversation life information in the user voice DB 71. By accessing (connecting to) the electronic equipment utilization system 72 using a terminal of the medical institution 4 connected to the equipment utilization system 72 and referring to or obtaining information in the user voice DB 71, the medical institution 4 and the information You can also share.
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 .
When the doctor 5a has desired information, he uses the conversation script 92 to create a conversation scenario for obtaining the desired information, and registers it in the conversation script DB, thereby obtaining the information from the conversation with the user 3. can do.
Here, how to create a scenario (script) for conversation using the conversation script 92 will be described.
If there is desired information, ask the AI to provide questions to obtain the desired information.
For example, when the doctor 5a wants to know the salt intake of the user 3. The doctor 5a types "I would like to know how much salt is taken from the dinner menu" to AI on the keyboard. Then, the scenarios output by the AI are: "Question 'Did you have dinner last night?' ] ``Obtain information about the food you ate from user 3's response'' Question ``What was the miso soup ingredient? "Obtain information on ingredients after drinking miso soup from user 3 response" Question "What was the most salty food? 'Obtain information about the food eaten from the response from User 3', such a scenario is output from the AI. Enter the conversation scenario you want to add with the keyboard and finish the script. Further, the user 3 who wants to acquire is set. Set the person you want to talk to. A target user 3 is selected from among the users contracted with the doctor 5a using the electronic device utilization system from the patient information DB. For example, 50 people including Mr. Tanaka, Mr. Sato, Mr. Yoshida, and Mr. Yamada are set. Set a time to start the conversation. For example, "everyday at 7:00 pm", "Sunday at 7:00 pm", or "Monday, Wednesday and Friday at 8:00 pm" are set. Scenario creation, conversation partner, conversation time, conversation day and day, and these settings are set in the created conversation script 92 . The set conversation script 92 is registered in the conversation script DB 91 . Conversation will be held at the set time and day.
By sharing the information in the user's voice DB 71 with the medical institution 4, the doctor 5a can see the changes in the user's 3 daily living conditions and measurement results such as blood pressure, which is useful for diagnosis and treatment. can also
In the case of numerical data such as wake-up time, bedtime, physical condition, weight, body fat percentage, blood pressure, body temperature, etc., the medical institution 4 sets and saves numerical thresholds in the personal information 22, and the information obtained from the conversation is Information obtained when the threshold is exceeded can be shared with the medical institution 4 . The threshold may not be an explicit value, but may be a specific difference between the information stored in the conversation life information or the conversation medical condition information from the past to the present and the acquired information. The detection of specific differences uses anomaly detection technology that uses unsupervised learning, which is one of the widely used existing machine learning technologies. 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 acquired as the conversational lifestyle information decreases in a downward sloping manner, but the value of the sloping decrease deviates 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 to obtain information using the conversational daily life information or the conversational medical condition information of the user 3. When you want to tell the user 3 to urge improvement, you can create a conversation script 92 by inputting (registering) the content you want to tell, and use the created conversation script 92 to contact the user 3 with the content urging improvement. (For example, if the person is gaining weight and is not exercising, contact the person to exercise).
This contact can be made even if 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 ability of the doctor 5a to 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.
It is also possible to use the electronic device 73 to create a conversation script 92 and use the electronic device 73 to notify that the medical institution 4 will call the user 3 .
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.
Illness arises from everyday life. If changes in data that can be measured from daily living conditions and daily routines are known, it is possible to recommend improvements for prevention and health management.

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, and an external program, and this linking function is performed using an API (Application Programming Interface). This API operates 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.
The advice described in each extended function indicates that the electronic device 73 informs the user 3 of actions to be taken in conversation.

(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 input device such as a sensor Information, information obtained from devices on the network, and information obtained from an external network can be obtained. The electronic device utilization system 72 saves this acquired information as living environment information in the living environment DB 113 .
To advise the user 3 on the basis of living environment information so that he or she can live in an appropriate living environment.
The electronic device utilization system 72 compares the value of the living environment information acquired from the living environment DB 113 with the appropriate value of life and performs a process of giving advice.
With advice from this electronic device utilization system 72,
It is expected that a response can be made before the user 3 becomes seriously ill (such as sickness), or before the user 3 becomes unwell and is conscious of going to the hospital 4a. This is expected to reduce medical expenses for User 3. A method of giving advice to the user 3 by the electronic device utilization system 72 is performed by a conversation between the user 3 and the electronic device 73 using the conversation script 92 . In this example, the advice is conveyed through conversation between the user 3 and the electronic device 73. However, by transmitting the content of the advice to the electronic device 73 using a templated electronic sentence, the screen on the electronic device 73 can be displayed. A method of displaying the content or a method of displaying the content of the electronic text on the screen using an external device connected to the electronic device 73 such as a television receiver may be used.

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, The difference is calculated, and if the calculated temperature difference deviates from the appropriate value for the living environment, advice is given using the conversation script 92 and the electronic device 73 . As for the temperature of the outside air, the electronic device utilization system 72 automatically obtains the information of the outside temperature of the area where the user 3 lives by using the system open to the public such as the database of the Meteorological Agency, and uses it as the outside temperature information. do. As for the indoor temperature, the indoor temperature is obtained from a device that can measure the indoor temperature and is connected to the electronic device 73 using the home network, and is used as room temperature information. Alternatively, if the electronic device 73 itself has a temperature measurement function, this function is used to acquire the room temperature and use it as room temperature information.
The electronic device utilization system 72 of the present disclosure calculates the two acquired temperature differences, and determines whether the environment is unfavorable for living (bad environment) or the appropriate value for the living environment based on the acquired temperature and the temperature difference. judgment processing is performed.
For example, "In the summer, the outside temperature is high and exceeds 30 degrees Celsius, the difference in room temperature is small, and the room temperature exceeds the high temperature (28 degrees Celsius).
When there is a risk of heatstroke" or "When there is a risk of hypothermia due to the small difference between the outside temperature and the room temperature in winter, and the room temperature is low". The environment is a bad environment, and it is determined that the user is living in a bad environment.
When living in such a bad environment, the electronic device utilization system 72 uses the conversation script 92 and the electronic device 73 to give advice so as to adjust the living environment to be suitable. In this case, the electronic device 72, in conversation with the user 3, says, "Hello, the temperature in the room is high. , the process of giving advice automatically.
As an example of advice processing, if the difference between the outside temperature and the indoor temperature is small and the room temperature is higher than the room temperature in an appropriate living environment, "encourage the use of air conditioners" and "close the curtains to prevent sunlight from entering the room". Advice such as "advance cold drinks and food". If the temperature is lower than the room temperature of an appropriate living environment, advise "recommend to wear thick clothes", "recommend to use heating equipment", or "promote warm drinks and food". The term "suitable living environment" as used herein refers to a room temperature that generally does not require air conditioning, ie, 15 to 25 degrees. In particular, when the user 3 suffers from dementia or similar symptoms, there are many tendencies to stay in the room regardless of whether it is cold or hot without feeling changes in the room temperature, or to go out with the clothes indoors. Therefore, there is a need to call for attention according to 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.

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, even if the environment in the user's house becomes bad, there is no need to give advice because there is no harm.
There is also a method in which, when the electronic device system 72 determines that the environment is bad, devices on the home network connected to the electronic device 73 are used to control the devices so as to create an appropriate living environment. This method uses the conversation script 92 to control the living environment so that it becomes an appropriate living environment without giving advice by conversation using the electronic device 73 .
For example, if there is an air conditioner that can be operated with a smart speaker, start the air conditioner and set the temperature to an appropriate temperature.

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. , and compares the recently acquired conversational life information of the user 3 with the conversational 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 voice information of the user 3 recently acquired through conversation with the electronic device 73, and "The voice volume is different from usual." When the electronic device utilization system 72 determines that there is a change in the state of the user 3 or a change in physical condition, such as "not at home)", it performs advice processing to encourage a suitable living environment.
In particular, when there is information such as "There is no response (ignored or not heard)", by monitoring whether the same thing is happening, it is possible to predict whether a medical condition has occurred from the interval between occurrence and onset and share it with the medical institution 4.
It is assumed that the electronic device 73 performs judgment processing that "the volume of the voice is different from usual and the voice is hoarse". In this case, the electronic device 73 provides an example of advice to encourage an appropriate living environment, such as "recommend rinsing the throat by gargling" and "recommend to see a medical institution 4 if the throat does not improve even after moistening the throat". and so on.
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.
In addition, by creating a trust agreement, etc., described in the fourth embodiment at an early stage of dementia, the user can protect his/her own assets and use his/her own assets at his or her own will. You can get family support.
In addition, the electronic device utilization system 72 can perform "transition of voice pitch", "transition of voice volume", "transition of voice volume", and " Investigate the state of deterioration and the process of change over a long period of time. can be done. The electronic device utilization system 72 finds a point of change from the transition of deterioration and change, and a doctor can use the information on the transition of the point of change to discover the medical condition and its cause.
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 advises the user 3 to move toward 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 countermeasures are taken, the worst case scenario is assumed, and the user 3 has an abnormality. When the electronic device utilization system 72 determines that there is an abnormality, the electronic device utilization system 72 has a function of notifying the user of the occurrence of an abnormality to a notification destination (emergency contact) stored in advance in the system. There may be.

(2) Purchase support function This is a purchase support function in which the electronic device utilization system 72 of the present disclosure supports the user 3 when shopping.
The electronic device utilization system 72 of the present disclosure has a function of providing shopping support to the user 3 via the electronic device 73 using the shopping history information accumulated in the payment-related DB 101 on the medical information sharing database 2. are doing. The purchase support function that provides shopping support is support provided when the user 3 is shopping.
The shopping history information is information in which the history of purchases made through conversation using the electronic device 73 and the history of cashless payments for purchases at stores are accumulated. This shopping history information is accumulated each time the user makes a payment.
This shopping history information uses payment information transmitted from a payment terminal in a store for conventional cashless payment, and stores the information included in the payment information in the shopping history information. A purchase is similarly created by conversation using the electronic device 73 using payment information transmitted from a payment terminal in the store.
The electronic device utilization system 72 acquires the payment location (address, store name, contact information), payment time, payment amount, and payment management number (slip number) from the payment information sent from the payment terminal at the store. Then, the electronic device utilization system 72 saves them in the shopping history information as payment location information, payment time information, payment amount information, and payment management number information, and accumulates them each time payment is made.
There is no information about the purchased content in the payment information when the payment is made at the store. The payment information that describes the details of the purchase is a payment using the cashless system 103 of the medical institution payment support system 102 .
For purchases using the electronic device utilization system 72, the payment information for payments using the cashless system 103 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 includes the purchase content. include. An electronic device utilization system 72 acquires purchase details from payment information when payment is made by conversation with the electronic device 73, stores the purchase content information in shopping history information, and accumulates each payment.
The electronic device utilization system 72 assists the user 3 in shopping by using the purchase details accumulated in the shopping history information. The purchase support for shopping performed by the electronic device utilization system 72 is performed by conversation with 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 indicates a method of shopping using a medical payment medium issued by the medical institution 4 or biometric information.
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 owned 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 .

Shopping support by the electronic device utilization system 72 will be described. The electronic device utilization system 72 acquires information from the shopping history information accumulated in the payment-related DB 101, and can perform support processing based on the information stored in the payment-related DB 101 as purchase restriction information.
The electronic device utilization system 72 acquires an item (product name) corresponding to a consumable from the purchase content information accumulated in the shopping history information of the user 3 by obtaining the consumption period, and the user selects the consumable. Information on the date of purchase of the product to be used is acquired, and the consumption time of the consumable is known from the date. By counting back the date of the second purchase from the date of the so-called first purchase, the consumption period until the end of the consumption by the user 3 can be known. The consumption period of each product corresponding to consumables is calculated, and the electronic device utilization system 72 stores the product information corresponding to the consumables purchased by the user 3 and the consumption period in the consumption period information in the consumption period information DB 111. Link and save.
Examples of consumables include food such as rice, seasonings, and milk, and daily necessities such as toilet paper, soap, toothbrush, shampoo, and disposable diapers.
FIG. 18 shows the configuration of the exhaustion time calculation system 112. As shown in FIG.
Here, the purchase support function for the user 3 using this consumption time will be described.
An electronic device utilization system 72 uses an electronic device 73 to notify the user 3 that the consumption time of the consumables is approaching by talking to the user 3 before the consumption time of the consumable product comes to the user 3. .
Since the consumption period varies depending on the consumables purchased by User 3,
The electronic device utilization system 72 acquires the consumption period information stored in the consumption period information of the consumption period information DB 111 of the medical information sharing database 2 and the product information of the consumables. Then, notification is made using a conversation with the electronic device 73 using a conversation script in which the product information of the consumables acquired is combined with the consumption time conversation script. The notification here is the content of notifying by conversation with the electronic device 73 . In addition, it is also possible to attach the product information of the consumables to the template of the contents of which the consumables are communicated by conversation in advance and send them to the form terminal of the user 3 . It can also be displayed on the television screen at home via the electronic device 73 of the user 3 .
As a purchase function for user 3 (a function to support purchase for user 3), if user 3 is an elderly person, he/she purchases expendable items regularly for living, but has to move far away. Items that cannot be purchased, consumables for eating that are heavy and burdensome for the elderly to bring home, and consumables for daily life that are too bulky for the elderly to bring home and are burdensome to carry.
Such consumable items that are burdensome for the elderly to carry around due to their size, weight, and undecided arrival are linked to the consumable items in the consumable time information of the consumable time information DB 111 as burden product information. ing.
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 can be seen from the purchase history information that this rice is purchased on a roughly three-month cycle.
The electronic device utilization system 72 is based on the user 3's age, amount of exercise, health condition, and medical condition from the medical economic zone DB 21. If the consumable product (rice) in the consumption time information is linked , determination processing of purchase through the electronic equipment utilization system 72 instead of purchase at a store. The electronic device utilization system 72 purchases rice for the user 3 by talking with the electronic device 73 using the conversation script.
You can have it delivered to your 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 information on whether the user 3 takes medication every day You can know the situation, you can make a habit of taking medicine, and you can 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 the conversation script 92 for knowing the medication status, and acquires the medication status through conversation between the electronic device 73 and the user 3 . The electronic device utilization system 72 uses the acquired information to give advice using the conversation script 92 . 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 acquiring medication status information are held regularly, such as once a day, each time a medication is taken, or just before the next hospital visit, and are also held at timings according to various conditions specified by the medical institution 4, etc. . An example of confirmation is shown in FIG.
Based on the acquired medication status information, the electronic device utilization system 72 confirms whether the user 3 is taking medication correctly. Using the medication habit script, which is the script 92, the process of regularly or irregularly advising the patient to take medication is performed.
Regularly or irregularly confirming the medication status, and as a result of the confirmation, if there are many forgetting to take medicines, performing a process of advising to take medicines as medication support will lead to habituation of taking medicines and prevention of forgetting to take medicines. can be expected.

In the above description, information as to whether or not the patient has taken the medicine is confirmed, but before the next regular hospital visit, the conversation script 92 is used to confirm (inventory) the remaining amount of the previously prescribed medicine. Information on the remaining drug amount obtained as a result of checking the remaining drug amount is stored in the medication management DB 121 as remaining drug information. 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 amount of remaining medicine when prescribing for the next medical examination, the information system of the medical institution 4 such as the hospital 4a and the pharmacy 4b refers to the remaining medicine information stored in the medication management DB 121. Alternatively, the information system of the medical institution 4 and the electronic device utilization system 72 can be linked by transmitting the remaining medicine information stored in the medication management DB 121 to the information system of the medical institution 4 .
By the medical institution 4 grasping the medication status and the remaining amount of medicine, the patient can continue to take the medicine that the patient has not taken, and the prescribed amount is reduced by the amount that the patient did not take (the remaining amount of medicine). Prescription adjustments can be made. As a result, the amount of medicine to be prescribed is reduced, so that it is possible to reduce the cost of medicine prescription that the user 3 pays to the hospital 4a or the pharmacy 4b and to reduce the burden on the health insurance. 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. 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, information related to crime prevention such as "criminal face photo information", "criminal voice information", and "crime-related keyword information" is stored in the crime prevention DB 131. FIG. The electronic device utilization system 72 uses the information on crime prevention to perform the process of notifying the crime prevention measures using the conversation script 92 and the action to be taken by the user 3 . 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 security camera, a WEB camera, etc. that can be connected to the electronic device 71, Get the face data of the other party. After obtaining the face data of the other party using the equipment on the network, the electronic device utilization system 72 compares the face photograph information of the criminal or the like in the crime prevention DB 131 with the obtained face data. As a result of the comparison processing, if there is face information of the other party in the criminal's face photo information on the crime prevention DB 131, the electronic device utilization system 72 provides the user 3 with a conversation script 92 for crime prevention. Using a certain ``crime prevention script'', the person is spoken to and told that there is a high possibility that the other person is involved in a crime. Also, the action to be taken is spoken to the user 3 by using the "crime prevention script of action" which is a conversation script 92 for telling the action to be taken by the user 3. The comparative search uses the face authentication method of the existing technology.
The content to be conveyed using the ``action crime prevention script'' is advice such as ``Please do not open the front door'' and ``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 131 .

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 or a telephone, data of the voice spoken by the other party such as the visitor or the other party on the phone is acquired. When the electronic device utilization system 72 acquires the voice data of the other party using the device on the network, it compares the voice information of the criminal etc. in the crime prevention DB 131 with the acquired voice data. As a result of the comparison processing, if there is information about the other party's voice in the crime prevention DB 131, the electronic device utilization system 72 sends the "content crime prevention script", which is the conversation script 92 for crime prevention, to the user 3. "An action crime prevention script", which is a conversation script 92 used to convey that the other party is likely to be involved in a crime, and to convey the action to be taken by the user 3. is used to tell the user 3 to switch the call. After notifying the user of the switching, the electronic device 73 switches the call with the other party from the user 3 to the electronic device 73 during the call. In the call switched from the user, the electronic device 73 carries out a conversation using the scenario of the anti-theft alternative script, which is the conversation script 92 .
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 the technologies 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.
be.
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 performs a search process of caution caller number information in the crime prevention DB 131 . 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 terminated.
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 warning caller number, not only the caller number collected by the electronic device utilization system 72, but also the criminal caller number collected by administrative agencies such as the police and communication companies may be used. There may be a function of sharing the caller number related to crime with administrative agencies such as the police and telecommunications companies in order to obtain caller numbers collected by administrative 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. The acquired voice of the other party is decomposed for each keyword and detailed information of the keyword is acquired. The decomposing process and acquisition of the detailed information of the keyword are performed using the same method as the above-described "replacement with text data from voice information acquired by the electronic device 73 from the conversation with the user 3". The electronic device utilization system 72 searches whether or not the detailed information of 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 , to the user 3, using a "content crime prevention script", which is a conversation script 92 for crime prevention, to tell the user 3 that there is a high possibility that the other party is involved in a crime, and , to tell the user 3 to switch the call using a conversation script 92 for telling the user 3 what action to take. After notifying the user of the switching, the electronic device 73 switches the call with the other party from the user 3 to the electronic device 73 during the call. In the call switched from the user, the electronic device 73 carries out a conversation using the scenario of the anti-theft alternative script, which is the conversation script 92 . In addition, a process of registering the acquired voice of the other party in the voice information of the criminal or the like is performed.
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.
Up to this point, it has been described that when the person is registered in the crime prevention DB 131, "the process of notifying that the other party is likely to be involved in a crime is performed, and the 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 of the prospective visitor and the facial photograph information of the prospective visitor are registered in the crime prevention DB 131 as a visit permitted person, and the planned visit date and time are also stored. back.
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 is being carried out and the reason for not evacuating in the disaster action DB 151, and it also has a function that allows local governments to check the stored contents. there is 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 of prompting an appropriate action in the event of a disaster using the disaster action DB 151 can be realized by arranging three pieces of action information necessary for each disaster case, residence information of the user 3, and disaster information.
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". Actions necessary for each disaster case are stored in advance in the disaster action DB 151 as action information suitable for the disaster.
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 warnings announced by the Japan Meteorological Agency. Evacuation information indicates 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 processing for notifying and contacting the information of the disaster that has occurred and the acquired action information.
If the content notified to the user 3 by the electronic device 73 indicates that the user 3 should evacuate, the presence or absence of evacuation and the reason for not being able to evacuate are acquired.
The method of recording evacuation information in the disaster action DB 151 as evacuation status information is performed by detecting disconnection between the electronic device 73 and the terminal owned by the user 3 . If not evacuated, the conversation script 92 is used to confirm with the user 3 why they cannot evacuate or why they have not evacuated, and the information that they cannot evacuate and that they have not evacuated are recorded in the disaster action DB 151. do.
The evacuation situation information recorded in the action DB 151 at the time of disaster can be checked from a terminal owned by the local government via a network such as a WEB page. 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.
An example of a reason for not being able to evacuate recorded in the disaster action DB 151 is "when an evacuation order is issued due to heavy rain, it is impossible to evacuate safely because the area in front of the house 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 the user 3 who is not really sick and has little connection with the medical institution 4, it is hoped that the service that monitors the health condition and the suspicion of illness from conversation will allow the user to live the rest of his or her life without getting sick. For the user 3 who is in dementia, it is a service that hopes that he/she does not want to develop 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, the medical institutions 4 will begin to compete for patients, and the time will come when the medical institutions 4 will be weeded out.
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.

Operating costs to maintain the system of the present invention are essential. A style that can be provided as a business model in which the operating costs of the system are covered by the system is desirable. A business model in which companies other than the healthcare business that use the medical economic zone provide a service that allows users to obtain information desired by conversation using a system using electronic equipment for a fee. can do The content of the service to be charged is the use of a conversation script creation program that creates a script necessary for obtaining desired information from the user as a service. A storage area on the network is provided for storing a script created by this conversation script creating program and an area for storing information acquired from a conversation with a user.
Furthermore, it will be provided as a fee-based service that allows users to use an environment in which electronic devices and users can have conversations using the scripts they have created.
For example, it can be expected to be used for businesses that conduct questionnaires to users who are voters during elections,
It can be considered as a system that exchanges messages by voice conversation instead of text mail, or as an alternative method of answering telephones for accepting orders by telephone in TV shopping.
The application for this service is made to receive the application from the company on the service application page using the WEB.
Since payment for paid services is made using existing technology, it is not described here. Examples of existing technologies include cashless, EC sites, net settlement, and Japanese Patent Laid-Open No. 2021-113927 devised by the applicant. The reason for using Japanese Patent Laid-Open No. 2021-113927 devised by the applicant is that it can be used without changing the usage method even if the current legal currency is replaced by the next-generation digital currency.
This contract creates a win-win relationship between the side receiving the provision and the side providing the provision.
This paid service is a profitable business model.

<Fourth Embodiment>
Conventionally, payment was made by handling cash at the counter of the medical institution 4 or in paperwork. The labor costs of the medical clerical staff assigned to this office processing constitute a proportion that cannot be ignored as the cost of the medical institution 4 .
In order to stabilize the management of medical institution 4, the money for "accounting work at the window of medical institution 4", "settlement work accompanying the purchase of medicines and medical materials", and "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, there are cases where the payment amount exceeds the minimum amount, such as 5,000 yen or more, or in the case of free medical treatment. In many cases, it can only be used under limited 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," There are reasons for this, such as the work of paying the full amount out of pocket and later applying for insurance and reimbursement at a later date, and the fact that some patients cannot use payment cards because they cannot 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 card changes, the processing ends within the payment system 9c. Payment can be made without delay, and the medical institution 4 and the patient do not have to go through complicated procedures.
Furthermore, by using the settlement system 9c and its accompanying settlement account for payment of salaries to medical staff 5 and payment of medical institution 4 expenses associated with the purchase of medicines and medical materials, money at medical institution 4 , and the system of the present invention becomes a platform for medical payment.
Conventional settlement is based on able-bodied persons. If a person suffering from a medical condition uses this payment method, his or her property may be lost in an instant. Therefore, from a medical point of view, payment that can be safely used by patients with various medical conditions and elderly patients will be necessary in the future society.

The medical institution payment support system 102 of the present disclosure can be used by passing a dedicated medical payment medium (a patient's terminal capable of displaying payment cards and code information used for payment) from the hospital 4a to the patient.
In addition, the personal information 22 (personal basic information) necessary for creating a medical payment medium 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 medical payment 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 medical payment medium made by the medical institution 4 can be created instantly is exactly the same as this, and the information stored in the medical economic zone DB 21 includes insurance card information as patient information. . Therefore, by using the information in the medical institution 4, it is possible to instantly create a medical 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, the medical institution payment support system 102 is characterized by simultaneously creating not only a medical payment medium but also a medical payment account (medical payment account 104). Since the settlement account is created at the hospital 4a, the account can be created immediately without the troublesome waiting 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 a medical payment medium.
At the time of the filing of the patent of this disclosure, there is no cash card, credit card, debit card payment facility that accommodates sick patients.
This section describes what is available or can be expected for the increasing number of patients with medical conditions in the future.
To provide a mechanism for making it possible to use a medical payment medium handed to a patient at a hospital 4a even in the city, and for a patient with symptoms such as dementia or forgetfulness, to support the use in the city according to the symptoms. , the patient's convenience can be improved and shopping caused by the symptoms of the disease can be suppressed. In particular, in the disease state of dementia, it is possible to make impulsive purchases without recognition, shopping due to the symptoms of shopping addiction, making payments without recognition, and using cash and wallets from delusions that are symptoms of the disease. Sometimes I hide it so that it won't be stolen, and I forget that I even hid it.

The medical institution payment support system 102 of the present disclosure uses information in each database of the medical economic zone DB 21, the patient information DB 161, and the payment related DB. The medical economic zone DB 21 stores personal information 22, authentication information, settlement place information, testator information, trust information, and guardian information. The patient information DB 161 stores contact information and search information. The payment relation DB 101 stores shopping history information, payment method information, purchase restriction information, and purchase area restriction information. A description of each piece of information is given later.

FIG. 23 shows the database configuration of the fourth embodiment. Further, FIG. 24 shows a system configuration diagram of the medical institution settlement support system of the present disclosure.

The opening of the medical payment account 104 for using the medical institution payment support system 102 will be described.
The medical payment account 104 is opened on the terminal at the reception desk with one click. This one-click internal processing creates a patient's medical payment account 104 in the medical institution payment support system 102 when the opening procedure is performed at the reception terminal, and the patient's name and name stored as the patient's personal information 22 in the medical economic zone DB 21・The medical payment account 104 is linked with information necessary for opening such as date of birth, address, telephone number, gender, patient registration card number, and health insurance card number. When the medical payment account 104 is opened, there is no information necessary for payment. Link to account 104. Details of the medical payment medium will be described later.
An example of how to create a medical payment account 104 is shown in FIG.
Information on payment methods such as bank accounts, credit cards, cryptocurrencies, digital currencies, post-pay payments, and prepaid payments is also registered in the payment-related DB 101 in the medical economy zone DB 21 as information on methods for depositing money into the medical payment account 104 . Furthermore, the biometric information such as the patient's fingerprint and face is stored in the payment-related DB 161 as authentication information. Registration of payment method information and storage of biometric information are set from the patient's terminal. This setting may be set by the user by using the portal site of the medical economy zone 24 . As an example of the portal site, there is a technique disclosed in FIG. 10 of Japanese Patent No. 6558669 devised by the applicant.

From here, the outline and contents of the medical institution settlement support system 102 will be described.
The medical institution payment support system 102 is a system for exchanging expenses such as medical examination fees and dispensing fees paid by the patient to the medical institution 4 between the patient's medical payment account 104 and the medical institution's medical payment account 104 . When the patient pays at the medical institution 4, the payment terminal of the medical institution 4 reads the information of the medical payment medium held by the patient. At this time, the patient additionally presents the patient's biological information as information for performing identity verification.
When the payment terminal of the medical institution 4 reads the information on the medical payment medium possessed by the patient and the patient's biometric information, it requests the medical institution payment support system 102 for identity verification and payment based on the read information. . The personal identification performed by the medical institution settlement support system 102 is performed by comparing whether the patient's biometric information stored in the patient information DB 161 and the acquired biometric information are the same. After the personal identification is completed, the medical institution payment support system 102 transfers money from the patient's medical payment account 104 to the medical payment account 104 of the medical institution 4 based on the content of the payment request sent from the payment terminal of the medical institution 4. Record the transfer information that the 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.
In order for the patient to make a payment by the above method, it is necessary to deposit money in advance as an advance payment to the patient's medical payment account 104 . A description of the advance payment will be given later.
In the above description, medical examination fees and dispensing fees are described as examples of expenses paid by the patient to the medical institution 4, but medical fees at the hospital 4a, dental fees at the dental clinic 4f, dispensing fees at the pharmacy 4b, drug prices, medical material fees, etc. , refers to all expenses paid by the patient to the medical institution 4 .
The medical institution settlement support system 102 can collectively make settlements for a series of medical institutions 4 used for medical care of a patient. A patient selects a medical institution 4 for actual settlement from among a series of medical institutions 4 used by the patient for medical treatment. The collective payment is made by causing the payment terminal of the medical institution 4 selected by the patient to read the medical payment medium and biometric information. Payment to a medical institution other than the selected medical institution 4 is performed by sending information on the medical payment account 104 of the patient 3 to the other medical institution 4 via the medical institution payment support system 102 .

Describe an example of collective settlement.
Ordinarily, when a person goes to the medical institution 4 for medical treatment, medicine is prescribed based on the contents of the medical examination. In the case of an out-of-hospital pharmacy, a prescription for an out-of-hospital pharmacy is handed over by a doctor. It will be waiting for the accounting at the accounting of the medical institution 4. Finally, I paid for the consultation fee and headed to the out-of-hospital pharmacy (dispensing pharmacy) with the prescription. I waited until it was prescribed at the out-of-hospital pharmacy, and finally I was handed the medicine, paid for it, and went home. Such a flow is normal. In order to do this efficiently, once the doctor at the medical institution 4 has finished the examination and the prescription has been handed over, without waiting for the payment at the checkout, go straight to the out-of-hospital pharmacy. The waiting time can be used efficiently by paying all at once, including the medical expenses at the institution. Furthermore, since several years ago, when a prescription is issued at a medical institution, it has been provided with a service that sends the prescription to the dispensing pharmacy. If you go to the dispensing pharmacy as it is after the medical examination at the medical institution 4, you can get rid of the wasted time of "waiting" just by receiving the medicine and completing the payment.

Advantages of using the medical institution settlement support system 102 for patients will now be described.
Especially for people with dementia, addiction, and elderly people who have started to lose concentration, they can't do it mentally because they lack the patience to sit and wait for a long time. And when it's painful, it's expressed by body and behavior. Walk around, make noise, distract your mind. When that happens, it becomes painful for the accompanying family members and care helpers. With the medical institution payment support system 102 of the present invention, a series of payments can be made at once, thereby eliminating the need to wait for accounting at the medical institution 4.例文帳に追加Therefore, there is an advantage that the patient with the medical condition described here, the family accompanying the patient, and the care helper can go to the hospital efficiently without pain and without wasting time.

From here, the merits of adopting and using the medical institution payment support system 102 will be explained.
The advantage of using the payment support system 102 for the medical institution 4 is that it is not necessary to handle cash at the counter of the medical institution 4 . By not handling cash at the reception, the medical institution 4 will be able to "eliminate the accounting work at the medical institution" and "administrative work such as depositing the money received from the patient to the bank and preparing change by the administrative staff of the medical institution." You can enjoy the benefits of reducing clerical work, such as "you don't have to do any work." No more complaints due to long checkout waits.

An application of the medical institution settlement support system 102 will be described.
The medical institution payment support system 102 can act as a proxy for a patient to apply for preparation of payment means for a financial institution, a credit card company, or the like. 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 system that allows you to apply for information on public institutions that certify your name and address, and if you pass the examination, you can own a payment medium such as a credit card company.
Since all the information necessary for this application is provided in the medical institution 4, it is possible to apply for a payment medium using the information in the medical institution.
When a patient applies for the creation of a payment medium for financial institutions, credit card companies, etc., the patient requests the medical institution payment support system 102 to act as a proxy for the creation application from the portal site of the medical economic zone 24 . The medical institution payment support system 102 that has received the creation application refers to the personal information 22 stored in the patient information DB 161 . The medical institution payment support system 102 uses the referred information to the financial institution or credit card company on behalf of the patient, and applies to the financial institution or credit card company to create a payment medium. That is, the patient can apply by omitting the portion corresponding to the personal information 22 described in the application form when creating a new credit card or the like. A patient applies for a new credit card or the like to the medical institution settlement support system. A connection diagram for this application is shown in FIG.

The medical payment medium that the medical institution 4 gives to the patient will be explained.
This medical payment medium is a payment medium used for payment using the medical institution support system 102, and a unique management number is assigned to this medium. There are two types of medical payment media: payment cards and patient terminals that can display code information used for payment.
The unique management number on this medium is linked as the account number of the medical payment account 104 .
At the reception desk of the medical institution 4, using the patient information in the patient information DB 161, the unique management number in the payment medium handed to the patient and the patient information are linked as account information, and the medical payment account is set as account information. By storing it in the information of the patient's account number in 104, the unique management number of the patient and medium and the patient's account number in the medical payment account 104 are linked, and the payment medium can be handed over to the patient at the counter. can be done.
The payment card is a card similar to conventional card-type payment means, such as a magnetic card, a contact IC card, and a non-contact IC card. The card for payment is issued, and the card is handed over at the medical institution 4 so that it can be used.
This medical payment medium can be used not only for payment at the medical institution 4 but also for reception processing at the medical institution 4 . It becomes a so-called conventional medical examination card. The method of using a credit card or library card as a medical examination card for reception processing at the medical institution 4 is the method described in the fifth embodiment. By using the idea of the fifth embodiment, the settlement medium of the present invention can be used as a medical examination card.
Also, by using the method disclosed in Japanese Patent Application No. 2021-113927 filed by the present applicant, payment can be made without a medical payment medium.

The advance payment to be paid in advance to the medical payment account 104 will be explained.
In order for the patient to make a payment using the medical payment medium created by the medical institution 4, an advance payment is required to deposit money into the medical payment account 104 in advance. The first advance payment is received at the hospital 4a to which the payment medium is handed. 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 is made by bank transfer, or payment is made by transfer from the payment method recorded in the payment method information. This transfer is performed by the method used by existing technology, and it can also be done by automatic transfer methods such as "Automatically deposit at regular intervals" and "Deposit 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 .

Here, an example in which a medical institution 4 using a medical economic zone 24 uses a medical payment account will be described.
The medical institution 4 uses a financial institution to make payments for "transactions with medical-related companies that use the medical economic zone 24, such as purchases of medical materials and medicines." In this case, the medical-related company can use it to receive the above-mentioned payment details by opening a medical payment account.
Further, the medical institution 4 uses a financial institution to make a payment for "payment of medical fees and dispensing fees from health insurance associations and national health insurance." In this case as well, health insurance associations and national health insurance can use the above-mentioned payments and receipts by opening a medical payment account.
Fees for transferring money using financial institutions (bank transfer, transfer, etc.) increase as the number of transfers and the amount of money transferred increases. There is an advantage to using a medical payment account to reduce this fee. Financial institutions transfer the full amount each time they transfer money. On the other hand, in the medical payment account, information on deposits and withdrawals from the transfer source to the transfer destination, ie, transaction information, can be easily obtained and stored in the medical payment account 104 . By acquiring this accumulated transaction information at a certain time or period of time and calculating the balance of transaction details, the difference between deposits and withdrawals in the user's medical payment account during that period can be determined. By transferring the amount of difference between the amount deposited and withdrawn in , the number of times of transfer each time using a conventional financial institution is reduced, and the fee associated with each transfer is reduced. Furthermore, by accumulating the transaction information stored in the medical payment account 104, medical institutions and companies can easily obtain the history of transactions, simplify the preparation of electronic ledgers, and easily respond to tax returns. become able to.
Therefore, it is easier and labor-saving than when a conventional financial institution is used, so there is an advantage that it leads to labor-saving of medical clerical workers related to accounting and reduction of personnel expenses.

So far, the medical institution settlement support system 102 has explained the money transactions involving the medical institution 4.
Payment using the medical institution payment support system 102 can be made even in the city. The medical payment medium is the same as the conventional card-type payment medium. 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. For this transfer of money, transfer information is recorded as transfer information indicating that the money is transferred from the patient's (user 3) medical settlement account 104 to an account at a store in the city. The actual transfer of money is done by conventional payment means, in which the amount temporarily settled on the medical payment account 104 side is pooled and sent to an account in a store in the city on a specified date. You can also send The account of the store in the city is preferably the medical payment account 104 from the viewpoint of reducing fees, but it may be an existing financial institution account such as a bank account. When the account of the store in the city is an existing financial institution account, the remittance method is that the medical payment account 104 makes a conventional bank transfer to the account of the financial institution.
In addition to the above-mentioned method, the prepayment and additional money for those who use the payment medium can be made using the method of depositing at stores in the city, which is done by the conventional prepaid method. , credit is made to the medical payment account 104 . Deposited information is stored in the patient's account of the medical payment account 104 linked to the unique number of the payment medium used at the time of payment.

Here, we will explain security functions that support safe payments for people with diseases such as dementia.
The medical institution payment support system 102 has a security function that supports safe payments for people with diseases such as dementia, which can manage funds during payments in the city and limit payments depending on the payment location. There is
Search information refers to payment card users who need safe payment support, i.e., people suffering from diseases such as dementia, and who need safe payment support. It is information for setting either a person or a person who does not need it. These settings support safe payment by various settings described below. In settings that do not require support, the following various settings are not required, so from here on, we will explain the case where support is required, that is, when a person suffering from illness uses a payment card. .

Purchase restriction information is information indicating that the purchase of a product is restricted or prohibited. This is the setting of information for limiting the amount of merchandise purchased by the user 3 due to the dependence on shopping due to a medical condition. In addition, when the user 3 uses purchase with this setting, the settlement place and amount used for determining whether or not to change the restricted contents are notified by looking at the contents dependent on the shopping of the user 3.例文帳に追加This notification is intended for the user's family and guardians, but it also serves as information for knowing where the user 3 is.

The purchase area restriction information is information that sets an area in which payment by the user is prohibited, that is, an area in which purchase of a product is restricted.
The reason for setting the settlement restriction to the area is to set the area where the user 3 has gone far away while loitering or taking a walk, that is, if the user 3 goes this far, he or she will not be able to return. If you come back from this set area, you can re-expand the range as an area where you can make payments. In other words, by widening the range a little farther from home and resetting, it is possible to find an area where the user cannot come back from wandering, and after entering this area and making a payment, it is determined that the user must go to pick him up instead of taking a walk. Areas available for purchase are areas where one can walk home rather than roam. On the other hand, if the user is unable to return even within an area where payment can be made, the area where payment can be made is narrowed down, that is, by narrowing and resetting the area closer to home, an area where the user cannot return from wandering is found. When the user enters the restricted area and makes a payment, the contact information is notified to the effect that "Because you are at the settlement place in the restricted area, you need to be ready to pick you up." If payment is made in an unrestricted walking area, the contact is notified to the effect that ``I made a purchase at the payment location while walking.''
Also, the setting of the contact, which is the notification destination of the message, will be described.
The contact to which the message is notified by setting the purchase restriction information and the setting of the purchase area restriction information is notified to the registered address of the patient's contact information. For this notification to the contact information of the patient, the information set and registered in the patient information DB 161 is acquired by the medical institution settlement support system 102 and used as the contact information for notification. This contact information setting is registered in the patient information DB 161 by setting it in the patient information DB 161 using a terminal owned by the user 3, a family member, a guardian, or other related parties. It is desirable to set notification destinations to relatives such as family members, guardians, trust covenants, and related persons.

Dementia is more than just a medical condition that causes forgetfulness and memory loss. Emotions can change suddenly. For example, you suddenly start yelling for no reason, you lose track of who your relatives (wife and children) are, you can't recognize your relatives and you misunderstand that a guest (third party) is at home, yelling at others, harming customers, misleading that important items or cash has been stolen, or conversely, hiding important items or cash in the house to prevent theft, and even forgetting to hide it. Some people even start to suspect that their relatives stole it.
Such things can occur while wandering around, causing harm to strangers, destroying other people's belongings, and giving violence to people who have stolen their cash. In order to notify the family or guardian of the destination of the child early, if the location can be known through payment, it is possible to pick it up. In that case, it would be good to prevent the sick person from going outside, and then they would lose their physical strength and become unhealthy, and the condition of dementia would worsen, so create an environment where they can go outside safely. is a good thing.
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. By setting search information, purchase restriction information, and purchase area restriction information as an additional function for providing appropriate support for the user 3, it is possible to provide appropriate support for the user 3 and his family and guardians.

Traditionally, various cashless payment businesses have released payment media, but they are not allowed to apply for use by people with medical conditions, and they do not have information on their medical conditions. In addition, there was no payment business operator that pays consideration to User 3 who has a medical condition.
For example, some people with dementia often have symptoms of impulse buying and shopping addiction. In this case, it is a symptom of enjoying the desire to shop and may not be interested in the purchased item. In addition, in the case of the symptom of enjoying the desire to purchase through mail order, the dementia patient is not interested in the package delivered to him/herself, and the family members have difficulty in paying or returning the goods. You may be satisfied with your purchase of . If a patient with these symptoms goes shopping, it will cause trouble for the store where they purchased it and their families. there is In addition, when a purchase is made, information about the store where the purchase was made is sent to the contact information set in advance as contact information, such as a family member or guardian. can do 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.

In order to ensure safe shopping, the medical institution payment support system 102 restricts payment unless the address information of the payment terminal and the address where the payment terminal is installed are approximately the same location.
For the address information of the payment terminal, the information of the payment location (address and store name) described in the payment information sent from the payment terminal at the time of payment at the store is used.
The payment support system 102 calculates position information such as latitude and longitude from the address of the payment terminal installed as payment place information in the medical economic zone DB 21, and stores it in the medical economic zone DB 21 as payment place position information. Save by linking to location information.
The medical institution payment support system 102 determines whether the address information of the payment terminal sent from the payment terminal at the time of payment and the location information calculated from the address of the place where the payment terminal is installed are substantially the same. If the support system 102 determines that the location is substantially the same, the settlement is permitted.
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 medical institution payment support system 102 sets a condition that payment can be made if the address information of the payment terminal and the location information calculated from the address of the place where the payment terminal is installed are approximately the same point. In order to control the purchase amount of the user 3, the medical institution payment support system 102 sets the maximum purchase amount for each business operator (store) and industry type in the purchase limit information in the payment-related DB 101. By doing so, the purchase amount is suppressed at the time of settlement.
This setting can be performed on the terminal owned by the patient (user 3). The list of businesses used to set the usage restriction information is made by selecting businesses using payment location information that stores the address of the location where the payment terminal is installed.
In order to control impulse purchases and shopping addiction, we will limit the items purchased by each business company. In addition, there is a method of restricting only items that can be purchased in the settings for each business or industry.
The reason for setting such an amount limit and purchase items is that this payment medium is issued by a medical institution and may have various medical conditions. One of the purposes of issuing the cards at medical institutions is to help patients with addiction and dementia, who are one of the medical conditions, to make payments and live safely. In particular, there is concern about shopping addiction in patients with mental disorders who have developed addictions. There are various types of addiction, and to give an example, there is shopping addiction that satisfies one's desires by shopping anyway, shopping addiction from self-satisfaction that is indulged in a special sense of superiority due to recommendations and words from store clerks, and so on. There are shopping addictions that vary from person to person.
It is the content that is set to protect the lives of these people as much as possible.
An example of setting is to suppress purchased items by setting items to be purchased by a business company. For example, company A may set "food items only" and company B may set "daily miscellaneous goods only".
Here, the type of business that operates the same business can be set not only for a broad type of business such as retail, but also for detailed types of business such as department stores, supermarkets, and convenience stores.

The medical institution payment support system 102 sets the range in which the user 3 can make payments in the purchase area restriction information in the payment-related DB 101 in order to prevent the user 3 from purchasing products outside the living area. So, restrain the purchase of goods outside the living area.
This setting can be performed on a terminal possessed by the patient (user 3), a family member, or a successor.
By setting the purchase area restriction information, concerned parties such as family members and guardians can watch over dementia patients.

Here, the logic (processing) of countermeasures against wandering by patients with dementia or dementia will be described.
Patients with dementia or dementia need to set up (a wandering area). I've gone out of my house, but I don't know how far I've gone. You may come back again. Even if you use the word "wandering", it is a gray zone where the range from where to where is the wandering range. In addition, even if you go out from home, you have no idea how far you can go back home, or what line you must cross to prevent you from returning (gray). is. Even if I know where he is, I don't know if I can pick him up or if he can come back.
There are two methods for setting the loitering area. The first method (logic) is to set a circle centered on the home, and to set the range drawn by the circle whose radius is set to the distance from the home. The second method is to estimate the direction in which the user wanders around his/her house, and specify the address to wander, that is, the name of the town or address in the direction in which the user wanders, and set the area as an area. The latter method may be preferable in the case of dementia. The reason is that people with symptoms of dementia tend to go in the direction opposite to their dominant arm, so it is better to use the street name and street number to go in that direction. Conversely, when specifying with a circle, it is not possible to predict where it will go. For people with addiction, the latter method is better, specifying areas where you can do a lot of shopping or places where there are delicious restaurants by address.
In the case of dementia, there are areas within which people with dementia can return (safe areas), gray zones where it is unclear whether they will be able to return, and areas farther than the gray zones where they cannot come back and must pick them up (required). It is necessary to set a support area).
FIG. 66 shows a setting example of the first method.
In FIG. 66, the center of the two concentric circles is assumed to be user 3's home. The area on the home side of the inner circle is set as a "safe area" within which the user can return. Areas outside the outer circle are set as 'support-required areas' where you must pick up people who cannot come back. The area sandwiched between the inner and outer circles (the area sandwiched between the "safe area" and the "required support area") is the gray zone.
FIG. 67 shows a setting example of the second method. In FIG. 67, the vertical line is set as a "safe area" within which the person can return, and the horizontal line is set as the "support required area" where the person cannot return and must be picked up. The area sandwiched between the "safe area" and the "area requiring support" becomes a gray zone, as in the first method.
When the user makes a payment, the payment location (address and store name) and payment time are identified from the payment information sent from the payment terminal at the time of payment at the store.
The medical institution payment support system 102 acquires the address information of the installation place of the payment terminal that is the same as the address information of the payment place from the information registered in the payment place information in the medical economic zone DB 21, and acquires it. Acquire the payment location location information of the payment terminal linked to the address of the installation location of the payment terminal.
By displaying this position information as the user's current position on the map of the wandering area, the user's current position is visualized. The information displayed on this map and the settlement time are stored in the medical economy zone DB 21 as user current price information.
The content of the message sent from the medical institution settlement support system 102 changes depending on the user current value information and the setting contents of the purchase area restriction information.
There is something I need to clarify here. Diseases such as dementia, amnesia, and addiction have a wide invisible range, from early stages to severe stages. Here, dementia will be described as an example for easy-to-understand explanation. In the early stages of dementia, cognitive impairment does not occur 24 hours a day. are symptoms that differ from those before the onset of the disease. As a result, the unrecognizable time begins and wandering begins. Even if the loitering starts, the recognizable time will come naturally with the passage of time. In the opposite case, the person intends to go for a walk, but in the middle of the walk, he or she becomes unable to recognize the route or where he or she is, and cannot return home. However, as dementia progresses, the amount of time it is not possible to recognize becomes longer and longer. The content of setting the distance from the house and the area corresponding to the walking time by the user's family or guardian is the content explained above. In addition, dementia patients do not have a clock, and it is gray (unknown) where and at what time they try to go home. I don't know how long it will take to leave home or how far away I will be unable to recognize and physically be unable to move.
As a means for solving these problems, by knowing where the payment was made, it is possible to know where the user 3 is now. By accumulating the payment information at the time of payment, we can understand the tendency of dementia, amnesia, and addiction.
In this payment method, several settings can be made for the payment method. In addition, its configurable notifications can protect patients from dangerous wanderings.
In addition, the medical institution payment support system 102 utilizes and accumulates the results of user 3's loitering and walking, such as that user 3 went shopping and returned home by himself, thereby creating a safer loitering area. can be set. This setting can be reset any number of times according to the result of the user 3's loitering or walking. For example, if a person wanders or takes a walk in a gray zone and is able to return home all the time, the "safe area" is reset so that the distance from the home is longer. On the other hand, if the user is unable to return home even within the range within which the user can return (safe area), the "safe area" within the range within which the user can return is reset so that the distance from the home is shortened.

I briefly touched on notifications before, but here I will explain the notification function that sends messages depending on the set situation.
This notification function to send a message to a destination registered in advance as contact information in the patient information DB 161 is used by the medical institution payment support system when purchase area restriction information and purchase restriction information are set in the payment relationship DB 101. 102 is the processing for sending notifications.
Conventionally, when a store makes a payment using a payment medium, payment information, which is an informational version of the details of the payment, is sent to a payment company. Similarly, in the present invention, even when payment is made using a payment medium exclusively for use with the medical institution payment support system 102 issued by the medical institution, the same payment information as before is sent to the medical institution payment support system 102. will be taken. This is because the conventional mechanisms and techniques are used as they are. Information that can be acquired from the content of this payment information includes address information (payment location address and store contact telephone number) and payment amount information. This information is used by the medical institution settlement support system 102 .

Describe notifications for "I'm here" messages.
When the purchase restriction information is set, the user's current price information and payment information in the medical economic zone DB 21 are treated as information that the user is "here and now."
The "I am here now" information includes the address and contact telephone number of the place (store) where User 3 made the payment, and whether or not the payment (shopping) was made at the store set in the purchase restriction information. information is also included. In addition, it is judged whether or not the settled amount is settled according to the amount information set in the purchase restriction information, and the result is described. These messages are processed by the medical institution payment assistance system 102 . Messages are processed using templated messages. For example, the amount of payment made at the place where you are now is within the amount set in the purchase limit information. The information about the shop where the call was made is also included in the notification message.
again,
If the purchase area restriction information is set, the contents of the notified message will include the map information of the area restriction and the action to be taken. The information of the settlement place in the settlement information settled by the user 3 is acquired and used. Furthermore, the map to be used uses the map site of the external Internet, and utilizes the information plotted on the map of the settlement place information.
The medical institution payment support system 102 compares the location (area) set in the purchase area restriction information with the payment location information to determine whether or not the area is in the restricted area. In addition, the here and now messages received by family members and guardians set as contacts include map information plotted with the settlement location to pick up, store name and store contact information, and settlement date and time. The medical institution settlement support system 102 creates and processes a message to which information and contents that the recipient must take action are added.
An example of what the recipient must take action on is:
Compare the area information set in the purchase area restriction information with the information on the payment location, and if you are in an area where you can return, you do not have to take action saying, "I am here now, so I can return, so don't worry." The medical institution settlement support system 102 performs message creation processing. If the patient is in the gray zone, the medical institution settlement support system 102 creates a message saying "I am in the gray zone now, so I am worried if I can go home."
If the patient is outside the gray zone area, the medical institution settlement support system 102 creates a message saying "I'm here now, I can't go home, so please come pick me up."

When the payment is made, the contact information registered in the contact information is notified, so even if an elderly person such as User 3 who has a habit of wandering around or a person with some medical condition goes out alone, it is safe. You can keep an eye on it. In the unlikely event that you go missing due to reasons such as going far away, you can find it from the information you are here now, or you can get it secured by contacting the contact information listed in the message.
By utilizing the information about where the user is now, related parties such as the family of the user 3 can watch over the actions of the user 3 . In particular, even if the user 3 goes out of the settlement range, if the user 3 settles the account, the current location can be known, so that the user 3 can be picked up.
Analysis of payment history information will be explained.
A related person such as the family of the user 3 can also know the stores frequently used by the user 3 by looking at the history of past payment locations. It also leads to predicting the behavior of the user 3 . By predicting the behavior of the user 3, related parties such as the family of the user 3 can take measures such as picking up the user 3 before the user 3 goes out of the settlement range. . In the case of addiction as well, which store (region) you go to often, what type of store you go to, what store you go to, what store you eat at, etc. You will be able to understand the pattern of desired tastes and the pattern of behavior.

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.
From here, the points issued by the medical institution 4 will be explained.
We often hear people compare the number of convenience stores and the number of dental clinics. said to be approximately equal. However, there are more medical institutions than dental clinics. In particular, the number of internal medicine medical institutions is 70% more than that of convenience stores, and the competition is fiercer than that of convenience stores. Even in such a situation, the number of doctors who want to start a practice tends to increase, and there is also a method described in the sixth embodiment as a method of opening a practice without increasing the number of clinics. In such a fierce battle, we believe that it is necessary to provide services to patients in order to manage medical institutions that are chosen by patients. One of them is the present invention.
By using the medical institution payment support system 102, the fees (expenses) required for payment are reduced. Furthermore, when cashless payment is made using the medical institution payment support system 102, the medical institution 4 issues points for the medical institution and provides the points to patients, thereby planning to increase the number of patients. It is desirable that these points for medical institutions be returned in a form that pleases patients, and by using points that reduce the apparent burden of medical expenses, a point service for patients that can be differentiated from other medical institutions. It is expected that the number of customers will increase by providing this service. It is also possible to use other methods of return depending on the concept of the medical institution.
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.
By utilizing points in the medical business, we can expect to increase the number of patients, especially the elderly. It is no exaggeration to say that it is the elderly who support the management of medical institutions. Elderly people love to collect points. 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 people, the act of collecting is a part of their lives, and this has not changed since then. Regarding the method of issuing points at the time of payment and the construction of a point system, it can be done according to Japanese Patent Application No. 2021-113927, so it will be omitted.

Currently, as a new payment method, settlement using digital currency, which the government is considering as a next-generation currency, is about to start. The medical institution payment support system 102 of the present invention includes the possibility of using digital currency, which is about to be used in the near future.
The medical institution payment support system 102 can also be adapted to payment for digital currency with respect to settings such as the use conditions for payment and the setting of restrictions at the time of payment that have been explained so far. For example, a security function that uses inconsistent location information, a security function that allows payments to be made only within a pre-specified region, and other security functions that support safe payments as explained above, as well as payments for each business or industry. Elderly people and people with certain medical conditions will be able to use digital currency with peace of mind by setting upper limits on amounts, setting items that can be purchased, and setting restrictions on payment locations as they are.
Since the medical payment account 104 is an account that handles transfer information of the payment amount, the financial institution that handles cash and the medical payment account 104 instruct the financial institution to transfer the total payment amount. ing. By replacing the connection and processing corresponding to this financial institution with a system that handles digital currency, the medical institution payment support system 102 of the present invention can make payments using digital currency.
FIG. 71 shows a system configuration diagram for digital currency.

The payment system of the present disclosure is equipped with notification functions such as notification of information about where you are now, notification of payment location, notification of payment details, etc., so that family members and guardians can be informed, and User 3 can feel at ease. We can provide payment services.

The payment system of the present disclosure includes payment location information of the payment location, payment date and time information of the date and time of payment, and payment that manages the payment, which is included in the payment information that is generated for each payment and sent from the payment terminal. Information such as the management number (slip number), the unique management number of the payment medium used for payment, and the payment amount information of the amount at the time of payment are accumulated in the payment relationship DB 101 as shopping history information. Using the information accumulated as shopping history information, the electronic device 73 can also provide 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. This function is the function described in "(2) Purchase support function" among the extended functions of the third embodiment.

The medical institution payment support system 102 and its databases, the medical economic zone DB 21, the patient information DB 161, and the payment-related DB 101, must be maintained for a long period of time. In order to fulfill its responsibility, it is important to secure operating expenses. Therefore, the platform-type medical institution support system 1 is equipped with a service that can be monetized in order to sustain the system. From here, we will explain services aimed at sustainability.
The medical institution settlement support system 102 is used as a settlement means for patients suffering from certain diseases such as dementia, addiction, and amnesia and their families to live safely. Not only to buy things, but also to protect the lifelong assets of patients suffering from some diseases such as dementia, addiction, and amnesia, and to use those assets so that their families can live their lives without inconvenience. and services to support the execution of wills to family members and heirs after the end of life.

When the patient or patient's family wishes to safely manage the patient's living expenses and personal assets for the rest of his or her life at an early stage (when the patient's condition does not progress) by utilizing the functions described in this embodiment. , trust management or inheritance management (will management). This trust service is a service in which the medical institution settlement support system 102 supports the conventional trust contract to a patient or patient's family. When the patient's condition progresses, even payment using the payment medium of the present invention feels insufficient. It becomes necessary to plan for the future life while the payment medium is available. Hopefully, only the guardianship system is left, and it is important to choose a good method at an early stage before such a situation occurs. It is advisable to use this service before the patient's condition worsens. The patient's will is also an extension of the trust agreement. In some cases, the trust includes a will. It also includes support for a guardian contract when the patient's condition has progressed and the contract is no longer possible at his/her own will. An outline of the trust service requires an examination of the patient's assets in the case of a trust or testamentary agreement. Using the medical institution settlement support system 102, the patient and the patient's family create a contract. The contract is created as an electronic contract and is managed from the contract execution date described in the contract content to the end date, and announcements (notices) are made to the parties described in the contract. Alternatively, it is a service that is stored from the contract conclusion date to the execution start date and announces (notices) the start of execution of the contract contents to the parties described in the contract.
In the case of a guardian contract, when a guardian is nominated, the reason for appointing a guardian is electronically documented and managed, the contract for which the guardian contract is made is managed electronically, and the termination of the guardian contract is announced to the patient's family ( notification). The guardianship system for concluding a guardianship contract is limited to a system in which the entrustor (user) of a voluntary guardian or a designated guardian can select a guardian.
Furthermore, if it is found that the system using the smart speaker in the third embodiment is likely to cause illness, it is also good to use this service at an early stage of the illness to prepare for the future.
The medical institution payment support system 102 can perform patient information provision processing and trust contract management processing to financial institutions as a trust service. FIG. 28 shows a system diagram for using the trust contract. Creation of a trust agreement by the medical institution settlement support system 102 is described later.

In this trust service, in addition to the conventional trust service for deposit assets, it is possible to 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. Here, the medical institution payment support system 102 can also manage and store the trust agreement, will (will agreement), and guardian agreement on a digital basis.
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 also 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 family lineage information on the system. Since family information includes family information such as parents, children, brothers and sisters from the point of view of the decedent, it is possible to obtain the family register and removal from the family register, which was conventionally done, and the revised original. To easily identify an heir without performing heir identification work performed by collecting family registers.
Once you are diagnosed with dementia, it is very difficult to create these documents and contracts, so it is important to prepare at an early stage. Before the patient's lack of will begins.
Some of the users 3 have a disease, and by using the smart speaker described in the third embodiment of the present disclosure, there is currently no sign of dementia. also requires early preparation. In particular, the bank account of the user 3 may be locked at the discretion of the financial institution, and this can be avoided by taking action early. The medical institution payment support system 102 has a program for creating a trust contract (trust contract) and a will for the elderly. A program for creating a contract or a will can create an electronic contract using templated electronic text information and RPA technology. Templates and RPA are existing technologies. When creating an electronic contract, the electronic signature of the contractor (user) using non-fungible token (NFT or non-fungible token) technology is attached to the electronic contract. In the case of a guardian contract or a trust contract, the contractor indicates the trustor, and in the case of a will, it indicates the testator. By electronic signature with non-fungible token, it is possible to prove that the contract was made by the contractor himself/herself.
Also, by designating an executor to execute the will created by this program and registering the information of the nominated executor, the medical institution settlement support system 102 will contact the registered executor to execute the will. It is also possible to process notification of the notification and notification to the administration (local government and tax office).
FIG. 29 shows an example of making a will.

A process of creating a will using the medical institution payment support system 102 will be described.
This process consists of four processes: (1) registration of information necessary for a will, (2) creation of a will, (3) confirmation of a will, and (4) storage in a form that ensures security. consists of From here, the process of sequential creation is described. The first process "registration of information necessary for a will" and the second process "creation of a will" are performed by the medical institution settlement support system 102, such as a terminal owned by the user 3 and the family of the user 3. Use a terminal that can connect to
FIG. 68 shows the process of making a will.
FIG. 69 shows a list of information on making a will.
FIG. 70 shows the process of executing a will.

(1) Registration of Information Necessary for Will A method for registering information necessary for creating a will with the medical institution settlement support system 102 by the user 3 using a terminal owned by the user will be explained.
User 3 and his/her family provide the information necessary for making a will in the medical institution payment support system 102, including testator information, executor information, will related party information, and testamentary assets information. It is registered and saved in the testator's will information in the DB 21 .
The addresses and names of the three users are registered in the testator information registered in the testator's testamentary information.
When appointing an executor, information for identifying the executor, such as the name or address of the executor, is registered and saved in the executor information registered in the testator's will information.
Information related to the will registered in the testator's will information includes the name, address, date of birth, etc. of the presumed heir and the beneficiary who receives the testamentary gift (hereinafter referred to as the heir together with the presumed heir and the beneficiary). Register and save information for identification and contact information of heirs. If there is a presumed heir to be excluded from inheritance, register the presumed heir to be excluded. In this registration, the information of the presumed heir may be registered using the information of the family line that can be obtained from the medical information providing system.
The testamentary asset information registered in the testator's will information includes information on financial assets such as deposits and savings owned by User 3, depository financial institutions, securities, etc., and in the case of real estate such as land and buildings, the lot number and square footage. , information such as land appraisal value, information on other assets such as precious metals, and information on movable properties such as vehicles are registered and stored.
The information of the depository financial institution is the name and account number of the financial institution in which the financial assets are deposited, and is also registered in the financial institution information in the will information of the testator in the medical economic zone DB 21 .

(2) Preparation of Will A method of preparing a will with the medical institution payment support system 102 will be described.
The medical institution settlement support system 102 creates a will using RPA technology that assembles the information registered in the will asset information registered by the testator using a terminal, the content template information of the will, and the sentences of the content of the will. We will automatically create the text of the will using and. The will prepared in electronic text is stored in the will information of the testator in the medical economic zone DB 21 as will information.
For example, looking at the creation of the asset distribution part, it is possible to specify how to distribute deposits, stock certificates, etc. acquired from the will asset information. In the case of an asset that can be shared by multiple parties, a will will be created for the portion of the asset to be distributed by inputting or specifying a ratio or specific numerical values. In addition, if you want to co-inherit assets that cannot be divided, such as real estate, you can create a will for the real estate portion by designating multiple heirs.
In preparation for the case where an asset which is not registered in the testamentary asset information is found due to a reason such as forgetting to register it, heirs of other assets are also specified.
When an executor is registered in the executor information, the executor is added to the will.
By designating heirs for all the assets registered in the will asset information, preparation of the will is completed. At this time, additional items such as thoughts and messages of the user 3 may be added.
The created will is saved as will information in the will information of the testator in the medical economic zone DB21.

(3) Confirmation of wills The wills stored in the medical economic zone DB 21 must be confirmed in the correct format by the legal affairs bureau or notary public office. Confirmation at the legal affairs bureau or notary public office refers to the will data stored in the medical economic zone DB 21 using the login ID and password for accessing the medical institution settlement support system 102 from the legal affairs bureau or notary public office. confirmation. This login ID and password are issued by the medical institution settlement support system 102 as an exclusive one-time use for confirmation at the legal affairs bureau or notary public office.
When the legal affairs bureau or the notary office determines that there is no problem as a result of confirmation and examination of the will, it replies that there is no problem, and if there is a problem, it replies the problem to the medical institution payment support system 102. - 特許庁
When the medical institution payment support system 102 receives a response that there is a problem, it notifies the user 3 to perform the second process of "creating a will" again. Notify content. If you receive a reply that there is no problem, proceed to the next process. Also, the name of the legal affairs bureau or notary public office that has undergone confirmation and examination is registered in the local government information in the testator's will information in the medical economic zone DB 21 .
The will of the electronic document that has been confirmed by the legal affairs bureau or the notary public office is set to use a non-fungible token (NFT or non-fungible token) by the medical institution payment support system 102, and then the will of the medical economic zone DB 21 It is saved as will information in the person's will information. Settings for using this non-fungible token (NFT or non-fungible token) are described later.
It is also possible to create a will without using the legal affairs bureau or a notary public office.

(4) Storage in a form that ensures security The medical institution payment support system 102 stores a will that has been confirmed by the legal affairs bureau or a notary public office until the user 3 dies and the will is executed. , must be managed and stored. No one will be able to see it until the will is executed.
The platform-type medical institution support system 1 including the medical institution payment support system 102 and the medical economic zone DB 21 must be operated by an institution such as an information bank that can deposit information based on laws and regulations. In addition, the content of the will stored in the medical economic zone DB 21 is encrypted and stored so that even if a third party acquires it due to information leakage, the content cannot be determined.
In addition, in order to protect the will of the user 3, the created will must not be altered.
In order to ensure execution of the will of the user 3, it is necessary to prevent a false will with different contents from being obtained by persons other than those concerned. Therefore, it is necessary to prove that the electronic will document created by the user 3 was created by the medical institution payment support system 102 . Furthermore, the electronic will document created by the user 3 in the medical institution payment support system 102 is sent from the heir and the executor registered in the medical institution payment support system 102, the so-called medical institution payment support system 102. It is necessary to manage the rights regarding the handling of the will (testamentary contract) only to the person to whom the deciphered will has been sent.
The computerized will handed over by the execution of the will uses non-fungible token (NFT or non-fungible token) technology in the information of the contents of the will in order to manage the certificate created by the medical institution payment support system 102. The electronic document managed by the medical institution payment support system 102 is certified by attaching the digital signature used. By attaching a digital signature, the original data of the medical institution payment support system 102 is guaranteed.
Furthermore, the medical institution payment support system 102 also provides (notifies) a will (will contract), which is an electronic document, to the executor and heirs in the executor information and the will-related party information. By using NFT or non-fungible token technology to set and register the executor's information and the heir's information to set the owner's rights, the rights of this electronic document will be set. only heirs and heirs.
The non-fungible tokens (NFTs or non-fungible tokens) described here are existing technologies.
By using this existing technology, even a will that is privately prepared and has not been confirmed by the legal affairs bureau or a notary public office becomes a valid will. The medical institution payment support system 102 of the present disclosure can also create a private will that is not confirmed by the legal affairs bureau or notary public office. In this case, after the will is created in the second process, "creation of the will", the third process, "confirmation of the will" is not performed, and the storage process is performed until the will is executed. . In addition, in the case of a will made privately, it is desirable to appoint an executor because there are many disputes between heirs.

From now on, the execution process of the will created by the medical institution settlement support system 102 will be described.
As for the will, the medical institution payment support system 102 starts executing the will when the user 3 dies. Therefore, it becomes necessary for the medical institution settlement support system 102 to acquire information that the user 3 has passed away.
Acquisition of information on the death of User 3, who created the will contract,
"(1) Obtained from the medical information of the medical information system at the medical institution 4. This uses the information added to the medical information of the medical institution 4 by the information of the death diagnosis result due to the death of the patient."
“(2) A person related to User 3, such as a bereaved family, uses a terminal to connect to the medical institution payment support system 102, and the death information is added to the personal information of the medical economic zone DB 21 by setting the death of User 3. It will be registered, and we will use this death information.”
"(3) Use information on the death of user 3 acquired by connecting the system with the system of the municipal office by DX (digital transformation: existing technology)."
Use the information that was obtained earlier of the three. This "method of acquiring information on the death of user 3" is also carried out in a similar manner in the trust agreement.
When the medical institution payment support system 102 acquires the information that the user 3 has passed away, it performs a process of referring to whether an electronic will is stored in the medical economic zone DB 21 . If it is confirmed that there is an electronic will, then the notification is processed. The address of the notification is sent to the contact address in the information of each heir stored in the will related person information and the contact address in the information on the executor stored in the executor information. The content of the notification is that the user 3 has passed away, and to request that the information on the date of execution of the will and the information on the place of execution be registered in the medical institution settlement support system 102 . In the process of creating the contents of this notification, the medical institution payment support system 102 performs a process of adding the notification message information of the prepared template and the information of the user 3 to the template. The execution date and execution place of the will registered by the heir or executor in the medical institution payment support system 102 using the terminal are used as the execution date information and execution place information of the will by the testator in the medical economic zone DB 21. Save to will information.
The medical institution settlement support system 102 creates a will execution notice by adding execution date information and execution place information to the templated notice information. The created will execution notice will be sent to the contact information in each heir's information stored in the will related party information and the contact information in the executor's information stored in the executor information. be done.
The medical institution settlement support system 102 discloses the contents of the electronic will by sending it to the executor and the heir according to the execution date of the will. As for the method of disclosing the will, it is sent as an electronic document using an electromagnetic method such as e-mail.
Alternatively, in order to obtain the electronic will from the medical institution payment support system 102, an electromagnetic method is used, such as notifying the special login ID and password and having the medical institution payment support system 102 obtain the will.
Regardless of the method of disclosure, a certificate of disclosure content is attached to the acquired (disclosed) will as information to identify who acquired it among the heirs and executors. . At the same time when the will is disclosed, the information attached to the will as a proof of disclosure contents and the information on who acquired it are stored in the will proof information in the medical economic zone DB 21 .
After the execution of the will is completed, the executor or heir registers the completion of the execution in the medical institution payment support system 102, thereby completing the process of executing the will.

The medical institution payment support system 102 can notify parties to the trust agreement of the commencement and termination of the trust agreement. The parties involved in the trust agreement are the trustee of the trust agreement, the beneficiary stated in the contract, and the financial institution that holds the entrusted assets. It will be registered separately in the trust information.
The trust contract start date (trust contract execution date) is an indication that the trustee agrees to the contents of the trust contract created by the medical institution payment support system 102 with the user 3 using the terminal. Alternatively, at the moment when the history of the motion to agree is left, the trust contract is concluded, the process of the trust contract is started, and the contents of execution of the trust contract are notified to the persons concerned with the trust.
The notification of the start of the trust contract is sent to the parties involved in the trust contract obtained from the trust information in the medical economic zone DB 21 . Templated notification message information is used for the content of the notification.
The notice of termination of the trust agreement is sent when the termination conditions described in the trust agreement are satisfied, or when the medical institution settlement support system 102 acquires information that the user 3 who is the entrustor of the trust agreement has passed away. be done. The document to be notified by the medical institution settlement support system 102 is automatically created using a template. The termination date of the trust agreement (trust agreement termination date), which is added to the notice of termination of the trust agreement, is the date when the termination conditions described in the trust agreement are satisfied or the date when the user 3 dies.
Acquisition of information that user 3 died,
This is done in the same way as the "method of acquiring information on the death of user 3" in the will contract.
In the execution of the trust contract, the electronic trust contract handed over includes information on the trust contract and a non-fungible token ( By adding a digital signature using NFT or non-fungible token) technology, it is proved that it is an electronic document managed by the medical institution settlement support system 102 .

The medical institution payment assistance system 102 can notify the parties involved in the guardianship contract of the start and end of the guardianship contract. The person concerned with the guardian contract is the guardian of the guardian contract and the user's three family members, and the notification destination of each person concerned is separately registered in the guardian information in the medical economic zone DB 21 .
In the execution of the guardian contract, the electronic guardian contract handed over, like the will contract, includes the information of the guardian contract with non-fungible tokens ( By adding a digital signature using NFT or non-fungible token) technology, it is certified that it is an electronic document managed by the medical institution settlement support system 102 .

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 nothing is done about trust agreements and wills, 215 trillion yen, which is equivalent to about 40% of GDP, will be tied up in financial institutions, and financial assets that are supposed to be used for consumption and investment will decrease. Transactions are expected to decline, resulting in a disruption of the economic cycle and a decline in GDP. 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 dementia develops and symptoms worsen, financial assets are not left in a salty state and can be maintained in a usable state, enabling the management and disposal of assets for the benefit of financial asset owners. Become.

By utilizing this trust service, the following services can be provided.
Even a patient who is difficult to provide personal information 22 from the patient himself/herself can provide a service that can easily and quickly create payment means by using the patient's basic information in the medical economic zone DB 21 of the medical information sharing database 2. - 特許庁
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, 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.
By providing services to patients, medical institutions that have neglected services to patients until now will make patients choose medical institutions that provide services to patients from among many medical institutions. The number will increase, the management will become stable, and the sustainability of medical management will become possible.
Also, the operational costs of maintaining the system of the present invention are essential. A style that can be provided as a business model in which the operating costs of the system are covered by the system is desirable. Fee-based services include the creation of contracts such as guardianship agreements, trust agreements, and testamentary agreements upon request from trustees of guardian agreements, trustees of trust agreements, and testators. In addition, we will also provide a service for managing the created contract for a fee. The contract management service consists of ``certifying that the contract was created by the contractor by the electronic signature of the contractor attached to the contract'' and ``using the system's digital signature when disclosing the contract details. It consists of three parts: certifying that it is an electronic document created by the system, and informing the contract parties that the contract will be executed. Since payment for paid services is made using existing technology, it is not described here. Examples of existing technologies include cashless, EC sites, net payments, and Japanese Patent Laid-Open No. 2021-113927 devised by the applicant. The reason for using JP 2021-113927 devised by the applicant is that it can be used without changing the usage method even if the current legal currency is replaced by the next-generation digital currency.
This fee-based service is a mechanism and business model for sustaining the platform-type medical institution support system.

In the description of the present embodiment, the elderly and sick people are targeted. It is possible to use the medical institution payment support system 102 of the present disclosure targeting minors in addition to the elderly and people with illnesses. When targeting minors, parents are the recipients of payments and other notifications. The content of the notification has a function to change 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 the patient 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 a “medical examination card that they do not have to worry about losing.”
The present invention focuses on the control number. Here, the management number will be explained. As this management number, the number described in the conventional medical examination card issued by the medical institution 4 is used. Since the medical institution 4 cannot manage patients by name, it manages patients by using management numbers (numbers written on patient registration cards).

In the present disclosure, a "network reception system 9h" that provides a service/mechanism for accepting a medical examination using a medical examination card issued by another medical institution will be described.

A medical examination reception method that does not require a medical examination card using the network reception system 9h of the present disclosure uses a reception terminal installed at the reception of the medical institution 4, and the patient is the patient's management number or the patient's name This can be done by presenting (name and surname) and face to the reception terminal. This network reception system 9h uses information stored 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 . For example, it is the information used at the time of reception processing, such as the personal information 22 in the patient information DB 161, the information of the medical examination card, and the control number.
FIG. 30 shows the database configuration of the fifth embodiment.
The network reception system 9h is provided with a system for identifying patients, and the system for performing the authentication is implemented by the patient authentication processing system 162, and the information in the patient information DB 161 is used for identification.
From here, the patient authentication processing system 162 will be described.
The patient authentication processing system 162 is configured in the platform-type medical institution support system 1, and uses the name and face information stored in the patient information DB 161 and the management number and medical institution name information written on the medical examination card. and perform identification processing.
The name information and the face information stored in the patient information DB 161 are registered by the user as "pronunciation or furigana" information of the name, and as the face information, the information of the face photograph obtained by the user himself/herself.
Among the identification processes described here, the identification method using face information uses a technique widely known as a face authentication system.
Here, the reception work of a conventional medical institution means that a medical clerk reads a control number from a medical examination card of a visiting patient and confirms that the patient is a patient of this hospital. On the other hand, the patient authentication processing system 162 provides an alternative reception service as a reception work of a medical institution in which a patient can be identified by using the patient's medical examination card information and the patient's name and face. is.
This reception service is a network reception system 9h of the platform-type medical institution support system 1 that uses a network to various medical institutions.

By using the network reception system 9h of the present invention, the information recorded in the consultation card, such as the consultation number (management number) and the name of the medical institution registered by the patient in the patient information DB 161, can be transferred to other medical institutions. It can be tied to a card. Since information linked to the medical examination card can be obtained from other medical institutions, it is possible to accept even if the management number of the other medical institution 4 (the number written on the medical examination card issued by the other medical institution 4) is presented. can be done.
Even if a patient presents a so-called medical examination card of another hospital 4a, the person can be identified as the person himself/herself and accepted. In the patient information DB 161, information on consultation cards of multiple medical institutions owned by the patient is registered in association with each consultation card. A patient can be specified and a reception can be performed.
Information on multiple medical institutions listed on the medical examination card, such as the names and addresses of medical institutions, departments, and management numbers, is registered in the medical examination card linking information. Information is associated with name information of other medical institutions and information of management numbers.
The personal information 22 in the patient information DB 161 in the platform-type medical institution support system 1 stores information on a plurality of names of medical institutions and information on management numbers corresponding to the medical institutions 4 . By searching for the management number of the medical institution where the patient currently resides from the name of the medical institution in this database, the management number can be obtained and reception processing can be performed. Further, it is possible to search for the management number of which medical institution 4 from the management number. This search can also be performed using the medical examination card linking information.

Here, there are two reception cases for first-time hospital visits: "Reception of a patient who has a medical examination card from another hospital but is visiting that hospital for the first time" and "Reception of a patient who has never visited a medical institution before." , the processing when the network reception system 9h of the present invention is used will be sequentially described.
The first reception handling process of "reception of a patient who has a medical examination card of another hospital but is visiting the hospital for the first time" will be described. The network reception system 9h reads the management number of the medical examination card of the other medical institution 4 presented by the patient at the reception terminal installed at the reception. Using the read management number information, a search process is performed from the patient's medical examination card linking information in the patient information DB 161 . When the information of the medical institution where the patient is currently visiting is not retrieved by this retrieval processing, the network reception system 9h recognizes that the patient is a first-visit patient who has visited the hospital for the first time. The network reception system 9h registers basic information such as the name and gender of the patient coming for the first time in the electronic medical record 9a used by the medical institution 4 in a form linked to the patient information DB 161 .
The network reception system 9h enables the electronic medical record 9a used by the medical institution 4 to refer to the basic information such as the name and gender of the first-visit patient stored in the patient information DB 161. FIG.
At the same time, registration processing of the management number used by the medical institution 4 is performed in the patient information DB 161 . There are three types of management numbers used in the registration process, namely, "the number for which the network reception system 9h issues a new medical examination card and newly assigns and issues a management number", "the management number of another medical institution", and " It is possible to use a number that substitutes the management number for the number described on various cards whose issuer is clear as a substitute for the medical care card, which will be described later.
One of these three methods is selected, registered in the patient information DB 161, and used in association with the medical examination card linking information.
The network reception system 9h selects a management number selected from among the above three, and selects "linked registration that links patient's basic information so that the patient's medical information can be stored using the electronic medical record 9a". , the process of registering the management number is performed.
By linking the patient's basic information and creating the management number, the reception is completed, and the patient's medical information (diagnosis information) can be saved from the electronic medical record 9a.
Up to this point, the explanation of the reception processing of "reception of a patient who has a medical examination card of another hospital but is visiting the hospital for the first time" is completed.
The reception processing of a patient visiting the hospital in the second "reception of a patient who has never visited a medical institution" will be described. In the case of a patient who has never visited any medical institution, it is necessary to first register and save the patient's personal information in the patient information DB 161 using the network reception system 9h. This registration is done by entering the contents of the identification card such as the insurance card presented by the patient at the reception of the medical institution and the contents (basic patient information) written by the patient on the medical examination application form. is input to the patient information DB 161 . Also, in the case of a patient who has never visited a medical institution, there is no management number, including other hospitals, so it is necessary to register the management number. The network reception system 9h creates management numbers by two of the three methods described above. A method of issuing a new medical examination card and issuing a new management number at the same time, and "a number that substitutes the management number for the number listed on various cards whose issuer is clear as a substitute for the medical examination card, which will be described later" The registration of the control number is performed using either of them.
The network reception system 9h selects a management number selected from among the above two items, and "linkage registration that links patient's basic information so that the patient's medical information can be stored using the electronic medical record 9a". performs processing for registering the management number.
By linking the patient's basic information and creating the management number, the reception is completed, and the patient's medical information (diagnosis information) can be saved from the electronic medical record 9a.
If you choose to issue a new consultation card, when you have a new consultation at another medical institution after this time, do not issue a consultation card at that medical institution and use the first issued consultation card to link the management number. By using it together with the card, the reception can be performed, the patient does not receive a new medical examination card, and the medical institution does not have to hand over the medical examination card.
As an example of a patient who has never used a medical institution before, the case of an infant will be explained. In the case of infants, no personal information is registered at the time of birth. In the case of Japan, infants undergo medical examinations and vaccinations, so they are examined at a medical institution 4 when they are infants. For some reason including the above reasons, when the infant first visits a medical institution 4 that uses the platform-type medical institution support system 1 , patient basic information is registered in the patient information DB 161 .
This also means that medical information from infancy is recorded, and all important medical matters in life are recorded. Examples of important medical matters include history of allergies, history of surgery, history of treatment for congenital diseases, history of organ transplantation and blood transfusion.
Both the patient and the medical institution 4 benefit from using the platform-type medical institution support system 1 including the network reception system 9h.
The advantage for patients is that new patients or those who have not seen a doctor in a long time can request a medical examination without writing personal information on the medical examination application form or questionnaire because it is treated as a new patient, which was necessary in the past. This is unnecessary because the patient information DB 161, which is the information reference destination of the network reception system 9h, stores items to be written in medical examination application documents and questionnaires, such as personal information and important items related to medical care.
The advantage of the medical institution 4 is that it is simple because the receptionist has to fill in the application documents and medical questionnaires at the reception, and the receptionist has to enter the basic information of the written content into the electronic medical chart 9a. It has the advantage of being freed from two things: the need to allocate people to general work, and the hassle of managing paper media such as application forms and medical questionnaires filled out by patients in accordance with the law. This is unnecessary because necessary information such as personal information and important medical matters are stored in the patient information DB 161 and can be referred to.

As an advantage of using the network reception system 9h, two medical information systems can be used together.
Two medical information systems, the in-hospital medical information system 9g conventionally used in the medical institution 4 and the medical information system 9 in the platform-type medical institution support system 1 of the present invention, are used together for medical care work. However, it can be performed by reception processing using the network reception system 9h of the present invention.
This can be done by using so-called "medical examination card linking information" in which information described in a plurality of medical examination cards in the patient information DB 161 and management numbers are linked.
In medical institutions, management numbers for managing patient's medical information differ depending on the hospital's medical information system. For example, there are management type medical information systems with only 6 or 8 digit numbers, 8 alphanumeric characters, and various numbers.
Perform medical examination using different medical information systems in combination, or switch from an old medical information system to the new medical information system of the platform-type medical institution support system 1 of the present invention in the future, or switch to another company's medical information system. . In such a case, the "network reception system 9h" used together can be used. By registering the management number used in the two medical information systems used together in the "medical examination card linking information" that links multiple management numbers, patients can be identified according to the management number system of the medical information system used at the medical institution. can be registered, and when a patient's management number search process is performed, two management numbers used in this medical institution are calculated. By using these two management numbers, the patient's medical information managed by the two medical information systems can be used for diagnosis.
From here, the operation of the network reception system when a patient with symptoms of dementia or amnesia visits the hospital with the patient's consultation card lost will be described.
When a dementia patient or other patient comes to the hospital with a forgotten medical examination card and comes to the reception, enter the name at the reception terminal installed at the reception, or enter the "name" into the microphone attached to the reception terminal. When you speak, the reading of the name becomes name information processed into character data by voice recognition. Speech recognition is an existing technology. This name information converted into character data is searched for information corresponding to the name from the "medical examination card linking information" stored in the patient information DB 161, and biometric information such as the management number and face photograph, and the patient's kanji characters are retrieved. Perform processing to display the name on the screen of the reception terminal. A patient who is likely to lose his/her consultation card should enter biometric information such as name information and face photo information in the "medical information card linking information" stored in the patient information DB 161 in which the consultation card and the management number are linked in advance. By setting the linking, it is possible to extract the information of the face photo and control number from the name information. Among the patient's basic information stored in the patient information DB 161, the information or content displayed on the reception terminal is information that becomes "information for identifying an individual" such as date of birth, address, management number, etc. If the displayed information is correct so-called patient information, the patient confirms and agrees, or the receptionist, family member, or attendant confirms that the displayed information belongs to the patient, completing the reception process. do. However, if there are patients with the same pronunciation of the same name in an unusual case, the patient's face photo, name in kanji, and control number will be displayed on the screen of the reception terminal, and the patient, the receptionist, The reception process is completed by selecting from among the displayed items by the family member or the attendant.
Here, if biometric recognition, which is an existing technology, is used, facial photo information is acquired from the patient's face using the camera of the reception terminal, and the information in the "medical examination card linking information" stored in the patient information DB 161 is obtained. The patient's identification process is performed using the biometric authentication technology of the face photo information and the face photo information obtained at the reception, and the management number is known by the process of extracting the information of the management number linked to the face photo information. This completes the acceptance process.
In this manner, the reception process can be performed even if the patient's consultation card is lost.
This reception processing method can be used by patients who do not have symptoms of dementia or amnesia even if they lose their medical examination card.
FIG. 31 shows a usage image in a system that uses both systems.

The present invention allows a variety of cards to be used as substitutes for a medical institution's consultation card.
In this method, in addition to the medical examination card issued by the medical institution 4, a unique number such as a medical insurance card, my number card, credit card, or library card issued by the local government owned by the user 3 is recorded. In the medical examination card linking information, the management number of the patient's medical examination card in the patient information DB 161 and the management number of the card such as the above-mentioned medical insurance verification is registered in the management number of the medical institution using a card whose number and card issuer are clear. By linking and registering, it can be used as a substitute for the medical examination card of the medical institution 4.
Furthermore, a card printed with a bar code or QR code (registered trademark) whose number cannot be visually observed can be substituted. The substitute cards described so far are tangible, tangible cards. A unique code (virtual code) displayed by an application that can be displayed on the screen of an intangible smartphone can be substituted for a tangible card. To register, read the numerical value written from the bar code, QR code (registered trademark), or virtual code, and link the read numerical information with the management number information in the medical examination card link information in the patient information DB 161. By registering, it can be used as a substitute for the medical examination card of the medical institution 4. - 特許庁
The card prepared by the user 3 and the numerical information of the bar code or QR code (registered trademark) are connected to the patient authentication processing system 162 of the platform medical institution support system 1 to the user's mobile terminal or personal computer, and the card information is transferred. By linking the management number information in the "medical examination card linking information" that is registered in the patient information DB 161 and already registered and linked with the card number prepared by the user 3, the medical institution 4 It can be used as a substitute for a medical card at the reception. For example, reception processing can be performed at the reception of the medical institution 4 using a library card.
In this case, the processing of the network reception system 9h using the library card reads the number written on the library card from the library card presented at the reception reception terminal, and the information of the read number is used as the information of the management number. Then, the number read from the library card (the number substituted for the management number information) from the "medical examination card link information" registered in the patient information DB 161 is linked to the patient used at the medical institution 4 currently accepting 's management number search process from "medical examination card linking information". Acceptance processing is performed using the acquired management number information.
As a result, by providing the network reception system 9h, the reception processing can be performed without issuing a medical examination card at the medical institution 4 in the future, and the medical examination card issued by the conventional medical institution can be used without inferiority. , a new medical examination card will not be issued and given to the patient.
In addition, the linking of cards and faces will be explained.
Linking other cards means linking the information on the consultation card, which is linked to the user in the patient information DB 161, with the management number. The information on the medical examination card also includes the name of the medical institution. Furthermore, the management numbers of multiple medical institutions are also linked. The management numbers of multiple medical institutions are management numbers written on medical examination cards issued by multiple medical institutions. It has been explained so far that these pieces of linked information are stored in the patient information DB 161 as consultation card linked information.
It is possible to use not only the information on the medical examination card but also various cards that substitute for the medical examination card by associating with this medical examination card linking information. If a card other than the medical examination card is substituted for the medical examination card, the card substituting the card other than the medical examination card and the medical examination card will be linked to each other. For example, ``You can find the management number used at the internal medicine hospital from the number on your medical insurance card'', ``You can find the management number used at the surgery hospital from the number on your My Number card'', and ``The library card issued by the local government You can find the control number used at XX clinic from the listed number,""You can find the control number used at XX clinic from the driver's license number," and "You can find the control number used at XX clinic from the credit card number." It is possible to trace the management number used by the medical institution from the linked information.
In addition, cards other than medical examination cards can be used, such as ``You can find your registered My Number card from your medical insurance card,'' ``You can find your library card number issued by the local government from your medical examination card,'' and ``You can find your credit card from your driver's license.'' The information on the substitute cards is also linked.
This is linked in a one-to-N format, in which information on one card is linked to information on multiple cards. From this state, by linking each card information to all cards, linking is done in N to N. As a result, regardless of which card is used, it is possible to specify the management number required for reception at the medical institution where the patient visits the hospital, and to perform reception processing.
Furthermore, the name information and face information can be linked to the medical examination card linking information in the patient information DB 161 . The user 3 uses the name of the user to link the medical card or the card to be used as a substitute.
The "reading" of the user is registered as name information, and this name information is linked to the management numbers of various medical institutions, medical institution name information, and medical examination card information. Register in card link information. By this linking, it is possible to extract the information of the management number and the information of the medical institution linked to the name information by using the name (pronunciation) information. In addition, a photograph of the patient's face is registered, and the registered facial photograph information is linked to various medical institution management numbers, medical institution name information, and medical examination card information, and this linked information is stored in the patient information DB 161. Register in the medical card linking information. By this linking, it is possible to extract the management number information and medical institution information linked to the face photo information by using the face photo information. By using the medical examination card linking information in the patient information DB 161, it is also possible to extract face photo information and the management number of the medical institution from the name information, and it is linked to the patient's basic information in the patient information DB. The patient's name information (in kanji) and address information in the basic information can also be extracted from the database. Until now, if you use one of the linked cards, you can apply at any medical institution,
As a result, a patient can receive a reception at any medical institution by using his or her name and face without having a medical examination card or a substitute card.
Patient information DB 161 includes medical examination cards issued by multiple medical institutions, intangible codes for using mobile terminals owned by user 3, medical insurance cards prepared and carried by user 3, my number cards, names and faces, etc. FIG. 72 shows an image that is linked to and stored with, and FIG. 74 shows an image that is linked to a medical examination card or management number.
In this figure, hospital names are not shared. In practice, at least three types of information such as a consultation card, a face, and a library card used for reception, a hospital name, and a control number are shared as information on the consultation card.
Also, FIG. 32 shows a system diagram of a system in which one medical examination card can be used at a plurality of medical institutions.

The "medical card you don't have to worry about losing" explained here will free some patients and their families from having to search around the house for their lost medical card. be done. As a result, the provision of a "medical card card that you don't have to worry about if you lose it" is a service that gives the family of the person concerned a sense of freedom that only the family can enjoy, being freed from "searching around the house". .
In addition, for patients who have multiple consultation cards, it is convenient to eliminate the adverse effects of increasing the number of consultation cards and to be able to check in at multiple medical institutions just by carrying one card that they usually use. It is a service.
At first glance, the present invention is aimed at enabling reception at any medical institution by linking information on medical examination cards of a plurality of medical institutions, respectively. It looks like a doctor's card.
With this content, it is still not possible to realize the purpose of the idea, ``a medical examination card that you do not have to worry about if you lose it''. This is because there is no point in losing a single linked card. If this card is lost, there will be no improvement in the situation in which people with dementia or amnesia and their families search their homes for the medical card.
Therefore, according to the present invention, information on a plurality of owned medical examination cards is linked to each other, so that even if the medical examination card is lost, it can be replaced with a medical examination card from another medical institution. In addition, as a substitute for the medical examination card, tangible cards such as medical insurance cards, My Number cards, credit cards, library cards issued by local governments, basic resident registration cards, etc., and smartphones for tangible items Intangible information such as code information (virtual code) displayed on the screen of the app can be used.
In addition, since the patient's name and face can also be used for reception, it is possible to create an environment for reception of examinations with a "medical examination card that you do not have to worry about losing."
Furthermore, the cost of the medical institution 4 can be reduced.
By this invention, it is possible to reduce the number of medical examination cards that do not need to be issued for the reception of the medical institution 4 and the management of the patient's medical information, and the reception work of presenting the medical examination card of the medical institution 4 to the reception terminal. It is possible to reduce costs by creating a business environment by reducing the number of reception staff.
Needless to say, this service of the present invention has little merit for the patient and the medical institution 4 even if only one medical institution uses the service. Advantages are generated for the first time by implementing it at multiple medical institutions. Therefore, a network-type service provided by the platform-type medical institution support system 1 is desirable in order to spread this mechanism over a wide area. Medical institutions 4, dental clinics 4f, dispensing pharmacies 4b, library cards and basic resident registration cards issued by local governments can also be replaced by companies and local governments that manage them by number, such as companies related to medical care. A business model service can be provided by the platform-type medical institution support system 1 .
Considering the use in other business categories, this device is considered to be most suitable for use in financial institutions. Financial institutions such as banks, trust banks, and securities companies issue their own cash cards, similar to the medical industry. In contrast to these, by using the mechanism of the present invention, the user 3 himself/herself registers the information of the financial institution in the patient information DB 161 and links it to the cash card. You can also get things done at the institution's ATM. In addition, it is possible to devise the use of the window, and the procedure can be done at the bank window with the cash card of any bank.
User 3 uses a mobile terminal or the like owned by User 3 to enter the financial institution name, financial Register financial institution account information such as institution number, branch number, and account number. By linking the information of multiple registered financial institutions, cash card linking information is obtained.
One cash card is linked to accounts at multiple financial institutions, and one cash card is linked to accounts at N financial institutions. Furthermore, by doing the same thing for a plurality of cash cards, N cash cards are linked to N financial institutions. As an example of these, when the user 3 uses the ATM and uses this linked cash card, it connects to the cash card sharing system 163 and determines whether the used cash card is linked to the cash card linkage information. Confirm. In the case of a linked cash card, processing is performed to display information on the accounts of multiple financial institutions linked to the cash card on the ATM screen. When a non-linked cash card, that is, a cash card not registered in the cash card sharing system 163 is used, the connection is passed as it is to the financial institution of the cash card, and the cash card sharing system 163 is no longer involved. This system consists of three programs to be installed in the ATM: ``program (program 1) for accessing the cash card sharing system 163 from the ATM''; The processing is performed by three programs: a program (program 2) that allows the user to make a payment, and a program (program 3) that accesses the financial institution displayed on the ATM screen and selected by the user. The program 1 is a program for sending information on the cash card used by the user to the cash card sharing system 163 in order to perform processing for confirming whether or not it is linked to the cash card link information described above. Program 2 is a program that causes the cash card sharing system 163 to display the financial institution linked to the cash card linking information on the ATM screen. Program 3 is a program that accesses the financial institution selected by the user on the ATM screen, and it is a program that performs the same operation as the operation screen of the financial institution of the cash card when inserting the cash card at the convenience store ATM. there is

In addition, by applying the prior art, it is possible to use a financial institution account using a smartphone or biometric information without a cash card.
Prior art includes Japanese Patent Application No. 2021-113927 filed by the present applicant.
For example, when an ATM is used with a cash card created by this mechanism, all financial institutions linked to the cash card sharing system 163 among the financial institutions owned by the user 3 are displayed on the ATM screen. A list of accounts is displayed. By selecting an account of a financial institution for which procedures such as deposit/withdrawal and transfer of deposits between financial institutions are desired from the displayed financial institutions, the account of the financial institution can be used. A display example of the ATM screen is shown in FIG.
According to the present invention, the transfer of deposits between financial institutions registered in the patient information DB 161 can be performed by using one cash card by using an ATM, and the account of the financial institution from which the transfer is made on one screen of one ATM. and the destination financial institution account, and enter the amount to be transferred.
If you do the same thing in the past, you would narrow down the destination "financial institution" and "branch", then enter the "account", "account number", "account name", and "transfer amount" and do the same thing. With respect to the process, the present invention has a simple form of selecting the "source financial institution account" and "destination financial institution account" on the screen and entering the "transfer amount". FIG. 76 shows the deposit transfer processing flow according to the conventional method and the present invention.
FIG. 33 shows a system diagram for sharing a bank account with one cash card.
FIG. 77 shows an image in which multiple cash cards used by user 3 are linked to multiple financial institutions according to the cash card linking information in the patient information DB 161 .

Here, I would like to touch on the integration into the My Number Card, which is being led by the government. The nationally managed number (My Number) listed on the My Number Card is linked to the driver's license or insurance card. However, even if efforts are made to tie My Number cards to master cards, the costs of each linking institution will not decrease. As an example where costs do not decrease, the cost of issuing insurance cards and the cost of managing insurance cards will not decrease, and the cost of issuing licenses and the cost of managing licenses for the Public Safety Commission will not decrease, so nothing will change. .
As an example of linking to My Number Card, Fig. 78 shows an image in which multiple medical examination cards are combined into My Number Card.
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 a "medical examination card that you do not have to worry about if you lose it."
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 "medical card that you don't have to worry about losing" is equipped with services for medical institutions 4 and services for patients.
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 will not choose medical institutions 4 that do not use this system, that is, medical institutions 4 that do not provide services to patients. By using this invention, it is assumed that it will be effective to get close to patients, and we think that the era of providing various medical services to patients will begin.

<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.
Organizing the above explanation and analyzing medical institutions from the perspective of "number and quantity" reveals that some regions have a large number of medical institutions relative to the population, and on the contrary, depending on the region, medical institutions Not enough institutions. Also, when analyzing medical institutions from the perspective of "clinical departments," some medical institutions have many clinical departments, while others have few. Next time, when we analyze medical institutions from the perspective of "business hours", there are overwhelmingly many medical institutions that are open only during the daytime, and few medical institutions are open during the day and night. There are even fewer medical institutions that operate around the clock, and in some areas they do not exist. This time, when we analyze medical institutions from the perspective of "business days", we find that there are overwhelmingly many medical institutions that are open on weekdays, and few medical institutions are open on weekends. Next, when the population is analyzed by age, the people in the "productive worker population", which has the largest population, are working workers, so they feel uncomfortable going to a medical institution during the daytime on weekdays when they are working. Or you go to the hospital using paid leave or Hankyu. Population age groups other than the working-age population are able to visit medical institutions during the daytime. From this, the weak point of hospital opening and management in the medical institution becomes clear. A large number of medical institutions are operating in close proximity during certain hours and days of the week. Patients are not matched to the population zone, and are narrowed down to the elderly, infants, children, and students who can move during the day.
In the future, as the population declines, the number of elderly people will also decrease. If medical management is carried out as it is today, the management of medical institutions will deteriorate due to scramble for patients (elderly) during the daytime. can be inferred at this time.
There will be medical institutions that cannot be satisfied. The problem of medical management is to control the number of medical institutions in areas where the number of medical institutions has increased excessively. In other words, restricting the number of medical institutions means reducing the number of places where doctors work.
Reviewing medical management from the weak point, the productive labor population zone is always available after work. Child-rearing mothers can use it anytime when their child has a medical condition. Elderly people who get up early get examined at the time when they are most vacant. I can stop by on my way home from school. Furthermore, medical institutions with abundant medical departments are required. Is that a convenience store? So the convenience of medical institutions is the best solution. For example, the annual health checkups and complete medical checkups for the working-age population are carried out by the company during the daytime, so-called working hours. If medical institutions can be made more convenient, it will be possible to receive complete medical examinations at the nearest 24-hour medical institution on the way home or early in the morning before commuting. In addition, a one-night medical checkup can be received on the way home from work, and the next morning, the employee can return to work as usual, reducing the company's expense burden.
In addition, when we analyze medical institutions based on the age of doctors, we find that doctors are aging in some regions, and some medical institutions are closing. In this respect as well, it is not possible to reduce the number of medical institutions by properly grasping the ages of doctors and the medical departments of each region and local government and formulating a business succession plan for medical institutions. Even in business succession, by being aware of the convenience of medical care at the time of renewal, one medical institution can be supported 24 hours a day by multiple private business practitioners and medical staff (private business nurses). people will be able to work We think that one or more convenience medical institutions are necessary in the region.
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 goal, there are two methods of changing to medical institution 4 (24-hour medical institution 4g) that provides 24-hour medical examinations for the purpose of extending the time to provide medical care, rather than increasing the number of medical institutions. There are two methods, instead of increasing the number of medical institutions, changing them to medical institutions 4 (multi-specialty medical institutions 4h) that have insufficient medical institutions,” and “24-hour medical institutions 4g and multi-specialty medical institutions 4h.” In this embodiment, the medical information system (medical institution shared use system 172) that is necessary for changing to a

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. 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 local 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 name and number of annual inpatients by age.
If there is a shortage of clinical departments in the area, or if there is a shortage of 24-hour medical institutions in the area, information about the shortage is also stored in the regional medical information.

FIG. 34 shows the database configuration of the sixth embodiment. In this embodiment, information stored in the medical economic zone DB 21 in one large database (medical information sharing database) that can be connected to information is referred to and used. Information in the medical economic zone DB 21 stores regional medical information, regional medical plan information, and salary burden information. A description of each piece of information is given when the information is used.

If the regional medical information stores information that there is a shortage of medical departments in the area, there are methods to increase the number of medical institutions 4, and to prevent cost considerations and patient scrambles among existing medical institutions 4. A method of changing to a clinical department is stored in the medical economic zone DB 21 as regional medical plan information.

If the regional medical information stores information that there is a shortage of 24-hour medical institutions 4g in the area, how to increase the number of 24-hour medical institutions 4g, doctors 5a and nurses 5b, and future population decline A method of changing an existing medical institution 4 to a 24-hour medical institution 4g by a plurality of independent business doctors 5a without increasing the number of medical institutions 4 and emphasizing the cost of opening a hospital, a plan for unmanned and automated operations to reduce human rights costs, and medical cost reduction. The plan and the decentralization or conversely centralization of medical technology are stored in the medical economic zone DB 21 as regional medical plan information.

If the regional medical information stores information that there is a shortage of clinical departments in the area, or information that there is a shortage of 24-hour medical institutions 4g in the area, the current medical institution The location situation is displayed on the map site of the external system on the network to visualize which part of the information area is lacking.
In addition, we have visualized which part of the region is in short supply, and increase the number of 24-hour medical institutions 4g and the shortage of medical departments according to the current population situation of the region and the estimated future population situation. Increasing the number of medical institutions will lead to the optimal medical system for regional medical care and the sustainability of medical institutions 4.

A proposal for increasing the number of 24-hour medical institutions 4g and multi-examination medical institutions 4h and streamlining the clerical work at the medical institutions 4 will be described.
Multiple individual businesses using existing medical institutions 4 without increasing the number of medical institutions 4 in order to reorganize and enhance the medical system in the region or to make it a medical system corresponding to the declining population. The medical institution 4 will be renewed with a new medical management style in which doctors 5a share medical facilities and provide medical care. The medical institution 4 of this new medical management style includes a 24-hour medical institution 4g and a multi-examination department medical institution 4h. By renewing to the medical institution 4 with a new medical management style, the doctors 5a can keep a place where they can work without surplus. The individual business doctor 5a indicates a doctor 5a who manages a medical institution such as a 24-hour medical institution 4g or a multi-examination medical institution 4h.
A plurality of sole proprietorship doctors 5a sharing medical facilities and providing medical care at an existing medical institution 4 means that "the existing medical institution 4 operates during mornings and evenings when the existing medical institution 4 does not conduct medical examinations. A space (examination room), medical equipment, and medical equipment are lent to a doctor 5a different from the doctor 5a to perform a medical examination," or "they can be used even during the hours when the existing medical institution 4 is conducting a medical examination. The space, medical equipment, and medical equipment are lent to a doctor 5a other than the doctor 5a of the existing medical institution 4 in the examination room that is not available. This is the same as a modified version of obtaining rent in addition to izakaya income by renting out the sleeping hours of an izakaya, which is only open from evening to night, to another business. When an existing medical institution 4 lends a space to another doctor 5a, the existing medical institution 4 as the landlord and the doctor 5a as the lending destination (tenant) are treated as separate medical institutions 4.例文帳に追加As a result, a plurality of sole proprietorship doctors 5a will open as medical institutions with the same address and the same medical institution name (same address, same medical institution) but operating as separate medical institutions 4 .
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 reduce the corporate tax.
In addition, since the landlord's medical institution 4 can obtain rent income from the tenant doctor 5a, it can be expected that the medical institution can be managed stably. The shop assistant doctor 5a can rent a space to conduct medical examinations, and can start a practice with less funds than usual.

When a plurality of privately-owned business doctors 5a share medical facilities and provide medical care, there may be problems in using a conventional medical information system that is already in use by the medical institution 4 that provides the facilities. Also, using a separate medical information 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 device shared use system 172 includes 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, all of which operate on the platform-type medical institution support system 1. It consists of six systems, an automatic billing system 174 and a joint employment system 175.
A platform-type system refers to a system that collectively develops a system used in the medical industry as a platform system that can be shared and used, converts it into a platform service, and can be used jointly by multiple medical institutions.

When the existing medical institution 4 is renewed as a 24-hour medical institution 4g, the medical information system used in the conventional medical institution 4 is used by a doctor 5a at one medical institution 4. It is a system. Using this medical information system, information about consultations can be readily available and shared. However, due to the lack of functions, the information on the medical institution management of each individual business doctor 5a cannot be used with information security guaranteed. The shared use system 172 between medical devices of the present invention is shared with a plurality of individual business doctors 5a who provide medical care at a 24-hour medical institution 4g when connected from a terminal such as a personal computer or tablet located at the same address and the same medical institution. Both the information to be shared and the information not to be shared with a plurality of individual business doctors 5a who provide medical care at the 24-hour medical institution 4g are displayed. The individual business doctor 5a, who provides medical care at the 24-hour medical institution 4g, utilizes the two pieces of information displayed to perform medical examinations and manage the medical institution of the 24-hour medical institution 4g.
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 multi-examination medical institution 4h, the medical information system used in the conventional medical institution 4 is assumed to be used by the doctor 5a in one medical institution 4. medical information system. Using this medical information system, information about consultations can be readily available and shared. However, due to the lack of functions, the information on the medical institution management of each individual business doctor 5a cannot be used with information security guaranteed. The joint use system 172 between medical devices of the present invention connects with a plurality of individual business doctors 5a who provide medical care at the multi-examination department examination medical institution 4h when connected from a terminal such as a personal computer or a tablet at the same address and the same medical institution. Both the information to be shared and the information not to be shared with a plurality of individual business doctors 5a who provide medical care at the multi-examination department examination medical institution 4h are displayed. The individual business doctor 5a, who provides medical care at the multi-examination medical institution 4h, utilizes the two pieces of information displayed to conduct examinations and manage the medical institution of the multi-examination medical institution 4h.
FIG. 36 shows an example of the multi-examination department examination medical institution 4h.

By using the inter-medical equipment 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 , electronic medical record 9a, information related to medical treatment such as patient's personal data, patient medical information and prescription information, medical reception information, medical appointment information, patient referral information, and medicine purchase information. On the other hand, information that is not shared with multiple individual business doctors 5a in chronological order and information that is not shared with multiple individual business doctors 5a in multiple departments include accounting information, expense information, business management information, It is information related to medical institution management of individual business doctors, such as employee information, salary information, and tax information.

Due to the medical institution management of the 24-hour medical institution 4g and the medical institution management of the multi-examination medical institution 4h, the business owner of the medical institution 4 before the renewal can receive rental income from a plurality of sole proprietorship doctors 5a. The sole proprietorship doctor 5a has a business model in which the start-up capital can be reduced because the medical facility is rented. This business model is carried out using the inter-medical device shared use system 172 .

As a result, the provision of a medical management support service that provides management support for the existing medical institution 4 as a 24-hour medical institution 4g in the region (depopulation region) in the region (depopulation region), and the region (population It is possible to provide a medical management support service that supports the management of an existing medical institution 4 in a declining area) as a multi-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 for the same address and same medical institution can be performed collectively. Examples of collective clerical work include reception clerical work, accounting clerical work, and medical fee billing clerical work.
As a specific example of clerical work performed collectively, we will explain using billing for medical fees.
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. In the present disclosure, the invention is not the calculation method itself, but the method of performing the calculation and the method of outputting the calculation result.
The medical fee calculation system 173 does not charge the insurer such as the health insurance association or the local government as the medical fee for the same address and the same medical institution, but as the medical fee for each individual business doctor 5a.
The medical fee calculation system 173 acquires from the medical information system information on the contents of examinations of patients examined by the sole proprietor 5a who conducts examinations at the 24-hour medical institution 4g or the multi-specialty medical institution 4h. Based on the acquired information on the contents of the medical examination, the medical treatment score is calculated, and the amount of the medical fee is calculated. The method of calculating the medical treatment points and calculating the medical fee from the information of the examination content is the same as the conventional method of calculating using a receipt computer. For the calculation processing of medical fees, we will use the existing technology, which is widely available. The medical fee calculation system 173 also acquires information on the health insurance to which the user 3 subscribes from the medical economic zone DB used by the medical information system. Health insurance information refers to information such as the insurer's name and insurer's number, which are described in the health insurance card.
The medical fee calculation system 173 stores information on the portion of the calculated medical fee paid by the insurer and information on the health insurance that the user 3 is enrolled in, for each sole proprietor 5a. This information is stored as information for claiming medical fees as a sole proprietorship doctor 5a from individuals and local governments. The medical fee calculation system 173 bills medical fees to insurers such as health insurance associations and local governments based on information for billing medical fees. This billing itself is no different from the method that each hospital has conventionally performed using a receipt computer.
The medical fee calculation system 173 stores information for claiming medical fees for each individual business doctor 5a. Claims for medical fees to insurers such as health insurance associations and local governments are not processed as medical fees for the same address and same medical institution, but are processed as medical fees for individual business doctors 5a.
The medical fee calculation system 173 provides this billing processing as a service for providing management support to the 24-hour medical institution 4g or the multi-examination department medical institution 4f. As a result, in the conventional medical fee billing, one billing was made per medical institution, but in the present disclosure, billing is made for each individual business doctor 5a of one medical institution.

In the preceding paragraph, it is assumed that each privately-owned doctor 5a requests medical fees from insurers such as health insurance associations and local governments. However, medical fee claims can be collected from insurers such as health insurance associations and local governments at the same address and at the same medical institution using the automatic medical fee billing system 174 on the platform-type medical institution support system 1. may be requested.
When billing is performed collectively at the same address and at the same medical institution, the medical fee automatic billing system 174 collects the information for billing medical fees managed by the medical fee calculation system 173 at the same address and at the same medical institution, and collects the health insurance information. Process claims for medical fees to insurers such as associations and local governments.
FIG. 37 shows an image diagram of claiming medical fees from individual business doctors in a 24-hour hospital, and FIG.
The medical fee automatic billing system 174 compiles information for claiming medical fees for each of the plurality of individual business doctors 5a when there are multiple insurance doctors of the individual business doctors 5a at the same address/same medical institution. This compilation refers to a place where patients who have been treated by different individual business doctors 5a at the same address and same medical institution are referred by their names and billed as one medical institution.
The medical fee automatic billing system 174 processes medical fee billing to insurers such as health insurance associations and local governments using collected information for billing medical fees. In this case, due to the convenience of the current system, the landlord's medical institution 4 or the owner's sole proprietorship doctor 5a will make the request on behalf of the same address and same medical institution.
If medical fees are billed collectively at the same medical institution at the same address, the medical fees paid by the insurer will be billed by the medical institution 4 or sole proprietorship doctor 5a who is represented by the medical fees for the entire medical institution at the same address and same address. are paid together. The medical institution 4 or sole proprietor 5a who made the request on behalf of the patient must distribute the collectively paid medical fees to the other sole proprietor 5a of the same address and same medical institution.
There is no problem in distributing the medical fee to other privately-owned doctors 5a by a conventional method using cash such as bank transfer, but the transfer fee and other fees are wasteful.
By using the medical payment account 104 of the platform-type medical institution support system 1, there is no need to worry about the fee. A medical payment account indicates a medical payment account for using the medical institution payment support system 102 described in the fourth embodiment.
Medical fee distribution using the medical payment account 104 is performed using the medical institution payment support system 102 .
The medical institution settlement support system 102 acquires information for billing medical fees managed by the medical fee calculation system 173, and uses the acquired information to represent the medical institution 4 or sole proprietor 5a who made the request. The payment information is transferred from the medical payment account 104 of the individual business doctor 5a to the medical payment account 104 of the individual business doctor 5a. By transferring the payment information, the individual business doctor 5a can receive an amount equivalent to the medical fee.
In addition, by using the medical payment account 104, the system can continue to be used even if digital currency becomes mainstream in the future.
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 slot. Usually, each individual business doctor 5a employs staff such as clerical staff, security staff, and cleaning staff.
For example, assume that there are five privately-owned doctors 5a, and that at least two office staff are required to conduct medical examinations. In this case, at least ten administrative staff are employed within one facility. However, there are clerical work, such as reception clerical work, for which there is no problem even if clerical staff are hired jointly without hiring clerical staff for each sole proprietor 5a.
The medical institution joint use system 172 of the present disclosure includes a joint employment system 175 as a system for managing clerical staff jointly hired by a plurality of sole proprietorship doctors 5a.
The joint employment system 175 is a system for performing payroll management and attendance management when the sole proprietorship doctor 5a jointly hires staff such as clerical staff.
The joint employment system 175 acquires information on which individual business doctor 5a employs each staff member. The information is obtained by using information on the working date and time of each staff member and information on the examination date and time of the individual business doctor 5a who is conducting the examination.
An example of administrative staff (clerk) will be explained.
The joint employment system 175 acquires the information on the working date and time of each staff member and the information on the examination date and time of the individual business doctor 5a who conducts examination as follows.
Clerk A works on Mondays and Thursdays.
Clerk B works on Tuesdays and Wednesdays.
Private practice doctor C sees patients on Mondays and Tuesdays.
A sole proprietorship doctor D consults on Thursdays.
Private business doctor E conducts medical examinations on Tuesdays and Wednesdays.
The joint employment system 175 uses the acquired working date information of each staff member and the examination date and time information of the individual business doctor 5a who is conducting a medical examination to determine which individual business doctor 5a employs which clerk on what day of the week. Compute information.
In this case, clerk A is hired by "individual business doctor C on Mondays" and "individual business doctor D on Thursdays".
Clerk B is information (information on the date and time of employment) that "On Tuesday, Sole Business Doctor C and Sole Business Physician E are jointly employed" and "On Wednesday, Sole Business Physician E".
The joint employment system 175 calculates the ratio of the salary to be borne by each individual business doctor 5a based on the information on the date of employment, and stores it in the medical economic zone DB 21 as salary burden information.
In the above example, Clerk B is jointly employed by Sole proprietor C and Sole proprietor E on Tuesday. Business doctor E is both 1/2. On the remaining days of the week, one person is employed, so the salary ratio is 100%.
The joint employment system 175 sends information on the calculated salary to be borne as salary burden information to the medical institution management business support system 10 used by each individual business doctor 5a.
The medical institution management business support system 10 performs procedures for paying salaries to administrative staff based on the sent salary burden information.
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 a business model for management support to the sole proprietor 5a.

The present invention can also be used in large-scale hospitals with a relatively large number of beds, such as municipal hospitals and prefectural hospitals. When considering management improvement, it is necessary for municipal hospitals and prefectural hospitals to streamline their management and transform them into 24-hour, 365-day medical care operations. and eliminate ambulance. Moved to a convenience hospital. By renting out medical facilities to doctors, nurses, and technicians in private practice, private practice nurses, and private practice laboratory technologists, medical institutions can streamline their management. For example, the current number of full-time doctors can be halved, and the reduced number of doctors can be used as independent practitioners to provide medical institutions. In addition, the number of full-time nurses and laboratory technologists will also be reduced by half, and the reduced number will be reduced by providing medical institutions to private business nurses and individual business laboratory technologists (half doctors, half nurses, It is okay if only the labor cost of half the laboratory technicians does not generate sales. Appearance of less labor cost. Patient visits are not out of reach. Outpatients can be taken care of by individual business doctors, and inpatients can be taken care of by full-time doctors. Private business doctors can also be in charge of night medical care. The same is true for nurses.
Without increasing the number of hospitals, it will become a medical facility 24 hours a day, 365 days a year, and will increase the working places for doctors, nurses, and laboratory technicians. Lean manufacturing for the company that manufactures the product will take place within the medical facility.
In the first place, human rights costs are the cause of the unsatisfactory management of medical institutions.
The present invention can also be used in university hospitals. By reducing the number of full-time doctors and providing facilities for individual business practitioners, the labor costs of full-time doctors can be lowered.
We must change medical management, which has not changed since the Showa era.

<Seventh embodiment>
The drug information system 204 in the platform-type medical institution support system 1 of the present disclosure obtains the name of the drug used and the amount of drug used for each patient from the patient information DB 161 in the medical economic zone DB 21 in the medical information sharing database 2. (prescription amount), the patient's medical history, and the outcome of the disease can be acquired as medical condition 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 Application Laid-Open No. 2020-123106 devised by the applicant. 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. 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.
For the amount of medicine used by all patients at the medical institution 4 for a certain period of time, such as one month or half a year, the amount of medicine used for each patient is obtained from the electronic medical record 9a of the medical institution 4 to be tallied, and the sum is added for each drug name. becomes. The drug information system 204 saves the processed drug usage amounts for all patients in the medical institution 4 for each drug type and each drug name as regional prescription amount information in the regional prescription DB 191 .
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 and stored in the medical economic zone DB 21 as regional total prescription amount information.
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. The drug information system 204 uses the same drug information to reaggregate as one type of drug the drugs with the same active ingredient among the drug types and drug names of all patients in the medical institution 4, which are totaled as regional total prescription amount information. , is stored in the medical economy zone DB 21 as disease prescription information. As an example, two brands of drugs with the same efficacy were used at a local medical institution. By recounting two drugs with the same efficacy, Aspirin manufactured by Company A and Acetylsalicylic acid manufactured by Company B, the two brands used are recounted as the same drug because the active ingredient is acetylsalicylic acid.
A fixed area refers to an administrative area such as a municipality, a functional area such as an economic area or commercial area, or an area such as a medical area. In addition, areas that combine multiple of these are also included in certain areas. The idea is to collectively treat the medicines handled by the entire medical institution 4 existing in this fixed area as a unified medicine for the area.
If there is only one or a small number of medical institutions 4 to be totaled in a certain area, it is not so preferable for 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.

The drug information system 204 of the present disclosure uses information in each database of the medical economic zone DB 21, the patient information DB 161, the regional prescription DB 191, the prescription recurring DB 201, and the prescription subscription DB 205. Disease prescription information, company business information, and personal information 22 are stored in the medical economic zone DB 21 . The patient information DB 161 stores medical condition information. The regional prescription DB 191 stores regional prescription information, regional prescription amount information, regional total prescription amount information, and same drug information. The prescription recurring DB 202 stores comprehensive prescription information, comprehensive response information, comprehensive total prescription amount information, comprehensive prescription contract assessment information, comprehensive prescription contract company information, desired contract price information, and chronic prescription drug contract information. Prescription subscription DB 202 stores prescription subscription information, subscription response information, subscription total prescription amount information, prescription subscription contract assessment information, prescription subscription comprehensive contract company information, prescription subscription contract company information, and chronic prescription drug contract information. there is A description of each piece of information will be provided when the information is used.
FIG. 40 shows the database configuration of the seventh embodiment.

This is caused by a purchase under a comprehensive contract that collectively purchases drugs prescribed by all medical institutions 4 within a region by summing up for each drug name within a certain region as regional prescription amount information and disease prescription information. , it can be expected that the drug can be purchased at a low price by taking advantage of economies of scale. (This is also called a volume discount in society.) In order to take advantage of scale merits, 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 medical institutions 4 have the same price and the price is reduced, which is a completely different method of purchasing prescription drugs from the conventional method.
From the point of view of the medical institution 4 and the patient, the price of the medicine can be expected to be reduced with the purchase under the comprehensive contract or the subscription purchase. As an example of a subscription contract that reduces the amount of medicine used, there is a 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 is in a state of monopolizing the area, and it is possible to receive a large amount of orders, so it is easy for the factory to set up a production schedule, easy to plan material procurement at the factory, and easy to make a sales schedule. In addition, in the subscription contract, sales entry by competitors is not allowed during the contract period, and all medical institutions 4 in the region can be operated under a monopoly sales state, which increases sales.In addition, annual order volume and demand Knowing 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.
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. 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 between the competing companies.
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.

The method for the medical institutions 4 belonging to the medical economic zone 24 among the medical institutions 4 within a certain area to purchase medicines comprehensively or by subscription, performed by the drug information system 204, is based on the business information of the company in the medical economic zone DB 21, A request for an estimate is made to the candidates of the drug ordering party, and as a result of the request for the estimate, the vendor that presents the most advantageous conditions is selected as the ordering party from among the companies that have responded from the candidate of the ordering party. 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. .
The prescription recurring system 202 is a blanket contract for purchasing medicines from a blanket contract with local medical institutions. A series of processes of this prescription recurring system 202 include calculation of regional prescription amounts (in one month, half a year, and one year), selection of drugs for comprehensive contracts, selection of companies with comprehensive contracts, contract It is a system that performs a series of processes from preliminary request for quotation, creation of comprehensive contract, selection, contract quotation, and contract.
The business company that receives contract orders using this system is the medical institution 4 registered in the business information of the company in the medical economic zone DB 21, which is a drug sales company or a drug manufacturing company.
Information on the amount of drugs used for each drug type and drug name prescribed to patients at medical institutions 4 that use the medical economic zone 24 is stored in the regional prescription DB 191 as regional prescription information.
The usage amount (prescription amount) for the entire region, which is the sum of the usage amounts of a plurality of medical institutions 4 in this area, is the volume usage amount.
Conventionally, the amount of volume used will be significantly higher than the amount (number) that the medical institution ordered on its own, so the contract will be cheaper than the purchase unit price that the medical institution purchased on its own. . The contract has an expiration date. 1 year, 2 years, 3 years, 5 years, etc. If the contract is long, there will be risks for both the medical institution side and the provider side in relation to prices and raw material costs, so long-term contracts are not made.
The prescription recurring system 202 uses artificial intelligence (AI) called comprehensive prescription selection AI to select comprehensive drugs and select comprehensive contractors to purchase them from.
The prescription recurring system 202 calculates the total value of the prescription amounts as a result of calculating all the prescription amounts of the medicines of the medical institutions 4 in the area, the names of the medicines consumed in the area, their contents, the prescription amount of each medical institution, and the medicines. The comprehensive total prescription amount information is stored in the prescription comprehensive information of the prescription recurring DB 201 as the information of the total prescription amount of the drug linked with the purchaser, the purchase unit price, and the total prescription amount.
Drug suppliers are different for each of the multiple medical institutions, so there are multiple purchase sources. The information of the orderer (supplier) that each medical institution 4 has conventionally used from the management system that has been conventionally used will be referred to as "pharmaceutical purchaser".
The prescription recurring system 202 needs to select a contracting party (companies with comprehensive contracts) to enter into a comprehensive drug contract.
By using an artificial intelligence (AI) called comprehensive prescription selection AI for this selection processing method, the troublesome selection can be automated.
The comprehensive prescription selection AI selects drugs for which a comprehensive contract is to be made, candidate companies to be contracted, and final contractors to be contracted.

Here, comprehensive prescription selection AI will be described.
In order to enter into a blanket contract, it is necessary to select the drugs covered by the contract. Hundreds of drugs are used in medical institutions 4 throughout the region. The comprehensive prescription selection AI is used to automatically select drugs to be included in the comprehensive contract.
The comprehensive prescription selection AI selects medicines for which a comprehensive contract is to be made, candidate companies to be contracted, and final contractors to be contracted.
The selection of drugs by comprehensive prescription selection AI is based on information on drugs that have been purchased at multiple medical institutions in the past, and the purchase price of each medical institution varies greatly, and the amount of prescriptions at each medical institution. Information on drugs in large quantities (conversely, it is better to exclude drugs with small prescription amounts), information on drugs that have been provided for a long time and have begun to appear as generics and other generic drugs, and companies that have a large purchase record at each medical institution. Using information on drugs sold, information on drugs sold by companies with little purchase record at each medical institution (companies that do not use it often), and information on drugs with comprehensive contract results in the past, Drugs and contracting candidate companies are selected. These pieces of information are obtained from comprehensive prescription information in the prescription recurring DB 201 that has already been saved.
In addition, from the drug purchaser information linked to the selected drug, candidate companies to enter into a comprehensive contract are acquired, and which company to conclude a contract with is selected.
The comprehensive selection AI learns using the information described so far, that is, the information stored in the comprehensive prescription information.
The machine learning method used by comprehensive prescription selection AI uses the method of association analysis of unsupervised learning using the information saved as comprehensive prescription information.
With this learned prescription comprehensive selection AI, as a result of selecting from information on companies with a large amount of prescriptions, generic products, companies with a large purchase record, and companies with a small purchase record, drug selection and Candidate companies for purchasing the drug are selected and the purchasing unit price (recommended purchasing unit price) of the drug is calculated. Prescription amount information, purchaser candidate company information, and purchase unit price (recommended purchase unit price) information linked to the drug information are stored as comprehensive prescription contract assessment information in the prescription recurring DB 201 .
This selection is based on comprehensive prescription selection AI.
The comprehensive prescription contract assessment information is used to estimate the comprehensive contract.
Here, the learning method of comprehensive prescription selection AI will be described.
Information on medicines consumed in the region, information on the details of the medicines, information on the amount prescribed by each medical institution, and information on the amount of prescription from comprehensive total prescription amount information stored as comprehensive prescription information in the prescription recurring DB 201. The total value information and comprehensive total prescription amount information, which is the sum of drug prescription amounts at all medical institutions, are acquired and used as learning information.
As company information, we obtain companies that we have dealt with in the past as drug suppliers, drug manufacturing companies, or companies that have a track record of comprehensive agreements in the past from information on companies with comprehensive prescription contracts in the comprehensive prescription information. Then, companies with a track record of subscription contracts are acquired from the prescription subscription contract company information in the subscription information and used as learning information.
The information listed here is used as a learning information source for AI to learn, and AI is used for learning using the method of association analysis by self-learning without a teacher.
The drug selected for the blanket contract may not always have been the right choice. It may later turn out that a subscription agreement is the better choice than a blanket agreement. Information used for this determination is the inventory information of the medical institution 4 . Originally, a blanket contract focuses on the quantity (number) to be used. If you have too much inventory near the end of the contract period, you made the wrong blanket choice. On the other hand, if the prescribed amount is not large enough and an additional order is placed, it means that the comprehensive contract was selected incorrectly. Comprehensive prescription selection AI is designed to learn these things and select the optimal contract.

In order to determine the comprehensive contract price and the contracting party, the prescription recurring system 202 performs processing for sending a request for quotation of the contract price of the comprehensive contract to the candidate company of the comprehensive prescription contracting company stored in the comprehensive prescription information.
A comprehensive estimate is a request to calculate a contract fee for a prescribed amount in order to conclude a comprehensive contract with a company. The prescription recurring system 202 acquires drug information linked to the candidate purchaser company information from the comprehensive prescription contract assessment information, and the prescription amount information (here, the contracted amount) and the unit price of the drug information (one Obtain the lowest purchase unit price) and create a request for quotation. An example of the quotation request form for a comprehensive contract includes information necessary for an estimate for drug A, annual prescription amount of 100 boxes, purchase price of 100 yen, and drug B, annual prescription amount of 500 boxes, purchase price of 300 yen. This is the content of the request for quotation.
Furthermore, the total price in the content of the comprehensive contract is calculated from the unit prices of drug information and the amounts of prescription amount information for all the drugs for which quotations have been requested. The calculated total price information is stored in the desired contract price information of the prescription recurring DB 201 together with the computerized estimate request electronic document for the comprehensive contract described below as the desired contract price information for the quote to be requested. be. This desired contract price information is used to evaluate the contract price described in the content of quotation that has been answered.
The estimate request form uses an electronic document template, and by adding drug information and prescription amount information to the template, an estimate request electronic document for a comprehensive contract is created.
The delivery destination of this electronic document request for quotation electronic document for the comprehensive contract is sent to the company in the candidate supplier company information. The destination information is sent using the contact information of the company information in the medical economic zone DB 21 . Responses with quotations will come in order from each company.
The prescription recurring system 202 receives a response to this request for quotation from the comprehensive prescription contract candidate company, and stores the content of the response in the prescription recurring DB 201 as comprehensive response information. The comprehensive response information contains information necessary for the contract, such as the company name, drug name, quantity of contracted drug, contract price, and payment terms sent from the company.
Here, companies that provide products (medicine) will be explained.
First, why would a company enter into a blanket contract? The answer is "exclusive". Pharmaceuticals are a multi-product wholesale business in which various manufacturers (manufacturing companies) manufacture a wide variety of products (especially generic drugs) and various wholesalers sell them. In some cases, the manufacturer sells directly. A comprehensive contract is narrowed down to one brand from a large variety of products. For example, suppose there are 20 companies that manufacture acetylsalicylic acid and 10 companies that manufacture ibuprofen. Contract, ibuprofen contract with company C, multiple wholesale companies that provided drugs and direct sales of multiple manufacturers cannot sell drugs to this region at all during the contract period of the comprehensive contract become. Only one contracted wholesaler or manufacturing company will provide the product exclusively. Sales increase due to a monopoly state in which no entry (order activity) from other companies is possible. Other companies that were not able to sign a contract will remain untouched during the contract period and just watch. Therefore, aiming for the next contract period, the next contract will be even more intense. Once you win a comprehensive contract and experience a monopoly, you will not be able to get out of it. The medical institution 4 side is exactly the same, and once you get a taste of the management system of being able to buy cheaply, you can't get out of there.
Describes the quotation reply to the request for quotation of the blanket contract.
Each company that has received a request for quotation makes an estimate and submits an estimate. The prescription recurring system 202 acquires the estimated price, the contract period, the drug, and the supply price of the drug described in the returned estimate for each company that created the estimate, and stores the estimated price in the company information. Information, contract period information, drug information, offer price information, and the electronic document of the quotation are stored in the quotation reply information of the prescription recurring DB 201 for each company. The estimated price that has been replied and the desired contract price information are compared. Quotations with higher quoted prices by comparison are excluded. Adopt a quote that is cheaper than the desired contract price information and has a price difference. This means that the contracting company has been selected. The contracted company selected by the prescription recurring system 202 is stored as comprehensive prescription information in the prescription recurring DB 201 as comprehensive contracted company information.
Next comes the process of creating a contract.

Explain how to create a contract for a blanket contract.
There are two types of blanket contracts. One is a contract between a large virtual medical institution and a business that makes a contract. The other is a contract between the virtual large medical institution and the actual medical institution 4 . Both contracts are created the same way.
Comprehensive contracts are concluded electronically through the prescription recurring system 202 . An existing technology is used to create an electronic contract (digital contract).
The process of automatically creating a digital contract is carried out by using a contract template and a contract creation program as RPA technology for contract creation. Templates and RPA are existing technologies.
The first is about the contract between the large virtual medical institution and the contracting business operator.
Using a template prepared in advance for creating this contract, list-displayed drug information, estimated price information, contract period information, and contracting company information are acquired from the estimate response information in the prescription recurring DB 201, and RPA technology creates an electronic document of an electronic contract created using the information and template on the left. To conclude the created electronic contract, the company accesses the WEB using a terminal and presses the "contract conclusion button" displayed on the contract conclusion page, and the electronic signature is applied to the electronic contract. book is created. The electronic signature of the prescription recurring system 202 is automatically performed by the RPA program.
Second, creation of a contract between a large virtual medical institution and the actual medical institution 4 will be described.
The information necessary for this contract is acquired from the comprehensive total prescription amount information stored in the prescription comprehensive information of the prescription recurring DB 201, and the drug information and prescription amount information in the medical institution 4 is acquired. The drug information and prescription amount information acquired here differ from one medical institution 4 to another in terms of drug content and prescription amount. Therefore, information on drugs and their prescribed amounts (contracted amounts) differs for each medical institution. In the contract template, information on listed drugs contracted by the medical institution 4, information on the prescription amount (contracted amount) in the comprehensive prescription information, the supply price of the drug, and information on the contract period, An electronic text of an electronic contract is created using the RPA-calculated contract amount contracted by the medical institution 4 and the company name contracted as a drug provider using RPA technology and a template. .
The name of the medical institution 4 and the virtual large medical institution are reprinted for the contractor of the contract. The created electronic contract is concluded when the medical institution 4 accesses the WEB using a terminal and presses the "contract conclusion button" displayed on the contract conclusion page to electronically sign the electronic contract. An electronic contract is created. The electronic signature of the prescription recurring system 202 is automatically performed by the RPA program. All the medical institutions 4 of the medical institutions 4 in the region are concluded with this. The contracted electronic contract is stored in the comprehensive contract information of the prescription recurring DB 201 . It is also possible to send to the medical institution an electronic contract whose owner (property) is managed and set by the medical institution 4 and the prescription recurring system 202 by NFT.
Detailed information related to the comprehensive contract is stored in the prescription recurring DB 201 as comprehensive prescription information.

A method for ordering drugs prescribed to patients at a plurality of medical institutions 4 located within a certain area and lowering the purchase price (purchase price) of the drugs in the medical institutions 4 using the medical economic zone 24. The amount of payment from the medical institution 4 is reduced due to the purchase of drugs by the subscription contract.
Describe this subscription agreement.
The prescription subscription system 203 is used to purchase drugs under a subscription contract. A series of processes of this prescription subscription system 203 include calculation of regional prescription amount (for one month and a half, one year), selection of drugs for subscription contract, selection of subscription contract company, It is a system that performs a series of processes from pre-contract quotation request, subscription contract contract creation, selection, contract quotation, and contract.
Business companies that receive contract orders using this prescription subscription system 203 are medical institutions 4 registered in the business information of companies in the medical economic zone DB 21, drug sellers, or drug manufacturing companies. is.
Information on the types of drugs used by the medical institutions 4 that use the medical economic zone 24, the amount of drugs prescribed, the purchase price (purchase price), or the amount dispensed is stored in the regional prescription DB 191 as regional prescription information. It is
Making a contract that the prescription amount (usage amount) of the whole area, which is the sum of the prescription amount (usage amount) of multiple medical institutions 4 in this area, can be purchased at a fixed price that is discounted from the normal purchase price for a certain period of time. become. The prescription subscription system 203 stores this prescription amount (usage amount) in the prescription subscription information of the prescription subscription DB 205 as information on the order amount of the medicine.
Furthermore, for subscription contracts, it is necessary to select drugs suitable for the contract and purchasing companies (subscription system contract partner companies). By using artificial intelligence (AI) called prescription subscription selection AI for this selection processing method, the troublesome selection can be automated.
Prescription subscription selection AI has the function of selecting a company to make a subscription system contract and selecting a drug to make a subscription system contract.
Prescription subscription selection AI selects drugs that are suitable for purchase at volume discounts for a certain period of time, drugs that are likely to be contracted, drugs that have been purchased in the past, the amount consumed (the amount to be ordered), regular price, A drug is selected from drugs that have a track record of subscription contracts in the past, and is stored in the prescription subscription information of the prescription subscription DB 205 as information on the name of the drug to be ordered. In addition, we select companies that are likely to provide the selected drug at a volume discount price in a subscription contract, or companies that have a track record of contracts in the past, as candidate companies for subscription contracts. The information of the contracted candidate company is stored in the prescription subscription information of the prescription subscription database 205 . Companies to be selected as subscription contract candidates are companies (wholesale companies, manufacturers, etc.) registered as drug ordering companies in the business information of companies in the medical economic zone DB 21 .
Furthermore, as information necessary for selection, the prescription subscription selection AI obtains information on the approximate minimum order amount of drugs and information on the delivery date from the system of the selected subscription contract candidate company, Save in subscription information.
To conclude a subscription contract, each medical institution 4 uses the prescription amount for a certain period of time as a guideline for the contract. Both monthly, half-yearly, and yearly prescription amounts (order amounts) are used, but in general, contracts are based on one-year prescription amounts. The total prescription amount (order amount) of this medical institution 4 is calculated for each medicine consumed by the medical institutions 4 in the entire region. The calculated total prescription amount for the entire region is stored in the prescription subscription information of the prescription subscription DB 205 as the subscription total prescription amount information.
Since comprehensive prescription amount information of drugs is stored in the comprehensive prescription information of the prescription recurring DB 201, it may be used.
As for this prescription amount, the amount of purchase (purchase amount) to be contracted from the next year, that is, the contract price of the discount price to medical institutions in the whole area is determined by looking at the amount of prescription for one year. It doesn't matter if the amount consumed in one month is multiplied by 12 and calculated as one year, or the amount consumed in half a year is doubled and calculated as one year.

The selection of drugs by prescription subscription selection AI will be described.
Prescription subscription selection AI selects drugs for which subscription contracts are to be made and candidate companies to be contracted.
To do a subscription contract, you have to choose the medicines covered by the contract. Hundreds of drugs are used in medical institutions 4 throughout the region. From among these, a prescription subscription selection AI is used to automatically select drugs to be covered by a subscription contract.
The information used for drug selection by prescription subscription selection AI is the drugs that were purchased at multiple medical institutions in the past, and the purchase price of each medical institution varies greatly, and the prescriptions at each medical institution. Information on drugs with large amounts (on the contrary, it is better to exclude drugs with small prescription amounts), information on drugs that have been provided for a long time and are starting to appear as generics and other generics, and a large number of purchase records at each medical institution. Use information on drugs sold by companies, information on drugs sold by companies with little purchase record at each medical institution (companies that do not use it often), and information on drugs with past subscription contracts Then, drugs and potential contracting companies are selected. Acquisition of this information has already been explained in the comprehensive contract, but it is the comprehensive prescription information in the prescription recurring DB 201 that stores this information. This comprehensive prescription information is information necessary for selecting the drug described so far, and this information is used in both the comprehensive prescription selection AI and the prescription subscription selection AI. Since I am explaining the subscription contract here, I would like to replace this comprehensive prescription information with prescription subscription information for the purpose of explanation. The contents of the comprehensive information and the contents of the prescription subscription information are also exactly the same.
In addition, from the drug purchaser information linked to the selected drug, it acquires prescription subscription contract candidate companies that will conclude a subscription contract, and selects which company to conclude a contract with.
The prescription subscription selection AI learns using the information described so far, that is, the information stored in the prescription subscription information (prescription comprehensive information).
The drug selected for the blanket contract may not always have been the right choice. It turns out that a subscription rather than a blanket deal was the best choice.
Here, the learning method of the prescription subscription selection AI will be described.
Information on medicines consumed in the region, information on the content of the medicine, information on the prescription amount of each medical institution, and the total prescription amount from the subscription total prescription amount information stored as prescription subscription information in the subscription DB 42 information and the subscription total prescription amount information, which is the sum of the drug prescription amounts at all medical institutions, is acquired and used as learning information.
As company information, we acquire companies that we have dealt with as drug suppliers in the past, drug manufacturing companies, or companies that have a record of comprehensive contracts in the past from the comprehensive contract company information in the comprehensive prescription information. A company with a track record of subscription contracts is acquired from the prescription subscription contract company information in the prescription subscription information and used as learning information.
The information listed here is used as a learning information source for AI to learn, and AI is used for learning using the method of association analysis by self-learning without a teacher.
The drug selected for subscription may not always be the right choice. It may later turn out that a blanket contract is the better choice than a subscription contract.
The information used for this determination is the prescription amount information of the medical institution 4 . Originally, a subscription contract focuses on the amount (number) of consumption. This can be determined by looking at the difference between the amount prescribed by local medical institutions near the end of the contract period and the amount prescribed before the contract, which was used as a reference for the subscription contract. If the post-subscription prescription is less than the pre-subscription prescription, the subscription was chosen incorrectly. Or it may turn out that choosing a blanket contract was the right choice. Conversely, if the post-contract prescription was higher, it turns out that the subscription contract was the right choice. Prescription subscription selection AI is able to learn these things and select the optimal contract.
Here, we will explain the difference between a blanket contract and a subscription contract.
In the comprehensive contract, the comprehensive medical institution 4 is a regional medical institution this time. The contracted amount is the amount consumed by the medical institutions in this region in a certain period of time, that is, the amount used by the medical institutions. This amount is the amount provided by the provider, and the comprehensive contract determines the unit price for this amount. If you order more than the quantity, the excess quantity will be the normal offer price. This is a contract that emphasizes contract volume. Subscription contracts, on the other hand, do not have a “quantity” contract scope. No matter how much quantity you order for a certain period of time, it will be provided at the contracted price within the contract period. It is a contract that emphasizes the contract period. Therefore, depending on the drug, the contract to be selected is different. If you sign the wrong contract, you will not be able to take advantage of the benefits. For example, there was a year in which many bandages were consumed during the Fukushima disaster. Even if you use the contract for the next year's procurement based on the prescription amount, there may be no meaning in the contract because the next year's consumption will not be consumed at all. If you make a comprehensive contract, you cannot expect consumption to exceed the previous year's consumption in the following year. On the other hand, if you choose a subscription contract, there is no limit on the amount (number), so even if the consumption is less than the previous year, the required amount (number) is provided at a low price during the contract period, unlike the comprehensive contract. We do not have a large inventory. There is also the opposite case to this example.
Prescription sub-selection AI (prescription comprehensive selection AI) makes selections using information on drugs for which such contracts have not been fully utilized and information on contract methods. Looking at the inventory information, if the inventory of the contracted medicine is large, it turns out that the contract was a failed contract that could not be utilized.
In addition, from the drug purchaser information linked to the selected drug, candidate companies to enter into a comprehensive contract are acquired, and which company to conclude a contract with is selected.
The prescription subscription selection AI learns using the information described so far, that is, the information stored in the prescription subscription information (prescription comprehensive information).
The machine learning method used by the prescription subscription selection AI uses the association analysis method of unsupervised learning using information stored as prescription subscription information (prescription comprehensive information).
This learned prescription subscription selection AI selects from information on companies with a large amount of prescriptions, new products, companies with a large purchase record, and companies with a small purchase record. Candidate companies for purchasing the drug are selected and the purchasing unit price (recommended purchasing unit price) of the drug is calculated. The purchase unit price (recommended purchase unit price) here is further calculated with reference to the lowest purchase price at local medical institutions. Prescription amount information, purchaser candidate company information, and purchase unit price (recommended purchase unit price) information linked to the drug information are stored as prescription subscription contract assessment information in the prescription subscription DB 205 .
Up to this point, the selection of drugs and candidate companies for purchase (contract candidate companies) is based on the prescription subscription selection AI.

In order to determine the price of the subscription contract and the contract destination, the prescription subscription system 203 performs a process of sending a request for quotation of the contract price of the subscription contract to the candidate company of the subscription contract stored in the prescription subscription information. .
A subscription contract estimate is a request to a company to calculate a contract fee and a contract period for requesting a subscription contract. The prescription subscription system 203 acquires drug information linked to the candidate purchaser company information from the prescription subscription contract assessment information, and stores prescription amount information (here, the amount for calculating the contract fee) and the drug information. Obtain the unit price (the cheapest purchase unit price) and create a request for quotation. An example of the quotation request form for a subscription contract includes information necessary for an estimate of drug A, annual prescription amount of 100 boxes, purchase unit price of 100 yen, and drug B, annual prescription amount of 500 boxes, purchase unit price of 300 yen. This is the contents of the request for quotation.
Further, the total price in the content of the subscription contract is calculated using the drug information unit price and the amount of prescription amount information for all the drugs for which quotations have been requested. The calculated total price information is stored in the prescription subscription DB 205 as the desired contract price information for the quote to be requested, together with the computerized quotation request electronic document for the subscription contract, which will be described below. . This desired contract price information is used to evaluate the contents of quotations that have been answered.
For the request for quotation, an electronic document template for a subscription contract is created by adding drug information and prescription amount information to the template using an electronic document template.
The destination of the electronic document request for quotation for the subscription contract, which is electronically documented, is the company listed in the candidate supplier company information. The destination information is sent using the contact information of the company information in the medical economic zone DB 21 . Responses with quotations will come in order from each company.
The prescription subscription system 203 receives a response to this quotation request from the subscription contract candidate company, and stores the content of the response in the prescription subscription DB 205 as subscription response information. The subscription reply information contains information necessary for the contract, such as the company name, drug name, quantity of contracted drug, contract amount, and payment terms sent from the company.
Here, the companies that provide the products will be explained.
Why do companies subscribe? The answer is "exclusive". Medicines are a wide variety of products manufactured by various manufacturers (manufacturing companies). And it is a multi-distribution business in which many wholesale companies (suppliers) sell. In some cases, the manufacturer sells directly. A subscription contract is narrowed down to one brand out of a large variety of products. For example, suppose there are 20 companies that manufacture acetylsalicylic acid and 10 companies that manufacture ibuprofen. and ibuprofen contracted with Company C, so that the multiple wholesalers and direct sales of multiple manufacturers that provided the drug would not sell any drugs to this region during the subscription contract period. I can't. Only one contracted wholesaler or manufacturing company will provide the product exclusively. Sales increase due to a monopoly state in which no entry (order activity) from other companies is possible. Other companies that were not able to sign a contract will remain untouched during the contract period and just watch. Therefore, aiming for the next contract period, the next contract will be even more intense. Once you win a subscription contract and taste the monopoly, you can't get out of it. The medical institution 4 side is exactly the same, and once you get a taste of the management system of being able to buy cheaply, you can't get out of there.
Describes the quotation responses to requests for quotation for subscription contracts.
Each company that has received an estimate request calculates an estimate and submits an estimate. The prescription subscription system 203 will receive quotes from each company. The prescription subscription system 203 acquires the estimated price, the contract period, the medicine, and the supply price of the medicine described in the returned quotation for each company that created the quotation, and stores it in the company information. Information on the estimated price, information on the contract period, information on the drug, information on the offer price, and the electronic document of the estimate are stored in the estimate reply information of the prescription subscription DB 205 for each company. The prescription subscription selection AI compares the returned estimate price with the desired contract price information. Quotations for which the quoted price is higher by this comparison are excluded. In addition, information on estimated prices from companies with which subscription contracts have been concluded in the past is also referred to, and only quotes that are cheaper than the desired contract price information and have a price difference are narrowed down and adopted. This means that the contracting company has been selected. The contracted company selected by the prescription subscription system 203 is stored in the prescription subscription information of the recurring DB 41 as the subscription contracted company information.
Next comes the process of creating a contract.

Describe the creation of contracts for subscription contracts.
There are two types of subscription contracts created by the prescription subscription system 203 . One is a contract between a large virtual medical institution and a business that makes a contract. The other is a contract between the virtual large medical institution and the actual medical institution 4 . Both contracts are created the same way.
Conclusion of subscription is performed by electronic contract by the prescription subscription system 203 . Existing technology is used to create electronic contracts (digital contracts).
The process of automatically creating a digital contract is carried out by using a contract template and a contract creation program as RPA technology for contract creation. Templates and RPA are existing technologies.
The first is about the contract between the large virtual medical institution and the contracting business operator.
Using a template prepared in advance for the creation of this contract, list-displayed drug information, estimated price information, contract period information, and contracting company information are acquired from the estimate response information in the prescription sub-DB 205, and RPA technology is used. An electronic document of the electronic contract is created using the information and template on the left.
To conclude the created electronic contract, the contracting company accesses the WEB using the terminal and presses the "contract conclusion button" displayed on the contract conclusion page, and the electronic signature is performed on the electronic contract. An electronic contract is created. The electronic signature of the prescription subscription system 203 is automatically performed by the RPA program.
Second, creation of a contract between a large virtual medical institution and the actual medical institution 4 will be described. Information necessary for this contract is acquired from information on medicines in the medical institution 4 and information on prescription amounts from the subscription total prescription amount information stored in the prescription subscription information of the prescription subscription DB 205 . The drug information and prescription amount information acquired here differ from one medical institution 4 to another in terms of drug content and prescription amount. Therefore, the information on the drug and its prescribed amount (contracted amount and number) differs for each medical institution. In the template of the contract, the information of listed drugs contracted by the medical institution 4, the price of the drug, the contract period information, and the name of the contracting company were created using RPA technology and a template. An electronic text of the electronic contract is created.
The name of the medical institution 4 and the virtual large medical institution are reprinted for the contractor of the contract. The created electronic contract is concluded when the medical institution 4 accesses the WEB using a terminal and presses the "contract conclusion button" displayed on the contract conclusion page, electronically signing the electronic contract. An electronic contract is created. The electronic signature of the prescription subscription system 203 is automatically performed by the RPA program. All the medical institutions 4 of the medical institutions 4 in the region are concluded with this. The contracted electronic contract is stored in the subscription contract information of the prescription subscription DB 205 . Also, an electronic contract whose owner (ownership) is managed and set by the medical institution 4 and the prescription subscription system 203 by NFT can be sent to the medical institution.
Detailed information on the subscription contract is stored in the prescription subscription database 205 as prescription subscription information.
An image of a subscription contract is shown in FIG.

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, invisible vested interests have been at work in the medical industry, where sales activities are conducted manually, and each medical institution 4 should seriously consider reducing costs in terms of work. I didn't. 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 for both prescription drugs for patients and drugs used for 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. In addition, the products to be procured have expanded to include private products, and large-scale stores have started to directly operate manufacturers to produce products. 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 contract may be provided as a plurality of templated and electronic contracts (digital contracts) as described above, and the contract may be managed by the platform-type medical institution support system 1. 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".
Signing (signature) on the contract is done with a digital signature, 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 executed 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 illnesses and chronic diseases need to be on medication for the rest of their lives. However, in one medical institution 4, the number of chronic diseases and the number of patients suffering from chronic diseases is small, and the names and number 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
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. , and the purchase price thereof, and totaling the prescribed amounts of prescription drugs prescribed to chronic patients in multiple medical institutions 4 in the region. From the prescription drugs and prescription amounts totaled by this function, the chronic prescription selection AI automatically selects one of the purchasing method by the comprehensive contract and the purchasing 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. do. The information acquired by the chronic prescription drug system 192 is registered and saved in the chronic prescription drug contract information on the prescription recurring DB 201 and the chronic prescription drug contract information on the prescription subscription DB 205 . Although the chronic prescription drug contract information is stored in the prescription recurring DB 201 and the prescription subscription DB 205, either one may be used because the same information is stored.
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.
The Chronic Prescription Selection AI collects the name of the disease of the chronic patient, the price of the regular drug, the information calculated from the annual prescription amount of the chronic patient as the number of annual prescriptions, 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 on businesses that make comprehensive contracts and businesses that make subscription contracts. Chronic prescription medicine system 192 adapts the information of medicines purchased by blanket or subscription to the purchase medicine contract method selection model, so that automatic selection processing can be performed from the business operator who makes a comprehensive contract and the business operator who makes a subscription contract. do. The selection method is the same as the method described in Prescription Comprehensive Selection AI and Prescription Subscription Selection AI. The Chronic Prescription Drug System 192 creates digital contracts after contractor selection, similar to drug blanket contracts and drug subscription contracts. The created digital contract is stored in the prescription recurring DB 201 in the case of a comprehensive contract, and in the prescription subscription DB 205 in the case of a subscription contract.
As a result, lifelong drug costs can be reduced for patients with underlying or chronic conditions.

Approaches to reducing drug costs for patients with underlying or chronic conditions benefit not only patients but also drug 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 the inventory of medicines is excessive, the amount that is not sold becomes 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 obtain 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 make use of comparing other examination data of patients with the same disease name, condition, age, and appearance with 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, the patient's outcome, the patient's attribute information, the patient's physical shape information (height and weight), and the prescribed drug, 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. Outcomes 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. .

Operating costs to maintain the system of the present invention are essential. A style that can be provided as a business model in which the operating costs of the system are covered by the system is desirable. The system can be operated by a business model in which companies using the medical economic zone provide services that can reduce operating costs for a fee. The fee-based service is a fee-based service that reduces the procurement cost (purchasing price) of medicines. Furthermore, it targets companies that want to win the sales share of the entire region where medical institutions using the medical economic zone actually exist. In other words, for companies that want to win the sales share of the rooted area without spending time and effort to go door to door, without sales activities and without spending labor costs, we will contract from the creation of sales contracts based on comprehensive contracts and subscription contracts. We provide services for a fee, from the conclusion of agreements to the management of contracts. Applications for this service are received from companies through the service application page using the WEB. As explained above, comprehensive agreements and subscription agreements that benefit from procurement prices are established through agreements with companies that provide them. This service is a service to conclude each of these contracts. Since payment for paid services is made using existing technology, it is not described here. Examples of existing technologies include cashless, EC sites, net payments, and Japanese Patent Laid-Open No. 2021-113927 devised by the applicant. The reason for using JP 2021-113927 devised by the applicant is that it can be used without changing the usage method even if the current legal currency is replaced by the next-generation digital currency.
This contract creates a win-win relationship between the side receiving the provision and the side providing the provision.
This fee-based service is a mechanism and business model for sustaining the platform-type medical institution support system.

The “each system that lowers the drug procurement price” explained here allows a plurality of medical institutions 4 to share and use the system 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 offer this medicine at the lowest price, 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 scramble 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 and comprehensive transportation system of the present invention are operated by the platform-type medical institution support system 1 like a cloud system positioned as a system on a network.
The operation management system 211 and comprehensive transportation system are 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 user 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 by themselves and needs a special transportation method, a care taxi or a vehicle with a stretcher that can be boarded by a wheelchair. Among special vehicles such as hospitals, information on those necessary for hospital visits is registered.
The operation management system 211 uses operation management information stored in the operation management DB 214 linked to the medical economic zone DB 21 . The operation management information uses information such as the route, pick-up time, and pick-up locations for attendants, nurses, and doctors who ride in the vehicle.
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 an attendant 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 treatment reservation at the medical institution 4, the above-described vehicle can be used almost simultaneously with the reservation. A process of automatically selecting a company that can borrow labor (restrict labor hours) on the date and time when the patient visits the hospital from among the many businesses that deal with caregivers 8 and medical workers 5 is performed. It has a function of performing display processing on a terminal in the medical institution 4 . At this time, a list of caretakers 8 who can be hired (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.
If we organize the network connections explained so far,
A plurality of businesses that handle vehicles, attendants 8, and medical staff 5 are connected to the operation management system 211 in the platform-type medical information system via a network using terminals. .
Using this network, the acquisition destinations of the information necessary for the reservation are the reservation available date and time information of the user 3 stored in the reservation DB 61, and the medical condition information and transportation information of the user 3 stored in the patient information DB 161. to make a reservation.

Now let's talk about booking a patient who needs a special vehicle.
After the medical examination is completed, a reservation for the next medical examination is made by the medical examination reservation management system 62. - 特許庁At this time, the consultation appointment management system 62 refers to the transportation means information of the user 3 stored in the patient information DB 161, and recognizes that the user 3 is a patient who requires a special vehicle to visit the hospital. Then, it recognizes that it is necessary to make a reservation for the means of transportation using the operation management system 211 .
The medical examination appointment management system 62 kicks (operates) the operation management system 211 and waits for a response (waits for provision) of appointment available date and time information from each business company that can be booked. Here, "each business company" means a plurality of nursing care taxi companies, 8 attendant companies, and companies that dispatch nurses 5b and doctors 5a.
From here, the processing of the operation management system 211 is performed.
The operation management system 211, which has been kicked (operated) by the medical examination appointment management system 62 and requested to provide appointment-available date and time information, refers to the medical condition information and transportation means information of the user 3 stored in the patient information DB 161, and uses it. The type of vehicle necessary for the person 3 and the necessary contents of the caretaker 8, the nurse 5b, and the doctor 5a are found. Contents necessary for the transportation means of the user 3 are linked and stored in the transportation means information. For example, in the transportation means information in the case of user A, it is stored that a caregiver taxi (including a driver) that can accommodate a wheelchair and a caregiver 8 are required as a vehicle type. User A does not need to be accompanied by a nurse 5b or a doctor 5a. Furthermore, it is confirmed from the medical condition information whether the medical condition has deteriorated and whether the medical condition has changed since the previous movement. If there is a change in the medical condition, it is necessary to be accompanied by medical personnel such as the nurse 5b and the doctor 5a.
The operation management system 211 acquires from the reservation DB 61 the available date and time information for the user 3 and the medical institution 4 calculated by the medical examination reservation management system 62 . Based on this reservation available date and time information, it is matched with the reservation information of each business company that can be reserved. Reservation information of each company is obtained by a method of acquiring reservation information from the reservation system 9d used by the company, and by acquiring reservation information of the company from the reservation DB 61 from the business using the operation management system 211. Reservation information is acquired by the acquisition method. From the reservation information acquired from each business company, it compares with the reservation available date and time information of the user 3 obtained from the medical examination appointment management system 62, and the matching available date and time can be reserved by each business company. It is calculated as date and time information and stored in association with the reservation available date and time information of the reservation DB 61 .
When the storage in the reservation DB 61 is finished, the operation management system 211 returns a processing completed flag to the consultation reservation management system 62 .
The medical examination appointment management system 62 receives the processing completion flag from the operation management system 211, and based on the appointment available date and time information calculated from the patient schedule and the medical institution schedule, from the three schedules of the patient schedule, the medical institution schedule, and the business operator schedule. A patient's appointment is made using the calculated business company appointment available date and time information. The consultation appointment management system 62 acquires the appointment availability date/time information linked to the business company appointment availability date/time information from the appointment DB 61 and displays it on the screen of the terminal at the medical institution. The user 3 selects the date and time of the next medical examination from the appointment available dates and times displayed on the terminal. A business company that can be reserved for that date and time (next medical examination date and time) is selected. The displayed businesses include a nursing care taxi company, 8 attendant companies, and companies that dispatch nurses 5b and doctors 5a.
For example, in the transportation information for user A, the vehicle type is stored as a nursing care taxi (including a driver) and 8 attendants. Person 8 Company is displayed. Companies that dispatch nurses 5b and doctors 5a are not displayed.
A simple usage price can be displayed on the screen for selecting this business company. Using the labor hour information in the operation management information of the operation management DB, each use price can be calculated and displayed.
The usage price can be calculated by storing the loading costs of each company in the company information of the operation management DB.
For example, the loading cost for company A (vehicle) is 5,000 yen/h, the loading cost for company B's attendant is 3,000 yen/h, and the loading cost for company C's nurse is 5,000 yen/h. , if a doctor's loading cost of 10,000 yen/h is registered, the usage price can be calculated if the labor hour information is known.
As a matter of course, in the case of multiple business companies doing the same business, the business company that offers the lowest usage price will be selected. Companies with high prices will not be selected unless they differentiate their services.
When the selection of the business company displayed on the terminal is completed, it means that the labor lease reservation for the personnel of the selected business company has been surely made. The business company notifies the user 3 or the user 3's family of an electronic text or message indicating that the reservation has been completed (accepted).
The user 3 or the family of the user 3 is tired of making a reservation by calling the company that dispatches the nurse 5b and the doctor 5a, information on the care taxi company and the 8 caregiver companies, and the company that dispatches the nurse 5b and the doctor 5a by the date of the next appointment and annoyance disappears.
Up to this point, the medical examination reservation management system 62 and the operation management system 211 are used to make reservations for the next examination date and the vehicle, caregiver, nurse, and doctor necessary for going to the hospital almost at the same time. bottom.

From here, the calculation of the time required for operation management by the operation management system 211 will be described.
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 home to the hospital 4a on the acquired route""Acquisition of the departure time to meet the reservation time using an external system such as a navigation system or Internet service""Hospital 4a Calculation of the time required in the hospital for a series of processes from arrival at the hospital to reception, examination, and payment. Acquisition of travel time required from 4a to user's house" is required.
The information on the time required to travel from the user's home to the hospital 4a acquired from the external system is used as information on the required travel time for the outbound route, and the information on the required travel time from the hospital 4a to the user's home acquired from the external system is used as the required travel time for the return route. Time information is defined as departure time information, and information on the time to depart in time for the reserved consultation time is defined as departure time information. In-hospital required time, which is the time spent in the hospital of the medical institution, is calculated and used as in-hospital required time information. In-hospital required time information uses the time required for reception as reception time information, uses the examination required time information as the examination time, and adds the time until the payment is completed with the accounting time information, and stays in the hospital for the time. It becomes in-hospital required time information representing time. Furthermore, the total time from the departure to the time of receiving a medical examination at a medical institution and returning home is the labor lease time that restricts the nursing care taxi, the attendant 8, the nurse 5b, and the doctor 5a, and is used as labor time information.
These pieces of information are stored in operation management information in association with patient information in the operation management DB 214 .

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 "a medical condition acquired by a medical condition information acquisition unit and a required consultation time calculated by a required time information acquisition unit corresponding to the medical condition are used." Become.

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, the labor rental time required for medical examinations at the patient's home and the medical institution 4 until the patient's return to the patient's home has been calculated. The time during which the user 3 borrows labor (labor borrowing time) is the time during which the user 3 actually receives a handout, and compensation is paid for the time during which the user 3 has received the handout. In reality, however, it is also true that there are more than a few business operators who demand payment for more than the time they have borrowed this labor. In the present invention, by calculating and visualizing such invisible borrowed working hours by the system, conventional fraudulent billing does not occur. In order to provide services to users, there is an invisible shortage of working hours prepared by each business company, and here we will calculate the missing working hours that are not surfaced. .
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 now on, calculation of the time for each total (entire course) and applying it to the operation management system 211 will be explained.
The purpose of calculating this total time is to cooperate with a plurality of business companies so that the user can receive a medical examination. Support for users can be provided by collaborating with multiple business companies that have received reservations using time information such as travel time information and labor lease time calculated or acquired and stored in operation management information. The operation management system 211 has a mechanism for issuing instructions so that the operations can be performed in synchronism. It is necessary to have a mechanism for linking this system for the purpose of providing support for users' outpatient visits by all of the people dispatched from multiple business companies. Personnel dispatched from a plurality of business companies carry out support for a user's outpatient visits via a single vehicle. In order to support the users by riding together with all the people dispatched from multiple business companies in this one vehicle, it is necessary for each person to cooperate. First of all, it is necessary to give instructions so that all the staff dispatched from multiple business companies are in place. As operation management, the operation management system 211 manages business companies and reservations of multiple companies, uses time information stored in the operation management information to coordinate time between multiple companies, Give instructions to everyone dispatched from the business company, manage multiple business companies, and manage personnel dispatched from multiple business companies.
First, the working time of the vehicle (driver 7) is divided into "(1) travel time from the company to the meeting point (pickup point) and from there to the patient's home" and "(2) from the patient's home to the medical institution 4 "(3) Time required for the patient to receive, examine, and pay at the medical institution 4", "(4) Travel time required from the medical institution 4 to the patient's home", and "(5 ) Labor time is the total of the travel time from the patient's home to the meeting point (pickup point) and from there to the company.
Furthermore, the start time of the work of the vehicle (driver 7), that is, the departure time, is calculated by back-calculating "(1)+(2)", the total required time for the outbound trip from the patient's medical appointment time.
As described in this description, the vehicle (driver 7) is the person who has the task of making all the processes proceed on time. In this process, the process will not proceed unless we pick up the personnel who will support the users together at the meeting point. And delays are unacceptable as they affect the customer's appointment time. Therefore, the time to leave the company and the running time on the way are important. In order to obtain the information of the time when the vehicle (driver 7) leaves the company as the company departure time information, the meeting point (pickup point) must be determined. There are only three ways to determine this meeting point (pickup point): the user's home is the meeting point, the meeting point is between the company and the user's house, and the company is the meeting point. In each case, the distance A1 from the company to the meeting point and the distance A2 from the meeting point to the user's house can be obtained by using an external system such as a navigation system or Internet service. The time is calculated by subtracting the time required for traveling the distance A1 + distance A2 at the legal speed from the time for leaving the user's home to the medical institution to obtain the departure time, which is the departure time information for the company. Company departure time information of the time at which the driver departs the company is stored in the operation management information linked to the departure time information in the management DB 214. Similarly, the arrival time at the meeting point (pickup point) is also stored. , the time required to travel the distance A1 at the legal speed is calculated and added to the company departure time information to calculate the meeting point time information as the time required to arrive at the meeting point (pickup point).
The operation management system 211 provides the vehicle (driver 7) or the company of the vehicle (driver 7) with the time to leave the company (company departure time information) and the time to go to the meeting point (meeting point time information). Notify the user of departure from the user's house (departure time information) and take cooperation.
Next, the working hours of the caregiver 8 and the medical staff 5 are "(1) required time from the meeting point (pickup point) to the patient's home" and "(2) required time from the patient's home to the medical institution 4". and "(3) the time it takes for the patient to receive, examine, and pay at the medical institution 4", "(4) the time required from the medical institution 4 to the patient's home", and "(5) from the patient's home to the meeting point (pick-up point) The total "(1) + (2) + (3) + (4) + (5)" of "required time to work" is working hours.
Further, the work start time of the caregiver 8 and the medical staff 5 is calculated by counting back from the patient's medical appointment time and the total required time for the outbound trip "(1)+(2)".
This calculated result is reflected in the operation management system 211 .
The work start time and work time of the vehicle (driver 7), the work start time and work time of the caregiver 8 and the medical staff 5 are linked almost simultaneously with the patient's next medical examination appointment in the medical institution 4. The hour, minute, and hour are registered in the operation management system 211 .
The operation management system 211 provides the location information of the meeting point (pickup point) to the caretaker 8 and the medical staff 5 excluding the vehicle (driver 7), or the company of the caretaker 8 and the medical staff 5, Inform the time (confluence point time information) and take cooperation.
FIG. 47 shows a schematic diagram of a method of calculating the working hours of the vehicle, attendant 8, and the like.

A case will be described in which the vehicle used for movement, the attendant 8, etc. are different between the outward and return trips.
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 the time calculation.

A specific example will be explained using the example of Mr. E's visits 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 an attempt is made to make a reservation for the next hospital visit for Mr. E at the medical institution 4 , the reservation management system of the medical institution 4 extracts Mr. E's next hospital visit candidate date and time from the appointment available dates and times 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 contents of the ideas for reducing the cost of visiting the hospital for 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 business operator (hereinafter referred to as the business operator) of the vehicle, the caregiver 8, and the medical staff 5, which are means of transportation for the plurality of people.
Patients who visit the hospital in a special way should visit a medical institution with a bed once every three months (4 times/year). If you go to a private clinic or clinic, it will be once a month (12 times/year). Since the number of hospital visits per year is fixed, it is possible to reduce the patient's usage fee by concluding a comprehensive contract with the operating company. In addition, from the perspective of the business company, stable management can be expected due to fixed operations. A comprehensive contract can be considered using this number of hospital visits per year.
The movement contents of a plurality of patients visiting the hospital by a special method are searched and extracted from the operation management system 211 for the information of the plurality of patients.
Information about the contents of movement extracted from the operation management system 211 is "the number of hospital visits per year, the direction of the user's home, the distance to the medical institution 4, the vehicle type, the caregiver 8 required from the medical condition, etc.".
In addition, the medical information system 9 in the medical institution 4 is searched for information on patients visiting the hospital by a special method, and 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 obtained from these two systems for multiple patients, and sends it to all business operators as a request for the creation of comprehensive information and an estimate for the 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.
The flow of processing for making a comprehensive contract by the comprehensive transportation system will be explained.
The recurring system for comprehensive contracts is described in the first embodiment. The process remains the same. (1) Acquire information on the movement details of a patient who visits the hospital by a special method, organize the movement details, and store them in the comprehensive contract information of the operation management DB 61 . (2) Present the information on the sorted movement details (inclusive contract information in the operation management DB 61) to the business company and request the company to prepare an estimate. The method of requesting an estimate is to send a message or use the WEB. (3) Calculate the comprehensive contract price from the contents described in the quotation to which the quotation reply is returned, rearrange the contract prices, and select the business company that has presented the lowest contract price. (3) Create an electronic contract for the selected business company, link the target person of the electronic contract with NFT technology, and prevent duplication and contract neglect from the source of the electronic contract. (4) Execute the electronic contract. The conclusion is to conclude an electronic contract between the operating company, the integrated transportation system, and the user. The conclusion of the transportation comprehensive system has already been done when the system creates the electronic contract. The conclusion of the comprehensive contract is completed between the user and the business operator by accessing the contract conclusion page on the website and pressing the conclusion button. The method of creating and concluding an electronic contract is the same as in the first embodiment.
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.
From the operating company's point of view, it means having a regular customer during the contract period. Business operators can have many contractors by expanding their business area, which leads to stable management. Patients visit the hospital once every two months (6 times/year) or once every three months (4 times/year) if they are chronic patients, depending on their condition.
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 reservations for the vehicle, the caregiver 8, and the medical staff 5 to be used for transportation for the next visit to the hospital are made almost at the same time as the reservation for the next examination at the medical institution 4 is made almost at the same time.
The act of making an appointment is not limited to the time of making an appointment for the next medical 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, and at almost the same time as the reservation is made, the vehicle used for movement, the attendant 8, and the medical worker 5 are connected. You may make a reservation for 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. By using this method, you can check and change information related to yourself by connecting to your own portal (my portal) using a terminal, so you can change reservations on my portal. When the doctor's appointment is changed, the business companies that can be reserved are extracted in the same way as the normal reservation process, and the reservation can be changed by selecting from among them. Therefore, when the doctor's appointment is changed, the means of transportation can be changed almost at the same time.

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 wishes of the patient, 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 caregiver 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 of 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. By using the portal site to reserve and use a special vehicle, a caregiver, or a medical worker, it is possible to make a reservation for use other than going to the hospital. In addition, according to the explanation so far, in order to go to a medical institution, it is necessary to be accompanied by a medical person according to the medical condition. This is due to local regulations, and there are some differences depending on the area. However, there is no need to accompany the medical personnel other than visiting the medical institution. Users and their families can decide whether or not to be accompanied by medical personnel.

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". From among the means of transportation from the boarding place of the institution to the destination, "support in public transportation", and "support at the time of transfer at the node of public transportation", the processing of arrangements according to the medical condition is selected according to the present invention. The operation management system 211 does this.
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.
Briefly, arrangements are made by making a reservation for a person at the pick-up location at the departure time of the vehicle number to board and at the drop-off location at the arrival time.
In the current Internet-based ticket purchase system for public transportation (railroads such as JR), it is not possible to purchase tickets for wheelchair users or to make special reservations. Depending on the limited express train, there are trains that cannot accommodate wheelchairs, and trains that allow wheelchairs to ride only in some of the trains. A place to get on and off is decided. For this reason, users who use wheelchairs are required to make reservations by telephone. At the time of departure and arrival, it is necessary to arrange people at the pick-up and drop-off locations. Reservations (arrangements for people and tickets) that were previously made over the phone are automatically notified to public transportation by the system. Notification from the operation management system 211 is performed. Alternatively, by implementing a reservation API in a ticket reservation and purchase system that uses the Internet network, ticket reservations for wheelchair-accessible vehicles and reservations for supporters (boarding and alighting stations) can be made from the operation management system 211. becomes possible to do.
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 almost at the same time as arranging for public transportation. FIG. 48 shows an image of using public transportation or the like. Unfortunately, the medical condition of patients who can use public transportation is not available for patients who use stretchers to go to hospitals.
Reservations for travel using public transportation can be made by the operation management system 211 . Since the operation management system 211 is a system that can reserve a vehicle (special vehicle) and an attendant, it cannot make a reservation for public transportation. Use external systems provided by public transportation or third parties. Examples of external systems provided by third parties include airline ticket reservation sites provided by travel agencies and highway bus reservation systems such as Departure Linet (trademark).
The operation management system 211 includes a reservation for a vehicle (special vehicle) for transferring from home to public transportation, a reservation for public transportation for transferring from public transportation, and a vehicle (special vehicle) for transferring from public transportation to public transportation. vehicle) to transfer to the destination.
It is up to the user to decide whether or not he/she needs to be accompanied by a chaperone when riding public transport. The user connects to the operation management system 211 using a terminal and enters information on the place of departure, time of departure and destination. Pass origin information and destination information to an external system. Based on the result of the processing, a vehicle and attendant are reserved from the place of departure to the station where the user will board the public transportation system at the departure time on the departure date. A plurality of operators of vehicles (nursing care taxis) and their usage fees, and a plurality of operators of caretakers and their usage fees are displayed, and selection is made from the displayed ones. In addition, multiple operating companies and their usage fees for vehicles (nursing care taxis) to be used from a public transportation station near the destination to the destination, and multiple operating companies and usage fees for attendants are displayed. select. By doing the same thing on the way back, it is possible to make a reservation for a round-trip vehicle and an attendant.
As an example, user A connects to the operation management system 211 using a terminal, and makes a reservation for a vehicle and attendant for going to a hot spring hotel in Atami from his home in Roppongi. After inputting the place of departure, the time to leave home, and the destination, the operation management system 211 refers to the means of transportation information of user A stored in the patient information DB 161 and selects the vehicle necessary for movement. recognize. Nursing-care taxis are chosen for transportation from home to Tokyo Station. User A usually uses a wheelchair to move around. A list of nursing care taxis and attendant companies and usage fees are displayed on the terminal, and the company is selected. From Tokyo Station, take the Tokaido Shinkansen and get off at Atami Station. Wheelchair-accessible Shinkansen trains from Tokyo Station have been selected. Station attendants are arranged to support boarding at the boarding position of the train with the car number boarding from Tokyo Station. In addition, at Atami Station, station staff are arranged to support getting off at the place where you get off.
As a movement from Atami Station to a hot spring hotel in Atami, a list of care taxi and caretaker business companies and usage fees are displayed, and a business company is selected. This means that the reservation of the vehicle and attendant for the trip has been completed easily. Do the same for the return trip.

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.
For a user who visits a hospital using the operation management system 211 of the present invention, it is better to pay as little as possible to the business company. There are two ways to reduce the usage fee: choosing a company with low loading and reducing the labor rental time as much as possible. The operation management system 211 makes it easy to select a business company with cheap loading. The only way to reduce the amount of time spent on labor hire is to eliminate wasted time. Wasted time on the way to and from the hospital is treated as "waiting time for examination" and "waiting time for checkout". Here, as a method of reducing the "waiting time for medical examination", the waiting time for medical examination is eliminated by using the medical examination reservation management system in the second embodiment. As a method of reducing the "accounting waiting time", there is the medical institution payment support system 102 described in the fourth embodiment. The medical institution payment support system 102 is exactly a method of collectively performing individual payments in order to eliminate accounting waiting times at medical institutions and dispensing pharmacies at the time of payment. By using the medical institution payment support system 102 that eliminates accounting waiting time, it is possible to reduce the time for labor hire. By using this medical institution payment support system 102 to go home without paying for the medical institution, the counting of the labor rental time used for hospital visits ends and the final labor rental time is calculated. Sometimes you can make payments at medical institutions together.

By combining the medical examination appointment management system 62 of the second embodiment with the method of the present disclosure, a special vehicle, a caregiver 8, and a medical worker 5 can be provided for a patient who visits the hospital in a special way on the day of the medical examination appointment. , a reservation service for making an appointment for the next medical treatment at the medical institution 4 together, and a service 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. It provides a business model for
Describe paid services. Operating costs to maintain the system of the present invention are essential. A style that can be provided as a business model in which the operating costs of the system are covered by the system is desirable.
For a fee, companies using the medical economic zone can rent vehicles (including drivers), caregivers, and medical staff at the same time as patients at medical institutions make appointments for medical examinations, without human intervention. It is possible to operate the system by adopting a business model that
The content of the service to be charged will be automatically provided to companies that dispatch vehicles (including drivers), caregivers, and medical personnel using the virtual medical economic zone while waiting for reservations from patients. It is a contract that can be put into a schedule and has a fixed customer for the contract year through a comprehensive contract or a subscription contract, which leads to stable management. We offer this service for a fee.
A comprehensive contract or a subscription contract that can have regular customers is attractive compared to the conventional state of relying on reservations by telephone or website. Originally, one would go to each patient one by one and take the time and effort to explain the sales activities and obtain a contract as a regular customer, but without conducting sales activities and without spending labor costs, rooted out fixed customers in the area. We offer blanket or subscription services for a fee to companies that want to win. Applications for this service are received from companies through the service application page using the WEB. A blanket contract or subscription contract is established by a contract between a patient (user) and a company that provides it. The execution of these respective contracts is also part of the service. Since payment for paid services is made using existing technology, it is not described here. Examples of existing technologies include cashless, EC sites, net payments, and Japanese Patent Laid-Open No. 2021-113927 devised by the applicant. The reason for using JP 2021-113927 devised by the applicant is that it can be used without changing the usage method even if the current legal currency is replaced by the next-generation digital currency.

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 it 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 DX by 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. This system aims to support transplantation therapy using IPS (induced pluripotent stem cells) and ES cells (embryonic 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 configuration of the system "induced pluripotent stem cell treatment support system 222" of the present disclosure will be described. "Platform-type medical institution support system 1", which is configured in a cloud-based virtual environment, consists of a system and a database.
The overall configuration of this platform-type medical institution support system 1 is shown in FIG. FIG. 2 shows the configuration of a database in which information handled by this platform-type medical institution support system 1 is stored.
One of these systems is the "induced pluripotent stem cell treatment support system 222" of the present invention. The database handled by this "induced pluripotent stem cell therapy support system 222" is the "IPS induced pluripotent stem cell transplantation therapy candidate patient DB 221".
FIG. 49 shows the database configuration of the ninth embodiment.
Also, FIG. 50 shows a system configuration diagram of the induced pluripotent stem cell treatment support system 222 of the present disclosure.
The system described here is explained in its embodiment, but the information created by the system is stored in the database, and the necessary information can be connected to the database from other systems and stored in the database. You can refer to (quote) the information you need.
The induced pluripotent stem cell treatment support system 222 is stored in each database of the medical economic zone DB 21, the accounting work DB 31, and the medical service related DB 231 in one large database (medical information sharing database) that can be connected to information. I also refer to and use the information.
This concludes the description of the system and database.
The information in the "IPS induced pluripotent stem cell transplantation treatment candidate patient DB 221" includes transplantation patient information, transplantation candidate patient information, artificial organ DNA information, induced pluripotent stem cell treatment information, advertisement information, organ matching information, transplantation patient extraction Information on conditions, information on patients with undecided organs for transplantation, general information on transplantation treatment, and artificial organ contract information are stored. A description of each piece of information is provided when the information is used.
In the present invention, the induced pluripotent stem cell treatment support system 222 is used by a transplant candidate patient, the patient's family doctor, a surgeon, a medical institution that performs surgery, and an artificial organ production business operator 223. (Adaptation of artificial organs and patients), information management, information sales and advertising.
In addition, it is better to search for patients who can receive artificial multifunctional cell therapy from a wide range of medical institutions rather than from the patients at one medical institution. It is referred to as a platform type medical institution support system 1.
I will explain the extraction of patients who may be able to receive induced pluripotent stem cell transplantation treatment.
It starts with extracting patients who may be able to receive induced pluripotent stem cell transplantation treatment from patient medical information. The extraction method is based on "patient medical information in the medical information system 9 used by the medical institution 4 linked to the platform type medical institution support system 1" and "electronic information of the platform type medical institution support system 1". Patient medical information in the medical record 9a" is used to search for a patient by setting a search word (keyword) such as "organ failure" as medical condition information. For example, by setting "renal insufficiency" as an organ by a dialysis patient, the corresponding patient is searched. Here, since transplantation to all artificial organs is assumed, by setting a word corresponding to that, a list of patients for all organs will be listed. The patient information searched from this medical information and the information of each patient's family doctor or attending doctor are also acquired from the medical information at the same time, and the IPS artificial multifunction system combines the patient information with the information of the family doctor. This information is stored in the stem cell transplantation therapy candidate patient DB 221 as transplantation candidate patient information. This transplant candidate patient search is performed periodically, and newly searched information is additionally stored in the transplant candidate patient information.
Patients stored in this transplantation candidate patient information are information of candidate patients (transplantation candidate patient information) who may be able to undergo induced pluripotent stem cell transplantation treatment.
In addition, the patient's family doctor (main physician) uses the induced pluripotent stem cell treatment support system and uses the transplant patient extraction condition information to select from among the multiple patient candidates for whom he/she is in charge in the transplant candidate patient information. Select transplant patients who receive induced pluripotent stem cell transplantation therapy.
Transplant patient extraction condition information is information set by the patient's family doctor as information on the necessary conditions when extracting transplant patients for induced pluripotent stem cell therapy using the induced pluripotent stem cell therapy support system. Register and save in the IPS induced pluripotent stem cell transplantation treatment candidate patient database 221. . The contents of the conditions to be registered as transplant patient extraction condition information are the presence or absence of other medical conditions, age range, health condition, mental condition, vaccination history, past surgery history, etc. Furthermore, conditions may be added and registered at the doctor's discretion.
This condition is registered by a doctor, and the induced pluripotent stem cell treatment support system 222 performs extraction. Based on this extraction result, the family doctor (director doctor) decides whether to treat all patients or to treat them in order. .
Once the patient to receive the transplant treatment is decided, IPS cells are next required.
As information for extracting artificial organs that are compatible with information for creating IPS cells, the patient's HLA (human leukocyte antibody), ABO blood type, Rh blood type blood data and DNA data are used as transplant candidate patient information. It is necessary to register by linking to the patient information in
DNA data is provided by somatic cells at a research institution or a medical institution, and the DNA data is stored in association with the patient information stored in the transplant candidate patient information. The work of storing this DNA data is performed by connecting a terminal from a research institution or medical institution to the induced pluripotent stem cell treatment support system 222 in the platform-type medical institution support system 1, and registering the DNA data of the patient. and the conventional method for family doctors to register their own information from items provided by media media. This DNA data will be used to find a suitable artificial organ for the patient.
Once the DNA data is stored, the method is either a method of searching for an organ suitable for the patient or a method of newly requesting the artificial organ manufacturing company 223 to manufacture the organ.
Information on artificial organs is needed to find the right organ for a patient. From here, I will explain information about artificial organs.
It is necessary to register information on artificial organs in stock or under construction by the artificial organ production business operator 223 in the IPS induced pluripotent stem cell transplantation treatment candidate patient DB 221 of the induced pluripotent stem cell treatment support system 222. be. The contents of the information to be registered will be explained later.
Further, the content of newly requesting the artificial organ manufacturing company 223 to manufacture an artificial organ suitable for the patient will be explained later.
Here, the artificial organ DNA information in the IPS induced pluripotent stem cell transplantation treatment candidate patient database 221 includes information such as DNA data, gene data, and blood data of artificial organs that are already being manufactured or are in stock by the artificial organ manufacturing business operator 223, etc. We will describe how to search for matches using the artificial organ DNA information. Extraction (matching) processing from now on will produce a result based on the patient ID and the artificial organ ID attached to the patient. For example, as a display example of the extraction result, the patient ID “08769” and the artificial organ ID “XFGTARG” are matched and displayed. The display is based on an ID that is easy to handle on a computer.
There are two ways to find suitable artificial organs. One method is to search for an artificial organ suitable for the patient's DNA data in the transplant patient information selected by the family doctor. As the second method, there are two methods of searching for patients who are suitable for artificial organs that have been produced or are being produced by a plurality of artificial organ production companies 223 . The second method is described later.
The induced pluripotent stem cell treatment support system 222 in the platform-type medical institution support system 1 performs an extraction process of searching for an artificial organ that meets separately determined conditions from the transplant candidate patient information.
When a matching artificial organ and patient are found by this process, the induced pluripotent stem cell treatment support system 222 outputs matching patient ID and artificial organ ID.
A notification process is performed to the patient's attending physician (family doctor) who is linked to the matched patient ID and the operator who owns the matched artificial organ.
The contact information of the business company is obtained from the business information of the company in the medical economic zone DB 21, the contact information of the family doctor is obtained from the patient information of the transplant candidate patient information, and the message information recommending induced pluripotent stem cell treatment is automatically sent. Perform notification processing. The "message information recommending induced pluripotent stem cell therapy" of the message content to be notified is sent using templated information.
The content of the message recommending induced pluripotent stem cell therapy is that "We have found an artificial organ that matches the patient. Next, please select a surgeon and medical institution in the system." ing.
The "separately defined conditions" used for this matching extraction process are that the patient's HLA (human leukocyte antibody), ABO blood type, Rh blood type blood data and DNA data are This is a condition for comparing conformity with DNA data of artificial organs owned (held as stock).
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.
If the patient decides to undergo transplantation treatment by notifying a suitable candidate patient and the patient's attending physician of information that a suitable artificial organ has been found and recommends induced pluripotent stem cell treatment, the patient will receive induced pluripotent stem cell treatment support. The terminal is used to access the system 222, and an operation is performed to consent to the display of receiving the transplantation treatment.
By this operation, the induced pluripotent stem cell treatment support system 222 advances to the next process after the patient consents to the transplantation treatment.
The induced pluripotent stem cell treatment support system 222 proceeds to search for a person involved in the transplantation treatment and to share information with the person involved in the transplantation treatment.
The induced pluripotent stem cell therapy information in the IPS induced pluripotent stem cell transplantation therapy candidate patient database 221 is shared with transplant stakeholders. The persons involved in transplantation are the patient (including family members), the patient's attending physician, the medical institution 4 that performs the transplantation treatment, 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.
The patient information in the induced pluripotent stem cell therapy information is linked to the contact information of the patient (including family members), the patient's attending physician, the medical institution 4 that performs the transplant treatment, the operating doctor 5a (surgeon), and the artificial organ production business operator 223. and register the contact information of the related business in association with it.
Information on induced pluripotent stem cell therapy includes information on the patient's induced pluripotent stem cell transplantation treatment, information on the manufacture of artificial organs, monitoring information in daily life after transplantation treatment, and all the patients' families and medical personnel involved. It is the accumulated information including the contact information of the company and the contact information of the affiliated companies, and it is the information generated in the transplant treatment using the artificial organ produced by IPS and the information after the treatment. The monitoring information in daily life after the transplantation treatment is obtained by the method described in the third embodiment, that is, the daily measurement results and the contents of meals are obtained by conversation between the user 3 (patient) and the electronic device 73. Indicates information that can be acquired by a method.

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.
In the range of "artificial organs" by the induced pluripotent stem cell treatment support system 222 of the present invention, iPS cells using animals are grown into organs in the body of animals for manufacturing artificial organs using IPS cells. Organs obtained by the receiving method (blastocyst complementation method) are also included in the scope of the present invention. For example, there is an organ created from rat/mouse embryonic stem cells (ES cells) using animal blastocysts.
In addition to artificial organs, IPS cell sheets made from IPS cells are also included in the scope of the present invention. As an example. There is a cardiomyocyte sheet used for the heart.
Furthermore, the scope of treatment defined as “transplantation treatment” according to the present invention includes treatment using an IPS cell sheet. An example is cardiac therapy using cardiomyocyte sheets.
The induced pluripotent stem cell treatment support system 222 targets all of these.

Information sharing between the family medical institution 4, the medical institution 4 that performs transplantation treatment, the surgeon, the artificial organ production business operator 223, and related business operators takes security measures. 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, entrust management of information to an organization (for example, an information bank) that can store personal information 22 and provide it to a third party 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 a network that can ensure security as part of the system of the present disclosure.

Information sharing by patients, primary care doctors, surgeons, medical institutions, medical staff, and artificial organ production companies 223 will be described.
The system of the present disclosure includes various information handled by an information system or a platform system that is used when artificial organs are manufactured using existing technology used by the artificial organ manufacturing business operator 223 . Among these various types of information, individual identification information of collected samples of cells, quality control information from the start of creation, information of quality control inspection data during the production process, information of inspection data during the production process,
Progress information related to production, information related to traceability,
schedule information for organ donation to a patient and organ culture schedule information for the patient,
Since it is important information among those involved in transplantation, it is necessary to share information by storing and handling it as part of induced pluripotent stem cell treatment information. In order to obtain this information, existing technology DX (Data Transformation) should be used. Through this DX, information within the company of the artificial organ production business operator 223 can also be shared with transplant related parties managed by the induced pluripotent stem cell therapy support system 222 . In other words, DX enables information sharing among patients, family doctors, surgeons, medical institutions 4, medical staff engaged in transplantation treatment, and artificial organ production business operators 223 .
In addition, the medical information created by the people involved in the transplantation treatment and shared with the people involved in the transplantation treatment is stored in the induced pluripotent stem cell treatment information, and the induced pluripotent stem cell treatment information is shared. In the medical information, the medical institution that performs the transplant treatment, the transplant treatment schedule information of the operating doctor and the medical staff involved in the transplant treatment, and the hospital bed schedule information are also stored in the induced pluripotent stem cell treatment information. Share induced pluripotent stem cell treatment information.
This shared induced pluripotent stem cell treatment information becomes medical personal information 22 of the patient 3 who undergoes transplantation treatment. The personal information is used as a service to manage the personal information 22, and based on laws and ordinances, an organization (for example, an information bank) that can store the personal information 22 and provide it to a third party is used to outsource the management of the information. It is desirable to share information in this information bank. Alternatively, it is performed by providing a server on a network that can ensure security as part of the system of the present disclosure (induced pluripotent stem cell treatment support system 222).
The reason for sharing information in the information bank is that the induced pluripotent stem cell treatment information can be processed anonymously. Information that has been processed so that the individual cannot be identified from the content of the information is referred to as anonymized information. Further, by performing the anonymous processing, the system becomes able to provide information to a third party, so that information can be provided through a service described later.
In addition, the artificial organ DNA information of artificial organs in stock or under production by a plurality of artificial organ production companies 223 can be obtained by using the system of the present disclosure and the DX technology of the platform-type medical information system. Store the artificial organ DB owned by "Institution that can store information 22 and provide it to third parties". By storing the personal information 22 in an artificial organ DB owned by an institution that can store and provide it to a third party, this database becomes an artificial organ database that is integrated into a database on one platform.
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 for the transplantation treatment of 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.
So far, the information on the patient's transplantation treatment, that is, the induced pluripotent stem cell treatment information is shared among the transplanters, and the information of the artificial organ production business 223 is also stored and shared in the induced pluripotent stem cell treatment information. and security guarantees.
From here on, the selection of transplant personnel involved in transplant treatment will be explained.
If the family doctor can perform the transplantation treatment, the transplantation treatment will be performed at the medical institution 4 of the family doctor, and the family doctor and the medical staff of the medical institution 4 will be the persons involved in the transplantation. Selected when the primary care physician is unable to perform the transplant.
In order to perform the transplantation treatment for the patient, the family doctor needs to select the operating doctor 5a, the medical institution 4 where the operation will be performed, and the medical staff involved in the transplantation treatment. However, in many cases, employees of the medical institution 4 are used as medical staff. Therefore, there are few cases where only medical staff are selected. For this selection, the patient and family doctor use terminals to access a WEB related person selection page prepared by the induced pluripotent stem cell treatment support system 222 and make a selection.
The induced pluripotent stem cell treatment support system 222 uses the evaluation results of the medical staff 5 described in the tenth embodiment to select the operating doctor 5a, the medical institution 4 that performs the surgery, and the medical staff involved in the transplantation treatment. is used to display it on the terminal screen. Furthermore, the targets displayed on this screen are filtered in advance by the system. This filter displays a list of surgeons who can go to a medical institution near the patient's residence to perform transplantation, and surgeons who have a track record of transplantation using this system. The screen also displays a list of medical institutions that can perform transplantation treatment, mainly in the patient's residence, and medical institutions that have a track record of transplantation treatment using this system. Pre-filter in the system to eliminate concessions. Ultimately, the patient and family doctor make a selection from the list displayed on the screen.
The induced pluripotent stem cell treatment support system 222 selects the medical institution 4 that performs the transplantation treatment, and the information of the medical institution 4 that has performed the transplantation treatment stored in the medical service related DB 231 and the medical information sharing. It is displayed on the terminal as information for selecting a medical institution 4 based on the information of the medical institution 4 that owns medical equipment that can reliably perform transplantation treatment from the equipment information stored in the accounting work DB 31 of the database 2. ing. The medical institution 4 is selected from the information displayed on this terminal. In addition, when the medical institution 4 is selected, the nurses and other medical staff of the medical institution 4 who support the transplantation treatment are also necessarily selected.
The induced pluripotent stem cell treatment support system 222 selects an artificial organ production business operator 223 by using the blood data of the patient in the transplant candidate patient information of the IPS induced pluripotent stem cell transplantation treatment candidate patient DB 221 and the artificial organ production business operator. If the DNA data, genetic data, and blood data of the artificial organ that owns the organ manufactured by 223 are matched, the artificial organ manufacturing business operator 223 that owns the manufactured organ is selected. process. In this case, the artificial organ manufacturing company 223 shares the information of DNA data, gene data, and blood data of the artificial organ that it owns in-house, and performs collation processing. Since this information sharing is explained as information sharing using the DX technology, it is omitted here. When selecting an artificial organ production business operator, the information of the artificial organ production 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, persons in charge, etc. The information of the artificial organ manufacturing business 223 is displayed on the terminal of the patient and the family doctor.
Through the selection described so far, selection can be made through the induced pluripotent stem cell treatment support system 222, including computer processing using information on the side of selection, so that selection does not affect interests.
The doctors 5a, the nurses 5b, the medical institution 4, and the artificial organ production business operator 223 who have been selected so far are selected based on information with priority given to the patient's transplantation treatment, so they are selected in a manner that does not affect each other's interests. Regarding rights, for example, pressure from senior doctors and medical institutions, combinations and interests that have been confirmed that there is no kickback from the artificial organ production business operator 223 to the doctor 5a (for example, the doctor 5a is artificial The selection is made with a combination that does not include investors, officers, etc. of the organ production business operator 223 .

The selection of the artificial organ production business operator 223 by the induced pluripotent stem cell treatment support system 222 has been explained.
If the operator does not have a suitable organ, request the operator to produce an organ that is suitable for the patient, and describe the details of the transplantation treatment once the organ is produced. First, the induced pluripotent stem cell therapy support system 222 selects an artificial organ manufacturing business operator 223 that manufactures the required artificial organ. The information of the selected artificial organ manufacturing business operator 223 is stored in the induced pluripotent stem cell treatment information. The patient's own blood and part of the skin are provided to the artificial organ manufacturing business operator 223, and the DNA data is shared. I have already explained how to share. It may take several years to create an artificial organ. In order to see this manufacturing process, the information of the artificial organ manufacturing company 223 is required. This information allows you to follow the creation process. When the completion of the fabrication is in sight, the surgeon, the medical institution that can perform the transplant treatment, and the medical staff involved in the transplant treatment will be selected. This selection method has already been explained.

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 manufactured by the artificial organ production 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. Performs a process of searching for a patient (matching search process). 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 manufacturing company 223 manufactures artificial organs from the information of a plurality of patients that match the provided DNA data, gene data, and blood data, and can be a new sales destination.

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. With the aim of entering regenerative medicine and increasing the number of surgeons, medical institutions, and artificial organ production businesses 223 who perform transplant treatment, we will provide information to acquire knowledge of regenerative medicine entrants and further improve regenerative medicine itself. Providing and sharing information so that it can evolve and evolve, and the induced pluripotent stem cell treatment support system 222 will reduce the cost borne by the patient in induced pluripotent stem cell transplantation treatment,
I am responsible for maintaining the operation of the induced pluripotent stem cell therapy support system 222 and the IPS induced pluripotent stem cell transplantation therapy candidate patient database 221 over the long term. In order to fulfill its responsibility, it also needs to secure operating expenses. Therefore, the system in the platform-type medical institution support system 1 is provided with a service that can be monetized in order to sustain the system. From here, we will explain services aimed at sustainability.
Transplantation of induced pluripotent stem cells is a state-of-the-art treatment, and is expected to be a treatment that costs a lot of money 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.
The induced pluripotent stem cell treatment support system 222 includes reducing the cost borne by the patient in the induced pluripotent stem cell transplantation treatment, and the induced pluripotent stem cell treatment support system 222 and the IPS induced pluripotent stem cell transplantation treatment candidate. There is also the securing of operating expenses for the purpose of maintaining the operation of the patient DB 221 over a long period of time. Therefore, the system in the platform-type medical institution support system 1 is provided with a service that can be monetized in order to sustain the system. From here, we will explain services aimed at sustainability.
Important information is stored in the induced pluripotent stem cell therapy information stored in the IPS induced pluripotent stem cell transplantation therapy candidate patient DB 221 .
There are two types of valuable information stored in induced pluripotent stem cell treatment information: information from medical institutions and information from artificial organ producers.
Information on the medical side includes "medical information during transplantation treatment", "information on doctors and medical institution staff involved in transplantation treatment and medical information on patients examined by them", "transplantation treatment of artificial organs produced by IPS""Treatment performance information", "Images during transplant surgery", "Body function and blood data, liver function data, electrocardiogram data, MRI data, CT data, body weight before and after transplant surgery before and after transplant surgery""Information on changes in test values", "Information on transplant treatment schedule", and "Information on bed schedule".
As the information on the side of the producer of the artificial organ, "individual identification information of the collected sample of cells as organ production information at the artificial organ production business operator 223", "quality control information from the start of artificial organ production", "during the production process "Information on inspection data in the production process", "Information on quality control inspection data during the production process", "Progress information related to production", "Information related to traceability", "Information before and after transplantation treatment is packed. Information on successful transplantation treatment, information on the schedule for organ donation to the patient, and information on the schedule for culturing the patient's organ.
"Quality control information from the start of artificial organ production" is an informational form of the content of quality control defined within the Organ Business Company, which is regularly performed from the start of artificial organ production.
"Information on inspection data during the production process" is data on inspection details and inspection methods performed to confirm quality during the process. "Information on quality control inspection data during the production process" is data on inspection results of inspections performed periodically during the process for quality control. "Progress information related to production" is information indicating the progress of the manufacturing process from quality inspection during production. “Information related to traceability” is information on the source and method of obtaining the harvested cells used for culture, and the destination, user, and method of transportation of the completed artificial organ.
"Information on successful transplantation treatment that includes pre- and post-treatment information in transplantation treatment" refers to information such as various medical examination data, medical condition diaries, meal contents, height, weight, and excretion frequency of the patient before and after treatment. is.
"Schedule information for organ donation to a patient" is information on the in-house schedule of the artificial organ manufacturing company from the day when the primary care doctor and the patient search for the appropriate artificial organ to the day when the transplantation treatment is performed. "Patient's organ culture schedule information" is information on the internal schedule of the artificial organ manufacturing business from the day when the family doctor and the patient request the culture of the artificial organ that suits the patient to the day when the transplant treatment is performed.
These pieces of information are stored by the induced pluripotent stem cell therapy support system 222 as “transplantation treatment summary information” in the IPS induced pluripotent stem cell transplantation treatment candidate patient DB 221 .
The reason why the transplant treatment summary information is valuable is that it contains medical information during the transplant treatment, test data information before and after the transplant treatment, information during the transplant surgery, schedule information and quality information where all processes on the producer side can be seen. Contains test information. This is because the information on the medical side and the producer side is time-series information called a schedule, which has never been seen before, and the information on the producer side has never been released outside the company. This is valuable comprehensive information on transplantation treatment.
However, since this information is handled by an information bank equivalent, it is anonymized.
The induced pluripotent stem cell treatment support system 222 uses this information from now on for a medical practitioner who is starting to consider transplant treatment production for a patient who will undergo transplant treatment using the induced pluripotent stem cell treatment support system 222, or who can do the treatment. Surgeons who are trying to expand their options for patients undergoing transplantation therapy using the induced pluripotent stem cell therapy support system 222, or facilities and facilities that can perform transplantation therapy using the induced pluripotent stem cell therapy support system 222. The products are sold to the medical institution 4 considering the provision, or the artificial organ production business operator 223 considering entry into the provision of artificial organs using IPS cells using the induced pluripotent stem cell treatment support system 222 .
With this sale, general practitioners who are considering the use of transplant treatment for patients who are going to undergo transplant treatment, or surgeons who are able to undergo transplant treatment but are trying to expand their opportunities for transplant treatment patients, or facilities that can perform transplant treatment. A medical institution 4 that is considering providing a facility or a facility, or an artificial organ production business operator 223 that is considering entering the provision of artificial organs using IPS cells, transplant treatment using the induced pluripotent stem cell treatment support system 222 acquire the know-how (knowledge) of
In addition, 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 transplant treatment and have been successfully performed, stored in the IPS induced pluripotent stem cell transplant treatment candidate patient database 221, includes 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.
In order to sell, it is sold by the WEB server which is the existing technology, or by the EC site. In any sales, when the induced pluripotent stem cell therapy support system 222 provides information when sending information that is a product to the purchaser, the induced pluripotent stem cell therapy information regarding patient treatment is non-substitutable The information source, the patient who is the owner of the information, the family doctor, the medical institution 4 who performed the operation, the doctor 5a who performed the operation, etc., and the purchaser of the information or a plurality of purchasers of the information are linked by a nature token (NFT). Manage rights and restrict duplication of information. Since the information management method using NFT is described in the eleventh embodiment described later, the description is omitted here.
In addition, after anonymizing the patient's treatment information, the purchaser uses a server that can guarantee security or an organization that can store personal information 22 and provide it to a third party based on laws and regulations. may be made available for viewing.

In addition, the induced pluripotent stem cell therapy support system 222 has revenue generating services. Using the induced pluripotent stem cell treatment support system 222, a family doctor with a patient who has a proven track record of producing transplantation treatment, a surgeon with a track record of transplantation treatment, a medical institution with a track record of transplantation treatment, staff with a track record of transplantation treatment, There is a service for artificial organ manufacturing companies 223 who have a track record of providing artificial organs.
This service is intended for the induced pluripotent stem cell treatment support system 222 to further improve the performance of doctors 5a, medical institutions 4, and artificial organ production business operators 223 who have a proven track record in induced pluripotent stem cell transplantation treatment. There is a function (service) that undertakes a request for a targeted advertisement.
Physicians 5a (surgeons) with a track record of transplantation treatment, medical institutions 4 with a track record of transplantation treatment, and artificial organ manufacturing business operators with a track record of providing artificial organs 223, etc. will continue to implement transplantation treatment in order to further improve their track record and performance. This is a service in which the induced pluripotent stem cell treatment support system 222 takes advertisements so that patients and their family doctors can select the treatment. To apply for this paid service, access the advertisement reception WEB page of the induced pluripotent stem cell treatment support system 222 and apply. Processing when applying for this paid service will be described. The application for this service is made by a doctor 5a who has a track record of transplantation treatment using the induced pluripotent stem cell treatment support system 222, a medical institution 4, and an artificial organ production company 223 who has a track record of providing artificial organs. When accessing the stem cell therapy support system 222, the application is made by pressing the switch for applying for this service.
When a family doctor of a patient who undergoes transplantation treatment selects a surgeon, a medical institution 4, or an artificial organ production business operator 223 using a terminal and connects to the induced pluripotent stem cell treatment support system 222, application for the service is made. Surgeons, medical institutions 4, and artificial organ production business operators 223 who have a proven track record are displayed on the screen of the terminal as surgeons, medical institutions, and artificial organ production business operators 223 recommended by the induced pluripotent stem cell treatment support system 222. process.
Advertisement contents are accepted by the induced pluripotent stem cell treatment support system 222. The surgeon (doctor 5a) who applied for the advertisement, the medical institution 4, and the artificial organ production business operator 223 register the contents to be appealed using the terminal. .
In the case of a doctor, the content that the doctor wants to appeal is entered and registered from the appeal information registration page on the WEB. The contents to be appealed registered on the WEB page are stored as doctor appeal information in the advertisement information in the IPS induced pluripotent stem cell transplantation treatment candidate patient database 221 . The induced pluripotent stem cell treatment support system 222 includes doctor appeal information, information on the number of doctor's achievements (the number of times of transplantation treatment calculated from the induced pluripotent stem cell treatment information), and patients who have undergone transplantation treatment by the doctor. IPS induced pluripotent stem cells are used as advertising material information linked to doctors, information obtained from medical information on the period until recovery and information obtained from medical information on the hospitalization period of patients who received transplantation treatment by doctors. The information is stored in the advertisement information in the transplantation treatment candidate patient DB 221 . This advertisement information serves as advertisement information for further improving the performance of the surgeon.
In the case of the medical institution 4, the content to be appealed as the medical institution 4 and the introduction of the medical facility, the facility of the medical institution, and the medical staff are entered and registered from the appeal information registration page on the WEB. Alternatively, as an appeal from the medical institution side, it is possible to register the information of a moving image that summarizes the introduction of the medical facilities that perform the transplantation treatment, the facilities of the medical institution, and the medical staff in charge.
The contents to be appealed registered on the WEB page are stored in the advertisement information in the IPS induced pluripotent stem cell transplantation treatment candidate patient database 221 as medical institution appeal information. Contents and videos introducing medical facilities registered on the WEB page are stored in advertisement information in the IPS induced pluripotent stem cell transplantation treatment candidate patient database 221 as medical facility facility introduction information.
The induced pluripotent stem cell treatment support system 222 includes information on medical institution appeal information, medical institution facility information, the number of medical institution achievements (number of times transplantation treatment calculated from induced pluripotent stem cell treatment information), and medical Advertisement linking information obtained from medical information about the period until recovery of a patient who received transplant treatment at an institution and information about the hospitalization period of a patient who received transplant treatment at a medical institution from medical information to a medical institution 4. As material information, it is stored in the advertisement information in the IPS induced pluripotent stem cell transplantation treatment candidate patient database 221 . This advertisement information serves as advertisement information for further improving the performance of the medical institution.
In the case of the artificial organ production business operator 223, the content that the artificial organ production business operator 223 wants to appeal from the appeal information registration page on the WEB, the time required to produce the artificial organ, and the company description and quality of the artificial organ production business operator 223 Enter your introduction and register. The contents to be appealed registered on the WEB page are stored in the advertisement information in the IPS induced pluripotent stem cell transplantation treatment candidate patient DB 221 as artificial organ production business appeal information. The period required for the production of the artificial organ registered on the WEB page is stored in the advertisement information in the IPS induced pluripotent stem cell transplantation treatment candidate patient database 221 as artificial organ production period information. The company description and quality introduction of the artificial organ manufacturing business operator 223 registered on the WEB page are stored in the advertisement information in the IPS induced pluripotent stem cell transplantation treatment candidate patient database 221 as artificial organ business introduction information.
The artificial pluripotent stem cell treatment support system 222 uses the artificial organ production business appeal information, the artificial organ production period information, and the artificial organ business introduction information as advertising material information linked to the artificial organ production business 223 as IPS The advertisement information in the induced pluripotent stem cell transplantation treatment candidate patient DB 221 is saved. This advertisement information serves as advertisement information for further increasing the performance of the artificial organ manufacturing business operator 223 .
This advertisement material information contains the actual number of calculations, and this actual number is a very important value. For example, in the case of a doctor, the doctor's experience value is represented by the actual number of transplant treatments. We do not see the experience value of doctors working in medical institutions, it is the experience value displayed on the system. The same is true for medical institutions, and the number of times a patient has been selected to receive treatment at the medical facilities of this hospital or to receive care from the staff of this medical institution is displayed as the actual number of times. The number of medical institutions chosen by patients is valuable. Similarly, the number of times patients choose artificial organ manufacturers is outright as a number. Displaying the actual number of times has a commercial effect.
When a patient or his or her family doctor makes a selection using the induced pluripotent stem cell treatment support system 222, the advertisement material information of the surgeon, medical institution, or artificial organ production company 223 that has received this advertisement request is displayed on the terminal.
When selecting a surgeon, "advertisement information" is displayed on a popular advertising page introducing proven doctors, and when selecting medical institution 4, "advertising information" is displayed on a popular advertising page introducing proven medical institutions. When selecting an artificial organ manufacturing business operator 223, "advertisement information" is displayed on a popular advertisement page introducing a proven artificial organ manufacturing business operator.
Patients and their primary care physicians can make selections by looking at the advertising material information of experienced surgeons, medical institutions, and artificial organ production companies 223 displayed on the terminal. It is also possible to select a surgeon, a medical institution, or an artificial organ manufacturing business operator 223 whose track record or appeal is not displayed.
Advertisement correspondence by the induced pluripotent stem cell treatment support system 222 for this application is charged, and is canceled after a certain period of time or a certain number of times of display. The usage fee for this service will be handled by the payment method of the existing technology. Surgeons, medical institutions, and artificial organ production companies 223 with a proven track record can additionally apply.
So far, the advertising contract of the operating surgeon, the medical institution, and the artificial organ production business operator 223 who has a proven track record using the system of the present invention has been explained. From here, we will offer similar services to surgeons, medical institutions, and artificial organ production companies 223 who have never used the system of the present invention, who have no track record and are starting this transplant treatment, with the aim of increasing their track record. Describe advertising services.
Even if it is recognized and famous in other treatments, it is neither recognized nor known to surgeons and medical institutions who start transplant treatment for the first time. First of all, it is important to spread awareness.
Surgeons and medical institutions starting transplant treatment should inform patients and family doctors about their specialty as a doctor, achievements other than transplant treatment as a doctor, recognition of treatment from the community as a medical institution, and the treatment they are proud of as a medical institution. We ask for advertisements for the purpose of aiming for achievements and profits by letting people know that it is safe to leave it to us depending on the reason for the equipment and transplant treatment.
The artificial organ production business operator 223, who has never used the system of the present invention, will provide the patient, family doctor, surgeon, and medical institution with a company overview, in-house manufactured products, hygiene details, safety details, quality control details, We will inform you about the artificial organ manufacturing method, the artificial organ manufacturing period, the product price, the details of the discrimination from other companies with a proven track record, and the fact that you can use it as well as other companies. Traditionally, in this field, MRs (pharmaceutical information providers) and sales staff have continued to visit medical institutions one by one to explain to doctors since the Showa era. By using the present invention, such things can be pinpointed to target patients and doctors. Therefore, since the labor costs of MRs and sales staff are reduced, the reduced labor costs are reflected in the product costs, which leads to a decrease in the product costs and the medical costs themselves. The high cost of the medical field is due to the accumulation of labor costs for these old-fashioned developments.
It is possible to receive services from surgeons, medical institutions, and artificial organ production companies 223 who enter the transplant treatment or start using the system.
The induced pluripotent stem cell treatment support system 222 accepts use of the system through a web service. From here on, the conventional method is used, but prepare a web service reception page, connect to this web service reception page using a terminal, register personal information, and access various information from the system. is acquired, and its contents make it possible to use it. The various information for accessing is templated information, and the contents of the access method are described. Doctors (surgeons) and medical institutions who use the system of the present invention for the first time do not have a track record of using this system.
Doctors (surgeons) and medical institutions who use this system for the first time will be notified on the terminals of patients and family doctors that there is no record of transplantation treatment using this system.
Since there is no track record, the probability of being selected by patients and family doctors is low. For this reason, a service is provided to accept information provided by surgeons, medical institutions, and artificial organ production companies 223 who use this system for the first time, and disclose the information to the terminals of patients and family doctors. To use this service, information must be registered via a web service. The contents of this information to be disclosed to patients and their family doctors are, in the case of surgeons and medical institutions, so that patients and their family doctors can choose with peace of mind. To disclose (advertise) information of contents that can be selected by doctors and medical institutions with confidence.
In the case of a doctor, the method of registering information is as follows: Doctor's field of expertise, achievements other than transplant treatment as a doctor, reasons for performing transplant treatment, reasons why it is safe to entrust transplant treatment via the WEB page After registering, the induced pluripotent stem cell treatment support system 222 uses the registered contents as a doctor's specialized field information, as a doctor's performance information other than transplantation treatment, reason for transplantation treatment,
Information about why it is safe to entrust the transplantation treatment is stored in the advertisement information in the IPS induced pluripotent stem cell transplantation treatment candidate patient DB 221 as advertisement material information linked to the doctor. This advertisement information serves as advertisement information for selection as a surgeon.
In the case of a medical institution, register through the web page the details of specialized treatment as a medical institution, the status of treatment recognition from the community, the treatment equipment that the institution is proud of, the reason for performing transplant treatment, and the reason why it is safe to entrust transplant treatment. Then, the induced pluripotent stem cell treatment support system 222 uses the registered contents as specialized treatment information as a medical institution, treatment recognition status information from the region, treatment equipment information that the medical institution is proud of, reason for transplant treatment, and transplantation. This information is stored in the advertisement information in the IPS induced pluripotent stem cell transplantation treatment candidate patient DB 221 as advertisement material information linked to the medical institution. This advertising information serves as advertising information for getting selected as a medical institution.
In the case of the artificial organ manufacturing business operator 223, the company profile, products manufactured in the company, hygiene details, safety details, quality control details, artificial organ manufacturing method, artificial organ manufacturing period, product price, and discrimination from other companies with a track record Contents, appealing contents that can be used without inferiority to other companies are registered via the WEB page,
The induced pluripotent stem cell treatment support system 222 uses the registered contents as company profile information, in-house manufactured product information, hygiene content information, safety content information, quality control content information, artificial organ manufacturing method information, artificial organ manufacturing period Information, product price information, discriminatory content information from other companies with a proven track record, and appeal content information that can be used on a par with other companies. It is stored in the advertisement information in the pluripotent stem cell transplantation treatment candidate patient DB 221 . This advertisement information serves as advertisement information for being selected as the artificial organ manufacturing business operator 223 .
A method of disclosing the advertisement material information in the advertisement information registered here as advertisement content, and information disclosure when selecting a surgeon or a medical institution that performs transplantation treatment using the induced pluripotent stem cell treatment support system 222. In addition, when requesting the production of artificial organs for a patient, the information of the artificial organ production business 223 will be disclosed and added to the one company before selection. Paid service for advertising according to the information disclosure period. The usage fee for this service will be handled by the payment method of the existing technology.

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 WEB page from a doctor 5a (surgeon) who has a track record (experience) in artificial kidney transplantation treatment. The induced pluripotent stem cell therapy support system 222 determines that there is a track record from the history registered in the transplant candidate patient information.
The induced pluripotent stem cell treatment support system 222 displays on the terminal the actual number of transplants, the recovery period of the patient who underwent transplantation treatment, the hospitalization period of the patient, and the appeal of the surgeon based on the advertising material information of the doctor 5a (surgeon). This display is displayed on the terminal when the patient or family doctor uses the terminal to use the induced pluripotent stem cell treatment support system 222 to select the doctor 5a (surgeon). The patient or family doctor may select the displayed doctor 5a (surgeon) with a track record, or may select the doctor 5a (surgeon) for which no other advertising information is displayed.
In addition, he newly registered with the induced pluripotent stem cell treatment support system 222 and applied for an advertising service. At this time, when the patient or family doctor selects the artificial organ manufacturing business operator 223, the advertising material information registered by this artificial organ manufacturing business operator 223 is displayed on the screen of the terminal. The patient or family doctor can select the artificial organ manufacturing company 223 whose advertising material is displayed. It is also possible to select an artificial organ production business operator 223 whose advertising materials such as company information and quality information are not displayed.

Another service of the induced pluripotent stem cell therapy support system 222 will be described.
If there is no artificial organ suitable for the patient who receives the transplantation treatment, the artificial organ in stock at the artificial organ manufacturing company 223 will never be used. The outline of this service is to find customers (patients) based on the opposite conception of conventional services. This is a service for searching for patients who are suitable for artificial organs that are in stock at the artificial organ manufacturing business 223 or artificial organs that are being manufactured.
The induced pluripotent stem cell treatment support system 222 that provides this service has a page for accepting this service on its WEB page. The artificial organ manufacturing business operator 223 applies for use of the service from this WEB page. If information on patients who are suitable for the artificial organs that the company has in stock is desired, the information on the artificial organs is provided to the induced pluripotent stem cell treatment support system 222 . On the artificial organ information registration web page that provides information on artificial organs, the lot number (product serial number) of the artificial organ managed as the company's inventory and the DNA data and blood data of that number are listed in order as a set or The provision of artificial organ information is completed by registering the information (for example, the information written in the form on the Excel sheet) on the artificial organ information registration WEB page.
The induced pluripotent stem cell therapy support system 222 manages each piece of information registered on the artificial organ information registration WEB page with an artificial organ ID number managed by the induced pluripotent stem cell therapy support system 222 . This artificial organ ID number is linked to the lot number (product serial number) of the artificial organ registered by the artificial organ manufacturing business 223, the DNA data and blood data of that number, and the company name information as a set, and the IPS artificial pluripotent The artificial organ DNA information is stored in the stem cell transplantation treatment candidate patient DB 221 .
In this state, the artificial organ DNA data and blood data of the artificial organ manufacturing company 223 in the artificial organ DNA information and the patient's DNA data or blood data in the transplant candidate patient information are complete. The induced pluripotent stem cell treatment support system 222 compares the DNA data or blood data of the artificial organ in the artificial organ DNA information with the patient's DNA data or blood data in the transplant candidate patient information, thereby making the DNA data. Matching matching patients can be searched. After the comparison process, the induced pluripotent stem cell therapy support system 222 saves it in the IPS induced pluripotent stem cell transplantation treatment candidate patient DB 221 as "organ matching information" in which the patient ID is linked to the matched artificial organ ID. The organ matching information does not contain patient's personal information, and contains only the patient ID.
The induced pluripotent stem cell treatment support system 222 provides this organ matching information to the artificial organ production business operator 223 as a matching result in the form of displaying the organ matching information on the matching result WEB page or downloading the organ matching information. , the service is once terminated by handing over this matching result to the artificial organ manufacturing business operator 223 . The artificial organ manufacturing business operator 223 that receives the organ matching information confirms the details of matching and plans future strategies. Moving forward, contacting these matching patients and primary care physicians is the first step in eliminating inventory. For this purpose, the induced pluripotent stem cell therapy support system 222 provides an appointment service for suitable patients and family doctors. To continue using the appointment service for matching patients and family doctors, apply on the appointment service application WEB page.
The induced pluripotent stem cell therapy support system 222 that has received the application acquires the contact information for the patient with the patient ID in the organ matching information and the contact information for the family doctor from the transplant candidate patient information. A message stating that there is an artificial organ suitable for the patient is obtained from the template, and is notified to the patient and family doctor so that they can consider transplantation treatment. The notified history information is stored in the IPS induced pluripotent stem cell transplantation treatment candidate patient DB 221 as appointment information. The saved appointment information is notified to the induced pluripotent stem cell therapy support system 222 that has received the service request. The company's notification destination is acquired from the company's business information in the medical economic zone DB 21 and notified. A service to search for matching patients and a service to notify matching patients and family doctors of matching artificial organs are also available for a fee.
The usage fee for this service will be handled by the payment method of the existing technology.

A service that provides the artificial organ manufacturing business 223 with a manufacturing plan for artificial organs for any patient will be described.
So far, the case where the artificial organ that matches the patient is in stock at the artificial organ manufacturing business operator 223 or is being manufactured, and the case where there is a patient who matches the organ in stock has been explained. Even if a patient who matches the artificial organ stocked by the artificial organ manufacturing company 223 is found, there are still many patients who do not match.
In addition, the artificial organ that takes a long time to complete is searched for patients who are likely to undergo transplantation treatment in the future, and the production of artificial organs for those patients is sold and produced ahead of schedule. It is a service that finds a so-called customer first and makes a promise (contract) to manufacture products for the customer, thereby helping the business performance of the artificial organ manufacturing business 223 . From the transplant candidate patient information, a patient for whom it has not been decided whether to undergo transplantation treatment or a patient for whom an artificial organ suitable for the patient has not yet been decided is searched, and the information of this searched patient is required. Even if the patient's artificial organ in this information is made over a long period of time, it would be meaningless if the patient received a transplant treatment using another company's artificial organ, so the appointment for the patient is It becomes necessary, and there is no waste due to the contract with the patient. As a result, the artificial organ manufacturing business operator 223 can establish a reliable production schedule and reliably calculate profits based on this schedule. Therefore, this service sells (provides) information for patients who have not decided whether to undergo transplantation or who have not decided on artificial organs that are suitable for them, makes appointments with any patient, and provides artificial organs to the patient. It is a fee-based service that concludes a contract with a patient who has obtained consent to provide the service and manages the contract.
The artificial organ manufacturing business operator 223 realizes that when the provision of artificial organs in stock to suitable patients is expected, manufacturing organs for unsuitable patients will lead to business expansion. Among the patients, it is conceivable that there will be some patients who have made a contract with some artificial organ manufacturing company 223 by promising to request manufacturing. If there is a patient, the artificial organ manufacturing company 223 can manufacture artificial organs suitable for the patient, thereby eliminating inventory. Customized manufacturing of so-called artificial organs can be carried out. From the perspective of the artificial organ manufacturing business operator 223, there are patients who are not planning to undergo transplantation treatment and patients who have not signed a contract to manufacture artificial organs with the artificial organ manufacturing business operator 223. By finding out how many patients there are, the artificial organ manufacturing company 223 can make a business plan. Since it takes many years to manufacture artificial organs, it is necessary to make early appointments with patients whose fate of the artificial organs is unknown and their primary care physicians, and to conclude a contract that promises to provide artificial organs in the future. With this, the artificial organ manufacturing business 223 can manufacture without waste, and business expansion can be expected. In addition, it is possible to establish a production schedule, and this schedule enables reliable profit calculation without loss.
The induced pluripotent stem cell therapy support system 222 provides (sells) information (information that does not include personal information) of patients whose whereabouts of artificial organs are undecided in the future as a service to the artificial organ production business operator 223. Appointment service to make appointments with patients and their primary care doctors and mediate them I have it ready.
The induced pluripotent stem cell treatment support system 222 that provides this service has a page for accepting this service on its WEB page. The artificial organ manufacturing business operator 223 applies for use of the service from this WEB page. When an application for the service is made, the induced pluripotent stem cell treatment support system 222 provides the artificial organ production business operator 223 with anonymously processed patients whose future artificial organs are undecided from the transplant candidate patient information. The information is stored in the IPS induced pluripotent stem cell transplantation treatment candidate patient DB 221 as "transplant organ undetermined patient information".
The "transplant organ undetermined patient information" includes information on the DNA data stored in the patient ID and the transplant candidate patient information. The induced pluripotent stem cell treatment support system 222 displays this information on patients with undecided organs for transplantation as search results to the artificial organ production business operator 223 as "information on patients with undecided organs for transplantation" on the search result WEB page, or Provide patient information in the form of downloads,
The service is once terminated by handing over the search result to the artificial organ manufacturing business operator 223 .
After receiving the patient's information, the artificial organ manufacturing business 223 confirms the organ desired by the patient and plans future strategies, such as when it can be manufactured. The first step in moving forward is making appointments with patients and their primary care physicians who want to receive a viable artificial organ transplant. Therefore, the induced pluripotent stem cell treatment support system 222 provides an appointment service for patients and family doctors. To continue using the appointment service for patients and family doctors, apply on the appointment service application WEB page.
The service is applied for by turning on the service application switch on the appointment service application WEB page.
The induced pluripotent stem cell treatment support system 222 that has received the application acquires the contact information of the patient in the patient ID and the contact information of the family doctor from the transplant candidate patient information and sends a notification. The content of the notification is obtained from a template that states, "I want to provide an artificial organ that matches the patient," and is notified to the patient and family doctor so that they can consider the artificial organ for transplantation treatment.
The notified history information is stored in the IPS induced pluripotent stem cell transplantation treatment candidate patient DB 221 as appointment information. The saved appointment information is notified to the induced pluripotent stem cell therapy support system 222 that has received the service request. The company's notification destination is acquired from the company's business information in the medical economic zone DB 21 and notified. or send a message. Once this notice or message has been sent, the appointment service will be temporarily terminated.
When the patient and the family doctor consent to the provision of artificial organs by the artificial organ production business operator 223, the induced pluripotent stem cell treatment support system 222 makes an electronic contract between the patient, the family doctor, and the artificial organ production business operator 223. , is provided as an electronic contract service. Instead of verbal promises, both sides will exchange confirmation through a system-based contract. To apply for the electronic contract service in the induced pluripotent stem cell treatment support system 222, apply for the use of the service from the electronic contract service application WEB page. The service is applied for by turning on the service application switch on the electronic contract service application WEB page. When applying for the service, the induced pluripotent stem cell therapy support system 222 will receive and answer a question to the artificial organ production business operator 223, "When can the organ that the patient consented to be produced?" This reply is used as the scheduled delivery date information.
Notifications are sent to the patient, primary care physician, and artificial organ fabricator 223 to make the contract. The content of the notice is a content in which a template of the content of making a contract is acquired and the delivery schedule information is included in this template.
As for the method of exchanging the contract, the three parties, the patient, the family doctor, and the artificial organ production business operator 223, turn on the switch of the contract on the contract WEB page, and the contract is concluded. This contract is made using the electronic contract of existing technology, and the electronic contract written by the existing technology is stored in the "artificial organ contract information" of the IPS induced pluripotent stem cell transplantation treatment candidate patient DB 221. . After this "artificial organ contract information" is stored, the electronic contract service is once terminated.
It takes years to produce artificial organs. The patient waits until the date of delivery schedule information in the content of the artificial organ contract information. For this reason, the induced pluripotent stem cell treatment support system 222 provides an "electronic contract management service" for managing electronic contracts that have been exchanged.
This electronic contract is managed using existing technology, non-fungible tokens (NFTs). The induced pluripotent stem cell treatment support system 222 manages information by linking the source of the electronic text of the electronic contract, the patient who is the contractor of the information, the family doctor, and the artificial organ production business operator 223, Prove that you are the contractor of the contract. Since the information management method using NFT is described in the eleventh embodiment described later, the description is omitted here.
In order for the artificial organ production business operator 223 to use the electronic contract management service, an application is made on the electronic contract management service application WEB page.
The service is applied for by turning on the service application switch on the electronic contract management service application WEB page.
The induced pluripotent stem cell therapy support system 222 that has received the application manages the artificial organ contract information until the date of the delivery schedule information.
The induced pluripotent stem cell therapy support system 222 provides (sells) information (information that does not include personal information) of patients whose whereabouts of artificial organs are undecided in the future as a service to the artificial organ production business operator 223. Appointment service to make appointments with patients and their primary care doctors and mediate them I have it ready. These services are also paid.
The usage fee for this service will be handled by the payment method of the existing technology.

Up to this point, we have reduced the costs borne by patients in induced pluripotent stem cell transplantation treatment, and maintained the operation of the induced pluripotent stem cell treatment support system 222 and the IPS induced pluripotent stem cell transplantation treatment candidate patient database 221 over the long term. , As five services that can be monetized to sustain the system, "sales of information stored in induced pluripotent stem cell treatment information", "doctors with proven results in induced pluripotent stem cell transplantation treatment 5a , medical institution 4 and artificial organ production business 223 advertising contract for the purpose of increasing business performance”, “Surgeons and medical institutions that have no track record and start this transplant treatment, and those who use the system of this invention Advertisement contract from an artificial organ production company 223 that has never been used,""Provision of a service to search for patients who are suitable for artificial organs, and a service to notify suitable patients and family doctors that there are suitable artificial organs", "Transplantation "Provision of services to provide information on patients with undecided organs for transplantation for patients who do not have suitable artificial organs, and services to inform patients and their primary care physicians that artificial organs can be produced."
By using the profits of these five services, we will operate the induced pluripotent stem cell treatment support system 222 and the IPS induced pluripotent stem cell transplant treatment candidate patient database 221. This system is a patient dependent service. Getting people to use this system is more important than other treatment methods or lifelong drug use. Therefore, in order for patients to choose this system, reducing the cost borne by patients is also a subject of consideration.
In addition, if there is a surplus in earnings, we will use the earnings to reduce the costs borne by patients who will receive transplant treatment in the future. As a result, a plurality of medical institutions 4 use the information in the medical economic zone DB 21, which is a large, sustainable database, to transplant the patient, the family medical institution 4, the medical institution 4 that performs transplantation treatment, the business operator, and the patient. It is a business model that can build and provide a platform that supports treatment support and advertising performed by doctors 5a, medical institutions 4, and artificial organ production companies 223 who have a track record of transplantation treatment.

Let's touch on the environment in which the computer is installed. Legacy computer systems installed in the company or hospital have been replaced by GAFA (“Google (registered trademark)”, “Amazon (registered trademark)”, “Facebook (registered trademark)”, “Apple (registered trademark)”) or GAFAM (“Google (registered trademark)”, “Amazon (registered trademark)”, “Facebook (registered trademark)”, “Apple (registered trademark)”, “Microsoft (registered trademark)”) started using cloud services of large companies. rice field. By using cloud services, the burden of human resources and the cost of equipment investment within companies and medical institutions can be reduced. It is true that people are migrating from legacy computer systems to cloud services only for this "burden reduction" aspect. However, it is a fact that serious problems caused by using cloud services are neglected. We must not turn away from the fact that the data generated by using cloud services becomes the property of the cloud service provider. In particular, data handled by medical institutions is patient medical information, that is, personal information. Please note that the patient's medical information (personal information) will be taken by the cloud service provider by receiving the benefit of the cloud service. So what should we do? According to the present invention, it is sufficient for medical institutions to develop their own cloud services. A simple answer is for medical institutions to own their own cloud systems. For that reason, it is required that the cloud system has a business model that can secure the financial resources necessary for operating the program system and the generated information over a long period of time. Build a virtual medical institution in a cloud system with a platform-type medical information system, build a virtual medical economic zone that can be used by a large number of patients' medical information and many medical institutions, and maintain this medical economic zone over the long term. The present invention is a platform-type medical information system equipped with a business model that serves as a source of revenue for maintaining a sustainable system.
The seventh embodiment describes fund procurement and fund management for constructing this platform-type medical information system. Even without relying on the cloud system by GAFA or GAFAM, it is possible to operate a sustainable platform-type medical information system by providing a profitable 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 treatment for a complete recovery, because I am a dialysis doctor, I cannot perform induced pluripotent stem cell therapy, and induced pluripotency is fine. 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 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 to generate profits, provides services to patients like this case, 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 is a service that 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, there is no expenditure from the medical institution 4, and the sustainability of medical management and the service to patients are 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) Information that prompts induced pluripotent stem cell therapy can be provided to the transplant candidate patient stored in the transplant candidate patient information and to the family doctor.
2) A doctor 5a who can perform artificial organ transplantation treatment and a medical institution which can perform artificial organ transplantation treatment from the medical economic zone DB 21 for the patient who has decided to undergo organ transplantation and the 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 that performs the transplant treatment, the surgeon, the attending physician, the medical staff involved in the transplant treatment, and the patient. of can be provided.
4) In order to reduce the patient's treatment costs or hospitalization costs for transplant treatment, medical institutions 4 who want to perform transplant treatment searched from the information in the medical economic zone DB 21, organ production business operators, doctors 5a who perform surgery, etc. 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 the sale to the patient's treatment costs and transplant treatment hospitalization costs, the patient's burden is reduced.
5) To maintain the operation of the induced pluripotent stem cell treatment support system 222 and the IPS induced pluripotent stem cell transplantation treatment candidate patient database 221, five (sale of information stored in the induced pluripotent stem cell treatment information), "Advertising contract for the purpose of improving performance from doctors 5a, medical institutions 4, and artificial organ production companies 223 who have a proven track record of transplantation treatment of induced pluripotent stem cells", "There is no track record, and this transplantation treatment Advertisement contract from surgeons, medical institutions, and artificial organ production companies 223 who have never used the system of this invention,""Search services for patients suitable for artificial organs, and suitable patients and family doctors Provision of a service to notify that there is an artificial organ that is suitable for transplantation”, “Service to provide information on patients who have no suitable artificial organ for transplantation, and information on patients who have not decided on an organ for transplantation, and a service to inform patients and their family doctors that artificial organs can be produced. provision”), and the induced pluripotent stem cell treatment support system 222 and the IPS induced pluripotent stem cell transplantation treatment candidate patient database 221 are maintained as a reward.

<Tenth Embodiment>
Currently, it is possible to know the evaluation of those who are involved 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. Therefore, even if you find an excellent human resource from the information on the work results of the shishi trader on the social system or the social site and request it, the desired result may not be achieved.
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 that can be estimated to reliably produce the results intended by the user and requesting the business.
The shishigyo here refers to the 8 professional trades that have the authority to make requests when necessary for the performance 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. 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 whether 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 fee for creating the figure outside should not be accounted for in the accounting audit, but it is actually done, and the requesting side cannot go against it, and there is 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 (registered trademark) 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 from the social work result information stored in a database-processable format to obtain the number of requested work for each worker and the number of completed work. and are aggregated using a function. In addition, the work result acquisition system 242 calculates and evaluates a work achievement evaluation index 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.
Here, the DB used by this embodiment and the information in the DB will be described.
FIG. 52 shows the database configuration of the tenth embodiment. In this embodiment, the information in each database of the medical economic zone DB 21, the doctor business worker evaluation DB 241, and the doctor business DB 251 in one large database (medical information sharing database) that can be connected to information is used. ing. Personal information is stored in the medical economic zone DB 21 . Social work result information is saved in the teacher trade worker evaluation DB 241 . The doctor's business DB 251 stores business history information and medical business history information. A description of each piece of information is given when the information is used.
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.
The value of the number of requested services in the case of a lawyer indicates the number of requested services. The value of the number of completed tasks indicates the number of requests that have been met by the requester. 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 lighter than the expected sentence, it can be said that the client's request has been met, and 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 requested services indicates the number of applications filed as an agent. The value of the number of successful transactions indicates the number of cases for which registration assessments have been made.
The business achievement evaluation index is calculated based on the ratio between the number of requested business and the number of completed business. 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. In other words, the business achievement evaluation index is calculated based on how many of the requests for examination have been approved for registration.
An example of calculating a business achievement evaluation index is shown. When the number of requested tasks is 100 and the number of completed tasks is 75, the task achievement evaluation index is 0.75 (75%).
The business result acquisition system 242 publishes information such as a business achievement evaluation index saved as 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 teacher business worker system 243.
In order to scale up, the social work result information and the social work result information saved in the medical economic zone DB 21 as personal information 22 and the social work result information stored in the medical economic zone DB 21 as personal information 22 The stored work history information associates the name of the teacher with the key.
The shishigyo worker attribute information is information stored in the personal information 22, and includes the work location of the shishigō worker, the shishigō worker's specialty field, the shishigō worker's career, and the shishigō worker's career. Information such as the person is stored.
The business history information in the teacher business DB 251 includes the number of consultations and cases accepted so far, 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, and the number of cases in each case. Numerical information such as remuneration, and result information provided by the user 3 such as an evaluation after completion by the user 3 are stored. Since this business history information is generated for each project, the longer the system is operated and the more projects are stored, the more information is accumulated.
As a result, the teacher business DB 251 stores information of more than ten items for one teacher business worker. By using this ten-odd items of information, it is possible to search for excellent human resources 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 teacher business worker system 243 of the present disclosure for the purpose of searching for excellent personnel with a proven track record and making a business request. Conditions of various elements such as the residence of the user 3, the purpose of the request of the user 3, and the like are used as search conditions when using the teacher trade worker system 243 of the present disclosure. The reason for using the place of residence as a search condition is that in the work of a teacher, there are cases where work such as procedures at the government office in the user's residential area occurs near the user's place of residence, or face-to-face interaction with the user. This is because there are many cases where it is necessary to select a teacher who is far from the user's place of residence. In the case of patent attorneys who do not pose a problem even if they live far from the user's residence, it is a good idea to include them in the search criteria.
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 can It is possible to unearth a teacher who has a track record and is evaluated, but has been buried. This system is part of the system that publishes the performance evaluation index on the network. In addition, it is possible to easily request work on the system from the narrowed-down or searched results of masters. A simple request for work means that ``you can make a request by entering a simple request on the screen of the system that is published on the network (for example, on the WEB screen)'', and ``on the screen of the system that is published on the network (for example, You can make a request with one click on the web screen).
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's business that is accumulated and saved in the teacher's business information DB 251 is used.
By using work history information in which a large amount of information is accumulated, the master worker system 243 can search for a more reliable master worker using a large amount of information. This is because if the number of stored projects for the same master worker is small (there is little information), the numerical information that can be obtained varies greatly, so the reliability is low, but the stored projects This is because it can be expected that the numerical value of the numerical information that can be obtained converges as the number increases. For example, even if the business achievement evaluation index is the same 0.9, the meaning is different if the number of registered projects is 10 and 1000. For the former, if the next project succeeds, the index will be 0.91, but if the project fails, the index will drop significantly to 0.82. On the other hand, the latter does not change from 0.9 regardless of success or failure. In this way, as the number of saved cases for the same teacher increases, the numerical value becomes more stable, so that search results with higher reliability are displayed.

The evaluations that User 3 has given to teachers were one-sided evaluations from User 3. for that reason. The evaluation given by the user, even if the teacher's business operator did their best, sometimes resulted in an unwilling evaluation for the teacher's worker or a content that degraded the teacher's worker.
There were many teachers who wrote unintended evaluations using conventional evaluation methods. It was the freedom of the person who wrote the evaluation to describe anything. Examples often seen in the evaluation of these contents are, "It takes too much time, the attitude is bad, you have to talk about the same content many times, it is expensive." Other negative content may be evaluated and content that leads to negative effects may be written.
The evaluation (review) performed by the user 3 in the case of the present disclosure is performed on the content requested to the user by the teacher who has completed the task.
The content of the evaluation requested by the user who has completed the task is the items and contents that the teacher wants to be evaluated arbitrarily set by the teacher. .
The user 3, who has received the request for evaluation, conducts a written review.
As an example of the evaluation of the received work, Mr. A self-evaluates his attitude toward the requested work, the points he devised, and the points that were good and difficult for him to receive the request. I decided on what I wanted my work to be evaluated on and what would be appealing to people who would be asking me to do the work in the future, and raised three themes. The content of these three themes was ``the reason why I chose to work as a teacher, the second, my impression of the results, and the third, the time it took to complete the work''. Patent attorney A asked user B to evaluate these three points.
As an example of an evaluation by a user who requested a service, Mr. B, who received an evaluation request from Patent Attorney A, wrote an evaluation on the requested three themes. The content of user B's evaluation is that the first reason for choosing Mr. A is "I chose Mr. A because he is a patent attorney who is good at medical devices", and the content of the second result is "Patent specification I don't really understand what is written in the document. There are many things I don't know. I think it took a little time with this number of pages in two months for the materials.”
When the user 3 evaluates, the teacher business operator evaluates the review written by the user 3. This evaluation is performed by text such as a comment or numerical evaluation such as 5 grades.
The shishigyo worker system publishes the content of the review written by the user 3 and the shishigyo business operator's evaluation of the review on the screen of the system that publishes it on the network (for example, on the WEB screen). By making such an evaluation, it becomes an evaluation from the viewpoint of both the user 3 and the instructor. In addition, even if the user writes a review with malicious content such as content that degrades a teacher's worker, the teacher's business operator can take measures such as denying the content.
In response to the evaluation in the previous example, Mr. A gave a numerical evaluation of 5 on a scale of 5 to Mr. B's evaluation as he had intended. In addition, I added a comment explaining why it took two months to produce a 50-page document.
The content of this series of evaluations by patent attorney A and user B will be made public through a system that is made public on the network.

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 for the teacher industry worker system 243 consists of the user 3 who requested the work using the system (the teacher industry worker system 243) that realizes the business model of searching for excellent personnel with a proven track record and requesting the work, It is done by collecting as a success fee from both of the teachers who received it.

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 that do not have a medical-related occupation name with ``shi'' or ``shi'', such as MSW 5h (medical social worker) and medical researcher 5i.
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 medical care. 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 doctor, the name of the disease treated by the doctor, and the name of the disease treated by the doctor from the electronic medical record 9a that stores the details of medical treatment of the patient saved in the medical information DB. Number of patients, number of cured or remission patients treated by practitioners, treatment methods used to treat 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, a business achievement evaluation index is calculated in the same way as a doctor's profession other than medical care, and information such as the business achievement evaluation index saved as social business result information is published on the network as an evaluation of business results. . The number of requested tasks used to calculate the task achievement evaluation index and the number of completed tasks are the number of patients handled by the nurse practitioner and the number of completely cured patients handled by the nurse practitioner, respectively. take advantage of

Furthermore, as personal information 22 stored in the medical economic zone DB 21, there is a wide range of relationships in the database of relations linked to the social work result information stored in the teacher industry worker attribute information and the teacher industry worker evaluation DB 241. Information is added.
The medical worker attribute information is information stored in the personal information 22, and includes the work location history of the medical worker 5 recorded by the medical worker himself, the medical worker's specialty field, and the medical worker's Information such as career, research contents of master workers, research contents of master workers, development relations of master workers, and master workers are stored.

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 part of the system that publishes the performance evaluation index 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. means 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 (for example, on the WEB)." and so on. In addition, it is possible to easily make a use reservation such as a medical treatment reservation from an inquiry or consultation response, etc., "You can make a medical examination reservation by selecting the date and time on the screen of the response from the medical institution 4 (for example, on the WEB). ” and so on.

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 business that is accumulated and saved in the doctor's business information DB 251 is used.
The medical work history information of the doctor's business in the doctor's business DB 251 includes the number of consultations and cases accepted so far, the number of consultations in each case, the satisfaction of the response from the consultation, the number of responses in each case, each Information provided by the user 3, such as the period from the first consultation to the complete recovery of the case, the remuneration for each case, the period from the start of treatment to the complete recovery, and the evaluation from the user 3 after completion, 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 the medical work history information in which a lot of information is accumulated, the doctor's practitioner system 243 can perform a more accurate search for a doctor's practitioner using a lot of information.
In addition, as with non-medical practitioners, the practitioner can request the user 3 to review. In addition, the review performed by User 3 is evaluated by the teacher, and the screen of the system that publishes the review of User 3 and the evaluation of the teacher on the network (for example, the WEB screen above).
As an example of the evaluation of the work (treatment) received, Doctor C self-evaluated his attitude toward the requested artificial organ transplant treatment, the points he devised, and the points that were good and difficult for him to receive the request. , Doctor C decided what he wanted his work to be evaluated for, and evaluation that would be appealing to people who would ask him to work in the future, and raised two themes. The contents of these two themes were "the reason for choosing a doctor as the first, and the impression of the treatment content as the second". Doctor C asked patient D to evaluate these two points.
As an example of evaluation by the user who requested the work, patient D, who received an evaluation request from doctor C, wrote an evaluation on the two requested themes. The content of user D's evaluation is that the first reason for choosing Mr. C is "I chose him because he was a doctor with a track record of artificial organ transplantation treatment", and the content of the second result is " The treatment was difficult.However, when performing painful side effects and risky procedures, they explained more than enough.” This is how the evaluation was described.
Doctor C, who received the evaluation, gave a numerical evaluation of 5 on a scale of 5 to the evaluation of patient D because of the content of the intended evaluation. In addition, I added in the comments that explanations of painful side effects and risky procedures are always done until the patient is satisfied.
The contents of this series of evaluations by Doctor C and Patient D will be made public through a system that is made public on the network.
By providing the contents of this evaluation to the induced pluripotent stem cell therapy support system 222 described in the ninth embodiment, it can be used for selecting doctors and medical institutions involved in artificial organ transplantation therapy.

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 for the teacher industry worker system 243 consists of the user 3 who requested the work using the system (the teacher industry worker system 243) that realizes the business model of searching for excellent personnel with a proven track record and requesting the work, It is done by collecting as a success fee from both of the teachers who received it. The usage fee received from both the user 3 who requested the work and the teacher who received the work is paid by existing technology, so it is not described here. Examples of existing technologies include cashless, EC sites, net payments, and Japanese Patent Laid-Open No. 2021-113927 devised by the applicant. The reason for using JP 2021-113927 devised by the applicant is that it can be used without changing the usage method even if the current legal currency is replaced by the next-generation digital currency.

<Eleventh Embodiment>
In the embodiments so far, devising systems necessary for providing management support and medical support for the medical institution 4 have been described. Build these systems for cloud systems by the medical institution itself (in-house production of the system) 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. It can be expected that it will become a system that is easy to use in the medical field. Making the system in-house is very different from the construction method of the conventional medical institution system. However, the in-house systems of major private companies have been built in-house since the 1990s, when computer downsizing began, and Windows (registered trademark) came out as the operating system for personal computers. is. 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. Due to the ownership and property rights of the system that was made in-house, each group company shared the same in-house system and used it company-wide due to the right to copy it. It is a shared use system that has been platformized from the same system in the entire company. 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.
The platform-type medical institution support system 1 includes a development process system 262 that supports in-house production of the system.
The database connected to this development process system 262 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 information on funds, information on medical institutions 4 and other companies and individuals, information on financing, information on contracts, and information on licenses and rights, which are necessary for promoting in-house production of the system. information is 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 in-house production is completed", The three phases of information handled by the development process system 262 are defined as "planning stage information", "development stage information", and "operation stage information after in-house production is completed". As for this information, the development process system 262 stores the information generated in each of the three phases in the development process DB 261 . Furthermore, the development process system 262 of the present disclosure has functions for raising funds and license management functions for managing licenses and rights. These functions are explained later.
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.

In this embodiment, information stored in the development process DB 261 in one large database (medical information sharing database) connectable to information is referred to and used. The development process DB 261 stores fund classification information, user information, fund procurement information, fund procurement method information, fund procurement candidate information, fund procurement source information, procurement method information, advertisement information, application information, rights information, and idea summary information. , basic development information is stored. A description of each piece of information is given when the information is used.
Information stored in the development process DB 261 and functions using the information will be sequentially described from here.

Of the system (development process system 262) for supporting the in-house production of the system, the part related to fund procurement (function for fund procurement) will be described.
It is necessary to procure funds for in-house production of systems targeting cloud systems. 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 for a cloud system from scratch requires a lot of funds, and it is difficult to do so with only your own funds. Therefore, it is necessary to cooperate between the medical institutions 4 and raise funds from the outside.
Funds raised from outside include investments, loans, donations, and crowdfunding. The development process system 262 treats these as investment information, loan information, donation information, and cloud investment information.
The development process system 262 that manages the source of funds to be procured, the method of procuring funds, and the method of public notice to procure the funds "supports the procurement of funds".
The development process system 262 treats the information on the funding source of the funds to be procured as the funding source information, the information on the means of procuring the funds as the funding means information, and the public announcement method for the procurement as the public announcement method information. will be Using this information, the development process system 262 can perform "funding assistance" as a funding function.

From now on, the operation of the development process system 262 in fund procurement at the planning stage will be described.
Think about funding at the planning stage of in-house production of a large system. Rather than raising funds (investment) in one medical institution, it is desirable to increase participation in the same industry and increase the amount of investment. This is also important for co-creation with medical institutions in the same industry that use in-house systems.
The development process system 262 collects basic development information, such as an outline of the system to be developed, in order to search for a company that will provide funding to expand the funding source at the planning stage, or to search for a company involved in the development of the system. is acquired from the development process DB 261 and published. Information is disclosed to local governments and countries that provide subsidies and subsidies, companies that are considering investing or investing in the future, investors and companies that are considering investment, and development contracts. It is open to a wide variety of people, including companies, individuals who want to be interested and involved, and overseas companies.
As the development process system 262 discloses the basic development information to a wide variety of parties, it is expected that there will be inquiries from individuals and companies interested in the disclosure.
The development process system 262 saves information such as the name and contact information of the other party, which can be obtained when an individual or company makes an inquiry, in the development process DB 261 as funding source candidate information. This funding source candidate information is used as information on the funding sources for the funds to be procured.
Inquiries from individuals and companies are accepted using the open recruitment function.
The public offering function is a function of publishing the contents that the development process system 262 wants to solicit and receiving responses to the published contents.
Responses to the published contents are accepted using the portal site that accepts responses on the development process system 262 . The method of acceptance is to receive text data, voice data, etc. according to the content to be accepted.
In the above explanation, it was described in the fundraising solicitation. However, the public offering function can be used not only for fundraising, but also for the recruitment of companies that develop systems, the recruitment of operators of developed systems, and the recruitment of users of developed systems.

The information related to the funds for each phase stored in the development process DB 261 includes fund classification information, funding information, and user information.
The fund classification information is information that categorizes funds related to system construction. The fund classification information includes "information on funds invested for the purpose of receiving profits from dividends from system operation profits after the start of operation of the in-house system" and "participation in system operation through capital participation." , Information on funds from investments for the purpose of receiving profits from participating in the operation, information on funds from loans for the purpose of receiving interest from loans, information on funds from loans for the purpose of receiving interest from loans, donations to hospitals for the purpose of tax reduction Information on funds such as information on funds from donations, information on cloud investment (crowdfunding) aimed at rewards such as the right to use the system, etc., is categorized and registered and saved.
User information refers to information on companies and people such as the medical institution 4 that provided funding for the construction of the system of the present disclosure. The user information includes information on local governments, medical associations, medical institutions 4, nursing care institutions, company names, financial institution names, general investors, and information on medical workers 5 such as doctors 5a and nurses 5b involved in construction. Saved.
The funding information consists of three pieces of information: funding source information, funding method information, and advertisement information.
Fund procurement source information is information on sources of funding related to the construction of the system of the present disclosure. Funding source information includes information such as "information on people and companies participating in capital", "information on sponsors and companies", "information on financial institutions that received loans", and "information on general investors". Saved. Each piece of information stores the name and contact information of the supplier, the procurement amount, and the like.
The development process system 262 can automatically contact the funding source using the information stored in the funding source candidate information and the funding source information.
Fund raising method information is information on how to raise each fund classified and stored as fund classification information. Fundraising method information includes "public offering method of fund raising using WEB", "fund raising and soliciting method by direct mail", "fund raising and soliciting method by crowdfunding", "fund raising and soliciting method by advertisement", and "Financing by FinTech". Recruitment method" and other information on the method of raising funds is stored.
The advertisement information is information classified by means of advertisement for notifying an overview of the system and raising funds. Advertising information includes “information for advertising in newspapers and magazines”, “information for advertising on websites”, “information for advertising in media video advertisements”, and “information for advertising in SNS”. Information for advertising such as is saved.
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 sorts them for each funding source. Information about funds for each phase by processing such as narrowing down, advertising information on fundraising to fund procurement sources, making a plan for fundraising, managing and monitoring the status of funds to be procured can manage.

Explain the flow of funding.
The development process system 262 of the present disclosure selects a party to raise funds from the funding source information (funding source) and a type of funding to procure from the funding classification information. Next, the development process system 262 acquires the financing method corresponding to the selected type of fund to be raised from the financing method information. The acquired funding method information is the funding method.
Funding partners include not only specific partners, such as local governments and companies with which the company has a relationship prior to raising funds, but also abstract partners such as general investors.
When the method of raising funds is determined, the development process system 262 contacts the funding source to request funding by the determined method of raising funds. If the contact is specific to some extent, use a direct contact method such as direct mail. On the other hand, in the case of abstract partners such as general investors, use methods that can contact (notify) an unspecified number of people, such as methods using the web, methods using crowdfunding, and methods using advertisements.
When the determined fund raising method is a method using advertisement, it is subdivided by the advertising means stored in the advertisement information, and the advertisement with the contents of publicizing that the subdivided method is used for the procurement is carried out.
When the development process system 262 makes a request for funding, it discloses the basic development information as explanatory materials for raising funds. If the basic development information is disclosed via direct mail or other means of direct contact, it will be disclosed to the funding source by attaching it to the direct mail. In the case of a method that can be contacted (notified) to an unspecified number of people, it is done by ``publishing when an inquiry is received from a funding source'' or ``preparing a website for publication on the WEB and disclosing it widely''.
The development basic information is information of the program to be produced in-house, such as outline information describing the outline of the program to be produced in-house, and is stored in the development process DB 261 .

When the development process system 262 raises funds by the determined method of raising funds and applies for the funds, the application information is stored in the application information on the development process DB 261 . The application information includes the information of the funding source that applied, the amount of funds, and the contents of the contract. This application information is stored and processed separately for each fund classification and each funding source.
By accessing the development process system 262 from the terminal, the stored application information can be confirmed in a visualized form of the funding status for each funding category and each funding source.

By combining the contents explained 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 those 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 (license management function for managing licenses and rights) of the system (development process system 262) for supporting the 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.

The development process system 262 basically registers in the development process DB 261 the ownership, property rights, copyrights, usage rights, and reproduction rights as information on the licenses and rights of the system built in-house as rights information. do. In this right information, the license of the system built in-house and the information related to the right are stored. FIG. 79 shows an example of ownership and property rights of constructed systems and programs.
If an organization other than the organization that owns the ownership or property rights of the in-house system, that is, the medical institution 4 in another region or another local government wants to use the in-house system, the development process system 262 Apply for use to the license management system 263 above.
When an application for use is made, the license management system 263 performs a process of granting permission for use based on the information stored in the rights information on behalf of the organization that owns the ownership and property rights of the in-house system. conduct. This license includes the right to copy and use the system. In addition, the license management system 263 provides or sells the built in-house production system by duplication, and saves the information of the provider or seller as the provider information in the right information of the development process DB 261 when the usage permission is granted. Management (management of rights) is performed by performing processing.
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. (Generally, the right to use the system is provided in a form called a public cloud or a form called a hosted private cloud.)
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. "I have an idea in my head, such as an improvement plan for an in-house developed system, an additional function plan for an in-house system, etc., devised by working clerical workers, companies engaged in medical care, medical researchers 5i, etc. Rights management of "ideas" can be performed. 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.
The license management system 263 digitizes the outline of "an idea in my head as a flash" by a method described later. Information on the outline of the digitized "idea in the head as inspiration" is stored in the development process DB 261 as idea outline information. This device outline information is information linked to the right information, and is a right targeted only within the medical economic zone 24 .

Discuss the digitization of an overview of "ideas in my head as inspiration."
In order to digitize ideas, a portal site for registering ideas on the license management system 263 is prepared.
Persons such as the doctor 5a and the nurse 5b who wish to register their ideas enter an outline of the idea into the portal site for registering the idea. The license management system 263 digitizes the content input to the portal site by storing it in the development process DB 261 as idea summary information.
Describe how to enter an idea outline.
When a person who wants to register an idea, such as a doctor 5a or a nurse 5b, accesses the portal site, first, he or she selects an idea input method. Input methods include "input by text (sentence)", "input by voice", "input by image (video) data", etc., and a plurality of methods (for example, text and image) may be selected.
Persons such as the doctor 5a and the nurse 5b who want to register their ideas enter their ideas by the selected method.
If you want to enter text, you can do things like ``write the content in the entry form on the portal site'' and ``upload text files and word processor sentences to the portal site''.
When inputting by voice, use "Use Web Speech API and input on the portal site" or "Input with image data to upload the voice file to the portal site".
If you want to enter image data, do something like "upload image-like data to the portal site".
Image-like data includes scanned data of handwritten drawings describing ideas, data describing ideas drawn with graphic software, data of presentation materials for ideas, simulation data of ideas, animation data of ideas, There are 2D-CAD and 3D-CAD data of ideas, data of flow charts in which ideas are simple logics, and so on.
The summary of the "ideas in your head as inspiration" to be entered into the portal site may be as simple as the title or keywords of the inspiration. In this case, the operator of the license management system 263 should contact the person who wants to register the idea, such as the doctor 5a or the nurse 5b, and ask for details (including obtaining drawings and character data). conduct. By inputting the contents of the hearing into the license management system 263, the contents are digitized.
The management of idea outline information performed by the license management system 263 will be described.
The management of the device summary 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 rights to the device summary information, duplication or plagiarism of the device summary information. . 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 flashes of ideas related to medical care, such as medical equipment, pharmaceuticals, and nursing care equipment. The license management system 263 of the present disclosure digitizes ideas such as medical equipment, pharmaceuticals, and nursing equipment, stores them in the idea outline information, and manages the rights of the digitized idea outline information by the same method using NFT. It can be carried out. 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 manufacturing companies that raise funds to commercialize ideas such as medical devices, pharmaceuticals, and nursing care devices devised by 5i, etc., and to acquire 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 recoup 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 from the funds raised by the above-described method is not only a general method using yen currency, but also other methods. can also be done. 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 two methods of receiving funds that do not use yen currency that can be used in this disclosure. The first method is a method of receiving funds using the medical institution payment support system 102 using the medical payment account described in the fourth embodiment, in which the medical institution payment support system 102 This is done by transferring funds from the 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, and can receive 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. Idea rights management may be performed not only for the above-mentioned target persons, but also for people using the medical economic zone 24, companies that are not directly related to medical care, and the like.
In addition, this system is a business model that manages the rights of many people's ideas by providing it as a platform system as a business model that provides a service that manages 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 profits from a lot of data processing, and the profits are 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 a plurality of systems described here, a considerably large amount of funds is required to construct a system that produces profits for the medical institutions 4 and companies that use it. To build this system only by the medical institution 4, even if it raises the funds necessary for construction, there are 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 is to avoid such a situation, in order to collect the necessary development funds, the contents of the funds to be raised, the medical institutions 4 and companies to be procured, the public recruitment method, etc. are managed by the system and plans are made. 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 in-house 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 44 subscription DB
51 Medical Examination Required Time DB
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 74 Communication system 91 Conversation script DB
92 Conversation script 93 Action information DB
101 Settlement DB
102 Medical institution payment support system 104 Medical payment account 111 Consumption time information DB
112 Consumption time calculation system 113 Living environment DB
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 204 Drug information system 205 Prescription subscription DB
211 Operation management system 212 Transportation subscription system 213 Medical version MaaS system 214 Operation management DB
221 IPS Induced Pluripotent Stem Cell Transplantation Treatment Candidate Patient Database
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 (2)

In order to know the evaluation and work achievements of those involved in the shishi industry, it is possible to know from the social system or the social site, but it is a little difficult to find excellent personnel with a proven track record, and it takes time.
Searching for excellent human resources who are expected to produce results reliably from the information on the work results of the tutor companies on the social system or social site, and searching for excellent human resources with a proven track record in order to request work from the tutor companies. For the purpose of providing a system that realizes a business model that makes requests, the business achievement evaluation index calculated from the information on the business results of the instructor is published on the network as an evaluation of business results.
When a user who uses the medical economic zone within the platform-type medical institution support system uses a system that realizes a business model that allows them to search for excellent human resources with a proven track record and make business requests,
By narrowing down the search using the user's place of residence and the user's request purpose conditions,
Discover a teacher who has a track record that meets the purpose of the request and is evaluated,
In addition, it is possible to easily request work on the system for the search results (discovered doctor's workers), a doctor's worker system in the platform type medical institution support system can provide
Business history information includes the number of consultations and cases accepted so far, the number of consultations for each case, the number of responses for each case, the period from the first consultation to the completion of each case, the compensation for each case, and the achievement of objectives and goals. By accumulating and processing these numerical information, such as an index (business achievement evaluation index) that shows how well you did it,
The shishigyo worker system is characterized by being able to search for highly reliable shishigyo workers,
A teacher who has completed a task creates items and contents to be evaluated, and requests the user to review the items and contents to be evaluated in writing. characterized by
Teachers who have completed their tasks will evaluate the review content written by the user for the items and contents of the evaluation requested by the user.
The shishigyo worker system publishes the review content written by the user and the evaluation made by the shishigō worker who accomplished the work, which is different from the evaluation of the work accomplished by the shishigō worker. It is characterized by an evaluation method that eliminates the evaluation of the user who evaluates the contents, and the collection of usage fees for the service of this teacher industry worker system realizes a business model of searching for excellent human resources with a proven track record and requesting work. A system that realizes a business model that can search for excellent human resources with a proven track record and make business requests by collecting success fees from both the user who requested the work using the system and the teacher who received the work. The teacher business in the system for realizing the business model of searching for excellent human resources with a proven track record described in claim 1 and requesting work,
Doctors, nurses, midwives, pharmacists, physical therapists, clinical engineers, MSWs, medical researchers, etc.
In order to find a person who is involved in the shishi business who will cure my condition, I can spend a lot of time searching social sites and many homepages until I find something that meets my purpose. often unpleasant,
The hurdles are somewhat high and time is required to find excellent human resources with achievements, experience and expertise.
Find excellent human resources from the business performance information of the master trader,
In a system that realizes a business model that seeks out excellent human resources with a proven track record and requests work to a mentor company that reliably produces results for the requested work,
Social business result information uses information stored in the medical information DB on the medical information sharing database in the platform-type medical institution support system instead of the information acquired as business result information by the business result acquisition system,
It is a system that realizes a business model that searches for excellent human resources with a proven track record and requests work.
From the electronic medical record that stores the patient's medical care details stored in the medical information DB on the medical information sharing database in the platform-type medical institution support system,
The number of patients treated by practitioners, the names of diseases and the number of patients treated by practitioners, the number of patients treated by practitioners who were completely cured, and the number of intractable diseases treated by practitioners Numerical information such as the treatment method used, the name of an intractable disease treated by a doctor, the name and number of surgeries that a doctor was involved in, etc., is acquired and used as social work result information in the doctor's worker evaluation DB. Some of the personal information that is stored and further stored in the medical economic zone DB on the medical information sharing database includes the work location history of the medical staff recorded by the medical staff themselves, and the medical staff's specialty field. , the career of a teacher, the research content of a teacher, the research content of a teacher, the development of a teacher, the attributes of a teacher, etc. The information is stored as the attribute information of the teacher worker in the teacher worker evaluation DB,
When a user who uses the medical economic zone within the platform-type medical institution support system uses a system that realizes a business model that searches for excellent human resources with a proven track record and requests work,
By narrowing down the search using conditions such as the user's place of residence, the user's purpose of using the system, the name of the disease, treatment, specialty, and the new drug used,
It is characterized by being able to discover medical practitioners who have a track record that matches the purpose of using the system and whose work results have been evaluated.The medical work history information includes the number of consultations by users, the number of cases accepted, Numerical information such as the number of consultations for each case, the degree of satisfaction with the response from the consultation, the number of responses for each case, the period from the first consultation to complete recovery for each case, the compensation for each case, the period from the start of treatment to complete recovery, etc. By accumulating work history information, this system for master workers is characterized by being able to search for highly reliable master workers,
It is characterized by creating items and contents to be evaluated by a teacher who has accomplished a task, and requesting a written review of the items and contents to be evaluated by the user,
Teachers who have completed the task evaluate the review content written by the user,
The shishigyo worker system publishes the review content written by the user and the evaluation made by the shishigyo worker who accomplished the work, which is different from the evaluation of the work accomplished by the shishigyo worker. The service of this teacher industry worker system characterized in that it is an evaluation method that eliminates the evaluation of the user who evaluates the contents, and the evaluation that is published is the evaluation intended for the teacher industry worker. The collection of usage fees is a system that realizes a business model that searches for excellent human resources with a proven track record and requests work. A system that realizes a business model that can search for excellent human resources with a proven track record and make business requests.

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