JP6635824B2 - Patient information management system and reception device used in the system - Google Patents

Description

  The technology disclosed herein relates to a patient information management system and a reception device used in the system.

  2. Description of the Related Art Conventionally, in a medical institution such as a hospital, a patient information management system is known as a system for managing information on a patient. For example, a system (health insurance card information management system) disclosed in Patent Literature 1 includes a database that stores information related to a patient's insurance card (insurance card information) in association with a management number assigned to each patient, A reception terminal (automatic reception terminal) for acquiring consultation ticket information from a received consultation ticket, and a management terminal (information management terminal) for reading and updating a database based on the consultation ticket information acquired by the reception terminal. I have. On the database, the consultation ticket information is associated with the management number described above. The management terminal reads from the database the management number associated with the consultation ticket information acquired by the reception terminal, and eventually the insurance card information associated with the management number, and updates the information as appropriate. For example, the reception terminal newly acquires insurance card information from the insurance card received from the patient and transmits the information to the management terminal. The management terminal compares the insurance card information read from the database with the receipt of the consultation ticket with the insurance card information newly obtained from the insurance card, and if the two do not match, the database To update.

  JP 2013-77208 A

  In recent years, medical institutions have been required to tighten business procedures and reduce management costs.

  The technology disclosed herein has been made in view of such a point, and an object of the technology is to enable stricter administrative procedures and reduced management costs in a patient information management system.

  The present inventors use a unique number assigned to each citizen by a public institution, such as My Number (registered trademark), instead of a medical examination ticket issued by each medical institution. We focused on the point that strictness and management cost can be reduced. However, each medical institution has already assigned a management number to each patient. The patient information management system as disclosed in Patent Document 1 requires a shift to a system using a unique number instead of a consultation ticket. At this time, a mechanism is required to accurately associate the management number assigned to each patient with a unique number provided by a public institution.

  The technology disclosed herein relates to a patient information management system.

  This patient information management system includes a recording unit for recording patient information composed of information on a patient in association with identification information for uniquely identifying the patient, a unique number assigned to each citizen. Receiving means for acquiring a unique number, and a reading means for reading the patient information from the recording means based on the identification information, and linking the unique number acquired by the receiving means with the identification information, Updating means for updating the patient information read by the reading means.

  Here, the “patient information” includes personal information of a patient, insurance card information that is information about an insurance card, medical card information that is information about a medical card, and the like.

  The “identification information” includes consultation ticket information, which is information on the consultation ticket, a management number uniquely determined by the medical institution, and the like.

  The “unique number” includes a my number, a resident card code, a basic pension number, a passport number, and the like.

  The “accepting unit” includes a unit for acquiring a unique number from a magnetic stripe or an IC chip of a card medium, a unit for reading a unique number described on a paper medium, and a unit for entering a unique number based on manual input by a patient. Acquisition means and the like are included.

  According to this configuration, in the patient information management system, the patient information is recorded in association with the identification information, and the identification information is associated with the unique number. Therefore, the reading means can read the patient information on the patient from the recording means by receiving the unique number instead of the consultation ticket from the patient. The updating means can appropriately update the patient information read from the recording means, for example, by comparing it with information obtained from a patient's insurance card or medical card.

  In this way, it is possible to shift to a system using a unique number instead of a consultation ticket. As a result, stricter administrative procedures and lower management costs can be achieved.

  Further, the receiving means may be provided with a unique number receiving unit that receives the unique number medium on which the unique number is recorded and reads the unique number from the unique number medium.

  Here, the “unique number medium” includes a card medium, a paper medium, and the like.

  According to this configuration, the patient information management system can use the unique number medium as a means for acquiring the unique number.

  Further, the reception unit may acquire, as the unique number, a My Number (registered trademark) assigned to each nation.

  According to this configuration, My Number can be used as the unique number.

  Switching means for selecting whether to acquire the unique number from the patient or to acquire the identification information as the reception information for identifying the patient who applied for the examination based on the operation of the patient And the updating unit may associate the unique number with the identification information when acquiring the unique number as the reception information is selected by the switching unit.

  The work of shifting to a unique number, for example, the work of shifting from a medical examination ticket to My Number, requires a person in charge of a medical institution or the like to receive a medical examination ticket and a medium on which My Number is recorded from a patient and operate a computer terminal. Accordingly, it is also possible to manually link information and the like.

  On the other hand, according to the above-described configuration, the operation related to the shift to the unique number is automatically processed without the intervention of the person in charge after the operation by the patient himself. As a result, it is possible to reduce the work load and work mistakes of the person in charge, and to reduce labor costs.

  Further, the reception unit is provided with a consultation ticket capturing unit that captures the consultation ticket in which the identification information is recorded, and the updating unit is configured to perform the association between the unique number and the identification information. The medical examination ticket may be fetched from the medical examination ticket fetching unit, and when the association is completed, the medical examination ticket fetched from the medical examination ticket fetching unit may be collected without being returned to the patient.

  According to this configuration, when the updating unit completes the linking of the unique number, the consultation ticket capturing unit collects the consultation ticket captured at the time of performing the linking without returning it. As a result, it is possible to prevent the unnecessary omission of the consultation ticket from being collected and unauthorized use.

  Further, the updating unit checks the patient information read by the reading unit with the personal information of the patient who has acquired the unique number via the reception unit, and determines that they match. May associate the unique number with the identification information.

  According to this configuration, the patient information management system can more strictly manage the unique number and the patient information by confirming the identity of the patient.

  Further, a notification unit for notifying the patient when the updating unit determines that the patient information and the personal information do not match may be provided.

  In addition, the updating unit may check as at least one of the patient's name, address, and date of birth as the personal information.

  Further, when the receiving unit acquires the unique number, the receiving unit acquires unique number related information composed of information linked to the unique number, and the updating unit includes the patient information read by the reading unit. And the unique number relationship information acquired by the accepting unit, and if it is determined that they do not match, the patient information may be updated with the unique number relationship information.

  Here, the “specific number-related information” includes the above-mentioned insurance card information, medical card information, and the like.

  According to this configuration, the patient information management system updates the patient information with the information linked to the unique number. As a result, it is possible to check the patient information and automate the updating thereof, thereby reducing the administrative cost.

  The updating unit may update the patient information based on a date on which the patient applied for a medical examination.

  Further, the updating unit may compare, as the unique number-related information, at least one of the insurance card information of the patient and medical card information that is information on the medical card of the patient.

  Another technique disclosed herein is a reception device used in the patient information management system, including: the reception unit; and a transmission unit that transmits the unique number acquired by the reception unit to the update unit. ing.

  As described above, the patient information management system enables stricter administrative procedures and reduced management costs.

FIG. 1 is a diagram showing an outline of a patient information management system. FIG. 2 is a schematic configuration diagram of the patient information management system. FIG. 3 is an image diagram showing the contents of the electronic medical record. FIG. 4 is an image diagram showing my number related information. FIG. 5 is a flowchart of a process for shifting to My Number. FIG. 6 is a flowchart of the insurance card information confirmation processing.

  Hereinafter, embodiments will be described in detail with reference to the drawings. The following description is an example.

  In the following description, various health insurance cards are collectively referred to as “insurance card”, while the institution that issued the insurance card is referred to as “insurer”. Similarly, various medical certificates are collectively referred to as a “medical certificate”, while a local government or the like that issued the medical certificate is referred to as a “payer”.

  FIG. 1 is a schematic diagram showing a configuration of a patient information management system 1 (hereinafter, also simply referred to as “system 1”), and FIG. 2 is a schematic configuration diagram of the system 1. The system 1 is built in a medical institution such as a hospital, for example, and is used to manage information on patients. In the following description, it is assumed that the system 1 is constructed in a hospital.

  As shown in FIG. 1, the system 1 includes a database 2 in which an electronic medical record K is stored, a reception terminal 3 used for applying for a medical examination, a payment terminal 4 used for paying medical expenses, and an electronic medical record K. And a management terminal 5 that performs processing related to the above. As shown in FIG. 1, the database 2, the reception terminal 3, and the payment terminal 4 are communicably connected to the management terminal 5 via the network 11, respectively. The receiving terminal 3 and the payment terminal 4 are each examples of a “receiving device”.

(Database configuration)
The database 2 is constructed, for example, in a hospital server, and stores an electronic medical record K created for each patient. FIG. 3 is an image diagram showing the contents of the electronic medical record K. The electronic medical record K records patient information Kp composed of information on a patient in association with identification information Ki for uniquely identifying the patient. Note that the electronic medical record K is an example of a “recording unit”.

  The electronic medical record K is composed of basic information A which is information on an individual patient, insurance card information B which is information on an insurance card, and medical card information C which is information on a medical card. Further, a management number N2 formulated as a number usable for data management is assigned to each electronic medical record K. The management number N2 is a number unique to each patient, and is recorded on the electronic medical record K in association with the basic information A, the insurance card information B, and the medical card information C.

  The basic information A is composed of consultation ticket information A1 which is information relating to a consultation ticket, and personal information A2 of the patient himself. The personal information A2 is composed of the patient's name, gender, and date of birth, and can be used for collation of the patient by comparing with, for example, the contents described in the driver's license.

  On the other hand, the consultation ticket information A1 includes a consultation ticket number N1, a previous consultation date, a next consultation date, and the like, and is information that can be read from the consultation ticket and can be written on the consultation ticket. The consultation ticket according to the present embodiment is formed as a card medium having a magnetic stripe, and consultation ticket information A1 is written on the magnetic stripe. Note that the consultation ticket number N1 is a number unique to each consultation ticket and, consequently, each patient, uniquely determined by the medical institution.

  The insurance card information B is composed of an insurance card number, an insured person's name, a business establishment name, an insurer's name, and the like, and is created and updated by recording information obtained from the insurance card, etc. It is. The insurance card according to the present embodiment is formed as a paper medium, and information recorded as insurance card information B is printed on the face of the card. The insurance card information B is recorded in association with the previous confirmation date of the insurance card.

  The medical certificate information C is composed of a medical certificate number, an insured person's name, a bearer's name, and a partial contribution ratio, and is created and updated by recording information obtained from a medical certificate card or the like. Information. The medical certificate according to the present embodiment is formed as a paper medium, and information recorded as the medical certificate information C is printed on the face of the card. The medical certificate information C is recorded in association with the previous date of confirmation of the medical certificate.

  In the present embodiment, the patient information Kp includes the above-described basic information A, the insurance card information B, and the medical card information C, while the identification information Ki includes the management number N2 and the examination as the basic information A. And a ticket number N1. The consultation ticket number N1 serves as both the patient information Kp and the identification information Ki.

  The electronic medical record K can also record the my number N3 (see FIG. 4) of each patient in association with the identification information Ki, after completion of the transfer process described later. My number N3 is a unique number assigned to each nation and is recorded on a so-called "personal number card". Note that the my number N3 is an example of a “unique number”. The personal number card is an example of the “unique number medium”.

  FIG. 4 is an image diagram showing my number related information.

  More specifically, the personal number card is a resin-made card medium provided with a magnetic stripe and an IC chip, and the ticket number, the magnetic stripe, and the IC chip have my number N3 recorded thereon. As disclosed by the Ministry of Internal Affairs and Communications on its website (http://www.soumu.go.jp/kojinbango_card/03.html), the IC chip of the personal number card has free space for using various services. An area is provided. In the empty area, my number related information M, which is information associated with my number N3, is recorded. Note that “My number related information” is an example of “specific number related information”.

  In the present embodiment, the my number related information M is composed of insurance card information B and medical card information C. In the following description, in order to distinguish the insurance card information B recorded on the electronic medical record K as the patient information Kp and the insurance card information B recorded on the personal number card as the my number related information M, the my number related information is used. The insurance card information B as M may be referred to as “insurance card information B ′”. Similarly, the medical certificate information C as the my number related information M may be referred to as “medical certificate information C ′”.

(Configuration of reception terminal and payment terminal)
The reception terminal 3 is installed around a reception window of a medical institution and is configured as a terminal for applying for a medical examination. Specifically, as shown in FIG. 2, the reception terminal 3 receives a display operation unit 31 which is a human interface part for a patient who operates the reception terminal 3, various media, and information recorded on the received medium. The receiving unit 32 for acquiring, the communication unit 37 for transmitting the information acquired by the receiving unit 32 to the management terminal 5, the issuing unit 38 for issuing a reception slip to a patient who has completed the application for a medical examination, and controlling the operations of these units. And a control unit 30 that performs the operation. The receiving unit 32 is an example of a “receiving unit”. The communication unit 37 is an example of a “transmission unit”.

  The display operation unit 31 is an operation unit for inputting information to the reception terminal 3 and a display unit for displaying information of the reception terminal 3. In the present embodiment, the display operation unit 31 is configured by a touch-panel display, and displays buttons for performing operations related to the application for medical examination.

  The receiving unit 32 includes an inlet 33a for receiving various card media, a reader 33b for acquiring information from the card medium imported from the inlet 33a, and an IC reader 34 configured as a non-contact IC card reader. And a scanner 35 for generating image data of a paper medium. The reading device 33b is configured as a combination of a magnetic card reader, an IC card reader, a barcode reader, a scanner, and the like. The information acquired by the reception unit 32 is transmitted to the management terminal 5 via the communication unit 37 based on a control signal from the control unit 30. Note that the intake port 33a and the reading device 33b constitute a "unique number receiving unit" according to the present embodiment. The IC reader 34 also constitutes the “unique number receiving unit” according to the present embodiment.

  For example, when accepting a consultation ticket, the reception unit 32 takes in the consultation ticket from the entrance 33a and reads the consultation ticket information A1 from the consultation ticket by the reading device 33b.

  On the other hand, when accepting the insurance card, the accepting unit 32 creates the image data of the card by the scanner 35 and uses the OCR (Optical Character Reader) technology to convert the insurance card printed on the card from the image data. Obtain information B. The same applies to medical identification.

  When accepting the personal number card, the accepting unit 32 takes in the personal number card from the entrance 33a in the same manner as the consultation ticket, and reads the personal number card from the personal number card using the reading device 33b. The my number related information M linked to N3 is read. The accepting unit 32 can also use the IC reader 34 when accepting a personal number card. In this case, the personal number card is held over the IC reader 34 or touched (touched), whereby the my number N3 and the my number related information M are obtained.

  The configuration of the receiving unit 32 can be changed as appropriate. For example, a barcode reader different from the barcode reader constituting the reading device 33b may be arranged around the inlet 33a. According to the configuration, for example, when a barcode storing the consultation ticket information A1 or the like is printed on the face of the consultation ticket, the consultation ticket is held over a barcode reader arranged around the intake 33a. The contact unit 32 can read the consultation ticket information A1 by touching or making contact. Such a configuration is also applicable to a payment terminal 4 described later.

  The communication unit 37 is configured to perform data communication with the management terminal 5 via the network 11, and transmits information acquired by the reception unit 32 to the management terminal 5. In addition, the communication unit 37 is also connected to a terminal (not shown) installed at the reception window, and transmits and receives information regarding an application for a medical examination.

  The issuing unit 38 is configured by a printer, and issues a reception slip on which the location of the examination room to which the patient should go, a reception number, and the like are printed when the application for the examination is completed.

  The control unit 30 is based on, for example, a well-known microcomputer, and the above-described display operation unit 31, reception unit 32, communication unit 37, and issuing unit 38 are connected so that signals can be transmitted and received. The control unit 30 generates a control signal based on an input signal from the display operation unit 31 or the management terminal 5 and outputs the control signal to the issuing unit 38 and the like. The issuing unit 38 and the like operate according to a control signal from the control unit 30.

  The payment terminal 4 is installed in the vicinity of a checkout window of a medical institution, and is configured as a terminal that calculates medical expenses to be charged to a patient and receives payment of medical expenses. Specifically, as shown in FIG. 2, the payment terminal 4 accepts a display operation unit 41, which is a human interface part for a patient who operates the payment terminal 4, a consultation ticket and a personal number card, and is recorded on a received medium. A receiving unit 42 for acquiring the information acquired by the receiving unit 42, a communication unit 47 for transmitting the information acquired by the receiving unit 42 to the management terminal 5, a deposit / withdrawal unit 49 for depositing medical expenses and dispensing change, and It has an issuing unit 48 for issuing a receipt to the patient who performed the operation, and a control unit 40 for controlling the operation of each unit. Similarly to the reception terminal 3, the reception unit 42 is an example of a “reception unit”, and the communication unit 47 is an example of a “transmission unit”. The display operation unit 41 is an example of a “notification unit”. The payment terminal 4 also includes a collection box 46 in which the consultation ticket can be collected.

  The display operation unit 41, the reception unit 42, the communication unit 47, and the control unit 40 of the payment terminal 4 are configured similarly to the display operation unit 31, the reception unit 32, the communication unit 37, and the control unit 30 of the reception terminal 3, respectively. I have.

  For example, the receiving unit 42 of the payment terminal 4, like the receiving unit 32 of the receiving terminal 3, has a loading port 43 a for taking in various card media, and a reading device for acquiring information from the card media loaded from the loading port 43 a. An apparatus 43b and an IC reader 44 configured as a non-contact IC card reader are provided. The information acquired by the reception unit 42 is transmitted to the management terminal 5 via the communication unit 47 based on a control signal from the control unit 40. Note that the inlet 43a and the reading device 43b constitute the "medical ticket importing unit" and the "unique number receiving unit" according to the present embodiment. The IC reader 44 constitutes the “unique number receiving unit” according to the present embodiment.

  Explaining the configuration of the payment terminal 4 different from that of the reception terminal 3 exemplarily, the reception unit 42 of the payment terminal 4 can also take in a credit card for use in payment of medical expenses. The communication unit 47 is also connected to a terminal (not shown) installed at a checkout window, and sends and receives information related to payment of medical expenses. The depositing / dispensing unit 49 includes a coin slot, a coin dispensing port, a bill entrance, and a bill exit, and receives medical expenses and dispenses change. When the payment of the medical expenses is completed, the issuing unit 48 issues a receipt, a voucher for medicine, a reservation ticket in which the next consultation date is described, and the like.

(Configuration of management terminal)
The management terminal 5 is a computer device installed inside the reception window or the settlement window, and is stored in the database 2 based on information input from the reception terminal 3 or the payment terminal 4 or operation input by a person in charge. The electronic medical chart K is processed. Specifically, the management terminal 5 sends and receives information between the display unit 51 and the operation unit 52, which are human interface parts for the person who operates the management terminal 5, and the reception terminal 3, the payment terminal 4, and the database 2. It has a communication unit 57 and a control unit 50 that controls each unit and executes processing related to the database 2.

  The display unit 51 includes, for example, a liquid crystal display, and displays information of the management terminal 5. The operation unit 52 includes, for example, a keyboard and a mouse, and inputs information to the management terminal 5.

  The communication unit 57 is configured to perform data communication with the database 2, the reception terminal 3, and the payment terminal 4 via the network 11. Further, the communication unit 57 is also connected to a reception window, a settlement window, and a terminal (not shown) installed in an examination room or the like, and appropriately transmits information recorded as the electronic medical record K.

  The control unit 50 generates a control signal based on input signals from the operation unit 52 and the terminals 3 and 4, and outputs the control signal to the display unit 51 and the like. The display unit 51 and the like operate according to a control signal from the control unit 50.

  The control unit 50 includes a reading unit 50a that reads the patient information Kp, and a processing unit 50b that performs settings related to the application for a medical examination, and confirms and updates the patient information Kp read by the reading unit 50a. The reading unit 50a is an example of a “reading unit”. Further, the processing unit 50b is an example of an “updating unit” and a “switching unit”.

  The reading unit 50a reads the patient information Kp from the electronic medical record K based on the identification information Ki. Specifically, the reading unit 50a searches the database 2 for the management number N2 input via the operation unit 52, and thereby reads the electronic medical record K and the patient information Kp associated with the management number N2. Read. Similarly, the reading unit 50a searches the database for the consultation ticket number N1 input from the reception terminal 3 or the payment terminal 4, and thereby obtains the management number N2 associated with the consultation ticket information A1 including the consultation ticket number N1. Then, the insurance card information B and the medical card information C associated with the management number N2 are read.

  For example, the consultation ticket number N1 acquired from the consultation ticket of the patient is input to the management terminal 5 as the reception information D for identifying the patient who applied for the consultation. As described above, the reading unit 50a reads the electronic medical record K of the patient who applied for the examination based on the examination ticket number N1. The read electronic medical record K is used for processing in the processing unit 50b or transmitted to a reception desk or a terminal in a consultation room. The electronic medical record K transmitted to each terminal is used for business procedures and medical activities such as medical examination.

  On the other hand, the processing unit 50b determines whether to obtain the consultation ticket number N1 as the reception information D or to obtain the my number N3 from the patient, based on the operation input of the patient himself, as the setting regarding the application for the medical examination. It is possible to do. That is, the processing unit 50b can be set so as to be able to apply for a medical examination using My Number N3 instead of the medical examination ticket. Such a setting is, as described below, when the acquisition of the My Number N3 as the reception information D is selected, the My Number N3 acquired by the payment terminal 4 is replaced with the identification information Ki recorded in the electronic medical record K. This is done by associating with

  Hereinafter, a shift process, which is a process for shifting from a consultation ticket to my number N3, will be described. In the present embodiment, the transfer process is performed on the management terminal 5 based on an operation input to the payment terminal 4.

(Migration process)
FIG. 5 shows a flowchart of the transition processing.

  For example, when the user touches the display operation unit 41 of the payment terminal 4, the display operation unit 41 of the payment terminal 4 is used to instruct a transition to the My Number N3 separately from a button for performing an operation related to payment of medical expenses. A button appears. When this button is selected and pressed, the management terminal 5 selects to acquire the my number N3 as the reception information D, and starts a transition process to transition from the consultation ticket to the my number N3 (see step S11). ).

  In the following step S12, the management terminal 5 instructs reception of the consultation ticket via the display operation unit 41 of the payment terminal 4 in order to link the my number N3 with the consultation ticket number N1. When the consultation ticket is taken into the reception unit 42 according to the instruction, the payment terminal 4 reads the consultation ticket information A1 recorded on the consultation ticket and transmits the information to the management terminal 5. The management terminal 5 acquires the consultation ticket number N1 from the consultation ticket information A1 transmitted from the payment terminal 4. Note that, as described above, when a bar code in which the consultation ticket information A1 and the like are stored is printed on the consultation ticket, the payment terminal 4 does not take in the consultation ticket, and the bar disposed around the inlet 33a is not used. It becomes possible to acquire the consultation ticket information A1 from the code reader.

  In the following step S13, the management terminal 5 instructs the reception of the personal number card via the display operation unit 41. When the personal number card is taken into the inlet 43a according to the instruction, the payment terminal 4 reads the my number N3 recorded on the personal number card. In step S13, the personal number card may be accepted using the IC reader 44.

  In the following step S14, the management terminal 5 instructs via the display operation unit 41 to accept an insurance card or a driver's license. The reception unit 42 acquires information described on the face of the insurance card or the driver's license as personal information of the patient who has read the My Number N3 (that is, the person who performed the reception), and transmits the information to the management terminal 5. The processing unit 50b of the management terminal 5 compares the personal information acquired by the reception unit 42 with the personal information A2 of the patient information Kp read based on the consultation ticket number N1 acquired in step S12, thereby performing the transition process. Confirm the identity of the patient who started. Specifically, the processing unit 50b collates, as personal information, at least one of the patient's name, address, and date of birth. As a result of the comparison, when both match (step S14: YES), the process proceeds to step S15 to continue the shift process, while when they do not match (step S14: NO), the shift process is interrupted. Then, the process proceeds to step S16. In step S16, the management terminal 5 notifies the patient that the personal information did not match via the display operation unit 41, and ends the transition process.

  Further, the personal information acquired in step S14 is separately managed as evidence documents of the identity confirmation.

  In step S15, based on the input signal from the management terminal 5, the display operation unit 41 displays the consultation ticket information A1 and a confirmation button for allowing the patient to approve the transfer to the My Number N3.

  In step S17 following step S15, when the patient checks the contents of the consultation ticket information A1 and presses the confirmation button, the payment terminal 4 transmits the my number N3 read in step S13 to the management terminal 5.

  In the following step S18, the processing unit 50b records the my number N3 transmitted from the payment terminal 4 in the electronic medical record K of the patient holding the my number N3. The my number N3 is recorded on the electronic medical record K in association with the consultation ticket number N1 and the management number N2, and the association between the my number N3 and the identification information Ki is completed.

  In the following step S19, the receiving unit 42 of the payment terminal 4 receives the completion of the transfer process and collects the consultation ticket without returning it to the patient. At this time, the fact that collection is to be performed is displayed on the display operation unit 41. As described above, the payment terminal 4 includes the consultation ticket collection box 46. The consultation ticket collected in the transfer process is stored in the collection box 46. The consultation ticket stored in the collection box 46 is appropriately disposed of in a hospital or the like.

  Note that the order of these steps is an example, and the order of the steps may be appropriately changed within a possible range, a plurality of steps may be processed in parallel, or some of the steps may be omitted. For example, the order of step S12 and step S13 may be reversed. Steps S14 and S16 may be omitted. That is, the step of confirming the identity of the patient is not essential. The contents of each step can be added or changed as appropriate. For example, in step S12 described above, the management terminal 5 may check whether the consultation ticket received from the patient is valid. Such confirmation is performed based on the contents of the consultation ticket information A1 (for example, whether or not the consultation ticket number N1 is currently used) or by checking a flag written on a magnetic stripe or the like of the consultation ticket. It is done by doing.

  For the patient who has performed the transfer process, the reception terminal 3 will receive a personal number card instead of a consultation ticket when applying for a consultation. In this case, my number N3 acquired from the personal number card is input to management terminal 5 as reception information D. The reading unit 50a reads, from the database 2, the electronic medical record K of the patient who applied for the medical examination based on the medical examination ticket number N1 linked to the my number N3. The read electronic medical record K is used for various applications as described above.

  For example, when an application for re-examination is made, the insurance card information B read based on my number N3 (or the examination ticket number N1) is compared with the latest insurance card information B obtained from the patient himself, The electronic medical record K is updated based on the comparison result. Conventionally, when making such a comparison, information obtained from a patient's insurance card has been used as the latest insurance card information B. Specifically, the reception terminal 3 receives an insurance card before and after receiving a medical examination ticket. The receiving unit 32 transmits the image data of the ticket surface and the insurance card information B obtained by using the OCR technology for the image data to the terminal in the reception window. The display of the terminal displays the image data transmitted from the reception unit 32 and the insurance card information B created based on the image data, and the person in charge checks the insurance card information B. Specifically, the person in charge visually confirms that image data has been generated normally and that character recognition by OCR has been correctly performed. When the confirmation work is completed, the insurance card information B acquired by the reception unit 32 is compared with the insurance card information B read based on the consultation ticket number N1. , Only the previous confirmation date of the insurance card information B is updated. On the other hand, if the two do not match, the person in charge updates the insurance card information B recorded on the electronic medical record K and the previous confirmation date after confirming the character recognition by OCR again. become.

  On the other hand, the reception terminal 3 according to the present embodiment can receive the personal number card as described above, and reads out the insurance card information B ′ as the my number related information M recorded on the IC chip. Can be. The processing unit 50b uses the insurance card information B ′ obtained from the personal number card in place of the insurance card in performing processing related to confirmation and update of the insurance card information B (hereinafter, referred to as “confirmation processing”). Can be.

  Hereinafter, the confirmation processing of the insurance card information B will be described. The confirmation process is performed on the management terminal 5 based on various information acquired by the reception terminal 3. The following description is the same for the medical certificate information C. That is, in the following description, “insurance card” may be replaced with “medical card”, while “insurance card information B” may be replaced with “medical card information C”.

(Confirmation process)
FIG. 6 shows a flowchart of a process of checking insurance card information B.

  When an operation indicating a request for re-examination is performed at the reception terminal 3, the control unit 30 instructs, via the display operation unit 31, reception of a consultation ticket or reception of a personal number card. If the transfer to My Number N3 has not been made (step S21: NO), the reception unit 32 receives the consultation ticket, and the reception unit 32 transmits the reception information D read from the consultation ticket to the management terminal 5. (Step S22). On the other hand, when the above-described transfer processing has been completed and the transfer to My Number N3 has already been performed (step S21: YES), the reception unit 32 receives the personal number card, and the reception unit 32 Reads the my number N3 recorded on the personal number card and transmits it as the reception information D to the management terminal 5 (step S23).

  In step S24 following step S22 or step S23, based on the reception information D transmitted from the reception terminal 3, the reading unit 50a records the electronic medical record K of the patient who applied for re-examination, and furthermore, the patient information Kp. The read insurance card information B is read from the database 2.

  In the following step S25, the processing unit 50b checks the previous confirmation date of the insurance card information B in the electronic medical record K read from the database 2. The processing unit 50b determines whether it is necessary to confirm the insurance card information B based on the previous confirmation date (date). Such a determination is made, for example, by determining whether this re-examination is the first consultation in the month or by determining whether a predetermined period has elapsed since the previous consultation date. . When it is determined that the insurance card information B needs to be confirmed (step S25: YES), the processing unit 50b proceeds to step S26. On the other hand, when it is determined that the insurance card information B does not need to be confirmed (step S25: NO), the processing unit 50b ends the confirmation processing.

  In step S26, if the processing unit 50b has passed through step S22, that is, if the consultation ticket has been captured in step S22, the processing unit 50b receives the personal number card via the display operation unit 31 of the reception terminal 3. Instruct. In this case, the display operation unit 31 displays an instruction prompting the IC reader 34 to “touch” the personal number card. When the insurance card information B ′ is read by the IC reader 34, the accepting terminal 3 transmits the read insurance card information B ′ to the management terminal 5.

  Also, in step S26, when the processing unit 50b has passed through step S23, that is, in step S23, the personal number card has been received and the personal number card has been taken into the inlet 33a. In this case, the insurance card information B 'is read by the reading device 33b. Here, although the personal number card has been received in step S23, but the reception has been performed by the IC reader 34, the personal identification card is touched again by the IC reader 34, whereby the insurance card is received. Read information B '. The reception terminal 3 transmits the insurance card information B ′ read from the personal number card to the management terminal 5. In addition, when passing through step S23, the reading of the insurance card information B 'may be performed in step S23. That is, the reception terminal 3 may perform the reception of the personal number card and the reading of the insurance card information B 'from the card continuously or in parallel. In that case, the management terminal 5 skips step S26.

  In the following step S27, the processing unit 50b compares the insurance card information B 'transmitted from the reception terminal 3 with the insurance card information B read from the database 2. As a result of the comparison, if the two match (step S27: YES), the processing unit 50b updates only the previous confirmation date of the insurance card information B in the electronic medical record K, and ends the confirmation processing. On the other hand, if the two do not match (step S27: NO), the processing unit 50b proceeds to step S28 to update the electronic medical record K.

  In step S28, the processing unit 50b automatically updates the insurance card information B as the patient information Kp recorded in the electronic medical record K with the insurance card information B 'as the my number related information M. The processing unit 50b updates the previous confirmation date of the insurance card and ends the processing.

  When an operation indicating an application for a first consultation is performed on the reception terminal 3, the processing unit 50b skips the above-described steps S21 to S25 and instructs the patient to receive a personal number card. The processing unit 50b newly creates an electronic medical record K for the patient in the database 2 based on the information read from the personal number card received from the patient.

  Note that the order of these steps is an example, and the order of the steps may be appropriately changed within a possible range, or a plurality of steps may be processed in parallel. The contents of each step can be added or changed as appropriate. For example, when the insurance card information B ′ transmitted from the reception terminal 3 does not match the insurance card information B read from the database 2 in step S27 described above (step S27: NO), the management terminal 5 Alternatively, a process for inquiring and confirming the insurance card information to the insurer may be performed. Such processing is performed by comparing insurance card information B 'transmitted from the reception terminal 3 with insurance card information acquired from the insurer's database. As a result of the comparison, if they match, the process proceeds to step S28 to update the insurance card information B on the electronic medical record K, while if they do not match, the display unit 51 of the management terminal 5 In addition, the fact is displayed on the display operation unit 31 of the reception terminal 3. In the latter case, the management terminal 5 may update the insurance card information B on the electronic medical record K based on the insurance card information acquired from the insurer's database. According to this configuration, it is possible to cope with a case where the insurance card information B 'recorded on the personal number card does not match the insurance card information managed by the insurer. In addition, when it is determined in step S25 that the insurance card information B needs to be confirmed, an inquiry is made to the insurer, or the insurance card information B ′ recorded on the personal number card is updated based on the information obtained from the insurer. And can do it. When performing these processes, the identity of the patient may be confirmed in the same manner as the above-described update process, or such a process may be performed by pressing a button displayed on the display operation unit 31. May be approved.

(Summary)
As described above, in the system 1, the patient information Kp is recorded in association with the identification information Ki, and the identification information Ki is associated with the my number N3 when the transfer processing is performed. Therefore, the reading unit 50a can read the patient information Kp regarding the patient from the electronic medical record K stored in the database 2 by receiving the my number N3 instead of the consultation ticket from the patient. On the other hand, the processing unit 50b can appropriately update the patient information Kp read from the electronic medical chart K, for example, by comparing it with information obtained from a patient's insurance card or medical card.

  In this way, it is possible to shift to a system using my number N3 instead of the consultation ticket. As a result, stricter administrative procedures and lower management costs can be achieved.

  Further, according to the above-described configuration, instead of overwriting the consultation ticket number N1 and the management number N2 with the my number N3, the my number N3 is recorded in association with the numbers N1 and N2. Therefore, it is possible to use a conventional consultation ticket for a patient who has not yet performed the transfer processing. This is advantageous for smooth transition from the consultation ticket to My Number N3.

  Further, according to the above configuration, the system 1 uses a personal number card as a means for acquiring the my number N3. Thus, the management cost of the system 1 can be reduced by the cost required for issuing the card medium (in this example, the consultation ticket).

  Further, according to the above-described configuration, the operation related to the transfer to My Number N3 is automatically processed without intervention of the person in charge by receiving the operation by the patient as shown in the above-described steps S11 and S15. become. This makes it possible to reduce the work load and work mistakes of the person in charge, and to reduce labor costs.

  Further, according to the above configuration, the approval of the transfer to the My Number N3 is performed by the patient himself / herself pressing the button as shown in step S15 described above. As a result, personal identification at the time of transfer can be stricter.

  Further, according to the above-described configuration, when the processing unit 50b completes the linking of the my number N3, the reception unit 42 collects the consultation ticket taken in when the linking is performed without returning it. As a result, it is possible to prevent the unnecessary omission of the consultation ticket from being collected and unauthorized use.

  Further, according to the above-described configuration, the processing unit 50b manages the My Number N3 and the patient information Kp more strictly by confirming the identity of the patient who has started the transfer process, as shown in step S14 described above. It becomes possible to do.

  Further, according to the above configuration, the transfer processing is performed based on the operation input to the payment terminal 4. This eliminates the necessity of installing a dedicated device for performing the transfer process, so that it is possible to suppress the cost required for the transfer to My Number N3.

  Further, according to the above configuration, the processing unit 50b updates the patient information Kp with the information M linked to the my number N3. This makes it possible to automatically check the patient information Kp and to update the same, thereby reducing the administrative cost.

  Further, as described above, the information M read from the IC chip of the personal number card is different from the information obtained by using, for example, the OCR technology. Since there is no need to confirm that the recognition has been performed correctly, it is possible to save the trouble of the person in charge by that much. This makes it possible to reduce the work load and work mistakes of the person in charge, and to reduce labor costs.

  The information M obtained from the personal number card is more accurate than the information obtained by using, for example, the OCR technology. By acquiring such more accurate information, it becomes possible to make the confirmation of the insurance card information B unmanned. This makes it possible to reduce the work load and work mistakes of the person in charge, and to reduce labor costs.

  In addition, by shifting to My Number N3, it is possible to unify the medium used for applying for a medical examination and the medium used for acquiring insurance card information B and medical card information C.

<<< other embodiments >>>
The above embodiment may have the following configuration.

  In the above embodiment, the identification information Ki is composed of the consultation ticket number N1 and the management number N2, but is not limited to this configuration. For example, a common number may be used for the consultation ticket number N1 and the management number N2. As the configuration of the management number N2, for example, different numbers may be used for outpatients and inpatients, or different numbers may be used for each medical department. Further, an insurance card number or a medical card number may be used as the identification information Ki.

  In the above embodiment, the basic information A, the insurance card information B, and the medical card information C, which constitute the electronic medical record K, are stored in a common server, but are not limited to this structure. For example, each piece of information may be stored on a separate server.

  In the above-described embodiment, the configuration using My Number N3 as the unique number assigned to each nation is described. However, the configuration is not limited to this. Instead of my number N3, a resident card code, a basic pension number, a passport number, or the like may be used.

  Further, in the embodiment, the my number N3 linked to the identification information Ki is recorded in the electronic medical record 2, but is not limited to this configuration. In addition to the database 2 for storing the electronic medical records K, a database for managing the my number N3 may be prepared. In this case, the database for managing the my number N3 records the my number N3 and the corresponding identification information Ki. In addition, at least one of the consultation ticket number N1 and the management number N2 may be the my number N3.

  Further, in the above-described embodiment, the configuration for acquiring the My Number N3 from the personal number card has been described, but the present invention is not limited to this configuration. For example, the my number N3 may be obtained from a paper medium such as a notification card, or the my number N3 may be obtained based on manual input by the patient. In this case, the my number related information M is obtained from a database provided inside and outside the medical institution.

  In the above-described embodiment, the reading unit 50a and the processing unit 50b are both provided in the control unit 50 of the management terminal 5, but are not limited to this configuration. The control unit 40 of the payment terminal 4 and the control unit 30 of the reception terminal 3 may be provided. In that case, the payment terminal 4 and the reception terminal 3 are each connected to the database 2 via the management terminal 5 or directly connected to the database 2 without the management terminal 5. In this case, the association between the my number N3 and the identification information Ki and the confirmation and update of the insurance information B are performed on each terminal.

  In the above-described embodiment, the transfer process is configured to be performed on the management terminal 5 based on an operation input to the payment terminal 4, but is not limited to this configuration. For example, when the payment terminal 4 includes the reading unit and the processing unit as described above, the transition processing is performed on the payment terminal 4. Further, the transition processing may be performed on the management terminal 5 based on an operation input to the reception terminal 3, or may be performed on the reception terminal 3 when the reception terminal 3 includes a reading unit and a processing unit. May be performed. When the reception terminal 3 is used, the steps corresponding to Steps S11 to S12 are omitted for a patient who is first consulted.

  In the above-described embodiment, the transfer process is started by pressing a button displayed on the display operation unit 41 of the payment terminal 4 separately from a button for performing an operation related to payment of medical expenses. However, it is not limited to this configuration. The transition process may be performed before and after the process related to the payment of medical expenses. For example, after the transfer process is completed, the process related to the payment of medical expenses may be continuously performed.

  In the above-described embodiment, the confirmation process is configured to be performed on the management terminal 5 based on various information acquired by the reception terminal 3, but the configuration is not limited to this. For example, when the reception terminal 3 includes the reading unit and the processing unit as described above, the confirmation process is performed on the reception terminal 3. Further, the confirmation processing may be performed on a so-called insurance card confirmation machine which is a dedicated device for confirming the insurance card. In addition, the confirmation process may be performed on the management terminal 5 based on the information acquired by the payment terminal 4, or when the payment terminal 4 includes a reading unit and a processing unit, May be performed.

  In the above-described embodiment, the confirmation processing is configured to automatically update the insurance card information B recorded as the patient information Kp in the electronic medical record 2 as shown in step S28 described above. It is not limited to this configuration. For example, when it is determined in step S27 that the insurance card information does not match, a notification may be made to a person in charge or a patient. By doing so, the insurance card information B can be updated more strictly.

  In the middle of the confirmation process, the identity of the patient who applied for the examination may be confirmed, for example, as in step S14 in the transition process.

1 Patient information management system 2 Database 3 Reception terminal (reception device)
32 Reception part (reception means)
33a Intake (Unique number reception section)
33b reader (unique number receiving unit)
34 IC reader (unique number reception unit)
37 Communication unit (transmission means)
4 Payment terminal (acceptance device)
41 Display operation unit (notification means)
42 Receiving unit (receiving means)
43a Intake port (medical ticket intake section, unique number reception section)
43b reader (unique number receiving unit)
44 IC reader (unique number reception unit)
47 Communication unit (transmission means)
5 Management terminal 50a reading unit (reading means)
50b processing unit (update means, switching means)
K electronic medical record (recording means)
Kp Patient information Ki Identification information A Basic information A1 Examination ticket information B Health insurance card information C Medical identification information D Reception information N1 Examination ticket number N2 Management number N3 My number (unique number)
M My number related information (Unique number related information)

Claims (12)

Recording means for recording patient information composed of information on the patient in association with identification information for uniquely identifying the patient,
Receiving means for acquiring a unique number , which is a unique number assigned to each person , and one of the identification information ;
Reading means for reading the patient information from the recording means based on the identification information,
Updating means for linking the unique number acquired by the receiving means with the identification information and updating the patient information read by the reading means ,
The receiving means,
When the association between the unique number and the identification information is not executed, while acquiring the identification information as reception information for identifying a patient who applied for a medical examination,
A patient information management system that acquires the unique number as the reception information when the association between the unique number and the identification information has been performed . Switching means for selecting whether to acquire the unique number from the patient or to acquire the identification information based on the operation of the patient as reception information for identifying the patient who applied for the examination ,
2. The patient information management system according to claim 1 , wherein the updating unit associates the unique number with the identification information when acquiring the unique number as the reception information is selected by the switching unit. 3. The accepting unit is provided with a consultation ticket capturing unit that captures the consultation ticket in which the identification information is recorded,
The updating means captures the consultation ticket from the consultation ticket capturing unit when performing the association between the unique number and the identification information, and, when the association is completed, the examination ticket capturing unit. 3. The patient information management system according to claim 2 , wherein the medical examination ticket taken from the patient is collected without being returned to the patient. The updating unit compares the patient information read by the reading unit with the personal information of the patient who has acquired the unique number via the reception unit, and when it is determined that they match, the The patient information management system according to claim 2 or 3 , wherein a unique number is associated with the identification information. 5. The patient information management system according to claim 4 , further comprising a notification unit configured to notify the patient when the updating unit determines that the patient information does not match the personal information. 6. Said update means, said as personal information, the patient information management system according to claim 4 or claim 5 carried out at least one for verification of the patient's name, address and date of birth. Recording means for recording patient information composed of information on the patient in association with identification information for uniquely identifying the patient,
Reception means for acquiring a unique number, which is a unique number assigned to each citizen,
Reading means for reading the patient information from the recording means based on the identification information,
Updating means for linking the unique number acquired by the receiving means with the identification information and updating the patient information read by the reading means,
The receiving means, when acquiring the unique number, acquires unique number related information composed of information associated with the unique number,
The updating unit compares the patient information read by the reading unit with the unique number relationship information acquired by the reception unit, and when determining that they do not match, determines the unique number relationship information. A patient information management system for updating the patient information according to the information. The patient information management system according to claim 7 , wherein the updating unit updates the patient information based on a date on which the patient applied for a medical examination. The update unit is the unique number as related information, insurance card information of the patient, and, according to claim 7 or claim 8 perform for at least one comparison of the medical card medical card information which is information relating to the patient The patient information management system described in 1. Wherein the receiving unit, the unique number with accept the unique number medium recorded any one of claims 1 to 9 in which unique number receiving unit is provided for reading the unique number from the peculiar number media Patient information management system described in one . The patient information management system according to any one of claims 1 to 10, wherein the reception unit acquires a My Number (registered trademark) assigned to each nation as the unique number. Said receiving means,
The reception device used in the patient information management system according to any one of claims 1 to 11, further comprising a transmission unit configured to transmit the unique number acquired by the reception unit to the update unit.

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