JP6931990B2 - Medical practice management system - Google Patents

Description

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

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

Patent Document 1 creates a basic vaccination schedule for users based on personal information (mainly the date of birth and registration date of children) and information extracted from vaccination information regarding vaccination of infants. However, based on the change request from the user to the basic schedule or the update of the vaccination history after user registration, the vaccination is prioritized and the vaccination schedule is adapted to the current situation, which is optimal in the future. The invention discloses an invention that provides a vaccination schedule, sends a vaccination schedule by e-mail to notify the vaccination recipient, and receives a reply e-mail from the user to this e-mail.

JP 2012-59155

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

However, the system management device of Patent Document 1 is based on the premise that the user receives vaccination according to the vaccination plan, and when the vaccination is not given according to the vaccination plan, it returns to the system that it has not been vaccinated. If you forget without sending an email, the user's past vaccination history will not be accurately stored in the system, so it is possible to prioritize various vaccinations based on the consultation history of various vaccinations. There was a problem that it could not be done and it would lead to an accidental vaccination accident.

Further, the system management device described in Patent Document 1 transmits a vaccination consultation schedule from the medical institution to the user (guardian), and for example, when the user has not received the vaccination, the e-mail By clicking the URL described in the text and inputting the fact that the patient has not been examined or the schedule change information, the vaccination schedule change information will be stored in the system management device. That is, in the system management device of Patent Document 1, the input (change) of the vaccination consultation result is entrusted to the user (guardian) who consulted at the medical institution, and the user (guardian) receives the vaccination. If you forget to enter (change) the result, the vaccinated information will not be stored as a history.

In addition, since the history of various vaccinations is generally managed in the medical record (paper) of the same medical institution, it does not cause an accident of erroneous vaccination of various vaccinations. However, you may need to get vaccinated at a medical institution different from your medical institution. In this case, since the vaccination history is managed separately in different medical records between the family medical institution and the different medical institution, it is impossible to manage the history of various vaccinations in a unified manner. There was a problem that it was not possible to judge whether or not various vaccinations could be given and to prioritize vaccinations, resulting in an accidental vaccination accident.

Therefore, an object of the present invention is to receive a medical practice in response to a user by transmitting the result of the medical practice received at any of a plurality of medical institutions from the medical institution to a public institution and storing it in a database. The purpose is to provide a medical practice management system that manages the history collectively and can avoid misdiagnosis even if the medical practice is received at different medical institutions.

The present invention controls distribution of a server installed in a public institution, terminals installed in a plurality of medical institutions that can access the server, and a closed network including a mobile communication network and a private network that connect the server and the terminal. A medical practice management system including a wireless network control device for performing the above and an external transmission server capable of communicating with an external Internet line in place of the server, wherein the server is any one of the plurality of medical institutions. in with a visit completion information of past medical practice the user has visited in correspondence with said user is stored in the database, the information management unit to collectively manage the history of past medical practice, read by the information management unit Using the medical practice information of the past medical practice that the user has consulted at any of the plurality of medical institutions of the corresponding user from the issued database, the medical practice that the user plans to receive is consulted on the day of the consultation. with possible and whether the determination unit for medical examination whether or is the said terminal, said information on medical treatment of the visit schedule information and at least one user to visit either of the plurality of medical institutions An input unit for inputting management information including the above, the management information is transmitted to the server via the closed network and the wireless network control device, and the medical examination availability information determined by the determination unit is received from the server. The input unit includes a communication unit, a display unit that displays information on the user who receives a medical examination at any of the plurality of medical institutions, and information on whether or not the medical examination is possible, which is determined by the determination unit, and the input unit is the plurality of medical treatments. The information of the user who receives a medical examination at one of the institutions and the medical treatment information about at least one medical practice scheduled to be examined are input after the medical examination , and the terminal has been examined via the closed network and the wireless network control device. to send information to the server, the information management portion of the server as the visit completion information of the past medical practice the consultation completion information, be stored in the database, characterized by.

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

The determination of the medical practice management system according to the present invention, for each of the users, and manages at least a combination of information of a plurality of medical care actions possible consultation simultaneously, and information consultation possible date of the medical practice, management and judging the consultation whether medical practice of the visit scheduled against the said information of past medical practice of users to the information being.

The information management unit of the medical practice management system according to the present invention is characterized in that the past medical practice is stored in the database in chronological order.

The terminal of the medical practice management system according to the present invention has a reader unit, and is characterized in that information of the user is read and input from a recording medium carried by the user.

The present invention controls distribution of a server installed in a public institution, terminals installed in a plurality of medical institutions that can access the server, and a closed network including a mobile communication network and a private network that connect the server and the terminal. This is a medical practice management method for executing a medical practice management system including a wireless network control device for performing the above and an external transmission server capable of communicating with an external Internet line in place of the server. the consultation completion information of past medical practice the user has visited at any of a plurality of medical institutions in correspondence with said user is stored in the database, collectively managed by the information management unit a history of past medical practice The user is scheduled to receive a medical examination using the step and the medical treatment received information of the past medical practice that the user has received at any of the plurality of medical institutions of the corresponding user from the database read by the information management unit. Information on the user who receives a medical examination at one of the plurality of medical institutions on the terminal by executing a step of determining whether or not the medical practice can be performed on the day of the medical examination by the determination unit. and inputting the input unit management information consisting of information on medical treatment of at least one of the visit schedule, it sends the management information to the server via the wireless network control device and the closed network and the evaluation unit The step of receiving the consultation availability information determined by the server from the server by the communication unit, the information of the user who receives a consultation at any of the plurality of medical institutions, and the consultation availability information determined by the determination unit are displayed on the display unit. and displaying the executed inputs after consultation by the input unit to visit completion information about the medical practice of the visit schedule information and at least one of the user to visit either of the plurality of medical institutions by, as the terminal wherein the closed network via the radio network controller transmits the visit completion information to the server, the server visit completion information of the past medical practice the consultation completion information, the information in the database It is characterized by having the medical practice management system execute the steps to be memorized by the management department.

As described above, according to the present invention, the server of the public institution provides the user with the medical treatment information (hereinafter referred to as the medical examination history) of the past medical practice that the user has received at any of the plurality of medical institutions. Correspondingly, it is stored in one database, and at the next consultation, the consultation history of the past medical practice of the corresponding user is read from the database, and it is determined whether or not the user can receive the medical practice scheduled to be consulted. Since it is possible to know on the spot whether or not the user can receive the medical treatment that he / she wishes to receive, it is possible to avoid the medical treatment that cannot be received and prevent the misdiagnosis.

Further, the information management unit of the server stores the medical examination history in one database for each user in chronological order, and the determination unit of the server stores a plurality of medical treatments that can be simultaneously examined for each user. At least the information of the combination of the above and the information on the date when the medical practice can be received is managed, and the information of the medical practice scheduled to be consulted is compared with the managed information and the information of the medical practice of the user. By determining whether or not to receive a medical examination and transmitting it to the terminal, the user and the medical institution can grasp the combination of medical practices that can be examined on the spot.
By this determination, an appropriate medical practice can be selected from the plurality of medical practices that can be examined, so that it is possible to prevent misdiagnosis due to a wrong combination of the medical practices.

In addition, the medical institution provides information on the user who receives a medical examination at any of the plurality of medical institutions from the input unit of the terminal after the user receives the medical treatment, and the user plans to receive the medical treatment. By inputting the consultation history of at least one medical practice scheduled to be consulted after the medical practice consultation is completed and transmitting the medical practice history to the server, the information management unit of the server can contact the medical practice scheduled to be consulted. The consultation history is stored in the database as the consultation history of the past medical practice. By storing the medical treatment result in the database immediately after the medical examination, it is possible to surely avoid the non-input error of the medical examination result, accumulate the medical examination history of the user, and use it for determining the medical practice scheduled for the next medical examination.

Further, according to the present invention, by connecting the server installed in the public institution and the terminal installed in the plurality of medical institutions with a closed network, it is impossible to connect to a public line such as the Internet. As a result, high security can be ensured, such as preventing the leakage of personal information.

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

In addition, a user confirmation screen (for example, a homepage, etc.) that allows the user to view the medical treatment that the user has received and the medical treatment that is scheduled to be received in the database in the information management unit on the terminal possessed by the user. ) Is displayed in the list, so that the user can visually check the consultation status such as the consultation completed, the consultation not received, and the scheduled consultation date, and can grasp the situation. In addition, since the medical practice scheduled to be examined is updated immediately after the consultation, the user can confirm the latest consultation history of the medical practice and the scheduled date of future consultation.

The terminal installed in the medical institution further has a reader unit, and reads and inputs the user's information from a recording medium carried by the user. Since the recording medium records information on which the medical practice can be received at any of the plurality of medical institutions, the user simply brings the recording medium and the same medical practice is performed at any medical institution. You can receive a medical examination without any mistakes, and you can prevent misdiagnosis.

It is a figure which shows the structure of the medical practice management system which concerns on embodiment of this invention. It is a processing sequence diagram which concerns on embodiment of this invention. It is a figure which shows the update of the database among the processing sequence which concerns on embodiment of this invention. It is a processing sequence diagram which concerns on the new user registration which concerns on embodiment of this invention. It is a figure which shows the example of the schedule at the time of the new creation which concerns on embodiment of this invention. It is a figure which shows the example of the schedule under update which concerns on embodiment of this invention. It is a figure which shows the display screen of the terminal which concerns on embodiment of this invention, FIG. (C) is a diagram showing an example of a password input screen by the user 30, (d) is a diagram showing an example of a vaccination selection screen, and (e) is a display state of the vaccination consultation history. (F) is a diagram showing an example of a screen for selecting a plurality of vaccinations, (g) is a diagram showing an example of a screen for inputting detailed vaccination information and consultation, and (h) is a diagram showing an example of a screen for inputting vaccinations. The figure which shows the example of the screen display which prompts the actual execution of inoculation, (i) is the figure which shows the display state which informs that the medical examination result of vaccination is stored in the database 14 of a server 11. It is a processing flow chart which concerns on vaccination of the Embodiment of this invention.

Hereinafter, embodiments of the present invention will be described with reference to the drawings.
FIG. 1 is a diagram showing a configuration of a medical practice management system 1 according to an embodiment of the present invention.
The medical practice management system 1 is provided with a public institution 10, a communication data center 16 and one or more medical institutions 20, and the communication line between the public institution 10 and the communication data center 16 is connected by a private network 3. , The communication line between the communication data center 16 and the medical institution 20 is connected by the mobile communication network 4. Further, the private network 3 and the mobile communication network 4 constitute a closed network 2, and it is not possible to connect to an internet line like a dedicated line, and the transmitted / received data in the closed network 2 leaks to the internet line. Has high security without doing.

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

When the communication unit 24 of the terminal 21 transmits the user management information (hereinafter, user management information) consisting of the information of the user 30 (hereinafter, user ID) and the information of the medical practice scheduled to be examined, the determination unit 12 is used. A process is performed in which the consultation history of the corresponding user is read from the database 14, it is determined whether or not the medical practice scheduled to be consulted can be received, and the medical treatment is output to the communication unit 24. The determination unit 12 manages at least information on a combination of a plurality of medical actions that can be received at the same time for each user 30 and information on the date when each medical action can be received, and the user 30 manages the managed information. By comparing the medical examination history of the user, it is determined whether or not the user can receive the medical treatment that he / she wishes to receive.
Specifically, in consideration of the medical treatment history of one user read by the information management unit 13, two types of determination processing are performed for the medical treatment that the user can receive.

Here, the “scheduled consultation date” indicates the period during which the medical practice calculated by the determination unit 12 can be received. Further, the “day of consultation” is a date on which the user 30 wishes to receive an actual medical treatment, and is a date on which the user 30 goes to a medical institution.

As the first determination process, when the communication unit 24 transmits the information of the user 30 and the information of the medical practice scheduled to be examined, the determination unit 12 stores the information on the available medical treatment date and the consultation history stored in the database 14. Therefore, it is determined whether or not the medical practice related to the user 30 can be examined on the day of the examination, and output to the communication unit 24. Since the date of the consultation is determined by the date input to the terminal 21, the determination can be made on the spot on the day of the consultation when the user 30 visits the medical institution 20.

Then, it is determined whether the medical practice selected by the user can be examined on the day of the examination. For example, medical practice A cannot be consulted because the user has not reached the consultation age. When medical practice B is consulted multiple times, the interval between the first and second visits is set to X days by referring to the consultation history. Based on the date of the day of the consultation, such as not being able to receive the consultation on the day of the consultation because the above must be opened, the judgment process of whether or not the consultation is possible over time is performed.

In addition, as a second determination process, the determination unit 12 can simultaneously receive medical treatment from the information on the available medical treatment date and the medical examination history stored in the database 14 among the plurality of medical treatments that can be examined on the day of the examination. Judgment of the combination of. For example, if medical practice A, medical practice B, and medical practice C can be examined on the day of consultation, "medical practice A and medical practice B" can be examined at the same time, but "medical practice C" cannot be examined at the same time. If so, it is possible to receive a medical examination on the day of the medical examination, which is a combination of either "medical action A and medical action B" or "medical action C".

In this way, the determination unit 12 determines whether or not to receive a medical examination, outputs the determination result to the communication unit 24, and displays whether or not the medical examination is possible on the display unit 23.

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

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

The update process of the information management unit 13 will be described with reference to FIG.
The information management unit 13 stores the consultation information (the consultation result on the day of the consultation) about the medical practice scheduled to be consulted in the database 14 together with the already stored consultation history as the consultation history. In addition, the consultation history at this time is stored in the database 14 in chronological order.

When the user 30 receives a medical treatment at the medical institution 20, the medical treatment result input to the terminal 21 is notified to the information management unit 13 of the server 11 (step S21 shown in FIG. 3), and user management is performed. Update the consultation history linked to the information. Since the basic information of the medical practice has already been created at the time of new registration of the user, the date and detailed information (medical institution name, doctor in charge, vaccine lot number) of the medical practice on the day of the consultation based on the consultation result. , Special notes), etc. are memorized. Then, the consultation history is sorted in chronological order (step S22 shown in FIG. 3).

In addition, the date in the schedule of the user 30 is recalculated based on the date of the current consultation result. For example, the scheduled medical practice date that has not been examined and needs to be updated is updated (step S23 shown in FIG. 3). For example, if the first medical practice B is received and an X-day interval is required until the second medical treatment, the first inoculation date (scheduled medical treatment date) 59n1 of the medical practice B is updated with the date of the medical treatment. Then, the second scheduled consultation date is recalculated as "inoculation date 59n1 + X days", and the memory content of the second scheduled consultation date (scheduled consultation date) 59n2 is updated. The recalculation is performed when it is necessary to adjust the order and intervals of consultations not only between the same number of medical treatments but also between other medical treatments A, B, C, and so on. Then, based on the recalculation result, the schedule of the user 30 is updated to the latest state (step S24 shown in FIG. 3).

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

In this way, when the medical institution inputs the medical treatment consultation result into the terminal 21 and sends it to the information management unit 13 of the server 11, the consultation history of the database 14 is immediately updated in chronological order, and the new schedule is immediately renewed. It is calculated. In addition, any medical institution 20 can input the consultation result, and by collectively managing the consultation history on the server 11 (database 14) of the public institution 10, it is possible to avoid misdiagnosis due to non-input of the consultation history of medical practice. Can be done.

The database 14 uses general database software. It has a record for each user, and stores detailed information such as the date and time of consultation, the place, the number of consultations, the doctor in charge, etc. for one or more medical treatments specified by the country for each user.

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

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

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

The medical institution 20 is a facility registered with a public institution 10, a large hospital, a private hospital, a clinic, a long-term care facility, etc., regardless of the scale.

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

Further, since the terminal 21 has a communication unit 24 that wirelessly connects to the mobile communication network 4 of the closed network 2, it can communicate with the server 11 without the need to separately install a communication line or the like. Therefore, the terminal 21 may be located in an urban area or a mountainous area, and if the terminal 21 is in an environment where the mobile communication network 4 can be connected to the closed network 2, the installation work of a communication line such as an optical cable and the cost are high. This system can be easily introduced without the need for capital investment. In addition, even inside the medical institution 20, if there is a place (indoor, underground, outdoor, etc.) that can be connected to the mobile communication network 4, the portable type is particularly portable. The system can be introduced.

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

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

The communication unit 24 has a function of transmitting data between the servers 11 via the closed network 2 and receiving the information on whether or not to receive a medical examination determined by the determination unit 12 by the closed network 2. The communication unit 24 includes a SIM card (Subscriber Identity Module card: not shown) for identifying the closed network 2 as a communication line. By providing the SIM card, the communication unit 24 can access the mobile communication network 4, so that the terminal 21 can be installed or carried at any place in the medical institution 20. Further, since it is not necessary to separately install a communication line or the like, the initial cost is low, the installation work of the communication line or the like is unnecessary, and the medical institution 20 can easily introduce the terminal 21.

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

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

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

The private network 3 may use a dedicated line or a virtual private network (VPN: Virtual Private Network) using an Internet line, and can communicate between bases without connecting to an external network. The VPN is a virtual network in an organization constructed by using the public line of a telecommunications carrier, and can communicate as if it were inside a network using a dedicated line.

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

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

In this way, the closed network 2 always uses the private network 3 and the mobile communication network 4 as routes, does not distribute the communication to other communication network networks, and the data is strictly protected and managed by authentication and encryption. Therefore, it has high security by reducing the risk of interference, leakage, and eavesdropping.

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

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

The user 30 brings the recording medium 31, and at any medical institution 20, the server 11 can authenticate the person and receive medical treatment by reading the recording medium 31 with the reader unit 25 of the terminal 21. become.

The user terminal 32 is a terminal owned by the user 30, and is a terminal for notifying medical treatment communication (e-mail) from the external transmission server 15 of the public institution 10 and a schedule of the user 30 provided on the external transmission server 15. Used to browse confirmation screens for confirmation (eg, Internet homepages, not shown). The user terminal 32 may be a general mobile phone, smartphone, tablet terminal, personal computer (notebook type, desktop type) as long as it can receive e-mails and view the confirmation screen.

[Processing sequence of medical practice management system]
The present invention connects a server installed in a public institution and terminals installed in a plurality of medical institutions with a closed network, and when the user 30 receives a medical treatment at the medical institution 20, a recording medium possessed by the user 30. 31 is read by a terminal 21 installed in the medical institution 20, medical actions are extracted from the database of the server 11 from the read user ID, and one or more selected medical actions can be received on the spot by the judgment unit 12, and the medical treatment is received. After the user determines that the medical treatment is not possible and displays it on the display unit 23 of the terminal 21, the terminal 21 sends the medical treatment result to the server 11, and the information management unit 13 receives the medical treatment result. By storing the actions in the database 14 in chronological order, the history of medical actions can be collectively managed in response to the user, and misdiagnosis can be avoided even if the medical actions are received at different medical institutions.

The processing sequence of the medical practice management system 1 will be described with reference to FIGS. 2 and 4.
FIG. 2 is a diagram showing a processing sequence according to the embodiment of the present invention, and FIG. 4 is a diagram showing a processing sequence related to new user registration.

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

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

The server 11 authenticates the user 30 based on the received user ID and password (step S4), and notifies the communication unit 24 of the authentication result of login permission if the content is valid and login disapproval if the content is invalid. Reply (step S5). When the authentication notification result is login permission, the terminal 21 displays the user information associated with the user ID and a list of medical treatments on the display unit 23.

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

The information management unit 13 of the server 11 uses the selected medical practice and user management information as a key to extract the medical practice desired by the user from the consultation history of the database 14 (step S8).

Then, the determination unit 12 determines whether or not to receive a medical examination from the extracted medical examination history (step S9). Here, since there is only one type of medical practice selected, it is not determined whether or not the patient can receive a medical examination between other medical practices, and it is determined over time that the medical treatment can be performed on the date of the medical examination. Then, as a determination result, the medical treatment that can be received on the day of the consultation is transmitted to the communication unit 24 (step S10), and the list of medical treatments that can be received on the day of the consultation is displayed on the display unit 23 (step S11).

Here, if he / she wishes to receive an additional medical treatment not only for the medical treatment but also for other medical treatments on the day of the medical examination (YES in step S12), he / she can return to step S6 and further select the medical treatment. Then, the processes of steps S6 to S11 are repeated again. At this time, since a plurality of medical actions are selected, the determination unit 12 determines whether or not the plurality of medical actions can be received at the same time. For example, medical actions A and B simultaneously transmit to the communication unit 24 a determination that they can or cannot receive a medical examination.

If you do not wish to receive additional medical treatment (NO in step S12), the medical institution 20 wishes to receive medical treatment on the day of the medical treatment from the medical treatment displayed on the display unit 23 (input unit 22) of the terminal 21. The medical practice is finally selected (step S13). Then, the detailed data of the medical practice (doctor name, vaccine lot, special notes) is input as the consultation result (step S14), and the execution button is pressed after the actual medical practice consultation (step S15).

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

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

In this way, by transmitting the medical treatment result of the medical treatment received at any of the plurality of medical institutions 20 from the medical institution 20 to the public institution 10 and storing it in the database 14, the medical treatment can be performed in response to the user 30. Even if the history is managed collectively and medical treatment is performed at different medical institutions 20, it is possible to avoid erroneous diagnosis.

Next, with reference to FIG. 4, a processing sequence when a new user is registered in the medical practice management system 1 will be described.

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

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

The information management unit 13 creates a medical practice schedule for new users (step S34). First, the dates in all schedules are initially set as 0 days, and then the information management unit 13 sets the actual new user date based on the system date of the server 11 and the date of birth of the new user information. The age is calculated, and the date in the schedule is recalculated and updated based on the age of the day (step S35). This makes it possible to grasp the medical practices that are currently available for medical examination.

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

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

As described above, by registering a new user, the new user registers the consultation history in the medical practice management system 1, and any medical institution 20 among the plurality of medical institutions 20 receives the same medical practice. It is also possible to collect the consultation results output from any of the medical institutions 20 in one database 14.

[Example: Vaccination]
The "medical practice" shown in the present invention is a doctor or a nurse defined by the Medical Doctor Law based on the guidelines set by the government (consultation start date, number of consultations, consultation interval, possibility of simultaneous consultation of multiple medical practices). Not only "medical practice" that is prohibited for those who do not have a license such as, but also vaccinations, mass vaccinations in schools, and elderly care / disabled people other than medical institutions. It shall include nursing care.

Hereinafter, as an example of the medical practice management system 1 of the present invention, an example in which the medical practice is used as vaccination will be described with reference to FIGS. 5 to 8. Further, when the person to be vaccinated is an infant, the name of the user 30 is an infant, but the guardian of the infant actually possesses the recording medium 31 and inputs the password.

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

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

5 and 6 are display examples of a confirmation screen home page in which the contents of the consultation history stored in the database 14 are disclosed on the external transmission server 15, and the user 30 can view the contents on the user terminal 32. The actual storage / update to the database 14 may be performed by using a general SQL (Structured Query Language).

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

In this example, "medical practice" is defined as "vaccination", and the vertical axis represents the vaccination name 55 as the type of medical practice, "Hib", "pediatric pneumococcal bacteria", "hepatitis B", "diphtheria mixed", and "BCG". "Etc. are remembered. On the horizontal axis, the initial inoculation (recommended date) 56, the number of inoculations 57, and the inoculation status (inoculation status 58, inoculation date 59) are stored as temporal elements of each vaccination name.

FIG. 5 shows the initial creation time. After the age 53 is first created on the first day of the day (0 years and 0 months in FIG. 5), the scheduled consultation dates 59a1 to 59an are recalculated on the system date 54, and the database is obtained. Store in 14.

FIG. 6 is a diagram showing a state in which FIG. 5 is continuously used and the age 53 has advanced over the years (Fig. 6, 1 year and 0/0). For vaccinations that have already been examined, as a result of the examination, a plurality of inoculation statuses such as the inoculation date 59a1 and the inoculation status 58a1 have been updated to "inoculated".

In addition, if there are multiple vaccinations and the latest nth consultation result is memorized, the next n + 1th vaccination date 59 is recalculated by the information management department 13 and updated to the latest scheduled consultation date. Will be done. For example, since the third inoculation status 58a3 and the inoculation date 59a3 of the vaccination name 55a "Hib" are memorized, the fourth inoculation status 58a4 is changed to "inoculation possible", and the scheduled consultation date 59a4 is set. It has been recalculated and updated from "June 1, 2017 to May 31, 2020".

In this way, the server 11 sequentially updates the consultation history of the database 14, and the user 30 confirms the vaccinations that have already been examined and the vaccinations that are scheduled to be examined by viewing the confirmation screen. Can be confirmed.

In addition, when the scheduled date of receiving any vaccination and the system date approach the predetermined period, a guidance mail prompting the vaccination is transmitted from the external transmission server 15 to the user terminal 32 of the user 30. .. The user 30 should go to the medical institution 20 when receiving the e-mail and actually receive the vaccination.

Further, as shown in FIG. 6, the user 30 determines that "inoculation is possible" is "Hib: additional (inoculation status 58a4, inoculation date 59a4)" and "four kinds of mixture: additional (inoculation status 58d4, inoculation date 59d4)". ) ”And“ hemp rubella (first stage): (inoculation status 58f1, inoculation date 59f1) ”. In addition, the determination of "inoculation not possible" is made to "Pneumococcal pneumoniae for children: 1st time (inoculation status 58b2)" and the like.

This can be inoculated by the determination unit 12 with any combination of "Hib", "hepatitis B" and "measles-rubella (first stage)", but "pediatric pneumococcal" is combined with these. This is because it was determined that the inoculation was not possible. By making such a determination that the combination is not possible, it is possible to prevent erroneous vaccination as a misdiagnosis.

FIG. 7 is a diagram showing a screen of a terminal 21 used at the time of vaccination, FIG. 7 (a) is an example of a business selection screen input by the medical institution 20, and FIG. 7 (b) reads a recording medium 31. An example of the screen, FIG. 7 (c) shows an example of a password input screen by the user 30, FIG. 7 (d) shows an example of a vaccination selection screen, and FIG. 7 (e) shows a display state of the vaccination consultation history. For example, FIG. 7 (f) shows an example of a screen for selecting a plurality of vaccinations, FIG. 7 (g) shows an example of a screen for inputting detailed vaccination information and consultation, and FIG. 7 (h) shows an actual vaccination. This is an example of a screen display that prompts implementation.

FIG. 7A is a display screen showing a button on which the medical institution 20 selects a business. Examples of work include "vaccination" for the user 30 to receive a medical examination, "report / invoice creation", "history / schedule", "statistical data", etc. for the paperwork of the medical institution 20. Hereinafter, by pressing the vaccination button 231, the vaccination business is started.

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

FIG. 7 (c) is a screen for inputting a password displayed when the recording medium 31 is read by the reader unit 25 (not shown) in FIG. 7 (b). For security reasons, it is desirable that the password be entered by the 30 users (or their guardians).

7 (d) transmits the user ID and password acquired by the terminal 21 in FIGS. 7 (b) and 7 (c) to the server 11, and when the user 30 is authorized to access by authentication on the server 11, the user 30 can be selected. This is a screen for displaying a list of vaccinations 233 and selecting a vaccination for which a medical examination is desired. In the vaccination list 233, the vaccination names stored in the database 14 are displayed. When the user 30 selects the vaccination name desired to receive the medical examination from the vaccination list 233, the medical examination history of the vaccination name stored in the database 14 is transmitted from the server 11 to the terminal 21.

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

FIG. 7 (f) is a screen for making an additional selection when wishing to receive another vaccination at the same time as the vaccination selected in FIG. 7 (d). If the addition is desired, FIG. 7D is displayed again, and the vaccination to be added is selected from the vaccination list 233.

FIG. 7 (g) is a screen for inputting detailed information on vaccination and consultation, and input / change detailed information such as the name of vaccination to be received, the number of vaccinations, the amount of vaccination, the lot number of vaccine, and the name of the doctor in charge. This is the screen to be performed. Enter the detailed information and press the execution button 235 at the timing when the actual vaccination is executed.

FIG. 7 (h) is a screen displayed after pressing the execution button 235. In this state, the consultation result is transmitted to the server 11, processed by the information management unit 13 over time, and stored in the database 14. By this processing, the vaccination consultation result can surely execute the memory of the database 14, and the misdiagnosis due to the non-input of the consultation result can be prevented.

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

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

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

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

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

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

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

Then, the determination unit 12 determines whether or not to receive a medical examination using the extracted medical examination history (step S61). Here, since there is only one type of vaccination selected, it is not determined whether or not the patient can receive a medical examination between other vaccinations, but a time-dependent determination is made as to whether or not the patient can receive a medical examination on the date of the medical examination. Then, as the determination result, the medical practice that can be examined on the day of the examination is transmitted to the communication unit 24 (step S62), and the consultation history and the determination result of the selected vaccination are displayed on the display unit 23 (step S63, FIG. 7 (step S63). e)).

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

If you do not wish to receive additional vaccinations (NO in step S64), the medical institution 20 finally selects the vaccinations you wish to receive on the day of the consultation from the vaccinations displayed on the display unit 23 of the terminal 21. (Step S65). Then, as shown in FIG. 7 (g), detailed vaccination data (doctor name, vaccine lot, special notes) is input as a consultation result (step S66), and after receiving an actual medical practice, the execution button 235 is pressed. Press (step S67).

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

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

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

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

The present invention can be embodied in many forms without departing from its essential properties. Therefore, it goes without saying that the above-described embodiments are merely explanatory and do not limit the present invention.

1 Medical practice management system 2 Closed network 3 Private network 4 Mobile communication network 5 Internet line 10 Public institution 11 Server 12 Judgment department 13 Information management department 14 Database 15 External transmission server 16 Communication data center 17 Wireless network controller 20 Medical institution 21 Terminal 22 Input unit 23 Display unit 24 Communication unit 25 Reader unit 30 User 31 Recording medium 32 User terminal 53 Age 54 System date 55 Vaccination name 56 First vaccination time 57 Number of vaccinations 58 Vaccination status 59 Vaccination date / scheduled consultation date 231 Prevention Vaccination button 233 Vaccination list 235 Implementation button

Claims (6)

A wireless network that controls the distribution of a server installed in a public institution, terminals installed in a plurality of medical institutions that can access the server, and a closed network including a mobile communication network and a private network that connect the server and the terminal. It is a medical practice management system including a control device and an external transmission server capable of communicating with an external Internet line instead of the server.
The server
Wherein the plurality of the visit completion information of past medical practice the user has visited in any medical institutions in correspondence with said user is stored in the database, the information management unit to collectively manage the history of past medical practice When,
Using the visit completion information of past medical care by the user either has visited the plurality of medical institutions the corresponding user from the database read in the information management unit, the medical care users visit scheduled However, it is equipped with a determination unit for determining whether or not the patient can be examined on the day of the examination.
The terminal
An input unit for inputting a management information consisting of the information on medical treatment of the visit schedule information and at least one user to visit either of the plurality of medical institutions,
A communication unit that transmits the management information to the server via the closed network and the wireless network control device, and receives the consultation availability information determined by the determination unit from the server.
A display unit that displays information on the user who receives a medical examination at any of the plurality of medical institutions and information on whether or not the medical examination is possible or not determined by the determination unit is provided .
The input unit inputs the information of the user who receives a medical examination at any of the plurality of medical institutions and the medical treatment information about at least one medical practice scheduled to be examined after the medical examination , and the terminal inputs the closed network and the wireless. via the network controller sends the visit completion information to the server, the information management portion of the server as the visit completion information of the past medical practice the consultation completion information, be stored in the database;
A medical practice management system featuring. The determination unit, according to claim 1, wherein when said information on medical treatment of the information and the visit schedule of the user from the communication unit is transmitted, and outputs to the communication unit determines the consultation propriety The medical practice management system described in. The determination unit
Wherein for each user, at least simultaneously manage a combination of information of a plurality of medical care actions possible consultation, and information consultation possible date of the medical practice,
Medical practice management system according to claim 2, characterized in that to determine the consultation whether medical practice of the visits scheduled in accordance with the said information managed against the information of past medical practice of the user. The medical practice management system according to claim 3 , wherein the information management unit stores the past medical practice in the database in chronological order. The medical practice management system according to claim 1, wherein the terminal has a reader unit, and reads and inputs the user's information from a recording medium carried by the user. A wireless network that controls the distribution of a server installed in a public institution, terminals installed in a plurality of medical institutions that can access the server, and a closed network including a mobile communication network and a private network that connect the server and the terminal. It is a medical practice management method for executing a medical practice management system including a control device and an external transmission server capable of communicating with an external Internet line instead of the server.
In the server
Wherein the plurality of the visit completion information of past medical practice the user has visited in any medical institution to correspond to the user and stored in the database, the collectively managed by the information management unit the history of past medical practice Steps to do and
Using the visit completion information of past medical care by the user either has visited the plurality of medical institutions the corresponding user from the database read in the information management unit, the medical care users visit scheduled However, the step of determining whether or not the patient can be examined on the day of the examination by the determination unit is executed.
In the terminal
Inputting the input unit management information consisting of the information on medical treatment of the visit schedule information and at least one user to visit either of the plurality of medical institutions,
A step of transmitting the management information to the server via the closed network and the wireless network control device, and receiving the consultation availability information determined by the determination unit from the server by the communication unit.
The step of displaying the information of the user who receives a medical examination at any of the plurality of medical institutions and the information of the availability of the medical examination determined by the determination unit on the display unit is executed.
The information of the user who receives a medical examination at any of the plurality of medical institutions and the information of the medical practice scheduled to be examined at least one are input after the medical examination by the input unit , and the terminal is the closed network and the wireless network. via the control device sends the visit completion information to the server, the server is a visited end information of the past medical practice the consultation completion information, a step of storing by the information management unit in the database,
A medical practice management method characterized by having a medical practice management system execute the above.

Images