JPS63153666A - Medical total processing system utilizing computer - Google Patents

Abstract

PURPOSE:To simply attain the status processing of each area at high speed by providing IC card storing patient information, diagnosing information and clinic information, a host computer and a terminal computer. CONSTITUTION:The IC card has a memory to store patient information, diagnosing information and clinic information or the like and distributed in advance to a patient in advance. In loading the IC card to a card reader/writer 1A arranged with a reception area A to read the patient information, the read information is inputted to the host computer 1 to calculate the charge and reservation and the host computer 1 attains the window job such as reception processing and data bank processing. The IC card is loaded to card readers/ writers 2A-4A of the terminal computers 2-4 in the diagnosing clinic areas B1-B3 to read the present information stored in the IC card and it is displayed on, e.g., a CRT screen to apply prescribed diagnosis and clinic.

Description

[Detailed Description of the Invention] (Industrial Application Field) This invention is applicable to reception work for clerical processing and recording of patient visit information, patient diagnosis 3 and/or in medical institutions such as dental clinics and otorhinolaryngology clinics. Alternatively, we provide computer support for all information processing that occurs within medical institutions, such as processing and recording treatment information, and processing and recording diagnostic and measurement information when using various diagnostic and measurement equipment such as X-rays. The present invention relates to a computer-based comprehensive medical processing system that can be executed in a highly efficient and labor-saving manner.

(Prior art) Conventionally, in general medical institutions, for example, daily budget preparation,
There are many known systems that have made it possible to efficiently process reception work by computerizing reception work such as receipt processing, data bank processing, etc., such as creating missing bills, creating patient schedules, and making payments at counters.

However, in the case of computer processing only for reception work as described above, diagnosis and/or treatment information and
The most important information for performing proper and accurate medical care, such as measurement information from various measuring instruments, is written and recorded in the medical record by the doctor each time in each area, and the medical record is also used during actual diagnosis and treatment. It is necessary to take out the information and visually check the information written there while performing the next diagnosis, treatment, and measurement, which results in problems such as an increase in doctor work and a lengthening of the medical cycle.

Therefore, the applicants have previously developed a computer-based processing system that eliminates these difficulties and also allows mutual exchange of information between the reception area and the diagnosis/treatment area. The application was filed under Sho 59-210961. The system related to this earlier application is
This has already been disclosed in Japanese Patent No. 87544.

In summary, the above-mentioned prior art system connects a reception area for processing and recording patient visit information, a diagnosis area for diagnosing and measuring the patient's etiology, defects, etc., and a treatment area for administering treatment, using a computer. Each area is provided with its own information input/output device and display device, and information can be mutually exchanged between each area, and the reception area is equipped with a main memory that collectively stores the information of each area. It is a system equipped with

According to the system configured as described above, patient visit information is administratively stored and processed in the reception area, various diagnostic information is stored and processed in the diagnosis area, and treatment information is stored and processed in the treatment area. It is possible to display the necessary information immediately when it is needed, allowing operations in each area to be carried out smoothly and with high precision, and also to read and obtain related information between each area while remaining in each area. This makes it possible to streamline the overall management of medical systems and improve the efficiency of diagnosis and treatment operations.

(Problems to be Solved by the Invention) However, in the above-mentioned prior art system by the present applicant, not only is it necessary to use an artificial key that takes one step to store information in each area, but also Diagnosis, treatment, and measurement information is stored in the main memory of the reception area, and the corresponding information and multiple related information are displayed in each area, and the receptionist can visually check this information while performing actual work. Required information is retrieved from the main memory of the area and transferred to the work area, and after the work is completed, the retrieved information or information with modifications such as changes or additions is transferred back to the main memory of the reception area. Information input/output transmission operations such as transmitting and storing information are required, and even though it is comprehensive processing, the processing content itself is complex and diverse, which is not practical and causes a large amount of time loss. In particular, when there is one diagnosis and/or treatment area or multiple areas, and diagnosis and/or treatment is carried out in parallel in these multiple areas, a priority circuit or the like is adopted to avoid interference on the transmission line. This poses a problem in that it takes time to obtain various information and input update information into the main memory.

In view of the above circumstances, it is an object of this invention to provide a comprehensive medical processing system using a computer that allows information input to be extremely simple and information processing in each area to be performed extremely easily and quickly. .

(Means for Solving the Problems) In order to achieve the above object, the computer-based comprehensive medical processing system according to the present invention provides patient information such as the contents of the patient's individual identification symbol, medical certificate, or certificate replacing it. It has a memory that can store information, diagnosis information, treatment information, etc.
It is placed in the reception area where IC cards or optical laser cards (hereinafter referred to as IC cards, etc.) distributed to patients in advance and patient visit information are processed and recorded.1 Usually, processing of receipts, data bank processing, etc. While the above I
When inserting a C card, etc., at least the above patient information is called in and processed on a priority basis, and information such as fee calculation, reservation information, diagnosis and/or treatment information, measurement information, etc. is stored in the main data bank, and the above IC card. A host computer equipped with a card reader/writer that updates the memory contents of the IC card, etc. is installed in the diagnosis/treatment area where patient diagnosis and/or treatment is performed, and when the above-mentioned IC card, etc. is inserted, the information in the inserted IC card, etc. Call in and process diagnostic information and/or treatment information, etc.
There is also a terminal computer that rewrites and processes the diagnostic information and/or treatment information, and is placed in the above-mentioned diagnosis/treatment area and starts operating when the above-mentioned IC card, etc. is inserted, and writes and processes measurement information to the above-mentioned IC card, etc. It is characterized by being equipped with a measuring device equipped with a card reader/writer.

(Function) When using the computer-based comprehensive medical processing system of the present invention having such a characteristic configuration, an IC card etc. distributed to the patient in advance is transferred to a card reader/rider placed in the reception area at the time of visiting the hospital. By inserting the card, the above-mentioned patient information is read out, and the read information is input into the host computer to perform processing such as fee calculation and reservation. Data necessary for subsequent diagnosis and treatment, such as individual identification codes, immediate symptoms, and idiosyncrasies, are input and stored in the main data bank as patient registration.Also, if this is not the first visit, current patient information is transferred from the main data bank to the IC. Write it on a card, etc. When such an IC card or the like is not inserted, and after the above-mentioned processing due to the insertion is completed, the host computer performs normal reception work such as receipt processing and data bank processing.

Next, in the diagnosis/treatment area, the above-mentioned IC card, etc. is inserted into the card reader/writer of the terminal computer located in that area, and the current information stored in this IC card, etc. is read out. is displayed on, for example, a CRT screen, and predetermined diagnosis and treatment are performed. Before this diagnosis/treatment, the above-mentioned IC card etc. is inserted into the card reader of the measuring device placed in the diagnosis/treatment area.
The IC card is inserted into a writer, and as the IC card or the like is inserted, a measuring device is activated and measurement data is written into the IC card or the like. Therefore, measurement data is also included in the information read out when an IC card or the like is inserted into a card reader/writer of a terminal computer located in the diagnosis/treatment area.

Once the diagnosis/treatment is completed, the details will be transferred to the IC.
Write it on a card, etc.

Next, by inserting an IC card, etc. into the card reader/writer of the host computer in the reception area, the host computer reads the diagnosis/treatment information written on the IC card, etc., and stores the relevant patient information in the main data bank. In addition to storing in the beach area, IC
Of the patient information in the card, etc., only simple information is updated with new information as needed, and then the information stored in the main data bank of the host computer is deleted from the IC card, etc.

(Example) Hereinafter, embodiments of the present invention will be described in detail based on the drawings.

Example 1 FIG. 1 shows Example 1. 1 is a configuration diagram showing an overview of a medical comprehensive processing system using a computer. In the figure, (A) is a reception area, and this reception area (A) has a hard disk or floppy disk device and is used for processing receipts. A host computer (1) equipped with the necessary programs and data for all processing such as data bank, IC card writing and reading, and mutual communication with this host computer (1) is installed. It is equipped with an IC card reader/writer (IA) and, as an option, an image scanner (for reading the contents of a health card or an alternative medical examination card).
18) (a keyboard may be used instead).

(81), (82), (B3) are patient diagnosis and/or
or a diagnosis/treatment area where treatment is performed, and this diagnosis/treatment area (81), (82), (83)
Terminal computers (2) and (3) are respectively equipped with programs and data related to medical treatment processing for chart updates and data processing from diagnostic and measurement devices (described later).
, (4), and an IC card reader/writer (2A) that can communicate with each of these terminal computers (2), (3), and (4), respectively.
, (:lA), and (4A) are provided individually. In addition, each terminal computer (2), (3), (4)
Each is equipped with a CRT and a keyboard (described later), and is connected to a printer as necessary.

(2B), (3B), and (4B) are diagnostic/measuring devices placed in each of the above-mentioned diagnostic/treatment areas (Bl), (B2), and (B3), one or more. Each diagnostic/measuring device (2B), (3B), (4B) is an IC
An IC card reader/writer is attached that starts operating in response to an insertion signal when the card is inserted and writes diagnostic and measurement information to the IC card.

In addition, one or more of these diagnostic/measuring devices (
4B) does not have an IC card reader/writer and is directly connected to the terminal computer (4) located in the same area (B3) via an information communication cable (15), or is a wired The connection diagnosis/measuring device (4B) may not be provided.

Figure 2 shows the memory map of an IC card (5) consisting of a CPU built-in card or memory card with a large capacity of memory. There is a memory area (5a) in which patient-specific information such as immediate response symptoms and idiosyncratic constitution inputted by the contents of the insurance card or medical card and the menu selection method can be written and memorized, and an automatic input and menu selection method. The date and history of visits and simple diagnosis/
Memory area (5b) where treatment details can be stored
), a memory area (5C) in which diagnostic and measurement information obtained from the plurality of diagnostic and measurement devices (4B) and (4B) can be written and stored, and a huge data storage area of the host computer (1). Memory area (5d) (temporary buffer) where patient-side diagnosis and/or treatment information drawn from the bank can be written and stored.
and a memory area (5e) prepared in anticipation of future expansion. And this IC card (
5) has been distributed to patients in advance.

Next, the above Example 1. The processing contents and flow by the system will be briefly explained based on the flowcharts of FIGS. 3(a) and 3(b).

Note that the flowchart in Figure 3 was originally supposed to be presented on one page, but due to the size of the paper, it was shown on the third page.
Figure 3(a) and Figure 3(b) were created separately, and information regarding signal transmission and reception in Figure 3(a) and Figure 3(b), which were created separately, should be written in the circles. They are indicated by uppercase letters.

In the flowchart shown in FIGS. 3(a) and (b),
The area surrounded by the dashed line is where the processing content is divided into large blocks.
1), terminal computer (2), (:l), (4),
Diagnosis/meter D4 device (2B), (3B), (4B),
(4B), each of which is processed in a series of flows.

In FIG. 3(a), (50) is a normal receipt processing area, (51) is a processing menu area regarding the IC card (5) and the main data bank, and an example of the main menu displayed on the CRT will be described later. (52) is a patient registration processing area in the case of a first visit, (53) is an area for extracting patient information from the main data bank and writing it into the memory area (5a) of the IC card (5) in the case of a re-examination; 54) is an area for reading medical record information in the memory area (5d) of a newly created or updated IC card (5) and storing it in the main data bank;
55) is an area for storing measurement data recorded in the memory area (5c) of the IC card (5) in the main data bank, and (56) is an area for storing measurement data recorded in the memory area (5c) of the IC card (5). ) memory area (5b) is an area for writing or updating the date and history of hospital visits and simple diagnosis/treatment details, (57) is the memory area (5C) and (5d) of the IC card (5). This is the area to erase the data (confidential data) in 1 or more (5
0) to (57) are processed in the reception area (A).
This is carried out through mutual communication between a host computer (1) and an IC card reader/writer (IA) located at.

In FIG. 3(b), (60) is an IC carried by the patient.
The host computer (
an area for reading information in each memory area (5a), (5b), (5d) of the IC card (5) obtained from the main data bank of 1) to the terminal computer (2), (3), (4); (61) is an area for displaying menus related to information processing recorded on the IC card (5) on the CRT and selecting one of the menus; an example of the processing menu will be described later. (62) is a diagnostic/measuring device (2B),
(:lB), (4B), an area for reading the data obtained in (4B) and recorded in the memory area (5C) of the IC card (5), (63) is the terminal computer (2),
(3).

Create or update medical records using the menu selection method using (4), and store them in the memory area (5c) of the IC card (5).
, (5d) is the writing area, (64) is the IC card (5
) is an area for processing data related to information in the memory area (5d), and (65) is an area for writing other necessary information into the memory area (5e) of the IC card (5), and the above (60) to The processing in the area indicated by (65) is carried out by the terminal computers (2), (3), (4) and IC installed in the diagnosis/treatment areas (Bl), (B2), and (83), respectively.
Card reader/writer (2A), (3A), (4A
).

In addition, in Fig. 3(b), (70) stores diagnosis/measurement and its data in the memory area (5C) of the IC card (5).
The measurement data recorded here is transmitted to each terminal computer (2), (3) using an IC card (5) carried by the patient as a transmission medium.

(4) IC card reader/writer (2A), (3
A), (4A), further read by the IC card reader/writer (IA) of the host computer (1), stored in the main data bank, and then erased.

The above explanation divided into processing areas will help you understand the processing content and overall flow, so the specific processing content and steps in each processing area, as well as the connections and steps between processing areas, will be explained in the third section. Figures (a), (,b
) in the various processing symbols in the flowchart, and their explanations will be omitted.

In addition, the host computer (1) processes 1 normal receipt,
When performing reception work such as data bank processing and the IC card (5) is inserted into the IC card reader/writer (IA) for the host computer, the current process is interrupted and the interrupt processing routine shown in Figure 3 is executed. to go into. When this interrupt processing routine ends, normal processing resumes from the point where the reception service was interrupted.

Also, when all the processing on the terminal computers (2), (:l), and (4) is completed, the CRT screen will display "IC
Please take out your card and take it to the reception desk.
B), (4B), when the measurement is completed, CR
The message ``Measurement complete! Please take out the IC card and insert it into the IC card reader/writer of the terminal computer'' is displayed on the T screen.

Furthermore, an example of the main menu displayed on the CRT screen in the above-mentioned processing area (51) is as follows: 1. These include registering a patient at the time of the first visit, 2 writing updated medical records to the data bank, 4 reading measurement data, and returning to the receipt process. Also, selecting the menu related to the information processing mentioned above is displayed on the CRT screen at 51. An example of the processing items to be carried out is as follows: 1. Reading measurement data from an IC card 2. Processing measurement data 3. Inputting medical work contents into a medical record 4. Calling data from a temporary buffer.

Example 1 detailed above. When using the system, ■ Multiple diagnosis/treatment areas (Bl), (82), (8
3) In each case, when creating a medical record, the doctor in charge,
All information about the patient can be read out from the IC card and displayed on the CRT screen, and accurate medical treatment can be performed while referring to this information. Input of medical treatment and injury/disease history can all be done using a menu selection method. It can be done very easily and quickly with simple key operations. Furthermore, it is also possible to automatically create a tally sheet for each university by aggregating such inputted medical practices and other information.

■ By using an IC card, each diagnosis/treatment area (8
1), (82), (B:l) measurement device (2B
), (3B), and (4B) can be configured with only a measurement analog circuit section, a microcomputer section, an IC card reader/writer section, a simple display section such as an LED, and a switch section, and can also be battery powered. In some cases, it can be configured to be small and highly portable. The measured data is written to the IC card (5) by an IC card reader/writer, or the written data is transferred to the host computer (1) or terminal computer in the reception area (A). 2), (3), (4) IC card reader/writer (IA) or (2A), (3A)
, (4A), it is possible to refer to each area (A), (Bl), (82), (B3) as needed, and at the same time, the patient's information can be stored in the main data bank. Can be stored as information.

■ By using IC cards, it is possible to immediately respond to future information expansion.

■ The movement of the patient carrying the IC card (5) is controlled between the host computer (1) and the terminal computer (2).
By effectively utilizing it as a transmission medium between (3) and (4), it is possible to reduce construction costs related to the installation of transmission lines, and it is also possible to reduce construction costs for future increases in equipment.

It has the following advantages.

Example 2 FIG. 4 shows Example 2. 1 is a configuration diagram showing an outline of a medical comprehensive processing system using a computer according to Embodiment 1. The difference is that there is a host computer (1) installed in the reception area (A) and multiple diagnostic IEIs. /Treatment area (
81), (82), and (B:l), respectively, and the host computer (1) on the communication computer (2), (3), and (4) side. ) can receive and process the necessary data from the main data bank in real time,
On the host computer (1) side, in addition to the host computer IC card reader/writer (IA), there are multiple IC card readers/writers (2A) corresponding to each of the terminal computers (2), (3), and (4). ), (3
There are two points: A) and (4A) are attached, and the other points are as in Example 1. Since it has the same configuration as , the same reference numerals are given and the explanation will be omitted.

Next, Example 2. The processing contents and flow by the system are explained based on the flowcharts in FIGS. 5(a) and 5(b). I will briefly explain.

Note that the flowchart in FIG. 5 also corresponds to Example 1. As in the case of Figure 3, which shows the flow of
It was created by dividing it into Figure 5(a) and Figure 5(b), and the transmission and reception of signals between the two diagrams is indicated by capital letters written in circles.

In the flowchart shown in FIG. 5(a), the area surrounded by a single dotted crane is the area for the fertilization T example 1. As in the case of the flowchart in Fig. 3, this is an area divided into large blocks of processing contents, where (150) is the normal receipt processing area, and (151) is the IC card (5) or inserted IC. Card reader/writer (2A), (3A)
, Diagnosis/treatment area (Bl) corresponding to (4A), (
B2) , (83) terminal computers (2) , (3
), (4) is an area for transmitting and processing the patient's personal information stored in the main data bank in real time through the transmission line (6), and (152) is the terminal computer (2).
), (3), and (4), and (153) is the area that performs the interrupt processing shown in the flowchart of FIG. 3(a). (51) to (57), but they are simply shown in the drawing.

In FIG. 5(b), (160) displays a processing menu that can be performed on the terminal computers (2), (3), and (4) based on information transmitted from the host computer (1). An example of the processing menu displayed on the CRT screen in the selection area will be described later. (161) is an area that performs processing related to multitask communication with the host computer (1), and these areas (160) and (16
1) is individually owned by each terminal computer (2), (]), and (4).

In addition, in FIG. 5(b), (170) stores diagnosis/measurement and its data in the memory area (5c) of the IC card (5).
), and the measured data recorded here is transferred to the IC card (5) carried by the patient as a medium.
Card reader/writer (IA), (2A), (3A),
(4A), is transmitted from the host computer (1) to each terminal computer (2), (3), and (4), and is finally stored in the main data bank and then deleted. .

Example 2 explained above. The specific processing contents and steps in each processing area are written in the various processing symbols in the flowcharts of FIGS. 5(a) and 5(b), and their explanation will be omitted.

In addition, Example 2. In this case, the host computer (1) usually only performs receipt processing, that is, only one task, but when the IC card (5) is inserted into any IC card reader/writer (IA), the above-mentioned receipt processing is performed. Two tasks, ie, process A in the flowchart, are performed in parallel.

Furthermore, when there is an interrupt from the terminal computers (2), (3), and (4), two tasks, receipt processing and processing B in the flowchart, are performed in parallel.

Further, if an interrupt is received from the terminal computers (2), (3), and (4) while processing A is being performed, three tasks, receipt processing, processing A, and processing B, are performed in parallel.

In this way, Example 2. host computer (1
) may be based on multi-tasking processing, or alternatively may be single-tasking processing.

Furthermore, the above-mentioned processing menu display selection area (16
An example of the main menu displayed on the CRT screen in 0) is as follows: 1. Chart call 2, chart update 3, patient schedule call, etc.

Example 2 detailed above. When using the system of Example 1. In addition to the advantages of ■ to ■ mentioned above as advantages in the case of
A), all of the patient's personal information recorded on the IC card (5) is automatically transmitted to the terminal computers (2), (3), and (4) and transferred to the CRT.
Since the information can be displayed on the screen, doctors in each diagnostic/pulmonary treatment area (Bl), (B2), and (83) can perform accurate medical treatment while referring to the displayed information, and can also perform accurate medical treatment by referring to the displayed information. Since the information can be updated and the updated information can be sent back to the main data bank of the host computer (1) in real time, maximum communication can be obtained within the medical institution and the total processing efficiency can be further improved.

■Each diagnosis/treatment area (BL), (82),
host computer (1) while staying at (83)
The main data bank can be accessed in real time and the necessary data processing can be performed, allowing efficient progress of treatment.

It has the following advantages.

Example 1 above. and Example 2. Embodiment 1 is mainly applied to a comprehensive processing system for dental treatment. and Example 2. In each case, the terminal computers (2), (3), (4), etc. located in the diagnosis/treatment areas (Bl), (B2), (83) are fixedly arranged as follows.

That is, in FIGS. 6 and 7, (7) is a dental treatment table called a dental bed, which has a headrest (8).
), back sheet (9), sea) - (10) as base (
11) Attach it to the top of the
A treatment device (12) such as a syringe or handpiece is detachably attached to the shoulder of the patient (9), and a spittoon (12) is attached to the side of the treatment device (12).
13) are arranged. A movable arm (15) comprising a plurality of arms pivotally connected to the side of the seat (10) in this dental treatment table (7) by a support shaft (I4).
The terminal computers (2), (3), and (4) are attached to the free end of this movable arm (I5), as well as an input/output keyboard (16) and a CRT (17) as a display device. Then, the positions of these terminal computers (2), (3), (4), keyboard (16), and CRT (17) are moved to arbitrary positions on the side of the dental treatment table (7) by the dentist's operation. I am trying to get it. And Example 1. In the case of
Install lighters (2A), <3A), and (4A) together.

In addition to dentistry, this system can also be applied to processing systems in otorhinolaryngology, ophthalmology, and even general medicine.

In each of the above embodiments, an IC card (5) is used, but an optical laser card that reads and writes signals using laser light may also be used.

(Effect of the invention) As is clear from the above explanation, when the present invention is applied,
Rather than a local system in which computers are individually installed in each reception area or diagnosis/treatment area to process information, a system that processes information that is generated between all areas and that needs to be processed in relation to each other. It is possible to read information immediately when needed in each area and comprehensively process the tasks in each area, which not only makes it possible to streamline the overall management of the medical system and improve the efficiency of diagnosis and treatment operations. When operating a system that is easy to access, it is easy to access and process information easily.
By using a C card or the like, it is possible to input and update a huge amount of information into a data bank very easily. Furthermore, information can be easily transferred between areas, promoting communication, and information processing in each area can be performed accurately and speedily. Furthermore, by using IC cards, etc., future increases in the amount of information to be processed can be easily dealt with, and the overall medical care process can be made significantly more efficient. In particular, in the future where it is predicted that the current health certificates will be increasingly replaced with IC cards,
easily respond to that

[Brief explanation of the drawing]

FIG. 1 shows Example 1. Figure 2 is a block diagram showing an overview of the system; Figure 2 is a diagram showing the memory map of the IC card; Figure 3 (a)
) and (b) are those of Example 1. The flowchart of FIG. 4 is the flowchart of Example 2. A configuration diagram showing an overview of the system, Figure 5 (a)
, (b) is Example 2. FIGS. 6 and 7 are a side view and a plan view of the dental treatment table. (Explanation of symbols) (8)...Reception area, (Bl), (B2), (
B3)...Diagnosis/treatment area, (1)...Host computer, (2), (:l), (4)...Terminal computer, (5)...IC card, etc., (IA) ,
(2A), (3A), (4A)...Card reader/writer, (2B), (:IB), (4B), (4
B)...Diagnostic/measuring device, (6)...Communication transmission line. -And more-

Claims (2)

[Claims] (1) An IC card or optical laser card that has a memory that can store patient information such as the patient's individual identification code, the contents of a medical certificate or a substitute certificate, diagnosis information, treatment information, etc., and is distributed to patients in advance. It is placed in the reception area where patient visit information is processed and recorded, and while normally processing receipts and data banks, it gives priority to at least the above patient information when inserting the above-mentioned IC card or optical laser card. A card reader/writer that processes information such as charge calculations, reservation information, diagnosis and/or treatment information, measurement information, etc., and stores it in the main data bank, as well as updates the memory contents of the above-mentioned IC card or optical laser card. When the IC card or optical laser card is inserted, the diagnostic information and/or the diagnostic information in the inserted IC card or optical laser card is A terminal computer that reads and processes treatment information, etc., and rewrites and processes the diagnostic information and/or treatment information, and a terminal computer that is placed in the above-mentioned diagnosis/treatment area and starts operating when the above-mentioned IC card or optical laser card is inserted. A comprehensive medical processing system using a computer, comprising a measuring device with a card reader/writer that writes and processes measurement information on the above-mentioned IC card or optical laser card. (2) The host computer in the reception area and the terminal computers in each of the diagnosis/treatment areas are connected via transmission lines, and card readers and writers corresponding to the number of terminal computers are attached to the host computer. A computer-based comprehensive medical processing system according to claim 1.