KR20010089056A - System for providing information of medical treatment by using smart card - Google Patents

Abstract

PURPOSE: A medical information system using a digital electronic card is provided to enable a hospital related person to use a digital health electronic card regardless of place by recording all sorts of medical information in the digital health electronic card and searching, updating, creating, and storing the card in accordance with a request of a patient or the hospital related person through a card driver, a client/server computer, a network, and the Internet. CONSTITUTION: An electronic card unit(1) records and stores all sorts of medical information of each person. A card reader unit(3) reads the medical information for a computer to use the medical information. A client unit(100) comprises a browser(110), a card integrating system(120), a card managing system(130), and a card driver(140). If the card reader unit(3) is connected to the computer through an interfacing of the card driver(140), the client unit(100) makes the information being stored in the electronic card unit(1) be searched, updated, created, and stored in accordance with a user's request. A server unit(200) is connected to the client unit(100) and comprises a web server(210), a card integrating server(220), a card DB managing server(230), and a database(240). In case that a search of medical information of an electronic card possessor is requested by a user, if a medical information requesting message is transmitted to the server unit(200), the DB managing server(230) checks whether the request is reasonable to an access right. If the access right is gained, the DB managing server(230) extracts the information requested by the client unit(100) by accessing to the database(240).

Description

System for providing information of medical treatment by using digital card

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical information system using a digital electronic card. More specifically, various medical information, for example, personal information, medical insurance information, medical treatment information, etc., may be stored in a digital electronic card such as a smart card. Cardholders can record, store, retrieve, update, create, and store the recorded medical information at the request of users (patients, doctors, nurses, hospital personnel, etc.) through a predetermined card driver and a computer or a network and the Internet. No matter where you are, the cardholder's medical information, such as doctors and nurses, can be used by the cardholders to dramatically improve health care services and contribute to the establishment of efficient medical delivery systems. It relates to a medical information system using a digital electronic card.

The current medical information system is mainly focused on medical institutions, and patients, which are the center of medical services, tend to be alienated. Therefore, patients do not feel the benefits of medical information.

Furthermore, since each medical institution promotes medical informatization individually, and the exchange of information between medical institutions is not smooth, sharing of medical information becomes difficult, and the incompatibility of medical information and the standardization of medical information become impossible. Problems are emerging. Therefore, there is a point that it is impossible for the patient to always maintain the online state of the health information network and the hassle that the patient always needs to see the hospital.

Although some medical information systems based on plastic cards, magnetic cards, and optical cards have been implemented as a means to supplement some of the above problems, these systems also do not solve many problems of health information informatization. Some of the reasons that medical information systems using plastic cards, magnetic cards, and optical cards do not solve many of the problems of health informatization are these systems that can systematically contain personal information and other medical information. Not only is it difficult to construct a memory system, but it is also almost impossible to realize various encryption methods for protecting or supplementing the personal and medical information of patients in the medical information system.

That is, in the case of the current plastic health card, it is difficult to store medical information, difficult to integrate medical information, and impossible to process medical information.

The magnetic health card is the same as the plastic health card except that only minimal personal information can be stored.

In the case of optical health cards, personal information can be stored and medical information can be stored to the extent that the storage capacity allows. However, like plastic health cards and magnetic health cards, it is difficult to integrate medical information and process medical information. Has an impossible problem.

The present invention was created to solve the above problems, and stores various medical information such as personal information, medical insurance information and medical information in a digital health electronic card such as a smart card, and a predetermined card driver and client. The cardholder can be retrieved, updated, created and stored at the request of the user (patient, doctor, nurse, hospital personnel, etc.) via the server computer or the network and the Internet. Health care using digital electronic cards that can dramatically improve health care services and contribute to the establishment of efficient medical delivery systems by allowing users who can use the card such as doctors and nurses and hospital personnel to use the cardholder's medical information. The purpose is to provide an information system.

Still another object of the present invention is to facilitate the construction of an infrastructure compatible with medical information systems built in existing medical institutions through digital electronic cards, and to facilitate the integration of the system by various connectivity and scalability, as well as a stable system. To provide a medical information system using a digital electronic card to realize the construction.

Another object of the present invention is to provide the highest security that can not be replicated, to enable the private collection of private health and medical information, and to be able to respond to private infringement to fully implement the medical information security and protection The present invention provides a medical information system using a digital electronic card.

Another object of the present invention is to provide a medical information system using a digital electronic card to cope with emergencies in other regions or even when the health information system is offline.

The present invention provides a medical information using a digital electronic card that facilitates the electronic payment of the health care document through the system such as EMR and enables the electronic signature on the health care document through the system such as EMR. Provide a system.

The present invention provides a medical information system using a digital electronic card to achieve the standardization of information between medical institutions by transmitting information through a digital electronic card and to be used in conjunction with the resident card, credit card, electronic money, electronic payment system. .

1 is a schematic block diagram of a medical information system using a digital electronic card according to the present invention.

2 shows an embodiment of a health care item in a medical information system using a digital electronic card according to the present invention.

Figure 2a shows an example of personal information,

2b shows an example of insurance information,

Figure 2c shows an example of emergency information,

Figure 2d shows an example of the basic health information.

3 is a detailed configuration diagram of a medical information system using a digital electronic card according to the present invention.

Figure 4 is a schematic diagram showing an embodiment of the operating process of the medical information system using the digital electronic card of the present invention,

4A relates to a system for home users,

4B relates to a stand-alone system,

4C relates to a client / server type system.

<Description of the symbols for the main parts of the drawings>

1: Digital Health E-Card (Smart Card) 3: Card Reader

100: client 110: browser

120: card integrated system 130: card management system

140: card driver 200: server unit

210: web server 220: card integrated server

230: card DB management server 240: database

Medical information system using a digital electronic card according to the present invention to achieve the above object,

Electronic card means for recording and storing various kinds of medical information of each individual such as personal information, medical insurance information, medical information, medical institution information, and prescriptions of medical institutions;

Card reader means for reading various medical information recorded and stored in the electronic card means so that the medical information can be used in a predetermined computer;

And a browser unit, a card integration system unit, a card management system unit, and a card driver unit. When the card reader unit and the computer are connected through interfacing with the card driver unit, information stored in the electronic card is requested by the user. Client means for retrieving, updating, generating, and storing information by means of the client;

And a server means connected to the network by the client means and including a web server unit, a card integration server unit, a card DB management server unit, and a database unit.

When the user requests to retrieve the medical information of the electronic card owner, when the medical information request message is transmitted to the server means, it is checked whether the card DB management server unit is a suitable requirement for the access right, and the access right is given. In this case, the card DB management server unit is characterized in that it brings the information requested by the client means to the database unit.

In a preferred embodiment of the present invention, if the information requested by the client means is extracted from the database portion by the card DB management server portion of the server means and transmitted to the card management system portion of the client means, the extracted The information is displayed in the form of a web document by the browser unit of the client means.

In a preferred embodiment of the present invention, the extracted information is displayed in the form of a web document by the browser unit, the information data in the card management system unit when there is an information change such as addition, update, deletion of the displayed information The process of encrypting and adding, updating, and deleting information in the database unit is performed by the card DB management server unit through the card integration server unit.

In a preferred embodiment of the present invention, the process of digital digital signature is performed when the card management system unit of the client means encrypts the information data.

Hereinafter, preferred embodiments of a medical information system using a digital electronic card according to the present invention will be described in detail with reference to the accompanying drawings.

First, the present invention utilizes a digital health electronic card such as a smart card that has begun to be practical in Europe. The digital health electronic card records and stores various kinds of medical information of the owner, so that the owner can easily cope with an emergency even when traveling to another region or when the medical information is offline. The digital health electronic card enables the construction of an integrated system through linkage with electronic payment systems such as resident card, smart medical insurance card and smart credit card that are being promoted nationally.

The present invention is to develop a medical information system that can develop and operate a digital electronic card for patients, doctors, nurses, medical personnel. The digital electronic card includes a memory system capable of systematically storing personal information as well as personal information. The digital health electronic card of the present invention implements not only the digital electronic card but also various encryption methods for protecting or securing the personal information and medical information of the patient in the medical information system.

The digital electronic card of the present invention is organically related to a medical information system capable of operating in connection with it. The medical information system for operating a digital electronic card includes a system for individual users, a stand-alone type system, and There may be systems for client / server. The system for personal users may retrieve their medical information from a personal system or a general terminal. The standalone system is a system that can be used in a small medical institution, and the client / server system is a system that can be installed and used in a large scale medical institution, and can retrieve or update medical information from a system installed in an existing large medical institution. The client / server system can be viewed as a system that includes both the personal user system and the standalone system.

Such a system for operating a digital health electronic card may integrate numerous medical information scattered around the world.

According to the medical information system using the digital electronic card of the present invention, the electronic card itself can play the role of a lifelong health record card, so that the health care service can be improved by that much, and contribute greatly to the establishment of an efficient medical delivery system. Can be. In addition, according to the medical information system using the digital health electronic card of the present invention, it is possible to convert medical information centered on medical institutions (hospitals) to patient-centered information, standardization between medical institutions using a digital electronic card as a medium of information May be achieved.

1 is a schematic block diagram of a medical information system using the digital health electronic card of the present invention. Referring to this, the medical information system using the digital electronic card of the present invention includes personally identifiable information, medical insurance information, medical information, medical institution information, and the like. Smart health electronic card (1; hereinafter abbreviated as 'electronic card') that records and stores various medical information of each individual such as a prescription of a medical institution, and various medical information recorded and stored on the electronic card 1 are read. Includes a card reader 3 that can be used by the client unit 100 / server unit 200. In addition, the present invention consists of a browser 110, a card integration system 120, a card management system 130, a card driver 140, the card reader 3 and the client through the interface of the card driver 140 When the unit 100 is connected, the client unit 100 includes a client unit 100 for retrieving, updating, generating, and storing the information stored in the electronic card 1 at the request of the user 10. The client unit 100 and the network The server unit 200 is configured to include a web server 210, a card integration server 220, a card DB management server 230, and a database 240.

In the configuration of the present invention as described above, if the user 10, such as a patient, doctor, nurse, hospital related person requests the search for medical information of the electronic card holder, the medical information request message is transmitted to the server 200 Check whether the card DB management server 230 is a suitable requirement for access authority, and if the access authority is given, the card DB management server 230 transmits the information requested by the client unit 100 to the database 240. Approach and bring

The information requested by the client unit 100 is extracted from the database 240 by the card DB management server 230 of the server unit 200 and transmitted to the card management system 130 of the client unit 100. The extracted information is displayed in the form of a web document by the browser 110 of the client unit 100 is performed. The extracted information is displayed in the form of a web document by the browser 110, and when there is a change in information such as addition, update, or deletion of the displayed information, the card management system 130 encrypts the information data so that the card integration server ( The process of adding, updating, and deleting information in the database 240 is performed by the card DB management server 230 through 220. When the card management system 130 of the client unit 100 encrypts the information data, the digital electronic signature process is performed to provide reliable information data.

The various types of health care information recorded on the electronic card 1 include personal information, which is the basic data item of the cardholder, insurance information, which is an insurance related data item that an individual has, and essential medical information data items used in an emergency. There may be emergency health information, basic health information which is a basic medical examination data item carried out in a health prevention project, and one example of these is shown in FIGS. 2A to 2D.

In the present invention, Microsoft's Access is preferably used to construct the database 240 of the server unit 200.

The card driver 140 of the client unit 100 can be connected to the general purpose computer (PC) and the card reader 3 in hardware and software. In addition, the card driver 140 has a function of recognizing the card when the electronic card 1 is inserted into the card reader 3 so that communication with the general-purpose computer is possible. Therefore, the information recorded on the electronic card 1, that is, personal information, medical insurance information, handbook information for the handicapped, user rating display information, the medical institution code information that the patient was treated, the information on the recent hospital care, prescription information client When the request is made by the unit 100, data can be delivered. The information on the most recent hospital care recorded on the electronic card 1 provides an advantage of reducing network real-time access and provides an advantage of enabling information access even offline.

In addition, the card driver 140 has a function of transferring data when a doctor or a hospital related person updates information in the health electronic card 1 through a browser editor, and at the time of issuing a new card for a new patient, doctor, nurse, or hospital related person. It serves to transfer the data to be stored in the electronic card (1).

Furthermore, the card driver 140 has a function of transmitting an error message when the electronic card 1 is not recognized by the card reader 3 and a function of transmitting a message about an error in data transmission. An example of the case of message delivery is as follows.

1) When an error occurs while the client's request is sent to the card reader 3

2) When the client's request is sent to the card reader 3 but the card reader 3 does not respond

3) When a client's request is sent to the card reader 3 and an error occurs in transmitting the information of the health electronic card 1

In the client unit 100, the operation and role functions of the card management system 130 will be described.

1) Data transfer is performed between the card driver 140 and the card management system 130, which transmits data of the electronic card 1 read from the card reader 3, encrypts the updated data, and encrypts the card driver ( 140).

2) The information of the electronic card 1 is temporarily stored. For this reason, the speed can be improved by bringing the electronic card 1 information together.

3) Read function of the electronic card 1, which includes a validity check function of the electronic card 1, a classification function according to the user access authority level, an emergency information display function, and a data decryption function. An example of the validity checking function outputs an error message in the case of a patient death or the stolen electronic card 1. The classification function according to the user access authority level includes a function of checking a user class of a currently recognized user card, a function of distinguishing link information displayed on the first screen according to the user level, and a user access authority table. Coding functions (eg, 0000-doctor mode, 0001-nurse mode). The emergency information display function, as soon as the patient's electronic card 1 is recognized by the card reader 3 using the Plug-In function of the browser 110, the card driver 140 program detects it and A function of accessing the information in the electronic card (1) in which the emergency information is stored and displaying the information in the browser (110), which reads the emergency information recorded in the electronic card (1). ) A function of converting into a document and a function of reading emergency information stored in the electronic card 1 by a polling method. In the emergency information display function, the patient's specific information such as blood type, medical history, and drug history of the patient is recorded in the emergency information. The decryption function of the data is a function of decrypting the encrypted data when necessary data among the information stored in the electronic card 1 is transmitted through the card driver 140.

4) The writing function of the electronic card includes a data generation function when the electronic card 1 is newly issued, a data generation function when the electronic card 1 is reissued, and an electronic card 1 currently used by the patient. The data generation function when the electronic card 1 is newly issued includes personal identification information, medical insurance information, handbook information for the disabled, and codes of medical institutions where the patient was treated. The function of generating data through the input operation of the record and store in the health electronic card (1), emergency information, the information that was recently received in the hospital is a function to generate through the treatment. The data generation function at the time of reissuing the electronic card 1 means that the electronic card 1 information management system 130 manages the information of the electronic card 1 when the user loses or damages the electronic card 1. This function re-enter the information of an existing patient. The update function of the electronic card 1 is a function of correcting and updating a doctor's prescription and various other information through a browser editor. The encryption function of the data is a function of receiving and encrypting data in the card integration system 120 when updating the information stored in the electronic card 1.

5) The card management system 130 outputs a message received from the card driver 140 when the electronic card 1 is not recognized by the card reader 3.

6) The card management system 130 outputs a message about an error in data transmission from the card driver 140.

7) The function of the card management system 130 has a function related to the browser 110. For example, a plug-in browser editor and a sheet form are plugged in, data input in the browser editor and sheet form is transferred to the card management system 130, and the doctor's prescription is automatically transmitted to each department. An example of this is the example.

8) The function of the card management system 130 has a function related to the server unit 200. An embodiment of these functions will be described below. As shown in FIG. 1, the request of the client unit 100 is transmitted to the card integration server 220, the data transmitted from the server unit 200 is decoded, and the data collected by the server unit 200 is accessed. In some embodiments, a warning message is outputted when a person having a limited level of access authority attempts to access, and an information item is created, searched, updated, or deleted. Here, the generation of the information item is to store the new data in the database 240 when new data is input using the sheet format for each department in the browser editor of the client unit 100, and the search for the information item is an encryption algorithm. Through this, the reliability of data is secured and the data accessible to the database by the access table are extracted. The update of the information item adds information to the database 240 by encrypting and digitally signing the updated data in the browser 110 of the client unit 100, and outputting a dialog box for a confirmation function on the updated data. After the verification work on the update data is completed, the automatic refresh is performed. The deletion of the information item stores the patient's information in the database 240 to a certain time when the patient dies, and deletes the database node for the patient's information after a certain time, and the data when the patient dies. Until the base node is deleted, patient death information is preferentially linked in the electronic card 1 and the database 240, and a dialog box for confirming the deletion data is output.

9) The sheet management function in the card management system 130 indexes the sheets according to each department and automatically connects them to a sheet format suitable for the corresponding department, and the information requested by the client among the data retrieved through the server unit 200. It finds the appropriate sheet format for the client, finds the appropriate sheet format for the information required by the client, and then links the data to the sheet format. The function of automatically linking to a sheet format suitable for the corresponding department is, for example, a sheet format required by a doctor is a function of displaying a medical card type in a browser using link information corresponding thereto.

The card integration system 120 in the client unit 100 performs a function of accessing a database of an external hospital through a network and delivering extracted data in association with a card management system, and information of another medical institution through a network. Perform the function of integrating it.

The browser 110 of the client unit 100 uses an existing browser such as an explorer or Netscape. The browser 110 receives and displays a communication function with the card management system 130, that is, a sheet format having a data connection to the card management system 130, and outputs a sheet format required by the user as an output function. As an input function, the user inputs data through the browser editor.

The web server 210 of the server unit 200 is responsible for producing and managing a homepage.

The cart integrated server 220 of the server unit 200 has a function of communicating with the card management system 130 of the client unit 100, information required by the client unit 100, for example, information item generation, search, The function of transmitting information about update and deletion, and checking whether the information to be delivered is reasonable compared to the access authority table, and delivering the message to the card integration server 220 if it is not appropriate, the information requested by the client unit 100 When ready, a function of delivering a completion message, and a function of classifying the data collected by the card integration server 220 for each department.

The card DB management server 230 of the server unit 200 has a function of accessing the database 240 connected to the system, and transmits the information in the database 240 to the card integration server 220; The card integration server 220 performs a function of creating, searching, updating, and deleting information items. When the card DB server 230 accesses the database 240, a primary key such as a patient number and a social security number is used.

Looking at the specific operation process of the present invention with reference to Figure 1 as follows.

The user 10 physically connects the patient's electronic card 1 to the card reader 3. Here, the logical memory structure of the electronic card 1 is a binary representing the user 10's access rights. The code, the serial number of the card, the code of the medical institution visited by the patient, the emergency information, personal information, medical insurance information, and the handbook of the disabled are in a linear structure. It is a structure in which information is recorded.

As described above, when the patient's electronic card 1 is physically connected to the card reader 3, the emergency information items stored in the electronic card 1 are read through the card reader 3 and the card driver 3 is turned on. It is transmitted to the card management system 130 of the client unit 100 through. Here, the data transferred to the card management system 130 is preferably stored in a text file format.

The text file created by being transferred to the card management system 130 is displayed on the browser 110 and used.

If modification or retrieval of other information items recorded and stored in the electronic card 1 is required, the information items recorded and stored in the electronic card 1 are read and transferred to the card management system 130. In the case of searching for other information items recorded and stored in the electronic card 1, the card management system 130 displays personal information, medical insurance information, handbook information for the disabled, the medical institution code visited by the patient, and information about the prescription which was recently received. Save as text file in. In the case of modification of other information items recorded and stored in the electronic card 1, the modified data is stored in the text file format after the modification in the browser 110, and the text file is sequentially recorded and stored in the electronic card 1, Since the contents of the electronic card 1 and the contents of the database 240 must match, the information items modified on the electronic card 1 are stored in the database 240 as well.

When the browser 110 requests the card integration server 220 to search, modify, create, and delete the card, the card DB management server 230 manages the database 240. That is, in the case of a search, the database 240 searches for a requested information item using a primary key. In the case of modification, the information item modified in the browser editor is preferably stored in the database 240 in the card management system 130 in accordance with Microsoft's access type. In the case of creation, a new field is created in the database 240 when a new patient is registered and stored in the database 240. In the case of deletion, the information item stored in the database 240 is deleted when the patient dies.

Until now, the medical information system using the digital electronic card of the present invention has been described with reference to a client / server type system. The present invention also includes a system for individual users and a stand-alone system. As follows.

As described briefly above, since the client / server type system includes both individual user systems and standalone systems, hereinafter, the client / server type is used in the case of using the standalone system alone or the standalone system alone. Explain while preparing against the system. Both digital health e-cards and digital health e-card drivers are common, whether they are for home users, standalone systems, or client / server systems.

3 is a schematic diagram of an overall system of the medical information system using the digital electronic card according to the present invention, including both an individual user system, a standalone system, and a client / server system. In the configuration of FIG. 3, the same member number and member name are used for each component member having the same function as the component member of FIG. 1 for simplicity of the drawings and for clarity of explanation. In addition, in the case where the operation and function, etc. of the constituent members of FIG. 1 have already been described, duplicate description thereof will be omitted.

Referring to FIG. 3, the system 300 for an individual user of the present invention corresponds to a case where a patient, a doctor, a nurse, and other persons personally use medical information, and the system of the embodiment in this case is illustrated. As described above, the card driver 140 includes a card driver 140, a card management system 130, a card integration system 120, and a browser 110 for retrieving and updating information recorded in the electronic card 1. Here, Windows 98 / NT is preferably used as the system operating environment, and Microsoft's Internet Explorer or Netscape's Netscape is used as the Internet browser.

The stand-alone system 400 of the present invention is an embodiment corresponding to a case where a patient, a doctor, a nurse, and other persons use medical information in a primary or secondary medical institution in Korea, and the system of the embodiment in this case is illustrated. As described above, the card driver 140, the card management system 130, the card integration system 120, the browser 110 for retrieving and updating information stored in the electronic card 1, and a database for managing medical information ( 240).

In contrast to the personal user system 300 and the stand-alone system 400, the client / server system 500 that can be operated by being connected to these systems via a network and / or the Internet, in the case of domestic patients, tertiary care, As an embodiment in which doctors, nurses, and other persons use medical information, the system of the embodiment in this case is the card driver 140, the card management system 130, and the card integration as described with reference to FIG. A client unit 100 including a system 120 and a browser 110; And a server unit 200 including a web server 210, a card integration server 220, a card DB management server 230, and a database 240. The operating environment of the client unit 100 may preferably use an editor used in an existing hospital, and the operating environment of the server unit 200 may use a Windows NT or Unix system or a Linux system.

In FIG. 3, the medical information authentication center described as an absent number 700 is a place for providing a digital signature for encryption of the digital health electronic card 1 in Korea, and the medical insurance management corporation described as an absent number 800 includes the number of medical insurances. It provides a function for, they are connected to the medical information system of the present invention through a network or the Internet.

Figure 4 is a schematic diagram showing an embodiment of the operating process of the medical information system using the present invention digital electronic card, Figure 4a relates to a system for individual users, Figure 4b relates to a standalone system, Figure 4c Relates to a client / server type system.

As described above, according to the medical information system using the digital e-card according to the present invention, the digital health e-card has the advantage of serving as an individual's lifelong health record card, guaranteeing continuity of care as well as long-term follow-up care It provides the benefits of doing so.

In addition, the present invention contributes to the improvement of health care services, to help establish an efficient medical delivery system, to provide easy access to patient medical information in the event of a medical emergency, and contribute to the standardization of medical information. To ensure disease continuity and to promote long-term care, to reduce the cost of permanent storage and storage of individual medical information, and to achieve a secure security system. It provides an advantage that can contribute to the construction of medical information systems.

In addition, the present invention provides an advantage of providing comprehensive health care policy data, an advantage of establishing a foundation for the division of medicine, and an advantage of providing a drug utilization prevention prevention and linkage utilization plan with a logistics system. Benefits of avoiding duplicate medical care and testing, benefits of establishing a linkage system with health insurance, e-residential card, and electronic payment system, benefits for researching the sociocultural role of the information age, and sharing health and medical information Provides benefits to help revitalize research.

Moreover, the present invention achieves the effect of reducing enormous costs such as duplication inspection due to the incompatibility of information between medical institutions, and achieves enormous medical cost reduction effect by sharing information by establishing an information security system.

Claims (6)

Electronic card means for recording and storing various kinds of medical information of each individual such as personal information, medical insurance information, medical information, medical institution information, and prescriptions of medical institutions; Card reader means for reading various medical information recorded and stored in the electronic card means so that the medical information can be used in a predetermined computer; And a browser unit, a card integration system unit, a card management system unit, and a card driver unit. When the card reader unit and the computer are connected through interfacing with the card driver unit, information stored in the electronic card is requested by the user. Client means for retrieving, updating, generating, and storing information by means of the client; And a server means connected to the network by the client means and including a web server unit, a card integration server unit, a card DB management server unit, and a database unit. When the user requests to retrieve the medical information of the electronic card owner, when the medical information request message is transmitted to the server means, it is checked whether the card DB management server unit is a suitable requirement for the access right, and the access right is given. And the card DB management server unit accesses and brings the information requested by the client means to the database unit. The method of claim 1, When the information requested by the client means is extracted from the database unit by the card DB management server unit of the server means and transmitted to the card management system unit of the client means, the extracted information is in the form of a web document. A medical information system using a digital electronic card, characterized in that the process displayed by the browser unit is performed. The method according to claim 1 or 2, The extracted information is displayed in the form of a web document by the browser unit, and when there is an information change such as addition, update, or deletion of the displayed information, the card management system unit encrypts the information data through the card integration server unit. And a process of adding, updating, or deleting information in the database unit by the card DB management server unit. The method of claim 3, wherein Medical information system using a digital electronic card, characterized in that the digital digital signature process is performed when the information management in the card management system unit of the client means. Electronic card means for recording and storing various kinds of medical information of each individual such as personal information, medical insurance information, medical information, medical institution information, and prescriptions of medical institutions; Card reader means for reading various medical information recorded and stored in the electronic card means so that the medical information can be used in a predetermined computer; And a browser unit, a card integration system unit, a card management system unit, and a card driver unit. When the card reader unit and the computer are connected through interfacing with the card driver unit, the information stored in the electronic card is stored. A general purpose computer means for retrieving, updating, generating and storing on request. Electronic card means for recording and storing various kinds of medical information of each individual such as personal information, medical insurance information, medical information, medical institution information, and prescriptions of medical institutions; Card reader means for reading various medical information recorded and stored in the electronic card means so that the medical information can be used in a predetermined computer; And a browser unit, a card integration system unit, a card management system unit, a card driver unit, and a database. The information stored in the electronic card when the card reader unit and the computer are connected through interfacing with the card driver unit. Medical information system using a digital electronic card comprising a; general purpose computer means for retrieving, updating, creating, and storing at the request of the user.