KR20150069681A - Medical business index service method and system which the member can apply for bio-psycho-social icf information - Google Patents

Abstract

The present invention relates to a method and system thereof to provide a health business index information support service. Analysis on information about diagnosis for customers/patients, procedure, medicine and functional food, insurance claim, and expenses is integrated and linked with index information, generated through protein bio marker, environmental factors, and international classification standard information such as the international health behavior classification system (ICHI), the international health area classification system (ICF), and the international health problem classification system (ICD), suggested in response to the new medical development and statistical request, through the use of various algorithms and variables, and therefore, integrated information for hospital management is provided based on BPS information including diagnosis information about individual′s disease, management information about functions and activities of human body, factor information about individual and environment, and symptom information about psychological and emotional states of individual. An action plan for solving problems, found through the diagnosis, analysis, and evaluation of hospital management, is provided and supported based on the integrated information, and therefore, problems from the current management of small and medium hospitals, relying on limited processing based on individual information, are solved.

Description

BACKGROUND OF THE INVENTION 1. Field of the Invention [0001] The present invention relates to a hospital management information support service providing method,

The present invention relates to the analysis of information on diagnoses, procedures, medicines and functional foods, insurance claims, expenses, etc. of customers / patients, The International Classification of Diseases (ICD), International Classification of Functioning, Disability & Health (ICF), International Classification of Health (ICF) (ICHI), protein biomarkers, environmental factors, etc. through the use of various algorithms and variables to provide diagnostic information on an individual's disease, Management information about the functions and activities of the body, information on factors related to the individual person and the environment, symptom information on the individual's psychological and emotional state Based on the ICF Bio-Psycho-Social model and the ICD-11 content model information (hereinafter referred to as "BPS information"), Diagnosis, analysis and evaluation of the problems found in the hospital, and provide action plan for the improvement of problems found in the hospital management information service, A method of providing an information support service, and a system thereof.

The present invention relates to a flow in which the compensation structure for current medical care activities classified as paying behavior and non-paying behavior is changed from a behavior-specific solution to a comprehensive solution-based solution focused on customer problem solving and the necessity of improvement of behavior classification according to the recent introduction of international standard classification It is not necessary to provide the information according to the classification according to the category of the current medical, dental, and oriental medicine and the behavioral characteristics such as examination, hospitalization, surgical procedure, functional test, Improve the classification of information according to international standard classification such as International Health Problem Classification (ICD), International Health Area Classification (ICF), and International Health Behavior Classification (ICHI); Based on the BPS information, based on individual activity bases, it is possible to continuously and regularly set up and provide an action-based behavior model and a golden schedule, and a coaching system to achieve a reasonably set individual goal use tools that provide goal management services; Adopting the center of each project that simultaneously conducts the joint performance management by the participation of doctors of ICD and ICF for the problem solving of the customers and the individual performance management of physicians, and; Establishment of customer-specific performance indicators by physicians, measuring and managing the allocation of resources and achieving customer goals to achieve them; Improve the management of hospitals through objective information based on classification of insurance claims, cost management, and improvement of profit structure through identification of management status; Providing information on measures, prescriptions, and improvement measures related to problems discovered through diagnosis, analysis and evaluation of hospital management status, establishing new management goals, and providing performance measurement and management systems against established goals; Provides information service and system to support improvement of hospital management through customized support for small and medium hospitals.

The present invention is based on the recent development of medical technology, which is directed toward the direction of high-priced customized diagnosis and customized treatment. Therefore, in order to solve the problem of increase in the cost of health care for individuals or countries, Diagnosis centered medical care ', and since the completion of the human genome project, the excavation of biomarkers has been activated to a large extent and the development of micro sensor technology capable of detecting micro-materials has enabled the "high" throughput "convergence technology enables future-oriented preventive and early diagnosis-oriented medical services. In addition to biology, such as genomics, transcription, molecular biology, proteomics, carbohydrate biology, metabolism, and bioinformatics, Engineering technology is systematized by the development of Bio-technology and Nano-technology. As a result of the development of individual and personal diagnostic and therapeutic fields, the costs of gene and protein analysis are significantly reduced and the storage of gene and protein information increases. In the case of NCBI, a system for integrating all analytical data is developed , Many databases store data in an independent form. In recent years, bioinformatics (BI) research has been actively conducted as a method of integrating and linking EMR systems to integrate clinical data with the use of stored data.

Bioinformatics is the foundation that must be used for various advanced BT technologies such as genomics, proteomics, chemogenomics, pharmacogenomics, toxicogenomics, metabogenomics, As a discipline, it is a compound word of biotechnology (BT) and informatics (IT). It is a collection of biologic data, including biomolecules such as genes and proteins, and biologically active substances such as pharmaceuticals, This means fusion research that provides useful information to humans by analyzing, managing, and evaluating them.

These advances in bioinformatics include the identification, address / contact, related / similar disease, subtype, cause of illness, cause of disease, etiology, molecular analysis, genetic background, clinical discovery, associated system analysis, lesion / injury, diagnosis Medical information, such as personal medical information, clinical records, disease data, and the like, including predictions, treatment, clinical trials, physical function information, activity information, participation information, environmental factor information, It is an important role of medical technology in transition from 'treatment and healing centered medical care' to 'preventive and early diagnosis centered medical care' in connection with bio information on information, Regulome, Variome, Interactome, metabolism, physeal, Pathome, Pharmacogenome . Recently, this medical information and bio information will be closely linked with the development of computer engineering technology and algorithms, and the biomedical market will be expanded in the future.

These changes in the medical market are linked to the coding system for the joint use of ICHI, ICF and ICD-11, which provide systematically coded classification criteria for the construction of health information systems, Provide a scientific basis for understanding and investigating, provide reasonable international common standard terminology describing health and health-related conditions, and play a major role in providing national data, health care principles, services, and time opportunities for comparison .

For example, the ICF understands the function / disorder of the body as a continuum and extends the category of disability from impairment of medical structure and function to social disadvantage and participation restriction, including environmental factors and personal factors. In the environmental factors, the physical environment is the first priority, but the human, social consciousness, and institutional environment are also important, and the individual factors are classified into various diverse personal factors through respect for individuality and different treatment. In this way, the ICF sets the overall life status report (ICF Sets) format that maps the conditions related to the complete physical, mental, and social well-being that enable everyone to live a life as an international standard language for living welfare , Which is an optimal functioning tool that can solve the problem of life by choosing the experts who can have the best level of purpose in their life and can accompany them with their own life as well as the reasonable budgeting and finance It can be used as a tool of personal budget system. Setting up and presenting reports describing these personal life problems is based on the basis of the activities of individual lives and is a tool to establish and provide an action-based behavior model and a golden schedule on a regular basis, It can also be used as a tool to provide goal management service through coaching system to achieve set personal goal.

ICD-11 is a systematic approach to the classification, classification and definition of attributes, conditions, shape and analysis of body systems / structures, temporal attributes, severity of subtypes, phenomena and signs, usual symptoms, mobility, self-care, interpersonal relationships, And ICHI (Treatment) and Diagnostic Criteria (ICHI), including ICF (Functionality), specific conditions, ICHI It is possible to act as an evolutionary dialogue tool with customers as a reasonable international common language that understands the level and designs the occupation goal within the scope of the resources available to the person.

ICD / ICF / ICHI, which can be used as an international common standard language for designing a rational life of individuals, is a numerical specification (0 ~ 100%) for joint use of codification and content identification. , It is used for cases such as rehabilitation treatment, temporary prescription / palliative treatment, geriatric treatment, assistive / supportive treatment, recovery, and suitability (disability benefit). ICF functions are also used in the ICD concept scope, so that the size and nature of duplication in encoding are checked when using independent entities (definitions, implications), signs and symptoms, severity levels, and diagnostic criteria.

Recently, a variety of biomarker analysis algorithms for analyzing protein data such as Sequest, MASCOT, X! Tandem, OMSSA, SeqMS, BioAnalyst, MassSeq, and GutenTag have been developed and used for prevention and early diagnosis This analysis algorithm allows the analysis of protein data to be scored (for example, 0 to 100%) by measuring scores (for example, 0 to 100%) to examine and manage cancer or disease, It can be applied as an advanced dialogue tool that reflects customization requirements and the like. Therefore, by applying various algorithms and management variables, it is possible to integrate and link stored data, and it is possible to use an order communication system, an electronic medical record, a picture archiving system based on the development of integrated medical information systems, including electronic communication systems, enterprise resource planning, customer relationship management, and telemedicine, U-Health, etc., it is possible to activate the health care business and utilize the health management system. Furthermore, by applying the risk prediction algorithm including the inspection of protein biomarkers and environmental factors, aiming at positive improvement of life through continuous interaction with customers, diagnosis information about an individual's disease, body functions and activities Information about the person himself / herself and the environment, symptom information about the psychological and emotional state of the individual, and the like.

In the case of the current hospital claim claim structure, the number of behaviors used is linked to the diagnosis subject to which the same diagnosis is made, Since the number of decisions to be determined as gifu is a system, it faces all or nothing, and therefore, many hospitals can not achieve the results of the cooperative strategy. Therefore, it is necessary to periodically set up customer- We provide the management system through BSP information to measure and manage real time resource allocation and achievement of customer goals. Through the construction of social health records, patient health records, electronic health records, electronic medical records, etc., the HBI information support service proposed by the present invention collects the government-local-national capacity in one direction And supports the Government 3.0 announced to achieve the national happiness and provides the integrated management system of the hospital to set up the performance indicator based on the customer without rewarding the action or emphasizing the efficiency without measuring the performance or effect We provide a method and system for information support service that supports the measurement, analysis, and evaluation of the individual improvement effects of the employees by comparing scientifically (statistically) the contributions and actual achievements of the employees to achieve them.

The HBI information support service proposed by the present invention displays the information for improving the management of the small and medium hospitals through the BPS information as a communication means for the purpose of improving the hospital management in the future. Provide information for prescription, set up new hospital management goals, practice improvement of hospital management through customized support, and see changes in results of improvement of hospital management through numerical and graphical reports through direct reports , A service that provides and supports the golden schedule, personal budget, and goal management as an action-based behavioral model that alerts early on before a problem occurs, , An information support service method for providing an advanced dialog tool that supports analysis, evaluation, prescription, improvement, etc. The system will be presented.

The present invention uses various algorithms and management variables to link with a coding and digitization system for joint use of international standard classification information such as ICHI, ICF and ICD-11, and provides information for management improvement of small and medium hospitals through BPS information The purpose of this study is to provide information about the problems of found hospital management and prescriptions, to set up new hospital management goals, and to provide hospital management through customized support. It is possible to check the changes in the measurement and management of the improvement performance of the hospital management by numerical and graphical report through the direct report and to implement the action- based behavior model, providing services such as golden schedule, personal budget, and goal management. Diagnosis of the situation, analyze, evaluate, prescription, HBI provides the information support services provided by the evolving dialogue tools to support improvements and how it relates to the system.

The present invention aims to improve the quality of life by continuously interacting with customers, and it is possible to use the various kinds of index information generated by the ICD, ICF and ICHI international standard classification information, protein biomarkers and environmental factors proposed by the World Health Organization, And using the variables to integrate and link the information, including diagnostic information about an individual's disease, management information about the body's functions and activities, information about the individual's personal and environmental factors, and symptom information about the individual's psychological and emotional state By setting up and providing your BPS information, you will be alerted early on before the symptoms occur, and you will be able to provide an early-diagnosis activity (eg, golden schedule), personal budget, goal management, Of cancer and disease by providing evolved dialogue tools that reflect the participation, prediction, prevention, and custom requirements of the Open HBI information support service delivery focuses on the technical basis for solving the problems of the current system for diagnosing and testing the post and to the system.

(1) The application of HBI information service, the scope and period of service provision, the inquiry of cost, the designation of service purpose, the measurement of performance index, and the performance management in order to facilitate the use of the customer , The resource allocation and goal achievement inquiry, the human resource ability measurement inquiry, the contribution and the comparison of the improvement and the improvement of the performance, HBI information delivery, and so on. Provided by mobile communication; (2) modification, modification and verification of the HBI information service requested by the customer; (3) to investigate, compare, analyze and manage the HBI information requested by customers using various analysis algorithms and management variables; (4) prepare and prepare an HBI report based on the customer's BPS information and Balanced Scorecard; (5) notify and transmit the completed HBI report in the manner specified by the customer; (6) collect and store customer's feed-back information from the medical institution applying for and providing HBI information service; (7) update the BPS information of the user by inputting additional personal information by the customer himself; (8) Collected and stored information shall be converted to the information required by the ICD / ICF / ICHI International Common Language Standard to be used by the applicant. Regular service on measurement and management of individual performance indicators, The applicant will be able to confirm the changes in the implementation through numerical and graphical reports through the direct reports. Through the customer satisfaction management, the client will be informed of the alarms early before the problems occur, and the activities such as the golden schedule, Measuring and achieving goal achievement through continuous interaction with customers by providing personalized budget, goal management, and other advanced service tools that support customer participation, prediction, prevention, and customization requirements. This is a new way to solve the problems of current hospital management system. We present the system.

In the present invention, the member ID / password is used to confirm whether or not the applicant is registered as a member in advance in a preliminary step to prevent unnecessary subsequent steps, and serves as a list code of the registered transaction details information. ICI / ICHI information DB 109 and the HBI information 109. The insurance information DB 104 stores the insurance information DB 105, the cost information DB 106, the biomarker information DB 107, the algorithm information DB 108, Thereby minimizing the time required to create a list of transaction history information registered in the DB 110. [ In particular, in the transaction method of the present invention, all application details information is transmitted to the main server 10, and the member information DB 101, the bad transaction information DB 102, the procedure information DB 103, An ICD / ICF / ICHI information DB 109, and an ICD / ICF / ICHI information DB 104. The insurance information DB 104 stores the insurance information DB 105, the cost information DB 106, the biomarker information DB 107, the algorithm information DB 108, It is possible to increase the reliability of the information security since it is compared with the information registered in the HBI information DB 110 and judged.

(1) The application of HBI information service, the scope and period of service provision, the inquiry of cost, the designation of service purpose, the measurement of performance index, and the performance management in order to facilitate the use of the customer , The resource allocation and goal achievement inquiry, the human resource ability measurement inquiry, the contribution and the comparison of the improvement and the improvement of the performance, HBI information delivery, and so on. Provided by mobile communication; (2) modification, modification and verification of the HBI information service requested by the customer; (3) to investigate, compare, analyze and manage the HBI information requested by customers using various analysis algorithms and management variables; (4) prepare and prepare an HBI report based on the customer's BPS information and Balanced Scorecard; (5) notify and transmit the completed HBI report in the manner specified by the customer; (6) collect and store customer's feed-back information from the medical institution applying for and providing HBI information service; (7) update the BPS information of the user by inputting additional personal information by the customer himself; (8) Collected and stored information shall be converted to the information required by the ICD / ICF / ICHI International Common Language Standard to be used by the applicant. Regular service on measurement and management of individual performance indicators, The applicant will be able to confirm the changes in the implementation through numerical and graphical reports through the direct reports. Through the customer satisfaction management, the client will be informed of the alarms early before the problems occur, and the activities such as the golden schedule, Measuring and achieving goal achievement through continuous interaction with customers by providing personalized budget, goal management, and other advanced service tools that support customer participation, prediction, prevention, and customization requirements. This is a new way to solve the problems of current hospital management system. The system is provided.

1 is a flowchart illustrating an HBI information service transaction method according to the present invention,
FIG. 2 is a conceptual diagram of the HBI information service business system according to the present invention,
3 is a configuration diagram of a main server according to the present invention,
4 is a block diagram showing the structure of a membership information DB according to the present invention
5 is a flowchart illustrating a procedure for joining a member according to the present invention,
FIG. 6 is a configuration diagram illustrating the major components of the HBI information service business according to the present invention,
FIG. 7 is a flow chart for classifying procedures for inputting selection information and transaction selection for a member's transaction in the HBI information DB 110 according to the present invention,
FIG. 8 is a flowchart of an application information input procedure in the HBI information DB 110 according to the present invention,
9A, 9B, and 9C are diagrams showing a medical information database 103, a medicine information and food information DB 104, an insurance claim information DB 105, a cost information DB 106, a biomarker information DB 107 The ICD / ICF / ICHI information DB 109, and the HBI information DB 110, and the ICD / ICF / ICHI international standard language, etc.), the algorithm information DB 108, the ICD / ICF / ICHI information DB 109, And is stored in the HBI information DB 110 as the BPS information of the user
10 is a flowchart showing a loan transaction method in the management server 10 according to the present invention.

Hereinafter, preferred embodiments of the present invention will be described in detail with reference to the accompanying drawings. First, it should be noted that, in the drawings, the same components are denoted by the same reference numerals whenever possible. In the following description of the present invention, a detailed description of known functions and configurations incorporated herein will be omitted so as to avoid obscuring the subject matter of the present invention.

FIG. 1 is a flowchart illustrating a transaction method according to the present invention. In order to use the transaction method of the HBI information service according to the present invention, a member who registers in advance as a member and registers individual information, ID, It is necessary to go through the member registration step (S100). The member registers in the member information DB 101 a member ID and the like for allowing the HBI information service and transaction, and the member ID is managed in a unique code. Since all the information of the HBI information service system according to the present invention is cataloged according to the member ID, the member ID must be unique. Therefore, it is checked whether the same member ID is already registered or not (step S211) If the same member ID has already been registered, the application for membership ID is refused.

The information on the subscription of the new subscriber and the registration of the member ID of the HBI information service is transmitted to the main server 10 managed by the headquarters through the inquiry of the bad transaction information DB 102, (S100). All the information about the financial / hospital history, the hospitalization / outpatient history, the medical history, the operation history, and the results of the medical treatment / procedure provided by the member is stored in the member information DB 101 All information on the procedure information DB 103, the details of the prescription / use medicines provided by members, health functional foods and foods, medicines / foodstuffs per manufacturer, investigations, analysis, prescriptions, medicines and characteristics of medicines / The insurance information DB 105 stores all the information on the insurance claim of the member, the cost information DB 106 stores all the information on the cost of the member, and the biomarker All information on biomarkers Information on the various algorithms and management variables used in the analysis of the stored data is stored in the algorithm information DB 108 and ICD / ICF / ICHI all information on the application of the international common standard language to the ICD / ICF / ICHI information DB 109, and items described in the HBI report are stored in the HBI information DB 110, respectively. If the corresponding requirement is not satisfied in the duplication check step (S211) or the defective dealer determination step (S212) regarding the member ID and the like, the new member registration procedure of the HBI information support service is terminated, and the fact and the reason (S811) (S812) for rejecting the member registration.

Hereinafter, it is assumed that the member registration step (S100) of the HBI information service system has been completed. As an embodiment of the present invention, a description will be given of a transaction method of each step according to the input of history information about the information application requested by the member of the HBI information service system .

Each step of the transaction according to the present invention includes a member ID confirmation request step S200 (step S200) for confirming information of members who are connected to the homepage and subscribed to the HBI information service when the subscribing customers subscribe to the HBI information service, (Step S210) of comparing the membership information registered in the member information DB 101 with the member information registered in the member information DB 101,

     And a transaction status checking step of checking whether member information corresponding to the member ID is a bad transaction (S220)

A rejection step (S811) (S812) of stopping the payment process requested by the member and rejecting the approval for the application of the transaction if the corresponding requirement is not satisfied among the confirmation steps (S210) and (S220)

If all the requirements of the confirmation steps S210 and S220 are satisfied, the member's loan application step S300 and the member's procedure information DB 103, the medicine / food information DB 104, ICD / ICHI information DB 109, or HBI information DB 110. The transactions registered in the billing information DB 105, the cost information DB 106, the biomarker information DB 107, the algorithm information DB 108, the ICD / ICF / ICHI information DB 109, (S400) for determining whether or not an approval condition is satisfied by comparing the 'approval details' and the 'application details received from the member'

A rejection step (S813) of suspending all authorization procedures and refusing approval of such transactions if the requirements of the discrimination step (S400) are not satisfied,

A step (S500) of inputting the BSP information of the applicant who is registered in the member information DB 11 as a part of the HBI information support service and which is required for the report creation when the requirements of the discrimination step S400 are satisfied, ICD / ICHI, an information database 103, a drug and food information DB 104, an insurance claim information DB 105, a cost information DB 106, a biomarker information DB 107, an algorithm information DB 108, An authentication step (S600) for comparing the approval history information registered in the information DB (109) or the HBI information DB (110)

The medical information DB 104, the insurance claim information DB 105, the cost information DB 106, the biomarker information DB 106, If the approval history information registered in the information DB 107, the algorithm information DB 108, the ICD / ICF / ICHI information DB 109, or the HBI information DB 110 does not match, the transaction disapproval step S814 )Wow,

Food information DB 104, an insurance claim information DB 105, a cost information DB 106, a biomarker information DB 107, an insurance information DB 106, , The algorithm information DB 108, the ICD / ICF / ICHI information DB 109 or the HBI information DB 110 (S131), or inputs additional information (S700) A step S800 of confirming the item,

In the checking step S800, 'application details information transmitted from the member', 'operation information DB 103, drug and food information DB 104, insurance claim information DB 105, cost information DB 106, The approval information registered in the marker information DB 107, the algorithm information DB 108, the ICD / ICF / ICHI information DB 109, or the HBI information DB 110, S900) and stored in the HBI information DB 110. This process flow chart is shown in FIG.

In the present invention, the member ID is used to prevent unnecessary follow-up steps by confirming whether or not the applicant is registered as a member in a preliminary step, and also serves as a list code of the registered application details information, Minimize the time required to create a list of history information. In the present invention, the member ID may be exposed to other users. Even if the member ID is stolen by the unauthorized user, unauthorized transactions other than the application details information registered in the member information DB 101 are not performed.

In particular, in the transaction method of the present invention, all the application information is transmitted to the main server 10 and the member information DB 101, the bad transaction information DB 102, the procedure information DB 103 ICF / ICHI information DB 109, a drug information DB 104, an insurance claim information DB 105, a cost information DB 106, a biomarker information DB 107, an algorithm information DB 108, ) Or the information registered in the HBI information DB 110, thereby making it possible to increase the reliability of the information security. However, in the present invention, a decrease in processing speed due to transmission of a large amount of application information to the main server 10 using a communication network may be a concern. However, since such a problem depends on a data compression technique and a communication technique, There is no doubt about the feasibility of the inventive transaction method.

FIG. 2 is a conceptual diagram of an HBI information service system according to the present invention, which includes a main server 10, a financial institution server 80 connected to the main server 10 and performing financial transactions, A terminal 30 for transmitting and receiving transaction information and a compression and encryption / encoding module for securing data transmitted and received between the terminals 30 and a self communication module using a communication protocol such as ODBC or TCP / And a known communication system 40 for transmitting and receiving data between the main server 10 and the terminal 30.

　　　　　　　　 The main server 10 includes a member information DB 101 for storing and managing the personal information, the member ID, and the application history information about the members of the HBI information service system, a bad trader information DB 102 for storing bad trader information, All the information on the resources / visit details provided by the member, the hospital / outpatient history, the medical treatment history, the procedure history, the performance of the medical care / procedure, and the like are stored in the procedure information DB 103, the prescription / All information about the food and food, drug / food details by manufacturer, details about drug / food investigation, analysis, prescription, medication, characteristics, etc. are included in the drug information and food information DB (104) All information on the cost of the member is stored in the cost information DB 106 and all information on the biomarker that can be provided to the member is stored in the biomarker management information DB 107, Various algorithms used for analysis ICD / ICF / ICHI information DB 109, information on matters described in the HBI report, all information related to the application of ICD / ICF / ICHI, The HBI information DB 110, the application history information transmitted from the terminal 30 of the member, the member ID stored and managed in the member information DB 101, the procedure information DB 103, and the medicine. ICI / ICHI information DB 109, or HBI information DB 109, an insurance information DB 105, a cost information DB 106, a biomarker information DB 107, an algorithm information DB 108, (Not shown) for comparing the approval history information 'registered in the DB 110 with each other.

FIG. 3 is a block diagram of the main server. Referring to FIG. 3, the main server 10 includes a member information DB 101 for storing and managing the personal information, the member ID, and the application details of members of the HBI information support service system, All information on the bad transaction information DB 102 storing the information, the financial / hospital history, the hospital / outpatient history, the medical history, the procedure history, and the results of the medical treatment / procedure provided by the member are stored in the procedure information DB 103, All information about the prescription / use medicines, health functional foods and foods, manufacturer / food history, medicines / food investigations, analyzes, prescriptions, medications, All the information on the insurance claim of the member is the insurance claim information DB 105, all the information on the cost of the member is the cost information DB 106, and all the information on the biomarker that can be provided to the member, In the information DB 107, ICD / ICF / ICHI information DB 109, HBI report (all information on the application of ICD / ICF / ICHI), information on various algorithms and management variables used in analysis, Includes a DB management server 20 including a HBI information DB 110 and the like, a member authentication module 201, a procedure management module 203, a medicine and food management module 204, ICI / ICHI management module 209 and an HBI management module 210. The HBI management module 210 includes a management module 205, a cost management module 206, a biomarker management module 207, an algorithm management module 208, an ICD / ICF / ICHI management module 209, An information service management server 26 and an account information management module 27 for managing individual member accounts 1101 opened by members. These management modules take a configuration that is closely combined with the management server.

At this time, the management module maintains a continuous signal connection relationship with the management server, and requests the application of HBI information service, scope and cycle of service provision, inquiry of cost, designation of service purpose, inquiry of performance index and performance management, Comparisons, analysis and management using various analysis algorithms and management variables, preparation of HBI report, comparison of research and analysis, It collectively controls all the procedures and processes for providing services such as creating, notifying and transmitting, collecting and storing feed-back information, and transmitting HBI information. Accordingly, the present invention plays a role of assisting the progress of the entire management server by selectively storing the HBI information service in a required area of various information necessary for each procedure according to the progress of providing the HBI information service, or loading and outputting it in the reverse direction. For example, whether or not the application for membership is reasonable, how to set up and proceed with the purpose and procedure of HBI information service, how to decide the proper selection of algorithms and management variables, how to define the scope and conditions of HBI information service Whether or not to decide on the size and condition of the loan, and so on.

Fig. 4 is a configuration diagram showing the configuration of the member information DB 101. Fig. The member information DB includes a member ID field 1011 for storing a member ID that can be judged as a member through member registration, a mail address including a name or name of the member, an e-mail address, a telephone number, A password field 1013 for storing the password of the member, a region of the member, a job / industry type, a sex, an age, an age, At least a member classification field 1014 for classifying according to the personality of the user.

5 is a flowchart of a procedure for joining as a member. The user accesses the main server 10 through the Internet and mobile communication, and determines whether to join according to the business personality classification of the member (S10110). When the subscription is selected according to the division of the member, it is requested to input individual information of the member (S10120). When the input of the individual information of the member is completed (S10130), the ID and the temporary password are given to the member, and an individual transaction account is opened (S10140), thereby ending the subscription procedure. The password can be changed later, and the ID and password of the member can be input. The above description is subscription through internet / online / mobile communication, and it is also possible to join by offline.

FIG. 6 is a configuration diagram showing the main members of the HBI information support service. In addition to the consumer 11, the stakeholders that make up the HBI information support services, such as the small and medium hospitals 12, the business headquarters 13, the lending institutions 14, the court registry offices 15, The operations and transactions of the present invention are made on the basis of the contractual relationships established.

FIG. 7 is a flow chart for classifying procedures for inputting selection information and selecting a transaction in the HBI information DB 110. Referring to FIG. As shown in the flowchart, if the member confirmation procedure for requesting the member ID and the password and the normal member confirmation procedure (S1110), the information about the HBI information service application can be input (S1120) (S1130) The change is permitted again (S1140). When the application information is finally confirmed, the application procedure is effectively terminated (S1170) through a provisional approval process for the transmitted 'application details information' (S1150).

FIG. 8 is a flowchart of an application information input procedure in the HBI information DB 110. FIG. In order to access the server 10 through the terminal of the member and input individual information of the member (S11000), the member is firstly guided to the member-specific information classification (S11010), and then the information classification of the hospital service is guided (S11020). Next, the information classification about the biomarker provided for the members is guided (S11030). Next, the information classification about the algorithm and the management variable is guided (S11060) (S11050). Finally, other information classification such as question information and application information that the members can request is provided (S11060). If the information necessary for HBI information support service application is inputted, information about HBI information service application (S11070). Of course, not all the procedures need to be sequentially performed, but the unnecessary procedure is automatically set to be omitted in accordance with the nature of the applicant according to the classification of the member classification field 1014 of the member stored in the member information DB 101. [

9A is a block diagram showing the construction of a medical care information DB 103, a medicine and food information DB 104, an insurance claim information DB 105, a cost information DB 106, a biomarker information DB 107, an algorithm information DB 108, ICF / ICHI information DB 109 and the HBI information DB 110 to apply the biomarker, the algorithm and the management variable, and the ICD / ICF / ICHI international common standard classification to the data of the member, And stored in the DB 110. FIG. As shown in the flowchart, the applicant's data is classified, sorted, and processed by applying appropriate biomarkers (S1010). The processed information is further analyzed by applying appropriate algorithms and management variables such as insurance claims and costs (S 1020). The analysis information is converted into ICD / ICF / ICHI international standard standard classification and the conversion procedure necessary for the user is performed (S 1030), and the applicant's requirements, the accuracy of the result, , The procedure for preparing the HBI report of the member is effectively terminated (S1040).

9B is a block diagram showing an example of a medical information DB 103, a medicine and food information DB 104, an insurance claim information DB 105, a cost information DB 106, a biomarker information DB 107, an algorithm information DB 108, ICF / ICHI information DB 109 and the HBI information DB 110 to apply the biomarker, the algorithm and the management variable, and the ICD / ICF / ICHI international common standard classification to the member's data to obtain the HBI information And stored in the DB 110. FIG. The input data is classified, sorted, and stored (S10720) by applying appropriate algorithms and variables as much as possible (S10811 and S10821) as shown in the flowchart, (S10812, S10822), the index analysis of the model is performed (S10730), and the index analysis information of the model is applied as much as possible with the appropriate algorithm and management variables (S10813, S10823) (S10740), the applicant's requirements, the accuracy of the results, the normal operation of the system, and the system requirements of the system are applied to the ICD / ICF / ICHI If the result is approved by considering the amendment or change by the upgrade, the proceeding of the member's HBI report is effectively terminated (S10750).

9C is a block diagram showing the construction of the medical information DB 103, the medicine and food information DB 104, the insurance claim information DB 105, the cost information DB 106, the biomarker information DB 107, the algorithm information DB 108, ICF / ICHI information DB 109 and the HBI information DB 110 to apply the biomarker, the algorithm and the management variable, and the ICD / ICF / ICHI international common standard classification to the member's data to obtain the HBI information And stored in the DB 110. FIG. As shown in the flowchart, the applicant's data is applied with appropriate biomarkers, and the processed information is set with an index of a standard model (S10810), which is a probability model including an absolute risk factor by applying appropriate algorithms and management variables, An analysis rule for setting the index of the model as an index of the principal model is set (S10820), and the application procedure of the set rule and the determination of the iterative application procedure (S10830 and S10840) (S10850), the conversion process necessary for the applicant is performed by applying the ICD / ICF / ICHI international common standard language as a model of the applicant himself / herself and necessary diagnosis (S10860 ), The applicant's requirements, the accuracy of the results, the normal operation of the system, the modification and modification of the system by an upgrade, etc. The proceedings on the right, a member of HBI report is effectively terminated (S10870).

10 is a flowchart showing a loan transaction method in the management server 10. If the applicant is identified as a normal member as shown in the flowchart (S2710), a loan application is prepared (S2720). In the case of a sales business, information on a foreign trade receivable or a customer is provided with member transaction information (S2730) (S2740). The approval is determined after the examination of the loan based on the information provided by the consumer and the sales business (S2750). If the loan is paid to the account designated by the member (S2770) , The proceeding procedure regarding the loan is effectively terminated (S2770).

The present invention provides HBI information support services by joining the platform business as a member of the platform business by opening a transaction and inputting ID and application information of a member. The consumer is provided with diagnostic information on an individual's disease, Management information about the body's functions and activities, personal and environmental factors, and symptoms of the individual's psychological and emotional state; The hospital provides evolved dialogue tools that support diagnosis, analysis, evaluation, prescription, and improvement of the management status, periodically sets each client's performance index for each individual medical personnel, Measure and manage achievement, prioritize individual contribution of medical personnel, compare scientifically (statistically) the actual performance calculated in connection with individual customer expectations; Provide short-term loans with collateralized receivables as collateral for businesses providing products and services related to medical and health care, helping to reduce short-term funding pressures and increase sales and improve profit structure through rapid fund turnover So; This paper presents a transaction method and system for efficient operation of transactions between consumers, medical and health service providing businesses, health functional foods manufacturing and selling companies, and lending institutions.

It will be apparent to those skilled in the art that various modifications and variations can be made in the present invention without departing from the spirit or scope of the general inventive concept as defined by the appended claims and their equivalents. It will be clear to those who have knowledge of.

10: Main server
20: DB management server
30: Member terminal
40: Communication system
50: VAN system
60: Web server
70: Screening Evaluation Center
80: financial institution server
101: Member Information DB
102: Bad Trader Information DB
103: Procedure information DB
104: Food and Drug Information DB
105: Insurance claim information DB
106: Cost information DB
107: Biomarker information DB
108: algorithm information DB
109: ICD / ICF / ICHI information DB
110: HBI information DB

Claims (6)

The analysis of information on diagnosis and treatment of patients / patients, medicines and functional food, insurance claims and expenses for small and medium hospitals that have joined the membership was proposed by the World Health Organization in response to the development of new medical science and statistical requests It is also possible to use the various kinds of algorithms and indicators that are generated through international standard classification information such as International Health Problem Classification (ICD), International Health Area Classification (ICF) and International Health Behavior Classification (ICHI), protein biomarkers and environmental factors. Including the diagnostic information about an individual's illness, management information about the functions and activities of the body, factor information about the individual's own and the environment, and symptom information about the individual's psychological and emotional state. Based on my ICF Bio-Psycho-Social model and ICD-11 content model information, I provide integrated information necessary for hospital management. Based on this integrated information, It provides the hospital management information support service that provides and supports the action plan for the improvement of the problems discovered through the diagnosis, analysis and evaluation of the actual condition of the spouse, so that the problem of the management of the existing small and medium hospital which relies on the limited processing based on the individual information A transaction method for efficiently providing a service for solving the problem,
In order to use such a transaction method, a member registration step (S100) in which individual information of member applicants, a member ID, and the like are registered and made available only to members who have opened an individual account;
Consumers who want to be supported to make positive improvements in their lives through continuous interaction, medical institutions that efficiently provide high-quality services based on limited facilities, human resources, and physical resources, and businesses that are in medical, We set up customer-specific performance indicators among lenders that provide short-term loans with collateralized receivables as collateral and provide short-term micro-loans to consumers, measure and manage resource allocation and customer goals to achieve them, By assessing individual contributions and comparing the actual performance calculated in connection with individual customer expectations, it is possible to judge the improvement performance of individual employees by comparing them scientifically (statistically), to relieve shortage of financial and financial difficulties of consumers and businesses, To increase sales and improve profitability. A member ID confirmation step (S200) for confirming information of members transmitting application details information about a transaction between members who subscribe to the HBI information support service supporting the HBI information support service;
A step (S210) of comparing the membership details information transmitted from the member's terminal (30) with the application details registered in the member information DB (101), and confirming the member and application details information;
Identifying a transaction status for confirming whether or not a bad transaction is made with respect to the member information corresponding to the member ID;
If all of the requirements of the confirmation steps (S210) and (S220) are satisfied, the member's transaction application step (S300);
The patient's procedure information DB 103, the medicine / food information DB 104, the insurance claim information DB 105 corresponding to the member ID and the 'application history received from the member' through the member ID confirmation step (S200) ICD / ICHI information DB 109, or the HBI information DB 110, and compares the approval details registered in the ICD / ICF / ICHI information DB 109 or the HBI information DB 110, An acceptability determination step (S400) for determining whether or not the condition is satisfied;
If the requirements of the discrimination step S400 are satisfied, a member ID confirmation step (step S210) of confirming the member and the application details information and confirming all the transaction information that the member registered in the member information DB 101 confirms (S500);
After a member ID confirmation step (S500) of confirming all the transaction information traded by the member registered in the member information DB 101 through the confirmation step (S210) of the member and the application details information, A medical information DB 104, an insurance claim information DB 105, a cost information DB 106, a biomarker information DB 107, an algorithm information DB 108, an ICD / ICF / ICHI information DB 109 or the HBI information DB 110 to determine whether they match or not (S600);
Food information DB 104, an insurance claim information DB 105, a cost information DB 106, a biomarker information DB 107, an insurance information DB 106, (S131) of the ICI / ICF / ICHI information DB 109 or the HBI information DB 110 (S132), and the person himself / herself edits the information Information or additional information (S700), confirming (S800) and confirming
In the checking step S800, 'application details information transmitted from the member', 'operation information DB 103, drug and food information DB 104, insurance claim information DB 105, cost information DB 106, The approval information registered in the marker information DB 107, the algorithm information DB 108, the ICD / ICF / ICHI information DB 109, or the HBI information DB 110, A medical information DB 104, an insurance claim information DB 105, a cost information DB 106, a biomarker information DB 107, an algorithm information DB 108, an ICD / ICF / ICHI information DB 109 or the HBI information DB 110. The method of claim 1, The method according to claim 1,
If the corresponding requirement is not satisfied in the duplication check step S210 or the defective merchant determination step S220 regarding the member ID, the new member registration procedure ends and the member registration is described by explaining the fact and corresponding reason (S811) (S812). ≪ Desc / Clms Page number 24 > 3. The method of claim 2,
If the requirement of the discrimination step S400 is not satisfied, it further includes a rejection step (S810) of suspending all proceeding procedures and refusing the approval of such transactions Way. The method of claim 3,
In the authentication step S600, 'application details information transmitted from the member', 'operation information DB 103, drug and food information DB 104, insurance claim information DB 105, cost information DB 106, If the approval history information registered in the marker information DB 107, the algorithm information DB 108, the ICD / ICF / ICHI information DB 109, or the HBI information DB 110 does not match, a transaction disallowing step S810). ≪ / RTI > In a member BPS information service transaction method,
Food information DB 104, an insurance claim information DB 105, a cost information DB 106, a biomarker information DB 107, an insurance information DB 106, (S133), the algorithm information DB 108, the ICD / ICF / ICHI information DB 109 or the HBI information DB 110 (S131) (S800). ≪ Desc / Clms Page number 12 > In a member BPS information service transaction method,
A member information DB 101 that stores and manages the personal information, the member ID, and the application details information about the members of the HBI information support service system; a bad trader information DB 102 that stores bad trader information; All the information about the visit history, the hospitalization / outpatient history, the medical treatment history, the procedure history, the performance of the medical treatment / procedure, etc. are stored in the procedure information DB 103, prescription / use medicine provided by the member, The food information DB 104 and all the information about the insurance claim of the member are stored in the insurance claim information DB 105. The insurance information DB 105 stores all information on the insurance information, the food history, the details of the drug / food investigation, the analysis, the prescription, the medication, All the information on the cost of the member is stored in the cost information DB 106 and all the information on the biomarker that can be provided to the member is stored in the biomarker management information DB 107 using various algorithms and management Regarding variables The ICD / ICF / ICHI information DB 109 for all information on the application of the international common standard language of the ICD / ICF / ICHI, and the HBI information DB 110, the application history information transmitted from the terminal 30 of the member, the member ID stored and managed in the member information DB 101, the procedure information DB 103, the medicine and food information DB 104 ICF / ICHI information DB 109, or HBI information DB 110 in the insurance claim information DB 105, the cost information DB 106, the biomarker information DB 107, the algorithm information DB 108, (Not shown) for comparing the registered approval history information 'with each other;
A financial institution server 80 which is connected to the main server 10 through the VAN system 50 and performs a transaction for checking whether the member is in bad transaction,
A terminal 30 having a compression and encryption / encoding module for securing data transmitted and received between the main server 10 and the terminal 30 and a self communication module using a communication protocol such as ODBC or TCP / IT;
And a known communication system 40 for transmitting and receiving data between the main server 10 and the terminal 30. [

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