WO2022025106A1

WO2022025106A1 - Medicine information sharing system, method for operating medicine information sharing system, and medicine information sharing program

Info

Publication number: WO2022025106A1
Application number: PCT/JP2021/027873
Authority: WO
Inventors: 崇寛土井; 東一郎桐林
Original assignee: 株式会社サンクスネット
Priority date: 2019-12-27
Filing date: 2021-07-28
Publication date: 2022-02-03
Also published as: JP7075510B2; JP2021108125A; JP7158791B2; JP2021108100A; JP2021168213A; JP7097150B2; JP2022093454A; JP7110458B2; JP2022059649A; JP6922050B2

Abstract

[Problem] To provide a platform configured to allow for mutual sharing of medication and medical care information, and to permit appropriate entry of patients newly hoping for utilization as well as various institutions (such as hospitals, clinics, dispensing pharmacies, pharmacies, pharmacists, doctors, nurses, nursing care providers, and nursing care workers) so that expansion of the mutual utilization of such information can be sustained on a permanent basis. [Solution] Provided is a medicine information sharing system for holding, in association with publication approval/disapproval information: by-user medical care information in which user identifying information is associated one-to-one with information uniquely identifying the user's certificate of health insurance, and in which the user identifying information is associated with medical care information with respect to the user at a registered medical institution; by-user dispensing information in which the user identifying information is associated with dispensing information with respect to the user at a registered dispensing pharmacy; and by-user nursing care information in which the user identifying information is associated with nursing care information with respect to the user at a registered nursing care provider.

Description

Medicine information sharing system, operation method of medicine information sharing system, medicine information sharing program

The present invention relates to a pharmaceutical information sharing system for sharing medical information and dispensing information.

In recent years, the digitization of medical records and drug history has progressed. Electronic medical records and electronic drug histories contribute to the efficiency of operations in hospitals and pharmacies.

For example, Patent Document 1 describes an invention relating to a drug history information management device including a drug history information database for patients that accumulates the drug history of patients across a plurality of pharmacies. With this device, patients can use their own drug history information, and pharmacies can access the patient's drug history information database to check prescription history and dispensing history at other pharmacies of patients. be able to.

Japanese Patent No. 4685985

As disclosed in Patent Document 1, although there is a technique for sharing information such as drug history between patients and pharmacies, drug history and medical information can be shared vertically and horizontally between pharmacies, hospitals, and patients. There is still no technology that makes it possible to fit. In addition to making it possible to share information on medication and medical care that are closely inseparable for treatment and health maintenance of patients, patients who wish to use it newly and each institution (hospital, clinic, dispensing pharmacy, pharmacy, pharmacist, etc.) There is a need for a platform that is configured to allow doctors, nurses, etc.) to enter the market appropriately and to sustain the expansion of mutual use of this information.

In order to solve the above problems, as the first invention, a medical institution identification information registration unit that registers medical institution identification information, which is information for identifying a registered medical institution that can use this system, and a medical institution. The medical institution identification information holding unit that holds the identification information, the dispensing pharmacy identification information registration department that registers the dispensing pharmacy identification information that is the information that identifies the registered dispensing pharmacy that can use this system, and the dispensing pharmacy identification Health insurance insured person's certificate of a registered medical institution or a user who uses a registered dispensing pharmacy by acquiring information associated with the medical institution identification information and / and the dispensing pharmacy identification information with the dispensing pharmacy identification information holding department that holds the information. Or / and the unique guaranty information acquisition department that acquires unique guaranty information, which is information that guarantees the uniqueness of the user, including at least the information that uniquely identifies the insured person's certificate of nursing care insurance, and the acquired unique guaranty information. User identification that registers user identification information that cannot be double-registered by the same person by being associated with the uniqueness guarantee information on a one-to-one basis, which is information that identifies the user and the uniqueness guarantee information holding unit that holds At the information registration department, the user identification information holding department that holds the user identification information, the medical institution identification information, the user identification information of the user who has used the registered medical institution, and the registered medical institution. User-specific medical information acquisition department that acquires user-specific medical information associated with medical information for users from the registered medical institution, dispensing pharmacy identification information, and users who have used the registered dispensing pharmacy. User-specific dispensing information acquisition department that acquires user-specific dispensing information that associates user identification information with the user-specific dispensing information at the registered dispensing pharmacy from the registered dispensing pharmacy (hereinafter referred to as "user-specific medical care"). "Information" or / and "user-specific dispensing information" is referred to as "user-specific pharmaceutical information"), and the acquired user-specific pharmaceutical information is referred to as a third party (registered medical institution or / and registered dispensing pharmacy; the same shall apply hereinafter. ), Which is held in association with the disclosure permission / rejection information, and the user-specific medical information holding unit with the disclosure permission / rejection information, and the user terminal used by the user identified by the user identification information. The public permission change information acquisition unit that acquires the public permission change information, which is information indicating the change of the public permission information associated with the user-specific medical information held in the information-based user-specific medical information holding unit, and the public permission change information acquisition unit, which will be described later. User identification with medical institution identification information or / and dispensing pharmacy identification information that identifies the registered medical institution or / and registered dispensing pharmacy that is the requesting side User-specific medical information acquisition request acquisition department and use to acquire user-specific medical information acquisition request, which is a request to acquire user-specific medical information identified by the information and its user identification information including A requirement judgment condition that holds a requirement judgment condition that is a condition for determining whether to approve the request based on the request for acquisition of medical information for each person and the disclosure permission / rejection information associated with the medical information for each user contained therein. Judgment whether to approve the request based on the holding unit, the user-specific medical information acquisition request, the disclosure permission / rejection information associated with the user-specific medical information related to the request, and the retained request judgment conditions. If the judgment result of the user-specific medical information acquisition request judgment unit and the user-specific medical information acquisition request judgment unit is the judgment result that the request is accepted, the user-specific medical treatment related to the request is obtained. Provided is a medical information sharing system having a user-specific medical information output unit that outputs information to a registered medical institution and / or a registered dispensing pharmacy.

As a second invention, the user identification information registration department receives the user's health insurance when registering the user identification information by acquiring the information associated with the medical institution identification information and / or the dispensing pharmacy identification information. Information that includes at least information that uniquely identifies the insurer's card and / and the long-term care insurance insured person's card, and is a means for acquiring new registration information to be acquired when a new user is to be registered. As a new user, the inspection method that compares the acquired new registration information with the uniqueness guarantee information that is already held and inspects whether there is a match, and if there is no match as a result of the inspection. Described in the first invention having a new registration means for executing a user identification information registration process for identifying the user and canceling a new user identification information registration process if there is a match. Provides a medical information sharing system.

As a third invention, the user-specific medical information acquisition unit uses a heterogeneous format medical information acquisition means for acquiring medical information in different formats from different registered medical institutions and a unified format medical information for the acquired heterogeneous format medical information. The first invention or the first invention having a heterogeneous format medical information unifying means for converting into a certain unified format medical information and a unified format medical information holding means for holding the unified format medical information unified by the heterogeneous format medical information unifying means. The medical information sharing system described in the second invention is provided.

As a fourth invention, the user-specific dispensing information acquisition unit uses a heterogeneous format dispensing information acquisition means for acquiring dispensing information in different formats from different registered dispensing pharmacies and a unified format dispensing information for the acquired heterogeneous format dispensing information. From the first invention to the first invention having a unified format dispensing information unifying means for converting into a certain unified format dispensing information and a unified format dispensing information holding means for holding the unified format dispensing information unified by the different format dispensing information unifying means. The pharmaceutical information sharing system according to any one of the three inventions is provided.

As a fifth invention, the user-specific drug information holding unit with disclosure permission / rejection information holds the therapeutic purpose identification information which is information for identifying general medical information for the therapeutic purpose of the medical information. Whether or not to permit the disclosure of the therapeutic purpose-specific drug information holding means and the user-specific drug information for each treatment purpose identification information, which retains the user-specific drug information in association with the retained treatment purpose identification information. Any one of the first to fourth inventions having a means for retaining drug information for each user with disclosure permission / rejection information for each treatment purpose, which is held in association with the disclosure permission / rejection information for each treatment purpose. Provide the medical information sharing system described in 1.

As the sixth invention, the user-specific drug information holding unit with disclosure permission / rejection information retains the user-specific drug information in association with the disclosure permission destination identification information which is the information for identifying the third party who permits the disclosure. Provided is the pharmaceutical information sharing system according to any one of the first to fifth inventions, which have means for holding by publication permission destination.

The seventh invention includes a medical institution identification information registration step for registering medical institution identification information, which is information for identifying registered medical institutions that can use this system, and a medical institution that holds medical institution identification information. The identification information retention step, the dispensing pharmacy identification information registration step for registering the dispensing pharmacy identification information, which is the information for identifying the registered dispensing pharmacy that can use this system, and the dispensing pharmacy identification for holding the dispensing pharmacy identification information. By acquiring the information associated with the medical institution identification information and / and the dispensing pharmacy identification information, the health insurance insured person's certificate and / and the nursing care insurance insured of the user who uses the registered medical institution or the registered dispensing pharmacy. Uniqueness guaranty information acquisition step to acquire uniqueness guaranty information, which is information that guarantees the uniqueness of the user, including at least information that uniquely identifies the personal certificate, and uniqueness guaranty information that holds the acquired uniqueness guaranty information. The retention step, the user identification information registration step that registers the user identification information that is information that identifies the user and cannot be double-registered by the same person because it is associated with the uniqueness guarantee information one-to-one, and the user. User identification information retention step to retain identification information, medical institution identification information, user identification information of users who have used the registered medical institution, and medical information for users at the registered medical institution. User-specific medical information acquisition step to acquire user-specific medical information associated with the registered medical institution, dispensing pharmacy identification information, user identification information of users who have used the registered dispensing pharmacy, and User-specific dispensing information acquisition step to acquire user-specific dispensing information associated with user-specific dispensing information at the registered dispensing pharmacy from the registered dispensing pharmacy (hereinafter, "user-specific medical information" or / and " "User-specific dispensing information" is referred to as "user-specific drug information"), and whether or not the acquired user-specific drug information is permitted to be disclosed to a third party (registered medical institution or / and registered dispensing pharmacy; the same shall apply hereinafter). User-specific medical information retention step with public permission information to be held in association with public permission information, and user-specific medical information with public permission information from the user terminal used by the user identified by the user identification information The public permission change information acquisition step for acquiring the public permission change information, which is the information indicating the change of the public permission change information associated with the user-specific medical information held in the holding unit, and the registered medical facility, which is the requesting side, will be described later. Institution or / and medical institution that identifies the registered dispensing pharmacy User-specific drug information acquisition request, which is a request to acquire user-specific drug information identified by the user identification information including identification information and / and dispensing pharmacy identification information and user identification information. Determine whether to approve the request based on the user-specific drug information acquisition request acquisition step to be acquired, the user-specific drug information acquisition request, and the disclosure permission / rejection information associated with the user-specific drug information contained therein. The requirement judgment condition holding step that holds the requirement judgment condition, which is the condition for the above, the user-specific drug information acquisition request, and the disclosure permission / rejection information associated with the user-specific drug information related to the request are held. Judgment result that the judgment result in the user-specific drug information acquisition request judgment step and the user-specific drug information acquisition request judgment step for judging whether to approve the request based on the request judgment condition approves the request. In the case of, a computer having a screen display function having a user-specific drug information output step for outputting the user-specific drug information related to the request to a registered medical institution and / or a registered dispensing pharmacy is read. Provide a viable drug information sharing program.

As an eighth invention, the user identification information registration step is covered by the user's health insurance when registering the user identification information by acquiring the information associated with the medical institution identification information and / or the dispensing pharmacy identification information. New registration information acquisition sub-step to acquire new registration information to be acquired when trying to register a new user, which is information that contains at least information that uniquely identifies the insurer's card and / and the long-term care insurance insured person's card. And the inspection sub-step to check if there is a match by comparing the acquired new registration information with the uniqueness guarantee information already held, and if there is no match as a result of the inspection, new use A seventh with a new registration substep that executes the registration process of user identification information that identifies the user as a person and cancels the registration process of new user identification information if there is a match. Provided is a medical information sharing program that can be read and executed by a computer having the screen display function described in the present invention.

As a ninth invention, the user-specific medical information acquisition step includes a heterogeneous format medical information acquisition substep for acquiring medical information in different formats from different registered medical institutions, and a unified format medical information for the acquired heterogeneous format medical information. A seventh, which has a unified format medical information unified substep for converting into a unified format medical information, and a unified format medical information holding substep for holding a unified format medical information unified by a different format medical information unified means. The present invention provides a medical information sharing program that can be read and executed by a computer having the screen display function according to the invention or the eighth invention.

As a tenth invention, the user-specific dispensing information acquisition step is a heterogeneous format dispensing information acquisition substep for acquiring dispensing information in different formats from different registered dispensing pharmacies, and a unified format dispensing information for the acquired heterogeneous format dispensing information. A seventh, which has a unified format dispensing information unified substep for converting into unified format dispensing information, and a unified format dispensing information holding substep for holding unified format dispensing information unified by different format dispensing information unified means. Provided is a medical information sharing program that can be read and executed by a computer having the screen display function according to any one of the inventions to the ninth invention.

As the eleventh invention, the user-specific drug information retention step with disclosure permission / rejection information retains the therapeutic purpose identification information which is information for identifying general medical information for the therapeutic purpose of the medical information. Information retention sub-step, treatment purpose-specific drug information retention sub-step that retains user-specific drug information in association with the retained treatment purpose identification information, and user-specific drug information disclosure permission for each treatment purpose identification information Seventh to tenth inventions having a user-specific drug information retention substep with treatment purpose-specific disclosure permission information, which is disclosure permission / rejection information that determines whether or not to do so. To provide a medical information sharing program that can be read and executed by a computer having the screen display function according to any one of the above.

As a twelfth invention, the user-specific drug information retention step with disclosure permission / rejection information associates the user-specific drug information with the disclosure permission destination identification information, which is information for identifying a third party who permits the disclosure. Provided is a medical information sharing program that can be read and executed by a computer having the screen display function according to any one of the seventh invention to the eleventh invention, which has a retention substep for each disclosure permission to be retained. ..

The thirteenth invention includes a medical institution identification information registration step for registering medical institution identification information, which is information for identifying a registered medical institution that can use this system, and a medical institution holding the medical institution identification information. The institution identification information retention step, the dispensing pharmacy identification information registration step that registers the dispensing pharmacy identification information that is the information that identifies the registered dispensing pharmacy that can use this system, and the dispensing pharmacy that retains the dispensing pharmacy identification information. By acquiring the identification information retention step and the information associated with the medical institution identification information and / and the dispensing pharmacy identification information, the health insurance insured person's certificate and / and the care insurance coverage of the user who uses the registered medical institution or the registered dispensing pharmacy. Uniqueness guaranty information acquisition step to acquire uniqueness guaranty information, which is information that guarantees the uniqueness of the user, including at least information that uniquely identifies the insurer's card, and uniqueness guaranty that holds the acquired uniqueness guaranty information. The information retention step, the user identification information registration step that registers the user identification information that is information that identifies the user and cannot be double-registered by the same person because it is associated with the uniqueness guarantee information one-to-one, and the use. User identification information retention step to retain person identification information, medical institution identification information, user identification information of users who have used the registered medical institution, and medical information for users at the registered medical institution. User-specific medical information acquisition step to acquire user-specific medical information associated with the registered medical institution, dispensing pharmacy identification information, and user identification information of users who have used the registered dispensing pharmacy. , User-specific dispensing information acquisition step to acquire user-specific dispensing information associated with user-specific dispensing information at the registered dispensing pharmacy from the registered dispensing pharmacy (hereinafter, "user-specific medical information" or / and "Dispensing information by user" is referred to as "medicine information by user"), and whether the acquired medical information by user is permitted to be disclosed to a third party (registered medical institution or / and registered dispensing pharmacy; the same shall apply hereinafter). User-specific drug information retention step with disclosure permission information held in association with disclosure permission information that determines whether or not to use, and user-specific drug with disclosure permission information from the user terminal used by the user identified by the user identification information The disclosure permission change information acquisition step for acquiring the disclosure permission change information, which is information indicating the change of the disclosure permission / rejection information associated with the user-specific medical information held in the information holding unit, and the registration which is the requesting side described later. A medical device that identifies a medical institution or / and a registered dispensing pharmacy User-specific drug information acquisition request, which is a request to acquire user-specific drug information identified by the user identification information including the related identification information and / and the dispensing pharmacy identification information and the user identification information. Judgment whether to approve the request based on the user-specific drug information acquisition request acquisition step, the user-specific drug information acquisition request, and the disclosure permission / rejection information associated with the user-specific drug information contained therein. The requirement judgment condition holding step that holds the requirement judgment condition, which is the condition for the requirement, the user-specific drug information acquisition request, and the disclosure permission / rejection information associated with the user-specific drug information related to the request are retained. Judgment that the judgment result in the user-specific drug information acquisition request judgment step and the user-specific drug information acquisition request judgment step for determining whether to approve the request based on the required request judgment conditions approves the request. If it is the result, it is a computer having a screen display function, which has a user-specific drug information output step for outputting the user-specific drug information related to the request to a registered medical institution and / or a registered dispensing pharmacy. Provides a way to operate a shared system.

As the fourteenth invention, the user identification information registration step is the health insurance of the user when registering the user identification information by acquiring the information associated with the medical institution identification information and / or the dispensing pharmacy identification information. New registration information acquisition sub to acquire new registration information acquired when trying to register a new user, which is information that includes at least information that uniquely identifies the insured person's card and / and the long-term care insurance insured person's card. The inspection substep that compares the step with the acquired new registration information and the uniqueness guarantee information that is already held and inspects for a match, and if there is no match as a result of the inspection, a new one. A tenth with a new registration substep that executes the registration process of user identification information that identifies the user as a user, and cancels the registration process of new user identification information if there is a match. A method of operating a medical information sharing system, which is a computer having a screen display function according to the third invention, is provided.

As the fifteenth invention, the user-specific medical information acquisition step includes a heterogeneous format medical information acquisition sub-step for acquiring medical information in different formats from different registered medical institutions, and a unified format medical treatment in which the acquired heterogeneous format medical information is obtained. The tenth has a unified format medical information unified sub-step for converting into a unified format medical information which is information, and a unified format medical information holding sub-step for holding a unified format medical information unified by a different format medical information unified means. The present invention provides a method for operating a medical information sharing system, which is a computer having the screen display function according to the third invention or the fourteenth invention.

As the sixteenth invention, the user-specific dispensing information acquisition step is a heterogeneous format dispensing information acquisition substep for acquiring dispensing information in different formats from different registered dispensing pharmacies, and a unified format dispensing of the acquired heterogeneous format dispensing information. The tenth has a unified format dispensing information unified sub-step for converting into unified format dispensing information which is information, and a unified format dispensing information holding sub-step for holding unified format dispensing information unified by heterogeneous format dispensing information unified means. Provided is a method for operating a medical information sharing system, which is a computer having a screen display function according to any one of the fourth invention to the fifteenth invention.

As the seventeenth invention, the user-specific drug information retention step with disclosure permission / rejection information is a therapeutic purpose identification that retains therapeutic purpose identification information, which is information for identifying general medical information for the therapeutic purpose of the medical information. Information retention substeps, treatment purpose-specific drug information retention substeps that retain user-specific drug information in association with the retained treatment purpose identification information, and user-specific drug information disclosure permission for each treatment purpose identification information From the thirteenth invention to the sixteenth invention, which has a user-specific drug information retention substep with treatment purpose-specific disclosure permission / rejection information, which is disclosure permission / rejection information that determines whether or not to do so. The present invention provides a method for operating a medical information sharing system, which is a computer having the screen display function according to any one of the inventions.

As the eighteenth invention, the user-specific drug information retention step with disclosure permission / rejection information retains the user-specific drug information in association with the disclosure permission destination identification information, which is information for identifying a third party who permits the disclosure. Provided is an operation method of a medical information sharing system, which is a computer having a screen display function according to any one of the thirteenth invention to the seventeenth invention, which has a retention substep for each publication permission destination.

The nineteenth invention includes a medical institution identification information registration unit that registers medical institution identification information, which is information that identifies registered medical institutions that can use this system, and a medical institution that holds medical institution identification information. The institution identification information holding unit, the dispensing pharmacy identification information registration department that registers the dispensing pharmacy identification information that is the information that identifies the registered dispensing pharmacy that can use this system, and the dispensing pharmacy that holds the dispensing pharmacy identification information. The identification information holding unit, the care provider identification information registration department that registers the care provider identification information that is the information that identifies the registered care provider that can use this system, and the care provider identification information By acquiring information associated with the medical institution identification information, dispensing pharmacy identification information and / and care provider identification information, the registered medical institution, registered dispensing pharmacy, and / and registered care Acquire uniqueness guarantee information, which is information that guarantees the uniqueness of the user, including at least information that uniquely identifies the health insurance insured person's card and / and the care insurance insured person's card of the user who uses the business. Uniqueness guaranty information acquisition unit, uniqueness guaranty information holding unit that holds the acquired uniqueness guaranty information, and information that identifies the user, and the same person can be associated with the uniqueness guaranty information one-to-one. The user identification information registration unit that registers user identification information that cannot be double-registered, the user identification information retention unit that holds user identification information, the medical institution identification information, and the history of using the registered medical institution. User-specific medical information acquisition department that acquires user-specific medical information that associates user user identification information with medical information for users at the registered medical institution from the registered medical institution, and dispensing pharmacy identification information. And, the use of acquiring the user-specific dispensing information that associates the user identification information of the user who has used the registered dispensing pharmacy with the dispensing information for the user at the registered dispensing pharmacy from the registered dispensing pharmacy. The Dispensing Information Acquisition Department for Each Person, the care provider identification information, the user identification information of the user who has used the registered care provider, and the care information for the user of the registered care provider are associated with each other. Either the user-specific care information acquisition department that acquires user-specific care information from the registered care provider (hereinafter referred to as "user-specific medical information", "user-specific dispensing information", or "user-specific care information"). One or more is called "user-specific medical care information"), and the acquired user-specific medical care information is given to a third party (registered medical institution, registered dispensing pharmacy, registered care business). One or more of the people. same as below. ) Is disclosed from the user-specific long-term care information holding unit with disclosure permission information and the user terminal used by the user identified by the user identification information. Public permission change information acquisition department that acquires public permission change information, which is information indicating changes in public permission information associated with user-specific medical care information held in the user-specific medical care information holding department with permission / rejection information. And one or more of the medical institution identification information, the dispensing pharmacy identification information, and the long-term care business identification information that identify one or more of the registered medical institution, the registered dispensing pharmacy, and the registered long-term care business that are the requesting side, which will be described later. Acquisition of user-specific long-term care information acquisition request to acquire user-specific long-term care information, which is a request to acquire user-specific long-term care information identified by the user identification information including the user identification information. Requests that are conditions for determining whether to approve the request based on the request acquisition department, the user-specific long-term care information acquisition request, and the disclosure permission / rejection information associated with the user-specific long-term care information contained therein. Requests to hold judgment conditions Judgment condition holding unit, user-specific medical care information acquisition request, disclosure permission / rejection information associated with user-specific medical care information related to the request, and retained request judgment conditions , The judgment result of the user-specific long-term care information acquisition request judgment unit and the user-specific long-term care information acquisition request judgment unit for determining whether to approve the request is the judgment result that the request is approved. In that case, the medical information sharing having a user-specific long-term care information output unit that outputs the user-specific long-term care information related to the request to any one or more of the registered medical institution, the registered dispensing pharmacy, and the registered long-term care business operator. Provide the system.

As the twentyth invention, the user identification information registration unit registers user identification information by acquiring information associated with any one or more of medical institution identification information, dispensing pharmacy identification information, and long-term care business operator identification information. Information that includes at least information that uniquely identifies the user's health insurance insured card and / or long-term care insurance insured card, and is newly registered when trying to register a new user. The second new registration information acquisition means for acquiring information, the second inspection means for comparing the acquired new registration information with the uniqueness guarantee information already held, and inspecting whether there is any match, and the inspection If there is no match, the user identification information registration process that identifies the user as a new user is executed, and if there is a match, the registration process of the new user identification information is stopped. The medical information sharing system according to the nineteenth invention is provided with the second new registration means.

As the twenty-first invention, the long-term care information acquisition unit for each user has a unified format of a heterogeneous format long-term care information acquisition means for acquiring long-term care information in different formats from different registered long-term care providers and a unified format for the acquired heterogeneous format long-term care information. Nineteenth having a unified format long-term care information unified means for converting into a unified format long-term care information, and a unified format long-term care information holding means for holding long-term care information. The pharmaceutical information sharing system according to the invention of the above or the twenty-eighth invention is provided.

INDUSTRIAL APPLICABILITY According to the present invention, it is possible to provide a medical information sharing system in which medical institutions and dispensing pharmacies can appropriately share information on medication and medical treatment for each user.

Conceptual diagram showing an example of the functional configuration of the pharmaceutical information sharing system of the first embodiment Conceptual diagram showing an example of the hardware configuration of the medical information sharing system of the first embodiment A flow chart showing an example of the processing flow of the pharmaceutical information sharing system of the first embodiment. Conceptual diagram showing an example of the functional configuration of the pharmaceutical information sharing system of the second embodiment A flow chart showing an example of the processing flow of the pharmaceutical information sharing system of the second embodiment. Conceptual diagram showing an example of the functional configuration of the pharmaceutical information sharing system of the third embodiment A flow chart showing an example of the processing flow of the pharmaceutical information sharing system of the third embodiment. Conceptual diagram showing an example of the functional configuration of the pharmaceutical information sharing system of the fourth embodiment Conceptual diagram showing an example of the functional configuration of the pharmaceutical information sharing system of the fifth embodiment Conceptual diagram showing an example of the functional configuration of the pharmaceutical information sharing system of the sixth embodiment Conceptual diagram showing an example of the hardware configuration of the medical information sharing system of the sixth embodiment A flow chart showing an example of the processing flow of the pharmaceutical information sharing system of the sixth embodiment. Conceptual diagram showing an example of the functional configuration of the pharmaceutical information sharing system of Embodiment 7. Conceptual diagram showing an example of the functional configuration of the pharmaceutical information sharing system of the eighth embodiment. Conceptual diagram showing an example of user-specific medical information with disclosure permission / rejection information associated with disclosure permission destination identification information

Hereinafter, embodiments of the present invention will be described with reference to the accompanying drawings. The present invention should not be limited to these embodiments, and may be implemented in various embodiments without departing from the gist thereof.

The functional configuration of each embodiment described below can be realized as a combination of hardware and software, which will be described later. Moreover, each embodiment described in this specification can be realized not only as an apparatus or a system, but also a part or all thereof as an operation method. Further, a part of such a device can be configured as software. Further, software products used to run such software on a computer, and recording media to which the products are fixed, are naturally included in the technical scope of each embodiment described herein (the present specification). The same is true throughout).

In the first embodiment, claims 1, 6, 7, 12, 13, and 18 will be mainly described. In the second embodiment, claims 2, 8, 14, and 20 will be mainly described. In the third embodiment, claims 3, 9, 15, and 21 will be mainly described. In the fourth embodiment, claims 4, 10 and 16 will be mainly described. The fifth embodiment mainly describes claims 5, 11 and 17. The sixth embodiment mainly describes claims 19 to 21.
<Embodiment 1>
<Outline of Embodiment 1>

The present embodiment relates to a medical information sharing system in which medical institutions and dispensing pharmacies can share medical information and dispensing information for each user, and the information is appropriately disclosed.
<Embodiment 1 Functional Configuration>

FIG. 1 is a conceptual diagram showing an example of a functional configuration of the medical information sharing system of the present embodiment. As shown in the figure, the "medical information sharing system" 0100 includes a "medical institution identification information registration unit" 0101, a "medical institution identification information holding unit" 0102, a "dispensing pharmacy identification information registration unit" 0103, and a "dispensing pharmacy". Identification information holding unit "0104", "uniqueness guarantee information acquisition unit" 0105, "uniqueness guarantee information holding unit" 0106, "user identification information registration unit" 0107, and "user identification information holding unit" 0108. , "User-specific medical information acquisition department" 0109, "User-specific dispensing information acquisition department" 0110, "User-specific drug information retention department with disclosure permission / rejection information" 0111, and "Publication permission / rejection information change information" 0112 , "User-specific drug information acquisition request acquisition unit" 0113, "Request judgment condition holding unit" 0114, "User-specific drug information acquisition request determination unit" 0115, and "User-specific drug information output unit" 0116. And have.
<Explanation of Embodiment 1>
(Embodiment 1 Medical Institution Identification Information Registration Department)

"Medical institution identification information registration department" 0101 should register medical institution identification information which is information for identifying registered medical institutions which are medical institutions (which may mean doctors and nurses) who can use this system. It is composed.

Medical institution identification information is information uniquely given to medical institutions (general, specialty, etc.), clinical departments in medical institutions, doctors and nurses, and is a character string including numbers, letters, symbols, etc. It is represented by, for example, a 19-digit character string including an alphabet, and the upper 7 digits are the types of medical institutions, such as internal medicine, surgery, ophthalmology, dentistry, general hospitals, and respiratory / allergy internal medicine. , Rheumatology / Collagen Disease Internal Medicine, Kidney Internal Medicine, Gastroenterology, Hematology, Cardiovascular Medicine, Oncology, Emergency Medicine, Infectious Diseases, Palliative Medicine, Respiratory Surgery, Cardiovascular Surgery, Pediatric Cardiovascular Surgery, Digestion Instrument / general surgery, breast surgery, esophageal surgery, pediatric surgery, neurosurgery, orthopedic surgery, rehabilitation department, plastic surgery, obstetrics and gynecology, dermatology, pediatrics, pediatric cardiovascular medicine, otolaryngology, urology, radiology, Information according to clinical departments such as radiation therapy department, anesthesia department, clinical pathological diagnosis department, critical care department, oriental medicine department, intensive treatment department, function type, etc. (format that can be cut out and read by the device as identification information, code type ) And information that uniquely identifies the medical institution and the clinical department within the medical institution. For example, as information for identifying a medical institution or a clinical department of a medical institution, for example, the upper digit of the identification information, for example, the upper 7 digits is used, and the lower digit of the identification information, for example, the next 12 digits are uniquely assigned. It is a character string of. For example, the upper 7 digits of "A000001" represent internal medicine, "G220348" represents surgery, and so on. The last 12 digits are information that uniquely identifies hospitals, clinics, clinical departments, doctors, nurses, physiotherapists, radiologists, and the like. For information that uniquely identifies this hospital, clinic, or department, in the case of a general hospital, the first 3 digits are assigned to the information that points to the general hospital itself, and the remaining 5 digits are used for medical treatment within the general hospital. It is advisable to have a hierarchical structure such that the information indicating the department is used and the remaining four digits are information that identifies a person such as a doctor (may include a position). In addition, the medical institution identification information has attributes such as the name or name of the medical institution, location or address, telephone number, medical department, number of doctors, number of nurses, number of beds, operation history, number of operations by subject, and postoperative progress statistics. It may be associated with information. It is advisable to store this information in the medical institution attribute information storage unit or the like in association with the medical institution identification information. A medical institution is a facility that provides medical care, for example, a hospital, a clinic, etc., and may mean a doctor, a dentist, a nurse, a physiotherapist, a radiologist, or the like. Furthermore, although dispensing pharmacies and long-term care providers are also included in medical institutions in a broad sense, in the present invention, dispensing pharmacies and long-term care providers are treated separately from medical institutions as described later.

Registration of medical institution identification information may be performed by accepting input of information about medical institutions by the administrator of this system, or accepting input of information about medical institutions by medical institutions requesting the use of this system. May be done at. In this case, the registration availability judgment condition for determining registration availability is held in the registration permission / rejection judgment condition holding unit, and the registration permission / rejection judgment is made based on the registration permission / rejection judgment condition and the input information about the medical institution. The judgment unit can be configured to be provided in this system. It is preferable that the information to be input for registration is configured so that it can be input along the pull-down menu because it can be easily determined by an arithmetic expression. The information to be selected and input in the pull-down menu or the like includes information on the scale of the medical institution, qualification information of the medical institution, equipment information of the medical institution, personnel information of the medical institution, and the like.
(Embodiment 1 Medical Institution Identification Information Holding Unit)

The “medical institution identification information holding unit” 0102 is configured to hold the medical institution identification information. The medical institution identification information registered by the medical institution identification information registration unit is recorded and held in a non-volatile memory such as an HDD or a flash memory.
(Embodiment 1 Dispensing Pharmacy Identification Information Registration Department)

"Dispensing pharmacy identification information registration unit" 0103 identifies a registered dispensing pharmacy that can use this system (it is not limited to a pharmacy if it is an institution that dispenses a drug, and may mean a pharmacist). It is configured to register dispensing pharmacy identification information, which is information.

Dispensing pharmacy identification information is information uniquely given to a dispensing pharmacy and is represented by a character string including numbers, characters, symbols, etc. For example, it is composed of a 10-digit character string including an alphabet and is at the beginning. A character string corresponding to the type of dispensing pharmacy is attached to 3 digits, and a character string of numbers uniquely assigned to the next 8 digits is assigned. For example, "P01" in the first three digits indicates an insurance pharmacy, "P02" indicates a non-insurance pharmacy, and so on. It may be associated with information about the dispensing pharmacy, such as the name or name of the dispensing pharmacy, location or address, telephone number, number of pharmacists, and the like. A dispensing pharmacy is a facility that provides dispensed medicines and may mean a pharmacist. When it means a pharmacist, if the pharmacist has accreditation / professional qualification, it can be configured to include the information in the dispensing pharmacy identification information. Specific certifications and professional qualifications include pharmacists certified by Nikkei Hospital Pharmacist, certified pharmacists (certified by the Japan Medical Pharmacist Association), instructing pharmacists (certified by the Japan Medical Pharmacist Association), pharmacists specializing in drug therapy, pharmacists instructing drug therapy, and training certification. Pharmacist, cancer specialist pharmacist, cancer guidance pharmacist, cancer drug therapy certified pharmacist, ICD kidney disease drug therapy credit completed pharmacist, kidney disease drug therapy certified pharmacist, kidney disease drug therapy specialist pharmacist, diabetic instructor, osteoporosis manager , Rheumatology Foundation registered pharmacist, Japanese pharmacist certified pharmacist, Japanese pharmacist society home pharmacist prevention / manager, psychiatric drug therapy certified pharmacist, psychiatric pharmacist, pregnant / lactating woman drug therapy certified pharmacist, pregnant / lactating woman specialist pharmacist, Pharmaceutical information specialist pharmacist, medical information engineer, senior medical information engineer, certified pharmacist (certified by the Japan Clinical Pharmacist Society), guidance pharmacist (certified by the Japan Clinical Pharmacist Society), certified CRC, Japanese disease drug certified guidance pharmacist, certified practical training guidance pharmacist, One or more of the pharmacists certified as Chinese medicine / raw medicine, certified pharmacists specializing in female healthcare, and certified sports pharmacists can be mentioned. These accreditation / professional qualifications are qualifications given by the accreditation body, so when accepting input about this qualification from a terminal such as a pharmacist, access the qualification server of the accreditation body, etc. It is preferable to configure it so as to be backed up by matching or the like. It is also possible to configure such a backing acquisition unit to be provided.

Registration of dispensing pharmacy identification information may be performed by accepting input of information about dispensing pharmacies by the administrator of this system, or accepting input of information about dispensing pharmacies by dispensing pharmacies requesting the use of this system. May be done at. In this case, the registration availability judgment condition for determining registration permission is held in the registration permission judgment condition holding unit, and the registration permission judgment condition for determining registration permission is determined based on the registration permission judgment condition and the input information about the dispensing pharmacy. The judgment unit can be configured to be provided in this system. It is preferable that the information to be input for registration is configured so that it can be input along the pull-down menu because it can be easily determined by an arithmetic expression. The information to be selected and input in the pull-down menu or the like includes information on the scale of the dispensing pharmacy, qualification information on the dispensing pharmacy, equipment information on the dispensing pharmacy, personnel information on the dispensing pharmacy, and the like.
(Embodiment 1 Dispensing pharmacy identification information holding unit)

The “dispensing pharmacy identification information holding unit” 0104 is configured to hold the dispensing pharmacy identification information. Dispensing pharmacy identification information registered by the dispensing pharmacy identification information registration unit is recorded and held in a non-volatile memory such as an HDD or a flash memory.
(Embodiment 1 Uniqueness Guarantee Information Acquisition Department)

The "Uniqueness Guarantee Information Acquisition Department" 0105 is the health insurance insured person's certificate of the registered medical institution or the user who uses the registered dispensing pharmacy by acquiring the medical institution identification information and / or the information associated with the dispensing pharmacy identification information. / And it is configured to acquire uniqueness guarantee information which is information for guaranteeing the uniqueness of the user, including at least information for uniquely identifying the long-term care insurance insured person's card.

A health insurance card is a proof that you are insured by public medical insurance, and corresponds to a so-called health insurance card. Regardless of the type of public medical insurance covered, both regional insurance (national health insurance) and occupational insurance (health insurance, mutual aid association, etc.) are applicable. In addition, public medical insurance is compulsory insurance, and different medical insurance cannot be taken out in duplicate. Therefore, in principle, the user has only one medical insurance, and the insured person's card of the medical insurance is issued.

The long-term care insurance card is issued to those who have reached the age of 65 (No. 1 insured person), or those who are medical insurance members aged 40 to 64 and have been certified as requiring long-term care. It will be delivered. A long-term care insurance card is required when applying for long-term care certification, requesting the creation of a long-term care plan, or using long-term care services.

As the uniqueness guarantee information, for example, the "name", which requires the "insured person's card number" consisting of the symbol and the number written on the insured person's card issued by the insurer to which the user is enrolled, "Address", "Household name," "Date of birth", "Gender", "Date of application", "Date of delivery", "Expiration date", "Symbol", "Number", "Insurance" One or more of each information such as "person number" can be accumulated and used. In addition, if the dependents have the same "number" as the subscriber, the uniqueness of each member of the family should be ensured by adding information to identify the insured and their dependents. Can be done. In addition, the source of the uniqueness guarantee information must be one of the health insurance card itself, the photo of the health insurance card, the care insurance card, and the image information of the care insurance card. In addition to these, it is preferable that the driver's license itself, the image information of the driver's license, the resident register card itself, the image information of the resident register card, the my number card itself, the image information of the my number card, and the like. In this case, the acquisition of the uniqueness guarantee information for the uniqueness guarantee information acquisition unit E is identified by the medical institution worker who is identified by the medical institution identification information and has the authority in charge, or by the dispensing pharmacy identification information. A terminal (which is connected to the medical information sharing system by the network) or a terminal (which is connected to the medical information sharing system by the network) that the worker of the dispensing pharmacy who has the authority to take charge of is properly logged in. ) Must be configured so that the primary acquisition of uniqueness guarantee information is performed by the peripheral device. In addition to the camera, the peripheral device of the terminal may include a camera of a smartphone, an OCR device, a multifunction device, a copier, and the like. A minimum user ID and password of the authorized person are required for login. As the most typical example, it is necessary to receive a health insurance card from a user or receive a long-term care insurance card and read the information written on the face of the card with OCR or the like of the terminal. It is to acquire various information. Since the health insurance card and the long-term care insurance card have a certain format, when read by OCR, the attributes of the information read as text can be determined. "Name", "Address", "Household owner's name," "Date of birth", "Gender", "Date of application start", "Issuance" with the above-mentioned "Insured person's card number" as mandatory. "Date", "Expiration date", "Symbol", "Number", "Insurer number", etc. The acquisition of the new registration information by the new registration information acquisition means in the second embodiment described later must be processed by the same procedure. The primary acquired uniqueness guarantee information is either as it is (image information, etc.) or converted into information ("name", "address", "housekeeper name," "with" insured person's card number "required". In some cases, it is encrypted to "date of birth", "gender", "date of application start", "date of issuance", "expiration date", "symbol", "number", "insurer number", etc. It is associated with the medical institution identification information and the dispensing pharmacy identification information, transmitted to the unique guaranty information acquisition unit E of the pharmaceutical information sharing system, and acquired by the unique guaranty information acquisition unit E.

Acquisition of uniqueness guarantee information shall be configured by presenting the insured person's card to medical institutions, dispensing pharmacies, and long-term care providers when the user receives medical treatment or receives prescribed medicine. Can be done. It is also possible to configure the user to acquire the system by inputting its own uniqueness guarantee information or the like. For example, one or more of my number card number, national pension, welfare pension, etc., driver's license number, passport number, or with or in place of these, face photo, fingerprint, voice print, palm print, etc. It may be configured to use one or more iris prints, blood vessel prints made by a plurality of blood vessels, and the like. In addition, it may be a whole photograph of a part containing personal identification information such as a health insurance card, a national pension certificate, a welfare pension certificate, a driver's license, a passport, and an Individual Number Card.
(Embodiment 1 Uniqueness Guarantee Information Holding Unit)

The “uniqueness guarantee information holding unit” 0106 is configured to hold the acquired uniqueness guarantee information. The uniqueness guarantee information registered by the uniqueness guarantee information acquisition unit is recorded and held in a non-volatile memory such as an HDD or a flash memory.
(Embodiment 1 User Identification Information Registration Department)

The "user identification information registration unit" 0107 is configured to register user identification information that is information that identifies a user and that cannot be double-registered by the same person by being associated with uniqueness guarantee information on a one-to-one basis. To. For example, if a person who first receives medical treatment at a certain clinic and is registered as a user is registered as a user in this system after receiving medical treatment at other clinics, the user identification information is one. Since the user will own the drug repeatedly, and therefore the prescription history is also associated with each of the multiple user identification information, it is possible to double-purchase the drug and resell it, or to take more than the prescribed amount of the drug. The problem of happening arises.

It should be noted that a user attribute information holding unit that holds user attribute information that is information indicating the user's attribute in association with the user identification information may be provided. User attribute information includes user's nationality, religion, language used, face photo, gender, age, postal code, address, telephone number (mobile, fixed), email address (mobile, desktop PC), SNS (social). In addition to ID (identification information) of network service), health insurance certificate number, my number card number, driver's license number, passport number, type of credit card that can be used, intention to donate, blood type, etc. , Work that was or was in a specific job, such as work that handles a large amount of hot objects and work in extremely hot places, work that handles a large amount of low temperature objects and work in extremely cold places, radium radiation, Significant vibration to the body due to work exposed to X-rays and other harmful radiation, work in places where dust or powder such as earth and stone, animal hair is significantly scattered, work under abnormal pressure, use of rock drills, benzene machines, etc. Work that gives, heavy work such as handling heavy objects, work in places that generate intense noise such as boiler manufacturing, work in the mine, work including midnight work, mercury, arsenic, yellow phosphorus, hydrofluoric acid, hydrochloric acid, Business dealing with nitrates, sulfuric acid, blue acid, potassium alkali, coal acid and other similar harmful substances, lead, mercury, chromium, arsenic, yellow phosphorus, hydrogen fluoride, chlorine, hydrochloric acid, nitrate, sulfite, sulfuric acid, carbon monoxide, Businesses such as carbon disulfide, blue acid, benzene, aniline and other similar harmful substances that emit gas, steam or dust, work that is highly likely to be contaminated by pathogens, and other work specified by the Minister of Health, Labor and Welfare.

Information such as name, address, date of birth, gender, occupation that identifies the person who uses this system is associated with the uniqueness guarantee information of the user on a one-to-one basis. Since only one health insurance card included in the uniqueness collateral information is issued to one person in principle, only one person can be associated with one uniqueness collateral information on a one-to-one basis. Therefore, even if a user who has already registered with this system tries to newly register when using a registered medical institution using a pseudonym, etc., the uniqueness based on the health insurance card presented to the registered medical institution, etc. Since there is already a user who is associated with the collateral information on a one-to-one basis, no new registration is performed.

By configuring the system so that the same person cannot be registered twice as a user of this system, it is possible to collect and store medical information and dispensing information, which will be described later, in association with one user. In addition, it is possible to prevent one user from using a different dispensing pharmacy to obtain an excessive amount of medicine.

In addition, public medical insurance may change due to the insured's job change or moving, so it is configured to have a means to change the uniqueness guarantee information and user identification information in order to deal with such cases. You may.
(Embodiment 1 User identification information holding unit)

The "user identification information holding unit" 0108 is configured to hold the user identification information. The user identification information registered by the user identification information registration unit is recorded and held in a non-volatile memory such as an HDD or a flash memory.
(Embodiment 1 User-specific medical information acquisition department)

The "user-specific medical information acquisition department" 0109 provides medical institution identification information, user identification information of users who have used the registered medical institution, and medical information for users at the registered medical institution. It is configured to obtain the associated medical information for each user from the registered medical institution.

The medical information includes basic information such as the user's name, age, gender, address, and insured card code number, as well as the medical department, medical treatment date, chief complaint, current medical history (including the medical history), and medical history. , Family history, social history, taste, allergies, current symptoms / physical findings, test contents, test results, medical examination results, treatment policy, treatment method, user's feelings, user's reaction due to treatment, treatment effect, post-hospital progress・ One or more information such as nursing records. By associating such medical information with the user identification information of the user who received medical treatment and the registered medical institution identification information of the registered medical institution that performed the medical treatment, the medical treatment information for each user is obtained from the terminal used by the registered medical institution. get.

To obtain medical information for each user, a doctor or nurse runs an application that operates this system on an information processing device such as a computer or tablet installed in a registered medical institution, and inputs the specified information to connect to the network. Obtained through. Typical computers that are terminals are receipt computers and medical record databases. The user's diagnosis result, treatment method, treatment result, prescription drug, instruction content to the patient who is the user, and other information input to the terminal are input to the terminal, or the terminal is input from another device. Although it may be acquired, all of the information may be configured to be acquired as user-specific medical information, or a part of the information may be configured to be acquired as user-specific medical information. When the latter configuration is adopted, an information identifier indicating the type of information is attached to the input information, and the medical information for each user of the medical information sharing system is attached from the terminal side via the network according to the information identifier. It is also conceivable to provide an output judgment unit for determining whether or not to output to the acquisition unit. On the contrary, all the information is output to the medical information sharing system, but each information is configured to be output from the terminal with the information identifier, and the information is acquired by the medical information sharing system according to the information identifier. Information and information to be discarded can be distinguished, and only the information selected as the information to be finally acquired can be configured to be acquired by the user-specific medical information acquisition unit as user-specific medical information. In this way, it is conceivable to configure the user-specific medical information acquisition unit to provide information selection means.

In addition, since the part that processes information in these terminals may use different applications depending on the medical institution's affiliates, etc., the medical information acquisition department for each user of this system varies in the format of the information to be acquired. It is preferable to have a universal user-specific medical information acquisition means that can absorb information. The means for this common formatting may be common formatting using the above-mentioned information identifier, or the local format is stored in advance and what kind of information is stored in which part of the local format. It is conceivable to convert the format to a common one by holding the information in the medical information acquisition unit for each user of the medical information sharing system in advance. Alternatively, a means of registering the language used for this information in advance, acquiring the meaning of the information by using the positional relationship between the registered language and the contained information, and converting it into a common format. There is also.

In addition, it is preferable to have a universal reply means for replying the acknowledge (receipt certificate) of the acquisition of medical information for each user, and it is conceivable to add content to this knowledge and reply. Examples of the content include information such as devices, drugs, and supplements that are considered to be preferable when used in combination. This information is also configured to be converted into an appropriate format according to the receipt computer of the reply destination and the type of the medical record database and returned. In addition, it is clear that the content is prescribed based on information on supplements, tools, instruments, etc. that bring about a recovery effect on illnesses and injuries when used in combination, and medical information for each user. The latest information about such things is preferable. Further, the content to be provided may be configured to be selected from the content data server based on the user attribute information indicating the user attribute associated with the user identification information.

For example, an appropriate supplement can be selected according to the nationality of the user. This is because taste preferences may differ depending on nationality. Also, depending on the religion, supplements and recommended daily meals may be selected, for example, the types of food that can be eaten differ depending on the religion, for example, halal food only in the case of Islam. This is because there are circumstances such as being unable to eat. Regarding the recommendation of meals, for example, it is conceivable to recommend an entrance examination method for such ingredients or a restaurant that provides meals using such ingredients. In that case, it is conceivable to select the most suitable restaurant by referring to the address in the user attribute information and recommend it in the content. It is also possible to configure the coupons of those restaurants to be sent together via the SNS or the like used by the user. Also, make sure that the content is organized in the language that corresponds to the language used. The facial photograph, gender, age, etc. can be used, for example, to recommend amenities and select equipment and devices to assist treatment. For example, in the case of a hearing aid, it is conceivable to select and recommend an appropriate model according to the facial photograph, gender, and age. These contents are output to the terminal of the medical information transmission source and transferred to the user terminal from the terminal, or printed out from the terminal by a printer or the like to be passed to the user.

Furthermore, information on postal codes, addresses, and telephone numbers (mobile, fixed) can be used, for example, to send sample products of recommended products. Regarding the ID (identification information) of the e-mail address (mobile, desktop PC) and SNS (social network service), the provision of information can be used to directly provide the information to the user.
(Embodiment 1 User-Specific Dispensing Information Acquisition Department)

"User-specific dispensing information acquisition department" 0110 provides dispensing pharmacy identification information, user identification information of users who have used the registered dispensing pharmacy, and dispensing information for users at the registered dispensing pharmacy. It is configured to obtain the associated dispensing information for each user from its registered dispensing pharmacy.

Dispensing information includes basic information such as the user's name, age, gender, address, and insured card code number, as well as the dispensing date, drug name related to medication (including prescription), and the manufacturer of the drug. Geographical information such as name, country of manufacture of the drug, manufacturing area, usage, dosage, efficacy, effect, side effects and interactions, user's constitution / allergy history / side effect history, medication status, remaining drug status (estimated) (Including), adherence information (information indicating whether the user is taking the drug according to the drug regulations. Information on a kind of withdrawal of the drug), the effect of the drug (effect on the user), physical condition change during the drug, concomitant drug , Intention to generic drugs, oral medication guidance, documentary medication guidance, dispensing pharmacy identification information that identifies the name of the dispensing pharmacist and the person, medication guidance sent to the user terminal, and various information such as the instructed pharmacist name. ..

Such dispensing information is obtained from the registered dispensing pharmacy as user-specific dispensing information in association with the user identification information of the user who received the dispensing and the registered dispensing pharmacy identification information of the registered dispensing pharmacy that dispensed.

User-specific dispensing information is acquired by a pharmacist or the like executing an application that operates this system on an information processing device such as a computer or tablet provided in a registered dispensing pharmacy and inputting predetermined information. Typical examples of this computer are receipt computers and electronic prescribing systems. However, since these may use different applications depending on the series of dispensing pharmacies, etc., the user-specific dispensing information acquisition unit of this system is universal so that it can absorb variations in the format of the information to be acquired. It is preferable to have a universal user-specific dispensing information acquisition means. Further, it is preferable to have a universal reply means for replying the acknowledge (receipt certificate) of the acquisition of the dispensing information for each user, and it is conceivable to add the content further to the reply. Examples of the content include information such as devices, drugs, and supplements that are considered to be preferable when used in combination. This information is also configured to be converted into an appropriate format according to the receipt computer of the reply destination and the type of the drug history database and returned.

In the following, "user-specific medical information" or / and "user-specific dispensing information" will be referred to as "user-specific medical information".
(Embodiment 1 User-specific drug information holding unit with disclosure permission / rejection information)

"User-specific drug information holding department with disclosure permission / rejection information" 0111 decides whether or not to permit the acquisition of user-specific drug information to a third party (registered medical institution or / and registered dispensing pharmacy; the same shall apply hereinafter). It is configured to be retained in association with the specified disclosure permission / rejection information. Since it is not permitted to disclose to a third party, in principle, the drug information for each user is configured to be disclosed to itself.

The disclosure permission / rejection information may be information that stipulates that disclosure is permitted unconditionally, information that stipulates that disclosure is not permitted unconditionally, or information that stipulates that disclosure is permitted under certain conditions. An example of disclosure permission / rejection information that is conditionally permitted to be disclosed is a condition that determines disclosure permission / rejection based on the relationship between the clinical department of a third party requesting disclosure and the clinical department of user-specific medical information requested to be disclosed. There is disclosure permission / rejection information with. For example, for medical information whose clinical department is psychiatry, which is required to be disclosed, permission is granted to registered medical institutions other than registered medical institutions whose clinical departments are psychiatry, psychotherapy internal medicine, and neurology. Information that has been decided not to be given can be mentioned.

In addition, the drug information for each user may be configured to be retained in association with the disclosure permission destination identification information which is the information for identifying a third party (registered medical institution or / and registered dispensing pharmacy) that permits the disclosure (registration medical institution or / and registered dispensing pharmacy). Retention means by publication permission destination). As a result, it is possible to allow only specific registered medical institutions and registered dispensing pharmacies to disclose drug information for each user. FIG. 15 exemplifies the drug information for each user with the disclosure permission / rejection information associated with the disclosure permission destination identification information. As shown in the figure, it is the medical information of the user identified by the user identification information "ID03317" by the "Friends Clinic" identified by the registered medical institution identification information "A00011000000110682". Here, in the medical information by user, which is the medical information on "March 17", the disclosure permission destinations are "A?" And "C?", And the medical institution identification information includes the medical institution's medical department, etc. It is indicated that all medical institutions whose first digit is "A" or "B" in the three-digit character string attached for identification are permitted to be disclosed. In addition, in the medical information on "March 21", since the disclosure permission destination is "ALL", it is shown that disclosure is permitted to all medical institutions or dispensing pharmacies. Further, the same may be applied to user-specific dispensing information, which is pharmaceutical information. Regarding the dispensing information for each user, the disclosure permission may be determined according to the information that identifies the accreditation / professional qualification that may be included in the dispensing pharmacy identification information. In addition, whether or not to disclose medical information for each user is determined according to the identification information of the dispensing pharmacy identification information and the identification information of the professional qualification, and the user according to the information that identifies the medical institution's medical department etc. in the medical institution identification information. It can also be configured so that the permission or disapproval of disclosure of separate dispensing information is determined.

Note that the retained drug information can be configured to be updated by providing a drug information update unit. Typical contents of this update are changes in drug information and addition of new information in drug information. The drug information is configured so that each information has a drug information identifier, and among various information constituting the drug information, the information provided by the manufacturer is the drug information database owned by the manufacturer. It can be configured to get updated information from. If any of the updated information is related to the drug information identified by the drug information identifier, it is desirable to configure it to automatically update. Of the various types of medical information, for information provided by scholars and doctors, access the medical information database managed by the academic society associated with the medical information identifier to access the medical information associated with the medical information identifier. When the latest information is provided, it is conceivable to add the information as medical information, or to update or correct the medical information held based on the information. It is convenient for the medical information database of such an academic society to create a database of medical information using an identifier system common to the medical information identifier of this medical information sharing system. However, the drug information identifier of this system is associated with a keyword which is a technical term, and it is conceivable to configure the system to acquire drug information from a drug information database such as an academic society using the keyword. Furthermore, the drug information update department that updates this drug information flags whether the acquired drug information was appropriate by the user or administrator of this system, and the drug information update department monitors the medicine according to the flag. The rules for retrieving information may be updated. This rule is retained in the drug information update rule holding means of the drug information update department, and the drug information appropriateness judgment input unit accepts the flag judgment from the user or the manager, and the drug information is updated using this flag judgment. It is desirable that the rule brush-up means be configured to brush up the drug information update rules. Alternatively, when updating manually, a web interface for manufacturers and academic members can be provided so that the medical information can be updated by inputting the authority. For example, manufacturer identification information, academic member identification information, and an assigned password can be used to input the authority. It is conceivable that the manufacturer identification information is stored in the manufacturer identification information holding unit, and the academic member identification information is stored in the academic member identification information holding unit.

In addition, the family / relatives of the user (parents, wives, husbands, siblings, etc.) may be included in the third party and subject to disclosure permission, or the family / relatives of the user may be included. In principle, it may be configured to be disclosed as a person included in the user himself / herself. For example, if the user is elderly and finds it difficult to operate the medical information sharing system, or if the user is suffering from a disease and cannot operate the medical information sharing system. It is also conceivable to make the system so that the user's own authority regarding this drug information sharing system can be temporarily handed over to family members and relatives. In that case, since the authority of the user is delegated as the user's agent, the agent identification information is configured to be retained in association with the user identification information, and the agent identification information is used for identification. It is conceivable to configure the agent to give the same authority as the user himself / herself on this drug information sharing system. This agent identification information can be configured to be held in the agent identification information holding unit.
(Embodiment 1 Disclosure permission / rejection information change unit)

"Public permission / rejection information change information" 0112 is associated with user-specific medical information held in the user-specific medical information holding unit with disclosure permission / rejection information from the user terminal used by the user identified by the user identification information. It is configured to acquire the disclosure permission / denial change information which is the information indicating the change of the disclosure permission / denial information. As a result, the user can arbitrarily change his / her own disclosure permission / rejection information.
(Embodiment 1 User-specific drug information acquisition request acquisition department)

The “user-specific drug information acquisition request acquisition unit” 0113 includes medical institution identification information or / and dispensing pharmacy identification information that identifies the registered medical institution or / and registered dispensing pharmacy that is the requesting side, which will be described later, and user identification information. It is configured to acquire a user-specific medical information acquisition request, which is a user-specific medical information acquisition request of the user identified by the user identification information including. It should be noted that the drug information for each user can be configured to be acquired as anonymous information without revealing the user's name or the like. For example, it may be configured to grant the authority to request the acquisition of drug information for each user to drug manufacturers and academic members related to medicine and medicine. For example, in the case of a drug manufacturer, since they are very interested in the adherence information of the drug manufactured by the company, all users who are taking the drug identified by the drug identification information that identifies the company's drug are cross-sectionally. If information on adherence can be obtained as anonymous information by disclosing it, it can be used for the development of medicines by manufacturers and the improvement of medication instruction guidelines prepared by manufacturers. Therefore, in such a case, as the user identification information, all user identifiers that allow anonymous disclosure of the user who has been administered the drug identified by the drug identifier from the drug information for each user. Can be configured to acquire the adherence information of the user by using the acquired all user identifiers in the intermediate stage. Drug manufacturers and the like can obtain valuable information by statistically processing adherence information for each drug. As mentioned above, in order to grant access authority to drug makers who are neither medical institutions nor dispensing pharmacies, members of pharmaceutical and medical societies, etc., the drug manufacturer identification information holding department and the holding of drug / medical member identification information A department is set up to hold drug manufacturer identification information (including information that identifies individuals such as researchers and planners of the manufacturer, not the manufacturer itself), and medical / medical member identification information. It can be configured so that the user-specific medical information can be disclosed as anonymous information when the authority is proved by holding the password and the like in association with each other. Furthermore, for the government's welfare administration, special to the Ministry of Health and Welfare, the Cabinet Office, etc. to obtain information such as whether each medical institution and each dispensing pharmacy is performing proper medical practice and proper dispensing practice. It can be configured to give authority and allow user-specific requests to obtain medical information. In this case, this drug information sharing is provided so as to have a special authority identification information holding unit that holds these special authority identification information and a special authority identification information holding unit that holds a password associated with the special authority identification information. The system can be configured. When requesting the acquisition of drug information for each user based on special authority, it may be configured to specify all user identification information. In this case as well, if the user information is not particularly required, it is preferable to configure the system so that the acquisition request can be made for the drug information for each user excluding the information that identifies the user.

The user-specific medical information acquisition request is, for example, when a registered medical institution wants to know the past medical history of a user who is treated by another registered medical institution, the user's medical information including the medical history is requested. It requests the acquisition of medical information for each user. As a mode for requesting the acquisition of medical information for each user at a registered medical institution, the user is requested to be viewed by inputting the user identification information for identifying the user, or the data is requested to be downloaded. It is something to do. Further, as a sort key, the subject to be examined may be selected from the pull-down menu. In addition, after accepting the input of user identification information, the past medical institution registered for medical examination of the user identified by the user identification information is displayed in a selectable manner, and the medical information for each user is selected by accepting the selection. It can also be configured so that it can be obtained.
(Embodiment 1 Request Judgment Condition Holding Unit)

The "request determination condition holding unit" 0114 is a condition for determining whether to approve the request based on the user-specific drug information acquisition request and the disclosure permission / rejection information associated with the user-specific drug information contained therein. It is configured to hold the requirement judgment condition. The request judgment condition can also be configured to apply different judgment conditions depending on the identification information of the requester making the request. For example, in a user-specific drug information acquisition request accompanied by medical institution identification information, acquisition of user-specific drug information associated with the flag that the request can be disclosed is uniformly permitted, but use with dispensing pharmacy identification information. The request for acquisition of medical information by person is limited to dispensing pharmacies identified by the dispensing pharmacy identification information that can provide the medicine specified by the prescription delivered to the user. In addition, the drug manufacturer identified by the above-mentioned drug manufacturer identification information (may refer to an employee of the drug manufacturer) and the drug / medical member identified by the drug / medical member identification information are also individually identified. Requirement judgment conditions may be provided. Since the adherence information is extremely valuable confidential information for the drug manufacturer, in principle, the drug manufacturer identified by the drug manufacturer identification information acquires the adherence information of the drug manufacturer identified by the other drug manufacturer identification information. It is preferable to configure it so that it cannot be done.

The request judgment condition is, for example, a condition for judging that an acquisition request for user-specific medical information associated with a disclosure permission condition that is unconditionally permitted is permitted, or a condition for not unconditionally permitting. A user who has a condition to judge that the acquisition request for the drug information for each user to which the disclosure permission condition is associated is not accepted, or a user who is associated with the disclosure permission condition which is stipulated to allow disclosure under the prescribed conditions. Regarding the acquisition request for other medical information, it is stipulated that it is a condition to judge that the acquisition request for the user-specific medical information related to the acquisition request is accepted only if all the prescribed conditions are satisfied, or that disclosure is permitted under the prescribed conditions. Regarding the acquisition request for user-specific medical information associated with the disclosure permission conditions, even if all of the prescribed conditions are not satisfied, only the user-specific medical information related to the partially satisfied conditions is acquired. It may be a condition to judge that the request is accepted.
(Embodiment 1 User-specific drug information acquisition request judgment unit)

The "user-specific drug information acquisition request determination unit" 0115 includes a user-specific drug information acquisition request, disclosure permission / rejection information associated with the user-specific drug information related to the request, and retained request determination conditions. , Is configured to determine whether to accept the request.
(Embodiment 1 User-specific drug information output unit)

If the judgment result of the user-specific medical information acquisition request judgment unit is the judgment result that the request is accepted, the "user-specific medical information output unit" 0116 obtains the user-specific medical information related to the request. It is configured to output to registered medical institutions and / and registered dispensing pharmacies. The output of user-specific medical information is performed in various modes. For example, the user-specific medical information requested on a predetermined WEB site on an information processing terminal (PC, tablet, etc.) used in a registered medical institution or the like is output. It can be configured to be viewable or to be sent by e-mail (text or attached file) to the registered medical institution related to the request.

The medical information sharing system of the present embodiment having each of the above configurations can hold and update medical information (medical information and dispensing information) for each user as a group, and may be used by medical institutions or dispensing depending on the request. Information can be shared with pharmacies. Therefore, it is possible to save the trouble of each medical institution or dispensing pharmacy creating and updating the medical history and drug history of the user each time the medical treatment or dispensing is performed. It is no longer necessary for users to maintain medical history and drug history for each medical institution or dispensing pharmacy used. By integrating medical information and making it possible to manage it collectively in this way, medical institutions can concentrate their time and energy on the most important tasks such as medical examination, treatment, and dispensing, which is beneficial.

In addition, when a drug maker, a member of medicine / medical science, a special authority such as the Ministry of Health, Labor and Welfare, the Cabinet Office, etc. requests acquisition of drug information for each user and is approved and output from the drug information output section for each user. Can be configured to perform information filtering, information preprocessing, and the like according to the purpose. Information filtering is typically a process that excludes personally identifiable information that does not include user identification information, or a process that excludes adherence information from one drug manufacturer so that it cannot be obtained by another drug manufacturer. Etc. are applicable. The pre-processing is not to output all the data directly, but to perform statistical processing in advance or to perform mask processing to mask a part of the information. For these purposes, it is desirable that the user-specific drug information output unit is provided with a filtering means and a preprocessing means.

In addition, by utilizing AI (artificial intelligence), it is possible to analyze the tendency of the user's disease and the possibility of morbidity based on the information on the medical history and drug history of each user. Based on the analysis results, it is possible to propose inspections that users should undergo and articles that contribute to prevention. In addition, by further integrating information such as healthcare records and purchase history, more widely useful information on user's health can be presented (attention to lack of exercise, unbalanced diet, lack of sleep, etc., nutrients to be ingested, etc. Proposals for the cooking method, etc.) can also be made.

<Terminals of medical institutions, terminals of dispensing pharmacies, (terminals of long-term care providers described later)>

The three types of terminals shown in the title are simply referred to as terminals in the following description. The functions of the terminal will be described below.
<Background of invention>

This medical information sharing system does not merely share information between medical institutions and users (patients, etc.) as an effect of the invention, but can also share user information between medical institutions, etc. This system has been widely opened so that medical institutions that did not use this medical information sharing system can use this system, and it was conceived to function as a domestic platform for medical information. ..

In that sense, the medical information sharing system is configured to have a medical institution identification information registration department and a dispensing pharmacy identification information registration department. At the time of initial registration, access the web page of this drug information sharing system from the terminal of the medical institution via a network such as the Internet, obtain the information for registration from the web page, and perform the application procedure. The necessary items for the application are information that identifies the medical institution or dispensing pharmacy, and in the example described later, the long-term care provider, and that the person making the application is certainly the person who has the right to apply for the medical institution. Information to prove. For example, image information of the doctor's license of the opening manager, image information of the clinic opening notification, image information such as documents received in connection with this, history of the commentary manager, plan view of the clinic site, and the vicinity. Guide map, structural outline and floor plan of the building, licenses and resumes of engaged doctors and nurses, rental contracts if the building is rented, etc. Image information of the notification office and image information of related documents received according to the notification form are required), and if there is a history of inspections by the health center, image information of the inspection result documents, etc.

If these are judged to be genuine (this judgment may be made automatically by the Pharmaceutical Information Sharing System accessing the information stored in the server provided in a public institution such as the Japan Medical Association. For the sake of convenience, this functional unit is called the "authenticity judgment unit"), and an identification number is given to the medical institution, etc. that is the applicant, and various identification information registration departments of the medical information sharing system. The identification information of the medical institution etc. is registered in. In addition, if the terminal has a web browsing function, it is conceivable that all subsequent exchanges will be performed on a web basis, but from the viewpoint of security, a dedicated application for this pharmaceutical information sharing system will be provided to the terminal. It is preferred to install and configure it to communicate with the pharmaceutical information supply system on its dedicated application. When a terminal is configured with this application, it is preferable to store information for determining the authenticity of the terminal in the application, which includes medical institution identification information, dispensing pharmacy identification information, and long-term care providers. It may be identification information or the like, and may be authenticity proof information including these. Further, these identification information may be information separately given from the medical information sharing system. For example, a random number generated by a random number generator or a value obtained by a summary function may be used. The summarization target of the summarization function includes the above-mentioned "for example, image information of the doctor's license of the opening manager, image information of the clinic opening notification, documents received in connection therewith, etc." Image information, commentary manager's history, plan view of the clinic site, guide map of the vicinity, structural outline and plan view of the building, licenses and resumes of working doctors and nurses, renting the building If so, a rental contract, etc. (If you install an X-ray device, you also need image information of the notification office and image information of related documents received according to the notification form), history of medical institution inspections , Etc., or information that can be functionally derived from these. This is because these are unique information. It is preferable that the medical information sharing system has a function (dedicated application download unit) for downloading a dedicated application to a terminal of a medical institution or a dispensing pharmacy. The download is preferably configured to be downloadable on condition that identification information is assigned to medical institutions, dispensing pharmacies, and long-term care providers.
<Terminal functions used in this system at medical institutions, dispensing pharmacies, and (long-term care providers)>

Once registered in the drug information sharing system, the terminal functions as a terminal that organically cooperates with the drug information sharing system. Its function is to be able to log in to the drug information sharing system (login section), and this login uses the identification information (medical institution identification information, dispensing pharmacy identification information, care provider identification information) acquired from the drug information sharing system, and further. Log in using the password determined at the time of registration. That is, the terminal holds the identification information and has a function of accepting the input of the password. It also has a function to acquire uniqueness collateral information from patients who are users (uniqueness collateral information acquisition department). The acquisition is acquired so that it can be transmitted to the pharmaceutical information sharing system (uniqueness guarantee information transmission unit). That is, when image information or text information is acquired by the basic function of the terminal, the information is taken in so that it can be transmitted to the medical information sharing system. In addition, this uniqueness guarantee information is configured to be held in association with information such as a name that identifies a patient who is a user, age, and appearance (user identification information holding unit).

In addition, the terminal has its own (facility, etc.) identification information, user identification information, user-specific medical care information identified by user identification information, user-specific dispensing information, or user-specific long-term care information. It also has a function to associate and transmit (collectively user-specific medical information or user-specific long-term care information) (user-specific medical information transmission unit, user-specific dispensing information transmission unit, user-specific long-term care information transmission unit). ..

Furthermore, one or more of the medical institution identification information, the dispensing pharmacy identification information, and the care provider identification information, and the user-specific drug information (user-specific) that has already been accumulated in the drug information sharing system in association with the user identification information. It also has a function (user-specific medical information acquisition request output unit) that outputs an acquisition request (which may be nursing care information). Further, it has a function (user-specific medical information acquisition unit) of acquiring, displaying, or holding the user-specific medical information according to the request. It is desirable that the retained user-specific medical information be deleted from the terminal when the viewing or the like is completed. For example, when the viewing screen is closed, or when the file related to the user is closed. This is because this information is very private, and it is not preferable to store it permanently on the terminal side.
<Terminal functions used by users (patients, care recipients, etc.)>

The user can browse the drug information for each user (nursing care information for each user) stored in this drug information sharing system. For example, it is preferable to have a function such as an electronic medical certificate book or an electronic medicine notebook. This medical information sharing system may have a web page so that the user-specific medical information can be viewed by the user identification information and password, or a dedicated application may be incorporated into the user terminal to obtain a dedicated application. It may be configured so that the drug information for each user can be browsed by communication with the present drug information sharing system. It is preferable that this application is also configured to be downloadable from the user-dedicated application download unit provided in this pharmaceutical information sharing system. It is preferable that this download is also possible on the condition that the user identification information is assigned to the user. The terminals used by the users that can be considered are described below.

First, as a major premise, it is necessary to configure the medical information sharing system to output a user-specific medical information acquisition request from the terminal of a medical institution or the terminal of a dispensing pharmacy. This is because, if not configured in this way, medical institutions, dispensing pharmacies, and long-term care providers cannot share drug information by user. On the other hand, since the user identification information is not open to the public, the terminal of these institutions must acquire the user identification information of the user when outputting this request. Therefore, it is necessary that the user terminal used by the user holds the user identification information or is configured to be receivable from the drug information sharing system side (user identification information holding unit). .. Then, in response to a request from a terminal of a medical institution or a dispensing pharmacy (user identification information request unit), the user identification information must be configured to be output to the terminal (user identification information). Output section). At this time, the user terminal must not leak the information stored inside by hacking or the like, so it is necessary to determine whether the terminal requesting the user identification information is a genuine terminal (). Authenticity request judgment department). To determine whether this is a genuine request, for example, obtain information indicating that the patient is genuine from a terminal of a medical institution or a dispensing pharmacy, and throw that information to a medical information sharing system to ask for a genuine judgment. Can be configured in. This is because it is not preferable to close and make a judgment in the user terminal because a huge amount of confidential information is held in the user terminal. Examples of the information for determining the authenticity of the medical institution terminal and the dispensing pharmacy terminal include medical institution identification information, dispensing pharmacy identification information, and care provider identification information. When this identification information is thrown to this drug information sharing system, the drug information sharing system determines the authenticity of the identification information (identification information authenticity determination unit) and the name of the institution corresponding to the identification information (medical institution name). , Dispensing pharmacy name) can be configured to reply (authenticity reply section) in association with the authenticity of the ac. Of course, if the identification information is false, the information to that effect is returned to the user terminal (authenticity / negative reply section). By receiving the reply (authenticity reply acquisition unit), the user terminal can determine whether the terminal that made the request is genuine (authenticity determination unit), and can also know the name of the medical institution. , It is easy to judge whether it is the correct medical institution. Only when it can be determined that the medical institution is correct, the requested user identification information can be configured to be output to the terminal of the medical institution, the terminal of the dispensing pharmacy, or the terminal of the long-term care provider. (User identification information output unit).

The next important function of the user terminal is that it can be used as a medicine notebook or a medical certificate notebook. In other words, it is simply a function to know what kind of medicine is prescribed and what kind of diagnosis is still made.

This is performed by outputting a user-specific drug information request for the user to the drug information sharing system (user-specific drug information request output unit by the user). This user-specific medical information request by the user includes user identification information, other information that uniquely identifies the terminal, and unique identification information of an application dedicated to the terminal's medical information sharing system. It is preferable to have. In this medical information sharing system, it is determined whether the user's request for acquisition of medical information by user from the user terminal is from a genuine user (authenticity of the user's request for acquisition of medical information by user). Judgment unit), if it is determined that the request is from a genuine user, the requested user-specific medical information is output to the terminal that made the request (user-specific medical information output unit for the user). ). The user acquires this at the user-specific medical information acquisition department by the user, and displays the content on a display or the like so that the content can be viewed. Further, this information may be configured to be output to another terminal or the like. For example, it may be configured to be output to a medical institution terminal determined to be genuine, a dispensing pharmacy terminal, or a long-term care business terminal. In this way, the medical institution terminal, the dispensing pharmacy terminal, and the long-term care business terminal can be configured so that the drug information for each user can be acquired by two routes.
Regarding the acquisition of this second route, it may be possible to request the user terminal from the medical institution terminal, the dispensing pharmacy terminal, or the long-term care company terminal.

Further, the dedicated application of the user terminal may have a function of controlling which part of the medical information for each user is accessed. That is, there is a table of contents, and it is possible to select a part of the drug information for each user that one wants to acquire from the table of contents, and request only the selected part from the present drug information sharing system. This can be configured to be obtained, for example, in the form of specific medical institution identification information, specific dispensing pharmacy identification information, user-specific pharmaceutical information associated with specific long-term care provider identification information, or specific. It can be configured to be obtained in the form of user-specific medical information associated with the date or specific date, or in the form of user-specific medical information associated with a specific disease. It can be configured to be obtained in the form of being associated with a specific drug (index is a user-specific medical information request section by the user).

For those who do not yet have their own terminals, such as infants, it is desirable to configure them so that their guardians can acquire user-specific medical information on behalf of the infant, to the extent legally permitted. It is preferable to hold the user identification information of the user such as the infant in the user terminal so that the drug information for each user can be acquired on behalf of the infant or the like. Further, since there may be medical treatment and dispensing of the foetation at the stage of being present in the mother's body before delivery, the user identification information may be given to the foetation before delivery. Furthermore, when the care recipient has lost the self-management ability, the care recipient's relatives, etc. are made to hold the user identification information of the care recipient on the terminal of the relative, etc. It may be configured so that the caregiver's user-specific medical information can be acquired. Further, when the medical institution, the dispensing pharmacy, or the long-term care provider wants to know the user-specific medical information of the long-term care recipient, it can be configured to acquire the information via the terminal of the relative or the like. Such user identification information holding means is referred to as a plurality of user identification information holding means.
<Expansion of this drug information sharing system>

This pharmaceutical information sharing system is equipped with the various terminals described above to form a pharmaceutical information network system. For example, a pharmaceutical information sharing system (consisting of a single server device or multiple server devices, or the cloud) and a large number (two or more) dispensing pharmacy terminals and / and a large number (two or more) medical institution terminals. It is a medical information sharing network system consisting of a large number (two or more) user terminals.

In the medical information sharing network system configured in this way, one medical institution can view the medical information of a user performed at another medical institution (through the entire statement, only to see, only to hear, or both). However, this term can be used), and the medical information of a specific user of a medical institution can be viewed by the dispensing pharmacy used by that user. That is, information on the health of the user can be widely viewed in the network for the health of the user, which contributes to the improvement of the health of the user.
(Embodiment 1 Hardware)

FIG. 2 is a conceptual diagram showing an example of a computer that realizes the medical information sharing system of the first embodiment, and is provided on a motherboard or the like with a CPU 0201, a non-volatile memory 0202, a main memory 0203, a graphic card 0204, and an I /. O controller 0205, USB and IEEE. It is composed of an interface 0206 such as a LAN, a BIOS 0207, a PCI slot 0208, a real-time clock 0209, etc., a bus connecting these to each other, and a chipset (north bridge, south bridge) 0210 connecting the buses.

The "chipset" 0210 is a set of large-scale integrated circuits (LSIs) mounted on the motherboard of a computer and integrated with a communication function between an external bus of a CPU and a standard bus for connecting memories and peripheral devices, that is, a bridge function. be. There are cases where a two-chipset configuration is adopted and cases where a one-chipset configuration is adopted. A north bridge is provided on the side close to the CPU and main memory, and a south bridge is provided on the side of the interface with a relatively low-speed external I / O on the far side.

The north bridge includes a CPU interface, a memory controller, and a graphic interface. As the integration progresses, most of the functions of the conventional northbridge may be carried by the CPU. The north bridge is connected to the memory slot of the main memory via a memory bus, and is connected to the graphic card slot of the graphic card by a high-speed graphic bus (AGP, PCI Express).

The south bridge is connected to the PCI interface (PCI slot) via the PCI bus, and is responsible for the I / O function and sound function with the ATA (SATA) interface, USB interface, Ethernet interface, and the like. Incorporating circuits that support PS / 2 ports, floppy disk drives, serial ports, parallel ports, and ISA buses that do not require or do not require high-speed operation will hinder the speeding up of the chipset itself. Therefore, it may be separated from the chip of the south bridge and assigned to another LSI called a super I / O chip.

A "bus" is provided to connect the CPU (MPU) to peripheral devices and various control units. Also, the buses are connected by the above-mentioned chipset. The memory bus used for connection with the main memory may adopt a channel structure instead of the memory bus in order to increase the speed. A serial bus or a parallel bus can be used as the bus. In the parallel bus, while the serial bus transfers data bit by bit, the original data itself or a plurality of bits cut out from the original data are grouped together and transmitted over a plurality of communication paths at the same time. A dedicated clock signal line is provided in parallel with the data line to synchronize data demodulation on the receiving side. It is also used as a bus that connects the front side bus (chipset) of the CPU and an external device. Types of buses include GPIB, IDE / (parallel) ATA, SCSI, PCI, and the like. Since there is a limit to the speedup, the data line may be a serial bus in the improved version of PCI Express or the improved serial ATA of parallel ATA.

The "CPU" (MPU) reads the instruction sequence called a program on the main memory in order, interprets and executes it, and outputs information consisting of signals to the main memory as well. The CPU functions as a center for performing calculations in a computer. The CPU is composed of a CPU core part that is the center of calculation and a peripheral part thereof, and has a register and a cache memory inside the CPU, an internal bus that connects the cache memory and the CPU core, a DMA controller, a timer, and a north bridge. The interface with the connection bus with is included. A plurality of CPU cores may be provided in one CPU (chip).

An example of "non-volatile memory" (HDD) is a hard disk drive. The basic structure consists of a magnetic disk, a magnetic head, and an arm on which the magnetic head is mounted. As the external interface, SATA (ATA in the past) can be adopted. A sophisticated controller, such as SCSI, is used to support communication between hard disk drives. For example, when copying a file to another hard disk drive, the controller can read the sector and transfer it to another hard disk drive for writing. At this time, the memory of the host CPU is not accessed. Therefore, it is not necessary to increase the load on the CPU.

As the non-volatile memory, an SSD composed of "(NAND flash) may be adopted together with the HDD, or may be replaced with the HDD and adopted.

The main memory is composed of volatile memory. The most representative is the DRAM dynamic ram.

BIOS is used to load the operating system into the main memory when the computer starts up and make applications etc. executable. It is connected to the south bridge as described above, but may be connected to the north bridge.

The I / O controller is used to connect to external devices. The USB connector is one example.

The IEEE1394 connector is the most representative communication standard interface.

The PCI slot is an interface for connecting a functional circuit to a computer.

OS (operating system) is the basic software for running a computer. It provides an interface for users and application programs, and plays a role in efficiently managing functional parts such as hardware and each resource.

A device driver is a program for controlling the hardware of a device so that various devices attached to a computer can be used by a user or an application via an operating system.

Then, in the non-volatile memory 0202, a medical institution identification information registration program, a dispensing pharmacy identification information registration program, a uniqueness guarantee information acquisition program, a user identification information registration program, a user-specific medical information acquisition program, and a user-specific dispensing information The acquisition program, the disclosure permission change information acquisition program, the user-specific drug information acquisition request acquisition program, the user-specific drug information acquisition request judgment program, and the user-specific drug information output program are stored. In addition, as data, medical institution identification information, dispensing pharmacy identification information, uniqueness guarantee information, user identification information, user-specific medical information (user-specific medical care information and / and user-specific dispensing information), disclosure permission / rejection information, Various information such as disclosure permission change information, user-specific drug information acquisition request, and request judgment conditions are stored. Then, these programs and data are read into the holding area of the main memory and executed in the work area.
(Example 1 processing flow)

FIG. 3 is a flow chart showing an example of the processing flow of the medical information sharing system of the present embodiment. As a premise, the medical institution identification information, the dispensing pharmacy identification information, and the user identification information are appropriately held in each of the medical institution identification information holding section, the dispensing pharmacy identification information holding section, and the user identification information holding section. It shall be.

First, it is determined whether or not the user-specific medical information has been acquired from the registered medical institution (0301), and if so, the user-specific medical information is accumulated (0302). Then, it is determined whether or not the user-specific dispensing information has been acquired from the registered dispensing pharmacy (0303), and if so, the user-specific dispensing information is accumulated (0304). Then, it is determined whether or not the disclosure permission / rejection change information has been acquired (0305), and if it has been acquired, the retained disclosure permission / rejection information is changed (0306).

Next, it is determined whether or not the user-specific drug information acquisition request has been acquired (0307), and if so, the request, the disclosure permission information associated with the user-specific drug information related to the request, and the request judgment conditions are used. To determine whether to accept the request (0308). In the case of a judgment result of approval, the user-specific drug information related to the request is output to the registered medical institution and / and the registered dispensing pharmacy (0309).
<Effect of Embodiment 1>

According to the present embodiment, it is possible to provide a medical information sharing system in which medical institutions and dispensing pharmacies can appropriately share information on medication and medical treatment for each user.
<Embodiment 2>
<Outline of Embodiment 2>

This embodiment is based on the first embodiment, and is configured so that a user who has already been registered is not newly registered when the user identification information is registered.
<Embodiment 2 Functional Configuration>

FIG. 4 is a conceptual diagram showing an example of the functional configuration of the medical information sharing system of the present embodiment. As shown in the figure, the "medical information sharing system" 0400 includes a "medical institution identification information registration unit" 0401, a "medical institution identification information holding unit" 0402, a "dispensing pharmacy identification information registration unit" 0403, and a "dispensing pharmacy". Identification information holding unit "0404", "uniqueness guarantee information acquisition part" 0405, "uniqueness guarantee information holding part" 0406, "user identification information registration part" 0407, and "user s period information holding part" 0408, "user-specific medical information acquisition department" 0409, "user-specific dispensing information acquisition department" 0410, "user-specific drug information retention department with disclosure permission / rejection information" 0411, and "public permission / rejection information change information". 0412, "user-specific drug information acquisition request acquisition unit" 0413, "request determination condition holding unit" 0414, "user-specific drug information acquisition request determination unit" 0415, and "user-specific drug information output unit". 0416, and the user identification information registration unit has "new registration information acquisition means" 0417, "inspection means" 0418, and "new registration means" 0419. Each configuration other than the user identification information registration unit has the same function as the configuration having the same name in the first embodiment. Therefore, the description of those configurations will be omitted, and each means of the user identification information registration unit will be described below.
(Embodiment 2 New registration information acquisition means)

The "new registration information acquisition means" 0417 uniquely uses the user's health insurance insured card when registering the user identification information by acquiring the information associated with the medical institution identification information and / or the dispensing pharmacy identification information. It is configured to acquire the new registration information acquired when a new user is to be registered, which is information including at least the information to be identified in.

The new registration information is information corresponding to the uniqueness guarantee information described in the first embodiment, and is information acquired when a new user is to be registered. Specifically, it is various information such as a name, a symbol, and a number written on the insured person's card of the public medical insurance to which the user joins.
(Embodiment 2 Inspection Means)

The "inspection means" 0418 is configured to compare the acquired new registration information with the uniqueness guarantee information already held and inspect whether there is any match. The fact that the acquired new registration information and the already held uniqueness guarantee information match means that the user who intends to newly register is already registered as a user of this system. .. The inspection looks at the match of the information, but if the uniqueness guarantee information is a photo, the comparison between the two is, for example, the comparison of the photo information itself, and if it is text information, it is converted into text using OCR and the two are compared. Can be done. It should be noted that the image information including the character information stored in advance may be configured so that the text information obtained by the OCR processing in advance is associated and held. Further, in this OCR processing, when the image information including the character information is specified in a predetermined format, it is found which kind of information is arranged at which coordinate position with respect to which starting point in the image. Therefore, it is possible to aim at an image at a specific position and convert it into text, and to associate the text information with attribute information indicating the type of information and process it as data. In this way, the uniqueness guarantee information can be compared using the specified format OCR unit. Further, when biometric information such as a face is included, the two can be compared by using the biometric authentication technique which is a conventional technique. As described above, it is preferable that the image information, which is the biometric authentication information that is the uniqueness guarantee information that is held in advance, is processed in advance and the biometric authentication information data is associated with the image and held. In addition, it is preferable that the information of the health insurance card (including an image) and the long-term care insurance card (including an image) can be compared and inspected. That is, the same person may own both, and it is necessary to avoid the problem that the person is determined to be a different person even though they are the same person. For that purpose, if the address and name can be obtained, there is a high possibility that they are the same person if the address and name are the same, and it is configured to be equipped with an alarm output unit that outputs an alarm to the person in charge. preferable. Alternatively, if the name and date of birth are the same, there is a high possibility that they are the same person, so it is preferable to output an alarm to the person in charge. This is an alarm that is output just in case even if the identity cannot be confirmed by the insured number. After being output from this drug information sharing system, the alarm is output to the medical institution, dispensing pharmacy, or long-term care provider that was the source of the information, and the person in charge asks the user a question based on the alarm. To investigate whether they are the same person. In this case, it is easy to determine whether the person is the same person by including the question item to be asked by the person in charge in the alarm in advance and transmitting the alarm. It is preferable that the question is provided in the same person confirmation question database in this system, and the appropriate question is selected according to the acquired uniqueness guarantee information. For example, in addition to the information obtained, "name", "address", "household head name", "date of birth", "gender", "date of application start", "date of delivery", "valid" It is configured to output any one or more of "deadline", "symbol", "number", "insurer number", etc. as a question.
(Embodiment 2 New Registration Means)

The "new registration means" 0419 executes the registration process of the user identification information for identifying the user as a new user when there is no match as a result of the inspection, and when there is a match, the new user is newly registered. It is configured to stop the registration process of the user identification information of. With such a configuration, it is possible to prevent the same person from being registered twice.
(Embodiment 2 Hardware)

The medical information sharing system of the present embodiment can be realized according to the hardware configuration that realizes the medical information sharing system of the first embodiment, and is further added to the non-volatile memory, the newly registered information acquisition subprogram, the inspection subprogram, and the like. This can be achieved by holding newly registered subprograms and executing those programs as appropriate.
(Example 2 processing flow)

FIG. 5 is a flow chart showing an example of the flow of processing related to new registration of a user in this embodiment. Since the processing for the user-specific drug information acquisition request has already been described in the first embodiment, the description here will be omitted.

As shown in the figure, first, it is determined whether to newly register a user (0501), and when the user is to be registered, the new registration information is acquired (0502). Then, it is inspected whether there is any match between the acquired new registration information and the uniqueness guarantee information already held (0503). If there is a match, the registration process of the new user identification information is stopped (0504), and if there is no match, the registration of the new user identification information is stopped. Execute the process (0505).
<Effect of Embodiment 2>

According to the present embodiment, it is possible to provide a medical information sharing system that can prevent a user who has already been registered from being registered twice.
<Embodiment 3>
<Outline of Embodiment 3>

The present embodiment relates to a medical information sharing system based on the first or second embodiment and integrating medical information in different formats into medical information in a unified format.
<Embodiment 3 Functional Configuration>

FIG. 6 is a conceptual diagram showing an example of the functional configuration of the medical information sharing system of the present embodiment. As shown in the figure, the "medical information sharing system" 0600 includes a "medical institution identification information registration unit" 0601, a "medical institution identification information holding unit" 0602, a "dispensing pharmacy identification information registration unit" 0603, and a "dispensing pharmacy". Identification information holding unit "0604", "uniqueness guarantee information acquisition unit" 0605, "uniqueness guarantee information holding part" 0606, "user identification information registration unit" 0607, and "user identification information holding unit" 0608. , "User-specific medical information acquisition department" 0609, "User-specific dispensing information acquisition department" 0610, "User-specific medical information retention department with disclosure permission / rejection information" 0611, and "Publication permission / rejection information change information" 0612. , "User-specific medical information acquisition request acquisition unit" 0613, "Request judgment condition holding unit" 0614, "User-specific medical information acquisition request judgment unit" 0615, and "User-specific medical information output unit" 0616. The user-specific medical information acquisition unit has "heterogeneous format medical information acquisition means" 0617, "heterogeneous format medical information unifying means" 0618, and "unified format medical information holding means" 0619. Each configuration other than the user-specific medical information acquisition unit has the same function as the configuration having the same name in the first or second embodiment. Therefore, the description of those configurations will be omitted, and each means possessed by the user-specific medical information acquisition unit will be described below.
(Embodiment 3 Different Format Medical Information Acquisition Means)

The “heterogeneous format medical information acquisition means” 0617 is configured to acquire medical information in different formats from different registered medical institutions. The medical information held by registered medical institutions is composed of different formats depending on the computer (receipt computer, medical record database, etc.) for each institution to input and hold medical information, and the application executed on those computers. May be. This means obtains medical information in such a different format from a registered medical institution. Here, the format related to medical information is a plurality of items selected and displayed as items to be described as medical information (for example, facility name, clinical department, number of beds, etc.) and data to be entered in each item (for example). For example, it stipulates how to arrange the entry fields of Friends Medical Department, Internal Medicine, 24 beds).
(Embodiment 3 Different Format Medical Information Unification Means)

The "different format medical information unification means" 0618 is configured to convert the acquired heterogeneous format medical information into a unified format medical information which is a unified format medical information. Unified format medical information is defined as the format of medical information used in this system, and each item that is appropriate to be included as medical information and the layout of the entry fields for those items are printed on the display or on paper. The layout of the case is specified.

Conversion to unified format medical information begins with the acquisition of the meaning contained in the medical information for each user. For example, first, a character string included in user-specific medical information in an arbitrary format is recognized word by word. In the recognition of the character string, when the character string is acquired as text information, the text information is recognized, and when it is acquired as an image, it is converted into text information by OCR and recognized. Then, the dictionary that the system holds in advance is searched and acquired where the recognized word means. In this dictionary, words that may be used in all user-specific medical information are registered in advance. In addition to searching the meaning of the recognized character string using a dictionary, the position information in the arbitrary format information transmitted from the dispensing pharmacy or the medical institution of the character string is acquired. To acquire the position information of the character string, the medical information in an arbitrary format is regarded as one sheet, the coordinates of the x-axis and the y-axis are set, and (x1, y1) to (x2, y2), etc. in the setting (in this case). The coordinate information is in the form of (specifying a rectangular area). Here, if the medical care information for each user is form-type information, the meaning can be acquired by the coordinate relationship of the character string. For example, if there is a name of an infusion drug in a certain coordinate area and a numerical value can be read on the right side of the name, it can be estimated that the numerical value represents the quantity or volume of the infusion drug. In order to improve the accuracy of this estimation, we can see the relationship between the horizontal and vertical character strings. The word-by-word character string relationship holds a relevance determination rule, which is a rule for determining the relationship between words based on the positional relationship between words and the attributes of each word. , Can be determined based on this relevance determination rule. To generalize the relevance determination rule, if the attribute of a word is uniquely determined by referring to the dictionary, the attribute of the word is the attribute defined by the dictionary. If the attributes cannot be uniquely defined and there are multiple attribute candidates, and if there is a word that has the attribute of the item name in the words arranged vertically and horizontally, the attribute of the item indicated by the item name is further specified. If there is an attribute that matches the attribute of the acquired item name and the candidates of multiple attributes, select the matched attribute and use it as the attribute of the word. Multiple item name attributes may be acquired. For example, if the letter ml is found further to the right of the numerical value, it is clear that the letter is not a quantity because it is a unit representing volume. In this way, from the user-specific medical information of any format that has not been registered yet, each word existing in that format is acquired in association with the position on the format, and the attribute of each word is acquired using a dictionary. At the same time, the relevance of each word is acquired based on the position and attribute of each acquired word and the above-mentioned relevance determination rule. It can be replaced with a unified format based on the relevance of each acquired word. The "unified format" is a collection of all possible information that may occur during work at a medical institution, such as user identification information, chief complaints, current symptoms / physical findings, and treatment policies. In this way, almost all character strings included in the amorphous format medical information are recognized, and the items constituting the medical information and the data corresponding to the items are recognized. To give another example, for example, if the character string is "△ □ clinic", the character string of "△ □ clinic" is searched in the dictionary, and the result is "facility name item name" and "hospital". It is possible to obtain the result that it is a character string indicating "first name". Therefore, if the recognized character string is "Friends Clinic", the result can be obtained that it is "Friends Clinic" that can be identified by the registered medical institution identification information. Further, assuming that the recognized character string is "cedar pollen", the character string of "cedar pollen" is searched for in the dictionary, and as a result, it is found to be "allergic antigen name". If it turns out that the medical information is from the "Friends Clinic", the format of the user-specific medical treatment committee information used by the pharmacy will be stored in the user-specific medical information format database for each medical institution in advance. Since it is stored, it is possible to obtain what kind of information is placed in which position by using the default format. This is an image of using sheet-shaped medical information for each user, and the information sent electronically can be applied even if it is information such as a fax. Further, when the medical information for each user is tagged information, the meaning of the tag can be obtained by knowing the medical institution that is the sender. If you access the tag information database that collects the meanings of the tags used in the user-specific medical information of all registered medical institutions and acquire the meanings of the tags used by the sender, what is the position of the text information? The meaning can be obtained regardless.

Specific examples of information included in user-specific medical information and user-specific dispensing information include "patient name / age", date of birth, drug name, dosage, usage / dose, and date of issue. Date, period of use, name and location of hospital or clinic or doctor's address, signature or signature, insurance medical institution code, patient's address when prescribing drugs, drug user's license number, etc. Any one or more can be mentioned.

In addition, as a description of the medical condition, atopic dermatitis, osteoporosis, uninsured rehabilitation, allergic rhinitis that does not heal, rheumatoid arthritis, urticaria that is hard to heal (chronic urticaria), herpes zoster, psoriasis that does not heal easily, idiopathic pulmonary fibrosis , Mood disorder (depression / bipolar disorder), acne, menopausal disorder, reflux esophagitis, blood glucose measurement, alcohol dependence, child growth, Sjogren's syndrome (mouth / eye dryness), idiopathic normal pressure hydrocephalus, heart One or more of urticaria, schizophrenia, urinary disorders, systemic scleroderma, atopic spectrum disorders in children, simple herpes, etc. can be mentioned. Each of these words has an attribute and is stored in the dictionary.

Item names include insurer number, name / date of birth / gender, insurance medical institution name, insurance medical institution contact information, insurance medical institution location, prescribing insurance doctor's name, drug name, drug shape (tablets, tablets, Capsule, etc.), amount of medicine taken per dose, number of times taken per day, timing of taking, public expense bearer number, public expense medical care recipient number, insured person's card / insured person's notebook symbol / number , Category (insured person, dependent), prefecture number, score table number, medical institution code, date of issuance, period of use of prescription, prescription, remarks, signature of insurance doctor, date of dispensing, insurance pharmacy The location and name of the insurance pharmacist, the name of the insurance pharmacist, etc. can be mentioned. Each of these words has an attribute and is stored in the dictionary.
(Embodiment 3 Unified Format Medical Information Retention Means)

The “unified format medical information holding means” 0619 is configured to hold unified format medical information by the heterogeneous format medical information unified means. This means is realized by recording and holding in a non-volatile memory such as an HDD or a flash memory. Since the medical information for each user is retained in a unified format, it is possible to always respond to any request for medical information for each user in the same format, and complicated information processing is performed on the receiving side of the medical information for each user. Does not require.
(Embodiment 3 Hardware)

The medical information sharing system of the present embodiment can be realized according to the hardware configuration that realizes the medical information sharing system of the first or second embodiment, and is further provided with a non-volatile memory and a heterogeneous format medical information acquisition subprogram. It can be realized by holding a unified subprogram of medical information in a heterogeneous format and executing those programs as appropriate.
(Example 3 processing flow)

FIG. 7 is a flow chart showing an example of the flow of processing related to the acquisition of unified format medical information in the present embodiment. Since other processes have already been described in the first and second embodiments, the description thereof will be omitted here.

As shown in the figure, first, it is determined whether or not medical information in different formats is acquired from different registered medical institutions (0701), and if it is acquired, it is converted into unified format medical information (0702). Then, the converted unified format medical information is retained (0703). Then, it is further determined whether or not the medical information in different formats is obtained from different registered medical institutions. On the other hand, in the case of the judgment result that the medical information in a different format is not acquired from different registered medical institutions, it is judged whether or not to end the processing (0704), and in the case of the judgment result that the processing is not completed, it is described above. Further processing is performed, and if it is determined that the processing is completed, the processing is terminated.
<Effect of Embodiment 3>

According to this embodiment, medical information in different formats can be integrated and stored in one format, which contributes to the sharing of medical information.
<Embodiment 4>
<Outline of Embodiment 4>

The present embodiment relates to a pharmaceutical information sharing system based on any one of embodiments 1 to 3 and integrating dispensing information in different formats into dispensing information in a unified format.
<Embodiment 4 Functional Configuration>

FIG. 8 is a conceptual diagram showing an example of the functional configuration of the medical information sharing system of the present embodiment. As shown in the figure, the "pharmaceutical information sharing system" 0800 includes a "medical institution identification information registration unit" 0801, a "medical institution identification information holding unit" 0802, a "dispensing pharmacy identification information registration unit" 0803, and a "dispensing pharmacy". Identification information holding unit "0804", "uniqueness guarantee information acquisition unit" 0805, "uniqueness guarantee information holding part" 0806, "user identification information registration unit" 0807, "user identification information holding part" 0808 , "User-specific medical information acquisition department" 0809, "User-specific dispensing information acquisition department" 0810, "User-specific drug information retention department with disclosure permission / rejection information" 0811, and "Publication permission / rejection information change information" 0812. , "User-specific drug information acquisition request acquisition unit" 0813, "request judgment condition holding unit" 0814, "user-specific drug information acquisition request determination unit" 0815, and "user-specific drug information output unit" 0816. The user-specific dispensing information acquisition unit has "heterogeneous format dispensing information acquisition means" 0817, "heterogeneous format dispensing information unification means" 0818, and "unified format dispensing information holding means" 0819. Each configuration other than the user-specific dispensing information acquisition unit has the same function as the configuration having the same name in any one of the first to third embodiments. Therefore, the description of these configurations will be omitted, and each means possessed by the user-specific dispensing information acquisition unit will be described below.
(Embodiment 4 Dissimilar Format Dispensing Information Acquisition Means)

“Different format dispensing information acquisition means” 0817 is configured to acquire dispensing information in different formats from different registered dispensing pharmacies. Unified format Dispensing information is defined as the format of dispensing information used in this system, and is printed on the layout or paper of each item that is appropriate to be included as dispensing information and the entry field for those items. The layout of the case is specified. Here, the format related to dispensing information is a plurality of items selected and displayed as items to be described as dispensing information (for example, facility name, prescription drug, etc.) and data to be entered in each item (for example, Sunny). It stipulates how to arrange the entry fields for (pharmacy, ibuprofen, etc.).
(Embodiment 4 Dissimilar Format Dispensing Information Unification Means)

The “means for unifying information on dissimilar format dispensing” 0818 is configured to convert the acquired dissimilar format dispensing information into unified format dispensing information which is dispensing information in a unified format. Unified format Dispensing information is defined as the format of dispensing information used in this system, and is printed on the layout or paper of each item that is appropriate to be included as dispensing information and the entry field for those items. The layout of the case is specified. The conversion to the unified format dispensing information begins with the acquisition of the meaning contained in the dispensing information for each user. For example, first, the character string included in the user-specific dispensing information in an arbitrary format is recognized word by word, and the meaning of the recognized word is searched and acquired by the dictionary held in advance by this system. In this dictionary, words that may be used in all user-specific dispensing information are registered in advance. In addition to searching the meaning of the recognized character string using a dictionary, the position information in the arbitrary format information transmitted from the dispensing pharmacy or the medical institution of the character string is acquired. To acquire the position information of the character string, the medical information in an arbitrary format is regarded as one sheet, the coordinates of the x-axis and the y-axis are set, and (x1, y1) to (x2, y2), etc. in the setting (in this case). The coordinate information is in the form of (specifying a rectangular area). Here, if the dispensing information for each user is form-type information, the meaning can be acquired by the coordinate relationship of the character string. For example, if there is a drug name in a certain coordinate area and a numerical value can be read on the right side of the drug, it can be estimated that the numerical value represents the prescribed amount or the amount of the active ingredient of the drug. In order to improve the accuracy of this estimation, we can see the relationship between the horizontal and vertical character strings. For example, if the character mg is found on the right side of the number, it means that the character is a unit of weight, so it is not the prescribed amount, and if the character string / day is found on the right side of the character string. Since the database reveals that the string means per day, the number to the left of it turns out to be the prescription amount. In this way, it is possible to read the meaning from the user-specific dispensing information in any format that has not been registered yet and replace it with a unified format. The "unified format" is a collection of all possible information that may occur during work at a dispensing pharmacy, such as user identification information, prescription drug name, prescription drug type, prescription amount, and guidance content. In this way, almost all character strings included in the irregular format dispensing information are recognized, and the items constituting the dispensing information and the data corresponding to the items are recognized. To give another example, for example, if the character string is "○ × pharmacy", the character string of "○ × pharmacy" is searched in the dictionary, and the result is "facility name item name" and "pharmacy name". It is possible to obtain the result that it is a character string indicating. Therefore, if the recognized character string is "Sunny pharmacy", the user dispensing information, which is information such as the prescription, is "Sunny pharmacy" that can be identified by the registered dispensing pharmacy identification information. Can be obtained. Further, if the recognized character string is "ibuprofen", the character string of "ibuprofen" is searched in the dictionary, and as a result, it is found to be "drug name". If it turns out that the information is user-specific dispensing information from "Sunny Pharmacy", the format of the user-specific dispensing information used by that pharmacy is stored in advance in the user-specific dispensing information format database for each dispensing pharmacy. Therefore, it is possible to obtain what kind of information is placed in which position by using the default format. This is an image of using sheet-shaped user-specific dispensing information, and the information sent electronically can be applied even to information such as fax. Further, when the dispensing information for each user is the information with a tag, the meaning of the tag can be obtained by knowing the dispensing pharmacy that is the transmission source. If you access the tag information database that collects the meanings of the tags used in the user-specific dispensing pharmacy information of all registered dispensing pharmacies and acquire the meanings of the tags used by the sender, the position of the text information You can get its meaning regardless of.
(Embodiment 4 Unified Format Dispensing Information Retaining Means)

The “unified format dispensing information holding means” 0819 is configured to hold the unified format dispensing information unified by the heterogeneous format dispensing information unifying means. This means is realized by recording and holding in a non-volatile memory such as an HDD or a flash memory. Since the dispensing information for each user is retained in a unified format, it is possible to always respond to any request for acquisition of drug information for each user in the same format, and complicated information processing is performed on the receiving side of the dispensing information for each user. Don't need it.
(Embodiment 4 Hardware)

The pharmaceutical information sharing system of the present embodiment can be realized according to the hardware configuration that realizes the pharmaceutical information sharing system according to any one of the first to third embodiments, and the non-volatile memory can be further mixed with different format dispensing information. It can be realized by holding the acquisition subprogram and the heterogeneous format dispensing information unified subprogram and executing those programs as appropriate.
(Example 4 Processing flow)

An example of the processing flow of the present embodiment is based on the processing flow of the third embodiment, and it is determined whether or not the dispensing information in a different format is acquired from a different registered dispensing pharmacy, and if it is acquired, it is determined. Convert to unified format dispensing information. Then, the converted unified format dispensing information is retained. Then, it is further determined whether or not the dispensing information in different formats is obtained from different registered dispensing pharmacies. On the other hand, in the case of a judgment result that the dispensing information in a different format is not obtained from a different registered dispensing pharmacy, it is judged whether or not to end the processing, and in the case of the judgment result that the processing is not completed, the above-mentioned processing is further performed. If it is determined that the process is finished, the process is terminated. Since the other processes have already been described in any one of the first to third embodiments, the description thereof will be omitted here.
<Effect of Embodiment 4>

According to this embodiment, dispensing information in different formats can be integrated and stored in unified format dispensing information, which contributes to sharing of dispensing information.
<Embodiment 5>
<Outline of Embodiment 5>

The present embodiment relates to a medical information sharing system based on any one of the first to fourth embodiments, which determines whether or not to permit disclosure of medical information according to the therapeutic purpose.
<Embodiment 5 Functional Configuration>

FIG. 9 is a conceptual diagram showing an example of the functional configuration of the medical information sharing system of the present embodiment. As shown in the figure, the "medical information sharing system" 0900 includes a "medical institution identification information registration unit" 0901, a "medical institution identification information holding unit" 0902, a "dispensing pharmacy identification information registration unit" 0903, and a "dispensing pharmacy". Identification information holding unit 0904, uniqueness guarantee information acquisition unit 0905, uniqueness guarantee information holding unit 0906, user identification information registration unit 0907, and user identification information holding unit 0908. , "User-specific medical information acquisition department" 0909, "User-specific dispensing information acquisition department" 0910, "User-specific medical information retention department with disclosure permission / rejection information" 0911, and "Publication permission / rejection information change information" 0912. , "User-specific medical information acquisition request acquisition unit" 0913, "Request judgment condition holding unit" 0914, "User-specific medical information acquisition request determination unit" 0915, and "User-specific medical information output unit" 0916. The user-specific medical information holding unit with disclosure permission / rejection information includes "treatment purpose identification information holding means" 0917, "medical information holding means according to treatment purpose" 0918, and "public permission / rejection information according to treatment purpose". It has a user-specific medical information holding means "0919. Each configuration other than the user-specific drug information holding unit with disclosure permission / rejection information has the same function as the configuration having the same name in any one of the first to fourth embodiments. Therefore, the description of these configurations will be omitted, and each means possessed by the user-specific drug information holding unit with disclosure permission / rejection information will be described below.
(Embodiment 5 Therapeutic Purpose Identification Information Retaining Means)

The "therapeutic purpose identification information holding means" 0917 is configured to hold the therapeutic purpose identification information which is the information for identifying the general medical information for the therapeutic purpose of the medical information. "Therapeutic purpose identification information" is information indicating a disease to be cured and various measures to be taken for that purpose. For example, diseases to be cured include Icardi syndrome, affection block syndrome, IgA vasculitis, IgA nephropathy, IgG4-related disease, Eisenmenger syndrome, zinc deficiency, scab, Akanto amoeba keratitis, subacute sclerosing panencephalitis, suba. Acute thyroiditis, subacute cutaneous erythematosus, Achilles tendonitis, Achilles peritonitis, Achilles tendon rupture, malignant external auditory canalitis, malignant melanoma, malignant syndrome, malignant fibrous histiocytoma, malignant peripheral nerve sheath tumor, malignant lymphoma, ankle dislocation fracture , Azison's disease, aspirin asthma, asbestos, Asperger's syndrome, acetonemia vomiting, rash, Adams-Stokes syndrome, Asher syndrome, compression optic neuropathy, compression neuropathy, adenoid proliferation, atopic dermatitis, anaphylaxis, anaphylactic shock, Anaphylactoid purpura, anisakisis, aphthous stomatitis, Apale syndrome, amyloid liver, amyloid neuropathy, amyloidosis, amoeba liver abscess, amoeba erythema, Arima syndrome, alcohol dependence, alcoholic liver disease, alcoholic liver disorder, alcohol poisoning , Alzheimer's disease, Alport syndrome, allergy, allergic bronchopulmonary aspergillosis, allergic conjunctivitis, allergic contact dermatitis, allergic rhinitis, Angelman syndrome, RS virus infection, gastric anisakisis, gastric ulcer, gastric ptosis, gastric cancer, stomach Diversion chamber, atrophic gastric inflammation, atrophic vagitis, gastric tumor, gastroesophageal reflux disease, ectopic pregnancy, gastric axis torsion, gastroduodenal ulcer, abnormal delivery, sperm, addiction, itai-itai disease, type 1 diabetes, strawberry-like hemangiomas , 1p36 deletion syndrome, gastroenteritis, transient cerebral ischemic attack, carbon monoxide poisoning, hereditary globular erythema, hereditary vascular edema, hereditary spinal cord cerebral degeneration, gastric foreign body, gastrosarcoma, canine roundworm Syndrome, canine filamentous worm disease, gastric submucosal tumor, gastric polyp, gastric maltlymphoma, ileus, penis cancer, penis forming cirrhosis, penis apex condyloma, pharyngeal abnormal sensation, posterior abscess, insulinoma, pharyngeal foreign body , Pharyngitis, pharyngeal cancer, scrotum edema, influenza, influenza encephalopathy, influenza A, influenza B, implant, hepatitis E, ED, Wiscot-Aldrich syndrome, Williams syndrome, Wilson's disease, Weaver syndrome, viral Gastroenteritis, viral hepatitis, viral diarrhea, viral hemorrhagic fever, viral meningitis, viral pneumonia, Welsh bacterium food poisoning, Weldnighoffmann's disease, Werner's syndrome Flock, Wernicke's encephalopathy, Weber-Christian syndrome, West syndrome, Westnile fever, thinning hair, congestive liver, congestive hepatic disorder, congestive heart failure, congestive mammitis, congestive dermatitis, depression, Ulrich's disease, AIDS , HIV encephalopathy, HTLV-1-related myelopathy, myelopathy due to HTLV-1, malnutrition, condyle laceration, echinocox disease, eclin sweat porositis, economy class syndrome, sigmoid colon axis twist, STD, necrotizing myelitis, Epstein's disease, Epulis, Ebola hemorrhagic fever, Emanuel syndrome, MRSA, circular alopecia, swallowing disorder, hypertension, conical corneal, discoid erythematosus, hepatitis A, acute hepatitis A, group A lytic pharyngitis, AGA, ADHD, Eras・ Danros syndrome, erythrosis, diaphragmatic hernia, diaphragmatic palsy, yellow tumor, yellow ligament ossification, yellow staphylococcal food poisoning, luteal dysfunction, luteal cyst, yellow fever, luteal foramen, luteal dystrophy, luteal epithelium, parrot Diseases, rhizome myoma, rhizome myolysis, Ota mother's plaque, oxypital horn syndrome, Osgood Schlatter's disease, Osler's disease, mumps cold, acoustic trauma / acute acoustic hearing loss, thermal urticaria, oral flail, VRE, Regressive fever, scab, abnormal rotation, roundworm disease, open angle glaucoma, open fracture, ulcerative colitis, dissecting disorder, overactive bladder, hyperventilation syndrome, chemical burn, excessive labor pain, nuclear jaundice, keratosis , Dilated cardiomyopathy, foreign body of the cortex, keratitis, corneal ulcer, chemical corrosion of the cortex, fungal disease, dystrophy of the corneal, corneal flutter, herpes of the corneum, hyperventilation syndrome, Casabach-merit syndrome, venous aneurysm of the lower extremities, restlessness of the lower extremities, Hypomenorrhea, hyperphagia, excess teeth, pituititis, pituitary adenoma, hypopituitary dysfunction, pseudomyopia, pseudohemiyang, cold, familial amyloid polyneuropathy, familial hypercholesterolemia, familial Mediterranean fever , Familial chronic pyoderma, familial benign chronic pustulosis, lower leg ulcer / stagnant ulcer, lower leg bone trunk fracture, lower leg bone fracture, lower leg compartment syndrome, lower leg fatigue fracture, shoulder joint dislocation, shoulder tendon plate injury, Shoulder tendon plate rupture, hypermenorrhea, shoulder calcification tendonitis, leg qi, brown cell tumor, synovial sarcoma, cadmium poisoning, purulent arthritis, purulent sweat adenitis, purulent myelitis, purulent spondylitis, purulent aseptic Arthritis / necrotic pyoderma / acne syndrome, irritable bowel syndrome, irritable pneumonia, caffeine addiction, pollinosis, pollen dermatitis, Kabuki syndrome, rash, monetary eczema, monetary dermatitis, Kaposi varicella Rheticosis, Kaposi's sarcoma, masked melanitis, itching, Kala Azar, Cal Flat vertebrae, age-related yellow spot degeneration, Kawasaki disease, hepatitis, sweat duct tumor, hepatic blastoma, sweat pore keratosis, liver cirrhosis, interstitial pneumonia, interstitial cystitis, candidiasis, candida diatom dermatitis, Candida interstitial rash, candida interdigital irritability, candida esophagitis, candida peritonitis, annular erythema, annular granuloma, hepatic encephalopathy, arthritis, intra-articular free body, rheumatoid arthritis, psoriasis, infectious gastrointestinal Inflammation, infectious keratitis, psoriatic arthritis, infectious genital dermatitis, infectious endocarditis, liver cancer, liver injury, electric shock, incarcerated hemorrhoids, incarcerated cyst, intrahepatic stones, invaginated nails, liver Vascular, hepatic cyst, hepatic abscess, hepatic plaque, citrus, dry dermatosis, campylobacter food poisoning, campylobacter enteritis, hepatic pouch disease, depressed papillae, sweat blisters, dry dairy sinusitis, cold urticaria, Kearney complex, injuries Flame, genital candidiasis, genital cancer, genital intraepithelial tumor, genital Paget's disease, genital alopecia, trauma, traumatic piss, traumatic chest compressions, traumatic submucosal bleeding, traumatic cervical syndrome, traumatic Ophthalmopathy, traumatic intracerebral hematoma, traumatic cataract, external fistula, external ear inflammation, external hemorrhoid nucleus, external ear tumor, external auditory canal foreign body, external auditory canal inflammation, external auditory canal eczema, external auditory canal injury, external auditory canal atresia, external inguinal hernia, external follicular dysplasia , External follicular dysplasia, valgus, valgus fistula, jaw arthritis, jaw joint dislocation, jaw worm disease, jaw bone fracture, jaw bone myelitis, jaw bone tumor, jaw bone cyst, learning disorder, jaw deformity, gas necrosis, gastrinoma , Pole inflammation, trauma, galactose-1-phosphate urisyl transferase deficiency, galactosemia, orbital tumor, orbital floor fracture, orbital orchiditis, eyeball protrusion, eyeball rupture, eye muscle paralysis, ganglion, eyelid Flame, drooping eyelids, spasm of the eyelids, tumors of the eyelids, lacerations of the eyelids, cancerous pleural inflammation, eye fatigue, cancer precursors, foreign bodies in the eye, ocular cutaneous leukoderma, herpes zoster, facial trauma, facial spasm, facial Bone fracture, facial nerve palsy, facial disseminated astringent ulcer, bronchitis, bronchial dilatation, bronchial asthma, bronchial cyst, bronchial pulmonary dysplasia, bronchial injury, extrasystole, bronchial dysplasia, organic psychiatric disorder, parasite disease , Smoking, basal cell cancer, turtle head injuries, airway burns, functional uterine bleeding, functional dyspepsia, functional hearing loss, rare menstruation, olfactory dysfunction, acetabular dysplasia, malabsorption syndrome, olfactory neuroblastoma, Acute alcohol poisoning, acute gastric inflammation, acute gastric dilatation, acute gastroenteritis, acute gastromucosal lesions, acute pharyngitis, acute viral hepatitis, acute necrotizing ulcerative gingival inflammation, acute lower extremity arterial embolism, acute purulent mammary inflammation, acute External pudendal ulcer, acute bronchitis, acute conjunctivitis, acute laryngitis, acute laryngeal inflammation, acute subdural hematoma, acute epidural hematoma, acute respiratory distress symptoms Group, acute myeloid leukemia, acute bronchitis, acute diffuse encephalomyelitis, acute hemorrhagic conjunctivitis, acute heart failure, acute peritonitis, acute superior mesenteric artery occlusion, acute nephritis, acute nephropathy, acute Pancreatitis, acute stress disorder, acute testicular inflammation, acute supraclavicular inflammation, acute subglottic laryngitis, acute aortic dissection, acute middle ear inflammation, acute mammary inflammation, acute encephalopathy, acute leukemia, acute arsenic poisoning, acute rhinitis, acute sinusitis , Acute peritonitis, acute tonsillitis, acute retinal necrosis, acute lymphocytic leukemia, QT prolongation syndrome, Q fever, thoracic exit syndrome, mad cow disease, mad dog disease, thoracic fracture, stenotic tendonitis, angina, tonic spondylitis, Buccal mucosal cancer, obsessive disorder, scleroderma, thoracic bruise, pleural inflammation, entamitis, thoracic tumor, pleural mesencema, ischemic optic neuropathy, ischemic heart disease, ischemic colitis, giant cell arteritis , Antiphagia, Giant disease, Giant erythroblastic anemia, Giant colonosis, Giant infant, Giant lymphatic malformation, Orthostatic hypotension, Cut hemorrhoids, Muscle atrophic lateral sclerosis, Quit cessation, Muscle tonic dystrophy, Muscle tension, myopia, muscle dystrophy, mycotic sarcoma, muscular oblique neck, metal allergy, muscle rupture, tension-type headache, muscle pain, myasthenia, Keenbeck's disease, prosthesis, tight waist, pseudogout, pseudomembranous enteritis, Reflux esophagitis, Galloway-Mowat syndrome, gambling addiction, worms, Gillan Valley syndrome, ginkgo addiction, Cushing syndrome, Cushing disease, spider hematoma, submucosal bleeding, Kleinfelder syndrome, jellyfish stinging, chlamydia, chlamydia Trachomatis pneumonia, Chlamydia pneumoniae pneumonia, cryoglobulinemia, Klippel-Trenone-Weber syndrome, cryptosporidosis, walnut disease, Cruzon syndrome group, cresol poisoning, Kreuzfeld-Jakob disease, Crohn's disease, Kugelberg-Wellander's disease, accidental Hypothermia, Good Pasture Syndrome, Swarm Headache, Cervical Asthenia, Disti-tibial distal end fracture, diverticulitis, cervical posterior longitudinal ligament ossification, cervical posterior longitudinal ligament ossification, cervical spondylosis, cervical spondylotic radiculopathy , Cervical spondylotic myelopathy, cervical disc hernia, cervical spinal cord contusion, mild cognitive impairment, cervical lymph node swelling, spasmodic (biphasic) acute encephalopathy, tuberculosis, tuberculous arthritis, tuberculous meningitis, tuberculous spinal cord Flame, vasculitis syndrome, vasodilator granulomas, hemangiomas, vascular dementia, angiosarcoma, blood cell phagocytosis syndrome, blood chest, platelet dysfunction, thrombocytopenia, serum disease, nodular sclerosis, nodular erythema, Nodular polyarteritis, nodular pruritus, thrombotic external hemorrhoids, thrombotic thrombocytopenic purpura, thrombotic venous inflammation, hemospermosis, bloody stools, conjunctivitis, subconjunctival bleeding, hemophilia, hemophilia A, Hematopoietic arthritis, Hematopoietic disease B, Kersus baldness, Keroid, Shoulder chain dislocation, Osteomyelitis, Giant cell tumor of tendon sheath, Microscopic polyangiitis, Koehler's disease, Fulminant hepatitis, Difficulty menstruation, Decompression, Localized strong skin disease, primary aldosteronism, primary osteomyelitis, primary osteomyelitis, primary fibrous dysfunction syndrome, primary biliary cirrhosis, primary biliary cholangitis, primary macroglobulin blood Disease, primary immunodeficiency, gamekeeper mother's finger, high IgD syndrome, mouth circumference dermatitis, anal circumference dermatitis, articulation disorder, photochemical smog disorder, mouth keratitis, hyperpotassemia, hypercalcemia, sympathetic eye Flame, ridge, palatal fissure, keratoderma, glioblastoma, oral allergy syndrome, oral candidiasis, oral cancer, aviation osteomyelitis, oral floor beetleitis, decubitus ulcer of oral mucosa, hypertension, hypertension emergency, Hypertension, hypertensive encephalopathy, hypertensive retinopathy, collagen disease, occlusal trauma, iris-like osteomyelitis, iris transection, eosinophil granulomatosis, eosinophil pneumonia, eosinophilia , Eosinophilic pulmonary infiltration syndrome, alpine disease, hyperlipidemia, red erythema, osteomyelitis, lip palatal fissure, lip herpes, lip fissure, lip fissure, higher brain dysfunction, posterior longitudinal ligament ossification, bone marrow Bone marrow hyperfunction, hypothyroidism, thyroid crisis, thyroid disease, thyroid tumor, grooved tongue, posterior labor pain, photosensitivity, gloss lichen, neutrophil dysfunction, neutrophilia, worm Disease, osteomyelitis, laryngeal cancer, laryngeal softening, laryngeal papilloma, stomatitis, hypersodiumemia, hyperuricemia, menopausal disorder, late cataract, widespread exfoliation, widespread spinal canal stenosis, erythema, high Prolactinemia, bite disease, osteomyelitis, anal cancer, anal stenosis, perianal abscess, pruritus anus, anal skin drop, Bowen's disease, anal polyp, antiphospholipid antibody syndrome, elderly epilepsy , Hip arthritis, hip dislocation, respiratory infection, respiratory failure (acute respiratory failure / chronic respiratory failure), melanomyelitis, black epidermoid tumor, cocaine syndrome, tympanic inflammation, Costello syndrome, fracture, osteomyelitis, osteomyelitis Plastic syndrome, osteomyelitis, osteomyelitis (purulent osteomyelitis), myeloma, bone marrow fibrosis, myeloproliferative tumor, osteoporosis, bone softening, osteochondroma, osteosoft tumor, osteosarcoma, bone cyst, pelvis Position, pelvic fracture, pelvic inflammatory disease, pelvic peritonitis, Coffin-Siris syndrome, Coffin-Laurie syndrome, hip tinea, tympanic inflammation, tympanic membrane injury, swelling, Korsakov syndrome, cholera, mixed connective tissue disease, apical Periodontitis, insect allergy, compartment syndrome, syndactyly, aspiration pneumonia, fifty shoulders, 5p deletion syndrome, Gauche disease, bone marrow bronchitis, bone marrow Mycotic keratitis,
Bacterial conjunctivitis, Bacterial meningitis, Bacterial diarrhea, Bacterial pneumonia, Gill-ear-renal syndrome, Poor regeneration anemia, Uterine entanglement, Uterine hernia, Cytomegalovirus pneumonia, Cytomegalovirus infection, Cytomegalovirus retina Flame, recurrent polychondritis, umbilical hernia, chain shadow, uterine hair, anus, clavicle fracture, hoarseness, scratches, sanadamushi, salacemia, salin poisoning, sarcoidosis, sarcopenia, monkey pox, salmonella, salmonerosis, salmonella enteritis, trifurcation Nervous pain, corrosive corneal ulcer, decubitus, decubitus infection, decubitus uterine retrograde insufficiency, decubitus psychiatric disease, decubitus fever, tricuspid atresia, granuloma, SARS, sciatic nerve pain, crush syndrome, cyanosis, Schegren syndrome, Shaneline Henoch syndrome, visual impairment, epilepsy, laxative bleeding, UV impairment, color vision abnormality, pigmentation ataxia, pigmented psoriasis, uterine ptosis, uterine cancer, uterine myoma, uterine muscular inflammation, cervical inflammation, cervical polyp, uterus Cervical laceration, cervical cancer, retroversion of the uterus, uterine body cancer, uterine prolapse, uterine vaginal inflammation, intrauterine fetal growth retardation, endometriosis, endometriitis, endometriosis, endometrial proliferation Disease, uterine sarcoma, uterine stunting, uterine rupture, uterine adnexitis, finger bite wound, finger bone fracture, finger crush wound, dyslipidemia, abnormal lipid metabolism, limb paralysis, periodontitis, periodontal abscess, periodontal disease , Early onset of uterine uterus, late onset of uterine cervix, optic neuritis, optic nerve canal fracture, optic neuromyelitis, dermatitis, dental maxillary sinusitis, seborrhea, spontaneous pectoral tract, spontaneous abortion, puncture, trauma / damage to the tongue , Extremity purpura, eczema, knee joint dislocation, patellar tendon injury, patellar fracture, patellar cartilage softening, knee ligament injury, knee internal disorder, gingitis, gingival fibromatosis, gingival abscess, purpura, fatty liver, Fatoma, osteosarcoma, stains, stains, shy-drager syndrome, cervical nerve palsy, oblique neck, squint, Sharko-Marie Tooth disease, Shagas disease, habitual abortion, periodic limb palsy, contractile peritonitis, boat-like Bone fracture, carpal canal syndrome, liquor, uterine dermatitis, finger joint ligament injury, finger flexor tendon injury, finger extensor tendon injury, finger deformity arthritis, hemorrhagic shock, hand tendon injury, spring cathar , Shoyermann's disease, foreign body in the gastrointestinal tract, interstitial tumor of the gastrointestinal tract, gastrointestinal cancer, symptomatic alopecia, symptomatic hypotension, symptomatic epilepsy, red fever, heel bone fracture, ankle osteotomy, vitreous opacity , Vitreous bleeding, small ear disease, symptomatic mental disorder, palmoplantar keratosis, palmoplantar pustulosis, small incision heart surgery, small head disease, pediatric ectomy, pediatric valgus squamous, pediatric acute leukemia, pediatric diabetes, pediatric vice Nasal inflammation, cerebral bleeding, food poisoning, esophageal acarasia, foreign esophagus, esophagitis, esophageal ulcer, esophageal cancer, esophageal bronchial fistula, Esophageal stenosis, esophageal diverticulum, esophageal neuropathy, esophageal varices, esophageal injury, esophageal non-epithelial tumor, esophageal benign tumor, esophageal fissure hernia, food allergy, loss of appetite, virgin membrane closure, virgin membrane laceration, blemishes, seborrheic horns Chemia, seborrheic dermatitis, psychogenic hearing loss, new coronavirus infection, cardiomyopathy, myocarditis, myocardial infarction, myocardium, fungal arthritis, fungal endophthalmitis, fungal meningitis, nerves Causal bladder, neuroblastoma, glioma, nerve sheath tumor, nerve fibroma, neurofibromatosis, neuroregulatory fainting, nerve pain, nerve syphilis, deep cervical abscess, nerve Bechet's disease, cardiogenic shock, progression Supranuclear palsy, progressive sphere palsy, progressive muscular dystrophy, cardiac sarcoidosis, cardiac contusion, ventricular fibrillation, ventricular septal defect, ventricular tachycardia, exudative otitis media, psychosomatic disease, pearloma otitis media, neovascular luteal plaque Disease, neonatal necrotizing enteritis, neonatal hepatitis, neonatal spasm, neonatal hyperbilylbinemia, neonatal meningitis, neonatal infantile gastrointestinal allergy, neonatal pneumonia, neonatal sepsis, neonatal hemolytic jaundice, true polyemia, heart tumor, heart Nervous disease, valvular heart disease, cardiac tamponade, cardiac arrest, vibration disorder, endocarditis, endocardial bed defect, heart failure, deep venous thrombosis, atrial fibrillation, atrial flutter, atrial septal defect, C Hepatitis, hepatitis C virus infection, acute hepatitis C, chronic hepatitis C, hemorrhoids, dianotti disease, diardiasis, ear hematoma, ear chondritis, decavirus infection, autosensitizing dermatitis, ear Lower adenitis, open ear canal, stenosis of the ear canal, diquat poisoning, sclerosis of the ear, autoimmune disease, autoimmune hepatitis, autoimmune hemorrhagic disease XIII, autoimmune hemolytic anemia, autoimmune pancreatitis, ear Small bone dysgenesis, dystonia, ear herpes zoster, ears, persistent erectile disease, diphtheria, autism, autism spectrum disorder, gibelbara-colored ulcer, weak vision, juvenile melanoma, juvenile idiopathic arthritis, juvenile Onset bilateral sensory deafness, jumper knees, mediastinitis, mediastinal emphysema, mediastinal tumors, heavy metal intoxication, suffocation, severe myasthenia, severe complex immunodeficiency, duodenal ulcer, duodenal diverticulum, duodenal worm disease , Duplicate renal pelvic tract, chorionic villus cancer, postoperative anal disorder, postoperative psychosis, superior, inferior anterior iliac spine avulsion fracture, normal premature detachment of the placenta, nasopharyngeal cancer, maxillary sinusitis, maxillary sinus cancer, Euphorinitis, autosomal dominant multiple cystic kidney, superior large vein syndrome, streak disease, superior mesenteric artery syndrome, venous aneurysm, superior humeral condyle fracture, lateral humerus condyle fracture, lateral humerus condyle inflammation , Proximal humerus fracture, humerus trunk fracture, humerus medial condyle fracture, bicep muscle tendon rupture, decubitus, female facial melanosis, female infertility, slow pulse tachycardia syndrome, autonomic dysfunction, hemorrhoids Fistula, renal transplantation, nephritis, renal pyorrhea, renal tuberculosis, renovascular hypertension, renal infarction, artificial abortion, psoriasis vulgaris, fish scale vulgaris, vesicle vulgaris, white spot vulgaris, hair vulgaris vulgaris Birth defect, vulgaris vulgaris, nephropathy, kidney cancer, kidney injury, lung lung, renal failure, urticaria, urticaria, urticaria, swimming shoulder, pancreatitis, pancreatic cancer, mercury poisoning, hydronephropathy, pancreatic stone disease, pancreas Cancer, pancreatic injury, pancreatic bile duct confluence, varicella, pancreatic islet tumor, hydrocephalus, hydrourinary tract disease, pancreatic cyst, pancreatic cyst, vesicular keratopathy, vesicular vesicles, sleep disorders, sleep apnea Syndrome, Birth Defect Syndrome, Sweet Disease, Skills Gastric Cancer, Sturge Weber Syndrome, Stevens Johnson Syndrome, Strophulus, Spoon Claw, Sporotricosis, Smith Maginnis Syndrome, Smon, Mentalitis, Encephalitis / Encephalopathy, Marrow Membranous fungal meningitis, meningitis, cranial pharyngoma, skull depression fracture, skull linear fracture, headache lifestyle disease, sexual dysfunction, genital herpes, genital herpes, cord varices, cord edema, sperm Cord twist, blue mother spot, normal pressure hydrocephalus, adult atopic dermatitis, adult Still's disease, adult T-cell leukemia, gonad dysfunction, testicular tumor, supraclavicular inflammation, testicular injury, testicular twist, vocal band nodule, Voice band polyps, median cervical cysts, median nerve palsy, growth hormone deficiency short stature, sexual identity disorders, adult edema sclerosis, adolescent flat vulgaris, sexually differentiated disorders, physiological pain, physiological jaundice, infrared rays Disorders, red blast, red smooth tongue, myelitis, spinal cavities, spinal hemangiomas, spinal tumors, spinal cerebral degeneration, spinal muscle atrophy, spinal cord injury, cough asthma, spinal canal stenosis, spinal caries, Birth defects, kyphosis, spinal cord injury, calcification epithelioma, feeding disorders, incisions, urgent urinary incontinence, imminent premature birth, imminent abortion, scab, snow eye inflammation, celiac disease, fibromyalgia, fibrous bone Deplasia, fibrosarcoma, protracted consciousness disorder, birth defect, condyloma apex, condyloma apex, perforation trauma, detergent poisoning, chromosomal abnormality, linear skin atrophy, linear dermatitis, tip giant disease, sacral arthritis, penetration Congenital heart trauma, congenital anomaly syndrome, congenital deficiency teeth, congenital adenosine deaminase deficiency, congenital QT prolongation syndrome, congenital muscular oblique neck, congenital fish scales, congenital fish scale-like erythema, congenital thyroid function Degradation, congenital hip dislocation, congenital uterine morphology, congenital knee dislocation, congenital esophageal atresia, congenital heart disease, congenital pearloma, congenital ear fistula, congenital erythropoiesis anemia, congenital Birth defects, congenital biliary dilatation, congenital varus, congenital hearing loss, congenital cysts, congenital epidermal vesicular disease, congenital rash syndrome, congenital adrenal hyperplasia Syndrome, congenital myopathy, congenital glaucoma, dementia, choriocarcinosis, tongue moss, tongue inflammation, tongue cancer, tongue pain, anterior ocular dysplasia, preterm water rupture, prodromal labor, systemic amyloidosis, systemic erythematosus, systemic Sclerosis, asthma, anterior placenta, vestibular neuritis, frontotemporal dementia, anterior atrioventricular bleeding, prostatic inflammation, prostate cancer, prostate stones, prostatic sarcoma, prostatic enlargement, forearm bone fracture, nail circumference, noise Sexual hearing loss, bipolar disorder, subclavian keratoproliferative syndrome, white spot on the nail plate, plate avulsion, premature menstruation, premature menopause, premature ovarian failure, mitral valve deviation, mitral stenosis, mitral cap Valve insufficiency, pruritus, ankle cystitis, ankle contusion, ankle canal syndrome, toe flexor tendon injury, toe contusion wound, toe extensor tendon injury, temporal bone fracture, inguinal hernia, rat Bites, Sotos syndrome, freckles, hematopoietic stem cell transplantation, dentinal hypersensitivity, secondary glaucoma, astringent tuberculosis, constitutional jaundice, fetal dysfunction, fetal edema, herpes zoster, post-herpes zoster nerve pain, femoral fracture, remnants of the placenta, Body tinea, fetal stool aspiration syndrome, hypersweat, polymorphic erythema, multilineage atrophy, polymorphic sun eczema, polyemia, polydactyly, polyphagia, multi-organ failure, multi-fetal pregnancy, tanatophoric bone dysplasia Symptoms, polycystic ovary syndrome, multiple trauma, multiple vasculitis granulomatosis, multiple sweat gland abscess, multiple myitis, multiple myeloma, multiple endocrine adenomatosis, accidental ingestion of tobacco, polyspleen syndrome, bruise, hirsutism Syndrome, bile ductitis, bile duct cancer, bile duct cell cancer, simple myopia, simple facial plaque, simple purpura, simple herpes, simple herpes encephalitis, simple herpes encephalitis Tanzier's disease, cholelithiasis, charcoal syndrome, short bowel syndrome, Biliary tract infection, biliary atresia, poisoning, cholecystitis, cholecyst cancer, bile cyst adenomyosis, post-cholecystectomy syndrome, post-cholecystectomy syndrome, bile cyst polyp, bile sac polyp, protein leaking gastroenteropathy, Turner syndrome, femoral condyle Partial osteonecrosis, femoral head slip disease, distal femoral head fracture, femoral neck fracture, femoral stem fracture, femoral head necrosis, femoral hernia, colon cancer, colon diverticulum, colon polyposis, colon polyp, aorta Flame syndrome, aortic valve stenosis, aortic valve insufficiency, aortic aneurysm, cerebral cortical basal nucleus degeneration, marble bone disease, Down syndrome, salivary adenitis, salivary gland tumor, salivary stone disease, dislocation, anal loss, depigmented mother's plaque, Alopecia, WPW syndrome, bruise, Darie's disease, male climacteric disorder, male genital injury, elastic fibrous pseudoyellow tumor, male breast cancer, male infertility, elastic finger, cyanose, Chediac-East syndrome, peri-dental inflammation, lethal Familial insomnia, map tongue, tick disorder, choking, vaginal inflammation, vaginal candidiasis, vaginal cancer, vaginal spasm, vaginal deficiency, vaginal septum, vaginal trichomonasosis, Intravaginal ejaculation disorder, vaginal wall laceration, intellectual disability, delayed menstruation, delayed endolymphatic hydrops, typhoid, charge syndrome, medial optic dysplasia, elbow joint dislocation, central serous chorioretinosis central retina Idiopathic disease, middle ear inflammation, middle ear tumor, pyorrhea, central nervous system primary malignant lymphoma, central dizziness, addiction, toxic eruption, addictive optic neuropathy, addictive epidermal necrosis, elbow internal disorder, middle dermatoma, elbow canal syndrome, Middle lobe syndrome, enteritis, enteritis vibrio infection, enteritis vibrio food poisoning, hearing impairment, intestinal hemorrhagic Escherichia coli infection (O-157), intestinal adhesions, auditory organ cancer, iliotibial banditis, intestinal tuberculosis, acoustic nerve tumor, acoustic nerve sheath Tumor, intestinal stacking, intestinal limb dermatitis, intestinal typhoid, hearing impairment, rectal inflammation, rectal cancer, rectal prolapse, rectal mucosal prolapse, rectal polyp, rectal aneurysm, chocolate cyst, disc hernia, vertebral basilar artery circulatory insufficiency , Gout, finger, tsutsugamushi disease, nail worm, swelling, limb and mouth disease, TFCC injury, hypoalbuminemia, low temperature disorder, hypopotassium, hypocalcemia, hypoglycemia, hypotension, low birth weight infant , Hypothermia, hypoplacement, hyponatremia, stagnant testis, indication disorder, hand eczema, tetani, iron blast anemia, iron deficiency anemia, tinea pedis, metastatic liver cancer, metastatic brain tumor, metastasis Sexual lung cancer, epilepsy, punctate keratolysis, punctate superficial keratopathy, natural hemorrhoids, scab, drowning, sickness, dupuytran contraction, electrical ophthalmitis, dengue fever, electric shock, infectious mononuclear disease, infectious Pyorrhea, Chronic pyoderma of the buttocks, scab, Tourette syndrome, throwing fracture, glycogenosis, radial head / neck fracture, distal radial end fracture, distal radial fracture, radial nerve palsy, radial head fracture, Idiopathic disease, dysglycemia, frost injury, dialysis amyloidosis, frost, acne, diabetes, diabetic ketoacidosis, diabetic nephropathy, diabetic neuropathy, diabetic cataract, diabetic foot lesions, diabetic retinopathy, scalp eczema, head Aftereffects of trauma, soft tissue injury of the head, tinea pedis, rabbit eye, toxoplasmosis, toxoplasmic reticuloendothelial inflammation, idiopathic interstitial pneumonia, idiopathic thrombocytopenic purpura, idiopathic respiratory distress syndrome, idiopathic bacteria Idiopathic peritonitis, idiopathic esophageal rupture, idiopathic epilepsy, idiopathic pulmonary hemorrhagic disease, idiopathic pulmonary fibrosis, idiopathic edema, idiopathic hypertonic hypertension, clock dish claw, idiopathic hearing loss, idiopathic rash, sudden Death, tracoma, bird influenza virus infection, trichomonas vaginal inflammation, trisomy syndrome, trisomy 18, Tricher Collins syndrome, toluene poisoning / thinner poisoning, TORCH syndrome, clown-like fish scale disease, sinus failure syndrome, animal bite, arterial duct patency Disease, arteriosclerosis, aneurysm-like bone Swelling, aneurysm-like bone cyst, poisonous mushroom poisoning, poisonous snake bite, dry eye, dry mouth, Drave syndrome, blunt ocular trauma, internal carotid artery stenosis, internal ear inflammation, internal hemorrhoids, internal ear malformation, internal inguinal hernia, Endochondroma, endocrine disorders, Nakajo / Nishimura syndrome, Nasu / Hakora disease, narcolepsy, chondrosarcoma,
Chondria aplasia, soft birth canal toughness, intractable frequent partial strokes, swelling acute encephalitis, type 2 diabetes, acne, granulomatous lipitis, meat detachment, nicotinic stomatitis, secondary hypertension, secondary cardiomyopathy, Secondary erythrocytosis, secondary anemia, 22q11. Infant parasitic erythema, lactation syndrome, lactation leak, lungitis, mammary gland disease, mammary fibrous adenomas, lung sarcoma, mammary lobular tumor, lactose intolerance, breast lip necrosis, breast sarcoma, breast hypertrophy, infant hemorrhagic fistula, Sudden Infant Death Syndrome, Pneumocystis Pneumonia, Neuropathy, Ectopic Lung Opening, Urinary Stones, Urinary Tumors, Urinary Aneurysms, Tubular Acidosis, Urea Cycle Abnormalities, Foreign Substances, Urinitis, Suburinary Fissure, Urinary Narrowing , Urinary stone incarceration, urinary tumor, urinary tract injury, urinary collapse, urinary tract residual disease, urinary tract infection, urinary tract stone, pregnancy, pregnancy hypertension syndrome, gestational herpes, pregnancy diabetes, pregnancy anemia, dementia , Hair loss, Nunan syndrome, cat scratch disease, misplacement, burns, febrile spasm, heat stroke, nephrosis syndrome, mucous cyst, contusion, mucosal prolapse syndrome, encephalitis, brain stem bleeding, pustulosis, cerebrovascular disorder, cerebrovascular dementia, brain Infarction, cerebral contusion, cerebral bleeding, brain tumor, cerebral agitation, cerebral venous sinus obstruction, cerebral palsy, cerebrospinal fluid hypovolemia, stroke, cystosis, cerebral arteriovenous malformation, cerebral aneurysm, cerebral abscess, cerebral hernia, pustulous psoriasis , Chorionic pustulosis, cystic fibrosis, cystic lung disease, vehicle sickness, norovirus gastroenteritis, norovirus infection, noroviral gastroenteritis, pulmonary aspergillosis, pulmonary amyloidosis, pneumonia, pneumonia chlamydia infection, pulmonary suppuration , Extrapulmonary tuberculosis, lung cancer, pulmonary emphysema, pulmonary parasite disease, pulmonary asthma, pulmonary tuberculosis, pulmonary thromboembolism, septicemia, septic shock, pulmonary hypertension, pulmonary eosinophilic granulomatosis, pulmonary sarcoidosis, pulmonary contusion, Pulmonary fungi, pulmonary edema, pulmonary heart, pulmonary encephalopathy, pulmonary adenocarcinoma, pulmonary embolism, pulmonary arteriovenous fistula, pulmonary artery stenosis, pulmonary arterial thromboembolism, primary pulmonary hypertension, pulmonary arterial pulmonary hypertension, pulmonary valve Narrowing, urinary dysfunction, pulmonary fractionation, defecation disorder, alveolar proteinosis, alveolar microlithiasis, disuse syndrome, granuloma, pulmonary lymphovascular myomatosis, white robe hypertension, cataract, leukoplakia, white plate disease, White skin disease (shirako), exfoliation fracture, disseminated intravascular coagulation syndrome, rupture, multiple sclerosis, rough skin, bee sting, leukemia, rash typhoid, vocal disorder, developmental disorder, nasal mushroom, nasal sinus tumor, tooth trauma Injury, Harada's disease, anti-circulatory nerve palsy, anti-flexion, pan-hemocytopenia, meniscus injury, scar alopecia, scarring pyorrhea, Hansen's disease, Huntington's disease, Hunt's syndrome, recurrent parotid inflammation, semi-blindness, syphilis, Bad Chiari syndrome, hair loss habit, spring finger, scene silence, Balsalva sinus aneurysm, Baltrin abscess, Baltrin's adenitis, Barrett's esophagus, Bancomycin-resistant yellow staphylococcal infection, Buerger's disease, panic disorder, paracoat addiction, palatinus, Panner's disease, Parkinson's syndrome, Parkinson's disease, personality disorder, non-alcoholic fatty hepatitis, subcutaneous emphysema, withdrawal, non-tuberculous acid bacillus Symptoms, alopecia pityroides, hypertrophic scars, hypertrophic cutaneous osteomyelopathy, hypertrophic pyloric stenosis, peroneal nerve palsy, knee joint contusion, elbow joint ligament injury, spleen injury, hypertrophic myocardial disease, non-specific ectopia , Human papillomavirus infection, cutaneous malignant lymphoma, cutaneous amyloidosis, skin allergic vasculitis, dermatitis, skin cancer, skin cancer precursor, dermatitis, skin tuberculosis, skin acid acid bacteria infection, dermatomycosis, skin sore Itching, dry skin, skin repellency, non-tuberculous acid bacillus, flying mosquito, obesity, pertussis, sunburn, leopard, epidermal mother spot, opportunistic infection, non-gonadic urinitis, Hirschsprung's disease , Fatigue fracture, anemia, anemia mother's plaque, frequent menstruation, nasopharyngeal vascular fibroma, foreign body in the nasal cavity, nasal bone fracture, weak labor, nasal seizure, nasal ulcer, vitamin A deficiency, vitamin K deficiency, vitamin D-dependent dermatosis , Vitamin D deficiency, Vitamin B1 deficiency, Vidal lichen, Nasal septal curvature, Diffuse pleural thickening, Diffuse axon injury, Diffuse large cell B-cell lymphoma, Diffuse alopecia, Diffuse brain swelling / edema, Diffuse Sexual panbronchiitis, pathogenic Escherichia coli food poisoning, pathological fracture, nasal lacrimal duct obstruction, sensitive skin, hepatitis B, acute hepatitis B, chronic hepatitis B, Pyrroli infection, PMS, PCB poisoning, PTSD, Pfeiffer syndrome , Fabry's disease, Farrow's symptom, fanconi anemia, anxiety, filariasis, infertility, ruin, encapsulation myitis, phenylketonuria, Volkmann's contraction, von Willebrand's disease, von Willebrand's disease, Stress urinary incontinence, parapharyngeal space tumor, hyperparathyroidism, hypothyroidism, accessory ear, adrenal crisis, adrenal genital syndrome, sinusitis, sinus fungal disease, sinus cyst, abdominal trauma, abdominal aorta Aneurysm, abdominal hernia, peritonitis, peritoneal tumor, peritoneal adhesion, Fukuyama-type congenital muscular dystrophy, pouch ear, puffer addiction, indulgence, irregular occlusion, irregular organ bleeding, arrhythmia, infertility, insomnia, Freiberg's disease, frictenic conjunctivitis , Frail chest, fecal nematode, powder aneurysm, VDT disorder, staphylococcal diet Toxic, staphylococcal burn-like skin syndrome, dysplasia, brucellosis, postpartum abnormal bleeding, cessation of delivery, delivery paralysis, Prader-Willi syndrome, prion disease, pool fever, smooth muscle tumor, menopause, angle-closure glaucoma, Obstructive bronchitis, obstructive arteriosclerosis, Haley Haley's disease, hemochromatosis, hernia, herpangina, herpes, osteoarthritis, cervical spondylosis, osteoarthritis, osteoarthritis, knee osteoarthritis Chronic condition, osteoarthritis, osteoarthritis of the ankle, osteoarthritis of the elbow, lumbar osteoarthritis, migraine, unilateral facial spasm, malignant lymphoma of the amygdala, tonsillar abscess, peritoneal abscess, hypertrophy of the tongue, flat lichen. , Flat mother's plaque, Becker-type muscular dystrophy, osteoarthritis / chicken eye, whipworm disease, constipation, Bechet's disease, pesto, peroxysome disease, Pertes' disease, bee folliculitis, cyst, radiation enteritis, radiation pneumonia, radiation dermatitis, cystic Osteoarthritis, honeycomb inflammation, cystosis, hokuro, paroxysmal supraventricular tachycardia, paroxysmal nocturnal hemochromatosis, rash, rash fever, bone paget disease, essential thromboemia, essential hypertension, essential hypotension Blood pressure, foreign bladder, bladder inflammation, bladder cancer, bladder diverticulum, bladder neck sclerosis, bladder injury, bladder vaginal fistula, bladder urinary reflux phenomenon, atrioventricular block, boxer fracture, botulinum disease, botulinum food poisoning, mother's spot Symptoms, Bowen's disease, Poitz-Jägers syndrome, POEMS syndrome, polio, polyp-like vocal band, porphyrinosis, mycoplasma infection, mycoplasma pneumonia, impacted teeth, measles, peripheral dizziness, wear, drug addiction, malassethia folliculitis, Malaria, Malfan syndrome, Mallory-Weiss syndrome, chronic gastric inflammation, chronic pancreatitis, chronic inflammatory demyelinating polyneuritis, chronic discoid erythematosus, chronic active EB virus infection, chronic bronchitis, chronic conjunctivitis, chronic diarrhea , Chronic thyroiditis (Hashimoto's disease), Chronic laryngitis, Chronic subdural hematoma, Chronic myeloid leukemia, Chronic recurrent aphtha, Chronic pigmented purpura, Chronic heart failure, Chronic kidney disease, Chronic urticaria, Chronic supraclavicular body inflammation , Chronic middle ear inflammation, chronic prostatic inflammation, chronic granulomatosis, chronic mammary inflammation, chronic pulmonary aspergillosis, chronic exfoliative gingitis, chronic arsenic poisoning, chronic rhinitis, chronic sinusitis, chronic peritonitis, chronic obstructive pulmonary disease, chronic Tonsillitis, Chronic constipation, Chronic cystitis, Chronic lymphocytic leukemia, Manson's elephant disease, Mantle cell lymphoma, Marburg hemorrhagic fever, MERS, Myocrony deficiency epilepsy, Myopathy, Taste disorder, Mikulitz's disease, Premature infant anemia, Premature infant Retinopathy, Mizuibo, Mizumushi, Mitochondrial disorders, Mitochondrial encephalomyopathy, Mi Tocondria disease, Minamata disease, unruptured cerebral aneurysm, choroidal tumor, anhidrosis, blast-free anaerobic bacterial infection, aerobic lung, amenorrhea, airidia, mucopolysaccharidosis, insect bite, tooth decay, asymptomatic Myocardial ischemia, dream sperm, painless thyroiditis, alopecia, mumps meningitis, stray nerve reflex, methanol poisoning, metabolic syndrome, Meckel's diverticulum, Meniere's disease, Menetrie's disease, Mobius's syndrome, dizziness, immunodeficiency syndrome, Menkes' disease , Maple syrup urinary syndrome, pore keratosis, pore red porridge, pore lichen, Mongolian plaque, reticular skin plaque, hair tongue, fistula fistula, cystic dermatitis, cystitis, hair malformation, hair malformation ( Netherton's Syndrome (twisted hair chain), retinal blastoma, retinal pigment degeneration, retinopathy, retinal tremor, retinal vein occlusion, retinal arteriosclerosis, retinal arterial occlusion, retinal detachment, retinocystitis, moyamoya disease, haze Disease, Mowat-Wilson Syndrome, Hypertension, Mohren's ulcer, Baseball, Baseball elbow, Drug allergy, Drug-induced enteritis, Drug-induced hearing loss, Drug-induced pneumonia, Drug rash, Drug dependence, Drug dependence, Drug-induced liver Disorders, drug-induced gingival hyperplasia, drug addiction, burns, rabbit disease, nocturnal urinary illness, Young Simpson syndrome, organic acid metabolism disorders, organic phosphorus addiction, painful external tibia, adhesive placenta, Ewing sarcoma, epilepsy, hemolytic Urinary toxicosis syndrome, hemolytic anemia, pruritus, hyposuffosis, hyperhydration, lumbar compression fracture, lumbar spondylolisthesis, lumbar disc hernia, lumbar segregation, lumbar spinal canal stenosis, winglet, Yokogawa scab, 4p deletion Syndrome, Rye Syndrome, Lysome's disease, Lime's disease, Lassa fever, Latex allergy, Langerhans cell histiocytosis, dyskinesia, ovarian hyperstimulation syndrome, ovarian cancer, ovarian dysfunction, ovarian stalk twist, ovarian bleeding, ovarian tumor, ovarian cyst , Randow-Klefner Syndrome, Follicular shortening, Follicular cyst, Rheumatoid polymyopathy, Rheumatoid fever, Pear muscle syndrome, Depersonal disorder, Listeriosis, Listeria food poisoning, Transected osteochondritis, Lissavirus infection Syndrome, epidemic keratoconjunctivitis, abortion, benign asbestos pleural effusion, benign paroxysmal head dizziness, glaucoma, gonococcal infection, gonococcal conjunctivitis, gonococcal cervical inflammation, gonococcal vaginal inflammation, apple disease, lymphangiitis, lymph Plastic cell lymphoma, lymphoma, lymphadenitis, lymph node tuberculosis, lymph edema, lymph vascular myomatosis, gonorrhea, Leash mania, syndrome, psoriasis, osteoarthritis, lacrimal gland tumor, pyorrhea, tears Pouchitis, nasal swelling, Rubinstein-Tevi syndrome, Reynaud syndrome / Reynaud phenomenon, Reynaud's disease, Legionellosis, Recklinghausen's disease, Resh-Naihan's symptom Flock, Let's Syndrome, Levy Body Dementia, Leptspirosis, Label Hereditary Ophthalmopathy, Presbyopia, Presbyopia, Senile Pigment Spot, Senile Fat Gland Proliferation, Senile Purpura, Senile Vagitis, Presbycusis, Elderly There are various diseases such as white spots, funnel chest, presbyopia, presbyopia, Rothmund-Thomson syndrome, lorotavirus infection, rotavirus diarrhea, intercostal neuralgia, rib fracture, follicular lymphoma, armpit, and Wallenberg syndrome. , One or more of the disease names listed above as identification information indicating each disease, or a character string such as "a0001" instead of the disease name is held in association with each other. In addition, these may be described together with the characteristics, degree, cause, etc. of the disease.

In addition, as a means to cure the disease, for example, tissue is collected from the lesion, blood is collected from the arterial line, blood is collected by direct arterial puncture, administration of a contrast agent, catheter insertion / removal, transabdominal bladder ultrasound examination. (Purpose of residual urine measurement), abdominal ultrasound, cardiac ultrasound, carotid artery ultrasound, rectal pressure measurement / anal pressure measurement, bladder pressure measurement, ACT (activated coagulation time) measurement, tracheal cannula selection / replacement , Selection / replacement of tracheal cannula, Debreedman of necrotic tissue of decubitus, securing of arterial line, removal of peritoneal drain, local anesthesia, administration of glucose during hypoglycemia, administration of doxorubicin, bleomycin, vinblastin, dacarbazine (ABVD therapy), radiation Irradiation, Dexa-BEAM therapy, ESHAP therapy, 5-ASA pharmaceutical administration, corticosteroid drug administration, artificial anus preparation surgery, ileal sac creation surgery, histamine H1 antagonist instillation, mediator release inhibitor instillation, heavy ion beam therapy , Drug resistance genetic test in antineoplastic drug treatment, laparoscopic bladder urinary reflux prevention, vascular regeneration treatment by peripheral blood mononuclear cell transplantation, LDL apheresis therapy, measurement of blood TARC concentration, blood purification for cholesterol embolism , Interferon α subcutaneous administration, positron tomography using FDG, etc., and the means to cure any one or more of the diseases listed as identification information indicating each method, for example, "A0001", etc. The character string is associated and held.

In addition, as items diagnosed and examined, history, smoking history, medication history, work history investigation, examination of the presence or absence of subjective and objective symptoms, height, weight, abdominal circumference, eyesight, and hearing examination (1000Hz / 30dB) (4000Hz / 30dB), chest X-ray test, blood pressure measurement, urine test (test for the presence of sugar and protein in urine) anemia test (number of red blood cells, amount of blood pigment), liver function test (GOT, GPT, γ-GTP) ), Blood lipid test (LDL cholesterol, HDL cholesterol, neutral fat), blood glucose test (fasting blood glucose or hemoglobin A1c), electrocardiogram test (stationary, exercise, post-exercise), abdominal circumference measurement, hepatitis B virus antibody Test, new corona antibody test, new influenza antibody test, ABO and Rh blood type test, fecal smear test (only when returning to Japan), height measurement, hearing test, pregnancy test, ultrasonic test, CT Scan test, PET test, MRI test, PCR test for various viruses, cancer marker test in blood, vision test, fundus test, tonometry test, oral bacterial flora test, tooth decay test, esophagus / medical / small intestine Endoscopy near the entrance, colonoscopy, etc. can be mentioned, and one or more of the items of diagnosis / examination listed above and the result of the diagnosis / examination are directly written in letters. Or, a character string such as "C0001" is associated with these and stored as identification information.
(Embodiment 5 Means for Retaining Pharmaceutical Information by Treatment Purpose)

The "medical information holding means for each therapeutic purpose" 0918 is configured to hold the medical information for each user in association with the held therapeutic purpose identification information. This means is realized by recording and holding in a non-volatile memory such as an HDD or a flash memory.
(Embodiment 5 Means for retaining drug information by user with disclosure permission / rejection information by treatment purpose)

"Means for retaining drug information for each user with disclosure permission / rejection information for each treatment purpose" 0919 is disclosure permission / rejection information for each treatment purpose, which determines whether or not to permit disclosure of drug information for each user for each treatment purpose identification information. It is configured to be associated with and retained. Regarding the disclosure permission / rejection information by treatment purpose, for example, the disclosure of the drug information by user associated with the treatment purpose identification information "b0032" for the treatment purpose of hyperlipidemia is permitted, but the disclosure for the treatment purpose of autonomic imbalance is permitted. The information is such that the disclosure of the drug information for each user associated with the treatment purpose identification information "m0108" is not permitted. This means holds such disclosure permission / rejection information for each treatment purpose together with or in place of the disclosure permission destination in the user drug information with disclosure permission / rejection information as shown in FIG.

Alternatively, for each medical institution identified by the medical institution identification information, for example, the medical treatment subject identification information that identifies the medical treatment subject in the form of being included in the medical institution identification information is included or associated with the medical treatment subject. The medical institution identification information associated with the medical institution identification information that holds the treatment purpose medical treatment subject relevance information, which is the information that associates the treatment purpose identification information indicating the related treatment purpose with the medical treatment subject identification information. It is conceivable to configure the medical institution identified in (1) so that the medical information for each user can be disclosed. This also applies to the user-specific drug information acquisition request from the dispensing pharmacy identified by the dispensing pharmacy identification information. In the case of a dispensing pharmacy, the therapeutic purpose of the drug that is always available at the dispensing pharmacy is associated with the drug identification information. That is, the treatment purpose identification information is retained in association with the drug identification information of the drug that is always available in the dispensing pharmacy. This is retained in the drug treatment purpose-related information holding section as drug treatment purpose-related information, and is associated with the drug identification information associated with the dispensing pharmacy identification information included in the user-specific drug information acquisition request. Information about the treatment purpose identification information that has been given can be configured to be permitted to be disclosed.
(Embodiment 5 Hardware)

The pharmaceutical information sharing system of the present embodiment can be realized according to the hardware configuration that realizes the pharmaceutical information sharing system according to any one of the first to fourth embodiments, and is further stored in the non-volatile memory and the therapeutic purpose identification information. , User-specific drug information associated with treatment purpose identification information, user-specific drug information associated with treatment purpose-specific disclosure permission / rejection information is retained, and by appropriately executing a program held in non-volatile memory. It can be realized.
(Example 5 processing flow)

An example of the processing flow of the present embodiment is based on the processing flow of any one of the first to fourth embodiments.
<Effect of Embodiment 5>

According to the present embodiment, it is possible to provide a medical information sharing system in which more detailed medical information is disclosed by determining whether or not to permit disclosure of medical information according to the therapeutic purpose.
<Embodiment 6>
<Outline of Embodiment 6>

This embodiment is based on the first embodiment, and is configured so that a long-term care provider can be added as a main body to use this system and care information about a user who receives a long-term care service by the long-term care provider can be shared. Regarding information sharing system.
<Embodiment 6 Functional Configuration>

FIG. 10 is a conceptual diagram showing an example of the functional configuration of the medical information sharing system of the present embodiment. As shown in the figure, the "medical information sharing system" 1000 includes a "medical institution identification information registration unit" 1001, a "medical institution identification information holding unit" 1002, a "dispensing pharmacy identification information registration unit" 1003, and a "dispensing pharmacy". Identification information holding unit 1004, nursing care provider identification information registration section 1005, nursing care provider identification information holding section 1006, uniqueness guarantee information acquisition section 1007, and uniqueness guarantee information holding section 1008, "User Identification Information Registration Department" 1009, "User Identification Information Holding Department" 1010, "User-Specific Medical Information Acquisition Department" 1011 and "User-Specific Dispensing Information Acquisition Department" 1012. "User-specific long-term care information acquisition department" 1013, "Public permission / rejection information user-specific medical care information retention department" 1014, "Public permission / rejection information change information" 1015, and "User-specific medical care information acquisition request acquisition department" 1016, a "request determination condition holding unit" 1017, a "user-specific medical care and long-term care information acquisition request determination unit" 1018, and a "user-specific medical care and long-term care information output unit" 1019.

This embodiment is a system in which the long-term care provider and the long-term care information are further involved in the medical information sharing system of the first embodiment, and the configuration having the same name as the first embodiment has the same function as the configuration having the same name. The description of the configuration having the same function is omitted, and the configuration related to the long-term care provider and the long-term care information will be described below.
(Embodiment 6 Long-term care provider identification information registration department)

"Long-term care business identification information registration department" 1005 is information for identifying a registered long-term care business that is a long-term care business (which may mean a nursing staff or a long-term care staff) who can use this system. It is configured to register information.

The types of long-term care business can be broadly divided into home care services, home care support, facility services, and community-based services. Home care services include home-visit care (home help), home-visit bathing care, home-visit nursing care, home-visit rehabilitation, and home-based services. There are medical treatment management guidance, outpatient care (day service) outpatient rehabilitation (day care), short-term admission life care (short stay), short-term admission medical care, specific facility admission life, long-term care welfare equipment rental, specific welfare equipment sales and housing renovation. In addition, facility services include long-term care welfare facilities, long-term care health facilities, and long-term care medical facilities. Community-based services include small-scale multifunctional home care, night-time home-visit care, dementia-friendly communal living care (group home), dementia-friendly outpatient care, and community-based long-term care for the elderly. There are long-term care for people, community-based long-term care for residents of specific facilities, regular patrol and occasional home-visit long-term care, and complex services.

The care provider identification information is information uniquely given to the care provider, and is represented by a character string including numbers, characters, symbols, etc., and is composed of, for example, an 8-digit character string including an alphabet. , A character string corresponding to the type of nursing care business is attached to the first 3 digits, and a character string of numbers uniquely assigned to the next 5 digits is attached. For example, "13b" in the first three digits refers to a long-term care business that provides home-visit nursing care and home-visit bathing care as a long-term care business, and "21f" refers to a long-term care business that conducts long-term care welfare facilities as a long-term care business, "46j". Refers to a long-term care provider whose long-term care business is short-term in-home long-term care, outpatient care, outpatient rehabilitation, and long-term care and welfare equipment rental. In addition, information about the long-term care provider, such as the name or name of the long-term care provider, location or address, telephone number, type of long-term care service, number of long-term care service workers (nurse, care worker, home-visit care worker, helper, etc.) , Equipment, etc. may be associated with information. A long-term care provider is a facility that provides long-term care services (including long-term care services outside the facility such as home-visit long-term care), and may mean a person who provides long-term care such as a nursing staff or a long-term care staff.

The registration of the long-term care business identification information may be performed by accepting the input of the information about the long-term care business by the administrator of this system, or the information about the long-term care business by the long-term care business that requests the use of this system. It may be done by accepting input. In this case, the registration possibility judgment condition for judging whether or not to register is held in the registration possibility judgment condition holding unit, and the registration for judging whether or not to register is judged based on the registration possibility judgment condition and the input information about the care provider. The pass / fail judgment unit can be configured to be provided in this system. It is preferable that the information to be input for registration is configured so that it can be input along the pull-down menu because it can be easily determined by an arithmetic expression. The information to be selected and input in the pull-down menu or the like includes information on the scale of the long-term care provider, qualification information of the long-term care provider, equipment information of the long-term care provider, personnel information of the long-term care provider, and the like.
(Embodiment 6 Long-term care provider identification information holding unit)

The "long-term care business operator identification information holding unit" 1006 is configured to hold the long-term care business operator identification information. The long-term care business identification information registered by the long-term care business identification information registration unit is recorded and held in a non-volatile memory such as an HDD or a flash memory.
(Embodiment 6 Uniqueness Guarantee Information Acquisition Department)

"Uniqueness Guarantee Information Acquisition Department" 1007 is a registered medical institution, registered dispensing pharmacy, and / and registered long-term care business by acquiring information associated with medical institution identification information, dispensing pharmacy identification information and / and long-term care business identification information. Obtain uniqueness guarantee information that guarantees the uniqueness of the user, including at least information that uniquely identifies the user's health insurance insured card and / or long-term care insurance insured person's card. It is composed.

As uniqueness guarantee information, for example, "name", "address", "housekeeper name," "date of birth", "name", "address", "date of birth", "name", "address", "date of birth", etc. Information such as "gender", "application start date", "delivery date", "expiration date", "symbol", "number", and "insurer number" can be collected and used. In addition, if the dependents have the same "number" as the subscriber, the uniqueness of each member of the family should be ensured by adding information to identify the insured and their dependents. Can be done. It is the same as that described in Embodiment 1.

To obtain uniqueness guarantee information, a health insurance card or a long-term care insurance card is given to medical institutions, dispensing pharmacies, and long-term care providers when users receive medical treatment or receive prescribed medicines. It can be configured to be acquired by presenting it. It is also possible to configure the user to acquire the system by inputting its own uniqueness guarantee information or the like.
(Embodiment 6 Uniqueness Guarantee Information Holding Unit)

"Uniqueness Guarantee Information Retention Department" 1008 is a registered medical institution, registered dispensing pharmacy, and / and registered long-term care business by acquiring information associated with medical institution identification information, dispensing pharmacy identification information and / and long-term care business identification information. It is configured to acquire uniqueness guarantee information that is information that guarantees the uniqueness of the user, including at least information that uniquely identifies the user's health insurance insured person's card or long-term care insurance insured person's card. Will be done. In addition to the functions described in the first embodiment, the function of the uniqueness guarantee information holding unit of this embodiment includes the meaning of the proof that the person can receive the long-term care service in the health insurance card. For example, a long-term care insurance card will also be included.
(Embodiment 6 User-specific long-term care information acquisition department)

The "user-specific long-term care information acquisition department" 1013 provides long-term care business identification information, user identification information of users who have used the registered long-term care business, and long-term care for users of the registered long-term care business. It is configured to acquire user-specific long-term care information associated with the information from the registered long-term care provider.

Nursing care information includes basic information such as the user's name, age, gender, address, and insured card symbol number, as well as specific service content (bathing, rehabilitation, etc.) provided to the user. User's reaction / state to the service (I didn't like to wash my hair when I took a bath, my elbows became smoother, I saw a smile, my rough skin was noticeable, etc.), accidents and events when providing the service ( Various information such as (such as the care recipient was in a bad mood and could not provide the planned service). This kind of long-term care information is associated with the user identification information of the user who received the long-term care service and the registered long-term care business operator identification information of the registered long-term care business operator who provided the long-term care service, and the registered long-term care business operator is used as the long-term care information for each user. Get from.

To acquire long-term care information for each user, the long-term care staff, nursing staff, etc. execute an application that operates this system on an information processing device such as a computer or tablet provided by a registered long-term care provider, and enter the specified information. To be acquired. Typical examples of this computer are receipt computers and long-term care records databases. However, since these may use different applications depending on the series of long-term care providers, the long-term care information acquisition department for each user of this system is universal so that it can absorb variations in the format of the information to be acquired. It is preferable to have a universal user-specific long-term care information acquisition means. Further, it is preferable to have a universal reply means for replying the acknowledge (receipt certificate) of the acquisition of the long-term care information for each user, and it is conceivable to add the content further to the reply. Examples of the content include information such as devices, drugs, and supplements that are considered to be preferable when used in combination. This information is also configured to be converted into an appropriate format according to the receipt computer of the reply destination and the type of the long-term care record database and returned. In addition, any one or more of "user-specific medical care information", "user-specific dispensing information", and "user-specific long-term care information" is referred to as "user-specific long-term care information".
(Embodiment 6 User-specific pharmaceutical and long-term care information holding department with disclosure permission / rejection information)

"User-specific long-term care information holding department with disclosure permission / rejection information" 1014 applies the acquired user-specific long-term care information to a third party (one or more of registered medical institutions, registered dispensing pharmacies, and registered long-term care providers. The same shall apply hereinafter. It is configured to be retained in association with the disclosure permission / rejection information that determines whether or not to permit disclosure in.). The disclosure permission / rejection information can be a character string or the like that constitutes the long-term care provider identification information. For example, when the long-term care business identification number has a character string corresponding to the type of long-term care business in the first three digits, by specifying the first three digits of "?? b" as the disclosure permission / rejection information, the character string of the first three digits can be specified. It is configured so that the disclosure is permitted to the long-term care business operators that carry out the long-term care business according to "?? b", and the effect is not permitted to the long-term care business operators, medical institutions and dispensing pharmacies that carry out other long-term care businesses. can do. It should be noted that the third party who permits disclosure is not limited to the long-term care provider, but disclosure to any medical institution or dispensing pharmacy may also be permitted.
(Implementation 6 Disclosure permission / rejection information change information)

"Public permission / rejection information change information" 1015 is user-specific pharmaceutical care information held in the user-specific pharmaceutical / long-term care information holding unit with disclosure permission / rejection information from the user terminal used by the user identified by the user identification information. It is configured to acquire the disclosure permission / denial change information which is the information indicating the change of the disclosure permission / denial information associated with. As a result, the user can arbitrarily change his / her own disclosure permission / rejection information.
(Embodiment 6 User-specific pharmaceutical and long-term care information acquisition request acquisition department)

The "user-specific medical care information acquisition request acquisition department" 1016 is a medical institution identification information and a dispensing pharmacy identification information that identify one or more of the registered medical institution, the registered dispensing pharmacy, and the registered long-term care provider, which are the requesting sides, which will be described later. , One or more of the long-term care provider identification information, the user identification information, and the user-specific medical care care information that is a request to acquire the user-specific medical care care information identified by the user identification information including the user identification information. It is configured to acquire an information acquisition request. In the present embodiment, in addition to the function of the user-specific long-term care information request acquisition unit of the first embodiment, the registered long-term care provider is added to the subject requesting the acquisition, and the user-specific long-term care information is added to the request target. ..
(Embodiment 6 Requirement Judgment Condition Holding Unit)

The "request judgment condition holding unit" 1017 is for determining whether to approve the request based on the user-specific medical care information acquisition request and the disclosure permission / rejection information associated with the user-specific medical care information contained therein. It is configured to hold the requirement judgment condition which is the condition of.

The request judgment condition is, for example, a condition for judging that the acquisition request for the user-specific long-term care information associated with the disclosure permission condition that is unconditionally permitted is permitted, or it is stipulated that the request is not permitted unconditionally. It is a condition to judge that the acquisition request for the user-specific long-term care information to which the disclosure permission condition is associated is not accepted, or the disclosure permission condition that is stipulated to allow disclosure under the prescribed conditions is associated. Regarding the acquisition request for user-specific long-term care information, it is a condition to judge that the acquisition request for user-specific long-term care information related to the acquisition request is accepted only when all the prescribed conditions are satisfied, or it is disclosed under the prescribed conditions. Regarding the acquisition request for user-specific long-term care information associated with the disclosure permission condition that is stipulated to be permitted, even if all of the prescribed conditions are not satisfied, the user-specific medicine related to the partially satisfied conditions It may be a condition to judge that the acquisition request is accepted only for the long-term care information.
(Embodiment 6 User-specific pharmaceutical and long-term care information acquisition request judgment unit)

The "user-specific long-term care information acquisition request determination unit" 1018 is responsible for the user-specific medical care information acquisition request, the disclosure permission / rejection information associated with the user-specific medical care information related to the request, and the retained request. It is configured to determine whether to accept the request based on the judgment conditions and.
(Embodiment 6 User-specific pharmaceutical and long-term care information output unit)

If the judgment result of the user-specific medical care information acquisition request judgment unit is the judgment result that the request is accepted, the "user-specific medical care information output unit" 1019 is the user-specific medical care related to the request. It is configured to output long-term care information to one or more of registered medical institutions, registered dispensing pharmacies, and registered long-term care providers. User-specific medical care information is output in various modes. For example, user-specific medical care and long-term care requested on a predetermined WEB site on an information processing terminal (PC, tablet, etc.) used in a registered medical institution or the like. It is also possible to make the information viewable, or to send an e-mail (text or attached file) to the registered long-term care provider who made the request.

(Embodiment 6 hardware)

FIG. 11 is a conceptual diagram showing an example of a computer that realizes the medical information sharing system of the sixth embodiment, and is provided on a motherboard or the like, and has a CPU 1101, a non-volatile memory 1102, a main memory 1103, a graphic card 1104, and an I /. O controller 1105, USB and IEEE. It is composed of an interface 1106 such as a LAN, a BIOS 1107, a PCI slot 1108, a real-time clock 1109, etc., a bus connecting these to each other, and a chipset (north bridge, south bridge) 1110 connecting the buses. Each of these components is as described in Embodiment 1.

The non-volatile memory 1102 has a medical institution identification information registration program, a dispensing pharmacy identification information registration program, a care provider identification information registration program, a uniqueness guarantee information acquisition program, a user identification information registration program, and a user-specific medical information acquisition program. , User-specific dispensing information acquisition program, User-specific care information acquisition program, Disclosure permission change information acquisition program, User-specific drug care information acquisition request acquisition program, User-specific drug care information acquisition request judgment program, User-specific drug The care information output program is stored. In addition, as data, medical institution identification information, dispensing pharmacy identification information, care provider identification information, uniqueness guarantee information, user identification information, user-specific pharmaceutical care information (user-specific medical care information, user-specific dispensing information, Various information such as one or more of user-specific care information), disclosure permission / rejection information, disclosure permission / rejection change information, user-specific medical care care information acquisition request, and request judgment conditions are stored. Then, these programs and data are read into the holding area of the main memory and executed in the work area.
(Embodiment 6 Processing Flow)

FIG. 12 is a flow chart showing an example of the processing flow of the medical information sharing system of the present embodiment. As a premise, the medical institution identification information, the dispensing pharmacy identification information, the care business operator identification information and the user identification information are the medical institution identification information holding department, the dispensing pharmacy identification information holding department, the nursing care business operator identification information holding department and the care business operator identification information holding department. It shall be appropriately held in each of the user identification information holding units.

First, it is determined whether or not the user-specific medical information has been acquired from the registered medical institution (1201), and if so, the user-specific medical information is accumulated (1202). Then, it is determined whether or not the user-specific dispensing information has been acquired from the registered dispensing pharmacy (1203), and if so, the user-specific dispensing information is accumulated (1204). Then, it is determined whether or not the user-specific long-term care information has been acquired from the registered long-term care business operator (1205), and if so, the user-specific long-term care information is accumulated (1206). Then, it is determined whether or not the disclosure permission / rejection change information has been acquired (1207), and if it has been acquired, the retained disclosure permission / rejection information is changed (1208).

Next, it is determined whether or not the user-specific medical care information acquisition request has been acquired (1209), and if so, the request, the disclosure permission information associated with the user-specific medical care information related to the request, and the request judgment conditions. To determine whether to accept the request based on (1210). In the case of a judgment result of approval, the user-specific medical care information related to the request is output to one or more of the registered medical institutions, registered dispensing pharmacies, and registered long-term care providers (1211).
<Effect of Embodiment 6>

According to the present embodiment, it is possible to provide a medical information sharing system configured to be able to share long-term care information for users in a long-term care business.
<Embodiment 7>
<Outline of Embodiment 7>

This embodiment is based on the sixth embodiment, and is configured so that a user who has already been registered is not newly registered when the user identification information is registered.
<Embodiment 7 Functional Configuration>

FIG. 13 is a conceptual diagram showing an example of the functional configuration of the medical information sharing system of the present embodiment. As shown in the figure, the "medical information sharing system" 1300 includes a "medical institution identification information registration unit" 1301, a "medical institution identification information holding unit" 1302, a "dispensing pharmacy identification information registration unit" 1303, and a "dispensing pharmacy". Identification information holding unit "1304," nursing care provider identification information registration section "1305," nursing care provider identification information holding section "1306," uniqueness guarantee information acquisition section "1307," uniqueness guarantee information holding section " 1308, "User Identification Information Registration Department" 1309, "User Identification Information Holding Unit" 1310, "User-Specific Medical Information Acquisition Department" 1311, and "User-Specific Dispensing Information Acquisition Department" 1312. "User-specific long-term care information acquisition department" 1313, "Public permission / rejection information user-specific medical care information holding department" 1314, "Public permission / rejection information change information" 1315, and "User-specific medical care information acquisition request acquisition department" 1316, a “request determination condition holding unit” 1317, a “user-specific medical care / nursing care information acquisition request determination unit” 1318, and a “user-specific medical care / nursing care information output unit” 1319. The user identification information registration unit has a "second new registration information acquisition means" 1320, a "second inspection means" 1321, and a "second new registration means" 1322. Each configuration other than the user identification information registration unit has the same function as the configuration having the same name in the sixth embodiment. Therefore, the description of those configurations will be omitted, and each means of the user identification information registration unit will be described below.
(Embodiment 7 Second New Registration Information Acquisition Means)

The "second new registration information acquisition means" 1320 is used when registering user identification information by acquiring information associated with any one or more of medical institution identification information, dispensing pharmacy identification information, and care provider identification information. Information that includes at least information that uniquely identifies the user's health insurance insured card and is configured to acquire new registration information that is acquired when a new user is to be registered.

The new registration information is information corresponding to the uniqueness guarantee information described in the first embodiment, and is information acquired when a new user is to be registered. Specifically, it is various information such as names, symbols, and numbers written on the insured person's card of public medical insurance and long-term care insurance that the user subscribes to.
(Embodiment 7 Second Inspection Means)

The "second inspection means" 1321 is configured to compare the acquired newly registered information with the uniqueness guarantee information already held and inspect whether there is any match. The fact that the acquired new registration information and the already held uniqueness guarantee information match means that the user who intends to newly register is already registered as a user of this system. ..
(Embodiment 7 Second New Registration Means)

The "second new registration means" 1322 executes the registration process of the user identification information for identifying the user as a new user when there is no match as a result of the inspection, and when there is a match. Is configured to stop the process of registering new user identification information. With such a configuration, it is possible to prevent the same person from being registered twice.
(Embodiment 7 Hardware)

The medical information sharing system of the present embodiment can be realized according to the hardware configuration that realizes the medical information sharing system of the sixth embodiment, and is further added to the non-volatile memory, the second newly registered information acquisition subprogram, and the second. It can be realized by holding the inspection subprogram and the second newly registered subprogram and executing those programs as appropriate.
(Example 7 processing flow)

Since the processing flow of the medical information sharing system in the present embodiment is the same as the processing flow of the medical information sharing system of the first, second and sixth embodiments, the description thereof is omitted here.
<Effect of Embodiment 7>

According to the present embodiment, it is possible to provide a medical information sharing system that can prevent a user who has already been registered from being registered twice.
<Embodiment 8>
<Outline of Embodiment 8>

The present embodiment relates to a medical information sharing system based on the sixth or seventh embodiment and integrating long-term care information in different formats into long-term care information in a unified format.
<Embodiment 8 Functional Configuration>

FIG. 14 is a conceptual diagram showing an example of the functional configuration of the pharmaceutical information sharing system of the present embodiment. As shown in the figure, the "medicine information sharing system" 1400 includes a "medical institution identification information registration unit" 1401, a "medical institution identification information holding unit" 1402, a "dispensing pharmacy identification information registration unit" 1403, and a "dispensing pharmacy". Identification information holding unit 1404, nursing care provider identification information acquisition department 1405, nursing care business doctor identification information holding unit 1406, uniqueness guarantee information acquisition department 1407, and uniqueness guarantee information holding department 1408, "User Identification Information Registration Department" 1409, "User Identification Information Holding Department" 1410, "User-Specific Medical Information Acquisition Department" 1411, and "User-Specific Dispensing Information Acquisition Department" 1412. "User-specific care information acquisition department" 1413, "user-specific medical information retention department with disclosure permission / rejection information" 1414, "public permission / rejection information change information" 1415, and "user-specific medical information acquisition request acquisition department" 1416 It has a "request judgment condition holding unit" 1417, a "user-specific medical information acquisition request judgment unit" 1418, and a "user-specific medical information output unit" 1419, and the user-specific care information acquisition unit has. , "Different format care information acquisition means" 1420, "heterogeneous format care information unified means" 1421, and "unified format care information holding means" 1422. Each configuration other than the user-specific long-term care information acquisition unit has the same function as the configuration having the same name in any one of the first, second, sixth, and seventh embodiments. Therefore, the description of those configurations will be omitted, and each means possessed by the user-specific medical information acquisition unit will be described below.
(Embodiment 8 Different Format Nursing Information Acquisition Means)

The “different format long-term care information acquisition means” 1420 is configured to acquire long-term care information in different formats from different registered long-term care providers. The long-term care information held by the registered long-term care providers has different formats depending on the computer (receipt computer, long-term care record database, etc.) for each long-term care provider to input and hold the long-term care information, and the application executed by those computers. May be configured by. This means obtains long-term care information in such a different format from a registered long-term care provider.
(Embodiment 3 Different Format Nursing Information Unification Means)

The “heterogeneous format medical care and long-term care unified means” 1421 is configured to convert the acquired heterogeneous format long-term care information into a unified format long-term care information which is a unified format long-term care information. Unified format Long-term care information is defined as the format of long-term care information used in this system, and is configured to include various information that is appropriate to be included as long-term care information. The mode and transition of the screen displayed on the display for inputting various kinds of information, the layout when printed on paper, and the like are specified. This means acquires and analyzes various types of information contained in the acquired heterogeneous format nursing information, and applies the information to the information that constitutes the unified format nursing information, thereby unifying the heterogeneous format nursing information. Convert to care information.
(Embodiment 3 Unified Format Nursing Care Information Retaining Means)

The "unified format long-term care information holding means" 1422 is configured to hold the unified format long-term care information unified by the heterogeneous format long-term care information unified means. This means is realized by recording and holding in a non-volatile memory such as an HDD or a flash memory.
(Embodiment 8 Hardware)

The medical information sharing system of the present embodiment can be realized according to the hardware configuration that realizes the medical information sharing system of the sixth or seventh embodiment, and is further provided with a non-volatile memory and a heterogeneous format nursing information acquisition subprogram. It can be realized by holding a unified subprogram of nursing information in different formats and executing those programs as appropriate.
(Example 8 processing flow)

Since the processing flow of the medical information sharing system in the present embodiment is the same as the processing flow of the medical information sharing system of the third, sixth, and seventh embodiments, the description thereof is omitted here.
<Effect of Embodiment 8>

According to this embodiment, long-term care information in different formats can be integrated and stored in one format, which contributes to the sharing of long-term care information.

0100 Pharmaceutical information sharing system 0101 Medical institution identification information registration department 0102 Medical institution identification information retention department 0103 Dispensing pharmacy identification information registration department 0104 Dispensing pharmacy identification information retention department 0105 Uniqueness guarantee information acquisition department 0106 Uniqueness guarantee information retention department 0107 User Identification Information Registration Department 0108 User Identification Information Retention Department 0109 User-Specific Medical Information Acquisition Department 0110 User-Specific Dispensing Information Acquisition Department 0111 User-Specific Pharmacy Information Retention Department with Disclosure Permit Information 0112 Disclosure Permit Information Change Information 0113 User-Specific Medicine Information acquisition request acquisition unit 0114 Request judgment condition holding unit 0115 User-specific medical information acquisition request judgment unit 0116 User-specific medical information output unit

Claims

The medical institution identification information registration department that registers the medical institution identification information, which is the information that identifies the registered medical institution that can use this system,
The medical institution identification information holding department that holds the medical institution identification information,
Dispensing pharmacy identification information registration department that registers dispensing pharmacy identification information, which is information that identifies registered dispensing pharmacies that can use this system,
Dispensing pharmacy identification information holding unit that holds dispensing pharmacy identification information,
By acquiring information associated with medical institution identification information and / and dispensing pharmacy identification information, the health insurance insured card and / and long-term care insurance insured card of users who use registered medical institutions or registered dispensing pharmacies can be uniquely obtained. The uniqueness guarantee information acquisition department that acquires uniqueness guarantee information, which is information that guarantees the uniqueness of the user, including at least the identification information,
The uniqueness collateral information holding unit that holds the acquired uniqueness collateral information,
The user identification information registration unit that registers user identification information that is information that identifies users and cannot be double-registered by the same person because it is associated with uniqueness guarantee information on a one-to-one basis.
A user identification information holding unit that holds user identification information, and a user identification information holding unit,
The registered medical institution provides user-specific medical information that associates the medical institution identification information, the user identification information of the user who has used the registered medical institution, and the medical information for the user at the registered medical institution. Medical information acquisition department for each user acquired from
The registered dispensing pharmacy is the user-specific dispensing information that associates the dispensing pharmacy identification information, the user identification information of the user who has used the registered dispensing pharmacy, and the dispensing information for the user at the registered dispensing pharmacy. Dispensing information acquisition department for each user acquired from
(Hereinafter, "user-specific medical information" and / and "user-specific dispensing information" are referred to as "user-specific medical information".)
The acquired drug information for each user is retained in association with the disclosure permission information that determines whether or not the disclosure is permitted to a third party (registered medical institution or / and registered dispensing pharmacy; the same shall apply hereinafter). With the medical information holding department,
Indicates a change in the disclosure permission information associated with the user-specific drug information held in the user-specific drug information holding section with disclosure permission information from the user terminal used by the user identified by the user identification information. The disclosure permission change information acquisition department that acquires the disclosure permission change information that is information,
A user identified by the user identification information including the medical institution identification information and / and the dispensing pharmacy identification information and the user identification information for identifying the registered medical institution and / and the registered dispensing pharmacy which are the requesting side described later. The user-specific medical information acquisition request acquisition department that acquires the user-specific medical information acquisition request, which is the user-specific medical information acquisition request,
Request judgment that holds the request judgment condition, which is a condition for determining whether to approve the request based on the user-specific medical information acquisition request and the disclosure permission / rejection information associated with the user-specific medical information contained therein. Condition holding part and
Use to determine whether to approve the request based on the user-specific drug information acquisition request, the disclosure permission / rejection information associated with the user-specific drug information related to the request, and the retained request judgment conditions. The medical information acquisition request judgment department for each person and
If the judgment result of the user-specific medical information acquisition request judgment department is the judgment result that the request is accepted, the user-specific medical information related to the request is output to the registered medical institution and / or the registered dispensing pharmacy. User-specific medical information output section and
Pharmaceutical information sharing system with.
The user identification information registration department
By acquiring information associated with medical institution identification information and / and dispensing pharmacy identification information, the user's health insurance insured person's card and / and long-term care insurance insured person's card are unique when registering user identification information. New registration information acquisition means for acquiring new registration information that is information that includes at least identification information and is acquired when a new user is to be registered.
An inspection method that compares the acquired new registration information with the uniqueness guarantee information that is already held and inspects whether there is a match.
If there is no match as a result of the inspection, the registration process of the user identification information that identifies the user as a new user is executed, and if there is a match, the registration process of the new user identification information is executed. New registration method to cancel and
The medical information sharing system according to claim 1.
The user-specific medical information acquisition department provides medical information acquisition means in different formats to acquire medical information in different formats from different registered medical institutions.
Heterogeneous format medical information unified means for converting acquired heterogeneous format medical information into unified format medical information, which is unified format medical information,
A unified format medical information holding means that holds unified format medical information by a different format medical information unified means, and a unified format medical information holding means.
The medical information sharing system according to claim 1 or 2.
The user-specific dispensing information acquisition department has a different format dispensing information acquisition means for acquiring dispensing information in different formats from different registered dispensing pharmacies, and
Heterogeneous format dispensing information unified means for converting acquired heterogeneous format dispensing information into unified format dispensing information, which is unified format dispensing information,
A unified format dispensing information holding means that holds unified format dispensing information unified by different format dispensing information unified means,
The medical information sharing system according to any one of claims 1 to 3.
The user-specific drug information holding department with disclosure permission / rejection information
Therapeutic purpose identification information holding means for holding the therapeutic purpose identification information, which is information for identifying general medical information for the therapeutic purpose of the medical information, and
A means for retaining drug information for each treatment purpose, which retains the drug information for each user in association with the retained treatment purpose identification information.
User-specific drug information retention means with treatment-specific disclosure permission / rejection information that is retained in association with the treatment-specific disclosure permission / rejection information, which is disclosure permission / rejection information that determines whether or not to allow disclosure of user-specific drug information for each treatment purpose identification information. When,
The medical information sharing system according to any one of claims 1 to 4.
The user-specific drug information holding department with disclosure permission / rejection information
Retention means by disclosure permission destination that holds drug information by user in association with disclosure permission destination identification information, which is information that identifies a third party who permits the disclosure.
The pharmaceutical information sharing system according to any one of claims 1 to 5.
The medical institution identification information registration step for registering the medical institution identification information, which is the information for identifying the registered medical institution that can use this system, and
The medical institution identification information retention step that retains the medical institution identification information,
Dispensing pharmacy identification information registration step for registering dispensing pharmacy identification information, which is information for identifying registered dispensing pharmacies that can use this system, and
Dispensing pharmacy identification information retention step to retain dispensing pharmacy identification information,
By acquiring information associated with medical institution identification information and / and dispensing pharmacy identification information, the health insurance insured card and / and long-term care insurance insured card of users who use registered medical institutions or registered dispensing pharmacies can be uniquely obtained. Uniqueness guarantee information acquisition step to acquire uniqueness guarantee information, which is information that guarantees the uniqueness of the user including at least the identification information, and
Uniqueness collateral information retention step to retain the acquired uniqueness collateral information,
A user identification information registration step for registering user identification information that is information that identifies a user and cannot be double-registered by the same person because it is associated with uniqueness guarantee information on a one-to-one basis.
A user identification information retention step that retains user identification information,
The registered medical institution provides user-specific medical information that associates the medical institution identification information, the user identification information of the user who has used the registered medical institution, and the medical information for the user at the registered medical institution. User-specific medical information acquisition steps to be acquired from
The registered dispensing pharmacy is the user-specific dispensing information that associates the dispensing pharmacy identification information, the user identification information of the user who has used the registered dispensing pharmacy, and the dispensing information for the user at the registered dispensing pharmacy. User-specific dispensing information acquisition steps to be acquired from
(Hereinafter, "user-specific medical information" and / and "user-specific dispensing information" are referred to as "user-specific medical information".)
User-specific drug information acquired is retained in association with disclosure permission information that determines whether or not to permit disclosure to a third party (registered medical institution or / and registered dispensing pharmacy; the same shall apply hereinafter). Medical information retention step and
Indicates a change in the disclosure permission information associated with the user-specific drug information held in the user-specific drug information holding section with disclosure permission information from the user terminal used by the user identified by the user identification information. The disclosure permission change information acquisition step to acquire the disclosure permission change information that is information, and the disclosure permission change information acquisition step,
A user identified by the user identification information including the medical institution identification information and / and the dispensing pharmacy identification information and the user identification information for identifying the registered medical institution and / and the registered dispensing pharmacy which are the requesting side described later. User-specific medical information acquisition request acquisition step to acquire user-specific medical information acquisition request, which is a user-specific medical information acquisition request, and
Request judgment that holds the request judgment condition, which is a condition for determining whether to approve the request based on the user-specific medical information acquisition request and the disclosure permission / rejection information associated with the user-specific medical information contained therein. Condition retention step and
Use to determine whether to approve the request based on the user-specific drug information acquisition request, the disclosure permission / rejection information associated with the user-specific drug information related to the request, and the retained request judgment conditions. Steps to determine the request for acquisition of medical information by person and
If the judgment result in the user-specific drug information acquisition request judgment step is the judgment result that the request is accepted, the user-specific drug information related to the request is output to the registered medical institution and / or the registered dispensing pharmacy. User-specific medical information output steps and
A medical information sharing program that can be read and executed by a computer that has a screen display function.
The user identification information registration step is
By acquiring information associated with medical institution identification information and / and dispensing pharmacy identification information, the user's health insurance insured person's card and / and long-term care insurance insured person's card are unique when registering user identification information. The new registration information acquisition substep to acquire the new registration information that is information that includes at least the information to be identified and is acquired when trying to register a new user, and
An inspection substep that compares the acquired new registration information with the uniqueness guarantee information that is already held and inspects for a match.
If there is no match as a result of the inspection, the registration process of the user identification information that identifies the user as a new user is executed, and if there is a match, the registration process of the new user identification information is executed. With the new registration substep to cancel
A medical information sharing program that can be read and executed by a computer having the screen display function according to claim 7.
The user-specific medical information acquisition step includes a heterogeneous format medical information acquisition substep that acquires medical information in different formats from different registered medical institutions.
Heterogeneous format medical information unified sub-step to convert the acquired heterogeneous format medical information into unified format medical information which is unified format medical information,
A unified format medical information holding sub-step that holds medical information in a unified format by means of unified medical information in different formats.
A medical information sharing program that can be read and executed by a computer having the screen display function according to claim 7 or 8.
The user-specific dispensing information acquisition step includes a heterogeneous format dispensing information acquisition substep that acquires dispensing information in different formats from different registered dispensing pharmacies.
Heterogeneous format dispensing information unified sub-step to convert the acquired heterogeneous format dispensing information into unified format dispensing information, which is the unified format dispensing information,
A unified format dispensing information holding sub-step that holds unified format dispensing information unified by heterogeneous format dispensing information unified means,
A medical information sharing program that can be read and executed by a computer having the screen display function according to any one of claims 7 to 9.
The user-specific drug information retention step with disclosure permission / rejection information is
A therapeutic purpose identification information retention substep that retains therapeutic purpose identification information, which is information for identifying general drug information for the therapeutic purpose of the medical information, and
The treatment purpose-specific drug information retention substep that retains user-specific drug information in association with the retained treatment purpose identification information,
User-specific drug information retention sub with treatment-specific disclosure permission / rejection information that is retained in association with treatment-specific disclosure permission / rejection information, which is disclosure permission / rejection information that determines whether or not to allow disclosure of user-specific drug information for each treatment purpose identification information. Steps and
A medical information sharing program that can be read and executed by a computer having the screen display function according to any one of claims 7 to 10.
The user-specific drug information retention step with disclosure permission / rejection information is
Retention substep by disclosure permission destination, which retains the drug information by user in association with the disclosure permission destination identification information, which is the information that identifies the third party who permits the disclosure.
A medical information sharing program that can be read and executed by a computer having the screen display function according to any one of claims 7 to 11.
The medical institution identification information registration step for registering the medical institution identification information, which is the information for identifying the registered medical institution that can use this system, and
The medical institution identification information retention step that retains the medical institution identification information,
Dispensing pharmacy identification information registration step for registering dispensing pharmacy identification information, which is information for identifying registered dispensing pharmacies that can use this system, and
Dispensing pharmacy identification information retention step to retain dispensing pharmacy identification information,
By acquiring information associated with medical institution identification information and / and dispensing pharmacy identification information, the health insurance insured card and / and long-term care insurance insured card of users who use registered medical institutions or registered dispensing pharmacies can be uniquely obtained. Uniqueness guarantee information acquisition step to acquire uniqueness guarantee information, which is information that guarantees the uniqueness of the user including at least the identification information, and
Uniqueness collateral information retention step to retain the acquired uniqueness collateral information,
A user identification information registration step for registering user identification information that is information that identifies a user and cannot be double-registered by the same person because it is associated with uniqueness guarantee information on a one-to-one basis.
A user identification information retention step that retains user identification information,
The registered medical institution provides user-specific medical information that associates the medical institution identification information, the user identification information of the user who has used the registered medical institution, and the medical information for the user at the registered medical institution. User-specific medical information acquisition steps to be acquired from
The registered dispensing pharmacy is the user-specific dispensing information that associates the dispensing pharmacy identification information, the user identification information of the user who has used the registered dispensing pharmacy, and the dispensing information for the user at the registered dispensing pharmacy. User-specific dispensing information acquisition steps to be acquired from
(Hereinafter, "user-specific medical information" and / and "user-specific dispensing information" are referred to as "user-specific medical information".)
User-specific drug information acquired is retained in association with disclosure permission information that determines whether or not to permit disclosure to a third party (registered medical institution or / and registered dispensing pharmacy; the same shall apply hereinafter). Medical information retention step and
Indicates a change in the disclosure permission information associated with the user-specific drug information held in the user-specific drug information holding section with disclosure permission information from the user terminal used by the user identified by the user identification information. The disclosure permission change information acquisition step to acquire the disclosure permission change information that is information, and the disclosure permission change information acquisition step,
A user identified by the user identification information including the medical institution identification information and / and the dispensing pharmacy identification information and the user identification information for identifying the registered medical institution and / and the registered dispensing pharmacy which are the requesting side described later. User-specific medical information acquisition request acquisition step to acquire user-specific medical information acquisition request, which is a user-specific medical information acquisition request, and
Request judgment that holds the request judgment condition, which is a condition for determining whether to approve the request based on the user-specific medical information acquisition request and the disclosure permission / rejection information associated with the user-specific medical information contained therein. Condition retention step and
Use to determine whether to approve the request based on the user-specific drug information acquisition request, the disclosure permission / rejection information associated with the user-specific drug information related to the request, and the retained request judgment conditions. Steps to determine the request for acquisition of medical information by person and
If the judgment result in the user-specific drug information acquisition request judgment step is the judgment result that the request is accepted, the user-specific drug information related to the request is output to the registered medical institution and / or the registered dispensing pharmacy. User-specific medical information output steps and
A method of operating a medical information sharing system, which is a computer having a screen display function.
The user identification information registration step is
By acquiring information associated with medical institution identification information and / and dispensing pharmacy identification information, the user's health insurance insured card or / and long-term care insurance insured card is unique when registering user identification information. The new registration information acquisition substep to acquire the new registration information that is information that includes at least the information to be identified and is acquired when trying to register a new user, and
An inspection substep that compares the acquired new registration information with the uniqueness guarantee information that is already held and inspects for a match.
If there is no match as a result of the inspection, the registration process of the user identification information that identifies the user as a new user is executed, and if there is a match, the registration process of the new user identification information is executed. With the new registration substep to cancel
13. A method of operating a medical information sharing system, which is a computer having the screen display function according to claim 13.
The user-specific medical information acquisition step includes a heterogeneous format medical information acquisition substep that acquires medical information in different formats from different registered medical institutions.
Heterogeneous format medical information unified sub-step to convert the acquired heterogeneous format medical information into unified format medical information which is unified format medical information,
A unified format medical information holding sub-step that holds medical information in a unified format by means of unified medical information in different formats.
A method of operating a medical information sharing system, which is a computer having the screen display function according to claim 13 or 14.
The user-specific dispensing information acquisition step includes a heterogeneous format dispensing information acquisition substep that acquires dispensing information in different formats from different registered dispensing pharmacies.
Heterogeneous format dispensing information unified sub-step to convert the acquired heterogeneous format dispensing information into unified format dispensing information, which is the unified format dispensing information,
A unified format dispensing information holding sub-step that holds unified format dispensing information unified by heterogeneous format dispensing information unified means,
A method of operating a medical information sharing system, which is a computer having the screen display function according to any one of claims 14 to 15.
The user-specific drug information retention step with disclosure permission / rejection information is
A therapeutic purpose identification information retention substep that retains therapeutic purpose identification information, which is information for identifying general drug information for the therapeutic purpose of the medical information, and
The treatment purpose-specific drug information retention substep that retains user-specific drug information in association with the retained treatment purpose identification information,
User-specific drug information retention sub with treatment-specific disclosure permission / rejection information that is retained in association with treatment-specific disclosure permission / rejection information, which is disclosure permission / rejection information that determines whether or not to allow disclosure of user-specific drug information for each treatment purpose identification information. Steps and
A method of operating a medical information sharing system, which is a computer having the screen display function according to any one of claims 13 to 16.
The user-specific drug information retention step with disclosure permission / rejection information is
Retention substep by disclosure permission destination, which retains the drug information by user in association with the disclosure permission destination identification information, which is the information that identifies the third party who permits the disclosure.
A method of operating a medical information sharing system, which is a computer having the screen display function according to any one of claims 13 to 17.
The medical institution identification information registration department that registers the medical institution identification information, which is the information that identifies the registered medical institution that can use this system,
The medical institution identification information holding department that holds the medical institution identification information,
Dispensing pharmacy identification information registration department that registers dispensing pharmacy identification information, which is information that identifies registered dispensing pharmacies that can use this system,
Dispensing pharmacy identification information holding unit that holds dispensing pharmacy identification information,
The long-term care business identification information registration department that registers the long-term care business identification information, which is the information that identifies the registered long-term care business that can use this system,
The long-term care business operator identification information holding department that holds the long-term care business identification information,
Health insurance insured for users of registered medical institutions, registered dispensing pharmacies, and / and registered long-term care providers by acquiring information associated with medical institution identification information, dispensing pharmacy identification information and / and long-term care provider identification information. The uniqueness guaranty information acquisition department that acquires the uniqueness guaranty information, which is the information that guarantees the uniqueness of the user, including at least the information that uniquely identifies the personal certificate and / and the long-term care insurance insured person's certificate.
The uniqueness collateral information holding unit that holds the acquired uniqueness collateral information,
The user identification information registration unit that registers user identification information that is information that identifies users and cannot be double-registered by the same person because it is associated with uniqueness guarantee information on a one-to-one basis.
A user identification information holding unit that holds user identification information, and a user identification information holding unit,
The registered medical institution provides user-specific medical information that associates the medical institution identification information, the user identification information of the user who has used the registered medical institution, and the medical information for the user at the registered medical institution. Medical information acquisition department for each user acquired from
The registered dispensing pharmacy is the user-specific dispensing information that associates the dispensing pharmacy identification information, the user identification information of the user who has used the registered dispensing pharmacy, and the dispensing information for the user at the registered dispensing pharmacy. Dispensing information acquisition department for each user acquired from
User-specific long-term care information that associates long-term care business identification information, user identification information of users who have used the registered long-term care business, and long-term care information for users of the registered long-term care business. User-specific long-term care information acquisition department acquired from registered long-term care providers,
(Hereinafter, any one or more of "user-specific medical care information", "user-specific dispensing information", and "user-specific long-term care information" is referred to as "user-specific long-term care information".)
The acquired medical care information for each user is associated with the disclosure permission / rejection information that determines whether or not to permit disclosure to a third party (one or more of registered medical institutions, registered dispensing pharmacies, and registered long-term care providers. The same shall apply hereinafter). User-specific medical care and long-term care information holding department with public permission / rejection information to be held,
Change of disclosure permission information associated with user-specific medical care information held in the user-specific medical care information holding section with disclosure permission information from the user terminal used by the user identified by the user identification information The public permission change information acquisition unit that acquires the public permission change information, which is the information indicating
One or more of the medical institution identification information, the dispensing pharmacy identification information, and the long-term care provider identification information that identify one or more of the registered medical institution, the registered dispensing pharmacy, and the registered long-term care provider, which will be described later, and the user. Acquiring the user-specific medical care information acquisition request, which is the request for the user-specific medical care information acquisition of the user identified by the identification information and the user identification information including the user-specific medical care information acquisition request acquisition Department and
Holds the request judgment condition, which is a condition for determining whether to approve the request based on the user-specific medical care information acquisition request and the disclosure permission / rejection information associated with the user-specific medical care information included in the request. Request judgment condition holding unit and
To determine whether to approve the request based on the user-specific medical care information acquisition request, the disclosure permission / rejection information associated with the user-specific medical care information related to the request, and the retained request judgment conditions. User-specific pharmaceutical and long-term care information acquisition request judgment department,
If the judgment result of the user-specific medical care information acquisition request judgment department is the judgment result that the request is accepted, the user-specific medical care information related to the request is registered as a registered medical institution, a registered dispensing pharmacy, or a registered long-term care. User-specific medical care information output unit that outputs to one or more of the businesses,
Pharmaceutical information sharing system with.
The user identification information registration department
When registering user identification information by acquiring information associated with any one or more of medical institution identification information, dispensing pharmacy identification information, and long-term care company identification information, the user's health insurance insured person's card and / and Second new registration information acquisition means to acquire new registration information that is information that contains at least information that uniquely identifies the long-term care insurance insured person's card and is acquired when trying to register a new user.
A second inspection method that compares the acquired new registration information with the uniqueness guarantee information that is already held and inspects whether there is a match.
If there is no match as a result of the inspection, the registration process of the user identification information that identifies the user as a new user is executed, and if there is a match, the registration process of the new user identification information is executed. Second new registration method to cancel
The medical information sharing system according to claim 19.
The long-term care information acquisition department for each user has a different format long-term care information acquisition means for acquiring long-term care information in different formats from different registered long-term care providers, and
Heterogeneous format long-term care information that converts acquired heterogeneous format long-term care information into unified format long-term care information, which is a unified format long-term care information.
A unified format for holding long-term care information in a unified format for long-term care information, and a unified format for long-term care information holding means
The medical information sharing system according to claim 19 or 20.