JP2001117768A - Medical affair processing method, terminal for processing medical, affair and medical, information processing system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a medical affairs processing method and a terminal for processing medical affairs capable of reducing cost of the entire system by reducing the cost mainly in the case of version up and sufficiently saving security in a medical affairs processing system. SOLUTION: A line is connected from the side of a local server to the side of a center server (S301) and a starting key to start a program for daily work is downloaded (S408, S409). When the latest program for daily work is prepared on the side of the center server, the program is also downloaded (S408). And the program is started upon authenticating the starting key, When the work of the day is completed, data is uploaded to the side of the center server and the starting key is erased.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a computer system for processing medical information, and more particularly to a receipt issuing system for issuing a medical remuneration statement (recept).

[0002]

2. Description of the Related Art In recent years, computer terminals dedicated to medical affairs have been provided at medical clerk sites. Part 1
One is to issue a receipt (medical reimbursement statement). When a medical institution such as a dental clinic performs medical treatment for a patient, this claim is made after calculating the score, and submitted to a prescribed institution to request the payment of medical fees. Things.

In a conventional computer system for issuing a claim, a dedicated terminal in which various programs for issuing a claim are stored in advance is installed in a medical institution, or a CD-ROM in which the program is stored in a so-called personal computer. For example, a method of installing from such as was taken.

[0004]

However, in order to upgrade the program in the dedicated terminal, the program written in the dedicated terminal must be rewritten. For example, there was a problem that the person in charge had to go to each medical institution and perform the rewriting work. Also, when a program stored in the dedicated terminal is damaged, it is necessary for a person in charge to go to the site to repair the damage or to install the program again. Then, the labor cost for that will be required,
Inevitably, the cost increases.

Further, the above-mentioned conventional computer system for issuing a receipt is not sufficient in terms of security. That is, when the terminal is activated, it is possible to access the data of each patient stored in the terminal.

Accordingly, the present invention provides a medical business processing method and a medical business processing terminal capable of reducing the cost of the entire system mainly by reducing labor costs during software maintenance including version upgrade and ensuring sufficient security. It is intended to provide a device.

[0007]

SUMMARY OF THE INVENTION The present invention has been made to solve the above-mentioned problems. First, a center terminal and a local terminal connected via a telephone line are connected. A medical office processing method in a medical information processing system, comprising: a line connection step of connecting a line from a local terminal to a center terminal; and medical information from the center terminal in a state of line connection by the line connection step. A download step of downloading the data of the processing program to the local terminal and downloading a start key for activating the medical information processing program, and performing authentication on the local terminal as to whether the received start key is appropriate. A key authentication step to be performed, and when the activation key is determined to be appropriate in the key authentication step,
The activation step of activating the medical information processing program, and when the operation of ending the medical information processing program or the operation related to the termination of the medical information processing program is performed, the activation key is changed to the local terminal. And an erasing step for erasing from.

According to the medical office processing method of the first configuration, the medical information processing program and the activation key for activating the program are downloaded from the center terminal,
After the activation key is authenticated, the medical information processing program is activated, and further, when the operation for ending the medical information processing program is performed, the activation key is erased. In order to start the medical information processing program again, it is necessary to obtain a start key, so that security can be further improved.

Second, in the first configuration, when there is a new medical information processing program that has not been downloaded to the local terminal in a line connection state in a certain line connection step. In a case where there is no new medical information processing program that has not been downloaded to the local terminal, the activation key is downloaded in the download step together with the data of the new medical information processing program. Only the activation key is downloaded in the download step.

Therefore, in the download step, a new medical information processing program is downloaded.
When the medical information processing program is upgraded, the version can be easily upgraded, and the cost for the upgrade can be reduced.
Further, even if the program is damaged in the local terminal, the program can be downloaded again, so that the cost for that can be reduced.

Thirdly, in the first or second configuration, the medical office work processing method further includes a data generating step of generating output data according to the activated medical information processing program. It is characterized by the following. That is, it is possible to generate output data such as the contents of a medical chart and the contents of a receipt.

Fourthly, in the third configuration, the medical business processing method further comprises the step of, after generating the output data in the data generating step, connecting the line from the local terminal to the center terminal. A second line connection step of making a connection, and an upload step of uploading the output data to the center terminal in a state of line connection by the second line connection step are provided.

[0013] Thus, the output data can be uploaded to the center terminal, so that when the local data is lost, the output data can be obtained from the center terminal.

Fifth, in the fourth configuration, when the activation key is authenticated, the activation key and
The authentication is performed by comparing the activation key with the authentication key used for the authentication of the activation key, and is used for the authentication of the next activation key when the line is connected in the second line connection step. The authentication key is downloaded from the center terminal to the local terminal. Thus, the activation key can be authenticated by comparing the activation key with the authentication key.

Sixth, in any one of the first to fifth configurations, the medical office work processing method further includes a registration step of registering information about the local terminal. It is characterized in that an initial setting program for complementing at least a part of the above steps is downloaded to the local terminal that has performed. Through the registration process, it is possible to confirm that the user is a member in daily work, and smooth processing can be performed by the initial setting program.

Seventh, a medical clerical processing terminal device used for medical clerical processing, a transmitting / receiving unit for connecting a line with a local terminal, and a program storage for storing a medical information processing program And a data storage unit that stores data generated by the medical information processing program, and a control unit that controls each unit in the medical office processing terminal device, and a download request is received from the local terminal. In this case, the control unit downloads the data of the medical information processing program stored in the program storage unit to the local terminal and downloads a start key for activating the medical information processing program. , Controlling the transmission / reception unit so that data generated by the medical information processing program at the local terminal can be transmitted to the local terminal. If the uploaded from Le terminal, the control unit is characterized by storing the data in the data storage unit.

According to the medical office processing terminal device of the seventh configuration, since the medical information processing program and the activation key for activating the program are downloaded from the center terminal, the authentication of the activation key is performed. If the medical information processing program is started after performing the above, security can be improved. In addition, when data is uploaded from the local terminal, the data is stored, so that when the output data is lost at the local terminal, it can be obtained from the center terminal. Become.

Eighth, in the seventh configuration, when a download request is issued from the local terminal, there is a new medical information processing program that has not been downloaded to the local terminal. Downloads the activation key together with the data of the new medical information processing program. On the other hand, if there is no new medical information processing program that has not been downloaded to the local terminal, It is characterized in that only the activation key is downloaded.

Therefore, in the download step, a new medical information processing program is downloaded.
When the medical information processing program is upgraded, the version can be easily upgraded, and the cost for the upgrade can be reduced.
Further, even if the program is damaged in the local terminal, the program can be downloaded again, so that the cost for that can be reduced.

Ninth, in the seventh or eighth configuration, the authentication key used for authentication of the activation key is downloaded to the local terminal in the line connection state at the time of the upload. Features. As a result, the activation key can be authenticated by comparing it with the activation key downloaded at the time of the next line connection.

Tenthly, in the seventh, eighth or ninth configuration, the data storage unit stores member information as registered member information, and the control unit controls In response to a member registration request from the terminal, it is determined whether or not the information about the local terminal has already been registered as a member. If not, the information about the local terminal is stored in the data. In addition to the above, an initial setting program for complementing at least a part of the above steps is downloaded to the registered local terminal.
Therefore, by registering information about the local terminal as described above, it is possible to confirm that the user is a member in daily work, and to download the initial setting program to facilitate daily work. Processing can be performed.

Eleventh, a medical office processing terminal device used for medical office processing includes a transmission / reception unit for making a line connection with the center side terminal, and a program storage unit for storing program data. A data storage unit that stores data generated by the program, and a control unit that controls each unit in the medical office processing terminal device. When the activation key for activating the medical information processing program is downloaded, the control unit stores the data of the medical information processing program in the program storage unit and stores the activation key in the program storage unit. Stored in the data storage unit, and the control unit authenticates whether the activation key is appropriate, and determines that the activation key is appropriate, The medical information processing program can be activated, and the control unit activates the activation key when an operation of ending the medical information processing program or an operation related to the termination of the medical information processing program is performed. It is characterized in that the data is erased from the data storage unit.

Accordingly, the medical information processing program can be activated after the activation key has been authenticated, and when the operation for ending the medical information processing program is performed, the activation key can be activated. Is deleted, the activation key must be obtained in order to activate the medical information processing program again, so that security can be improved.

In a twelfth aspect, in the eleventh configuration, when an operation for ending the medical information processing program or an operation related to ending the medical information processing program is performed, the medical information processing And uploading the output data generated based on the application program to the center terminal. Therefore, if the output data is stored in the center terminal, it becomes possible to obtain the output data from the center terminal when the output data is lost in the local terminal.

A thirteenth aspect is a medical information processing system having a center terminal and a local terminal connected via a communication line, wherein a line is connected from the local terminal to the center terminal. Line connection means is provided in the local terminal, and in the state of line connection by the line connection means, data of a medical information processing program is downloaded from the center terminal to the local terminal, and Download means for downloading an activation key for activating the application program is provided in the center terminal, and in the local terminal, key authentication means for authenticating whether the received activation key is appropriate or not; When the authentication means determines that the activation key is appropriate, the medical information processing program is Operating means provided in the local terminal, and further, when an operation for ending the medical information processing program or an operation related to ending the medical information processing program is performed, the activation key Erasing means for erasing from the local terminal is provided in the local terminal.

According to the medical office processing method of the thirteenth configuration, the medical information processing program and the activation key for activating the program are downloaded from the center terminal, and the activation key is authenticated. After that, the medical information processing program is started, and further, when the operation of ending the medical information processing program is performed, the startup key is erased. It is necessary to obtain an activation key in order to activate, so that security can be further improved.

Fourteenthly, in the thirteenth configuration, the medical information processing system further includes a line disconnecting unit that disconnects the line connection of the communication line when the download by the download unit is completed. , At least one of the center terminal and the local terminal.

Fifteenth, the thirteenth or fourteenth
In the configuration of the above, if there is a new medical information processing program that has not been downloaded to the local terminal, the download unit may use the activation key together with the data of the new medical information processing program. If a new medical information processing program that has not been downloaded to the local terminal is found, only the activation key is downloaded.

[0029] Therefore, a new medical information processing program is downloaded by the download means, so that when the medical information processing program is upgraded, the version can be easily upgraded, and the cost for the version upgrade is reduced. It becomes possible to reduce. Further, even if the program is damaged in the local terminal, the program can be downloaded again, so that the cost for that can be reduced.

Sixteenth, the thirteenth or fourteenth
Alternatively, in the fifteenth configuration, the local terminal generates output data using a started medical information processing program. That is, it is possible to generate output data such as the contents of a medical chart and the contents of a receipt.

Seventeenthly, in the sixteenth configuration, the local terminal generates a data for output, and then performs a line connection from the local terminal to the center terminal. Uploading means for uploading the output data to the center terminal in a state of the line connection performed by the second line connection means;
It is characterized by having. As a result, the output data can be uploaded to the center terminal, so that when the output data is lost at the local terminal, it can be obtained from the center terminal.

Eighteenth, in the seventeenth configuration, in authenticating the activation key, the activation key is compared with an authentication key used for authenticating the activation key. And when the line connection state is established by the second line connection means, an authentication key to be used for authentication of a next activation key is downloaded from the center terminal to the local terminal. . Thus, the activation key can be authenticated by comparing the activation key with the authentication key.

In the nineteenth aspect, the above thirteenth to eighteenth
In any one of the above configurations, the center terminal further performs a registration unit for registering information about the local terminal, and an operation in the local terminal with respect to the local terminal registered by the registration unit. And a second download unit for downloading an initial setting program for complementation. By performing registration by the registration means, it is possible to confirm that the user is a member in daily work, and smooth processing can be performed by the initial setting program.

[0034]

DESCRIPTION OF THE PREFERRED EMBODIMENTS An embodiment of the present invention will be described with reference to the drawings. Dental medical office system P as the medical information processing system according to the present invention
Are local server groups A1 to A, as shown in FIG.
n and a center server B, each of the local server groups A1 to An and the center server B are connected to a public line network C.
Connected through. That is, they are specifically connected via the Internet.

Here, the local server groups A1 to An
Since each local server group in has the same configuration,
The local server group A1 will be described as an example. The local server group A1, as shown in FIG.
0 and a plurality of client terminals 30 connected to the local server 10. These local server groups A1 to An are mainly installed in dental clinics,
For example, the local server group A1 is installed as an X dental office, and the local server group A2 is installed as a Y dental office.
The local server groups A1 to An function as the local terminal and the medical office processing terminal device.

Here, the local server 10 has a transmission / reception unit 12, a memory 14, a CPU 20, an interface 22, and the like. The transmission / reception unit 12 is for connecting to the center server B.
A (terminal adapter), a router, a modem, or the like. Generally, the line to be connected is an ISDN line for a TA, a dedicated line or an ISDN line for a router, and a normal telephone line for a modem.

The memory 14 stores programs and data. Specifically, the memory 14 has a ROM,
A RAM, a hard disk, etc. correspond. This memory 14
Is provided with a program storage unit 16 and a data storage unit 18. The program storage unit 16 stores an OS (operation system) program, a WWW browser program that operates on the OS program, and the like. . That is, the OS program has various functions (for example, a PPP connection function and a TCP / IP compatible function) that can be connected to the Internet using the WWW browser. Also, in the member registration menu described later,
The program storage unit 16 stores an installation program (described later) to be downloaded. further,
In a daily work menu to be described later, a daily work program to be downloaded (to be described later) is stored in the program storage unit 16. The data storage unit 18 is for storing input or calculated data. The program storage unit 16 and the data storage unit 18 actually correspond to the above-described hard disk and the like. Actually, the program storage unit 16 and the data storage unit 18 may have the same configuration such as a single hard disk, or may have separate configurations.

The interface 22 is for managing an interface with the client terminal 30. The CPU 20 controls the operation of each unit in the local server 10, and the program storage unit 1
6 performs various processes based on the program stored in the program 6. This CPU 20 functions as the control unit.

The client terminal 30 is connected to the local server 10. The client terminal 30 has the same functions as the local server 10, and has a monitor, a keyboard, and the like for the operator to operate. Is provided.
That is, the local server 10 and the client terminal 3
A value of 0 indicates that the RAN connection is established with the local server 10 as the server. Note that the local server 10 and the client terminal 30 can be constituted by a commercially available personal computer.

As shown in FIG. 3, the center terminal B and the center server B as the medical office processing terminal device include a transmitting / receiving unit 42, a memory 44, a CPU 50, and the like. The transmitting / receiving unit 42 includes a local server group A
The transmission / reception unit 42 is connected by a so-called dedicated line.

The memory 44 is for storing programs and data.
A RAM, a hard disk, etc. correspond. This memory 44
Is provided with a program storage unit 46 and a data storage unit 48. The program storage unit 46 includes an OS (operation system) program and a program that operates on the OS program. Contains programs needed to function. That is, the OS program also has various functions (for example, TCP / IP compatible functions) that can be connected to the Internet. Further, a program for performing the operations shown in the flowcharts of FIGS. 4, 5, and 6 is also stored in the program storage unit 46. For example, a program used in a member registration menu, a program for member registration confirmation processing, an installation program to be downloaded to the local server side, a program for downloading the installation program, and the like are stored. A program used in the menu of daily work, a program for authenticating members, a program for daily work downloaded to the local server, a program for downloading the program for daily work, and a program for local server A program for storing data and the like uploaded from the server is stored.

The installation program as the initial setting program is a program to be set in advance on the local server side in order to use the dental medical office system of the present embodiment. Has a function of creating a folder for storing a key in the program storage unit 16 of the local server 10, a function of authenticating a key sent from the center server B side, and the like.

The above-mentioned daily business program is:
This is a program for issuing a claim mainly in dental medical affairs, and has a function of creating a medical chart, a claim, a daily schedule, a monthly schedule, and the like when an operator inputs patient information, medical treatment contents, and the like. This daily work program functions as the medical information processing program. The data storage unit 48 stores various data, and the data of the activation key (described later) and the data of the authentication key (described later) are stored in the data storage unit 48.

The CPU 50 controls the operation of each unit in the center server B, and performs various processes based on the programs stored in the program storage unit 46. The CPU 50 functions as the control unit.

The operation of the dental medical office system P having the above configuration will be described with reference to FIGS. First, the operation in the member registration menu will be described with reference to FIG. A connection operation is performed from the local server group A1 to connect to a homepage operated by the center server B (S101, S102, S201). Specifically, the operator at the dental clinic starts the WWW browser on any of the client terminals 30, dials up to the server of the provider, and connects to the homepage. The homepage operated by the center server B also has a menu for member registration, a menu for login (daily business), a menu for bulletin board, information search for information such as insurance points and drug prices, and the like.

Since the explanation here is for a member registration, the operator on the local server side is referred to as “member registration”.
Is selected (S103). Then, the information is sent to the center server B (S20).
2) The center server B requests clinic information (S2)
03). This clinic information includes information on the clinic institution code,
The information of the doctor's license number can be considered.

On the other hand, clinic information is input from the client terminal 30 of the local server group A1 (S10).
5), and sent to the center server B via the local server 10 (S204). Then, the center server B
Then, when the information is received, a program for confirming membership registration stored in the program storage unit 46 is started, and the registered member data stored in the data storage unit 48 is checked against registered member data to determine whether or not the registered member data has already been registered. Is checked (S205). Then, if it has already been registered, a notification to the effect that it has been registered is transmitted to the local server 10 of the local server group A1 (S207). Then, at the client terminal 30 of the local server group A1 (see S106) that has received this, the fact is displayed on the client terminal 30 and the processing is terminated.

On the other hand, if the member has not been registered, the member is registered (S206, S208). That is, a process of adding the clinic information to the registered data is performed. This is the registration step. In this case, the CPU 50, the data storage unit 48, and the like function as the registration unit. When the member registration is completed, the installation program is transmitted and downloaded (S209, S107). In this case, the CPU 50, the program storage unit 46, the transmission / reception unit 42
Functions as the second download unit. Then
In the local server 10, the program storage unit 16
In the folder, a folder for storing the installation program is created, and the installation program is stored in the folder. Also, when sending this installation program,
Passwords and the like used in daily business menus are also transmitted. By storing the installation program in this way, it becomes possible to carry out daily work processing thereafter. When the download of the installation program is completed, the installation program automatically creates a folder for storing the latest program downloaded in daily work in the program storage unit 16 of the local server 10. . This folder is referred to as a “daily business folder”.

Next, the operation in daily work is shown in FIG.
This will be described with reference to FIGS. First, as in the case of the above member registration, a connection operation is performed from the local server group A1 to connect to the homepage operated by the center server B (S301, S302, S401). These steps are the line connection steps. In this case, the transmission / reception unit 12 and the CPU 20 function as the line connection unit.
Then, it is assumed that the “login” menu is selected (S303). This "login" menu is used to select a daily work mode.

When the "login" is selected and sent to the center server B (S402), the center server B requests a password or the like from the local server group A1 (S403, S304). . Then, when a password or the like is input to the client terminal 30 of the local server group A1 (S305), the information is sent to the center server B (S404), and it is confirmed whether or not the password or the like is correct. (S
405). In this case, the information requested in step S403 is the clinic information and the password, the correspondence between the clinic information and the password is stored in the data storage unit 48 in advance as the correspondence information, and the correspondence is correct. You may confirm whether it is. Alternatively, the correspondence between the telephone number of the caller and the password may be stored, and the correspondence between the two may be confirmed. If the path or the like is not correct, a password or the like is requested again (S406, S403). In this case, the CPU 50 and the data storage unit 48 function as the local terminal authentication unit.

On the other hand, if the password or the like sent from the local server group A1 is correct, it is determined whether or not there is a latest program that has not been downloaded to the local server group A1 (S407). That is, it is determined whether or not a new upgraded daily business program is prepared on the center server B side and the latest program is downloaded to the local server group A1. For example, a downloaded list in which information indicating that downloading has been completed for each clinic information is created for each version and stored in the data storage unit 48, and whether or not downloading has been performed from the downloaded list is determined. Should be checked.

If there is an undownloaded latest program, the latest program is downloaded together with the data of the activation key (S408, S30).
6). That is, the CPU 50 reads the latest program from the program storage unit 46, reads the activation key from the data storage unit 48, and transmits the activation key via the transmission / reception unit 42. In this case, the CPU 50, the memory 44, and the transmission / reception unit 42 function as the download unit. As a result, at least a part of the existing daily work program already stored in the program storage unit 16 is rewritten or added to the existing daily work program. When the download is completed, the clinic information is updated as downloaded in the downloaded list. When downloading is performed for the first time in the local server group A1, the daily business program is stored as it is in the daily business folder. After the download is completed, the line is disconnected (S410). In this case, the transmitting / receiving unit 42 and the CPU 50 of the center server B function as the line disconnecting unit. In this case, the local server group A1 may be disconnected.

On the other hand, when there is no undownloaded latest program, only the data of the activation key is transmitted to disconnect the line (S409, S308). Note that the activation key is a key required to activate the daily business program, and the above-mentioned daily business program is executed only after performing authentication based on the authentication key stored in the local server 10 in advance. Be able to start. When the latest program is downloaded, the latest program is stored in the program storage unit 16, while the activation key is stored in the data storage unit 18. Each of the above download steps
This is the download step.

Then, the daily work program stored in the daily work folder is started (S30).
9). In this activation, as shown in FIG. 7, the authentication is performed by comparing the received activation key with the authentication key (S351), and the activation is performed only when the authentication is successful (see S352 and S353). . That is, if it is determined that the activation key is an appropriate key, it is possible to shift to the program activation processing, otherwise, it is not possible to shift to the processing. Therefore, if the authentication cannot be performed correctly, the daily business program will not be started. For example, as an authentication method, it may be determined whether the activation key matches the authentication key. In that case, as the activation key, the same key data as the authentication key transmitted to the local terminal side most recently will be transmitted at the time of downloading,
For that purpose, it is necessary to store in the memory 44 information about what authentication key has been downloaded to the local terminal for each local terminal. It is preferable from the viewpoint of security that the data of the activation key and the data of the authentication key have different contents each time. The authentication of the activation key is the key authentication step. In this case, the CPU 20 and the like function as the key authentication unit and the activation unit.

The daily business program is mainly a program for issuing a receipt. When the program is started, a menu screen displaying various menus such as “patient registration”, “medical care input”, and “reception issuance” is displayed. Is displayed. A desired menu is selected from this menu screen and various inputs are made (S311). For example,
When registering a patient, the patient registration screen is displayed by selecting and clicking on the “patient registration” icon, whereby the patient is registered. Further, when the icon of "medical care input" is clicked, a treatment input screen for inputting the treatment content of the day is displayed. When inputting the treatment input screen, a part disease name input screen for inputting a part disease name, etc. Is displayed, and a part or a disease name is input, and the input is performed.

When the predetermined input is completed, the local server 10 creates and outputs various documents (S31).
2). That is, creation is performed based on a program for creating various documents and the input contents. Documents to be created include charts, receipts, daily schedules, monthly schedules, and statistical information. For example, the user can click a “accounting” icon on the treatment input screen to perform an accounting process and then issue a receipt or the like. Also, by each of the above inputs,
Since the contents of the chart are also generated, the chart can be printed. You can also create a daily schedule. If the user clicks the “Issue of Reception” icon, the process proceeds to the issuance of a receipt, the number of receipts for a predetermined month is totaled, and the receipt is issued. In addition, a monthly total table can be created. The above-mentioned statistical information means that the local server group A
1 is data obtained by converting statistics such as the patient's disease name and the frequency of medical treatment items at the dental clinic where the dental clinic is located. Each output is performed by a monitor, a printer, or the like provided in the client terminal 30. The printer is connected to the local server 10.
May be provided. This step S312 is the data generation step.

The information of the documents prepared as described above, that is, the information of the medical chart, the receipt, the daily total table, the monthly total table, and the statistical information is stored as local information in the local server 10.
(S313).

Then, when ending the work, preparations for in-hospital work end are made (S314). For example, “end of hospital operation” is selected from various menus. The in-hospital operation end process is performed before the day operation of the dental clinic ends and the power of the client terminal 30 or the like is turned off.

Then, the local server 10 automatically establishes a line connection with the center server B (S315, S41).
1. This step is the second line connection step. In this case, the transmission / reception unit 12 and the CPU 20 function as the second line connection unit. ), And transmits the password and the like requested from the center server B from the local server group A1 to the center server B (S412, S316, S31).
7, S413), when the confirmation that the password is correct is completed (S414, S415), the center server B
Requests the local server group A1 to upload data (S416). When the upload operation is performed from the client terminal 30, the local information stored in the data storage unit 18 is transmitted to the center server B, and the data is uploaded (S31).
9, S417). This corresponds to the above uploading process. In this case, the CPU 20, the data storage unit 18, the transmission / reception unit 12, and the like function as an upload unit. The uploaded data is stored in the data storage unit 48 of the center server B (S418). As described above, uploading each data in the local server group A1 to the center server B is performed when the data is lost, for example, when the local server group A1 deletes data by mistake.
This is because data can be downloaded from the center server B by an operation from the local server group A1. In the above description, the upload operation is performed. However, the upload may be performed automatically without performing the operation.

When the line is connected to the center server B at the end of the hospital operation, the center server B
Transmits the data of the authentication key to be used in the next operation to the local server group A1 side. This may be before or after the upload. In the local server 10, the data of the authentication key is stored in a predetermined storage area of the data storage unit 18, and is used for authentication of the key received at the next business.

As described above, when the upload process is completed, the line is disconnected (S320, S419). Then, the local server group A1 performs processing for canceling the program operation (S321). That is, the data of the activation key received in step S306 or 307 is deleted. That is, since the installation program has a function of deleting the activation key from the data storage unit 18 after the upload is completed and the line is disconnected, the installation program is started when the upload is completed and the line is disconnected. Then, the activation key is deleted. This corresponds to the erasing step. Therefore, even if the data of the daily work program is stored in the local server 10, the daily work program cannot be started unless a new start key is obtained from the center server B side. It is preferable from the viewpoint of security that the activation key and the authentication key be different key data each time.

If one of the client terminals 30 connected to the local server 10 performs the operation for terminating the in-hospital business, the other client terminals 30 can use the daily business program. Can not.

As described above, in the dental medical office system P of this embodiment, for example, when the daily work program is terminated and the daily work program is started again on the next day or the like to perform the daily work. Again, step S301
(See FIG. 5). That is, it is necessary to perform a connection operation to the center server B side and obtain at least a start key. That is, the series of processes shown in FIGS. 5 and 6 are basically repeated in daily work. However, if the above-mentioned in-hospital operation end processing is not performed, it is possible to continue using the daily operation program even on the next day.

According to the dental medical office system P of the present embodiment, when performing daily work, when starting the daily work program, the daily work program must be obtained unless the start key is obtained each time. Since it cannot be activated, security can be further improved.
Also, if the daily work program has been upgraded, a new version of the daily work program will be downloaded along with the transmission of the activation key. No need to do. In addition, even if the daily business program is damaged in the local terminal, it can be downloaded again, so that there is no need for a person in charge to go to work and the cost for that can be reduced.
That is, labor costs for software maintenance including version upgrade can be reduced as a whole, and cost reduction can be achieved.

The contents of the medical chart created by the local server group can be stored in the local server groups A1 to An or uploaded and stored in the center server B, so that they can be stored as electronic medical records. And thus save paper resources.

In the above description, it has been described that the local server is provided with a local server group including a local server and a client terminal. However, the present invention is not limited to this. The terminal may be a terminal, for example, a configuration in which a monitor, a keyboard, and the like are attached to the terminal having the configuration shown in FIG. 2.

Further, in the above embodiment, a dental medical office system is taken as an example of the medical information processing system, and a program for issuing a receipt in dental medical office is taken as an example of the daily business program. Although described, the present invention is not limited to this, and may be a medical information processing system for subjects other than dentistry, and may be a program for medical affairs other than dentistry as a daily business program. In the present embodiment, the medical information processing system has been described. However, the present invention is also applicable to information processing systems in other fields other than medical care and information processing methods in the system. It may be.

In the above description, the local server groups A1 to An and the center server B have been described as being connected via the public line network. However, the present invention is not limited to this. It is also conceivable that they are connected by a communication line.

The above-described authentication key has been described as being sent from the center server B at the end of each job. However, the present invention is not limited to this. A single activation key and an authentication key are defined. The authentication key may be held in the local server 10 at all times, and may be compared with the downloaded and transmitted activation key for authentication.

[0070]

According to the medical office processing method and the medical office processing terminal device in the medical information processing system according to the present invention, the cost of software maintenance such as version upgrade is mainly reduced, so that the operation of the entire system can be managed. Costs can be reduced,
Security can also be improved.

[Brief description of the drawings]

FIG. 1 is a block diagram showing a configuration of a dental medical office system according to an embodiment of the present invention.

FIG. 2 is a block diagram illustrating a configuration of a local server group.

FIG. 3 is a block diagram illustrating a configuration of a center server.

FIG. 4 is a flowchart showing an operation in the case of member registration.

FIG. 5 is a flowchart showing an operation in the case of daily work.

FIG. 6 is a flowchart showing an operation in the case of daily work.

FIG. 7 is a flowchart showing a subroutine of step S310 in FIG.

[Explanation of symbols]

 P Dental medical office system A1-An Local server group B Center server 10 Local server 12, 42 Transmitter / receiver 14, 44 Memory 16, 46 Program storage 18, 48 Data storage 30 Client terminal

Claims (19)

[Claims] 1. A medical business processing method in a medical information processing system having a center terminal and a local terminal connected via a telephone line, wherein a line is connected from the local terminal to the center terminal. A line connection step, and a start key for starting up the medical information processing program while downloading data of the medical information processing program from the center side terminal to the local side terminal in a state of line connection by the line connection step. A download step of downloading the activation key received from the local terminal, and a key authentication step in which the activation key is determined to be appropriate in the key authentication step. An activation step of activating the information processing program; and an operation of ending the medical information processing program or the medical When performing operations associated with the end of an information processing program, medical office processing method characterized by having, an erase step of erasing the key for the activation of the local terminal. 2. In a line connection state in a certain line connection step, if there is a new medical information processing program that has not been downloaded to the local terminal, the new medical information processing program data is added together with the new medical information processing program data. Downloading the activation key in the download step, and if there is no new medical information processing program that has not been downloaded to the local terminal, only the activation key is downloaded in the download step. The medical office work processing method according to claim 1, wherein 3. The medical office work method according to claim 1, wherein the medical office work processing method further includes a data generation step of generating output data by the activated medical information processing program. Processing method. 4. The medical office processing method further comprises: a second line connection step of performing a line connection from the local terminal to the center terminal after generating the output data in the data generation step. 4. The medical office processing method according to claim 3, further comprising an uploading step of uploading the output data to the center side terminal in a line connection state by a two-line connection step. 5. When authenticating the activation key, authentication is performed by comparing the activation key with an authentication key used for authenticating the activation key.
5. The medical device according to claim 4, wherein when the line is connected in the second line connection step, an authentication key used for authentication of a next activation key is downloaded from the center terminal to the local terminal. Paperwork method. 6. The medical paperwork processing method further includes a registration step of registering information on the local terminal, and at least a part of the above steps is performed on the registered local terminal. The medical office processing method according to claim 1, wherein an initial setting program for complementation is downloaded. 7. A medical office processing terminal device used for medical office processing, comprising: a transmission / reception unit for making a line connection with a local terminal; a program storage unit for storing a medical information processing program; A data storage unit that stores data generated by the information processing program, and a control unit that controls each unit in the medical office processing terminal device, and when a download request is received from the local terminal,
The control unit downloads the data of the medical information processing program stored in the program storage unit to the local terminal and downloads the activation key for activating the medical information processing program. Controlling the unit, and when the data generated by the medical information processing program is uploaded from the local terminal at the local terminal, the control unit stores the data in the data storage unit. Medical office processing terminal device. 8. When there is a download request from the local terminal and there is a new medical information processing program that has not been downloaded to the local terminal, the new medical information processing program The activation key is downloaded together with the data, and if there is no new medical information processing program that has not been downloaded to the local terminal, only the activation key is downloaded. Claim 7
The medical office processing terminal device according to 1. 9. The medical business processing method according to claim 7, wherein the authentication key used for authentication of the activation key is downloaded to the local terminal in the line connection state at the time of the upload. Terminal device. 10. The data storage unit stores member information, which is information of registered members. The control unit, in response to a member registration request from a local terminal, obtains information about the local terminal. It is determined whether or not has already been registered as a member, and if not registered, information about the local terminal is registered in the data storage unit, and for the registered local terminal,
10. The medical office processing terminal device according to claim 7, wherein an initial setting program for complementing at least a part of the steps is downloaded. 11. A medical clerical processing terminal device used for medical clerical processing, comprising: a transmitting / receiving unit for connecting a line with a center-side terminal; a program storing unit for storing program data; A data storage unit for storing the extracted data, and a control unit for controlling each unit in the medical office processing terminal device. The data from the center side terminal to the medical information processing program, and the medical information processing program When the activation key for activating is downloaded, the control unit:
While storing the data of the medical information processing program in the program storage unit, storing the activation key in the data storage unit, the control unit authenticates whether the activation key is appropriate, and When it is determined that the activation key is appropriate, the medical information processing program can be activated, and the control unit performs an operation for ending the medical information processing program or an end of the medical information processing program. A terminal device for medical business processing, wherein the activation key is deleted from the data storage unit when a related operation is performed. 12. When an operation for ending the medical information processing program or an operation related to ending the medical information processing program is performed, the output data generated based on the medical information processing program is stored in a center. The medical office processing terminal device according to claim 11, wherein the terminal device is uploaded to a side terminal. 13. A medical information processing system having a center side terminal and a local side terminal connected via a communication line, wherein line connection means for performing a line connection from the local side terminal to the center side terminal comprises: The medical information processing program is provided in the local terminal, and the medical information processing program data is downloaded from the center terminal to the local terminal in a state of line connection by the line connection means, and the medical information processing program is started. Download means for downloading an activation key for use is provided in the center terminal; and, in the local terminal, key authentication means for authenticating whether the received activation key is appropriate or not, and activation by the key authentication means. Starting the medical information processing program when it is determined that the medical key is appropriate. And a step is provided on the local terminal, and further, when an operation for ending the medical information processing program or an operation related to ending the medical information processing program is performed, the activation key is set to the local side. A medical information processing system, wherein erasing means for erasing from a terminal is provided in the local terminal. 14. The medical information processing system, further comprising a line disconnecting unit for disconnecting a line connection of the communication line when the download by the download unit is completed, wherein at least one of the center terminal and the local terminal. The medical information system according to claim 13, wherein the medical information system is provided. 15. When there is a new medical information processing program that has not been downloaded to the local terminal, the download means may include the activation key together with the data of the new medical information processing program. 15. The method according to claim 13, wherein when there is no new medical information processing program that has not been downloaded to the local terminal, only the activation key is downloaded. 16. Medical information processing system. 16. The medical information processing system according to claim 13, wherein the local terminal generates output data using the activated medical information processing program. 17. The second line connecting means for connecting the line from the local terminal to the center terminal after the local terminal generates the output data, and the second line connecting means performs the line connection. With the line connected,
17. The medical information processing system according to claim 16, further comprising an upload unit that uploads the output data to a center terminal. 18. When authenticating the activation key, authentication is performed by comparing the activation key with an authentication key used for authenticating the activation key. In the case of line connection by means,
18. The medical information processing system according to claim 17, wherein an authentication key used for authentication of a next activation key is downloaded from the center terminal to the local terminal. 19. The center terminal further comprises: a registration unit for registering information about the local terminal; and a local terminal registered by the registration unit for complementing an operation in the local terminal. And a second download means for downloading the initial setting program.
Or the medical information processing system according to 15 or 16 or 17 or 18.