JP2002163364A - Medical information storage medium, device and system for managing medical information - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a medical information storage medium carried by a patient or which consultation contents or dosage contents are recorded so as to exactly present the contents of consultation or dosage applied to the patient up to the moment to a medical institution when the patient is treated by the medical institution, a medical information managing device managing the consultation information or the like of the patient by utilizing the medical information storage medium and a medical information managing system performing centralized management of the consultation information or the like of the patient in each of medical institutions provided with the medical information managing devices. SOLUTION: The patient carries the medical information storage medium on which patient personal information including his/her own ID, personal data and medical basic data and consultation history information including the consultation contents, the dosage contents and the date of consultation are recorded and receives a consultation by presenting this medical information storage medium to the medical institution.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a method of reading and writing information carried by a patient when the patient receives medical treatment at a medical institution such as a doctor's office or a hospital. Medical information storage medium, a medical information management device that manages patient's personal information and medical information using the medical information storage medium, and a medical institution and a medical institution provided with the medical information management device The present invention relates to a medical information management system that centrally manages medical information of patients.

[0002]

2. Description of the Related Art In recent years, many hospitals and clinics have performed personal medical diagnoses on medical practices at medical institutions, which is not an exaggeration to say that they have been performed in closed rooms. It has become possible to easily obtain a medical record and prescription information of a medicine as a record by applying to a clinic where the treatment was performed. This is a delight for the individual patient, who has approached the European and American nations in recognizing illness and choosing medical treatment by himself without leaving medical treatment to others.

[0003] In addition, it is well known that various advanced information can be obtained while staying at home with the advance of information and communication technology (IT technology) as represented by the Internet. . In this information age, medical information that is particularly life-threatening (such as disease treatment information)
However, simply as information, it is easy for individuals to know.

[0004] However, as described above, the medical information obtained from the clinic is often paper as a recording medium. Even if each individual manages the medical information temporarily, the illness is completely cured or the medicine is not taken. It is not uncommon for them to be disposed of when finished. Moreover, it is no exaggeration to say that few individuals manage information on their own illness.

[0005] In addition, when treatment is performed at a plurality of hospitals or departments (internal medicine, surgery, etc.), or when the patient is temporarily moved (business trip), the doctor often visits another clinic. In addition, the elderly are currently treating various illnesses at their specialized clinics. In this way, if you are treating at a prescribed clinic for a certain disease,
When treating or administering medication at another clinic, it is often impossible to respond immediately to the question "What other drugs are you using in combination?" This is not limited to the elderly. Also, such drug affairs information is often known only to the person himself, but detailed information on the drug is not known.

Also, in the case of emergency hospitalization, etc., when a family member is inquired by a doctor in charge of various medication conditions for treatment, the family member cannot answer, and it takes half a day or one day for the hospital side to go to another hospital. In many cases, complicated medical information such as "forgot to hear" and "forgotten to speak" is not properly exchanged, which may lead to a loss of life especially in an emergency.

On the other hand, even if the family members are familiar with the contents of medical treatment, doctors and nurses must judge the special problems such as the use of medicines, and they must check with other hospitals in the event of an emergency. In any case, it becomes complicated.

[0008] In addition, when medical expenses are paid due to illness or injury, a part of the tax paid may be returned when a tax return is filed. Medical expenses subject to medical deduction include medical expenses / medical expenses, drug purchase expenses, hospitalization / admission expenses, and nursing expenses.

[0009] The receipt paid as medical expenses must be attached to a final income tax return or presented at the time of submitting a final income tax return. Therefore, the receipt must be kept at any time. Receipts are also needed to calculate the total healthcare expenditures paid for the whole family that year. In addition, the portion with the receipt is usually deducted, but the transportation expenses required for hospital visits are also deducted if it is deemed appropriate, and the details that are not received like train charges are recorded. Need to be kept.

[0010] In reality, it is difficult to declare all medical expenses and transportation expenses to be deducted, and the major reasons are loss of receipts and forgetting to record details.

[0011] In particular, the older the elderly, the more often they are at multiple hospitals or departments, and there is a limit to managing oneself. However, obtaining appropriate medical information becomes an increasingly serious problem.

[0012]

As described above, patients can acquire their own medical information from a clinic. Such medical information has been conventionally described on paper or the like. The problem is that there are many patients and they are easily lost, and most patients do not manage their own medical information, but the patient goes to multiple hospitals or multiple departments (internal medicine, surgery, etc.) Are asked if there is any other concomitant drug in order to prevent side effects of the drug when treated or administered at another hospital or department. In addition to the problem of not being able to respond immediately, patients have little knowledge of the detailed information on the medicines being dispensed.

In the case of emergency hospitalization, for example, the patient is asked about the current medication status, but cannot answer such a question. And it takes time,
There is a problem that it is complicated.

[0014] Furthermore, medical expenses and transportation expenses when visiting a hospital are subject to tax deductions, but such medical expenses receipts tend to be lost. There is a problem in that it is easy to forget to record the statement, and it is difficult to properly file it for tax deduction.

The present invention has been made in view of the above,
The purpose of this is to provide a patient's mobile device that records the medical treatment and medication details so that when the patient goes to the medical institution, the patient's medical treatment and medication details can be presented to the medical institution accurately. A medical information storage medium, a medical information management device that manages medical information and the like of a patient using the medical information storage medium, and a medical institution provided with the medical information management device and medical information of a patient in each medical institution It is an object of the present invention to provide a medical information management system for centrally managing such information.

[0016]

In order to achieve the above object, the present invention according to claim 1 is carried by a patient,
A medical information storage medium that is presented from a patient to a medical institution when the patient receives medical treatment at the medical institution, and is capable of reading and writing information at the medical institution, and includes a predetermined ID for identifying the patient, and an individual of the patient. Medical information recording means for recording patient personal information including data and medical basic data of a patient, and medical treatment history information including medical treatment contents, medication contents and medical treatment date and time as a medical treatment result of a patient at a medical institution, and the medical treatment information recording means And a password recording means for recording a password for a patient for enabling access to each information recorded in the personal computer.

According to the first aspect of the present invention, the patient records his / her own ID, patient personal information including personal data and medical basic data, and medical history information including medical treatment contents, medication contents and medical treatment date and time. The medical information storage medium is carried, and the medical information storage medium is presented to a medical institution to receive medical treatment. When the medical institution treats a patient, the medical information storage medium stores the current and past medical history information of the patient from the medical information storage medium. And medical basic data can be accurately grasped, and accurate medical treatment can be performed, and patients can receive medical treatment with peace of mind. In addition, even when the patient is in different departments such as multiple hospitals or multiple internal medicine or surgery, each hospital or department can know the medicine currently being taken from the medical history information recorded on the medical information storage medium. It is possible to accurately judge what kind of medicine is preferable as a new medicine to be used in combination. This is very effective for elderly people who have difficulty in accurately informing doctors of the medications they are currently taking and past medical histories, and elderly people who often go to multiple hospitals at the same time. Thus, medical treatment can be performed promptly and accurately, and medical mistakes and the like can be avoided. It is also possible to record medical expenses receipt information on the medical information storage medium.In this case, it is not necessary to count or store the receipts paid as medical expenses, and to attach the medical expenses receipt at the time of final tax return. Or presentation.

The present invention according to claim 2 provides a predetermined ID for specifying a patient, patient personal information including patient's personal data and patient's medical basic data, and medical treatment contents as a result of patient's medical treatment at a medical institution. Reading / writing for accepting a patient-carrying medical information storage medium recording medical history information including a medication content and a medical treatment date and time in accordance with presentation from a patient, and reading and writing information to / from the medical information storage medium Display means for controlling the reading / writing means to read desired information among the patient's personal information and medical history information recorded on the medical information storage medium, and displaying the read information. The medical treatment information including the medical treatment contents, medication contents, and the medical treatment date and time, which are the results of the medical treatment performed on the patient, is used as the medical treatment history information. Writing control means for controlling the reading / writing means so as to write the information to a medical information storage medium; a medical information database for recording patient personal information and medical history information; and the medical information database using the medical information of the medical results as medical history information. The information recorded in the medical information database is compared with the information recorded in the medical information storage medium presented by the patient, and recorded in the medical information storage medium. Update means for newly recording and updating information not recorded in the information database in the medical treatment information database, and display for controlling the information recorded in the medical treatment information database to be read as necessary and displayed on the display means It is essential to have a control means.

According to the second aspect of the present invention, when the patient is treated, desired information is displayed on the display means from among the patient personal information and the medical history information recorded on the medical information storage medium presented by the patient. The medical treatment information including the medical treatment contents, the medication contents and the medical treatment date and time of the medical treatment result is written in the medical information storage medium as the medical treatment history information, and the medical treatment information database is recorded and updated. In order to read the information recorded in the medical information database as necessary and display it on the display means,
When treating a patient, the medical institution can accurately grasp the current and past medical treatment history information and basic medical data of the patient from the patient's medical information storage medium, and can perform appropriate medical treatment. You can receive medical treatment with peace of mind.
In addition, even when the patient is in different departments such as multiple hospitals or multiple internal medicine or surgery, each hospital or department can know the medicine currently being taken from the medical history information recorded on the medical information storage medium. It is possible to accurately judge what kind of medicine is preferable as a new medicine to be used in combination. This is very effective for elderly people who have difficulty accurately informing doctors of the medications currently taken and past medical histories, etc., so that medical treatment can be performed promptly and accurately. It is possible to avoid medical mistakes.

Further, according to a third aspect of the present invention, a medical information management apparatus provided at each medical institution and each medical information management apparatus connected to each medical information management apparatus via a network and provided with each medical information management apparatus are provided. A medical information management system having a medical management center for centrally managing information including institution information and medical information at each medical institution, wherein each medical information management device includes a predetermined ID for identifying a patient, a patient's individual The patient's personal information including the data and the patient's medical basic data, and the medical information storage medium of the patient carrying the medical history information including the medical treatment contents, the medication contents and the medical treatment date and time as the medical treatment result of the patient at the medical institution are stored in the patient Reading / writing means for reading and writing information to / from the medical information storage medium in response to presentation from the medical information storage medium; Display means for controlling the reading / writing means to read desired information from the patient personal information and medical history information recorded on the information storage medium, and displaying the read information; The reading / writing means is controlled so that medical information including medical treatment contents, medication contents, and medical treatment date and time, which is the result of the medical treatment, is written to the medical information storage medium as medical treatment history information, and the medical treatment information is transmitted via a network. Information writing / transmission control means for controlling transmission to the medical management center, a medical information database for recording patient personal information and medical history information, and updating the medical information of the medical results to the medical information database. And the medical information stored in the medical information database and the medical information presented by the patient. Updating means for comparing information recorded in the body with information newly recorded in the medical information storage medium but not recorded in the medical information database, and newly recording and updating the information in the medical information database; A display control unit for reading out information recorded in the information database as necessary and displaying the information on the display unit; and accessing the medical management center via a network to acquire necessary information from the medical management center. Center information acquisition means, wherein the medical management center comprises: a doctor of each medical institution provided with each medical information management device; personnel information including a nurse; institution information including medical device information and management information; and A database for recording medical information including medical treatment results, medical treatment contents and medical treatment date and time, which is a medical treatment result at each medical institution, for each medical institution;
Receiving / updating means for receiving medical information and other information transmitted from each medical information management device via a network, recording the received information in the database, and updating the corresponding information; In response to the access from the management device via the network, read the necessary information of each medical information management device from the database,
The point is to have information returning means for returning to each medical information management device.

According to the third aspect of the present invention, in the medical information management device provided in each medical institution, the patient's personal information and the medical history information recorded in the medical information storage medium of the patient are displayed on the display means. The medical treatment information is appropriately performed while viewing and browsing, the medical treatment information of this medical treatment result is recorded as medical treatment history information in a medical information storage medium and a medical treatment information database, and further, the medical management center is accessed via a network, Required information from the medical management center, and records and updates the medical information of each medical institution transmitted from each medical information management device in the database,
In addition, in response to access from each medical information management device, necessary information of each medical information management device is read from the database and returned to each medical information management device. The present and past medical treatment history information and medical basic data of the patient can be accurately grasped from the information storage medium, so that appropriate medical treatment can be performed, and the patient can receive medical treatment with confidence. In addition, even when the patient is in different departments such as multiple hospitals or multiple internal medicine or surgery, each hospital or department can know the medicine currently being taken from the medical history information recorded on the medical information storage medium. In addition to being able to accurately determine what kind of medicine is better as a new medication to be used in combination, each medical institution can also store information that is not stored in the patient's medical information storage medium or their own medical information database. It can be obtained from the medical management center and, for example, when there is a question or an inexplicable situation in one's own treatment method at each medical institution, access the medical management center and enter symptoms etc. By doing so, it is possible to acquire various information related to the symptom and the treatment thereof from the medical management center, and to perform more appropriate treatment.

According to a fourth aspect of the present invention, there is provided a medical information management apparatus provided in each medical institution, connected to each medical information management apparatus via a network, and configured to receive information from each medical information management apparatus and each medical information management apparatus. Medical management center that centrally manages, and a medical information management system having a tax office terminal connected to the medical information management device and the medical management center via a network, each medical information management device, Predetermined ID for identifying a patient, patient personal information including patient's personal data and patient's medical basic data, medical treatment contents as a medical treatment result of a patient at a medical institution, medical treatment history information including medication contents and medical treatment date and time, and medical expenses The medical information storage medium carried by the patient carrying the receipt information is accepted according to the presentation from the patient, and the medical information storage medium is Reading / writing means for reading and writing information; and reading / writing means for browsing desired information among patient personal information, medical treatment history information and medical expense receipt information recorded on the medical information storage medium. And display means for displaying the read information, medical information including medical treatment contents, medication contents and medical treatment date and time as a medical treatment result performed on the patient as medical treatment history information, and The read / write means is controlled to write the medical expense receipt information generated as the medical information storage medium into the medical information storage medium, and the medical care information, medical expense receipt information, and other information are transferred to the medical management center via a network. Medical information writing / transmission control means for controlling transmission to the personal information, patient personal information, medical history information and medical expenses receipt A medical information database for recording medical information, and updating and updating the medical information and medical expense receipt information of the medical results in the medical information database, and the information recorded in the medical information database and the medical treatment presented by the patient. Updating means for comparing information recorded in the information storage medium with information newly recorded in the medical information storage medium but not recorded in the medical information database, and newly recording and updating the information in the medical information database. Center information acquisition means for accessing the medical management center via a network and acquiring necessary information from the medical management center, wherein the medical management center is a medical institution provided with each medical information management device. Staff information including doctors and nurses, institutional information including medical device information and management information, and medical treatment results at each medical institution The medical information including medical treatment contents, medication contents and medical treatment date and time, and medical expense receipt information generated as a result of the medical treatment are recorded on a database for each medical institution, and transmitted from each medical information management device via a network. Receiving / updating means for receiving incoming medical information, medical expenses receipt information and other information, recording the received information in the database, and updating the relevant information, and a network from each medical information management device. Respond to access via
Read out the necessary information of each medical information management device from the database, information return means to return to each medical information management device, and respond to the need for medical expense receipt information via a network from the tax office terminal, Reading out the corresponding medical expense receipt information from the database and returning the medical expense receipt information to the tax office terminal; andthe tax office terminal accesses the medical management center via a network. The patient's I
A medical expense receipt information requesting means for inputting D and requesting the medical expense receipt information of the patient, and a medical expense receipt for receiving the medical expense receipt information returned from the medical management center via the network. It is essential to have information receiving means.

According to the fourth aspect of the present invention, in the medical information management device provided in each medical institution, the patient's personal information and medical history information recorded on the patient's medical information storage medium are displayed on the display means. Medical treatment is performed properly while browsing, and the medical treatment information of the medical treatment result is recorded as medical treatment history information, and the medical expense receipt information of the medical treatment result is recorded in a medical information storage medium and a medical treatment information database, and further, via a network. Access to the medical management center, obtain necessary information from the medical management center, and record and update the medical information and medical expense receipt data of each medical institution transmitted from each medical information management device in the medical management center in the database And responds to the access from each medical information management device, reads out the necessary information of each medical information management device from the database, and It sends back to the broadcast management device,
In addition, in response to a request for medical expense receipt data from the tax office terminal to the medical management center, the medical administration center reads the corresponding medical expense receipt data from the database and returns it to the tax office terminal, When treating a patient, the current and past medical treatment history information and basic medical data of the patient can be accurately grasped from the medical information storage medium of the patient,
Appropriate medical treatment can be performed, and patients can receive medical treatment with peace of mind. In addition, even when the patient is in different departments such as multiple hospitals or multiple internal medicine or surgery, each hospital or department can know the medicine currently being taken from the medical history information recorded on the medical information storage medium. In addition to being able to accurately determine what kind of medicine is better as a new medication to be used in combination, each medical institution can also store information that is not stored in the patient's medical information storage medium or their own medical information database. It can be obtained from the medical management center and, for example, when there is a question or an inexplicable situation in one's own treatment method at each medical institution, access the medical management center and enter symptoms etc. By doing so, it is possible to acquire various information related to the symptom and the treatment thereof from the medical management center, and to perform more appropriate treatment. Further, for each patient, the medical expense receipt data is recorded in the medical information storage medium and also recorded in the database of the medical management center, and the terminal for the tax office acquires the medical expense receipt data from the medical management center. Can be
Patients do not need to tabulate and store medical expense receipts for tax returns, eliminate omissions, improve convenience, and provide tax offices with tax office terminals to medical management centers. Access to get medical expense receipt data.

[0024]

Embodiments of the present invention will be described below with reference to the drawings. FIG. 1 is a diagram showing various information recorded on a medical information storage medium according to one embodiment of the present invention. The medical information storage medium 1 shown in FIG. 1 has a portable card shape having substantially the same size as a commuter pass or a telephone card, for example, and is carried by a patient. Figure 1 shows 1
As shown in (a), the name of the patient, in the example of FIG. 1, the name of Yaeko Fujiwara, the patient's address, telephone number, emergency contact information, I
D, patient personal information such as height, weight, blood pressure, blood sugar level, liver function, blood type, etc. of the patient as shown in FIG. 1 (b), and a medical history as shown in FIG. 1 (c). Medical treatment history information such as medical treatment history, medicine information, medical record information, etc., and medical expenses such as medical treatment / medical expenses, drug purchase expenses, hospitalization / hospitalization expenses, nursing expenses, etc. generated as a result of medical treatment as shown in FIG. Receipt information and the like are recorded. The information recorded on the medical information storage medium 1 is not limited to this, and various information necessary for a medical practice may be recorded.

The medical information storage medium 1 has a large storage capacity of, for example, 30 Mb, so that it is possible to store medical history information for many years in the past. When it is necessary, past medical history information is recorded in a medical management center provided in the medical information management system described later, and the link ID for accessing the host computer of the medical management center is the medical information. It is to be recorded on the storage medium 1. The medical information storage medium 1 can also record a photograph of the patient's own face. In such a case, the photograph of the patient can be used, and if necessary, the face can be recorded without retaking. Photo data can be used.

As the medical information storage medium 1 for writing information as described above, it is preferable to use, for example, a readable and writable optical recording medium, and its storage capacity is, for example, 30M.
b (megabytes). Such a recording medium has a storage capacity of a CD-R or a CD-RW, and can easily read and write information by using a personal computer, and can be easily transmitted via a communication line. However, it is also possible to use an IC card as the medical information storage medium 1.

The medical information storage medium 1 records a password together with a personal ID for privacy protection at the time of initial issuance. For example, when an elderly person carries the password, a key using the password is dared. It is possible to set to avoid. This is because it is difficult for the elderly to remember the password. Such a patient ID for identifying the individual patient and a password which can be managed as necessary for privacy protection are recorded on a predetermined track of the medical information storage medium 1. In addition, the medical information storage medium 1
It is preferable that the certificate be issued by a public institution such as a public health center with certification or issued by a medical institution such as a designated hospital certified by the public institution. There is no problem at all.

As described above, the medical information storage medium 1 records the patient's personal information such as a predetermined ID, name, address, etc. of the patient. Can be read by the input of. Further, the information recorded in the medical information storage medium 1 can be read not only at a specific medical institution, but also at any other hospital, clinic, clinic, or medical institution including a medical institution. Information can be written in the information storage medium 1. That is, the medical information storage medium 1 is carried by the patient, and when the patient presents the medical information storage medium 1 to the medical institution in order for the patient to receive medical treatment at an arbitrary medical institution, the patient is presented at the medical institution. Reading the information recorded in the medical information storage medium 1
The basic medical data and medical history information of the patient can be displayed and viewed on a display device or the like, and information such as medical treatment contents, medication contents, medical treatment date and time as a result of medical treatment can be written in the medical information storage medium 1. It is something that can be done.

FIG. 2 is a diagram showing the configuration of a medical information management system according to another embodiment of the present invention. The medical information management system shown in FIG. 2 uses the medical information storage medium 1 shown in FIG. In this system, medical history information and the like of each patient are centrally managed as a whole for each medical institution and for a plurality of medical institutions.

The medical information management system shown in FIG. 2 includes an in-hospital system 3 that constitutes a medical information management device provided in a clinic, for example, including a hospital, a medical institution, a clinic, a medical institution, and the like. A medical management center 5 having a host computer 51 that is connected via the network 2 and has centralized management of information on each medical institution provided with each in-hospital system 3 and medical history information at each medical institution; Established at the tax office,
A tax office terminal 7 connected to the medical management center 5 and the in-hospital system 3 via the network 2, and a tax office terminal 7, the medical management center 5 and the in-hospital system 3 provided in each home and provided in each home And a home terminal 9 such as a personal computer connected to the personal computer.

As shown in FIG. 2, the in-hospital system 3 includes an in-hospital terminal 37 provided in, for example, a reception in a clinic, a medical office, or a nurse center, and is connected to the in-hospital terminal 37 via an in-hospital LAN 35. In-hospital medical concentrator 31 has a medical information database 33 composed of a large-capacity hard disk and the like, and further has a display device, input means such as a keyboard and a mouse, and peripheral devices such as a printer. Also have.

As shown in more detail in FIG. 3, the in-hospital system 3 is equipped with an in-hospital terminal 37 equipped with the medical information storage medium 1 shown in FIG. And a central processing unit 37b for controlling the overall operation of the in-hospital terminal 37 including the read / write device 37a, and the central processing unit Read / write device 37a under the control of 37b
It has a display device 37c for displaying information from the medical information storage medium 1 read from the device, an input means such as a keyboard and a mouse, a scanner for capturing an image, a printer for outputting information, and the like.

The medical treatment information database 33 of the in-hospital medical concentration apparatus 31 includes a medical treatment history information database 33a for recording medical treatment history information including medical treatment contents, medication contents, and medical treatment date and time, which is a medical treatment result of a patient. A medicine information database 33b to record, a chart information database 33c to record medical record information, and a patient personal information database 33d to record patient personal information including a predetermined ID for identifying a patient, personal data of the patient and basic medical data of the patient. Have. Furthermore, in-hospital system 3
Is connected to the network 2 via the communication control device 39 connected to the in-hospital LAN 35, and is connected from the network 2 to the communication terminal devices such as the tax office terminal 7 and the home terminal 9 described above. It can communicate with the terminal device. For example, the medical history information including the medical treatment result, the medication content, and the medical treatment date and time, which is the patient's medical treatment result recorded in the medical treatment history information database 33a, is displayed in a tabular format corresponding to the medical treatment date and time. It is configured so as to be easily recorded, and is displayed on the display device 37c in such a table format.

More specifically, the read / write device 37a provided in the in-hospital terminal 37 includes a predetermined ID for identifying a patient, personal data of the patient, and basic medical data of the patient as shown in FIG. Patients who record patient's personal information, medical treatment history information including medical treatment contents, medical treatment contents and date and time of medical treatment, which are the results of treatment of patients at medical institutions, and information on medical expenses receipts issued by medical institutions as medical treatment results Read / write means for receiving the portable medical information storage medium 1 in response to presentation from a patient and reading and writing information from / to the medical information storage medium 1 is configured. In addition, the display device 37c is read by the read / write device 37a in order to browse desired information among patient personal information, medical treatment history information, and medical expense receipt information recorded in the medical information storage medium 1 carried by the patient. The display means is controlled by the central processing unit 37b and displays the read information.

The central processing unit 37b, the communication control unit 39, and the in-hospital medical intensive device 31 use the medical treatment information including the medical treatment contents, the medication contents, and the medical treatment date and time as the medical treatment history information as the medical treatment history information. The read / write device 37a is controlled to write the medical expense receipt information generated as a result of the medical treatment into the medical information storage medium 1 while writing the information to the information storage medium 1. Information from the communication control device 39 via the network 2 to the medical management center 5
Medical information writing / transmission control means for controlling transmission to the medical information.

The medical information database 33 is configured to record the medical expense receipt information (not shown in FIG. 3) in addition to the above-mentioned patient personal information and medical history information. The in-hospital medical concentration apparatus 31 records and updates the medical information and the medical expenses receipt information, which are the results of the medical treatment performed on the patient, in the medical information database 33, and updates the information recorded in the medical information database 33 and the patient. Is compared with the information recorded in the medical information storage medium 1 presented from the medical information storage medium 1, and the information recorded in the medical information storage medium 1 but not recorded in the medical information database 33 is newly added to the medical information database 33. An updating means for recording and updating is configured. Further, the central processing unit 37b constitutes a display control means for controlling so that the information recorded in the medical information database 33 is read out as necessary and displayed on the display device 37c. Further, the communication control device 39, the in-hospital medical centralized device 31, and the in-hospital terminal 37 access the medical management center from the communication control device 39 via the network 2, and obtain necessary information from the medical management center. Is composed.

As shown in FIG. 2, the medical management center 5 having the host computer 51
Doctors of each medical institution provided, personnel information including nurses, institution information including medical equipment information and management information and medical treatment information that is the medical treatment result at each medical institution, medical treatment information including medication contents and medical treatment date and time, And a center database comprising, for example, a large-capacity hard disk for recording medical expense receipt information generated as a result of the medical treatment for each medical institution.
Medical information transmitted from the Internet via the network 2,
Receiving / updating means for receiving medical expense receipt information and other information, recording the received information in the center database, and updating the information, and each in-hospital system 3
In response to an access from the institution via the network 2, there is provided an information returning means for reading out necessary information of each in-hospital system 3 from the center database and returning it to each in-hospital system 3. The host computer 51 of the medical management center 5 includes a display device, input means such as a keyboard and a mouse, and output means such as a printer.

Further, the medical management center 5 responds to the request for the medical expense receipt information from the tax office terminal 7 via the network, reads the corresponding medical expense receipt information from the center database, and reads the tax office terminal information. It has a medical expense receipt information return means for returning to the machine 7.

The tax office terminal 7 accesses the medical management center 5 via the network 2 and
Medical expense receipt information requesting means for requesting desired medical expense receipt information, and medical expense receipt information receiving medical expense receipt information returned from the medical management center 5 via the network 2 Having means.

In the medical information management system configured as described above, the patient is referred to a plurality of medical institutions as shown in FIG. 4, for example, in FIG. 4, Tono Hospital Internal Medicine, Morioka Hospital Neurosurgery, Tono Hospital Ophthalmology, Tanaka Clinic, etc. The medical information storage medium 1 can be presented to the in-hospital system 3 of a plurality of medical institutions to receive medical treatment. That is, when a patient receives a medical treatment at a medical institution, the patient can transfer the medical information storage medium 1 carried by the patient to an arbitrary in-hospital system 3 of a plurality of in-hospital systems 3.
In the in-hospital system 3, the medical information storage medium 1 is mounted on the read / write device 37a, and the above-mentioned patient personal information and medical treatment history information recorded on the medical information storage medium 1 are read and displayed on the display device. Display on 37c,
It is possible to perform appropriate medical treatment while browsing the displayed patient personal information and medical treatment history information, and to perform medical treatment contents, medication contents, and medical treatment on the medical information storage medium 1 presented by the patient in the hospital system 3. The medical information such as the date and time is recorded as medical history information, and the information is recorded and updated in the medical information database 33. Furthermore, in the in-hospital system 3, the information recorded in the medical information storage medium 1 presented by the patient is compared with the information recorded in the medical care information database 33, and the information is recorded in the medical information storage medium 1. However, information not recorded in the medical information database 33 is newly recorded in the medical information database 33 and updated. In the medical information storage medium 1 carried by the patient, old past information is deleted as necessary, and the latest medical information is recorded. , The medical management center 5 can be accessed from the in-hospital system 3 via the network 2 and the past information stored in the medical care information database 33 of the medical management center 5 can be obtained.

More specifically, when the patient receives the medical treatment, the medical information storage medium 1 carried by the patient is presented to the in-hospital system 3 of the medical institution, and the in-hospital system 3 reads / writes the medical information storage medium 1 The medical information management system screen as shown in FIG. 5 is displayed on the display device 37c, and the new registration 71, the registration update 72, the patient medical information 73, etc. displayed on this screen are newly registered. By clicking 71 or the registration update 72, predetermined information of the medical information storage medium 1 is read and stored in the medical care information database 33 of the medical management center 5 for each item.

As described above, the new registration 71 is clicked to perform a new registration process. In this case, a process in a case where there is information on the medicine currently used by the patient is shown in FIG.
This will be described with reference to the flowchart shown in FIG. In FIG. 10, when the tag of the new registration 71 displayed in FIG. 5 is clicked, the information recorded on the medical information storage medium 1 mounted on the reading / writing device 37a is read (step S1). From the read information, it is checked whether or not there is a drug currently being used by the patient (step S2). If there is no drug being used in combination, step S5
Then, the display on the display device 37c is updated. If there is a drug being used in combination, the drug information is extracted from the medical information storage medium 1 (step S3), and the extracted drug information is stored in the medical management center. The information is recorded to be added to the medicine information database 33b of the medical information database 33 (step S4). Then, finally, the display of the display device 37c is updated (step S5), and the process ends.

The processing when the tag of the registration update 72 is clicked will be described with reference to the flowchart shown in FIG. When the tag of the registration update 72 is clicked, the information recorded on the medical information storage medium 1 attached to the read / write device 37a is read (step S6), and the read information is added during treatment. It is checked whether or not any of the medicines have been changed (step S).
7). If there is no added drug, it is checked whether there is a drug whose period has ended (step S10). If there is a drug whose period has ended, that is, a drug whose administration has ended, a drug information database The corresponding drug information is deleted from 33b (step S11). If there is a drug added in the determination in step S7, information on the drug is extracted from the medical information storage medium 1 (step S8). The medicine information is recorded to be added to the medicine information database 33b (step S9), and then the display of the display device 37c is updated (step S12), and the process ends.

If the patient is to be admitted to a medical institution other than the hospital where he or she usually visits, the medical information storage medium 1 is presented to this medical institution, and the patient is referred to the hospital. In the system 3, desired information is read from the medical information storage medium 1 by the read / write device 37 a, and appropriate medical treatment is performed based on the patient's personal information and medical treatment history information read from the medical information storage medium 1. Medical information database 33
Can be captured.

The medical management center 5 receives all medical information transmitted from each in-hospital system 3 of each medical institution and records it in the center database. When a question arises in the treatment method or when a mysterious situation occurs, the medical management center 5 is accessed from the in-hospital system 3 of the medical institution, and a symptom or the like is input. It is possible to acquire various kinds of information related to, for example, and to perform more appropriate treatment.

The tax office terminal 7 accesses the medical management center 5 via the network 2 and
Requesting the patient's medical expenses receipt information by inputting the patient's ID to the patient, and receiving the medical expenses receipt information returned from the medical management center 5 via the network 2 in response to the request. Book information.
In other words, the patient does not need to submit or present a medical expense receipt to be deducted from the tax office at the time of tax return of his / her tax.

In addition, when it is desired to browse, for example, decades of history that are not recorded in the patient's medical information storage medium 1, or to browse medical record information that is a large amount of data, the in-hospital terminal At 37, the medical management center 5 is accessed via the network 2 based on the patient ID recorded in the medical information storage medium 1 and the history information 74 read from the medical information storage medium 1 as shown in FIG.
Necessary information 75 can be obtained from the center database. The information thus obtained is stored in the medical care information database 33 of the in-hospital medical intensive device 31 provided in the in-hospital medical central management room of the in-hospital system 3 as necessary.

To refer to the data thus obtained, for example, by clicking on the tag of the patient medical information 73 shown in FIG. 5, a screen as shown in FIG. 7 is displayed on the display device 37c.
Will be displayed. In this display, a display 76 of the face photograph data of the patient recorded in the medical information storage medium 1 and information unique to the clinic are displayed. Further, when the tag of the medical basic data 77 or the history information 78 shown in FIG. 7 is clicked, the screen shown in FIG. 8 is displayed on the display device 37c.

On the screen shown in FIG. 8, for example, when the tag of the history information 78 in FIG. 7 is clicked, detailed information on the patient's medical history 79, treatment history 80, drug information 81, and medical chart information 82 is referred to. 83a, 83b, 83
Current information, year / month / day information, and the like can be input or designated in the fields indicated by c and 83d. Then, when each tag is clicked, a screen as shown in FIG. 9 is displayed on the display device 37c.
Will be displayed. On the screen of FIG. 9, detailed data of the patient specified on the screen of FIG. 8 is displayed.

When the patient receives medical treatment, he / she pays medical expenses as a result of the medical treatment. Receipt data of the medical expenses is also recorded on the medical information storage medium 1. The medical expenses receipt data is issued and recorded on the medical information storage medium 1 in the case where transportation expenses are allowed, such as medical expenses, hospitalization / hospital expenses, nursing expenses, etc., as well as attendance. You.

Further, as shown in FIG. 12, the data of the medical expenses receipt 86 recorded in the medical information storage medium 1 is transmitted from the in-hospital system 3 to the medical management center 5 via the network 2, and 5 will be recorded in the center database. The medical information storage medium 1
ID required to access the medical management center 5
And the total amount of medical expenses receipts are recorded, but this total amount is deleted when the next fiscal year is shifted.

Therefore, it is not necessary to present or attach a medical expenses receipt or the like at the tax office at the time of final tax return, and by inserting the medical information storage medium 1 into the tax office terminal 7 as shown in FIG. By accessing the medical management center 5 from the tax office terminal 7 via the network 2 and acquiring the image data 87 of the corresponding receipt as necessary, it can be displayed on the tax office terminal 7. Confirmation can be taken.

Next, with reference to the flowchart shown in FIG. 13, the processing for recording the accumulated medical expenses in the medical information storage medium 1 will be described.

When recording medical expenses receipt data, it is first determined whether or not the fiscal year has changed (step S13). If the fiscal year has changed, the total medical expenses is reset to 0 yen (step S14). . Then, the medical expense receipt data is read (step S15), and it is determined whether or not the read medical expense receipt data is a medical expense subject to medical expense deduction (step S16). If the medical expenses are deductible, the medical expenses are added to the total medical expenses and totaled (step S17). The determination as to whether or not the medical expenses are to be deducted is performed based on a determination criterion recorded in a separate table in advance.

Then, if the amount to be covered by, for example, insurance money is recorded in the medical information storage medium 1, the total amount to be covered is subtracted from the accumulated medical expenses (step S18). Then, it is determined whether or not the subtracted accumulated medical expenses have reached a predetermined medical expenses deductible amount such as 5% of income or 100,000 yen or more (step S).
19) If it has reached, a medical expense deductible mark or the like, which is some kind of display mark, is set on the medical information storage medium 1 (step S20), and the display data of the medical information storage medium 1 is changed (step S21). .

In addition, each patient can insert the medical information storage medium 1 into the home terminal 9 at home to refer to the current medical chart, prescription information, and other information. is there.

In the system of the present invention, information read from the medical information storage medium may be transmitted / received from the emergency vehicle to the host computer 51 via a communication satellite or the like so as to respond to an emergency.

[0058]

As described above, according to the present invention,
The patient carries the medical information storage medium on which the patient's personal information and medical history information are recorded, and presents the medical information storage medium to the medical institution to receive medical treatment. The present and past medical treatment history information and medical basic data of the patient can be accurately grasped from the storage medium, and appropriate medical treatment can be performed, and the patient can receive medical treatment with confidence. Also, if the patient goes to different departments, such as multiple hospitals, multiple internal medicine and surgery,
Each hospital or department can know the medicine currently being taken from the medical history information recorded in the medical information storage medium, and can accurately determine what kind of medicine is better as a new medicine to be used together it can. This is very effective for elderly people who have difficulty in accurately informing doctors of the medications they are currently taking and past medical histories, and elderly people who often go to multiple hospitals at the same time. Thus, medical treatment can be performed promptly and accurately, and medical mistakes and the like can be avoided.

Further, according to the present invention, in performing the medical treatment of the patient, the medical treatment is properly performed while displaying and browsing the patient's personal information and the medical history information recorded in the medical information storage medium presented by the patient. The medical treatment information of the medical treatment result is written in the medical information storage medium as medical treatment history information, recorded and updated in the medical treatment information database, and the information recorded in the medical treatment information database is read out as necessary and displayed on the display means. When treating a patient, the institution can accurately grasp the current and past medical treatment history information and basic medical data of the patient from the patient's medical information storage medium, and can perform appropriate medical treatment. I can receive medical treatment with my heart. Also, if the patient goes to different departments, such as multiple hospitals, multiple internal medicine and surgery,
Each hospital or department can know the medicine currently being taken from the medical history information recorded in the medical information storage medium, and can accurately determine what kind of medicine is better as a new medicine to be used together it can. This is very effective for elderly people who have difficulty accurately informing doctors of the medications currently taken and past medical histories, etc., so that medical treatment can be performed promptly and accurately. It is possible to avoid medical mistakes.

Further, according to the present invention, the medical information management device provided in each medical institution can accurately perform medical treatment while browsing the patient's personal information and medical history information recorded on the patient's medical information storage medium. The medical treatment information is recorded in the medical information storage medium and the medical treatment information database as medical treatment history information, and the medical management center is accessed via the network, necessary information is obtained from the medical management center, and the medical management is performed. The center records and updates the medical information of each medical institution transmitted from each medical information management device in the database, responds to the access from each medical information management device, and stores the necessary information of each medical information management device in the database. From the patient's medical information storage medium when treating the patient. Who of current and past medical history information and medical basic data can be grasped in accurately, and to be able to perform accurately for medical care, it is possible to receive medical treatment patients with peace of mind. In addition, even when the patient is in different departments such as multiple hospitals or multiple internal medicine or surgery, each hospital or department can know the medicine currently being taken from the medical history information recorded on the medical information storage medium. In addition to being able to accurately determine what kind of medicine is better as a new medication to be used in combination, each medical institution can also store information that is not stored in the patient's medical information storage medium or their own medical information database. It can be obtained from the medical management center and, for example, when there is a question or an inexplicable situation in one's own treatment method at each medical institution, access the medical management center and enter symptoms etc. By doing so, it is possible to acquire various information related to the symptom and the treatment thereof from the medical management center, and to perform more appropriate treatment.

According to the present invention, the medical information management device provided at each medical institution performs the medical treatment properly while browsing the patient's personal information and medical history information recorded on the patient's medical information storage medium. The medical treatment information and medical expense receipt information of the medical treatment result are recorded in the medical information storage medium and the medical treatment information database, and further, the medical management center is accessed via the network, necessary information is acquired from the medical management center, and the medical management The center records and updates the medical information and medical expense receipt data of each medical institution transmitted from each medical information management device in the database, responds to the access from each medical information management device, and updates each medical information management device. Required information from the database and return it to each medical information management device, and furthermore, medical management from the tax office terminal The medical management center reads the corresponding medical expense receipt data from the database and returns it to the tax office terminal in response to the request for medical expense receipt data to the medical service center. Current and past medical history information and basic medical data of the patient can be accurately grasped from the medical information storage medium, and accurate medical treatment can be performed, and the patient can receive medical treatment with peace of mind. In addition, even when the patient is in different departments such as multiple hospitals or multiple internal medicine or surgery, each hospital or department can know the medicine currently being taken from the medical history information recorded on the medical information storage medium. In addition to being able to accurately determine what kind of medicine is better as a new medication to be used in combination, each medical institution can also store information that is not stored in the patient's medical information storage medium or their own medical information database. It can be obtained from the medical management center and, for example, when there is a question or an inexplicable situation in one's own treatment method at each medical institution, access the medical management center and enter symptoms etc. By doing so, it is possible to acquire various information related to the symptom and the treatment thereof from the medical management center, and to perform more appropriate treatment. Further, in each patient, the medical expense receipt data is recorded in the medical information storage medium, and also recorded in the database of the medical management center,
Since the tax office terminal can acquire medical expense receipt data from the medical management center, patients do not need to aggregate and keep medical expense receipts for final tax return, and there is no omission of declaration, Convenience can be improved, and the tax office can access the medical management center from the tax office terminal and acquire medical expense receipt data.

[Brief description of the drawings]

FIG. 1 is a diagram showing various information recorded on a medical information storage medium according to one embodiment of the present invention.

FIG. 2 is a diagram showing a configuration of a medical information management system according to another embodiment of the present invention.

FIG. 3 is a diagram showing a configuration of an in-hospital system used in the medical information management system shown in FIG.

4 is a diagram showing a state in which a medical information storage medium is presented to a plurality of medical institutions having an in-hospital system of the medical information management system shown in FIG.

5 is a diagram showing a screen of a medical information management system displayed on an in-hospital system used in the medical information management system shown in FIG. 2;

FIG. 6 is a diagram for explaining reference to information via a network in the medical information management system shown in FIG. 2;

FIG. 7 is a diagram showing another screen of the medical information management system displayed on the in-hospital system used in the medical information management system shown in FIG. 2;

8 is a diagram showing another screen of the medical information management system displayed on the in-hospital system used in the medical information management system shown in FIG. 2;

9 is a diagram showing still another screen of the medical information management system displayed on the in-hospital system used in the medical information management system shown in FIG.

FIG. 10 is a flowchart showing a new registration process of the medical information management system shown in FIG. 2;

11 is a flowchart showing a registration update process of the medical information management system shown in FIG.

FIG. 12 is a diagram for explaining reference of medical expense receipt information via a network in the medical information management system shown in FIG. 2;

FIG. 13 is a flowchart showing a process of recording the accumulated medical expenses on a medical information storage medium in the medical information management system shown in FIG. 2;

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 1 Medical information storage medium 2 Network 3 In-hospital system 5 Medical management center 7 Tax office terminal 9 Home terminal 31 In-hospital medical centralized device 33 Medical information database 37 In-hospital terminal 37a Reading / writing device 37c Display device

Claims (4)

[Claims] 1. A medical information storage medium carried by a patient, presented to the medical institution when the patient receives medical treatment at the medical institution, and capable of reading and writing information at the medical institution, comprising: A medical treatment that records a predetermined ID for identifying the patient, patient personal information including the patient's personal data and the patient's medical basic data, and medical treatment history information including the medical treatment contents of the patient at the medical institution, the medical treatment contents and the medical treatment date and time. A medical information storage medium comprising: an information recording unit; and a password recording unit that records a password for a patient to enable access to each piece of information recorded in the medical treatment information recording unit. 2. A medical treatment including a predetermined ID for specifying a patient, patient personal information including patient's personal data and patient's medical basic data, and medical treatment contents as a patient's medical treatment result at a medical institution, medication contents and medical treatment date and time. Reading / writing means for accepting a patient-carrying medical information storage medium recording history information in response to presentation from a patient and reading and writing information to and from the medical information storage medium; Display means for controlling the reading / writing means to read desired information out of the recorded patient personal information and medical history information, and displaying the read information; As a result, the medical treatment information including the medical treatment contents, the medication contents and the medical treatment date and time is written in the medical information storage medium as the medical treatment history information. Writing control means for controlling the reading / writing means; a medical information database for recording patient personal information and medical history information; and recording and updating the medical information of the medical results in the medical information database as medical history information; The information recorded in the medical information database is compared with the information recorded in the medical information storage medium presented by the patient, and the information is recorded in the medical information storage medium but not recorded in the medical information database. Updating means for newly recording and updating information in the medical information database, and display control means for controlling to read information recorded in the medical information database as necessary and display it on the display means. Characteristic medical information management device. 3. A medical information management device provided at each medical institution and a medical information management device connected to each medical information management device via a network, and information on each medical institution provided with each medical information management device and medical treatment at each medical institution. A medical information management system having a medical management center for centrally managing information including information, wherein each medical information management device includes a predetermined ID for identifying a patient, personal data of the patient, and basic medical data of the patient. Patient's personal information, and the medical information storage medium of the patient carrying the medical history information including the medical treatment contents which are the medical treatment result of the patient at the medical institution, the medication contents and the medical treatment date and time are accepted according to the presentation from the patient, Reading / writing means for reading and writing information to and from the medical information storage medium; and recorded on the medical information storage medium Display means for controlling the reading / writing means to read desired information out of patient personal information and medical history information, and display means for displaying the read information; The reading / writing means is controlled so that medical information including contents, medication contents, and medical date and time is written as medical history information in the medical information storage medium, and the medical information is transmitted to the medical management center via a network. Information writing / transmission control means for controlling the medical information database, a medical information database for recording patient personal information and medical history information, and updating and updating the medical information of the medical results to the medical information database. Recorded information and information recorded in the medical information storage medium presented by the patient, An update unit for comparing and updating information recorded in the medical information storage medium, but not recorded in the medical information database, in the medical information database, and information recorded in the medical information database. Display control means for controlling to read and display on the display means as needed; andcenter information acquisition means for accessing the medical management center via a network and acquiring necessary information from the medical management center, The medical management center is provided with medical information management devices, doctor information of each medical institution, staff information including nurses, institution information including medical device information and management information, and medical treatment contents as medical results at each medical institution. A database for recording medical information, including medication contents and medical treatment date and time, for each medical institution; Receiving / updating means for receiving medical information and other information transmitted via a network, recording the received information in the database, and updating the information, and a network from each medical information management device. A medical information management system comprising: an information return unit that reads necessary information of each medical information management device from the database in response to the access via the database and returns the information to each medical information management device. 4. A medical information management device provided in each medical institution, a medical device connected to each medical information management device via a network, and centrally managing information from each medical information management device and each medical information management device. A medical information management system having a management center and a terminal for a tax office connected to the medical information management device and the medical management center via a network, wherein each medical information management device has a predetermined ID for identifying a patient. Record patient personal information including patient's personal data and patient's medical basic data, medical treatment contents that are the medical treatment results of patients at medical institutions, medical treatment history information including medication contents and medical treatment date, and medical expense receipt information Accepts a patient-carrying medical information storage medium in response to presentation from a patient, reads information from the medical information storage medium, and A read / write unit performing a lump can, patient personal information which is recorded in the medical information storage medium,
The reading / writing means is controlled to read out desired information from the medical treatment history information and the medical expense receipt information, and display means for displaying the read out information is provided. The read / write means is controlled so that medical information including certain medical contents, medication contents, and medical treatment date and time is written as medical history information, and medical expense receipt information generated as a result of the medical care is written in the medical information storage medium. Medical information writing / transmission control means for controlling transmission of the medical information, medical expense receipt information, and other information to the medical management center via a network; patient personal information, medical history information, and medical expense receipt A medical information database for recording medical information, and medical information and medical expense receipt information of the medical results are stored in the medical information database. The information recorded in the medical information database is compared with the information recorded in the medical information storage medium presented by the patient, and recorded in the medical information storage medium. Update means for newly recording and updating information not recorded in the information database in the medical care information database; center information acquisition means for accessing the medical management center via a network and acquiring necessary information from the medical management center The medical management center comprises: a doctor at each medical institution provided with each medical information management device, personnel information including nurses, institution information including medical device information and management information, and medical treatment at each medical institution. The medical treatment information including the medical treatment contents, the medication contents and the medical treatment date and time, and the medical expenses receipt information generated as a result of the medical treatment A database to record for each medical institution, medical information, medical expense receipt information and other information transmitted from each medical information management device via the network, and the received information is recorded in the database, Receiving / updating means for updating the corresponding information; and responding to access from each medical information management apparatus via the network, reading necessary information of each medical information management apparatus from the database, and returning the information to each medical information management apparatus. A medical expense which responds to the need for medical expense receipt information via the network from the tax office terminal, reads the corresponding medical expense receipt information from the database, and returns the information to the tax office terminal. A receipt information returning means, wherein the tax office terminal accesses the medical management center via a network, A medical expense receipt information requesting means for inputting a patient ID to the medical management center and requesting the medical expense receipt information of the patient; and a medical expense receipt returned from the medical management center via a network. A medical information management system comprising: a medical expense receipt information receiving unit for receiving information.