JP2002269230A - Medical institution information processing system and method, medical institution information processing program, and recording medium recording the program - Google Patents

Abstract

(57) [Summary] [Problem] Issue an electronic consultation ticket to a patient and manage the appointment, medical treatment, examination, medical treatment, in-hospital dispensing, drug dispensing, accounting, etc. using the patient ID using the patient ID. The present invention provides an information processing system and method in a medical institution that realizes a highly reliable medical service environment and realizes a medical service that is gentle to the elderly. SOLUTION: A patient reads an IC consultation ticket into an accepting terminal 10 to make a medical appointment or a medical treatment application, reads it to a doctor terminal 11 to receive a doctor's medical treatment, and reads it to an examination terminal 12 to carry out examination by an examination technician. Receiving the medical treatment by a nurse or the like, dispensing in-hospital dispensing and medicine, receiving payment processing at the receiving terminal 10, and performing each processing in cooperation with each server. Each process is registered and managed by each server for each patient ID.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention issues an electronic consultation ticket provided with a patient ID to a patient when the patient receives medical treatment at a medical institution including a hospital, a medical institution, a clinic, a clinic, and the like. Using the medical consultation ticket, medical treatment appointment, medical treatment, examination, medical treatment, dispensing in-hospital dispensing and medicine of patients,
The present invention relates to a medical institution information processing system and method, a computerized information processing program, and a recording medium on which the computerized processing is performed by managing, for each patient ID, processing related to medical institution operations, including accounting processing, for each patient ID.

[0002]

2. Description of the Related Art A health insurance card is being made into a card, and the digitization and efficiency of conventional medical services are being studied. In particular, the digitization of health insurance cards, digitization of medical charts, and digitization of reservations are actually being promoted in some parts, and simplification of processing related to medical services while giving consideration to privacy protection and patient satisfaction. It is also necessary to promote efficiency and computerization as soon as possible.

[0003] In replacing the health insurance card with an IC card as described above, the health insurance card is converted into an IC card, and information such as a name, an address, a face photograph, and information of a family hospital,
It includes information such as emergency contact information and uses the versatility of the IC card, such as having the same function as the Silver Pass. Converting a health insurance card into an IC card has the advantages of being portable and recording a lot of information. In addition, hospital charts and reservation services are also being digitized.

[0004] However, in such conventional IC card or computerization, individual IC cards or charts are digitized, but information has not been shared. Although the form of the card has been reduced in size and increased in capacity, it is basically the same as what can be done with a conventional health insurance card.

[0005] In addition, by converting patient consultation tickets to IC cards,
Conventionally, a health insurance card is submitted only at the first consultation, and the identity of the patient at the time of consultation, examination, or withdrawal of medicine is called by name, etc. There is a high possibility that medical mistakes such as mistakes may occur.

[0006] In addition, the aging of patients is rapidly progressing, and medical treatment that is gentle to the elderly is strongly demanded.
On the other hand, malfunctions of electronic devices at medical sites have also become a problem, and the prohibition of mobile phones is a factor that cannot be ignored in the future construction of hospital information systems.

Referring to FIG. 16, a processing image of a conventional hospital operation will be described. In FIG. 16, 1 is a patient, 2
Is a consultation ticket, 3 is a hospital, and 4 is a consultation scene by a doctor in the hospital, 5 is a medical examination scene by a laboratory technician, etc., 6 is a diagnostic meeting scene by multiple doctors, etc., 7 is, for example, injection, surgery, It shows each image of a medical treatment scene such as drug administration.

[0008] The flow of such a conventional hospital operation will be described with reference to a flowchart shown in FIG.

First, the patient 1 goes to the hospital 3 (step S51).
1) Apply for a medical examination (step S513). Hospital 3 is a patient
After performing a predetermined examination on the patient with respect to the medical examination application from 1, a medical examination ticket 2 is issued, and a medical examination reservation is made through a predetermined procedure (step S513).

[0010] The patient 1 receives a doctor's consultation according to the consultation appointment (step S517 / consultation scene 4 in Fig. 16). The doctor examines the patient 1 and requests an examination of the patient as necessary, and a laboratory technician or the like performs a medical examination on the patient (step S519 / medical examination scene 5 in FIG. 16).

The doctor makes a diagnosis meeting based on the test results of the patient 1 and, if necessary, by a plurality of doctors (diagnosis meeting scene 6 in FIG. 16), and the attending physician makes a diagnosis (step S521). Thereafter, the doctor writes the diagnosis results and the like in the medical chart, and instructs medical treatment and administration of necessary drugs.

After the medical examination, the patient 1 receives medical treatment by a nurse or the like (step S523 / medical treatment scene 7 in FIG. 16) and receives a prescription issued by a doctor (step S525). Finally, the hospital staff performs the accounting and presents the bill to the patient. Upon receipt of the bill, the patient pays (step S527) and returns home (step S529).

[0013]

Problems to be solved by the above-mentioned problems in the conventional in-hospital business are as follows. As shown in the following Table 1, patients are mistaken for each other, treatment errors due to carelessness, and in-hospital drug dispensing. There are mistakes, lack of explanation of situations and treatments, delays in temporary response, inadequate confirmation of processing qualifications, inadequacy of one-stop response, etc. The main causes for this are inadequate confirmation work, lack of human resources, complicated processing, when viewed from the patient's point of view It is conceivable that the division of duties is unclear, and typical results assumed from these are mental and physical disorders of the patient, death and injury, worsening of symptoms, blind treatment of the patient, and increased burden on the patient.

[0014]

[Table 1] In other words, due to inadequate confirmation work, mistakes in patients at the time of surgery, mistakes in medical treatment, mistakes in dispensing medicines in hospitals, and the like have actually occurred, and newspapers are being crowded. Also,
Due to the chronic shortage of human resources at hospitals and the complexity of medical processing, it is easy to cause insufficient explanation of the situation and processing for patients, and there is a fear that delays in emergency response of inpatients may occur. Further, it is considered that one-stop deficiencies due to unclear processing sharing of medical-related work and distrust of a nurse located at the front desk of a patient may occur.

As a basic measure for solving the above-mentioned problems in the conventional in-hospital operations, as shown in the following Table 2, identification using an IC consultation ticket, doctor, nursing The names and contents of women and laboratory technicians who use IC identification cards to check qualifications, identity verification, digitization and efficiency of medical business processing using networks (NW), distribution of medical information using networks, medical treatment, etc. Electronic storage of the history is conceivable. As shown in Table 2, the main causes of the issues corresponding to this are the delay in the conversion of medical-related information to electronic media, the lack of confirmation work for patients and medicines of medical staff, and the treatment history of treatment respondents and contents. Lack of responsibilities, unclear responsibilities, lack of human resources and daily complicated processing.

[0016]

[Table 2] In other words, the main causes of problems in conventional hospital operations are the delay in the conversion of related information represented by medical records to electronic media, the lack of medical staff's patient and drug confirmation work,
Insufficient treatment histories such as treatment responders and treatment details are raised. In order to improve these, medical records, medical treatment, electronic media of drug management, transmission and reception of medical data using a network are fundamental, and in that case, IC consultation ticket and
It would be effective to confirm the processing qualification, data access authority, and applicable patients using the IC identification card. By these confirmation work and digitization of medical information,
Efficient office work and enhanced aftercare for patients can be expected as by-products.

As described above, in the processing of hospital operations, regarding the processing related to human life such as medical treatment and dispensing of medicines, the highest priority is given to the confirmation of patients, safe and reliable treatment, and clarification of the responsibility. It is considered a matter to be addressed. In addition, indirect factors that hinder the patient's satisfaction, security, and reliability include the shortage of human resources and the complexity of processing. It is efficient to send and receive data via the Internet and to digitize processing tasks.

As described above, in order to significantly improve the problems of the conventional hospital operations, the use of IC consultation tickets and IC identification cards, the conversion of medical information to an electronic medium, the transmission and reception of medical information over a network, and the electronic processing of processing. I think it is necessary. Therefore, there has been a strong demand for concrete business schemes, solutions / means, and system proposals for realizing these while satisfying both hospital personnel such as hospitals, doctors, nurses, and patients.

The present invention has been made in view of the above,
The purpose is to issue an electronic consultation ticket with a patient ID to the patient when receiving medical treatment at a medical institution, and use the electronic consultation ticket to make an appointment for medical treatment, medical treatment, examination, medical treatment Treatment, hospital dispensing and drug dispensing,
Management and digitization of medical institution-related processes, including accounting processes, are managed and digitized for each patient ID. It is an object of the present invention to provide a medical institution information processing system and method, a medical institution information processing program, and a recording medium storing the program.

[0020]

To achieve the above object, according to the present invention, a medical institution including a medical appointment by issuing an electronic consultation ticket to a patient when the patient receives medical treatment at the medical institution. This is an information processing system in a medical institution in which processing related to internal work is digitized, and a request for issuing a patient's digitized medical examination ticket is received together with patient information, and a patient ID is assigned based on this request and issued to the patient. Accepts the electronic consultation ticket and accepts the processing including the application for medical appointment appointment, medical treatment, and payment of expenses from the patient, and charges the expenses to the patient based on the bill data, and the patient completes the payment for this request And a patient management server connected to the receiving terminal and provided at the medical institution, wherein the receiving terminal receives the payment completion information input when When a row request is received together with patient information, a patient ID is issued to the patient, and an electronic consultation ticket in which the patient ID is recorded is controlled to be issued to the patient. When a patient's medical reservation application is received from the accepting terminal together with the patient ID from the receiving terminal, an electronic medical consultation ticket issuance management unit that registers and manages the ticket, sets a medical treatment reservation suitable for the patient from the existing reservation status, and accepts this medical reservation A medical appointment management means for registering and managing the medical appointment together with the patient ID based on recording the electronic medical consultation ticket of the patient via the terminal and notifying the patient, and receiving a medical application for the patient from the receiving terminal, In the case of receiving a request for payment of medical expenses from the receiving terminal together with the patient ID, registration and management are performed for each patient ID. Payment management means for retrieving the invoice data, transmitting the invoice data to the receiving terminal, and receiving payment completion information for the request from the receiving terminal, registering and managing the invoice data as paid. The gist is to have a patient management server provided.

According to the first aspect of the present invention, the accepting terminal accepts a request for issuing an electronic consultation ticket of a patient, transmits the request to the patient management server, and the person management server transmits the patient ID.
Is issued to the patient, and the patient terminal receives the electronic consultation ticket and accepts the processing including the medical appointment application, the medical examination application, and the expense payment application. The patient management server sets the appointment for the appointment application, records it on an electronic consultation ticket via the accepting terminal, notifies the patient, and accepts the information necessary for medical treatment for the medical treatment application Reply to the terminal, send the bill data to the receiving terminal for the payment application, and the receiving terminal makes a request based on the bill data,
Using an electronic consultation ticket such as an IC card, it is possible to make reservations, consultations, and payment applications easily, accurately and efficiently, greatly reducing the mental and physical burden of patients as well as medical staff. Since the information can be reduced and there is no physical movement of each information in these processes, each process can be simplified, highly reliable, speeded up, and made more efficient.

According to a second aspect of the present invention, when a patient is treated at a medical institution, an electronic consultation ticket with a patient ID is issued to the patient, the patient is managed by the patient ID, and the medical institution is operated. A computerized information processing system according to the present invention is an information processing system in a medical institution that electronically manages medical records performed by a doctor for each patient ID, and is a doctor terminal used by a doctor performing a medical treatment on a patient, When a doctor treats a patient, he / she accepts an electronic identification card issued to the doctor in order to verify the medical qualification of the doctor, and information that the validity of the doctor has been confirmed as a result of this validation. Received a patient's digitized medical consultation ticket, a doctor terminal that allows the doctor to write the medical treatment contents to the patient's electronic medical record displayed as a result of this reception, and this doctor terminal The medical record management server provided in the medical institution, and when receiving the doctor's electronic identification information from the doctor terminal, confirms the validity of the medical treatment qualification of the doctor based on the electronic identification information, If the validity of the patient is confirmed, the doctor's validity confirmation means that returns information to that effect to the doctor's terminal, and if the patient's digitized consultation ticket information is received together with the patient ID, search or creation of the patient's electronic medical record Electronic medical record transmitting means for transmitting and displaying the searched or created electronic medical record on the doctor's terminal, and medical treatment information and drug prescriptions as necessary, by referring to the electronic medical record as necessary and referring to the medical treatment performed by the doctor. An electronic medical record written together with the data is received from the doctor terminal, and the medical treatment contents are electronically written together with medical treatment information and drug prescription data as necessary. Patient ID with medical record
The gist of the present invention is to have a medical record management server including electronic medical record management means for registering and managing each medical record.

According to the second aspect of the present invention, when the doctor terminal accepts the doctor's electronic identification card, the chart management server confirms the qualification of the doctor based on the electronic identification information, and the chart management server. After receiving the patient's digitized consultation ticket information via the doctor's terminal, it creates a patient's electronic medical record and displays it on the doctor's terminal. The doctor's terminal sends the medical treatment information and, if necessary, medical treatment information and drug prescription data to the electronic medical record. The medical record management server receives the electronic medical record written by the doctor and registers and manages it for each patient ID, so the qualification of the doctor is confirmed, and the patient can be treated with peace of mind. Information such as contents is patient
Registered and managed for each ID, the responsibilities of medical treatment can be clarified, and the patient's confidence can be improved.

According to the third aspect of the present invention, when a patient is treated at a medical institution, an electronic consultation ticket with a patient ID is issued to the patient, the patient is managed by the patient ID, In addition to digitizing the processing according to the above, if it is determined that the patient's examination is necessary in the medical treatment performed by the doctor, the patient is examined, and the examination contents are transmitted from the examination terminal to the patient.
This is an information processing system in a medical institution that inputs information along with the ID and electronically manages the test contents for each patient ID by the test data management server, and is a test terminal used by the test staff to perform a patient test. If the examiner accepts the electronic identification card of the inspector to confirm the validity of the inspector and receives information indicating that the inspector has been validated as a result of the validation, the patient The electronic consultation ticket is accepted, and the accepted electronic consultation ticket information is transmitted to the examination data management server together with the patient ID and the patient's identity confirmation application, and the patient's validity transmitted from the examination data management server as a patient validity confirmation result. It receives and displays the information required for the inspection, enables the writing of the details of the inspection performed while referring to the displayed information as necessary, and stores the written inspection details in the inspection data. An examination terminal for transmitting to the management server, and an examination data management server provided in a medical institution connected to the examination terminal, wherein when the examination person receives from the examination terminal, If the validity of the inspector is confirmed based on the certificate information, and if the validity of the inspector is confirmed, the validity confirmation means that returns information to that effect to the examination terminal and the electronic consultation ticket information of the patient When the patient ID and the patient identification application are received together with the application, a personal identification examination of the patient is performed, and when it is confirmed that the patient is a valid patient, information necessary for the patient's examination is transmitted to the examination terminal, and the examination is performed. It is the gist of having an examination data management server that registers and manages the examination contents together with the patient ID when receiving examination contents written as a result of performing while referring to necessary information as needed.

According to the third aspect of the present invention, when the examination terminal accepts the electronic identification card of the doctor and the laboratory technician, the examination data management server sets the doctor,
After confirming the validity of the laboratory technician, the test data management server, when receiving the patient's digitized consultation ticket via the test terminal, performs a patient identity check and transmits the information necessary for the patient test to the test terminal. When the test content is written from the test terminal, the test content is transmitted to the test data management server and registered and managed together with the patient ID, so that the validity of a doctor or a laboratory technician is checked during the test, Patients can undergo examinations with peace of mind, and information such as examination details is registered and managed for each patient ID, which clarifies responsibilities of examinations and improves patient confidence. Furthermore, the use of the electronic consultation ticket for the patient and the examination of the identity of the patient eliminates the possibility of the patient being mistaken, and in this connection, the laboratory technician can perform the examination as requested by the doctor, Errors can be eliminated, and unjust or unnecessary inspection can be prevented.

According to a fourth aspect of the present invention, when a patient is treated at a medical institution, an electronic consultation ticket to which a patient ID is assigned is issued to the patient, the patient is managed by the patient ID, and operations within the medical institution are performed. When the medical treatment is necessary as a result of the medical treatment performed by the doctor while the processing is digitized,
A medical treatment is performed on the patient, and the contents of the medical treatment are input together with the patient ID from the treatment terminal.
An information processing system in a medical institution for electronically managing the contents of medical treatment for each ID, a treatment terminal used by a medical treatment person to perform a medical treatment on a patient, and a medical treatment person If the medical treatment technician accepts the electronic identification of the medical treatment technician to confirm the validity of the The ticket is received, and the received electronic consultation ticket information is transmitted to the treatment management server together with the patient ID and the patient identification application, and as a result of confirming that the patient is a valid patient, the treatment management server Upon receiving the information indicating that writing is permitted, the medical treatment content can be written, and the treatment terminal that transmits the written medical treatment content to the treatment management server and a treatment terminal connected to the treatment terminal. A treatment management server provided in a medical institution, when receiving the electronic identification information of the medical treatment person from the treatment terminal, confirms the legitimacy of the medical treatment person based on the electronic identification information. When the validity of the medical treatment staff is confirmed, when the validity confirmation means to return the information to that effect to the treatment terminal and the electronic consultation ticket information of the patient are received together with the patient ID and the patient identification application Performing a patient identity review based on this patient identity review application, and when it is confirmed that the patient is a legitimate patient, sends information to the treatment terminal to permit writing of the medical treatment content, The gist of the present invention is to have a treatment management server that registers and manages the medical treatment content together with the patient ID when receiving the medical treatment content written from the treatment terminal.

According to the fourth aspect of the present invention, when the treatment management server receives the electronic identification card of the medical treatment staff accepted by the treatment terminal and confirms the validity of the medical treatment staff, the treatment terminal Receives the patient's digitized consultation ticket, sends the patient's identity confirmation application to the treatment management server, and when the treatment management server confirms that the patient is a valid patient, authorizes the treatment terminal to write the contents of the medical treatment, The medical treatment contents written by the medical treatment staff are transmitted from the treatment terminal to the treatment management server, and the treatment management server registers and manages the medical treatment contents together with the patient ID. The patient can receive medical treatment with peace of mind, and the use of the patient's electronic consultation ticket prevents the patient from being mistaken for the patient. It is possible to eliminate the accidents that damage the mind and body, such as medical malpractice. In addition, if the medical treatment content is a patient ID
Since the registration is managed together, the responsibility can be clarified, and the patient's confidence can be improved.

According to a fifth aspect of the present invention, when a patient is treated at a medical institution, an electronic consultation ticket with a patient ID is issued to the patient, the patient is managed with the patient ID, and the medical institution is operated. An in-hospital information processing system that digitizes the processing according to the above, wherein an in-hospital drug management server that collects and registers and manages each drug data generated as necessary in medical treatment and medical treatment of patients at the medical institution, A treatment terminal used by a pharmacist to obtain the information, and the treatment terminal is implemented when the pharmacist obtains, from the in-hospital drug management server, drug data necessary for dispensing a drug used in a medical institution. In order to examine the qualification of the pharmacist, the computer accepts the electronic identification card issued by the pharmacist and sends this electronic identification information together with the drug data access permission application. A pharmacist electronic identification card transmitting means for transmitting to the in-pharmacy management server, and drug data which needs to be paid out in accordance with the access permission information received from the in-hospital pharmacy management server as a result of the pharmacist's qualification being validated in the pharmacist's qualification screening Means for requesting the in-hospital drug management server to send a request to the in-hospital drug management server, and dispensing the drug data transmission request as a result of the completion of dispensing of the drug by the pharmacist based on the drug data received from the in-hospital drug management server. A dispensing-prepared drug ID transmitting means for transmitting the prepared drug ID together with the patient ID to the in-hospital drug management server, and an electronic status issued to the nurse for a qualification check of the nurse who requires the dispensing of the drug. Nurse who accepts the certificate and sends this digitized identification information to the in-hospital drug management server together with the drug dispensing request Upon receiving the dispensing permission information from the in-hospital drug management server as a result of the nurse's qualification being verified by the child identification information transmitting means and the nurse's qualification screening, the nurse administers the drug to the patient according to the dispensing permission. And dispensing medicine notification means for notifying the in-hospital medicine management server of the dispensing-completed medicine information together with the patient ID as a result of dispensing the medicine in order to receive the registration completion notice from the in-hospital medicine management server. When receiving the pharmacist's electronic identification information transmitted from the treatment terminal together with the drug data access permission application, the in-hospital drug management server examines the qualification of the pharmacist. If so, an access permission transmitting means for transmitting access permission information to the pharmacist to the treatment terminal; When the received together with the patient ID, the agent data search transmitting means for transmitting the agent data to the treatment device search and on the basis of the patient ID, dispensing ready medicament from the treatment device
When the ID is received together with the patient ID, the dispensing preparation completed medicine ID is registered and managed with the patient ID.
When the registration management means and the nurse's electronic identification information transmitted from the treatment terminal are received together with the medicine dispensing request, the qualification of the nurse is examined, and as a result of the qualification examination, the qualification of the nurse is valid. In the case, a payout permission transmitting means for transmitting payout permission information for the nurse to the treatment terminal,
Upon receiving the dispensing completed medicine information from the treatment terminal together with the patient ID, while registering and managing the dispensing completed medicine information as dispensing history information based on the patient ID,
The gist of the present invention is to have a payout history registration management means for transmitting a registration completion notification to the treatment terminal.

According to the fifth aspect of the present invention, the in-hospital drug management server receives the pharmacist's electronic identification card accepted by the treatment terminal and confirms the qualification of the pharmacist. The treatment terminal makes a transmission request for the medicine data that needs to be dispensed, the in-hospital medicine management server searches the medicine data and sends it to the treatment terminal, and the treatment terminal completes dispensing preparation as a result of the completion of dispensing based on the medicine data. The medicine ID is transmitted to the in-hospital medicine management server, and the in-hospital medicine management server registers and manages the medicine ID ready for dispensing,
In addition, the treatment terminal accepts the nurse's digitized identification card for dispensing the medicine, transmits it to the in-hospital medicine management server together with the medicine dispensing request, and the in-hospital medicine management server transmits the dispensing permission information when confirming the nurse qualification. The treatment terminal pays out the medicine in accordance with the dispensing permission.
By registering and managing each ID, it is possible to prevent prescription errors that affect the mind and body by digitizing the prescription data, and to prevent unauthorized access by confirming the qualification with the pharmacist's IC ID card and protect privacy It is possible to eliminate a malicious and illegal request for in-hospital medicine due to forgery of a prescription. Further, it is possible to manage the history of what kind of prescription has been made, and it is also possible to refer to the subsequent diagnosis.
In addition, it is possible to cope with unauthorized takeout by managing logs.

Further, according to the present invention, when a patient is treated at a medical institution, an electronic consultation ticket to which a patient ID is assigned is issued to the patient, the patient is managed by the patient ID, and the business in the medical institution is performed. Is a computerized information processing system in a medical institution, in which a patient ID is obtained as a result of treating a patient.
The medical treatment contents that are electronically written in the patient's electronic medical record and the medical treatment information and drug prescription data that are written as necessary are registered and managed for each patient ID as a result of examining the patient The patient's examination details, the medical treatment details of the patient registered for each patient ID as a result of medical treatment of the patient, the dispensing history information for each patient ID as a result of administering the medicine to the patient and dispensing the medicine The registered and managed dispensing completed drug information is tabulated for each patient ID, and the patient ID
An accounting management server that registers and manages each patient, and receives billing data that has been registered and managed for each patient ID, compiled by this accounting management server, registered and managed as billing data for each patient ID, and costs from the receiving terminal When the payment application is received together with the patient ID, the invoice data registered and managed for each patient ID is searched, the searched invoice data is transmitted to the receiving terminal, and payment completion information is received for this request. If received from the terminal, the patient data server that registers and manages the bill data cost as paid, and accepts the electronic consultation ticket and accepts the application for payment of the cost from the patient. When the data is transmitted to the patient management server and the invoice data of the patient ID is received from the patient management server in response to the application for payment of the cost,
Receiving terminal that charges a patient based on the bill data and receives payment completion information input when payment is completed by the patient for the bill, and transmits the payment completion information to a patient management server. The gist is to have

According to the sixth aspect of the present invention, in the thirteenth aspect of the present invention, the accounting management server includes a patient's medical treatment information, medical treatment information, drug prescription data, a patient's examination content, The medical treatment content of the patient and the information on the medicines that have been completely dispensed by the patient are tabulated for each patient ID, and the
Registration management is performed for each ID, the patient management server receives the expense claim data from the accounting management server, registers and manages it as bill data for each patient ID, and the receiving terminal accepts the payment application from the patient, and receives the bill from the patient management server. In order to receive data and make a request to the patient, it is possible to quickly and accurately perform complicated and previously time-consuming accounting calculations such as management of medical records, treatments, drugs, etc. As a result, there is no need to wait for the patient and no need to increase the number of personnel. Further, by using the electronic consultation ticket, there is no possibility that another person's request is erroneously received.

According to a seventh aspect of the present invention, there is provided a patient management server according to the first aspect, a chart management server according to the second aspect, an examination data management server according to the third aspect, a treatment management server according to the fourth aspect, and a claim management server. Item 5. The in-hospital medicine management server according to Item 5, and a general management server that totally manages the accounting management server according to Item 6, wherein the general management server is configured to control the patient management server with a patient from a reception terminal. Processing of the request for issuance of an electronic consultation ticket, including the application of a patient appointment based on this request, accepting the electronic consultation ticket issued to the patient, and applying for medical appointment appointment, medical treatment, and payment of expenses Instruct the processing, confirm the validity of the qualification of the physician based on the doctor's electronic identification information received from the doctor terminal to the medical record management server, the patient's electronic A search or creation of a medical record, a doctor instructs the registration management of each electronic medical record in which the medical treatment contents are written from a doctor terminal for each patient ID, and an electronic identification of a person in charge of examination received from the examination terminal to the examination data management server Confirmation of the validity of the qualification of the inspector based on the identification information, identification of the patient based on the electronic consultation ticket of the patient received from the examination terminal, and the patient with the examination contents written as the result of the examination
Instructed the registration management for each ID, confirmed the validity of the qualification of the medical treatment staff based on the electronic identification information of the medical treatment staff received from the treatment terminal to the treatment management server, the patient received from the treatment terminal Confirmation of the identity of the patient based on the computerized consultation ticket of the patient, instructed the registration and management of the medical treatment content written by the medical treatment staff from the treatment terminal for each patient ID, and received from the treatment terminal to the in-hospital drug management server Pharmacist's qualification based on the pharmacist's electronic identification information,
Retrieval of drug data in response to a drug data transmission request from the treatment terminal and transmission to the treatment terminal, registration management for each patient ID of a drug ID that has been prepared for dispensing, and nursing based on the nurse's electronic identification information received from the treatment terminal Instructs the validity check of the qualification of the woman, and sends the payment permission information to the nurse based on the result of the check. The medical treatment contents for each patient ID from the chart management server to the accounting management server, the examination data management server The examination contents of each patient ID from the medical treatment server, the medical treatment contents of each patient ID from the treatment management server, the totaling of the completed medicine information for each patient ID from the in-hospital medicine management server, and the registration and management of each patient ID as cost billing data. Instructions are the gist.

[0033] According to the present invention as set forth in claim 7, the overall management server that manages each server as a whole processes the patient management server in response to a request for issuing a patient's digitized medical examination ticket from a receiving terminal. On the basis of this request, a patient ID is given and an electronic consultation ticket issued to the patient is accepted, a medical treatment reservation application from the patient, a medical treatment application, an instruction for processing including a payment of expenses is instructed, and the medical record management server is instructed. On the other hand, the validity of the doctor's qualification based on the doctor's electronic identification information accepted from the doctor's terminal, the search or creation of the patient's electronic medical record based on the patient's electronic consultation ticket information, Instructed to register and manage the written electronic medical record for each patient ID, and the inspector based on the electronic identification information of the inspector received from the inspection terminal to the inspection data management server Verification of the qualification of the patient, identification of the patient based on the patient's digitized consultation ticket received from the examination terminal,
Instructs registration management for each patient ID of the examination content written as a result of the examination, and qualifies the medical treatment staff based on the electronic identification information of the medical treatment staff received from the treatment terminal to the treatment management server. Instructed to confirm the validity of the patient, confirm the identity of the patient based on the patient's digitized consultation ticket received from the treatment terminal, and to register and manage the medical treatment contents written by the treatment terminal from the treatment terminal for each patient ID. Check the validity of the pharmacist's qualification based on the computerized identification information of the pharmacist received from the treatment terminal to the medicine management server, search for the medicine data in response to the request for transmission of the medicine data from the treatment terminal, transmit the medicine data to the treatment terminal, and prepare for dispensing Registration management of completed drug IDs for each patient ID, validation of nurse qualification based on nurse's electronic identification information received from treatment terminal, based on this confirmation result Instruct the transmission of payout permission information to the nurse, and give the accounting management server medical treatment contents for each patient ID from the chart management server, examination contents for each patient ID from the examination data management server, and a treatment management server. Of medical treatment for each patient ID, patient from in-hospital drug management server
It instructs the registration management of each patient ID as the total of the dispensing completed medicine information for each ID and the billing data.

Further, according to the present invention, when a patient receives a medical treatment at a medical institution, a medical institution which issues an electronic medical consultation ticket to the patient and digitizes the processing related to the work in the medical institution including the medical treatment appointment. Internal information processing method, wherein the receiving terminal receives a request for issuing an electronic consultation ticket from a patient together with patient information, transmits the received request for issuing an electronic consultation ticket to the patient management server together with the patient information, and When the server receives the electronic consultation ticket issuance request from the accepting terminal together with the patient information, the server issues a patient ID to the patient, and controls to issue the electronic consultation ticket in which the patient ID is recorded to the patient. Based on the ID, the patient information and the electronic consultation ticket are registered and managed, and the receiving terminal accepts the patient's electronic consultation ticket and processes the application including the application for medical appointment reservation, consultation application, and payment of expenses from the patient. If the accepted with the patient ID,
When these application processes are transmitted to the patient management server together with the patient ID, and the patient management server receives the patient's medical treatment reservation application together with the patient ID from the receiving terminal, the patient management server sets a medical treatment reservation suitable for the patient from the existing reservation status. When the medical appointment is registered and managed together with the patient ID based on recording the medical appointment on the patient's digitized medical examination ticket via the receiving terminal and notifying the patient, and receiving the patient's medical application from the receiving terminal, In response to this medical application, information necessary for medical treatment is returned to the receiving terminal, and when the application for payment of the cost from the receiving terminal is received together with the patient ID, the invoice data registered and managed for each patient ID is searched, The billing data is transmitted to the receiving terminal, and when the billing data is received from the patient management server, the receiving terminal bills the patient based on the billing data and charges the patient. The patient management server receives payment completion information input when payment is completed by the patient in response to the request, and, when receiving the payment completion information from the receiving terminal, registers and manages the cost as paid. And

According to the present invention, the accepting terminal accepts a request for issuing a patient's digitized medical examination ticket, transmits this request to the patient management server, and the patient management server
Issue an ID, issue an electronic consultation ticket with the patient ID recorded to the patient, and accept the terminal. The patient management server sets the appointment for the appointment application, records it on an electronic medical consultation ticket via the accepting terminal and notifies the patient, and for the medical treatment application, sends the information necessary for medical treatment to the patient. Reply to the receiving terminal, send the billing data to the receiving terminal for the payment application, and the receiving terminal makes a request based on the billing data, so the patient uses an electronic consultation ticket such as an IC card, for example. And booking,
Medical examinations and payment applications can be made easily, accurately and efficiently, and the mental and physical burden on patients as well as medical institution staff can be greatly reduced. Therefore, each process can be simplified, highly reliable, speeded up, and made more efficient.

According to the ninth aspect of the present invention, when a patient is treated at a medical institution, an electronic consultation ticket to which a patient ID is assigned is issued to the patient, the patient is managed by the patient ID, and the business in the medical institution is performed. A computer-based information processing method for electronically managing medical records performed by a physician for each patient ID, wherein the physician terminal used by the physician performing the medical treatment of the patient includes In treating a patient, a medical record management server provided at a medical institution which is connected to a doctor terminal and accepts an electronic identification card issued to the doctor for confirming the validity of the medical treatment qualification of the doctor is provided by the doctor terminal. If you receive the electronic identification information of, the validity of the medical treatment qualification of the doctor based on this electronic identification information,
If the validity of the doctor is confirmed, information to that effect is returned to the doctor terminal.If the doctor terminal receives the information confirming the validity of the doctor from the chart management server, the patient's digitized medical examination ticket And transmits the digitized consultation ticket information to the chart management server together with the patient ID recorded on the digitized consultation ticket, and the chart management server receives the digitized consultation ticket information of the patient together with the patient ID from the doctor terminal. In this case, the electronic medical record of the patient is searched or created, and the searched or created electronic medical record is transmitted to be displayed on the doctor terminal.The doctor terminal receives the electronic medical record of the patient from the medical record management server. The electronic medical record is displayed, the medical treatment performed by the doctor is written into the electronic medical record while referring to the displayed electronic medical record as necessary, and medical treatment information and medicines are provided as necessary. The medical prescription data can be written to the electronic medical record for the doctor, and the medical record management server receives the electronic medical record written together with the medical treatment information and the drug prescription data from the doctor terminal as necessary for the medical treatment performed by the doctor. The gist of the present invention is to register and manage an electronic medical record in which this medical treatment content is written together with medical treatment information and drug prescription data as necessary.

According to the ninth aspect of the present invention, when the doctor terminal accepts the doctor's digitized identification card, the chart management server checks the qualification of the doctor based on the digitized identification information, and the chart management server. After receiving the patient's digitized consultation ticket information via the doctor's terminal, it creates a patient's electronic medical record and displays it on the doctor's terminal. The medical record management server receives the electronic medical record written by the doctor and registers and manages it for each patient ID, so the qualification of the doctor is confirmed, and the patient can be treated with peace of mind. Information such as contents is patient
Registered and managed for each ID, the responsibilities of medical treatment can be clarified, and the patient's confidence can be improved.

According to a tenth aspect of the present invention, when a patient is treated at a medical institution, an electronic consultation ticket to which a patient ID is assigned is issued to the patient, the patient is managed by the patient ID, and operations within the medical institution are performed. In addition to digitizing the processing, if it is determined that a patient's examination is necessary in the medical treatment performed by the doctor, the patient is inspected, and the contents of this examination are
An information processing system in a medical institution that electronically manages the test contents for each patient ID in the test data management server, and a test terminal used by a doctor and a laboratory technician to perform a patient test is In order to confirm the validity of the doctor and the laboratory technician, accept the digitized identification card of the doctor and the laboratory technician, the test data management server provided in the medical institution connected to this test terminal, from the test terminal each of the doctor and the laboratory technician When receiving the electronic identification information of the above, the validity of the doctor and the laboratory technician is confirmed based on the respective electronic identification information, and if the validity of the doctor and the technician is confirmed, the information to that effect is examined. Reply to the device,
When receiving the information indicating that the validity of the doctor and the laboratory technician has been confirmed as a result of the validity confirmation from the test data management server, the examination terminal accepts the electronic consultation ticket of the patient,
The received electronic consultation ticket information is transmitted to the examination data management server together with the patient ID and the patient identification application,
When the test data management server receives the patient's digitized consultation ticket information from the test terminal together with the patient ID and the patient identification request, the test data management server performs the patient identification review based on the patient identification review application and validates the patient. When the patient is confirmed, the information necessary for the patient's examination is transmitted to the examination terminal, and the examination terminal receives and displays the information necessary for the patient's examination from the examination data management server, and the displayed It is possible to write the contents of the inspection performed while referring to the information as necessary, and transmit the written inspection contents to the inspection data management server, and the inspection data management server refers to the information necessary for the inspection as necessary. The gist of the present invention is to register and manage the examination contents together with the patient ID when the examination contents written as a result of the examination are received.

According to the tenth aspect of the present invention, when the inspection terminal accepts the electronic identification card of a doctor or a laboratory technician,
The test data management server confirms the validity of the doctor and the laboratory technician based on the electronic identification information, and when the test data management server receives the electronic consultation ticket of the patient via the examination terminal,
Performs a patient identity review and sends the information required for the patient's examination to the examination terminal for display.When the examination contents are written from the examination terminal, the examination contents are sent to the examination data management server and the patient is Because it is registered and managed with ID,
In the examination, the validity of the doctor and laboratory technician is confirmed, the patient can undergo the examination with peace of mind, and information such as examination contents are registered and managed for each patient ID, and the responsibility of the examination is clarified,
Patient confidence can be improved. Furthermore, the use of the electronic consultation ticket for the patient and the examination of the identity of the patient eliminates the possibility of the patient being mistaken, and in this connection, the laboratory technician can perform the examination as requested by the doctor, Errors can be eliminated, and unjust or unnecessary inspection can be prevented.

According to the eleventh aspect of the present invention, when a patient is treated at a medical institution, an electronic consultation ticket with a patient ID is issued to the patient, and the patient is managed by the patient ID.
In addition to digitizing the processing related to the work in the medical institution, if it is determined that medical treatment is necessary as a result of medical treatment by a doctor, medical treatment is performed on the patient, and the medical treatment content is transmitted from the treatment terminal to the patient ID. An information processing method in a medical institution for electronically managing the contents of a medical treatment for each patient ID in a treatment management server, wherein the treatment is used by a medical treatment person to perform a medical treatment on a patient The terminal accepts the electronic identification card of the medical treatment staff to confirm the validity of the medical treatment staff, transmits the accepted electronic identification card of the medical treatment staff to the treatment management server, and connects to the treatment terminal. When the treatment management server provided in the designated medical institution receives the digitized identification information of the medical treatment staff from the treatment terminal, it confirms the legitimacy of the medical treatment staff based on the digitized identification information. However, when the validity of the medical treatment person is confirmed, the information to that effect is returned to the treatment terminal, and the treatment terminal receives information from the treatment management server that the validity of the medical treatment person is confirmed. If you do, the patient's digitized consultation ticket is accepted and this accepted digitized consultation ticket information is
The ID and the patient's identity confirmation application are sent to the treatment management server, and the treatment management server receives the patient's digitized consultation ticket information from the treatment terminal together with the patient ID and the patient's identity confirmation application. Based on the application, the patient's identity is reviewed and, if it is confirmed that the patient is a legitimate patient, information is sent to the treatment terminal that permits the writing of the contents of the medical treatment to the treatment terminal. When the information that the writing of the medical treatment content is permitted is received from the treatment management server as a result of the confirmation that the medical treatment content is written, the medical treatment content can be written, and the medical treatment content written by the medical treatment staff can be read. Sent to the treatment management server,
The gist of the treatment management server is that, upon receiving the written medical treatment content from the treatment terminal, the medical treatment content is registered and managed together with the patient ID.

According to the eleventh aspect of the present invention, when the treatment management server receives the electronic identification of the medical treatment staff accepted by the treatment terminal and confirms the legitimacy of the medical treatment staff, the treatment terminal Receives the patient's electronic consultation ticket, sends the patient's identity confirmation application to the treatment management server, and when the treatment management server confirms that the patient is a valid patient, authorizes the treatment terminal to write the contents of the medical treatment, The medical treatment contents written by the medical treatment person are transmitted from the treatment terminal to the treatment management server, and the treatment management server registers and manages the medical treatment contents together with the patient ID. The patient can receive medical treatment with peace of mind, and using the patient's electronic consultation ticket does not mistake the patient, Te damage the mind and body, such as medical malpractice accident can be eliminated, it is possible to further eliminate medical errors. Further, since the medical treatment contents are registered and managed together with the patient ID, the responsibilities can be clarified, and the reliability of the patient can be improved.

Further, according to the present invention, when a patient is treated at a medical institution, an electronic consultation ticket with a patient ID is issued to the patient, and the patient is managed by the patient ID.
An in-hospital information processing method that digitizes processing related to operations in a medical institution, wherein the in-hospital drug management server collects and registers and manages each drug data generated as necessary in medical care and medical treatment of a patient in the medical institution. A treatment terminal used by a pharmacist to acquire medicine data, and the treatment terminal acquires from the in-hospital medicine management server the medicine data necessary for the pharmacist to dispense a medicine used in a medical institution. In order to carry out the qualification examination of the pharmacist to be carried out, an electronic identification card issued to the pharmacist is accepted, and this electronic identification card information is transmitted to the in-hospital medicine management server together with the application for permission to access the medicine data, and the in-hospital medicine management server When receiving the pharmacist's electronic identification information transmitted from the treatment terminal together with the drug data access permission application, Review the qualifications, this qualification examination results,
If the qualification of the pharmacist is valid, the access permission information for the pharmacist is transmitted to the treatment terminal, and the treatment terminal receives the access permission information from the in-hospital drug management server as a result of the pharmacist being qualified in the qualification examination of the pharmacist. In this case, the in-hospital medicine management server makes a request for transmitting medicine data that needs to be dispensed in accordance with the access permission information together with the patient ID to the in-hospital medicine management server. The medicine data is retrieved based on the patient ID and transmitted to the treatment terminal. When the treatment terminal receives the medicine data from the in-hospital medicine management server in response to the medicine data transmission request, the medicine by the pharmacist based on the medicine data. As a result of the completion of the dispensing of the in-hospital, the dispensing preparation completed drug ID is transmitted to the in-hospital drug management server together with the patient ID, and the in-hospital drug is When the medicine management server receives the dispensing preparation completed medicine ID together with the patient ID from the treatment terminal,
The dispensing preparation completed drug ID is registered and managed with the patient ID. The in-hospital identification information is transmitted to the in-hospital medicine management server together with the medicine dispensing request, and the in-hospital medicine management server receives the nurse's electronic identification information transmitted from the treatment terminal together with the medicine dispensing request, and transmits the information of the nurse. The qualification is examined, and as a result of the qualification examination, if the qualification of the nurse is legitimate, the dispensing permission information for the nurse is transmitted to the treatment terminal. As a result, when the dispensing permission information is received from the in-hospital drug management server, the result is that the nurse has dispensed the drug to administer the drug to the patient according to the dispensing permission. Patient ID with drug information completed
Along with this, the in-hospital drug management server receives the registration completion notification from the in-hospital drug management server, and the in-hospital drug management server receives the dispensing completed drug information together with the patient ID from the treatment terminal. The gist is to register and manage the information as payout history information based on the patient ID, and to transmit a registration completion notification to the treatment terminal.

According to the twelfth aspect of the present invention, when the in-hospital drug management server receives the pharmacist's digitized identification received by the treatment terminal and confirms the qualification of the pharmacist, the access permission is given to the pharmacist's treatment terminal. The treatment terminal makes a transmission request for the medicine data that needs to be dispensed, the in-hospital medicine management server searches the medicine data and sends it to the treatment terminal, and the treatment terminal completes dispensing preparation as a result of the completion of dispensing based on the medicine data. The medicine ID is sent to the in-hospital medicine management server, the in-hospital medicine management server registers and manages the medicine ID ready for dispensing, and the treatment terminal accepts the nurse's electronic identification card for the dispensing of the medicine, together with the medicine dispensing request. Send to the in-hospital drug management server, the in-hospital drug management server confirms the nurse's qualification, and sends out the dispensing permission information, and the treatment terminal receives this dispensing permission. The in-hospital drug management server registers and manages the dispensed drug information as history information for each patient ID, so that prescription data can be digitized to prevent prescription errors that affect the mind and body, and that the pharmacist's IC By confirming the qualification with an identification card, unauthorized access can be prevented, privacy can be protected, and a malicious and illegal in-hospital drug request due to forgery of a prescription can be eliminated. Further, it is possible to manage the history of what kind of prescription has been made, and it is also possible to refer to the subsequent diagnosis. In addition, it is possible to cope with unauthorized takeout by managing logs.

According to a thirteenth aspect of the present invention, when a patient is treated at a medical institution, an electronic consultation ticket to which a patient ID is assigned is issued to the patient, the patient is managed by the patient ID, and operations within the medical institution are performed. An information processing method in a medical institution in which the processing is digitized, wherein the accounting management server electronically writes the medical treatment contents written in the electronic medical record of the patient registered and managed for each patient ID as a result of treating the patient and Medical treatment information and drug prescription data written as necessary,
The patient's examination contents registered and managed for each patient ID as a result of patient examination, and the patient as a result of medical treatment of the patient
The medical treatment content of the patient registered for each ID, the dispensing completed drug information registered and managed as the dispensing history information for each patient ID as a result of administering the drug to the patient and dispensing the drug for each patient ID Aggregated and registered and managed as expense billing data for each patient ID.The patient management server receives the expense billing data aggregated and managed for each patient ID by the accounting management server, and bills data for each patient ID. When the accepting terminal accepts the electronic consultation ticket and accepts the application for payment of the cost from the patient, the accepting terminal transmits the application for payment of the expense to the patient management server together with the patient ID. When the application for payment of the fee is received together with the patient ID, the invoice data registered and managed for each patient ID is searched, and the searched invoice data is transmitted to the receiving terminal. The receiving terminal receives the bill data of the patient ID from the patient management server in response to the payment application for the cost, and charges the patient to the patient based on the bill data. When the payment completion information input when the payment is completed is received, the payment completion information is transmitted to the patient management server, and when the payment completion information is received from the receiving terminal, the bill data is paid. The gist is to manage the registration.

According to the thirteenth aspect of the present invention, the accounting management server stores the medical treatment contents and medical treatment information of the patient, the prescription data of the medicine, the contents of the examination of the patient, the contents of the medical treatment of the patient, and the medicine information of the patient who has completed dispensing. Aggregated for each patient ID, registered and managed as expense billing data for each patient ID, the patient management server receives the expense billing data from the accounting management server,
Registered and managed as billing data for each ID, and the receiving terminal receives billing data from the patient management server when receiving payment application from the patient, and performs the billing to the patient,
Computerization of complicated and traditionally time-consuming accounting calculations, such as the management of medical records, treatments, and drugs, can now be performed quickly and without mistakes by digitizing, so that patients do not have to wait, There is no need to increase personnel. Further, by using the electronic consultation ticket, there is no possibility that another person's request is erroneously received.

According to a fourteenth aspect of the present invention, there is provided a patient management server according to the first aspect, a medical record management server according to the second aspect, an examination data management server according to the third aspect, and a fourth aspect.
Further comprising a general management server for overall management of the treatment management server described in claim 5, the in-hospital medicine management server described in claim 5, and the accounting management server described in claim 6, wherein the general management server is provided in the patient management server. In response to the request from the accepting terminal for the request to issue the patient's electronic consultation ticket, assigning the patient ID based on this request, accepting the electronic consultation ticket issued to the patient, and applying for medical appointment reservation and medical treatment application from the patient Instruct the processing including the application for payment of the cost, confirm the validity of the qualification of the doctor based on the electronic identification information of the doctor received from the doctor terminal to the medical record management server, and Search or create a patient's electronic medical record,
Instructed by the doctor from the doctor terminal to register and manage the electronic medical record in which the medical treatment contents have been written for each patient ID, and the examination staff based on the electronic identification information of the examination staff received from the examination terminal to the examination data management server The patient's qualification, the patient's identity based on the patient's digitized medical examination ticket received from the examination terminal, and instructs registration management for each patient ID of examination contents written as a result of the examination, and the treatment management server For medical treatment personnel based on the electronic identification information of the medical treatment personnel received from the treatment terminal, validating the identity of the patient based on the electronic medical consultation ticket of the patient received from the treatment terminal, medical treatment The medical staff instructed the registration management for each patient ID of the medical treatment content written from the treatment terminal by the treatment staff, and received the computerized status of the pharmacist from the treatment terminal to the in-hospital medicine management server. Checking the validity of the pharmacist's qualification based on the information, searching for the drug data in response to the drug data transmission request from the treatment terminal and transmitting it to the treatment terminal, registration management for each patient ID of the medicine ID completed for dispensing, received from the treatment terminal The nurse checks the validity of the qualification of the nurse based on the electronic identification information of the nurse, and instructs the nurse to transmit payout permission information to the nurse based on the result of the confirmation. Medical treatment contents for each patient ID, examination contents for each patient ID from the examination data management server,
The gist is that the medical treatment content for each patient ID from the treatment management server, the totalization of the dispensed completed medicine information for each patient ID from the in-hospital medicine management server, and the registration management for each patient ID as the cost billing data are instructed.

According to the fourteenth aspect of the present invention, the overall management server that manages each server as a whole processes the patient management server in response to a request for issuing a patient's digitized medical examination ticket from a receiving terminal. On the basis of this request, a patient ID is given and an electronic consultation ticket issued to the patient is accepted, a medical treatment reservation application from the patient, a medical treatment application, an instruction for processing including a payment of expenses is instructed, and the medical record management server is instructed. On the other hand, the validity of the doctor's qualification based on the doctor's electronic identification information accepted from the doctor's terminal, the search or creation of the patient's electronic medical record based on the patient's electronic consultation ticket information, Electronic medical record patient ID written
Instruct the registration management for each, check the validity of the qualification of the inspector based on the electronic identification card information of the inspector received from the inspection terminal to the inspection data management server, the patient's electronic received from the inspection terminal Electronic identification of the medical treatment staff received from the treatment terminal to the treatment management server, instructing the identification of the patient based on the chemical consultation ticket, registering and managing the examination contents written as a result of the examination for each patient ID. Confirmation of the validity of the qualification of the medical treatment staff based on the identification information, identification of the patient based on the electronic medical consultation ticket of the patient received from the treatment terminal, patient ID of the medical treatment content written from the treatment terminal by the medical treatment staff The registration management for each is instructed, the pharmacist's qualification is validated based on the pharmacist's electronic identification information received from the treatment terminal to the in-hospital medicine management server, and the medicine data from the treatment terminal Retrieval of drug data in response to a transmission request and transmission to the treatment terminal, registration management for each patient ID of drug IDs ready for dispensing, validity of nurse qualification based on the nurse's electronic identification information received from the treatment terminal Confirmation, instructing the nurse to transmit payout permission information to the nurse based on the result of this confirmation, and providing the accounting management server with medical treatment contents for each patient ID from the chart management server, and for each patient ID from the examination data management server It instructs the examination contents, the medical treatment contents for each patient ID from the treatment management server, the totalization of the dispensing completed medicine information for each patient ID from the in-hospital medicine management server, and the registration and management for each patient ID as billing data.

Further, the present invention according to claim 15 is the patient management server according to claim 1, the chart management server according to claim 2, the examination data management server according to claim 3, and claim 4.
Further comprising a general management server for overall management of the treatment management server described in claim 5, the in-hospital medicine management server described in claim 5, and the accounting management server described in claim 6, wherein the general management server is provided in the patient management server. In response to the request from the accepting terminal for the request to issue the patient's electronic consultation ticket, assigning the patient ID based on this request, accepting the electronic consultation ticket issued to the patient, and applying for medical appointment reservation and medical treatment application from the patient Instruct the processing including the application for payment of the cost, confirm the validity of the qualification of the doctor based on the electronic identification information of the doctor received from the doctor terminal to the medical record management server, and Search or create a patient's electronic medical record,
Instructed by the doctor from the doctor terminal to register and manage the electronic medical record in which the medical treatment contents have been written for each patient ID, and the examination staff based on the electronic identification information of the examination staff received from the examination terminal to the examination data management server The patient's qualification, the patient's identity based on the patient's digitized medical examination ticket received from the examination terminal, and instructs registration management for each patient ID of examination contents written as a result of the examination, and the treatment management server For medical treatment personnel based on the electronic identification information of the medical treatment personnel received from the treatment terminal, validating the identity of the patient based on the electronic medical consultation ticket of the patient received from the treatment terminal, medical treatment The medical staff instructed the registration management for each patient ID of the medical treatment content written from the treatment terminal by the treatment staff, and received the computerized status of the pharmacist from the treatment terminal to the in-hospital medicine management server. Checking the validity of the pharmacist's qualification based on the information, searching for the drug data in response to the drug data transmission request from the treatment terminal and transmitting it to the treatment terminal, registration management for each patient ID of the medicine ID completed for dispensing, received from the treatment terminal The nurse checks the validity of the qualification of the nurse based on the electronic identification information of the nurse, and instructs the nurse to transmit payout permission information to the nurse based on the result of the confirmation. Medical treatment contents for each patient ID, examination contents for each patient ID from the examination data management server,
The gist is that the medical treatment content for each patient ID from the treatment management server, the totalization of the dispensed completed medicine information for each patient ID from the in-hospital medicine management server, and the registration management for each patient ID as the cost billing data are instructed.

According to the fifteenth aspect of the present invention, the overall management server which manages each server as a whole processes the patient management server in response to a request for issuing a patient's digitized medical examination ticket from a receiving terminal. On the basis of this request, a patient ID is given and an electronic consultation ticket issued to the patient is accepted, and medical treatment appointment application from the patient, medical treatment application, instructing processing including payment of expenses, and instructing the chart management server to On the other hand, the validity of the doctor's qualification based on the doctor's electronic identification information accepted from the doctor's terminal, the search or creation of the patient's electronic medical record based on the patient's electronic consultation ticket information, Electronic medical record patient ID written
Instruct the registration management for each, check the validity of the qualification of the inspector based on the electronic identification card information of the inspector received from the inspection terminal to the inspection data management server, the patient's electronic received from the inspection terminal Electronic identification of the medical treatment staff received from the treatment terminal to the treatment management server, instructing the identification of the patient based on the chemical consultation ticket, registering and managing the examination contents written as a result of the examination for each patient ID. Confirmation of the validity of the qualification of the medical treatment staff based on the identification information, identification of the patient based on the electronic medical consultation ticket of the patient received from the treatment terminal, patient ID of the medical treatment content written from the treatment terminal by the medical treatment staff The registration management for each is instructed, the pharmacist's qualification is validated based on the pharmacist's electronic identification information received from the treatment terminal to the in-hospital medicine management server, and the medicine data from the treatment terminal Retrieval of drug data in response to a transmission request and transmission to the treatment terminal, registration management for each patient ID of drug IDs ready for dispensing, validity of nurse qualification based on the nurse's electronic identification information received from the treatment terminal Confirmation, instructing the nurse to transmit payout permission information to the nurse based on the result of this confirmation, and providing the accounting management server with medical treatment contents for each patient ID from the chart management server, and for each patient ID from the examination data management server It instructs the examination contents, the medical treatment contents for each patient ID from the treatment management server, the totalization of the dispensing completed medicine information for each patient ID from the in-hospital medicine management server, and the registration and management for each patient ID as billing data.

According to a sixteenth aspect of the present invention, there is provided a patient management server according to the first aspect, a chart management server according to the second aspect,
An examination data management server according to claim 3, a treatment management server according to claim 4, an in-hospital medicine management server according to claim 5,
And an overall management server that overall manages the accounting management server according to claim 6, wherein the overall management server responds to the patient management server with respect to a request for issuing a patient's electronic medical examination ticket from a receiving terminal. Processing, assigning a patient ID based on this request, accepting an electronic consultation ticket issued to the patient, instructing a treatment reservation application from the patient, a medical treatment application, a process including an application for payment of expenses, the medical record management server Confirmation of validity of physician's qualification based on doctor's electronic identification information accepted from doctor's terminal, search or creation of patient's electronic medical record based on patient's computerized consultation ticket information, medical treatment contents from doctor's terminal by doctor Instructs registration management for each patient ID of the written electronic medical record, based on the computerized identification information of the person in charge of examination received from the examination terminal to the examination data management server Instructed to confirm the validity of the qualification of the examination staff, confirm the identity of the patient based on the patient's digitized medical examination ticket received from the examination terminal, and register and manage the examination contents written as a result of the examination for each patient ID, Confirmation of the validity of the qualification of the medical treatment staff based on the electronic identification information of the medical treatment staff received from the treatment terminal to the management server, and identification of the patient based on the electronic medical consultation ticket of the patient received from the treatment terminal Instruct the registration management for each patient ID of the medical treatment content written from the treatment terminal by the medical treatment staff, and the pharmacist based on the pharmacist's electronic identification information received from the treatment terminal to the in-hospital medicine management server Confirmation of the validity of the qualification, search of the medicine data in response to the medicine data transmission request from the treatment terminal and transmission to the treatment terminal, registration management of the medicine ID for which the dispensing preparation is completed for each patient ID, treatment end The nurse's qualification based on the electronic identification information of the nurse received from the user, and instructs the nurse to transmit payout permission information to the nurse based on the confirmation result. Medical treatment contents for each patient ID from the server, examination contents for each patient ID from the examination data management server, medical treatment contents for each patient ID from the treatment management server, dispensing completed medicine information for each patient ID from the in-hospital medicine management server The point is that registration management for each patient ID is instructed as totalization and cost billing data.

According to the sixteenth aspect of the present invention, the overall management server that manages each server as a whole processes the patient management server in response to a request for issuing a patient's electronic consultation ticket from a receiving terminal. On the basis of this request, a patient ID is given and an electronic consultation ticket issued to the patient is accepted, a medical treatment reservation application from the patient, a medical treatment application, an instruction for processing including a payment of expenses is instructed, and the medical record management server is instructed. On the other hand, the validity of the doctor's qualification based on the doctor's electronic identification information accepted from the doctor's terminal, the search or creation of the patient's electronic medical record based on the patient's electronic consultation ticket information, Electronic medical record patient ID written
Instruct the registration management for each, check the validity of the qualification of the inspector based on the electronic identification card information of the inspector received from the inspection terminal to the inspection data management server, the patient's electronic received from the inspection terminal Electronic identification of the medical treatment staff received from the treatment terminal to the treatment management server, instructing the identification of the patient based on the chemical consultation ticket, registering and managing the examination contents written as a result of the examination for each patient ID. Confirmation of the validity of the qualification of the medical treatment staff based on the identification information, identification of the patient based on the electronic medical consultation ticket of the patient received from the treatment terminal, patient ID of the medical treatment content written from the treatment terminal by the medical treatment staff The registration management for each is instructed, the pharmacist's qualification is validated based on the pharmacist's electronic identification information received from the treatment terminal to the in-hospital medicine management server, and the medicine data from the treatment terminal Retrieval of drug data in response to a transmission request and transmission to the treatment terminal, registration management for each patient ID of drug IDs ready for dispensing, validity of nurse qualification based on the nurse's electronic identification information received from the treatment terminal Confirmation, instructing the nurse to transmit the payout permission information to the nurse based on the result of the confirmation, and providing the accounting management server with the medical treatment contents for each patient ID from the chart management server, and for each patient ID from the examination data management server. Examination contents, medical treatment contents for each patient ID from the treatment management server, totalization of dispensing completed medicine information for each patient ID from the in-hospital medicine management server, and information at medical institutions that instructs registration management for each patient ID as cost billing data Because the processing program is recorded on the recording medium,
By using the recording medium, its distribution can be improved.

[0052]

Embodiments of the present invention will be described below with reference to the drawings. FIG. 1 is a diagram showing a configuration of an information processing system in a medical institution according to an embodiment of the present invention.

The information processing system in a medical institution according to the embodiment shown in FIG. 1 is a computerized IC card in which a patient ID is given to a patient when the patient receives medical treatment at a hospital as a medical institution. This is an electronic identification card for issuing medical consultation tickets and confirming the qualification of all persons involved in each medical treatment at medical institutions, including doctors, laboratory technicians, laboratory personnel, medical treatment personnel, and nurses. For example, IC
Issuing a card-shaped IC identification card, and using the IC consultation ticket, the patient ID for processing related to medical institutional operations including patient appointment, medical treatment, examination, medical treatment, in-hospital dispensing and medicine, accounting, etc. It is managed every time.

This information processing system in a medical institution is shown in FIG.
As shown in, provided in the patient receiving scene 8, a receiving terminal 10 for receiving the patient, provided in the medical examination scene 4,
Physician terminal 11 used by doctors who treat patients
And an examination terminal 12 provided in the medical examination scene 5 and used by an examination staff such as a doctor or a laboratory technician to perform an examination of a patient, and a medical treatment scene 7 provided in the medical treatment scene 7. A treatment terminal 14 used by a pharmacist to obtain medicine data while being used by a medical treatment staff such as a nurse to perform the treatment, a patient management server 20 for managing the patient, and managing the patient's medical record. Medical record management server 21, a test data management server 22 that manages patient test data, a treatment management server 23 that manages the contents of medical treatments for patients, and an in-hospital drug management that manages dispensing and dispensing of medicines in medical institutions A server 25, an accounting management server 24 that manages accounting in a medical institution, a LAN 31 that is a network in a medical institution that interconnects the terminals and the servers, As shown in FIG. 2, LAN 3
1 and a communication management server 26 that is connected to each terminal and each server and manages data communication between each terminal and each server and an external device (not shown) of a medical institution via an external network 41.

In FIG. 1, each terminal is illustrated as being directly connected to each corresponding server, but each terminal is connected to the LAN 31 and is connected to each server via the LAN 31. It may be.

The accepting terminal 10 accepts a request for issuing a patient's IC consultation ticket with patient information, assigns a patient ID based on this request, accepts the IC consultation ticket issued to the patient, and accepts the patient accompanying the acceptance. Application for medical appointment reservation, execution of processing including medical application, acceptance of application for payment of expenses from patient and transmission to patient management server with patient ID,
Receipt of bill data from the patient management server 20 for the payment application for this cost, billing of the cost to the patient based on the bill data, and payment completion information input when the payment is completed by the patient for this bill. It has means for receiving and transmitting to the patient management server 20.

Further, the patient management server 20 controls the issuance of the patient ID in response to the issuance request of the IC consultation ticket from the accepting terminal 10, the issuance control of the IC consultation ticket in which the patient ID is recorded, the patient information based on the patient ID and the IC consultation Registration management of tickets, setting and registration management of medical appointments for each patient ID for medical appointment requests from the accepting terminal 10, transmission of information necessary for medical care for medical appointments from the accepting terminal 10 to the accepting terminal 10, accounting management server Receipt of the expense claim data compiled and managed for each patient ID at 24, registration management for each patient ID as invoice data of this expense claim data, and the patient ID of the expense payment application from the receiving terminal 10 Accompanying reception, patient
Search for invoice data registered and managed for each ID, transmission of the searched invoice data to the receiving terminal 10, reception of payment completion information from the receiving terminal 10 for this request,
There is means for performing registration management of the bill data as paid.

The doctor terminal 11 is a means for accepting a doctor's IC identification card for confirming the validity of the doctor's medical qualification, accepting a patient's IC consultation ticket, and permitting the doctor to write the contents of the medical treatment to the patient's electronic medical record. Having.

The medical chart management server 21 checks the validity of the doctor based on the doctor's IC identification information, searches or creates an electronic medical record of the patient, transmits this electronic medical record to the doctor terminal 11, and displays the contents of the medical treatment performed by the doctor. Reception of the electronic medical record written together with medical treatment information and drug prescription data from the doctor terminal 11 if necessary, and the patient ID of the electronic medical record
It has means for performing registration management for each.

The examination terminal 12 accepts the IC ID of the examiner to confirm the validity of the examiner, accepts the IC consultation ticket of the patient, the patient ID of the IC consultation ticket information, and the application for identification of the patient. To the inspection data management server 22 with
It has means for receiving and displaying information necessary for a patient's examination, permitting examination personnel to write examination contents, and transmitting the written examination contents to the examination data management server 22.

The inspection data management server 22 is used for the inspection terminal 1
Confirmation of the validity of the examiner based on the IC identification information of the examiner received from 2, the receipt of the patient's IC consultation ticket information with the patient ID and identification application, examination of the patient's identity, examination For transmitting necessary information to the examination terminal 12, receiving examination contents written as a result of the examination, and performing registration management for each patient ID.

The treatment terminal 14 accepts the IC ID of the medical treatment staff for confirming the validity of the medical treatment staff, accepts the IC consultation ticket of the patient, the patient ID of the IC consultation ticket information, and the patient's identity. Means for transmitting a confirmation application to the treatment management server 23, permitting writing of medical treatment contents, transmitting the written medical treatment contents to the treatment management server 23, and IC of the pharmacist for qualification examination of the pharmacist Acceptance of an ID card, transmission of this IC ID information to the in-hospital drug management server 25 accompanied by a drug data access permission application, and accompanying a patient ID of drug data required to be paid out according to the access permission information from the in-hospital drug management server 25 Dispensing of medicine by pharmacist based on medicine data received from hospital medicine management server 25 in response to transmission request to hospital medicine management server 25 and medicine data transmission request As a result of the completion, the medicine ID ready to be dispensed is transmitted to the in-hospital medicine management server 25 with the patient ID, and the IC ID of the nurse is accepted for the qualification examination of the nurse who needs the dispensing of the medicine. The identification information is transmitted to the in-hospital drug management server 25 accompanied by the request for dispensing the medicine, the dispensing permission information is received from the in-hospital medicine management server 25, and the nurse pays out the medicine in order to administer the medicine to the patient according to the dispensing permission. As a result, there is provided a means for notifying the in-hospital drug management server 25 with the patient ID of the dispensing-completed drug information and receiving a registration completion notification from the in-hospital drug management server 25 in response to the notification.

The treatment management server 23 confirms the legitimacy of the medical treatment staff based on the IC identification information of the medical treatment staff received from the treatment terminal 14 and the patient ID of the IC consultation ticket information of the patient.
And the terminal 1 for receiving the patient's identity confirmation application, examining the patient's identity, and writing permission information for the contents of the medical treatment
4, reception of medical treatment contents from the treatment terminal 14,
There is a means for registering and managing medical treatment contents for each patient ID.

The in-hospital drug management server 25 is connected to the treatment terminal 14
Of the pharmacist's IC identification information transmitted with the drug data access permission application, examination of the qualification of the pharmacist, transmission of the access permission information to the pharmacist to the treatment terminal 14, and the patient ID of the medicine data transmission request from the treatment terminal 14 , Search and treatment terminal 1 based on patient ID of drug data
4, medicine ready to be dispensed from treatment terminal 14
Ready to receive and dispense with ID patient ID Drug ID patient
Registration management for each ID, nurses sent from the treatment terminal 14
Receipt of IC identification information with a request for drug delivery, examination of the qualification of the nurse, transmission of dispensing permission information for the nurse to the treatment terminal, receipt of dispensing completed drug information from treatment terminal 14 with patient ID, dispensing There is provided a means for performing registration management for each patient ID as the dispensing history information of completed medicine information and transmitting a registration completion notification to the treatment terminal.

The accounting management server 24 has the contents of the medical treatment written electronically in the patient's electronic medical record registered and managed by the medical record management server 21 for each patient ID as a result of treating the patient, and has been written as necessary. Collection of medical treatment information and drug prescription data from the medical record management server 21, and collection of patient test contents registered and managed by the test data management server 22 for each patient ID as a result of patient inspection from the test data management server 22 As a result of collecting from the treatment management server 23 the contents of the medical treatment of the patient registered in the treatment management server 23 for each patient ID as a result of medical treatment of the patient, administering the medicine to the patient and dispensing the medicine, The in-hospital drug tube of the dispensed drug information registered and managed in the in-hospital drug management server 25 as the dispensing history information for each patient ID Perform the collection from the server 25,
There is provided a means for totalizing the collected information for each patient ID and registering and managing it as expense billing data for each patient ID.

As described above, held by the patient
Information that the IC consultation ticket actually exchanges with each server via each terminal includes, for example, a patient ID and a key for authentication. In addition, information that the IC identification card held by a doctor, a laboratory technician, a pharmacist, a nurse, etc. actually exchanges with each server via each terminal includes, for example, each qualified person such as a doctor, a laboratory technician, a pharmacist, a nurse, etc. IDs, doctors, technicians, pharmacists,
The contents of qualifications such as nurses, expiration dates of qualifications or cards, keys for authentication, etc. are included.

Each server stores patient data, reservation information, medical chart information, accounting data, and the like. The patient data includes the patient's address, name, telephone number, past illness,
Workplace, insurance card number, etc. are included.
Input date, patient ID, ID of doctor, etc. are included.Chart information includes person in charge, consultation data, treatment details, examination data, drug dispensing data, etc.Accounting data is payment date, amount, treatment. The date and the like are included, and are used by transmitting and receiving via the LAN 31 according to each request.

Each terminal such as the accepting terminal 10, the doctor terminal 11, the examination terminal 12, the diagnosis terminal 13, and the treatment terminal 14 described above is an IC consultation ticket held by a patient and a doctor, nurse, laboratory technician, pharmacist, etc. It is designed to read the information recorded on the IC identification card held by the company and to record new information on the IC consultation ticket and IC identification card. Contact certificates and non-contact certificates are possible, and contact IC consultation tickets and IC
In the case of identification, each terminal reads and writes these IC consultation tickets and IC identification cards sequentially, but in the case of non-contact type, it reads and writes multiple IC consultation tickets and IC identification cards at the same time. Can be.

That is, in the case of a non-contact type IC consultation ticket or IC identification card, it is possible to read a plurality of these IC consultation tickets and IC identification cards at the same time. You can read your ID card and patient's IC consultation ticket at the same time.

Next, the physical movement of the patient in the medical institution information processing system configured as described above will be described with reference to FIG. As shown in FIG. 2, the patient first completes reception at the reception terminal 10, then goes to a doctor at the doctor terminal 11 as shown by the arrow (1), receives medical treatment by the doctor, and then receives the doctor's medical treatment. Based on the judgment, an inspection is performed at the inspection terminal 12 as shown by an arrow (2). After this test, the patient returns to the doctor again.

Next, the patient moves the arrow (3) from the doctor's consultation.
To the place where the treatment terminal 14 is located, and receives a medical treatment. After this medical treatment, the receiving terminal 10 receives a transaction as shown by an arrow (4).

Next, with reference to FIG. 3, the flow of information accompanying the physical movement of the patient will be described. When the patient receives a medical examination at the reception terminal 10, the patient management server 20 responds to the reception by giving the patient ID to the patient.
Is issued, and the patient ID is transmitted from the patient management server 20 to the chart management server 21 (process (1)-).
(2)). The medical record management server 21 prepares the format of the electronic medical record based on the patient ID, and
1 prompts the user to input a chart (process (3)).

Next, the doctor requests a test technician from the doctor terminal 11 via the test terminal 12 to perform a test, and the test terminal 12
Secures an examination service area based on the patient ID in the examination data management server 22 (process (4)). Then, the laboratory technician registers the test data from the test terminal 12 in the test data management server 22 (process (5)), and transmits and displays the test data for the purpose of diagnosis to the doctor terminal 1.
1 (process (6)). If the doctor determines from the test data that a group diagnosis meeting by a plurality of doctors is necessary, the doctor transfers the medical information to the diagnosis terminal 13 for the diagnosis meeting (process (7)). The test data management server 22 also transfers the test data to the diagnostic terminal 13 for a diagnostic meeting (process (8)).

As a result of the diagnosis by the physician, the physician makes an input to the electronic medical record from the physician terminal 11, instructs a medical treatment to the treatment management server 23 (process (9)), and sends the medicine information to the in-hospital medicine management server 25. Is transmitted and the dispensing instruction is performed (process (10)). Further, the accounting data is transferred from the medical record management server 21 to the accounting management server 24 based on the information described in the electronic medical record (processing (1)
1)).

Then, the medical treatment completion registration by the nurse or the like is performed from the treatment terminal 14 to the treatment management server 23 (process 12), and further, the medical treatment completion notification is sent from the treatment management server 23 to the accounting management server 24. (Process (13). Next, the in-hospital drug management server 25 notifies the accounting management server 24 of the medicine dispensing completion (Process (14).) Then, the accounting management server 24 sends the notification to the patient management server 20. The medical treatment bill is sent (process (15)), and the patient management server 20 sets the reception terminal 10
Payment is made to the patient via (step (16)).

Next, the operation of the information processing system in a medical institution of the embodiment shown in FIG. 1 will be described in detail with reference to the sequence diagrams shown in FIGS.

First, with reference to the sequence diagram shown in FIG. 4, the application, reservation, and consultation application for the IC consultation ticket by the patient will be described among the patient, the receiving terminal 10, and the patient management server 20. Patients need to be registered at a medical institution in order to be examined at the medical institution. For this, the patient goes directly to the medical institution to perform various procedures.

First, the patient applies for an IC consultation ticket (step S11). In the application for the IC consultation ticket, the patient goes to the reception terminal 10 of the medical institution and is displayed on the reception terminal 10. According to the registration application format, for example, patient information such as the patient's address, name, telephone number, medical history, workplace, and insurance card number is entered, and electronic registration is performed. The input information is transmitted from the receiving terminal 10 to the patient management server 20 (Steps S13 and S15). In addition,
In consideration of the fact that there are many elderly patients, it is necessary to leave an input using, for example, paper.

Upon receiving the patient's electronic registration information from the accepting terminal 10, the patient management server 20 performs a predetermined examination by confirming the patient's insurance card, address, and the like from this information, and performs aptitude and identity verification of the patient. Is completed, the patient ID
Is issued and registered (step S17).
Issuance permission of the IC consultation ticket to which the patient ID is given is performed to the accepting terminal 10 (step S19). The receiving terminal 10
When this IC consultation ticket issuance permission is received, an IC card-like IC consultation ticket is issued to the patient himself (step S21).

When the patient receives the IC consultation ticket as described above, the patient makes an appointment for a consultation using the IC consultation ticket (step S23). In this appointment, the patient first inserts his / her own IC consultation ticket into the accepting terminal 10 and, based on the guidance of the accepting terminal 10, enters a desired appointment date and time or changes the appointment, and inputs an appointment for an appointment. Is performed from the receiving terminal 10 to the patient management server 20 (steps S25 and S27).

The patient management server 20 adjusts the consultation schedule in response to the consultation reservation application from the accepting terminal 10, sets a reservation suitable for the patient from the reservation status, and registers this reservation information together with the patient ID. Manage (step S29),
Then, the reservation completion notification is returned to the receiving terminal 10 together with the reservation date and time information (step S31). Receiving terminal 10
Receives the reservation completion notification, records the reservation information in the IC consultation ticket and notifies the patient (step S33).

As described above, the patient makes an appointment for a medical examination and then applies for a medical examination before the appointment date and time (step S35). In this consultation application, the patient inserts the IC consultation ticket into the accepting terminal 10 (step S37) and makes a consultation application according to the guidance from the accepting terminal 10. The accepting terminal 10 accesses the patient management server 20 and confirms the reservation from the patient's IC consultation ticket. Information is returned to the receiving terminal 10 and displayed on the display (step S41). In addition, the patient management server 20 transmits the patient ID to the medical record management server 21 in response to the medical examination application, and starts preparation for creating an electronic medical record (step S39).

Next, with reference to the sequence diagram shown in FIG.
A description will be given among the doctor, the doctor terminal 11, and the chart management server 21.

The doctor examines the patient in response to the patient's application for examination (step S50). In the examination of the patient, the doctor is issued to the doctor himself to confirm the validity of the medical qualification of the doctor. The IC identification card is read into the doctor terminal 11, and a qualification confirmation application is made to the chart management server 21 (steps S51, S53).

When the medical record management server 21 receives the doctor's IC identification information together with the qualification confirmation application, it examines the qualification of the doctor (step S55). As a result of this examination, when the validity of the doctor is confirmed, the history of the login of the doctor is recorded, and a request for the patient's IC consultation ticket is made to the doctor terminal 11 (step S57).

In response to the request for the IC consultation ticket, the patient:
Read your IC consultation ticket into the doctor terminal 11 (step
(S59), an application for creating a chart based on the patient ID is made to the chart management server 21 (step S61). The chart management server 21 creates an electronic chart format based on the patient ID recorded in the IC consultation ticket or the patient ID transmitted in advance from the patient management server 20 (step S6).
3). When the electronic medical record is created, the medical record management server 2
1 permits the medical chart input to the doctor terminal 11 and displays the permission, and urges the doctor to input the medical chart (step
S65).

The doctor makes a simple consultation such as a medical inquiry and palpation of the patient, and when no examination is necessary, makes a diagnosis at this point, inputs medical treatment and drug prescription data, and manages the chart. Is transmitted to the server 21 (step S6).
7). When the patient is examined continuously, it is not necessary to check the qualification of the doctor again, and the examination of qualification may be performed at the start of the examination in the morning or in the afternoon.

As in the above-described processing procedure, the use of an IC card for a patient's consultation ticket makes it possible to digitally issue a consultation ticket and make an appointment for a consultation in a medical institution. Can be greatly reduced. In addition, even in the case of a medical examination, history data such as a doctor's qualification confirmation and a medical doctor's login are recorded in the electronic medical record, so that responsibility for the medical examination or diagnosis is clarified, and an improvement in the patient's confidence can be expected.

Next, referring to the sequence diagram shown in FIG. 6, the preparation of the examination by the doctor among the patient, the doctor, the doctor terminal 11, and the examination data management server 22 will be described. In performing the diagnosis, the doctor imposes a test necessary for the diagnosis on the patient as necessary. In this test preparation, a process for securing a data storage area for the test in the test data management server 22 is performed. Is what you do.

When the doctor prepares for the examination (step S71), the doctor causes the doctor terminal 11 to read the IC identification card and makes a qualification confirmation application to the examination data management server 22 (steps S73, S75). Inspection data management server 22
Performs a predetermined qualification examination (step S77), and when the legitimacy of the doctor is confirmed, requests the IC card of the patient from the doctor terminal 11 (step S79).

When the patient causes the doctor's terminal 11 to read the IC consultation ticket (step S81), the doctor's terminal 11 makes an application for creating a chart based on the patient ID to the examination data management server 22 (step S83). Inspection data management server 2
2 creates an examination data storage area based on the patient ID (step S85), and transmits information necessary for the examination to the doctor terminal 11 (step S87).

Next, with reference to the sequence diagram shown in FIG. 7, the execution of the test following the above-described test preparation and the data storage processing will be described among the patient, the test technician, the test terminal 12, and the test data management server 22.

In carrying out the inspection (step S9)
1), the inspection technician causes the inspection terminal 12 to read the IC identification card, and makes a qualification confirmation application to the inspection data management server 22 (steps S93 and S95). Inspection data management server 22
Performs a predetermined examination, and if the validity of the qualification of the laboratory technician is confirmed (step S97), a request for a patient's IC consultation ticket is made to the examination terminal 12 (step S99).

The patient causes the examination terminal 12 to read the IC consultation ticket, and submits the patient identification application to the examination data management server 22.
(Steps S101 and S103). After performing a predetermined examination and confirming the identity of the patient (step S105), the test data management server 22 permits the test input and displays the same on the test terminal 12 (step S107).

After the examination technician performs the examination on the patient (step S109), the examination technician inputs the examination result from the examination terminal 12 (step S111). The test result data is transmitted from the test terminal 12 to the test data management server 22, and the test data management server 22 registers and manages the test data based on the patient ID (steps S113 and S115).

As described above, by using the patient's IC consultation ticket, the laboratory technician can perform the test as requested by the doctor, and can eliminate the mistake of the test. Inspection can be prevented. In addition, since the inspection data can be electronically shared by registering and managing the inspection data in the inspection data management server 22, the result can be promptly obtained. In addition, doctors and laboratory technicians use IC identification cards to confirm qualifications during testing, and history data such as logins remain, so that the responsibilities of the test or test are clarified, and hopes for an increase in patient confidence be able to.

Next, with reference to the sequence diagram shown in FIG. 8, a diagnosis process by a doctor, particularly a diagnosis process by a single doctor will be described among the doctor, the doctor terminal 11, the test data management server 22, and the chart management server 21. I do. In general,
A physician makes a diagnosis based on the patient's test data. In this case, when the symptoms are clear, the diagnosis is made alone. However, for example, when another medical condition is concurrent, the attending physician will make a diagnosis in cooperation with another specialist.
The diagnosis by the plurality of doctors will be described with reference to FIG.

In the execution of the diagnosis shown in FIG.
21) First, the doctor causes the doctor terminal 11 to read the IC identification card, and makes a data access permission application from the doctor terminal 11 to the test data management server 22 (steps S123 and S12).
5). The test data management server 22 performs a predetermined examination based on the doctor's IC identification card (step S127), and issues an access permission to the doctor via the doctor terminal 11 when confirming that the doctor is a valid qualified person. (Step S12
9).

When the doctor is allowed access from the examination data management server 22, the doctor diagnoses the patient.
Request for transmission of data necessary for diagnosis (step S1)
31). The test data management server 22 searches for necessary data in response to the data transmission request, and transmits the searched data to the doctor terminal 11 (step S133). The doctor terminal 11 receives and displays the necessary data transmitted from the test data management server 22 (Step S13)
4).

The doctor further diagnoses the patient while referring to the data transmitted from the test data management server 22 (step S135), and upon completion of the diagnosis, makes a request for input of a necessary electronic medical chart from the doctor terminal 11 to the medical chart. This is performed for the management server 21 (step S137). The medical chart management server 21 searches for the corresponding medical chart in response to the electronic medical chart input request from the doctor terminal 11, and transmits the searched medical chart to the doctor terminal 11 (step S139).

The doctor terminal 11 receives and displays the medical chart from the medical chart management server 21, and also permits the input to the medical chart (step S141). Doctor, doctor terminal 1
When data such as diagnosis and treatment is input to the medical record via the medical device 1, the input information is transmitted from the doctor terminal 11 to the medical record management server 21 (step S143). The chart management server 21 updates the chart data with the information input from the doctor terminal 11 (step S145). The medical treatment and the prescription data are respectively transmitted to the server on the street with the patient ID (step S147).

Next, a diagnosis process by a plurality of doctors will be described with reference to a sequence diagram shown in FIG.

In the diagnosis performed by a plurality of doctors shown in FIG. 9 (step S151), first, the plurality of doctors
Then, each IC identification card is read, and a data access permission application is made from the doctor terminal 11 to the test data management server 22 (steps S153 and S155). The test data management server 22 performs a predetermined examination for each doctor based on the IC identification card of each doctor (step S157), and confirms that each doctor is a valid qualified person.
Issue an access permission to each doctor via Step 1 (step
S159).

When each doctor is allowed access from the test data management server 22, the doctor performs a patient diagnosis. At this time, the doctors transmit data necessary for diagnosis from the doctor terminal 11 to the test data management server 22. Make a request (step
S161). The examination data management server 22 searches for necessary data in response to the data transmission request, and transmits the searched data to the doctor terminal 11 (step S16).
3). The doctor terminal 11 receives and displays data necessary for the diagnosis transmitted from the test data management server 22 (step S165).

The doctors further diagnose the patient while discussing with a plurality of doctors while referring to the data transmitted from the test data management server 22 (step S16).
7) When the diagnosis is completed, the attending physician makes an input request for a necessary electronic medical record from the doctor terminal 11 to the medical record management server 21 (step S169). The medical chart management server 21 searches for the corresponding medical chart in response to the electronic medical chart input request from the doctor terminal 11, and stores the searched medical chart in the doctor terminal 1.
1 (step S171).

The doctor terminal 11 receives and displays the medical chart from the medical chart management server 21, and also permits the input to the medical chart (step S173). When the attending physician inputs data such as diagnosis and treatment to the medical record via the doctor terminal 11, the input information is transmitted from the doctor terminal 11 to the medical record management server 21 (step S175). The chart management server 21 updates the chart data with the information input from the doctor terminal 11 (step S177). The medical treatment and the prescription data are respectively transmitted to the server on the street with the patient ID (step S179).

As described above, in the diagnosis by the doctor, the access permission to the doctor is examined, so that unauthorized access can be prevented. In addition, since all data necessary for diagnosis, such as test data and previous medical records, can be obtained electronically, it is possible to eliminate the trouble of searching, and to achieve efficiency and labor saving. . Furthermore, in the conventional case of storing medical records using paper, there is only one original, and when sharing by multiple doctors,
Although there is a problem that copying is troublesome or it is difficult to know whether or not it is the latest information, since the processing procedure of the present embodiment can electronically share data, a plurality of authorized doctors refer to the original data. It is possible. In addition, since the electronic data can always be updated in accordance with the patient's situation, the latest data can be always obtained between a plurality of doctors. Further, since all the file IDs are uniquely determined, it is possible to prevent errors in files to be referred to. It is also possible to clarify responsibilities by storing the history of referring.

Next, referring to the sequence diagram shown in FIG. 10, the medical treatment process (1) by the nurse
The operation between the nurse, the treatment terminal 14, and the treatment management server 23 will be described. In normal medical treatment, nurses mainly take care of outpatients and inpatients, but in medical treatments such as simple surgery, nurses cooperate with nurses in the presence of doctors. Do. The medical procedure shown in FIG. 10 is performed by a nurse. The medical treatment by a doctor and a nurse will be described with reference to FIG.

In the medical treatment for an outpatient and an inpatient shown in FIG. 10 (step S181), first, the nurse makes the treatment terminal 14 read an IC identification card and makes an application for qualification confirmation to the treatment management server 23 (step S183). S18
5). The treatment management server 23 performs a predetermined examination based on the nurse's IC identification card (step S187), and when confirming that the nurse is a valid qualification, requests the nurse to provide the patient with an IC consultation ticket. Is transmitted (step S189).

In response to this request, the patient causes the treatment terminal 14 to read the IC consultation ticket, and makes an application for identification of the patient to the treatment management server 23 from the treatment terminal 14 (step
S191, S193). The treatment management server 23 performs a predetermined examination (step S195), and when confirming that the person is himself, gives a treatment input permission, and the treatment terminal 14 displays it (step S197).

The nurse performs a medical treatment on the patient based on the permission from the treatment management server 23 (step S).
199). When the medical treatment is completed, the nurse inputs the completion of the medical treatment from the treatment terminal 14 to the treatment management server 23 (steps S201 and S203), and the treatment management server 23 registers the completion of the medical treatment (step S20).
5). The medical treatment completion information is stored in the medical record management server 2
1 is notified (step S207).

Next, with reference to a sequence diagram shown in FIG. 11, a description will be given of a medical treatment process (2) such as a simple operation by a doctor and a nurse.

In this medical treatment such as a simple operation (step S211), the doctor and the nurse first
4 reads the respective IC identification cards and applies for a qualification confirmation to the treatment management server 23 (steps S213, S215, S21)
7). The treatment management server 23 performs a predetermined examination based on each IC identification card (step S219), and confirms that the nurse is a valid qualified person.
The request for the consultation ticket is transmitted (step S221).

In response to this request, the patient causes the treatment terminal 14 to read the IC consultation ticket and makes an application for identification of the patient to the treatment management server 23 from the treatment terminal 14 (step
S223, S225). The treatment management server 23 performs a predetermined examination (step S227), and when confirming that the patient is himself, gives a treatment input permission, and the treatment terminal 14 displays it (step S229).

[0115] The doctor and the nurse
The medical treatment is performed on the patient based on the permission from (step S231). When the medical treatment is completed, the doctor and the nurse input the completion of the medical treatment from the treatment terminal 14 to the treatment management server 23 (steps S233 and S2).
35), the treatment management server 23 registers the completion of the medical treatment (step S237). Further, the medical treatment completion information is notified to the chart management server 21 (step S23).
9).

As described above, the consultation ticket and the identification card are
By making a card, the nurse is a qualified person,
It is possible to clarify whether a doctor is a qualified person. In addition, by using the IC consultation ticket that the patient has,
The patient can be identified, and the patient is not mistaken. As a result, it is possible to eliminate accidents that cause mental and physical disorders such as medical mistakes. In addition, the treatment management server 23
By performing a medical treatment in accordance with the instructions and data contained therein, it is possible to eliminate a medical error of performing a treatment different from the actual treatment. Furthermore, since the history of the treatment and the log of the operator can be left, the responsibilities can be clarified, and the reliability of the patient can be improved.

Next, the drug dispensing process will be described as an operation between the pharmacist, the treatment terminal 14 and the in-hospital drug management server 25 with reference to the sequence diagram shown in FIG.

Preparation of medicine and preparation for dispensing (step S2)
In 41), first, the pharmacist causes the treatment terminal 14 to read the IC identification card and makes a data access permission application to the in-hospital drug management server 25 (steps S243 and S245). The in-hospital drug management server 25 performs a predetermined examination (step S247), and when confirming that the pharmacist has valid qualifications, issues an access permission to the nurse via the treatment terminal 14 (step S249). ).

When the nurse receives the access permission, the nurse accesses the in-hospital medicine management server 25 from the treatment terminal 14 and makes a data transmission request for medicines that need to be dispensed (step S251). The in-hospital drug management server 25 searches for drug data that needs to be dispensed in response to this request, and transmits the searched drug data to the treatment terminal 14 (step
S253). The treatment terminal 14 is a hospital drug management server 25
When receiving the drug data that needs to be dispensed from the company, the data is displayed and made available to the nurse (step S25).
5).

The nurse dispenses the medicine linked to the patient ID while looking at the medicine data required to be dispensed displayed on the treatment terminal 14 (step S257). When the dispensing is completed, the nurse sends the data of the medicine ID and the patient ID for which the dispensing preparation is completed from the treatment terminal 14 to the in-hospital medicine management server 2.
5 (step S259). The hospital medicine management server 25 that has received the medicine ID and the patient ID performs medicine completion and registration of the patient ID (step S261).

Next, with reference to the sequence diagram shown in FIG. 13, the patient, nurse, pharmacist, treatment terminal 14, and in-hospital drug management server 25 will be described with respect to the dispensing process by the nurse for the medicine which has been prepared for dispensing as described above. The operation will be described as an interim operation.

In the in-hospital delivery of the medicine (step S271), the nurse first requests a medicine linked to the patient ID to the pharmacist (step S273). In response, the pharmacist requests a nurse for an IC identification card (step S275). The nurse sends the IC identification card to the treatment terminal 14
(Step S277), and a request for dispensing a medicine is made to the in-hospital medicine management server 25 (Step S27).
9). The in-hospital medicine management server 25 performs the qualification of the nurse based on the predetermined examination (step S281), and when the qualification is recognized, the dispensing permission is transmitted to the pharmacist via the treatment terminal 14 and displayed (step S283). .

When the pharmacist confirms the dispensing permission,
The medicine is paid out to the nurse (step S285). The nurse administers medication to the patient with the dispensed medicine (step S287).

After the dispensing, the pharmacist registers the dispensed medicine linked to the patient ID from the treatment terminal 14 to the hospital medicine management server 25 (step S289).
The in-hospital medicine management server 25 registers the medicine dispensing history in response to this (step S291). When the registration is completed, the in-hospital drug management server 25 sends a registration completion notification to the pharmacist via the treatment terminal 14 to notify the pharmacist that the registration has been completed (step S29).
3). The medicine dispensing completion information is stored in the chart management server 2.
1 is notified.

As described above, by digitizing prescription data, prescription errors that affect the mind and body can be eliminated. In addition, by using the IC identification card, unauthorized access can be prevented and privacy can be protected. Further, it is possible to eliminate the need for malicious and in-hospital medicine due to forgery of a prescription. Also, since you can manage the history of what kind of prescription was done,
It is also possible to refer to it at the time of subsequent diagnosis. It is possible to cope with unauthorized takeout by managing logs.

Next, the accounting process will be described with reference to the sequence diagram shown in FIG. When the medical-related processing is completed, the remaining processing is business processing such as accounting. Conventionally, a patient carries a paper medium such as a medical chart to perform an accounting process, but in the present embodiment, an electronic accounting process is performed by transmitting and receiving information between servers.

First, information on medical examination, medical treatment, and medicine is transmitted from the medical record management server 21 to the accounting management server 24 (step S301), and a medical treatment completion notification is transmitted from the treatment management server 23 to the accounting management server 24 (step S301). (Step S305), and a medicine dispensing completion notification is transmitted from the hospital medicine management server 25 to the accounting management server 24 (step S307).

The accounting management server 24 receives the respective data transmitted from the medical chart management server 21, the treatment management server 23, and the in-hospital drug management server 25 as described above, aggregates these data, and performs necessary accounting. Calculation is performed (step S308).

After completing the accounting calculation, the accounting management server 24 requests the patient management server 20 to register a bill based on the patient ID (step S309). Patient management server 20
The server stores the bill based on the patient ID in response to the request (step S311), and notifies the accounting management server 24 of the bill receipt confirmation (step S313).

Next, referring to the sequence diagram shown in FIG. 15, the patient completes the processing such as the billing and payment processing for the patient, that is, the patient and the final processing by one-stop correspondence with the patient by the medical institution. The operation between the charge, the reception terminal 10, and the patient management server 20 will be described.

[0131] The receptionist of the medical institution requests an IC consultation ticket from the patient who has come to the checkout (step S321). The patient passes the IC consultation ticket to the receptionist in response to the request (step S323). When receiving the IC consultation ticket of the patient, the receptionist reads the IC consultation ticket into the accepting terminal 10 and makes a bill request to the patient management server 20 (step S325).

The patient management server 20 searches for a bill based on the patient ID in response to the bill request (Step S).
327), and accepts the searched appropriate bills into the receiving terminal 10.
(Step S329).

The receptionist browses the bill displayed on the reception terminal 10, prints the bill, and presents it to the patient (step S331). The patient processes the payment to the receptionist for this invoice presentation (step
S333).

Upon receiving the patient's payment, the receptionist confirms the payment, and if the payment is determined to be valid, sends a payment processing completion notification to the patient management server 20 via the reception terminal 10 (step S337). Upon receiving the payment processing completion notification, the patient management server 20 registers the payment completion based on the patient ID, and notifies the receptionist of the registration completion via the reception terminal 10 (steps S337 and S33).
9).

As described above, complicated processes, such as management of medical records, treatments, and medicines, which have conventionally required a long time for accounting calculations, can be digitized and automatically processed, thereby quickly responding. As a result, the processing can be performed without having to wait for the patient for accounting and without increasing the number of personnel. Further, by using the IC consultation ticket, it is possible to prevent the request of another person from being erroneously received.

In the above embodiment, the patient management server 20, the chart management server 21, the examination data management server 2
2. Eight servers are used, such as the treatment management server 23, the accounting management server 24, the in-hospital medicine management server 25, and the communication management server 26, but these can be performed by one server. Of course. In addition, although the case where an IC card is used as an electronic consultation ticket and an electronic identification card has been described, the electronic consultation ticket and the electronic identification card are not limited to the IC card,
What has the same function should just be, for example, it is preferable that it is easy to carry with a patient etc., for example.

Further, as another embodiment of the present invention, the patient management server, the medical chart management server, the examination data management server, the treatment management server, the in-hospital medicine management server, and the accounting management server are entirely configured. An overall management server for managing is further provided, and the overall management server performs processing in each of the servers, that is, the patient management server, the chart management server, the examination data management server, the treatment management server, the in-hospital drug management server, and the accounting management server. May be configured to be instructed.

The processing procedure of the information processing method in the medical institution of the above embodiment is recorded as a program on a recording medium such as a CD or FD, and the program recorded on the recording medium is transmitted to a computer system via a communication line. By downloading or installing from a recording medium and operating the computer system with the program, it is of course possible to function as a medical institution information processing system that implements a medical institution information processing method. By using a suitable recording medium, its distribution can be enhanced.

[0139]

As described above, according to the present invention,
The accepting terminal accepts the request for issuing the electronic consultation ticket of the patient, transmits the request to the patient management server, the person management server issues the patient ID, and issues the electronic consultation ticket in which the patient ID is recorded to the patient. , The accepting terminal accepts the electronic consultation ticket and sends it to the patient management server when it receives the processing including the medical appointment application, medical examination application, and the payment of the expense, and the patient management server sets the appointment for the appointment application, Recorded on the electronic consultation ticket via the accepting terminal and notified to the patient, responds to the accepting terminal with information necessary for medical treatment for medical treatment applications, and transmits billing data to the accepting terminal for payment applications However, since the receiving terminal makes a request based on the billing data, the patient can easily, appropriately and efficiently make an appointment, consultation and payment application using an electronic consultation ticket such as an IC card. Yes, medical institution staff For course mental patients, it is possible greatly reduce the physical burden, also there is no physical movement of the information in these processes, simplification of the process,
High reliability, speed, and efficiency can be achieved.

Further, according to the present invention, when the doctor terminal accepts the doctor's electronic identification card, the chart management server confirms the qualification of the doctor based on the electronic identification information, and the chart management server checks the patient's electronic identification card. When the chemical consultation ticket information is received via the doctor's terminal, an electronic medical record of the patient is created and displayed on the doctor's terminal, and the doctor's terminal writes medical treatment information and, if necessary, medical treatment information and drug prescription data to the electronic medical record by the doctor. The medical record management server receives the electronic medical record written by the doctor and registers and manages it for each patient ID, so the qualification of the doctor is confirmed, the patient can be treated with peace of mind, and information such as medical treatment contents Can be registered and managed for each patient ID, and the responsibilities of medical treatment can be clarified, and patient confidence can be improved.

Further, according to the present invention, the examination terminal is a doctor,
When the laboratory technician accepts the electronic identification card, the test data management server checks the validity of the doctor and the laboratory technician based on the electronic identification information, and the test data management server passes the patient's electronic medical examination ticket through the inspection terminal. Upon receiving the information, the patient performs an identity verification examination, transmits the information necessary for the patient's examination to the examination terminal and displays it.When the examination contents are written from the examination terminal, the examination contents are sent to the examination data management server. It is transmitted and registered and managed together with the patient ID, so that the validity of the doctor or laboratory technician is confirmed during the test, the patient can undergo the test with confidence, and the information such as the test content is registered and managed for each patient ID, Responsibilities can be clarified and patient confidence can be improved. Furthermore, the use of the electronic consultation ticket of the patient and the examination of the patient's identity eliminates the possibility of the patient being mistaken, and in this regard, the laboratory technician can perform the examination as requested by the doctor, Inspection errors are eliminated, and unjust or unnecessary inspection can be prevented.

According to the present invention, when the treatment management server receives the electronic identification card of the medical treatment staff accepted by the treatment terminal and confirms the legitimacy of the medical treatment staff, the treatment terminal checks the electronic medical examination of the patient. Accepts the ticket, sends the patient identification application to the treatment management server, and when the treatment management server confirms that the patient is a valid patient, allows the treatment terminal to write the contents of the medical treatment and writes it by the medical treatment staff The medical treatment contents are transmitted from the treatment terminal to the treatment management server, and the treatment management server registers and manages the medical treatment contents together with the patient ID. Therefore, for example, a medical treatment staff such as a nurse is an authorized person. The patient can receive medical treatment with peace of mind, and the use of the patient's electronic consultation ticket does not cause the patient to be mistaken for a medical treatment. It is possible to eliminate the accidents that damage the, it is possible to further eliminate medical errors. Further, since the medical treatment contents are registered and managed together with the patient ID, the responsibilities can be clarified, and the reliability of the patient can be improved.

According to the present invention, the in-hospital pharmacist management server receives the pharmacist's electronic identification card accepted by the treatment terminal, confirms the qualification of the pharmacist, and grants access to the pharmacist's treatment terminal. Makes a transmission request for the drug data that needs to be dispensed, the in-hospital drug management server searches for the drug data and sends it to the treatment terminal, and the treatment terminal returns the dispensation-ready drug ID as a result of the completion of dispensing based on the drug data. Send to the medicine management server, the hospital medicine management server registers and manages the medicine ID that is ready for dispensing, and the treatment terminal accepts the nurse's electronic identification card for medicine dispensing, and the hospital medicine management server with the medicine dispensing request When the in-hospital drug management server confirms the nurse qualification, it sends out dispensing permission information, and the treatment terminal sends the medicine in accordance with this dispensing permission. The in-hospital drug management server registers and manages the dispensed drug information as history information for each patient ID, so that prescription data can be digitized to prevent prescription errors that affect the mind and body, and that the IC card of the pharmacist be further identified. By confirming the qualification, unauthorized access can be prevented, privacy can be protected, and a malicious and illegal in-hospital drug request due to forgery of a prescription can be eliminated.
Further, it is possible to manage the history of what kind of prescription has been made, and it is also possible to refer to the subsequent diagnosis. In addition, it is possible to cope with unauthorized takeout by managing logs.

Further, according to the present invention, the accounting management server stores the medical treatment contents and medical treatment information of the patient, the prescription data of the medicine, the contents of the examination of the patient, the contents of the medical treatment of the patient, and the medicine information of the patient who has completed dispensing for each patient ID. Aggregate and register and manage as expense billing data for each patient ID, the patient management server receives the cost billing data from the accounting management server, registers and manages as billing data for each patient ID, and the receiving terminal applies for payment from the patient Upon receipt, the invoice data is received from the patient management server and the request is made to the patient, so the complicated and traditionally time-consuming accounting calculations, such as the management of medical records, treatments, and medicines, are digitized. It can be done quickly and undoubtedly, so that the patient does not have to wait and there is no need to increase staffing. Further, by using the electronic consultation ticket, there is no possibility that another person's request is erroneously received.

[Brief description of the drawings]

FIG. 1 is a diagram showing a configuration of an information processing system in a medical institution according to an embodiment of the present invention.

FIG. 2 is a diagram showing a physical movement of a patient in the information processing system in a medical institution of the embodiment shown in FIG. 1;

FIG. 3 is a diagram showing a flow of information accompanying a physical movement of a patient in the information processing system in a medical institution of the embodiment shown in FIG.

FIG. 4 is a sequence diagram showing an application, reservation, and consultation application processing for an IC consultation ticket by a patient in the medical institution information processing system shown in FIG. 1;

FIG. 5 is a sequence diagram showing a medical examination process in which a patient is examined by a doctor in the information processing system in a medical institution shown in FIG. 1;

FIG. 6 is a sequence diagram showing a test preparation process by a doctor in the information processing system in a medical institution shown in FIG. 1;

7 is a sequence diagram showing execution of a test subsequent to the test preparation of FIG. 6 and data storage processing in the information processing system in a medical institution shown in FIG. 1;

8 is a sequence diagram showing a diagnosis process by a doctor in the information processing system in a medical institution shown in FIG. 1, particularly a diagnosis process by a single doctor;

9 is a sequence diagram showing a diagnosis process by a plurality of doctors in the information processing system in a medical institution shown in FIG. 1;

10 is a sequence diagram showing processing for medical treatment by a nurse in the information processing system in a medical institution shown in FIG. 1;

11 is a sequence diagram showing a medical treatment process such as a simple operation performed by a doctor and a nurse in the information processing system in a medical institution shown in FIG. 1;

FIG. 12 is a sequence diagram showing a medicine dispensing process in the information processing system in a medical institution shown in FIG. 1;

13 is a sequence diagram showing a dispensing process by the nurse of the medicine whose dispensing preparation is completed in FIG. 12 in the information processing system in a medical institution shown in FIG. 1;

FIG. 14 is a sequence diagram showing an accounting process in the medical institution information processing system shown in FIG. 1;

FIG. 15 is a sequence diagram showing processing completion processing such as billing and payment of costs to a patient in the medical institution information processing system shown in FIG. 1;

FIG. 16 is a diagram for explaining a processing image of a conventional hospital operation.

FIG. 17 is a flowchart showing a flow of processing of the conventional hospital operation shown in FIG.

[Explanation of symbols]

 10 Receiving terminal 11 Doctor terminal 12 Examination terminal 13 Diagnosis terminal 14 Treatment terminal 20 Patient management server 21 Medical record management server 22 Examination data management server 23 Treatment management server 24 Accounting management server 25 Hospital medicine management server 31 LAN

Claims (16)

[Claims] 1. An information processing system in a medical institution in which a patient receives a medical treatment at a medical institution, issues a computerized consultation ticket to the patient, and digitizes a process related to operations in the medical institution including medical appointment. The request for issuance of the electronic consultation ticket is received together with the patient information, the patient ID is assigned based on this request, the electronic consultation ticket issued to the patient is accepted, and the patient's medical reservation application, medical treatment application, and payment of the fee Receiving terminal that accepts processing including application, bills the patient based on billing data, and receives payment completion information that is input when the patient completes payment for this bill, and connects to this receiving terminal A patient management server provided at a medical institution, and when receiving a request for issuing an electronic consultation ticket together with patient information from a receiving terminal, issues a patient ID to the patient, The electronic medical examination ticket issuance management means for controlling the issuance of the electronic medical examination ticket in which the patient ID of the patient is recorded to the patient, and registering and managing the patient information and the electronic medical examination ticket based on the patient ID; and When a medical appointment application is received together with the patient ID, a medical appointment suitable for the patient is set based on the existing appointment status, and this medical appointment is recorded on the patient's electronic medical check ticket via the accepting terminal and notified to the patient A medical appointment management means for registering and managing the medical appointment together with the patient ID, and a medical reception means for returning information necessary for medical treatment to the reception terminal for the medical application when receiving a medical application for the patient from the reception terminal. When the application for payment of the cost from the receiving terminal is received together with the patient ID, the invoice data registered and managed for each patient ID is searched, and this invoice data is transmitted to the receiving terminal. A patient management server having payment management means for registering and managing the bill data as paid when receiving payment completion information from the accepting terminal for the bill. Processing system. 2. When a patient is treated at a medical institution, an electronic consultation ticket with a patient ID is issued to the patient, the patient is managed by the patient ID, and the processing related to the operation in the medical institution is digitized. An information processing system in a medical institution that electronically manages medical records performed by a doctor for each patient ID, and is a doctor terminal used by a doctor who performs treatment of a patient. If you accept the electronic identification card issued by the doctor to confirm the validity of the doctor's medical qualification, and receive information that the validity of the doctor has been confirmed as a result of this validation, the patient's computerization A doctor terminal that accepts a consultation ticket and allows a doctor to write medical treatment contents into a patient's electronic medical record displayed as a result of the receipt, and is provided at a medical institution connected to the doctor terminal. A medical record management server, when receiving the electronic ID card information of a doctor from the doctor terminal,
Based on this electronic identification information, the doctor's medical qualification is checked for validity, and if the doctor's legitimacy is confirmed, the doctor's validity confirmation means for returning information to that effect to the doctor's terminal; When the consultation ticket information is received together with the patient ID, an electronic medical record transmitting means for searching or creating the electronic medical record of the patient and transmitting the searched or created electronic medical record to be displayed on the doctor terminal, An electronic medical record written with the medical treatment information and drug prescription data as necessary is received from the doctor terminal while referring to the medical information as needed, and the medical treatment information is written together with the medical treatment information and drug prescription data as necessary. Electronic medical chart with patient
An information processing system in a medical institution, comprising: a medical record management server including electronic medical record management means for registering and managing each ID. 3. When a patient is treated at a medical institution, an electronic consultation ticket with a patient ID is issued to the patient, the patient is managed with the patient ID, and the processing related to operations in the medical institution is digitized. When it is determined that a patient's examination is necessary in the medical treatment performed by a doctor, the patient is examined, the contents of the examination are input together with the patient ID from the examination terminal, and the examination contents are electronically analyzed for each patient ID by the examination data management server. An information processing system in a medical institution managed by a medical institution, which is a test terminal used by an inspector to perform a patient examination, and the electronic status of the inspector to confirm the validity of the inspector If the certificate is accepted, and the validity of the examination person is received as a result of the validity check, the patient's digitized consultation ticket is accepted, and the accepted digitized consultation ticket information is entered into the patient ID, Suffering To the test data management server together with the application for identification of the patient, receive and display the information necessary for the patient's test transmitted from the test data management server as the result of patient validity check, and refer to the displayed information as necessary A test terminal that enables writing of the test content performed while transmitting the written test content to a test data management server; and a test data management server provided in a medical institution connected to the test terminal. If the electronic identification information of the inspector is received from the inspection terminal, the validity of the inspector is confirmed based on the electronic identification information, and if the validity of the inspector is confirmed, If the validity confirmation means to return the information of the patient to the examination terminal and the patient's digitized consultation ticket information is received together with the patient ID and the patient identification application, Performs an identity verification examination and, when it is confirmed that the patient is legitimate, sends information necessary for the patient's examination to the examination terminal and writes it as a result performed while referring to the information necessary for the examination as necessary An information processing system in a medical institution, comprising: a test data management server for registering and managing the examination contents together with the patient ID when receiving the examination contents. 4. When a patient is treated at a medical institution, an electronic consultation ticket with a patient ID is issued to the patient, the patient is managed by the patient ID, and the processing related to the work in the medical institution is digitized. If it is determined that medical treatment is necessary as a result of a medical examination by a doctor, a medical treatment is performed on the patient, the contents of the medical treatment are input together with the patient ID from the treatment terminal, and the medical treatment is performed for each patient ID by the treatment management server. An information processing system in a medical institution for electronically managing the contents of a treatment, a treatment terminal used by a medical treatment person to perform a medical treatment on a patient, and confirming the validity of the medical treatment person If the medical treatment staff accepts the electronic identification card and receives the information indicating that the medical treatment staff has been validated as a result of this validation, accept the patient's computerized medical examination ticket, The received electronic consultation ticket information is transmitted to the treatment management server together with the patient ID and the patient identification application, and as a result of confirming that the patient is a valid patient, writing of the contents of the medical treatment is permitted from the treatment management server. Upon receiving the information to the effect, the medical treatment content can be written and the written medical treatment content is transmitted to the treatment management server, and the treatment management server provided in the medical institution connected to the treatment terminal. Then, when receiving the electronic identification information of the medical treatment person from the treatment terminal, the validity of the medical treatment person is confirmed based on the electronic identification information, and the validity of the medical treatment person is confirmed. If this is the case, the validity confirmation means that returns information to that effect to the treatment terminal, and if the patient's digitized consultation ticket information is received along with the patient ID and patient identification application, Based on the identity verification application, the patient's identity is reviewed, and if it is confirmed that the patient is a legitimate patient, information to permit writing of the medical treatment is sent to the treatment terminal and written from the treatment terminal. An information processing system in a medical institution, comprising: a treatment management server for registering and managing a medical treatment content together with a patient ID when receiving the received medical treatment content. 5. A medical institution that issues an electronic consultation ticket with a patient ID to a patient when treating the patient at the medical institution, manages the patient with the patient ID, and digitizes the processing related to the work in the medical institution. An in-hospital information processing system, which is used by a pharmacist to acquire and administer medicine data, and to collect and register each medicine data generated as necessary in medical treatment and medical treatment of a patient in a medical institution. The treatment terminal has a treatment terminal, and the treatment terminal is used for a pharmacist's qualification examination to be performed when a pharmacist obtains medicine data necessary for dispensing a medicine used in a medical institution from a hospital medicine management server. Accepts the electronic identification card issued to the pharmacist, and transmits the electronic identification card information to the in-hospital medicine management server together with a drug data access permission application. A pharmacist electronic identification card transmitting means, and a request for transmitting drug data that needs to be paid out in accordance with the access permission information received from the in-hospital drug management server as a result of the pharmacist's qualification being validated in this pharmacist's qualification examination is sent to the patient ID A medicine data transmission requesting means for making the medicine data transmission request to the in-hospital medicine management server together with the medicine data transmission request. ID
A means for transmitting a medicine ID ready for dispensing to be transmitted to the in-hospital drug management server, and accepting an electronic identification card issued to the nurse for the purpose of a qualification check of a nurse who requires dispensing of the medicine. Nurse's electronic identification card transmitting means for transmitting the identification card information to the in-hospital drug management server together with the medicine dispensing request, and dispensing permission information from the in-hospital medicine management server as a result of the nurse's qualification being verified by the nurse's qualification examination Received, the nurse sends out the medicine in order to administer the medicine to the patient according to the dispensing permission. A dispensing medicine notifying unit for receiving a registration completion notice from the server; and the in-hospital medicine management server includes a medicine transmitted from the treatment terminal. If the pharmacist's digitized identification information is received together with the drug data access permission application, the pharmacist's qualification is examined, and if the qualification examination result shows that the pharmacist's qualification is valid, the access permission information for the pharmacist is transmitted to the treatment terminal. An access permission transmitting unit for receiving, when receiving a medicine data transmission request from the treatment terminal together with the patient ID, a medicine data search transmitting unit for searching for the medicine data based on the patient ID and transmitting the medicine data to the treatment terminal; When the completed medicine ID is received together with the patient ID, the medicine preparation registering means for registering and managing the medicine ID ready for dispensing with the patient ID, and dispensing the nurse's electronic identification information transmitted from the treatment terminal to the medicine. If received along with the request, the qualification of the nurse is examined, and if the result of the qualification examination indicates that the nurse's qualification is A dispensing permission transmitting unit for transmitting dispensing permission information to the treatment terminal, and when the dispensing completed medicine information is received from the treatment terminal together with the patient ID, the dispensing completed medicine information is registered and managed as dispensing history information based on the patient ID. ,
A medical institution information processing system, comprising: a payout history registration management unit that transmits a registration completion notification to a treatment terminal. 6. A medical institution that issues a computerized consultation ticket with a patient ID to a patient when treating the patient at the medical institution, manages the patient with the patient ID, and digitizes the processing related to operations in the medical institution. An internal information processing system, wherein medical treatment contents and medical treatment information and drug prescriptions which are electronically written in a patient's electronic medical record registered and managed for each patient ID as a result of treating the patient, as necessary Data, patient ID as a result of patient examination
Examination contents of patients registered and managed for each patient, medical treatment contents of patients registered for each patient ID as a result of medical treatment of patients, patient ID as a result of administering medicines to patients and dispensing medicines An accounting management server that aggregates the dispensing completed drug information registered and managed as dispensing history information for each patient ID, and registers and manages each patient ID as cost claim data. Receipt of billing data registered and managed for each patient, registration and management as billing data for each patient ID, and registration management for each patient ID when receiving a payment application from the receiving terminal together with the patient ID When the invoice data is retrieved, the retrieved invoice data is transmitted to the receiving terminal, and when payment completion information is received from the receiving terminal for the request, the invoice data cost When the patient management server registers and manages the payment as paid, and accepts the electronic consultation ticket and accepts the application for payment of the cost from the patient, the application for payment of this cost is transmitted to the patient management server together with the patient ID, and the payment of this cost is performed. Upon receiving the invoice data of the patient ID from the patient management server for the application, a fee is charged to the patient based on this invoice data, and the payment entered when the patient completes the payment for this request And a receiving terminal for transmitting the payment completion information to the patient management server upon receiving the completion information. 7. The patient management server according to claim 1, the chart management server according to claim 2, the examination data management server according to claim 3, the treatment management server according to claim 4, and the claim 5.
7. An in-hospital drug management server, and an overall management server that overall manages the accounting management server according to claim 6, wherein the overall management server electronically transmits a patient's electronic signal from a receiving terminal to the patient management server. Processing for the request for issuing a medical consultation ticket, assigning a patient ID based on this request, accepting the electronic consultation ticket issued to the patient, and processing including the application for medical appointment reservation, medical treatment application, and payment of expenses from the patient Instructing, validating the qualification of the doctor based on the computerized identification information of the doctor received from the doctor terminal for the medical record management server, searching or creating a patient's electronic medical record based on the patient's computerized consultation ticket information, The doctor instructs registration management for each patient ID of the electronic medical record in which the medical treatment contents are written from the doctor terminal from the doctor terminal, and the examination data received from the examination terminal to the examination data management server. Confirmation of the qualification of the person in charge of the examination based on the electronic identification information of the patient, identification of the patient based on the electronic consultation ticket of the patient received from the examination terminal, and for each patient ID of the examination contents written as a result of the examination Instructs the registration management of the medical treatment staff based on the electronic identification information of the medical treatment staff received from the treatment terminal to the treatment management server, and confirms the validity of the qualification of the medical treatment staff based on the identification information of the patient received from the treatment terminal. Identification of the patient based on the medical consultation ticket, instructing the registration management for each patient ID of the medical treatment content written from the treatment terminal by the medical treatment staff, the pharmacist received from the treatment terminal to the in-hospital medicine management server Checking the validity of the pharmacist's qualification based on the electronic identification information, searching for the drug data in response to the request for transmission of the drug data from the treatment terminal, transmitting it to the treatment terminal, and preparing the medicine for dispensing Registration management for each patient ID of the ID, confirmation of the validity of the qualification of the nurse based on the electronic identification information of the nurse received from the treatment terminal, and transmission of the disbursement permission information to the nurse based on the confirmation result The medical treatment contents for each patient ID from the chart management server, the examination contents for each patient ID from the examination data management server, the medical treatment contents for each patient ID from the treatment management server, and in-hospital drug management for the accounting management server. An information processing system in a medical institution, wherein a total of dispensing completed medicine information for each patient ID from a server and registration management for each patient ID are instructed as cost billing data. 8. An information processing method in a medical institution in which, when a patient receives medical treatment at a medical institution, an electronic consultation ticket is issued to the patient, and processing relating to operations in the medical institution including medical appointment is digitized. The terminal receives the request for issuing an electronic consultation ticket from the patient together with the patient information, and transmits the received request for issuing the electronic consultation ticket to the patient management server together with the patient information. When a request for issuing a consultation ticket is received together with the patient information, a patient ID is issued to the patient, and an electronic consultation ticket in which the patient ID is recorded is controlled so as to be issued to the patient. Registration and management of tickets, the accepting terminal accepts the patient's digitized consultation ticket and accepts the application process including patient appointment, medical appointment application, consultation application, and payment of expenses together with the patient ID The patient management server sends these application processes together with the patient ID to the patient management server.If the patient management server receives the patient's medical treatment reservation application together with the patient ID from the receiving terminal, the patient management server sets a medical treatment reservation suitable for the patient from the existing reservation status When the medical appointment is recorded on the patient's digitized medical examination ticket via the receiving terminal and notified to the patient, the medical appointment is registered and managed together with the patient ID, and the patient's medical application is received from the receiving terminal In response to this medical application, information required for medical treatment is returned to the receiving terminal, and when the application for payment of the cost from the receiving terminal is received together with the patient ID, the billing data registered and managed for each patient ID is searched. , Transmitting the bill data to the receiving terminal, and receiving the bill data from the patient management server, the receiving terminal bills the patient based on the bill data. The patient management server receives payment completion information that is input when payment is completed by the patient for this request, and, when receiving the payment completion information from the receiving terminal, registers and manages the cost as paid. An information processing method in a medical institution, characterized in that: 9. When a patient is treated at a medical institution, an electronic consultation ticket with a patient ID is issued to the patient, the patient is managed with the patient ID, and the processing related to operations within the medical institution is digitized. This is an information processing method in a medical institution that electronically manages medical records performed by doctors for each patient ID.A doctor terminal used by a doctor who treats a patient uses a doctor's terminal when treating a patient. Accepted the electronic identification card issued to the physician to confirm the validity of the medical qualification, and the medical record management server connected to the doctor terminal and provided at the medical institution received the doctor's electronic identification information from the doctor terminal If
The validity of the medical qualification of the doctor is confirmed based on this digitized identification information, and if the validity of the doctor is confirmed, the information to that effect is returned to the doctor terminal. When receiving the information indicating that the validity has been confirmed, the computerized medical examination ticket of the patient is accepted, and the electronic medical examination ticket information is transmitted to the medical record management server together with the patient ID recorded on the electronic medical examination ticket, When receiving the patient's digitized consultation ticket information together with the patient ID from the doctor terminal, the management server searches or creates the patient's electronic medical record, and transmits the searched or created electronic medical record to display on the doctor terminal. When the doctor terminal receives the patient's electronic medical record from the medical record management server,
This electronic medical record is displayed, and the doctor writes the contents of medical treatment performed by the doctor to the electronic medical record while referring to the displayed electronic medical record as necessary, and writes medical treatment information and drug prescription data to the electronic medical record as necessary. The medical record management server receives from the physician terminal an electronic medical record written with medical treatment information and drug prescription data as needed, and the medical treatment information and medical treatment information and medical prescription data as needed. An information processing method in a medical institution, wherein an electronic medical record written together with drug prescription data is registered and managed for each patient ID. 10. When a patient is treated at a medical institution, an electronic medical examination ticket with a patient ID is issued to the patient,
It manages patients by patient ID, digitizes the processing related to the work in the medical institution, and examines the patient when it is determined that the patient's examination is necessary in the medical treatment performed by the doctor, and examines the contents of this examination. This is an information processing system in a medical institution that electronically manages the test contents for each patient ID by the test data management server, and is used by doctors and laboratory technicians to perform patient tests. The terminal accepts the electronic identification card of the doctor and the laboratory technician to confirm the validity of the doctor and the laboratory technician, and the test data management server provided in the medical institution connected to the inspection terminal transmits the doctor and the laboratory When each of the technicians receives the digitized identification information, the validity of the physician and the laboratory technician is confirmed based on the respective digitized identification information, and the If the validity of the physician and the laboratory technician is confirmed as a result of the validity confirmation from the test data management server, the If received, accept the patient's electronic consultation ticket,
The received electronic consultation ticket information is transmitted to the examination data management server together with the patient ID and the patient identification application, and the examination data management server transmits the patient's electronic consultation ticket information from the examination terminal to the patient ID and identifies the patient. If received along with the application, perform a patient identity review based on this patient identity review application, and when it is confirmed that the patient is a valid patient, send the information required for patient examination to the examination terminal, The examination terminal receives and displays the information necessary for the examination of the patient from the examination data management server, and enables to write the examination contents performed while referring to the displayed information as necessary. Is transmitted to the inspection data management server, and the inspection data management server refers to the information necessary for the inspection as necessary and writes the inspection written as a result. Upon receiving the content, medical institution information processing method for the examination content and registers managed with patient ID. 11. When a patient is treated at a medical institution, an electronic consultation ticket with a patient ID is issued to the patient,
The patient is managed by the patient ID, the processing related to the work in the medical institution is digitized, and when it is determined that medical treatment is necessary as a result of the medical treatment by the doctor, the patient is treated with medical treatment and the medical treatment is performed. This is an information processing method in a medical institution in which the treatment content is input together with the patient ID from the treatment terminal, and the treatment management server electronically manages the medical treatment content for each patient ID. The treatment terminal used by the treatment staff accepts the electronic identification card of the medical treatment staff in order to confirm the validity of the medical treatment staff, and transmits the accepted electronic identification card of the medical treatment staff to the treatment management server. When the treatment management server provided in the medical institution connected to the treatment terminal receives the digitized identification information of the medical treatment person from the treatment terminal, the medical treatment management server is configured based on the digitized identification information. Check the legitimacy of the treatment technician, and if the legitimacy of the medical treatment clerk is confirmed, return information to that effect to the treatment terminal. When the information of the confirmation is received, an electronic consultation ticket of the patient is accepted, the accepted electronic consultation ticket information is transmitted to the treatment management server together with the patient ID and the patient identification application, and the treatment management server When the patient's digitized consultation ticket information is received from the treatment terminal together with the patient ID and the patient identification application, the patient's identity is reviewed based on the patient's identification application, and the patient is confirmed to be a valid patient Then, the information to the effect that writing of the contents of the medical treatment is permitted is transmitted to the treatment terminal, and the treatment terminal writes the contents of the medical treatment from the treatment management server as a result of confirming that the patient is a valid patient. Receiving the information that the medical treatment is permitted, the medical treatment contents can be written, and the medical treatment contents written by the medical treatment person are transmitted to the treatment management server, and the treatment management server writes the medical treatment contents written from the treatment terminal. An information processing method in a medical institution, wherein upon receiving the treatment content, the medical treatment content is registered and managed together with the patient ID. 12. When a patient is treated at a medical institution, an electronic consultation ticket with a patient ID is issued to the patient,
This is an information processing method in a medical institution that manages patients by a patient ID and digitizes processing related to operations in the medical institution, and collects each drug data generated as necessary in medical treatment and medical treatment of a patient in the medical institution. An in-hospital drug management server for registration and management, and a treatment terminal used by a pharmacist to acquire drug data are provided, and the treatment terminal is a drug necessary for the pharmacist to dispense a drug used in a medical institution. For the pharmacist's qualification examination, which is carried out when acquiring data from the in-hospital drug management server, the in-hospital drug management server accepts the electronic identification card issued to the pharmacist, together with the drug data access permission application. The in-hospital drug management server transmits the pharmacist's digitized identification information transmitted from the treatment terminal with the drug data access permission application. When received, the pharmacist's qualification is examined, and as a result of the qualification examination, if the pharmacist's qualification is valid, the access permission information for the pharmacist is transmitted to the treatment terminal. If the access permission information is received from the in-hospital drug management server as a result of the validity of the in-hospital drug, a request for transmission of the drug data that needs to be paid out is made to the in-hospital drug management server together with the patient ID in accordance with the access permission information, and the in-hospital drug is When receiving the medicine data transmission request from the treatment terminal together with the patient ID, the management server searches the medicine data based on the patient ID and transmits the medicine data to the treatment terminal, and the treatment terminal responds to the medicine data transmission request with the in-hospital medicine. When the medicine data is received from the management server, the medicine is dispensed as a result of the completion of the dispensing of the medicine by the pharmacist based on the medicine data. The prepared medicine ID is transmitted to the in-hospital medicine management server together with the patient ID. When the in-hospital medicine management server receives the dispensed-prepared medicine ID together with the patient ID from the treatment terminal, the in-hospital medicine management server registers and manages the dispensed-prepared medicine ID with the patient ID. The treatment terminal accepts the electronic identification card issued to the nurse for the qualification check of the nurse who needs to pay out the medicine, and transmits the electronic identification information together with the medicine payout request to the in-hospital medicine management server. When the hospital medicine management server receives the nurse's electronic identification information transmitted from the treatment terminal together with the medicine dispensing request, the hospital medicine management server examines the qualification of the nurse. If the qualification is valid, the dispensing permission information for the nurse is transmitted to the treatment terminal, and the treatment terminal determines that the qualification of the nurse is valid in the nurse qualification examination. When the dispensing permission information is received from the in-hospital drug management server, the dispensing completed drug information is notified to the in-hospital drug management server together with the patient ID as a result of the dispensing of the drug by the nurse according to the dispensing permission to administer the drug to the patient. Upon receiving the registration completion notification from the in-hospital drug management server, the in-hospital drug management server receives the dispensed completed drug information from the treatment terminal together with the patient ID, and uses the dispensed completed drug information as dispensing history information as a patient history information. While managing registration based on ID,
An information processing method in a medical institution, wherein a notification of registration completion is transmitted to a treatment terminal. 13. When a patient is treated at a medical institution, an electronic consultation ticket with a patient ID is issued to the patient,
An information processing method in a medical institution that manages a patient by a patient ID and digitizes a process related to a business in the medical institution, wherein the accounting management server registers and manages each patient ID as a result of treating the patient. Medical treatment information and medical prescription data and drug prescription data that are written electronically in the electronic medical record of the patient if necessary, and the patient ID as a result of examining the patient
Patient's examination contents registered and managed for each patient, patient's medical treatment contents registered for each patient ID as a result of medical treatment of the patient, patient ID as a result of administering medicine to the patient and dispensing the medicine Dispensing completed medicine information registered and managed as dispensing history information for each patient ID is tabulated and registered as expense claim data for each patient ID. Receiving the billing data registered and managed for each patient, registering and managing as billing data for each patient ID, and the receiving terminal The payment application is sent to the patient management server together with the patient ID, and the patient management server registers and manages the patient ID for each patient ID when receiving the payment application together with the patient ID from the receiving terminal. Searching for the bill data, and transmitting the searched bill data to the receiving terminal. The receiving terminal receives the bill data of the patient ID from the patient management server in response to the application for payment of the cost, The patient is billed for the cost based on the bill data, and when the patient receives payment completion information input when the payment is completed by the patient, the payment completion information is transmitted to the patient management server, and the patient management is performed. When receiving the payment completion information from a receiving terminal, the server registers and manages the bill data as paid and manages the bill data. 14. The patient management server according to claim 1, the medical chart management server according to claim 2, the examination data management server according to claim 3, the treatment management server according to claim 4, and the in-hospital drug management according to claim 5. 7. A server and an overall management server for overall managing the accounting management server according to claim 6, wherein the overall management server issues a patient's digitized medical examination ticket from a receiving terminal to the patient management server. In response to the request, a patient ID is assigned based on the request, an electronic consultation ticket issued to the patient is accepted, and a process including a medical appointment reservation application, a medical treatment application, and an expense payment application from the patient is instructed. Validation of the qualification of the physician based on the doctor's electronic identification information accepted from the doctor terminal to the management server, search of the patient's electronic medical record based on the patient's electronic consultation ticket information or Instructed by the doctor from the doctor terminal to perform registration management for each patient ID of the electronic medical record in which the medical treatment contents have been written, and based on the computerized identification information of the examination staff received from the examination terminal to the examination data management server. Instructed to confirm the validity of the qualification of the examination person, confirm the identity of the patient based on the patient's digitized medical consultation ticket received from the examination terminal, and register and manage the examination contents written as a result of the examination for each patient ID. Verification of the qualification of the medical treatment staff based on the electronic identification information of the medical treatment staff received from the treatment terminal to the management server, and identification of the patient based on the electronic medical consultation ticket of the patient received from the treatment terminal Instructed by the medical treatment staff to register and manage the medical treatment contents written from the treatment terminal for each patient ID, and transmitted to the in-hospital medicine management server the pharmacist's electronic mail received from the treatment terminal. Confirmation of the validity of the pharmacist's qualification based on the incarnation identification information, search of the medicine data in response to the medicine data transmission request from the treatment terminal and transmission to the treatment terminal, registration management of the medicine ID for which the dispensing preparation is completed for each patient ID, treatment terminal The nurse's qualification based on the electronic identification information of the nurse received from the user, and instructs the nurse to transmit payout permission information to the nurse based on the confirmation result. Medical treatment contents for each patient ID from the server, examination contents for each patient ID from the examination data management server, medical treatment contents for each patient ID from the treatment management server, dispensing completed medicine information for each patient ID from the in-hospital medicine management server A method for processing information in a medical institution, wherein registration management for each patient ID is instructed as totalization and cost billing data. 15. The patient management server according to claim 1, the medical chart management server according to claim 2, the examination data management server according to claim 3, the treatment management server according to claim 4, and the in-hospital drug management according to claim 5. 7. A server and an overall management server for overall managing the accounting management server according to claim 6, wherein the overall management server issues a patient's digitized medical examination ticket from a receiving terminal to the patient management server. In response to the request, a patient ID is assigned based on the request, an electronic consultation ticket issued to the patient is accepted, and a process including a medical appointment reservation application, a medical treatment application, and an expense payment application from the patient is instructed. Validation of the qualification of the physician based on the doctor's electronic identification information accepted from the doctor terminal to the management server, search of the patient's electronic medical record based on the patient's electronic consultation ticket information or Instructed by the doctor from the doctor terminal to perform registration management for each patient ID of the electronic medical record in which the medical treatment contents have been written, and based on the computerized identification information of the examination staff received from the examination terminal to the examination data management server. Instructed to confirm the validity of the qualification of the examination person, confirm the identity of the patient based on the patient's digitized medical consultation ticket received from the examination terminal, and register and manage the examination contents written as a result of the examination for each patient ID. Verification of the qualification of the medical treatment staff based on the electronic identification information of the medical treatment staff received from the treatment terminal to the management server, and identification of the patient based on the electronic medical consultation ticket of the patient received from the treatment terminal Instructed by the medical treatment staff to register and manage the medical treatment contents written from the treatment terminal for each patient ID, and transmitted to the in-hospital medicine management server the pharmacist's electronic mail received from the treatment terminal. Confirmation of the validity of the pharmacist's qualification based on the incarnation identification information, search of the medicine data in response to the medicine data transmission request from the treatment terminal and transmission to the treatment terminal, registration management of the medicine ID for which the dispensing preparation is completed for each patient ID, treatment terminal The nurse's qualification based on the electronic identification information of the nurse received from the user, and instructs the nurse to transmit payout permission information to the nurse based on the confirmation result. Medical treatment contents for each patient ID from the server, examination contents for each patient ID from the examination data management server, medical treatment contents for each patient ID from the treatment management server, dispensing completed medicine information for each patient ID from the in-hospital medicine management server The information processing program in a medical institution, which instructs registration management for each patient ID as totalization and cost billing data. 16. The patient management server according to claim 1, the medical chart management server according to claim 2, the examination data management server according to claim 3, the treatment management server according to claim 4, and the hospital medicine management according to claim 5. 7. A server and an overall management server for overall managing the accounting management server according to claim 6, wherein the overall management server issues a patient's digitized medical examination ticket from a receiving terminal to the patient management server. In response to the request, a patient ID is assigned based on the request, an electronic consultation ticket issued to the patient is accepted, and a process including a medical appointment reservation application, a medical treatment application, and an expense payment application from the patient is instructed. Validation of the qualification of the physician based on the doctor's electronic identification information accepted from the doctor terminal to the management server, search of the patient's electronic medical record based on the patient's electronic consultation ticket information or Instructed by the doctor from the doctor terminal to perform registration management for each patient ID of the electronic medical record in which the medical treatment contents have been written, and based on the computerized identification information of the examination staff received from the examination terminal to the examination data management server. Instructed to confirm the validity of the qualification of the examination person, confirm the identity of the patient based on the patient's digitized medical consultation ticket received from the examination terminal, and register and manage the examination contents written as a result of the examination for each patient ID. Verification of the qualification of the medical treatment staff based on the electronic identification information of the medical treatment staff received from the treatment terminal to the management server, and identification of the patient based on the electronic medical consultation ticket of the patient received from the treatment terminal Instructed by the medical treatment staff to register and manage the medical treatment contents written from the treatment terminal for each patient ID, and transmitted to the in-hospital medicine management server the pharmacist's electronic mail received from the treatment terminal. Confirmation of the validity of the pharmacist's qualification based on the incarnation identification information, search of the medicine data in response to the medicine data transmission request from the treatment terminal and transmission to the treatment terminal, registration management of the medicine ID for which the dispensing preparation is completed for each patient ID, treatment terminal The nurse's qualification based on the electronic identification information of the nurse received from the user, and instructs the nurse to transmit payout permission information to the nurse based on the confirmation result. Medical treatment contents for each patient ID from the server, examination contents for each patient ID from the examination data management server, medical treatment contents for each patient ID from the treatment management server, dispensing completed medicine information for each patient ID from the in-hospital medicine management server A recording medium on which an information processing program in a medical institution is recorded, which instructs registration management for each patient ID as tallying and cost billing data.