JP2003108675A - System and method for information desk of medical institution - Google Patents
System and method for information desk of medical institutionInfo
- Publication number
- JP2003108675A JP2003108675A JP2001295982A JP2001295982A JP2003108675A JP 2003108675 A JP2003108675 A JP 2003108675A JP 2001295982 A JP2001295982 A JP 2001295982A JP 2001295982 A JP2001295982 A JP 2001295982A JP 2003108675 A JP2003108675 A JP 2003108675A
- Authority
- JP
- Japan
- Prior art keywords
- medical
- insurance
- personal information
- institution
- user
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
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- 238000000034 method Methods 0.000 title claims abstract description 88
- 238000012545 processing Methods 0.000 claims abstract description 120
- 238000007726 management method Methods 0.000 claims abstract description 71
- 239000003814 drug Substances 0.000 claims abstract description 51
- 230000008859 change Effects 0.000 claims abstract description 13
- 238000011282 treatment Methods 0.000 claims description 125
- 238000004891 communication Methods 0.000 claims description 57
- 230000008520 organization Effects 0.000 claims description 34
- 229940079593 drug Drugs 0.000 claims description 23
- 230000008569 process Effects 0.000 claims description 12
- 238000012805 post-processing Methods 0.000 claims description 8
- 230000004044 response Effects 0.000 claims description 8
- 238000012546 transfer Methods 0.000 claims description 4
- 230000036541 health Effects 0.000 claims description 3
- 238000003745 diagnosis Methods 0.000 claims 1
- 229940124447 delivery agent Drugs 0.000 abstract 1
- 230000006870 function Effects 0.000 description 12
- 238000010586 diagram Methods 0.000 description 7
- 230000000694 effects Effects 0.000 description 6
- 238000012790 confirmation Methods 0.000 description 2
- 238000012377 drug delivery Methods 0.000 description 2
- 230000010365 information processing Effects 0.000 description 2
- 238000004458 analytical method Methods 0.000 description 1
- 230000004397 blinking Effects 0.000 description 1
- 238000004364 calculation method Methods 0.000 description 1
- 230000001419 dependent effect Effects 0.000 description 1
- 230000001815 facial effect Effects 0.000 description 1
- 239000012567 medical material Substances 0.000 description 1
- 230000000306 recurrent effect Effects 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
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- Medical Treatment And Welfare Office Work (AREA)
Abstract
Description
【0001】[0001]
【発明の属する技術分野】本発明は医療機関が利用者の
診療申し込みを受付けるシステムや方法に関し、特に利
用者の携帯電話等の端末からの診療申し込みを受け、保
険機関サーバに保険証番号の与信を依頼し、受付処理し
結果を端末に通知する医療機関受付システムや方法、更
にICカード保険証による受付や、薬の配達や、医療費
の自動引き落としも指定出来る医療機関受付システムや
方法に関する。BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a system and method for a medical institution to accept a user's medical care application, and in particular to receive a medical application from a user's terminal such as a mobile phone and credit the insurance institution server with an insurance card number. The present invention relates to a medical institution reception system and method for requesting, receiving and processing the result and notifying the result to a terminal, and further to a medical institution reception system and method capable of specifying reception by an IC card insurance card, drug delivery, and automatic deduction of medical expenses.
【0002】[0002]
【従来の技術】従来の医療機関における診療申込み手続
きは証明書(保険証等)の提出及び専用シートへ受診
科、氏名、生年月日、住所、電話番号等を筆記具にて記
入する必要がある。又申し込みの時間的な制限もあり、
窓口で待たされる場合もある。2. Description of the Related Art In the conventional medical application procedure at a medical institution, it is necessary to submit a certificate (insurance card, etc.) and fill in a dedicated sheet with a medical examination department, name, date of birth, address, telephone number, etc. with a writing instrument. . There is also a time limit for application,
You may have to wait at the window.
【0003】診察申込みを終えた申込者(患者)に受診
できる時刻を通知する手だてや通知した後に予定より早
くなったり、遅くなった場合に再通知する効率的な手だ
てもない。It is neither an efficient way to notify the applicant (patient) who has completed the medical examination application of the time when he / she can receive the medical examination, nor an efficient means of re-notifying him / her when it becomes earlier or later than scheduled after the notification.
【0004】また受診の予約を電話で行えるが、通知し
た診療開始予定時間を変更せざるを得ない場合に医療機
関側が各予約者の該当者に電話による口答で通知するの
は手間がかかる。Further, although it is possible to make a reservation for a medical examination by telephone, it is troublesome for the medical institution side to notify the person of each reservation person by telephone orally when the notified medical treatment start time has to be changed.
【0005】又、受診後にも薬等を病院の支給窓口で受
け取るのに長く待たされることもある。In addition, even after receiving the medical examination, it may take a long time to receive the medicine or the like at the hospital supply window.
【0006】又、旅行先等で急病に陥った場合等で掛か
り付けの病院での診療ができない場合や、転院した場合
にそれ迄の医療機関の所見や診療記録を速やかに入手し
たいこともある。[0006] Further, there may be a case where it is necessary to promptly obtain the findings and medical records of a medical institution up to then when medical treatment cannot be carried out at a hospital in case of sudden illness at a travel destination etc. or when the patient is transferred. .
【0007】[0007]
【発明が解決しようとする課題】従って、上記従来の診
療申込み方式では保険証の持参が必須であり、又筆記具
による専用シートへの記入も手間が掛かり、時間帯制限
があり待たされることもあるので患者への負担が大きい
という第1の問題がある。Therefore, in the above-mentioned conventional medical application system, it is necessary to bring an insurance card, and it takes time and effort to fill in a dedicated sheet with a writing instrument, and there are times when there are restrictions due to time zones. Therefore, there is the first problem that the burden on the patient is large.
【0008】又、診察申込みを終えた患者に受診開始予
定時刻を通知し、予定変更となった際に再通知する効率
的な手段がないので患者は待ち合わせ窓口や場所に拘束
される、或いは予約時間の変更通知が実施されず患者が
時間を無駄にするという第2の問題がある。[0008] Further, there is no efficient means for notifying a patient who has completed the medical examination application of the scheduled start time of the medical examination and re-notifying when the schedule is changed, so that the patient is restrained at a meeting point or place, or reserved. There is a second problem that the patient wastes time because the time change notification is not performed.
【0009】又、受診後にも薬等を病院の支給窓口で受
け取るのに待たされることもあり患者への負担になると
いう第3の問題がある。Further, there is a third problem in that the patient may be burdened with the fact that he or she may be kept waiting to receive the medicine or the like at the hospital supply window even after the medical examination.
【0010】又、それ迄の医療機関の所見や診療記録を
入手したい場合にも電子化された診療記録がなかった
り、入手先の通信アドレスが分からない場合が多く時間
が掛かるという第4の問題がある。Further, even if it is desired to obtain the findings and medical records of medical institutions so far, it is often the case that there is no computerized medical record or the communication address of the acquisition destination is unknown, which often takes time. There is.
【0011】[0011]
【課題を解決するための手段】本発明の第1の医療機関
の受付システムは、医療機関はサーバを備え、医療機関
の利用者が加入している健康保険組織である保険機関は
前記医療機関サーバに通信接続されたサーバと、保険証
の元帳として加入者の保険証番号に対応付けそのパスワ
ードである固有IDと加入者の個人情報を保持するデー
タベースを備え、前記医療機関サーバは利用者の診療申
込みを受付ける受付処理手段を備え、この受付処理手段
は利用者の初診申込み時に利用者の保険証番号と氏名、
生年月日、現住所、電話番号を含む個人情報を取得し、
これらの情報を属する保険機関のサーバに送信し、保険
機関のサーバは受信した保険証番号と個人情報を前記デ
ータベースと照合し、符合すれば保険証番号の与信応答
を行い、これにより受付処理手段は正当な保険証が提示
されたのと同様に扱い取得した前記情報により診療の受
付処理をすることを特徴とする。According to a first aspect of the present invention, there is provided a reception system for a medical institution, wherein the medical institution has a server and the user of the medical institution is a health insurance organization to which the insurance institution belongs. The medical institution server includes a server communicatively connected to the server, a database that holds a unique ID that is a password associated with the insurance card number of the subscriber as a ledger of the insurance card, and personal information of the subscriber. It is equipped with a reception processing means for accepting medical treatment applications, and this reception processing means is the insurance card number and name of the user when applying for the first medical examination of the user.
Obtain personal information including date of birth, current address, and telephone number,
These pieces of information are transmitted to the server of the insurance organization to which the information belongs, and the server of the insurance organization collates the received insurance card number and personal information with the database, and if they match, it sends a credit response of the insurance card number. Is characterized by performing medical treatment acceptance processing based on the acquired and treated information as if a valid insurance card was presented.
【0012】本発明の第2の医療機関の受付システム
は、前記第1の医療機関の受付システムに於いて、前記
医療機関はサーバの他患者管理データを含むデータベー
スも備え、前記医療機関サーバの受付処理手段は前記初
診の受付処理で利用者の保険証番号と個人情報とを患者
管理データに登録し、利用者の再来診療申込み時には利
用者の保険証番号と固有IDを取得し、これらの情報を
属する保険機関サーバに送信し、保険機関サーバは受信
した保険証番号と固有IDと前記データベースとを照合
し、符合すれば保険証番号の与信と対応する加入者の個
人情報の一部を前記医療機関サーバに返信し、これを受
け前記受付処理手段は受信した個人情報で前記患者管理
データを特定しその再来診療申込みを受付け処理するこ
とを特徴とする。A second medical institution reception system of the present invention is the same as the first medical institution reception system, wherein the medical institution also includes a database including patient management data in addition to the server, The reception processing means registers the user's insurance card number and personal information in the patient management data in the reception process of the first medical examination, acquires the user's insurance card number and the unique ID when the user applies for the return visit, and these The information is transmitted to the insurance institution server to which the information belongs, and the insurance institution server collates the received insurance policy number with the unique ID against the database, and if they match, a part of the subscriber's personal information corresponding to the credit of the insurance policy number. In response to the medical institution server, the reception processing means receives the request, specifies the patient management data with the received personal information, and receives the return medical care application processing.
【0013】本発明の第3の医療機関の受付システム
は、医療機関はサーバと患者管理データと診療の稼働予
定と稼働ごとの受付状態を示す診療予定データを含む医
療機関データベースを備え、医療機関の利用者は端末を
備え、保険機関はサーバと保険証の元帳として加入者の
保険証番号に対応付けそのパスワードである固有IDと
加入者の個人情報を保持する個人情報データベースを備
え、利用者端末と医療機関サーバと保険機関サーバがネ
ットワーク接続されたシステムであって、前記医療機関
サーバは利用者の診療申込みを受付ける受付処理手段と
を備え、この受付処理手段は前記利用者端末から診療申
込みを受けると、初診では利用者の保険証番号と氏名、
生年月日、現住所、電話番号を含む個人情報を取得し、
これらの情報を利用者の属する保険機関のサーバに送信
し、保険機関サーバは受信した保険証番号と個人情報を
個人情報データベースと照合し、符合すれば保険証番号
の与信応答を行い、これにより前記受付処理手段は前記
診療予定データを参照し申込みの受付処理を行い前記取
得した保険証番号と個人情報、受付けた診療予定日時を
それぞれ患者管理データ、診療予定データに登録し、再
来では利用者の保険証番号と固有IDを取得しこれを属
する保険機関のサーバに送信し、保険機関サーバは保険
証番号と個有IDを個人情報データベースと照合し、符
合すれば保険証番号の与信とキーとなる個人情報とを応
答し、これにより受付処理手段は前記診療予定データを
参照し申込みの受付処理を行い前記保険証番号とキーと
なる個人情報で患者管理データを特定し、受付処理した
診療予定日時を診療予定データに登録することを特徴と
する。A third medical institution reception system of the present invention is provided with a medical institution including a server, a patient management data, and a medical institution database including medical treatment schedule data indicating a medical treatment operation schedule and a reception state for each operation. User has a terminal, and the insurance organization has a server and a personal information database that holds a personal ID of the subscriber and a unique ID that is a password associated with the insurance card number of the subscriber as a ledger of the insurance card. A system in which a terminal, a medical institution server, and an insurance institution server are network-connected, and the medical institution server includes a reception processing unit that receives a medical application for a user, and the reception processing unit receives a medical application from the user terminal. Upon receiving the first medical examination, the user's insurance card number and name,
Obtain personal information including date of birth, current address, and telephone number,
This information is sent to the server of the insurance organization to which the user belongs, and the insurance organization server collates the received insurance card number and personal information with the personal information database, and if they match, the credit card response of the insurance card number is sent. The reception processing means refers to the medical treatment schedule data to perform application reception processing, register the acquired insurance card number and personal information, and the medical treatment schedule date received in the patient management data and the medical treatment schedule data, respectively. Obtains the insurance card number and unique ID and sends it to the server of the insurance organization to which it belongs. The insurance organization server collates the insurance card number and unique ID with the personal information database, and if they match, the credit and key of the insurance card number. And the personal information as a key, the reception processing means refers to the medical treatment schedule data to perform the processing for reception of the application, and the patient ID and the personal information as a key Identify the management data, and registers the clinic scheduled date and time of the reception processing in the medical schedule data.
【0014】本発明の第4の医療機関の受付システム
は、前記第3の医療機関の受付システムに於いて、前記
保険機関は保険証として加入者に保険証番号と固有ID
と生体情報と個人情報を記録した電子カードを発行し、
前記医療機関は医療機関サーバの他これに通信接続され
た医療機関窓口端末も備え、この医療機関窓口端末は医
療機関の利用者の電子カードを読み書きする手段と利用
者の身体の一部より生体情報を読み取る手段と利用者の
電子カード内容を読み取った際にその内の生体情報と身
体からの生体情報とを照合し電子カードが利用者本人の
ものであることを確認する手段と確認された利用者の診
療申し込みと読み取った保険証番号と個人情報とを医療
機関サーバに送信する手段を備え、前記受付処理手段は
前記利用者端末の他前記医療機関窓口端末からの診療申
込みも受信し、診療申し込みと保険証番号と個人情報を
受けると前記診療予定データを参照し申込みの受付処理
を行い初診では受信した保険証番号と個人情報、受付け
た診療予定日時をそれぞれ患者管理データ、診療予定デ
ータに登録し、再来では利用者の保険証番号と個人情報
で患者管理データを特定し、受付処理した診療予定日時
を診療予定データに登録し、診療予定日時の電子カード
への書き込みを指示することを特徴とする。A fourth medical institution reception system of the present invention is the third medical institution reception system, wherein the insurance institution provides the subscriber with an insurance card number and a unique ID as an insurance card.
And issue an electronic card that records biometric information and personal information,
The medical institution also includes a medical institution server, which is connected to the medical institution server in communication therewith, and the medical institution window terminal is a means for reading and writing an electronic card of a user of the medical institution and a living body from a part of the user's body. It was confirmed that the means for reading information and the content of the electronic card of the user, when the content of the electronic card was read, were compared with the biological information from the body to confirm that the electronic card belongs to the user himself. The medical treatment application of the user and the read insurance card number and personal information are transmitted to the medical institution server, and the reception processing means receives the medical treatment application from the medical institution counter terminal in addition to the user terminal. When receiving the medical application, insurance card number, and personal information, refer to the medical treatment schedule data to process the application, and in the first visit, display the received medical certificate number, personal information, and the date and time of medical treatment received. Registered in the patient management data and the medical treatment schedule data respectively, when returning, the patient management data is specified by the user's insurance number and personal information, and the medical treatment scheduled date and time when the reception process is performed is registered in the medical treatment schedule data. Is instructed to write to the electronic card.
【0015】本発明の第5の医療機関の受付システム
は、前記第4の医療機関の受付システムに於いて、前記
電子カードの個人情報には連絡先も含み、前記受付処理
手段は利用者端末や医療機関窓口端末からの初診申し込
みに際し、利用者の個人情報として連絡先も取得し、前
記初診と再来の受付処理後確定した診療開始予定日時を
前記連絡先の端末や通信機器に送信し、その後の診療予
定に変更が生じると変更後の日時も送信することを特徴
とする。A fifth medical institution reception system of the present invention is the fourth medical institution reception system, wherein the personal information of the electronic card includes a contact information, and the reception processing means is a user terminal. When applying for the first medical examination from the terminal of the medical institution, the contact information is also acquired as the personal information of the user, and the scheduled medical treatment start date and time confirmed after the reception processing of the first medical examination and the return visit is transmitted to the terminal and the communication device of the contact, It is characterized in that when the medical treatment schedule thereafter changes, the date and time after the change is also transmitted.
【0016】本発明の第6の医療機関の受付システム
は、前記第5の医療機関の受付システムに於いて、前記
医療機関データベースには患者管理データや診療予定デ
ータのほか診療のつど登録される診療記録データも含
み、前記医療機関サーバには診療後処理手段も備え、前
記電子カードの個人情報には薬の受け取り場所も含める
ことが出来、前記受付処理手段は利用者端末や医療機関
窓口端末からの初診申し込みに際し、利用者の個人情報
として薬の受け取り場所も取得し、前記受付処理にて個
人情報の一部とし患者管理データに登録し、前記診療後
処理手段は新たに蓄積された診療記録に基づき薬等の準
備を薬局に指示し、その診療記録に対応する患者の管理
データの個人情報に薬の受け取り場所指定があれば準備
された薬等の指定場所への配達を通信接続された指定宅
配業者の端末に指示し、指定宅配業者に配達を行わせる
ことを特徴とする。A sixth medical institution reception system of the present invention is the fifth medical institution reception system, wherein the medical institution database registers patient management data, medical treatment schedule data, and medical treatment every time. The medical institution server also includes medical examination data, medical post-treatment means is provided, and the personal information of the electronic card can include the drug receiving location. The acceptance processing means is a user terminal or medical institution terminal. When applying for the first medical examination from, the drug receiving place is also acquired as the user's personal information, and it is registered in the patient management data as a part of the personal information in the reception processing, and the post-treatment processing means is newly accumulated medical treatment. Instructing the pharmacy to prepare medicines based on the records, and if the receiving location of the medicine is specified in the personal information of the patient management data corresponding to the medical record, the specified location of the prepared medicine, etc. Instructs delivery to the communication connected designated courier terminal, characterized in that to perform delivery to a specified courier.
【0017】本発明の第7の医療機関の受付システム
は、前記第4、第5、又は第6の医療機関の受付システ
ムに於いて、前記医療機関データベースには患者管理デ
ータや診療予定データのほか診療のつど登録される診療
記録データも含み、前記受付処理手段は前記医療機関窓
口端末からの診療申し込みの受付処理後に診療予定日時
のほか医療機関サーバの通信アドレスも電子カードに書
き込む様にし、保険機関サーバは医療機関サーバより利
用者の医療費を請求された際にその送信元の通信アドレ
スを取得しこれを請求された利用者の個人情報に対応づ
けてデータベースに記憶する様にし、医療機関サーバよ
り保険証番号や個人情報を受診すると診療記録が要求さ
れていれば受信した保険証番号や個人情報がデータベー
スと符合する条件で前記個人情報に対応した通信アドレ
スも送信することを特徴とする。A seventh medical institution reception system of the present invention is the fourth, fifth or sixth medical institution reception system, wherein the medical institution database stores patient management data and medical treatment schedule data. Also includes medical record data to be registered each time of medical treatment, the reception processing means to write the medical treatment scheduled date and time as well as the communication address of the medical institution server to the electronic card after the medical treatment application reception processing from the medical institution counter terminal, When the medical institution server charges the user for medical expenses from the medical institution server, the insurance institution server acquires the communication address of the sender and stores it in the database in association with the personal information of the invoiced user. If you receive a medical record from an institution server and receive a medical record, under the condition that the received medical record number and personal information match the database. Communication address corresponding to the serial personal information and transmits.
【0018】本発明の第8の医療機関の受付システム
は、前記第5、又は第6の医療機関の受付システムに於
いて、前記医療機関の利用者が口座をもつ金融機関が、
金融機関サーバと利用者の口座情報を含む口座情報デー
タベースを備え、金融機関サーバは前記医療機関サーバ
が接続されたネットワークに接続され、前記電子カード
の個人情報には利用者の金融機関口座番号も含めること
が出来、前記医療機関データベースは患者管理データや
診療予定データの他、診療のつど登録される診療記録デ
ータも含み、前記医療機関サーバには前記受付処理手段
のほか診療後処理手段も備え、前記受付処理手段は利用
者端末や医療機関窓口端末からの初診申し込みに際し、
利用者の個人情報として金融機関口座番号も取得し、前
記受付処理にて個人情報の一部とし患者管理データに登
録し、前記診療後処理手段は新たに蓄積された診療記録
とそれに対応する患者管理データを用い医療費の本人負
担額を算出し、対応する患者管理データの個人情報より
前記金融機関口座番号を取得し、これと本人負担額とを
伴い該当する金融機関サーバに前記口座番号より医療機
関の口座への振り込みを指示することを特徴とする。An eighth medical institution reception system of the present invention is the reception system of the fifth or sixth medical institution, wherein the financial institution with which the user of the medical institution has an account is
A financial institution server and an account information database including user's account information are provided, the financial institution server is connected to the network to which the medical institution server is connected, and the personal information of the electronic card also includes the financial institution account number of the user. The medical institution database includes not only patient management data and medical treatment schedule data but also medical record data registered each time of medical treatment, and the medical institution server includes post-treatment processing means in addition to the reception processing means. , The reception processing means, when applying for the first medical examination from the user terminal or the medical institution counter terminal,
The financial institution account number is also acquired as the user's personal information, and is registered in the patient management data as a part of the personal information in the reception processing, and the medical treatment post-processing means stores the newly accumulated medical record and the corresponding patient. Calculate the medical expenses borne by the management person using the management data, obtain the financial institution account number from the personal information of the corresponding patient management data, and from the account number to the corresponding financial institution server with this and the borne by the person Characterized by instructing transfer to a medical institution account.
【0019】本発明の第1の医療機関の受付方法は、保
険機関は保険証の元帳として加入者の保険証番号に対応
付けそのパスワードである固有IDと加入者の個人情報
をデータベースとして保持する手順と、医療機関より受
信した保険証番号と個人情報或いは固有IDを前記デー
タベースと照合し符合すれば保険証番号の与信、或いは
与信と個人情報の一部を応答する手順とを含み、医療機
関は利用者の初診申込み時に利用者の保険証番号と氏
名、生年月日、現住所、電話番号を含む個人情報を取得
し、これらの情報を属する保険機関に送信する手順と、
保険機関より保険証番号の与信を受け受付処理手順は正
当な保険証が提示されたのと同様に扱い取得した前記情
報により診療の受付処理を開始する手順とを持つ受付処
理手順を有することを特徴とする。In the first medical institution accepting method of the present invention, the insurance organization holds a unique ID, which is a password thereof, and a personal information of the subscriber as a database in association with the insurance certificate number of the subscriber as a ledger of the insurance certificate. A medical institution, including a procedure, and a credit card of the insurance card number if the insurance card number and the personal information or the unique ID received from the medical institution are collated and matched with the database; Is a procedure for acquiring personal information including the user's insurance card number, name, date of birth, current address, and telephone number when applying for the first medical examination of the user, and transmitting this information to the insurance institution to which it belongs,
The procedure for receiving a credit card with an insurance card number from an insurance agency has a procedure for receiving a medical treatment based on the information acquired and treated as if a valid insurance card was presented. Characterize.
【0020】本発明の第2の医療機関の受付方法は、前
記第1の医療機関の受付方法に於いて、前記医療機関の
受付処理手順は前記初診の受付処理で利用者の保険証番
号と個人情報とを患者管理データとして登録し、利用者
の再来診療申込み時には利用者の保険証番号と固有ID
を取得し、これらの情報を属する保険機関に送信し、保
険機関より保険証番号の与信と対応する個人情報の一部
を受けると受信した個人情報で前記患者管理データを特
定しその再来診療申込みを受付け処理することを特徴と
する。A second medical institution accepting method of the present invention is the first medical institution accepting method, wherein the medical institution accepting procedure is the user's insurance card number in the accepting procedure of the first medical examination. Personal information is registered as patient management data, and the user's insurance card number and unique ID when applying for return visits
After receiving this information and sending this information to the insurance institution to which it belongs, and when receiving part of the personal information corresponding to the credit of the insurance card number from the insurance institution, the patient management data is specified by the received personal information, and the recurrent medical treatment application is made. Is received and processed.
【0021】本発明の第3の医療機関の受付方法は、前
記第2の医療機関の受付方法に於いて、前記保険機関は
保険証として加入者に保険証番号と固有IDと生体情報
と個人情報を記録した電子カードを発行し、前記医療機
関は利用者の電子カードを読み書きする手順と利用者の
身体の一部より生体情報を読み取る手順と利用者の電子
カード内容を読み取った際にその内の生体情報と身体か
らの生体情報とを照合し電子カードが利用者本人のもの
であることを確認する手順と確認された利用者の診療申
し込みと読み取った保険証番号と個人情報とを前記受付
処理手順に渡す手順も含み、前記受付処理手順は前記利
用者の電子カードによる診療申し込みと保険証番号と個
人情報を受けると前記同様に受付処理し患者管理データ
や、診療予定データの登録を行い、診療予定日時の電子
カードへの書き込みを指示することを特徴とする。A third medical institution accepting method according to the present invention is the same as the second medical institution accepting method, wherein the insurance institution provides the subscriber with an insurance card number, a unique ID, biometric information and an individual as an insurance card. Issuing an electronic card that records information, the medical institution reads and writes the electronic card of the user, the procedure of reading biometric information from a part of the user's body and the electronic card content of the user when reading The procedure for checking the biometric information inside and the biometric information from the body to confirm that the electronic card belongs to the user himself / herself, the medical application for the confirmed user, and the read insurance card number and personal information are described above. Including the procedure to pass to the reception processing procedure, the reception processing procedure is the same as above when receiving the medical application, insurance card number and personal information from the user's electronic card, and performs the patient management data and the medical treatment schedule data. Carried out the registration, characterized in that it instructs writing to the electronic card of the clinic scheduled date and time.
【0022】本発明の第4の医療機関の受付方法は、前
記第3の医療機関の受付方法に於いて、前記電子カード
の個人情報には連絡先も含み、前記受付処理手順は利用
者の初診申し込みに際し、利用者の個人情報として連絡
先も取得し、前記初診と再来の受付処理後確定した診療
開始予定日時を前記連絡先の端末や通信機器に送信し、
その後の診療予定に変更が生じると変更後の日時も送信
することを特徴とする。A fourth medical institution accepting method of the present invention is the third medical institution accepting method according to the third medical institution accepting method, wherein the personal information of the electronic card includes a contact information, and the acceptance processing procedure is performed by the user. When applying for the first visit, contact information is also obtained as personal information of the user, and the scheduled start date and time of medical treatment confirmed after the reception processing for the first visit and return is sent to the terminal or communication device of the contact,
It is characterized in that when the medical treatment schedule thereafter changes, the date and time after the change is also transmitted.
【0023】本発明の第5の医療機関の受付方法は、前
記第4の医療機関の受付方法に於いて、前記医療機関
は、患者管理データや予定データを登録するほか診療の
つどその結果を診療記録データに登録し、又診療後処理
手順も備え、前記電子カードの個人情報には薬の受け取
り場所も含めることが出来、前記受付処理手順は利用者
の初診申し込みに際し、利用者の個人情報として薬の受
け取り場所も取得し、前記受付処理にて個人情報の一部
とし患者管理データに登録し、前記診療後処理手順は新
たに蓄積された診療記録に基づき薬等の準備を薬局に指
示し、その診療記録に対応する患者の管理データの個人
情報に薬の受け取り場所指定があれば準備された薬等の
指定場所への配達を指定宅配業者の端末に指示し、指定
宅配業者に配達を行わせることを特徴とする。A fifth medical institution reception method of the present invention is the same as the fourth medical institution reception method, in which the medical institution registers patient management data and schedule data, and the medical treatment results are obtained each time. Registered in medical record data and provided with post-treatment procedures, the personal information on the electronic card can include the drug receiving location. The reception procedure is the personal information of the user when applying for the first visit of the user. As a part of the personal information in the reception process, it is also registered in the patient management data as a part of the personal information in the reception process, and the post-treatment procedure is instructed to the pharmacy based on the newly accumulated medical records. However, if the personal information in the patient management data corresponding to the medical record specifies the receiving location of the drug, the designated delivery company's terminal is instructed to deliver the prepared drug etc. to the designated location, and the drug is delivered to the designated delivery company. Line And characterized in that.
【0024】本発明の第6の医療機関の受付方法は、前
記第4、又は第5の医療機関の受付方法に於いて、前記
医療機関の利用者が口座をもつ金融機関が利用者の口座
情報を含む口座情報データベースを管理登録する手順を
備え、前記電子カードの個人情報には利用者の金融機関
口座番号も含めることが出来、前記医療機関は患者管理
データや診療予定データの登録手順の他、診療のつどそ
の結果を診療記録データに登録する手順も含み、前記医
療機関には前記受付処理手順の他診療後処理手順も有
し、前記受付処理手順は利用者からの初診申し込みに際
し、利用者の個人情報として金融機関の口座番号も取得
し、前記受付処理にて個人情報の一部とし患者管理デー
タに登録し、前記診療後処理手順は新たに蓄積された診
療記録とそれに対応する患者管理データを用い医療費の
本人負担額を算出し、対応する患者管理データの個人情
報より金融機関の口座番号を取得し、これと本人負担額
とを伴い該当する金融機関に前記口座番号より医療機関
の口座への振り込みを指示する手順も有することを特徴
とする。A sixth medical institution accepting method according to the present invention is the fourth or fifth medical institution accepting method according to the fourth or fifth medical institution accepting method, wherein the financial institution with which the user of the medical institution has an account has the user's account. It is equipped with a procedure for managing and registering an account information database containing information, and the personal information of the electronic card can also include the financial institution account number of the user. In addition, including the procedure of registering the result of each medical treatment in the medical record data, the medical institution also has a post-treatment procedure other than the reception processing procedure, and the reception processing procedure is used when applying for the first medical examination from the user, The bank account number of the financial institution is also acquired as the user's personal information, and it is registered in the patient management data as part of the personal information in the reception process, and the post-treatment procedure corresponds to the newly accumulated medical record and corresponds to it. Calculate the person's burden of medical expenses using the patient management data, obtain the account number of the financial institution from the personal information of the corresponding patient management data, and include the account number and the person's burden in the account number of the relevant financial institution. It is characterized in that it also has a procedure for instructing transfer to a medical institution account.
【0025】[0025]
【発明の実施の形態】次に、本発明の実施の形態につい
て図面を参照して詳細に説明する。本発明は、図1に示
す通り電子カード1(以下ICカード1と言う)、利用
者端末2、病院/薬局3(以下医療機関3と言う)、医
療機関3が指定している指定宅配業者4、保険機関5、
及び金融機関6により構成されており各々インターネッ
ト100に通信接続されている。BEST MODE FOR CARRYING OUT THE INVENTION Next, embodiments of the present invention will be described in detail with reference to the drawings. The present invention is, as shown in FIG. 1, an electronic card 1 (hereinafter referred to as an IC card 1), a user terminal 2, a hospital / pharmacy 3 (hereinafter referred to as a medical institution 3), and a designated courier service designated by the medical institution 3. 4, insurance organization 5,
And a financial institution 6 and are communicatively connected to the Internet 100.
【0026】ここで利用者端末2や指定宅配業者4のイ
ンターネット100との接続は無線ネットワーク/公衆
回線101や公衆回線102と通信接続業者のサーバ、
ゲートウェイを介し接続されるていることが多い。Here, the connection between the user terminal 2 and the designated delivery company 4 to the Internet 100 is performed by a wireless network / public line 101 or public line 102 and a server of a communication connection company.
Often connected through a gateway.
【0027】ICカード1は、保険機関5より発行され
たものであり、保険証番号と固有IDと患者の氏名A・
生年月日B・現住所C・電話番号D・顔写真E・指紋F
・金融機関の口座番号G・診療予約時間の連絡先H及び
薬の受け取り場所J等(以下個人情報という)が記録さ
れており、医療機関窓口端末31での手続きを簡素化す
る目的で利用するものである。The IC card 1 is issued by the insurance organization 5, and has an insurance card number, a unique ID, and the name A of the patient.
Date of birth B, current address C, phone number D, face photo E, fingerprint F
・ The account number G of the financial institution, the contact H of the medical appointment time, the drug receiving location J, etc. (hereinafter referred to as personal information) are recorded, and are used for the purpose of simplifying the procedure at the medical institution counter terminal 31. It is a thing.
【0028】尚、個人情報のうち氏名A、生年月日B、
現住所C、電話番号D(通常自宅の電話番号)、金融機
関の口座番号G(金融機関名と口座番号)を基本情報と
する。保険証番号と固有IDはキー情報である。ここで
保険証番号は保険機関(保険組合)識別の部分と機関内
の個人識別部分から構成され、固有IDは保険証番号の
パスワードである。Of the personal information, name A, date of birth B,
The current address C, telephone number D (usually home telephone number), and financial institution account number G (financial institution name and account number) are used as basic information. The insurance card number and the unique ID are key information. Here, the insurance policy number is composed of an insurance organization (insurance association) identification part and a personal identification part within the organization, and the unique ID is a password of the insurance policy number.
【0029】利用者端末2は、携帯電話や携帯情報端末
やパソコン等の情報処理装置であり、患者が自宅や外出
先から医療機関3に対して診療(診察を含む)を申し込
む際に使用される。The user terminal 2 is an information processing device such as a mobile phone, a mobile information terminal, or a personal computer, and is used when a patient applies for medical treatment (including medical examination) to the medical institution 3 from home or on the go. It
【0030】初診の診療を申し込む場合は保険証番号と
基本情報と連絡先Hと必要に応じ薬の受け取り場所Jを
入力する。又、金融機関の口座番号G、診察予約時間の
連絡先H、或いは薬の受け取り場所Jを変更する場合に
は、保険証番号と固有IDと基本情報と新しい診察予約
時間の連絡先H、或いは薬の受け取り場所Jを入力す
る。2回目以降の診療(再来患者の診療)を申し込む際
には保険証番号と固有IDを入力する。When applying for medical treatment for the first visit, the insurance card number, basic information, contact information H and, if necessary, the drug receiving location J are entered. In addition, when changing the account number G of the financial institution, the contact H of the medical appointment time, or the drug receiving location J, the insurance card number, unique ID, basic information, and contact H of the new medical appointment time, or Enter the medicine receiving location J. When applying for the second and subsequent medical treatments (medical treatment for returning patients), enter the insurance card number and unique ID.
【0031】更に、医療機関3にて前記初診や再来の診
療申込みが受付けられた場合はインターネット100を
介して前記診療予約時間の連絡先Hへ診察の予約時間及
びその後変更があれば更新された予約時間が送付され
る。ここで診療予約とは直前の予約(当日の診療申込)
も含み、後述のICカード1を携帯できてない場合も利
用者端末2から診療申込み出来るものとする。Further, when the medical institution 3 receives the application for the first medical examination or the second medical examination, the information is updated to the contact H of the medical treatment reservation time via the Internet 100 if there is any change in the medical examination reservation time and thereafter. The reservation time will be sent. The medical appointment here is the last appointment (medical application on the day)
Including the case, even if the IC card 1 described later cannot be carried, the medical application can be applied from the user terminal 2.
【0032】医療機関3は、医療機関サーバ30と、医
療機関窓口端末31と他の端末とDB(データベース)
39を含む。医療機関DB39には予約データ35と診
療記録データ36と患者管理データ37、保険機関テー
ブル34を含む。予約データ35は各診療科について当
日とそれから数十日先の稼働日について診療申込み(予
約含む)を受け付けた患者の識別情報(患者の個人情報
データのポインタ即ち患者管理データ37上のレコード
番号乃至通番、或いは保険証番号)を含む。尚、各稼働
日の施療リソース予定で決まる受付可能な患者数情報も
含む。The medical institution 3 includes a medical institution server 30, a medical institution window terminal 31, other terminals and a DB (database).
Including 39. The medical institution DB 39 includes reservation data 35, medical record data 36, patient management data 37, and insurance institution table 34. The reservation data 35 is the identification information of the patient who has received the medical application (including reservation) for each medical department on the same day and several tens days after that (a pointer of the patient's personal information data, that is, the record number on the patient management data 37). Including serial number or insurance card number). It also includes information on the number of patients that can be accepted, which is determined by the treatment resource schedule of each working day.
【0033】或いは各稼働日の受付可能な患者数分の予
約枠に受け付けた患者の識別が記録されていてもよい。Alternatively, the identification of the accepted patient may be recorded in the reservation frame for the number of patients that can be accepted on each working day.
【0034】診療記録データ36は患者識別情報ごとの
診療記録でありその患者の毎回の診察や診療の所見、処
方箋が診療回の単位で蓄積されている。診察記録データ
36は、患者が通院している病院を変更したり、旅先で
急病にかかった場合に該診察記録データ36を参考にし
て受診する為にも使用される。The medical record data 36 is a medical record for each patient identification information, and the medical examinations, medical findings, and prescriptions of the patient are accumulated for each medical treatment. The medical examination record data 36 is also used to refer to the medical examination record data 36 when the patient changes the hospital to which he / she visits or when he / she suffers from a sudden illness while traveling.
【0035】患者管理データ37は予約を受け付けた患
者や過去の数年間(例えば5年間)で診療した患者の保
険証番号、個人情報、診療記録データ上のポインタを含
み、診療中の患者については診療記録ごとの処理ステー
タス(薬や費用の処理ステータス)が記録されている。The patient management data 37 includes insurance numbers, personal information, and pointers on medical record data of patients who have received reservations and who have been treated in the past several years (for example, 5 years). The processing status (medicine or cost processing status) for each medical record is recorded.
【0036】保険機関テーブル34は各保険機関のコー
ドと通信アドレス(保険機関サーバ50の通信アドレ
ス)と本人や扶養家族の負担率を保持するテーブルであ
る。The insurance organization table 34 is a table for holding codes of each insurance organization, communication addresses (communication addresses of the insurance organization server 50), and burden rates of the person himself / herself and dependents.
【0037】医療機関窓口端末31は、図3で示す様に
医療機関窓口端末本体310と指紋照合装置312とI
Cカードリーダライタ311から構成され、医療機関3
の受付用として設置され、診察申し込みの手続き時に使
用される目的の端末である。As shown in FIG. 3, the medical institution window terminal 31 includes a medical institution window terminal main body 310, a fingerprint collation device 312, and an I.
It is composed of a C card reader / writer 311 and is a medical institution 3
It is a terminal that is installed for the reception of and is used for the procedure of medical examination application.
【0038】指紋照合装置312は患者が診察申し込み
時に押捺する指紋を解析し、ICカードリーダライタ3
11はICカード1の読み出しやこれへの書き込み用で
あり、これらの装置は解析データや読み出しデータを医
療機関窓口端末本体310へ送付する機能を有する。The fingerprint collation device 312 analyzes the fingerprints imprinted by the patient at the time of application for medical examination, and the IC card reader / writer 3
Reference numeral 11 is for reading the IC card 1 and writing to the IC card 1. These devices have a function of sending analysis data and read data to the medical institution window terminal body 310.
【0039】医療機関窓口端末本体310はパソコン等
の情報処理装置であり、指紋照合装置312より送付さ
れたデータと患者が提出したICカード1に格納された
指紋Dを照合し、該ICカード1が前記患者本人のもの
であるかどうかを判断する機能を有する。The medical institution window terminal body 310 is an information processing device such as a personal computer, and collates the data sent from the fingerprint collation device 312 with the fingerprint D stored in the IC card 1 submitted by the patient, and the IC card 1 Has a function of determining whether or not the patient is the patient himself.
【0040】保険機関5は、図4で示す様に個人情報D
B53と保険機関サーバ50を含む。個人情報DB53
の個人情報データ51には、保険機関5に加入している
各個人の保険証番号と固有IDと個人情報(氏名A・生
年月日B・現住所C・電話番号D・顔写真E・指紋F・
金融機関の口座番号G等の情報)が格納されている。The insurance organization 5 uses the personal information D as shown in FIG.
B53 and the insurance institution server 50 are included. Personal information DB53
In the personal information data 51 of, the insurance card number, the unique ID and the personal information (name A, date of birth B, current address C, phone number D, facial photograph E, fingerprint F) of each individual who has joined the insurance organization 5・
Information such as the account number G of the financial institution) is stored.
【0041】又支払記録データには加入者ごとの医療機
関3からの費用請求情報とそれと共に受信した医療機関
の通信上のアドレス(医療機関サーバ30の通信アドレ
ス)と支払い情報とを含む。Further, the payment record data includes the charge request information from the medical institution 3 for each subscriber, the communication address of the medical institution (communication address of the medical institution server 30) and the payment information received together therewith.
【0042】個人情報データ51の各エントリの情報に
基づきICカード1の初期書込がされ個人に発行され
る。カード内の固有IDはその際個人に親展扱いで通知
される。その後の運用にて基本情報の一部も変更出来る
がこの際には保険証番号と固有IDと不変更の基本情報
を提示する。しかし保険証番号・固有ID・氏名A・生
年月日B・顔写真E・指紋Fは基本的には不変であり個
人情報データ51、ICカード1共に更新されない。Based on the information in each entry of the personal information data 51, the IC card 1 is initially written and issued to the individual. At that time, the unique ID in the card is notified to the individual as confidential. In the subsequent operation, some of the basic information can be changed, but in this case, the insurance policy number, unique ID, and unchanged basic information are presented. However, the insurance card number, unique ID, name A, date of birth B, face picture E, and fingerprint F are basically unchanged, and neither the personal information data 51 nor the IC card 1 is updated.
【0043】保険機関サーバ50は、利用者端末2から
の入力や医療機関窓口端末31でICカード1から読み
込まれた患者の保険証番号・固有ID・氏名A・生年月
日B・現住所C・電話番号D・顔写真E・指紋F・金融
機関の口座番号Gと個人情報データ51に格納された対
応する患者の情報を照合し、患者本人であることを確認
する機能を有する。The insurance institution server 50 has the patient's insurance number, unique ID, name A, date of birth B, current address C, which is input from the user terminal 2 or read from the IC card 1 by the medical institution counter terminal 31. It has a function of collating the telephone number D, the face photograph E, the fingerprint F, the account number G of the financial institution, and the corresponding patient information stored in the personal information data 51, and confirming that he is the patient himself.
【0044】指定宅配業者4は薬を宅配する業者であ
り、患者の指定した薬の受け取り場所Jに薬を配送する
機能を有し、図5で示す様に宅配業者端末41を持ち、
医療機関3からの配達指示を受信し、配達後の処理完を
送信する。宅配業者端末41は公衆回線102他を通じ
インターネット100に接続されたパソコン等の装置で
ある。又公衆回線103を通じ医療機関サーバ30のフ
ァックスモデモ(図示せず)に通信接続されたファクシ
ミリ装置であってもよい。The designated courier 4 is a courier for delivering the medicine, has a function of delivering the medicine to the medicine receiving place J designated by the patient, and has a courier terminal 41 as shown in FIG.
The delivery instruction from the medical institution 3 is received and the post-delivery processing completion is transmitted. The courier service terminal 41 is a device such as a personal computer connected to the Internet 100 through the public line 102 and the like. Further, it may be a facsimile machine that is communicatively connected to a fax model (not shown) of the medical institution server 30 through the public line 103.
【0045】金融機関6は、図6で示す様に口座情報D
B61及び金融機関サーバ60より構成されている。口
座情報DB61は、本人(患者)の金融機関の口座情報
を含む。金融機関サーバ60は、医療機関3からの診察
代金や薬代金及び薬の送付代金などの請求時に口座情報
DB61から自動引き落としをし、医療機関3が指定す
る口座に前記代金を振り込む機能と自動引き落としをし
たことを本人(診療や健康診断等を受けた医療機関3の
利用者)に通知する機能を有する。The financial institution 6 has the account information D as shown in FIG.
B61 and the financial institution server 60. The account information DB 61 includes account information of the financial institution of the person (patient). The financial institution server 60 automatically debits the account information DB 61 at the time of requesting the medical examination fee, the drug fee, and the drug delivery fee from the medical institution 3, and the function of automatically transferring the fee to the account designated by the medical institution 3 and the automatic debit. It has a function of notifying the person (user of the medical institution 3 who has received medical treatment, medical examination, etc.)
【0046】次に図2を参照し利用者端末2の詳細構成
を説明する。利用者端末2はアンテナや公衆回線101
に接続された通信手段21とブラウザ221とメーラ
(属するメールサーバのメールボックスより電子メール
を読み出すソフトウェア)とディスプレイや表示メモリ
等の表示手段23とキーパネル或いはキーボード等の入
力手段24と、メモエリア25とメモ記録・参照手段2
6と警告手段27を含む。Next, the detailed configuration of the user terminal 2 will be described with reference to FIG. The user terminal 2 is an antenna or public line 101.
A communication means 21, a browser 221, a mailer (software for reading an e-mail from a mail box of a mail server to which the mail server belongs), a display means 23 such as a display or a display memory, an input means 24 such as a key panel or a keyboard, and a memo area connected to each other. 25 and memo recording / reference means 2
6 and warning means 27.
【0047】メモエリア25は不揮発性記憶(フラッシ
ュメモリやハードディスク)上に定義されたメモ記録用
のエリアである。メモ記録・参照手段26はメーラ22
2が受信した情報やブラウザ221の配下で案内入力画
面情報(画面情報とそれに対応した手続き)が表示した
情報を指示を受けるとメモエリア25に控える。又入力
手段24から入力された情報(テキスト等)を控える。
控える際には「保険証番号」、「固有ID」、「住
所」、「自宅電話番号」、「氏名」、「生年月日」等の
項目名を付与でき控えた情報(項目値)とともに表示さ
れる。The memo area 25 is a memo recording area defined on the nonvolatile memory (flash memory or hard disk). The memo recording / reference means 26 is a mailer 22.
When the information received by 2 or the information displayed by the guide input screen information (screen information and corresponding procedure) under the browser 221 is instructed, the information is saved in the memo area 25. Also, refrain from the information (text, etc.) input from the input means 24.
When you refrain, you can add item names such as "Insurance Certificate Number", "Unique ID", "Address", "Home Phone Number", "Name", "Date of Birth", etc. To be done.
【0048】警告手段27は利用者端末2が携帯電話で
あれば、属するメールサーバから自動着信通知を受けた
際に点滅表示乃至メロディ音で通知する手段である。或
いはメーラ222が周期的(例えば1、2分間隔)にメ
ール読み出しをし受信メールがあった時に通知する手段
である。警告部分はコールされ自動着信したときの手段
を共用する。If the user terminal 2 is a mobile phone, the warning means 27 is means for giving a blinking display or a melody sound when an automatic incoming notification is received from the mail server to which the user terminal 2 belongs. Alternatively, the mailer 222 is a means for periodically (for example, every 1 or 2 minutes) reading mail and notifying when a mail is received. The warning part shares the means when it is called and automatically receives.
【0049】図3は医療機関3の詳細構成を示したブロ
ック図である。医療機関サーバ30はインターネット通
信手段301と受付処理手段302と診療記録更新参照
手段303と診療後処理手段304と保険機関通信AP
305とを含む。FIG. 3 is a block diagram showing the detailed structure of the medical institution 3. The medical institution server 30 includes an internet communication unit 301, a reception processing unit 302, a medical record update reference unit 303, a post-medical processing unit 304, and an insurance institution communication AP.
305 and.
【0050】インターネット通信手段301はウェブサ
ーバ通信機能とメールサーバ通信機能とを含む通信手段
であり医療機関3の代表URLに対応したIPアドレス
を保持している。ウェブサーバ通信機能部はこの代表ア
ドレス宛のアクセスを受けると宛先URLの下位が指定
する処理手段や通信APに受信情報を渡す。又内部に各
処理手段、通信APに対応付けられた複数の通信ポート
を有し、通信接続中の相手の端末やサーバのIPアドレ
スを保持している。The internet communication means 301 is a communication means including a web server communication function and a mail server communication function, and holds an IP address corresponding to the representative URL of the medical institution 3. When the web server communication function unit receives access to the representative address, the web server communication function unit passes the received information to the processing means or the communication AP designated by the lower order of the destination URL. Further, it has a plurality of communication ports internally associated with the respective processing means and the communication AP, and holds the IP address of the terminal or server of the other party in the communication connection.
【0051】メールサーバ通信機能部は受付処理手段3
02のメール発信部よりのメールを受け、受けた宛先メ
ールアドレスをドメインネームシステム等を用いIPア
ドレスに変換し相手のメールサーバにメール用のプロト
コルにて送信する。The mail server communication function unit is the reception processing means 3
02 receives a mail from the mail sending unit, converts the received destination mail address into an IP address using a domain name system or the like, and sends it to the partner mail server using a mail protocol.
【0052】受付処理手段302は利用者端末からアク
セスされると案内情報(案内表示情報とそれに関連付け
られた手続き)を送信し、それがブラウザ配下で実行さ
れた結果案内入力画面情報のロード要求が来るとこれを
送信する。そして利用者端末2より初診予約要求と保険
証番号と個人情報を受けると保険証番号と個人情報の基
本情報を保険機関通信AP305を通じて送信し保険証
番号の与信を受信する。When the acceptance processing means 302 is accessed from the user terminal, it sends guidance information (guidance display information and the procedure associated with it), and a request for loading guidance information input screen information is executed when it is executed under the browser. Send this when you come. Then, when receiving the initial examination reservation request, the insurance card number and the personal information from the user terminal 2, the basic information of the insurance card number and the personal information is transmitted through the insurance organization communication AP 305 and the credit of the insurance card number is received.
【0053】予約データ35を読み出し空き情報を利用
者端末2に提示し利用者に選択させその予約時間(正確
には日時)を取得する。保険証番号、個人情報を患者管
理情報データに登録し、予約データ35の予約時間のエ
ントリに新規登録した患者管理データのレコード番号乃
至通番を書き込む。The reservation data 35 is read out, the vacant information is presented to the user terminal 2, and the user is made to select it to acquire the reservation time (to be exact, the date and time). The insurance card number and personal information are registered in the patient management information data, and the record number or serial number of the newly registered patient management data is written in the entry of the reservation time of the reservation data 35.
【0054】そして予約時間を連絡先H(通常は利用者
端末2)にメールで通知する。その後、他の患者の診療
の捌け具合やキャンセル等により前記診察予約時間が変
更になった場合は診察予約時間の連絡先Hへ変更になっ
た予約時間を自動送信する利用者端末2より再来予約要
求と保険証番号と固有IDを受けると保険証番号の上位
が指定する保険機関サーバに保険証番号と固有IDを送
信し保険証番号の与信と氏名A・生年月日Bを受信し前
記同様に予約時間を取得し、氏名A・生年月日Bや保険
証番号で患者管理データ37を検索し該当のレコード番
号乃至通番を予約データ35に反映する。以降予約時間
を同様に通知する。Then, the reservation time is notified to the contact point H (usually the user terminal 2) by mail. After that, if the consultation reservation time is changed due to the medical condition of another patient or cancellation, etc., the changed reservation time is automatically sent to the contact H of the consultation reservation time. When receiving the request, the insurance card number and the unique ID, the insurance card number and the unique ID are transmitted to the insurance institution server designated by the higher rank of the insurance card number, the credit of the insurance card number, the name A and the date of birth B are received, and the same as above. Then, the reservation time is acquired, the patient management data 37 is searched by the name A, the date of birth B and the insurance card number, and the corresponding record number or serial number is reflected in the reservation data 35. Thereafter, the reservation time is similarly notified.
【0055】又、医療機関窓口端末本体310がICカ
ード1が本人のものであることを確認した後に当日の受
信申込みや翌日以降の予約要求をしてくると予約データ
35の対応する空き情報を送信し医療機関窓口端末本体
310がこれを提示し予約時間を選択させ、初診か再来
かを指定させこれらを取得し保険証番号、個人情報と共
に送ってくるので患者管理データ37や予約データ35
に登録する。以降予約時間を同様に通知する。Further, when the medical institution counter terminal body 310 confirms that the IC card 1 belongs to the person himself / herself and makes a reception application on the day or a reservation request for the next day or later, the corresponding empty information in the reservation data 35 is displayed. The medical institution window terminal body 310 presents this and makes it select a reservation time, specifies whether it is the first visit or revisit, acquires these, and sends them with the insurance card number and personal information, so patient management data 37 and reservation data 35
Register with. Thereafter, the reservation time is similarly notified.
【0056】診療記録更新参照手段303は医師端末3
2より診療開始する患者の識別情報が入力されるか、予
約データ35の当日の確定データに基づき医師端末32
に提示した患者の識別情報の確認がされ識別情報を受け
ると、患者管理データ37にアクセスし、診察記録デー
タを取得し前回の診察記録を医師端末32に送信してや
る。The medical record update reference unit 303 is the doctor terminal 3
The identification information of the patient who starts medical treatment is input from 2 or the doctor terminal 32 based on the confirmation data of the day of the reservation data 35.
When the identification information of the patient presented in step 1 is confirmed and the identification information is received, the patient management data 37 is accessed, the medical examination record data is acquired, and the previous medical examination record is transmitted to the doctor terminal 32.
【0057】又、診療が終わる都度患者識別情報と所見
や処方箋を医師端末32より受信し、診療記録データに
追加する。初診では追加したレコード番号なり通番を患
者管理データ37の患者対応レコードに記録しておく。
又、費用発生した記録がある旨を示す処理ステータスコ
ードを設定する。Each time the medical treatment is completed, the patient identification information, the findings and the prescription are received from the doctor terminal 32 and added to the medical record data. At the initial examination, the added record number or serial number is recorded in the patient correspondence record of the patient management data 37.
Also, a processing status code indicating that there is a record in which an expense has occurred is set.
【0058】診療後処理手段304は患者管理データ3
7の各患者のステータスコードが費用発生のコードであ
れば診療記録を取り出し、処方箋に薬支給があれば処方
箋と、患者氏名と宅配指定の有無と有りの場合の薬の受
け取り場所Jを薬局端末33に指示し薬等を準備させ
る。The post-treatment processing means 304 uses the patient management data 3
If the status code of each patient in 7 is an expense code, the medical record is taken out, and if the prescription has a drug supply, the prescription and the patient name J and the delivery designation J Instruct 33 to prepare medicines.
【0059】宅配すべき薬等が有る程度の件数準備出来
るか、件数が少なくとも一定時間経つと指定宅配業者4
に配達を指示する。指定宅配業者4は準備出来たものを
取りに来てそれぞれの患者宅等指定の場所へ配達し、配
達完了を宅配業者端末41より送信してくる。The number of cases, such as the number of medicines to be delivered, can be prepared. If the number of cases is at least a certain time, the designated delivery company 4
Instruct delivery. The designated delivery company 4 comes to pick up the prepared items, delivers them to a designated place such as each patient's home, and sends a delivery completion from the delivery company terminal 41.
【0060】配達完了情報は薬局端末33での確認を経
ると対応する処理ステータスコードが料金算出指示コー
ドに更新する。診療後処理手段304はこのコードの診
療記録について診療項目・薬価テーブル38を参照し保
険点数を計算し、金額に換算し患者負担率を掛けて負担
額を算出する。残りを保険機関5へのそれ以前の請求額
に加算しておく。When the delivery completion information is confirmed by the pharmacy terminal 33, the corresponding processing status code is updated to the charge calculation instruction code. The post-treatment processing means 304 refers to the medical care item / medicine price table 38 for the medical record of this code, calculates the insurance score, converts it into an amount, and multiplies the patient burden rate to calculate the burden amount. The rest is added to the amount charged to the insurance organization 5 before that.
【0061】患者負担額については金融機関の口座番号
Gを用いて指定される口座から医療機関3の口座への引
き落とし要求を送信し、引き落としがされた通知を受け
て処理ステータスを更新する。Regarding the patient burden, a request for withdrawal from the account designated by using the account number G of the financial institution to the account of the medical institution 3 is transmitted, and the processing status is updated upon receiving the notice of the withdrawal.
【0062】保険機関6には月ごとや診療完了と見なし
た時に保険証番号と患者氏名と費用項目概要と自分の機
関名と通信アドレスを付けて費用請求する。この通信は
保険機関通信AP305を通じて行う。The insurance agency 6 charges the insurance fee with the insurance card number, patient name, cost item summary, own institution name and communication address each month or when it is considered that medical treatment is completed. This communication is performed through the insurance organization communication AP 305.
【0063】保険機関通信AP305(医療機関側)は
保険機関通信AP502(保険機関側)を相手APとし
医療費の請求処理の他保険証の与信処理も行う。そして
相手に入力画面情報を送信し相手オペレータに応答を求
めるというのでなく自動的にトランザクション処理する
型の通信APである。The insurance institution communication AP 305 (medical institution side) uses the insurance institution communication AP 502 (insurance institution side) as a partner AP, and also performs a credit processing of an insurance card in addition to a billing processing of medical expenses. It is a type of communication AP that automatically performs transaction processing rather than transmitting input screen information to the other party and requesting the response from the other operator.
【0064】尚、医療機関側、保険機関側のそれぞれに
ついて依頼要求コマンドや応答や項目名や項目値の単位
の定義や規定をし国内ないし広範囲の地域で共通の専用
AP間インタフェースとしておくと本発明を適用するコ
ストがより低減される。It is to be noted that the request request command and response, the item name and the unit of the item value are defined and defined for each of the medical institution side and the insurance institution side, and the interfaces between the dedicated APs are common in the domestic or wide area. The cost of applying the invention is further reduced.
【0065】次に、本発明の実施の形態の動作について
図面を参照して説明する。図7〜図9は利用者端末2か
ら医療機関3に診療申込みする場合の処理動作を示した
フローチャートである。Next, the operation of the embodiment of the present invention will be described with reference to the drawings. 7 to 9 are flowcharts showing the processing operation when the user terminal 2 makes a medical application to the medical institution 3.
【0066】利用者は、利用者端末2よりブラウザ22
1を利用してインターネット100を介して医療機関3
へ接続する(ステップA1)。通信接続後、受付処理手
段302は案内情報(案内の表示画面とそれに関連付け
られた手続き)を送信する(ステップA2)。利用者端
末2ではブラウザ221の配下でロードした案内情報が
表示実行され、利用者は各部門(内科・外科・小児科・
精神科等々)のガイダンスに従い希望する部門を選択す
る(ステップA3)。The user uses the browser 22 from the user terminal 2.
Medical institution 3 via Internet 100 using 1
(Step A1). After the communication connection, the reception processing unit 302 transmits the guidance information (the guidance display screen and the procedure associated therewith) (step A2). On the user terminal 2, the guidance information loaded under the browser 221 is displayed and executed, and the user is in charge of each department (internal medicine, surgery, pediatrics,
The desired department is selected in accordance with the guidance of psychiatry (step A3).
【0067】選択内容が返信されると受付処理手段30
2は案内入力情報を送信し(ステップA4)、ブラウザ
221により表示実行され利用者に初診申込みか再来診
療申込みか付属情報変更かを選択させる(ステップA
5)。ここで付属情報変更というのは利用者が初診申込
みが受け付けられ処理された以降の時期で薬の受け取り
場所Jや連絡先Hや金融機関の口座番号Gを変更したい
場合も起こりうるのでこれに対応した処理である。When the selection contents are returned, the acceptance processing means 30
2 transmits the guide input information (step A4), and is displayed and executed by the browser 221 to allow the user to select whether to apply for the first visit, the application for the return visit, or change the attached information (step A4).
5). The change in attached information may occur when the user wants to change the drug receiving location J, contact H, or financial institution account number G at a time after the initial medical examination application is received and processed. This is the processing performed.
【0068】初診の場合は入力画面に対し保険証番号と
氏名A・生年月日B・現住所C・電話番号D、金融機関
の口座番号G、診察予約時間の連絡先H及び薬の受け取
り場所Jを入力し、変更の場合は保険証番号と氏名A・
生年月日B・現住所C・電話番号Dと新しい金融機関の
口座番号Gか連絡先Hと固有IDを入力する(ステップ
A6)。In the case of the first medical examination, an insurance card number and name A, date of birth B, current address C, telephone number D, financial institution account number G, contact point H for medical examination appointment time and drug receiving place J are displayed on the input screen. Enter and enter your insurance card number and name A.
The date of birth B, the current address C, the telephone number D, the account number G of the new financial institution, the contact information H, and the unique ID are input (step A6).
【0069】薬の受け取り場所Jの登録や変更をするか
訪ね(ステップA7)、する場合には薬の受け取り場所
Jを入力させる(ステップA8)。尚、薬の受け取り場
所Jとしては自宅への配送や近くのコンビニエンススト
アでの受け取り等を指定できる。If the medicine receiving place J is to be registered or changed (in step A7), the medicine receiving place J is to be entered (step A8). As the medicine receiving location J, delivery to a home or receipt at a convenience store nearby can be designated.
【0070】ブラウザ221と配下の案内入力画面情報
3021は入力された情報(診療科指定、初診/変更指
定、保険証番号、個人情報、変更の場合の固有ID)を
受付処理手段302に送信する(ステップA9)。医療
機関サーバ30の受付処理手段302は受信した内容
(診療科は除く)をインターネット100を介して保険
機関5へ送信する(ステップA10)。The browser 221 and the subordinate guidance input screen information 3021 transmit the input information (medical department designation, initial examination / change designation, insurance card number, personal information, unique ID in case of change) to the reception processing means 302. (Step A9). The reception processing means 302 of the medical institution server 30 transmits the received contents (excluding the clinical department) to the insurance institution 5 via the Internet 100 (step A10).
【0071】保険機関5の保険機関サーバ50は受信し
た情報について保険証番号と基本情報(氏名A・生年月
日B・現住所C・電話番号D・金融機関の口座番号G)
が個人情報DB53の個人情報データ51に登録されて
いる内容と符合する(ステップA11)か、或いは前ス
テップでの不一致が金融機関の口座番号Gのみで固有I
Dも受信していてこれが個人情報データ51と一致すれ
ば(ステップA12)受信した個人情報を個人情報デー
タ51に登録する(ステップA13)。The insurance institution server 50 of the insurance institution 5 has insurance card number and basic information about the received information (name A, date of birth B, current address C, telephone number D, account number G of financial institution).
Matches the contents registered in the personal information data 51 of the personal information DB 53 (step A11), or the discrepancy in the previous step is unique to the account number G of the financial institution only.
If D is also received and coincides with the personal information data 51 (step A12), the received personal information is registered in the personal information data 51 (step A13).
【0072】これ以外であれば医療機関サーバ30に受
付ないし与信不可を返し処理を終了する。一方確認処理
OKの場合には、固有IDが付随してない受信であれば
(ステップA14)、連絡先H(通常利用者端末2)宛
に固有IDを電子メール等で通知し(ステップA1
5)、保険証番号の与信を医療機関サーバ30の受付処
理手段302に返す(ステップA16)。In the other cases, acceptance or no credit is returned to the medical institution server 30 and the process is terminated. On the other hand, in the case of confirmation processing OK, if the reception is not accompanied by the unique ID (step A14), the unique ID is notified to the contact H (normal user terminal 2) by e-mail or the like (step A1).
5) The credit of the insurance card number is returned to the reception processing means 302 of the medical institution server 30 (step A16).
【0073】図8に移り、医療機関3の受付処理手段3
02は、保健証番号の与信を受信すると初診申込みや変
更を受け付ける。初診申込みでなければ(ステップA1
8)患者管理データ37の個人情報を部分更新する(ス
テップA19)。Turning to FIG. 8, the reception processing means 3 of the medical institution 3
When 02 receives the credit of the health certificate number, 02 accepts the initial medical examination application and change. If it is not the first application (Step A1
8) Partially update the personal information of the patient management data 37 (step A19).
【0074】初診申込みであれば、予約データ35上の
申込みされた科の空き時間を利用者端末2に提示し、利
用者に選択させ予約時間(日時)を取得する。そして患
者管理データ37に保険証番号や個人情報を登録し、予
約データ35に予約日時の対応エリアに個人情報識別を
登録する(ステップA20)。If it is an application for the first examination, the vacant time of the requested department on the reservation data 35 is presented to the user terminal 2, and the user is made to select it to acquire the reserved time (date and time). Then, the insurance card number and personal information are registered in the patient management data 37, and the personal information identification is registered in the area corresponding to the reservation date and time in the reservation data 35 (step A20).
【0075】確定した診療予約時間を連絡先Hに通知し
(ステップA21)、利用者端末2でこれを受信すると
メール受信画面やブラウザ画面上の診療予約時間をメモ
記録・参照手段26にてメモエリア25に記憶する。或
いは利用者がメモ帳に記録する。The confirmed medical treatment reservation time is notified to the contact H (step A21), and when the user terminal 2 receives the medical treatment reservation time, the memo recording / reference means 26 records the medical treatment reservation time on the mail reception screen or the browser screen. Store in area 25. Alternatively, the user records it in a memo pad.
【0076】その後、他の患者の診療等により前記診療
予約時間が変更になった場合は診療予約時間の連絡先H
へ変更になった予約時間を自動通知し(ステップ2
4)、利用者端末2側がこれを前記同様に記録する(ス
テップA25)。Thereafter, if the medical treatment reservation time is changed due to medical treatment of another patient, etc., the contact address H of the medical treatment reservation time
Automatically notify the changed reservation time to (Step 2
4) The user terminal 2 side records this in the same manner as described above (step A25).
【0077】次に2回目以降(再来)の診療申込みにつ
いて説明する。図7のフローチャートのステップA5に
て利用者(患者)は再来診療申込みを選択する。図9に
移り、申し込みは利用者端末2から保険証番号と固有I
Dの入力のみで行いこれが医療機関サーバ30の受付処
理手段302へ送信され(ステップB6)、受付処理手
段302は、該保険証番号、固有IDをインターネット
100を介して保険機関5へ送信する(ステップB
7)。Next, the second and subsequent (returning) medical application will be described. In step A5 of the flowchart of FIG. 7, the user (patient) selects the return visit application. Moving to FIG. 9, the application is made from the user terminal 2 with the insurance card number and the unique I
This is done only by inputting D and is transmitted to the reception processing means 302 of the medical institution server 30 (step B6), and the reception processing means 302 transmits the insurance policy number and unique ID to the insurance organization 5 via the Internet 100 ( Step B
7).
【0078】保険機関5の保険機関サーバ50は受信し
た保険証番号と固有IDについて個人情報DB53の個
人情報データ51との照合を行い(ステップB8)、一
致すれば医療機関サーバ30の受付処理手段302へ保
険証番号の与信(本人確証済み)と氏名A・生年月日B
を返信する(ステップB9)。The insurance organization server 50 of the insurance organization 5 collates the received insurance card number and unique ID with the personal information data 51 of the personal information DB 53 (step B8), and if they match, the acceptance processing means of the medical institution server 30. To 302, the credit of the insurance card number (identity confirmed), name A and date of birth B
Is returned (step B9).
【0079】一致しなければ医療機関サーバ30の受付
処理手段302のスルー中継(ステップB10)を通じ
利用者端末2へ再度正しい保険証番号と固有IDの入力
を指示する(ステップB8、10)。再度送付した結
果、正しいと判断された場合は与信が受付処理手段30
2に送信され診療申込みが受付られる。再度送付しても
正しくない場合は与信の否定応答が受付処理手段302
に返され処理を終了する。If they do not match, the user terminal 2 is again instructed to input the correct insurance policy number and unique ID through the through relay (step B10) of the reception processing means 302 of the medical institution server 30 (steps B8, 10). As a result of the re-sending, when the credit is determined to be correct, the credit is accepted by the acceptance processing means 30.
It is sent to 2 and the medical application is accepted. If it is not correct even if it is sent again, the negative response of the credit is the acceptance processing means 302.
Is returned to and the processing ends.
【0080】受付処理手段302は与信と氏名A・生年
月日Bを受信すると、利用者端末2の動作と合わせ図8
のステップA20〜A25の処理動作を行う。尚、ステ
ップA−20では保険証番号と氏名A・生年月日Bに一
致する患者管理データを検索しその患者管理データ識別
を予約データに反映する。When the reception processing means 302 receives the credit, the name A and the date of birth B, the reception processing means 302 matches the operation of the user terminal 2 with FIG.
The processing operation of steps A20 to A25 is performed. In step A-20, the patient management data that matches the insurance card number, the name A and the date of birth B is retrieved, and the patient management data identification is reflected in the reservation data.
【0081】次に医療機関窓口端末31からの診察申し
込みの場合について図10を参照し説明する。Next, the case of medical examination application from the medical institution window terminal 31 will be described with reference to FIG.
【0082】利用者はICカード1をICカードリーダ
ライタ311にセットし(ステップC1)、本人の指紋
を押捺する。指紋照合装置312は押捺された指紋を解
読し医療機関窓口端末本体310へ送付する。医療機関
窓口端末本体310は送付された内容とICカードに登
録されている指紋Dを比較し、一致すれば本人が確認さ
れる(ステップC2)。The user sets the IC card 1 in the IC card reader / writer 311 (step C1) and imprints the fingerprint of the person. The fingerprint collation device 312 decodes the imprinted fingerprint and sends it to the medical institution window terminal body 310. The medical institution window terminal body 310 compares the sent content with the fingerprint D registered in the IC card, and if they match, the person is confirmed (step C2).
【0083】医療機関窓口端末本体310は本人確認さ
れると初診/再来の何れかを選択させ、これらとICカ
ード1より読み取った保険証番号、個人情報を医療機関
サーバ30の受付処理手段302に送信する。受付処理
手段302は空き時間を提示し予約時間を選択させる。
初診であれば患者管理データに保険証番号や個人情報を
登録し予約時間を予約データに登録する。再来であれば
該当する保険証番号と個人情報で患者管理データを検索
し、予約時間を予約データに登録する(ステップC
3)。When the identity of the medical institution counter terminal 310 is confirmed, the medical institution counter terminal main body 310 prompts the user to select either a first visit or a return visit, and the insurance card number and personal information read from the IC card 1 are sent to the reception processing means 302 of the medical institution server 30. Send. The reception processing means 302 presents a vacant time and selects a reserved time.
If this is the first visit, the insurance number and personal information are registered in the patient management data, and the reservation time is registered in the reservation data. If it is the second time, the patient management data will be searched with the relevant insurance card number and personal information, and the appointment time will be registered in the appointment data (step C
3).
【0084】確定した予約データは医療機関窓口端末本
体310に返し(ステップC4)診療予約時間をICカ
ード1に書き込ませる(ステップC5)。The confirmed reservation data is returned to the medical institution counter terminal body 310 (step C4), and the medical treatment reservation time is written in the IC card 1 (step C5).
【0085】図8に移り受付処理手段302は、診療予
約時間を連絡先H(通常は携帯電話の利用者端末2)に
電子メール等で送信する(ステップA21)。更に、該
診療時間が変更になれば(ステップA23)診療予約時
間の連絡先Hに送信する(ステップA24)。Moving to FIG. 8, the reception processing means 302 sends the medical treatment reservation time to the contact point H (usually the user terminal 2 of the mobile phone) by e-mail or the like (step A21). Further, if the medical treatment time is changed (step A23), it is transmitted to the contact H of the medical treatment reservation time (step A24).
【0086】尚、図10のステップC2で指紋が一致し
なければ、ICカードが本人のものではないので以降の
処理を打ち切り終了する。If the fingerprints do not match in step C2 of FIG. 10, the IC card is not the one of the person himself / herself, and the subsequent processing is terminated.
【0087】次に利用者の診療受診後の処理動作につい
て図11のフロチャートや図3を参照し説明する。Next, the processing operation of the user after receiving medical examination will be described with reference to the flowchart of FIG. 11 and FIG.
【0088】診療受診後、診療内容は医師端末32から
入力された内容が診療記録更新参照手段303により診
療記録データ36に格納される。診療記録更新参照手段
303はこの際費用や薬処理が発生したことを示すステ
ータスコードを患者管理データ37の対応レコードに記
録する。After the medical examination, the medical care content input from the doctor terminal 32 is stored in the medical care record data 36 by the medical care record update reference means 303. At this time, the medical record update reference unit 303 records a status code indicating that a cost or drug processing has occurred in the corresponding record of the patient management data 37.
【0089】診療後処理手段304は患者管理データの
ステータスコードを周期的に読み出す。ここで診療完了
し未処理のものを見付けるとその診療記録を取り出す
(ステップD1)。処方箋の薬の有無をチェックし(ス
テップD2)、あれば薬局端末33に処方箋を送信し薬
等を準備させる(ステップD3)。即ち、薬の調合や服
用方法と注意書きの印刷、或いは医療材の準備と、支給
対象の患者名の印刷ないし記載と配達指定している場合
の受け取り場所Jの印刷と薬の袋への貼付を指示する。The post-treatment processing means 304 periodically reads the status code of the patient management data. When medical treatment is completed and an unprocessed medical treatment is found, the medical treatment record is taken out (step D1). The presence / absence of medicine on the prescription is checked (step D2), and if there is, the prescription is transmitted to the pharmacy terminal 33 to prepare the medicine (step D3). That is, preparation of medicines, printing of dosing method and precautions, or preparation of medical materials, printing or description of patient name to be provided and printing of receiving place J and affixing to medicine bag when delivery is designated. Instruct.
【0090】薬等が準備されると受け取り場所Jの指定
があれば(ステップD4)、指定宅配業者4の宅配業者
端末41へ引き取りと配達の指示を送信する(ステップ
D5)。指定宅配業者4は指示と届け先を受信し(ステ
ップD6)、指定の場所で薬等を入手し(ステップD
7)、依頼人(患者)に配達し(ステップD8)、配達
完了を宅配業者端末41から送信する(ステップD
9)。When the receiving place J is designated when the medicine or the like is prepared (step D4), an instruction for pick-up and delivery is transmitted to the courier terminal 41 of the designated courier 4 (step D5). The designated courier 4 receives the instruction and the destination (step D6) and obtains the medicine at the designated place (step D6).
7), deliver to the client (patient) (step D8), and send delivery completion from the courier terminal 41 (step D).
9).
【0091】次に診療後処理手段304は診療記録につ
いて診療項目・薬価テーブル38を参照し診療と薬代の
保険点数を計算し、金額に換算し患者負担率を掛けて負
担額を算出する。残りを保険機関5へのそれ以前の請求
額に加算しておく(ステップD10)。Next, the medical treatment post-processing means 304 refers to the medical treatment item / medicine price table 38 for medical records, calculates the insurance points for medical treatment and drug charges, converts the amount into an amount, and multiplies the patient burden rate to calculate the burden amount. The rest is added to the amount charged to the insurance organization 5 before that (step D10).
【0092】患者負担額については金融機関の口座番号
Gを用いて指定される口座から医療機関3の口座への引
き落とし要求を金融機関6の金融機関サーバ60に対し
て送信する(ステップD11)。With respect to the patient burden, a request for withdrawal from the account designated by using the account number G of the financial institution to the account of the medical institution 3 is transmitted to the financial institution server 60 of the financial institution 6 (step D11).
【0093】金融機関サーバ60は預金高を確認し(ス
テップD12)、請求された代金を利用者の口座情報D
B61から自動引き落としして医療機関サーバ30にて
指定された口座に振り込む(ステップD13、14)。The financial institution server 60 confirms the deposit amount (step D12), and uses the billed price as the user's account information D.
It is automatically deducted from B61 and transferred to the account designated by the medical institution server 30 (steps D13, 14).
【0094】更に金融機関サーバ60は医療機関サーバ
30や利用者端末2(利用者の携帯電話等)に口座番号
Gから代金を引き落としたことを通知する(ステップD
15)。Furthermore, the financial institution server 60 notifies the medical institution server 30 and the user terminal 2 (user's mobile phone, etc.) that the payment has been deducted from the account number G (step D).
15).
【0095】診療後処理手段304は次に保険機関6に
は月ごとや診療完了と見なした時に保険証番号と患者氏
名と費用項目概要と自分の機関名と通信アドレスを付け
て費用請求する(ステップD16)。The medical treatment post-processing means 304 then bills the insurance organization 6 monthly or when the medical treatment is considered to be complete, adding the insurance policy number, patient name, cost item summary, own institution name and communication address. (Step D16).
【0096】保険機関サーバ50がこの情報を受信する
と保険証番号と患者氏名等が個人情報データ51と照合
され確認されば受信情報と個人情報のデータ識別ととも
に請求・支払記録データ52に登録される。When the insurance institution server 50 receives this information, the insurance card number and patient name etc. are collated with the personal information data 51 and if confirmed, it is registered in the billing / payment record data 52 together with the data identification of the received information and personal information. .
【0097】従って、利用者が医療機関サーバ30に診
療申込みする際等に以前掛かった医療機関の通信アドレ
ス取得も指定しておくと医療機関サーバ30から保険機
関サーバ50に与信や氏名を要求する際に合わせて要求
し、以前掛かった医療機関の通信アドレスが取得され
る。そしてその診療で以前の診療記録を参照したい場合
にはその通信アドレスにアクセスし保険証番号や個人情
報を提示し必要な記録を入手出来る。Therefore, if the user also designates the acquisition of the communication address of the medical institution that was previously taken when the user applies for medical treatment to the medical institution server 30, the medical institution server 30 requests the credit and name from the insurance institution server 50. The request is made at the same time, and the communication address of the medical institution that was previously applied is acquired. If the user wants to refer to the previous medical record in the medical examination, he / she can access the communication address, present the insurance card number and personal information, and obtain the necessary record.
【0098】或いは、診療開始される前に患者か医療機
関側が保険証番号と個人情報を保険機関サーバ50に提
示し以前掛かった医療機関の通信アドレス取得を要求し
てもよい。Alternatively, the patient or the medical institution side may present the insurance number and the personal information to the insurance institution server 50 before the medical treatment is started, and request the acquisition of the communication address of the medical institution which was previously applied.
【0099】又、前記受付処理手段302はステップC
4にて確定した予約データは医療機関窓口端末本体31
0に返しステップC5で診療予約時間をICカード1に
書き込ませるがこの際医療機関サーバ30の通信アドレ
スも併せてICカード1に書き込ませる様にしておく。
尚、通信アドレス用のエントリを複数にし最後に書き込
んだエントリのポインタも設けておき、書き込み前にそ
のエントリの通信アドレスを読み出し新たに書き込む通
信アドレスが異なれば追記する様にして掛かった医療機
関の通信アドレスを順次サイクリックに書き込ませる様
にしておいてもよい。これによりICカード1を持参し
ている限り過去数度の診療記録を容易に入手できる。Further, the reception processing means 302 causes the step C.
The reservation data confirmed in 4 is the medical institution counter terminal body 31
Returning to 0, the medical treatment appointment time is written in the IC card 1 in step C5. At this time, the communication address of the medical institution server 30 is also written in the IC card 1.
It should be noted that a plurality of entries for communication addresses are provided, and a pointer for the last written entry is also provided, and the communication address of the entry is read before writing, and if the newly written communication address is different, additional writing is performed. The communication addresses may be sequentially and cyclically written. As a result, the medical records of the past several times can be easily obtained as long as the IC card 1 is brought.
【0100】[0100]
【発明の効果】以上説明した様に本発明の医療機関受付
システムや受付方法は、初診申し込みで入力した医療機
関への情報で医療機関が保険機関に保険証番号の与信依
頼を行ない再来申し込みでは保険証番号と固有IDの入
力で同様に医療機関が与信依頼するので、利用者は診療
申し込み時保険証を持参しなくてよいという第1の効果
を有する。As described above, according to the medical institution reception system and the reception method of the present invention, the medical institution makes a credit request for the insurance card number to the insurance institution by the information input to the medical institution at the time of the initial medical examination application, and the reintroduction application Since the medical institution similarly requests credit by inputting the insurance card number and the unique ID, the user has the first effect of not having to bring the insurance card when applying for medical treatment.
【0101】又、ICカードの保険証番号や個人情報を
医療機関窓口端末に読み取らせるか、利用者端末のメモ
エリア参照機能で保険証番号や個人情報を入力できる為
診療申し込み手続きの手間が掛からないという第2の効
果も有する。Further, since the insurance card number and personal information of the IC card can be read by the medical institution window terminal or the user can input the insurance card number and personal information with the memo area reference function of the user terminal, the procedure for medical application is troublesome. It also has the second effect that it does not exist.
【0102】又、利用者端末の利用と医療機関サーバや
保険機関サーバの24時間運転により、自宅や外出先か
ら申し込みが出来、申し込み時間帯の制約がないという
第3の効果も有する。Further, by using the user terminal and operating the medical institution server and the insurance institution server for 24 hours, it is possible to apply from home or at the place where the user is out and there is no restriction on the application time zone.
【0103】又、連絡先を常時携帯する携帯電話(利用
者端末)にしておけば受信した診療予定日時をメモエリ
アに記録でき、予定日時変更も携帯電話にメール等で通
知されるので、患者は受診窓口に張り付いておく必要が
ないという第4の効果も有する。If the contact information is set to a mobile phone (user terminal) that is always carried, the received medical treatment scheduled date and time can be recorded in the memo area, and the scheduled date and time change can be notified to the mobile telephone by e-mail or the like. Also has the fourth effect that it is not necessary to stick to the consultation counter.
【0104】又、薬の受け取り場所や金融機関の口座番
号も個人情報として提示すれば、薬を自宅やコンビニエ
ンスストアに配達してくれ、医療費も自動引き落としさ
れるので診療後の手間や待機も解消されるという第5の
効果も有する。If the location where the medicine is received and the account number of the financial institution are presented as personal information, the medicine will be delivered to your home or convenience store, and the medical expenses will be automatically deducted, so that you will not have to wait for and wait after the medical treatment. It also has the fifth effect of being eliminated.
【0105】又、これらの利用者の負担の低減効果や自
宅から診療申し込み可能な為、体の不自由な高齢者の通
院を付き添わずとも支援出来る。Further, since the effect of reducing the burden on these users and the possibility of applying for medical treatment from home, it is possible to support the physically handicapped elderly without attending the hospital.
【0106】又、ICカードにかかった医療機関の通信
アドレスが記録され、保険機関にも記録され、電子カル
テの開示と併せ、以前の診療記録や処方に関する情報も
いち早く入手することができ、掛かり付けの病院へ行け
なくとも安心して受診ができ細かい説明も必要としない
という第6の効果も有する。Further, the communication address of the medical institution on the IC card is recorded and also recorded in the insurance institution, and it is possible to quickly obtain the previous medical record and prescription information along with the disclosure of the electronic medical record. It has the sixth effect that you can have a medical examination with peace of mind even if you can't go to another hospital and you do not need detailed explanation.
【図1】本発明の医療機関受付システムの全体システム
構成を示す図。FIG. 1 is a diagram showing an overall system configuration of a medical institution reception system of the present invention.
【図2】図1の利用者端末2の詳細構成を示すブロック
図。FIG. 2 is a block diagram showing a detailed configuration of a user terminal 2 shown in FIG.
【図3】図1の医療機関3の詳細構成を示すブロック
図。FIG. 3 is a block diagram showing a detailed configuration of a medical institution 3 in FIG.
【図4】図1の保険機関5の構成を示す図。FIG. 4 is a diagram showing a configuration of an insurance organization 5 in FIG.
【図5】図1の指定宅配業者4の構成を示す図。5 is a diagram showing a configuration of a designated delivery company 4 of FIG.
【図6】図1の金融機関6の構成を示す図。6 is a diagram showing a configuration of a financial institution 6 in FIG.
【図7】利用者端末2から医療機関3に診療申込みする
場合の処理動作を示すフローチャート。FIG. 7 is a flowchart showing a processing operation when applying for medical treatment from the user terminal 2 to the medical institution 3.
【図8】利用者端末2から医療機関3に診療申込みする
場合の処理動作を示すフローチャート。FIG. 8 is a flowchart showing a processing operation when applying for medical treatment from the user terminal 2 to the medical institution 3.
【図9】利用者端末2から医療機関3に再来診療申込み
する場合の処理動作を示すフローチャート。FIG. 9 is a flowchart showing a processing operation in the case of applying for a return visit medical treatment from the user terminal 2 to the medical institution 3.
【図10】次に医療機関窓口端末31からICカード1
による診療申し込みの場合の処理動作を示すフローチャ
ート。[FIG. 10] Next, from the medical institution window terminal 31 to the IC card 1
5 is a flowchart showing a processing operation in the case of medical care application by.
【図11】診療受診後の後処理動作を示すフロチャー
ト。FIG. 11 is a flowchart showing a post-processing operation after receiving medical examination.
1 ICカード 2 利用者端末 21 通信手段 22 通信AP 221 ブラウザ 222 メーラ 23 表示手段 24 入力手段 25 メモエリア 26 メモ記録・参照手段 27 警告手段 3 医療機関 30 医療機関サーバ 301 インターネット通信手段 302 受付処理手段 303 診療記録更新参照手段 304 診療後処理手段 305 保険機関通信AP 31 医療機関窓口端末 311 ICカードリーダライタ 312 指紋照合装置 32 医師端末 33 薬局端末 34 保険機関テーブル 35 予定データ 36 診療記録データ 37 患者管理データ 38 診療項目・薬価テーブル 39 医療機関DB 4 指定宅配業者 41 宅配業者端末 5 保険機関 50 保険機関サーバ 501 インターネット通信手段 502 保険機関通信AP 51 個人情報データ 52 請求・支払記録データ 53 個人情報DB 6 金融機関 60 金融機関サーバ 61 口座情報DB 100 インターネット 101 無線ネットワーク/公衆回線 102、103 公衆回線 1 IC card 2 user terminals 21 Communication means 22 Communication AP 221 browser 222 Mailer 23 Display means 24 Input means 25 memo area 26 Memos recording / reference means 27 Warning means 3 medical institutions 30 medical institution server 301 Internet communication means 302 Reception processing means 303 Medical record update reference means 304 Post-treatment means 305 Insurance Agency Communication AP 31 Medical Institution Counter Terminal 311 IC card reader / writer 312 Fingerprint collation device 32 Doctor terminal 33 pharmacy terminals 34 Insurance Organization Table 35 Scheduled data 36 Medical record data 37 Patient management data 38 Medical items / price table 39 Medical institution DB 4 designated courier 41 Courier terminal 5 insurance institutions 50 insurance institution server 501 Internet communication means 502 Insurance agency communication AP 51 Personal information data 52 Billing / Payment Record Data 53 Personal information DB 6 financial institutions 60 financial institution server 61 Account information DB 100 Internet 101 wireless network / public line 102, 103 public line
Claims (14)
用者が加入している健康保険組織である保険機関は前記
医療機関サーバに通信接続されたサーバと、保険証の元
帳として加入者の保険証番号に対応付けそのパスワード
である固有IDと加入者の個人情報を保持するデータベ
ースを備え、前記医療機関サーバは利用者の診療申込み
を受付ける受付処理手段を備え、この受付処理手段は利
用者の初診申込み時に利用者の保険証番号と氏名、生年
月日、現住所、電話番号を含む個人情報を取得し、これ
らの情報を属する保険機関のサーバに送信し、保険機関
のサーバは受信した保険証番号と個人情報を前記データ
ベースと照合し、符合すれば保険証番号の与信応答を行
い、これにより受付処理手段は正当な保険証が提示され
たのと同様に扱い取得した前記情報により診療の受付処
理をすることを特徴とする医療機関の受付システム。1. A medical institution has a server, and an insurance institution, which is a health insurance organization to which users of the medical institution subscribe, has a server connected to the server of the medical institution and a subscriber of the insurance card as a ledger of insurance cards. The medical institution server is provided with a reception processing means for receiving the medical ID application of the user and a database for holding the unique ID which is the password and the personal information of the subscriber in association with the insurance policy number, and the reception processing means is the user. When you apply for the first medical examination, personal information including the user's insurance card number, name, date of birth, current address, and telephone number is acquired, and this information is sent to the server of the insurer to which the insurer's server receives the insurance. The certificate number and personal information are collated with the above database, and if they match, a credit response of the insurance card number is made, so that the acceptance processing means treats it as if a valid insurance card was presented. A reception system of a medical institution, which performs reception processing of medical treatment based on the obtained information.
タを含むデータベースも備え、前記医療機関サーバの受
付処理手段は前記初診の受付処理で利用者の保険証番号
と個人情報とを患者管理データに登録し、利用者の再来
診療申込み時には利用者の保険証番号と固有IDを取得
し、これらの情報を属する保険機関サーバに送信し、保
険機関サーバは受信した保険証番号と固有IDと前記デ
ータベースとを照合し、符合すれば保険証番号の与信と
対応する加入者の個人情報の一部を前記医療機関サーバ
に返信し、これを受け前記受付処理手段は受信した個人
情報で前記患者管理データを特定しその再来診療申込み
を受付け処理することを特徴とする請求項1記載の医療
機関の受付システム。2. The medical institution also includes a database including patient management data in addition to the server, and the reception processing means of the medical institution server stores the user's insurance card number and personal information in the patient management data in the reception processing of the first medical examination. When the user applies for a return visit, he / she obtains the user's insurance card number and unique ID, and sends this information to the insurance institution server to which he / she belongs. The database is collated, and if matched, a part of the personal information of the subscriber corresponding to the credit of the insurance card number is returned to the medical institution server, and the reception processing means receives the personal information and manages the patient with the received personal information. The reception system of a medical institution according to claim 1, wherein the data is specified and the return medical treatment application is received and processed.
療の稼働予定と稼働ごとの受付状態を示す診療予定デー
タを含む医療機関データベースを備え、医療機関の利用
者は端末を備え、保険機関はサーバと保険証の元帳とし
て加入者の保険証番号に対応付けそのパスワードである
固有IDと加入者の個人情報を保持する個人情報データ
ベースを備え、利用者端末と医療機関サーバと保険機関
サーバがネットワーク接続されたシステムであって、前
記医療機関サーバは利用者の診療申込みを受付ける受付
処理手段とを備え、この受付処理手段は前記利用者端末
から診療申込みを受けると、初診では利用者の保険証番
号と氏名、生年月日、現住所、電話番号を含む個人情報
を取得し、これらの情報を利用者の属する保険機関のサ
ーバに送信し、保険機関サーバは受信した保険証番号と
個人情報を個人情報データベースと照合し、符合すれば
保険証番号の与信応答を行い、これにより前記受付処理
手段は前記診療予定データを参照し申込みの受付処理を
行い前記取得した保険証番号と個人情報、受付けた診療
予定日時をそれぞれ患者管理データ、診療予定データに
登録し、再来では利用者の保険証番号と固有IDを取得
しこれを属する保険機関のサーバに送信し、保険機関サ
ーバは保険証番号と個有IDを個人情報データベースと
照合し、符合すれば保険証番号の与信とキーとなる個人
情報とを応答し、これにより受付処理手段は前記診療予
定データを参照し申込みの受付処理を行い前記保険証番
号とキーとなる個人情報で患者管理データを特定し、受
付処理した診療予定日時を診療予定データに登録するこ
とを特徴とする医療機関の受付システム。3. The medical institution has a server, a patient management data, and a medical institution database including medical treatment schedule data indicating a medical treatment operation schedule and a reception status for each operation, a medical institution user has a terminal, and an insurance organization has As a ledger of the server and the insurance card, a personal information database that holds the unique ID of the password and the personal information of the subscriber in association with the insurance number of the subscriber is provided, and the user terminal, the medical institution server, and the insurance institution server are networked. In the connected system, the medical institution server includes reception processing means for receiving a medical application of the user, and when the medical processing application receives the medical application from the user terminal, the reception processing means receives the insurance card of the user at the first examination. Personal information including number and name, date of birth, current address, and telephone number is acquired, and this information is transmitted to the server of the insurance institution to which the user belongs, and insurance is provided. The institution server collates the received insurance card number and personal information with the personal information database, and if they match, it sends a credit response of the insurance card number, whereby the reception processing means refers to the medical treatment plan data and performs application reception processing. Perform the above-mentioned registration of the acquired insurance card number and personal information, and the received medical treatment scheduled date and time in the patient management data and medical treatment schedule data respectively, and in the future, obtain the user's insurance certificate number and unique ID, and the server of the insurance organization to which this belongs. The insurance organization server collates the insurance card number and the personal ID with the personal information database, and if they match, returns the credit of the insurance card number and the key personal information. By referring to the schedule data, the application acceptance process is performed, the patient management data is specified by the insurance card number and the key personal information, and the scheduled date and time when the acceptance process is performed Accepted system of medical institutions and registers the data.
険証番号と固有IDと生体情報と個人情報を記録した電
子カードを発行し、前記医療機関は医療機関サーバの他
これに通信接続された医療機関窓口端末も備え、この医
療機関窓口端末は医療機関の利用者の電子カードを読み
書きする手段と利用者の身体の一部より生体情報を読み
取る手段と利用者の電子カード内容を読み取った際にそ
の内の生体情報と身体からの生体情報とを照合し電子カ
ードが利用者本人のものであることを確認する手段と確
認された利用者の診療申し込みと読み取った保険証番号
と個人情報とを医療機関サーバに送信する手段を備え、
前記受付処理手段は前記利用者端末の他前記医療機関窓
口端末からの診療申込みも受信し、診療申し込みと保険
証番号と個人情報を受けると前記診療予定データを参照
し申込みの受付処理を行い初診では受信した保険証番号
と個人情報、受付けた診療予定日時をそれぞれ患者管理
データ、診療予定データに登録し、再来では利用者の保
険証番号と個人情報で患者管理データを特定し、受付処
理した診療予定日時を診療予定データに登録し、診療予
定日時の電子カードへの書き込みを指示することを特徴
とする請求項3記載の医療機関の受付システム。4. The insurance institution issues an electronic card having an insurance card number, a unique ID, biometric information and personal information recorded to a subscriber as an insurance card, and the medical institution is connected to and connected to a medical institution server. It also has a medical institution terminal, which reads and writes the electronic card of the user of the medical institution, the means of reading biometric information from a part of the user's body, and the content of the electronic card of the user. At that time, the means for verifying that the electronic card is the user's own by matching the biometric information in it with the biometric information from the body and the confirmed medical application for the user and the read insurance card number and personal information And means for transmitting to the medical institution server,
The reception processing means receives not only the user terminal but also the medical application from the medical institution counter terminal, and upon receiving the medical application, the insurance card number, and the personal information, the application processing is performed by referring to the medical treatment schedule data, and the first medical examination is performed. Then, register the received insurance policy number and personal information, and the received medical treatment scheduled date and time in the patient management data and medical treatment schedule data respectively, and when returning, identify the patient management data with the user's insurance card number and personal information and process the reception. 4. The reception system of a medical institution according to claim 3, wherein the scheduled medical treatment date and time is registered in the medical treatment schedule data, and an instruction to write the scheduled medical treatment date and time on an electronic card is given.
含み、前記受付処理手段は利用者端末や医療機関窓口端
末からの初診申し込みに際し、利用者の個人情報として
連絡先も取得し、前記初診と再来の受付処理後確定した
診療開始予定日時を前記連絡先の端末や通信機器に送信
し、その後の診療予定に変更が生じると変更後の日時も
送信することを特徴とする請求項4記載の医療機関の受
付システム。5. The personal information of the electronic card includes a contact information, and the reception processing means also obtains the contact information as the personal information of the user when applying for the first medical examination from the user terminal or the medical institution counter terminal, The scheduled medical treatment start date and time confirmed after the reception process of the first medical examination and the return visit is transmitted to the terminal or communication device of the contact, and the changed date and time is also transmitted when the subsequent medical treatment schedule is changed. Reception system for the listed medical institutions.
データや診療予定データのほか診療のつど登録される診
療記録データも含み、前記医療機関サーバには診療後処
理手段も備え、前記電子カードの個人情報には薬の受け
取り場所も含めることが出来、前記受付処理手段は利用
者端末や医療機関窓口端末からの初診申し込みに際し、
利用者の個人情報として薬の受け取り場所も取得し、前
記受付処理にて個人情報の一部とし患者管理データに登
録し、前記診療後処理手段は新たに蓄積された診療記録
に基づき薬等の準備を薬局に指示し、その診療記録に対
応する患者の管理データの個人情報に薬の受け取り場所
指定があれば準備された薬等の指定場所への配達を通信
接続された指定宅配業者の端末に指示し、指定宅配業者
に配達を行わせることを特徴とする請求項5記載の医療
機関の受付システム。6. The medical institution database includes patient management data and medical treatment schedule data as well as medical record data to be registered for each medical treatment, the medical institution server also includes medical treatment post-processing means, and an individual of the electronic card. The information can include the place where the medicine is received, and the reception processing means can be used when applying for the first examination from the user terminal or the medical institution window terminal.
The location where the medicine is received is also acquired as the user's personal information, and it is registered in the patient management data as a part of the personal information in the reception processing, and the medical treatment post-processing means stores the medicine etc. based on the newly accumulated medical record. If you instruct the pharmacy to prepare and if the personal information in the patient management data corresponding to the medical record specifies the receiving location of the medicine, the delivery of the prepared medicine etc. to the designated location will be communicated to the terminal of the designated courier. 6. The reception system of the medical institution according to claim 5, characterized in that the designated delivery company is instructed to deliver.
データや診療予定データのほか診療のつど登録される診
療記録データも含み、前記受付処理手段は前記医療機関
窓口端末からの診療申し込みの受付処理後に診療予定日
時のほか医療機関サーバの通信アドレスも電子カードに
書き込む様にし、保険機関サーバは医療機関サーバより
利用者の医療費を請求された際にその送信元の通信アド
レスを取得しこれを請求された利用者の個人情報に対応
づけてデータベースに記憶する様にし、医療機関サーバ
より保険証番号や個人情報を受診すると診療記録が要求
されていれば受信した保険証番号や個人情報がデータベ
ースと符合する条件で前記個人情報に対応した通信アド
レスも送信することを特徴とする請求項4、5、又は6
記載の医療機関の受付システム。7. The medical institution database includes patient management data, medical treatment schedule data, and medical record data to be registered for each medical treatment, and the reception processing means performs processing for receiving medical application from the medical institution terminal. In addition to the scheduled medical treatment date and time, the communication address of the medical institution server is also written in the electronic card, and when the medical institution server charges the user's medical expenses, the insurance institution server acquires the communication address of the sender and requests it. If the medical record is requested when the medical institution server receives the insurance card number and personal information from the medical institution server, the received insurance card number and personal information will be stored in the database. The communication address corresponding to the personal information is also transmitted under a matching condition.
Reception system for the listed medical institutions.
機関が、金融機関サーバと利用者の口座情報を含む口座
情報データベースを備え、金融機関サーバは前記医療機
関サーバが接続されたネットワークに接続され、前記電
子カードの個人情報には利用者の金融機関口座番号も含
めることが出来、前記医療機関データベースは患者管理
データや診療予定データの他、診療のつど登録される診
療記録データも含み、前記医療機関サーバには前記受付
処理手段のほか診療後処理手段も備え、前記受付処理手
段は利用者端末や医療機関窓口端末からの初診申し込み
に際し、利用者の個人情報として金融機関口座番号も取
得し、前記受付処理にて個人情報の一部とし患者管理デ
ータに登録し、前記診療後処理手段は新たに蓄積された
診療記録とそれに対応する患者管理データを用い医療費
の本人負担額を算出し、対応する患者管理データの個人
情報より前記金融機関口座番号を取得し、これと本人負
担額とを伴い該当する金融機関サーバに前記口座番号よ
り医療機関の口座への振り込みを指示することを特徴と
する請求項5、又は6記載の医療機関の受付システム。8. The financial institution with which the user of the medical institution has an account comprises a financial institution server and an account information database containing the account information of the user, and the financial institution server is connected to the network to which the medical institution server is connected. Connected, the personal information of the electronic card can include the user's financial institution account number, and the medical institution database includes patient management data, medical treatment schedule data, and medical record data to be registered for each medical treatment. In addition to the reception processing means, the medical institution server also includes post-treatment processing means, and the reception processing means includes a financial institution account number as personal information of the user when applying for initial diagnosis from a user terminal or a medical institution window terminal. The information is acquired and registered in the patient management data as a part of personal information in the reception processing, and the post-treatment processing means stores the newly accumulated medical record and the corresponding medical record. The patient's burden of medical expenses is calculated using the corresponding patient management data, and the financial institution account number is obtained from the personal information of the corresponding patient management data. 7. The reception system of a medical institution according to claim 5, wherein the transfer of the money to the account of the medical institution is instructed from the account number.
保険証番号に対応付けそのパスワードである固有IDと
加入者の個人情報をデータベースとして保持する手順
と、医療機関より受信した保険証番号と個人情報或いは
固有IDを前記データベースと照合し符合すれば保険証
番号の与信、或いは与信と個人情報の一部を応答する手
順とを含み、医療機関は利用者の初診申込み時に利用者
の保険証番号と氏名、生年月日、現住所、電話番号を含
む個人情報を取得し、これらの情報を属する保険機関に
送信する手順と、保険機関より保険証番号の与信を受け
ると正当な保険証が提示されたのと同様に扱い取得した
前記情報により診療の受付処理を開始する手順とを持つ
受付処理手順を有することを特徴とする医療機関の受付
方法。9. The insurance organization correlates the insurance card number of the subscriber with the insurance card number of the insurance card and retains the password, the unique ID and the personal information of the subscriber as a database, and the insurance card number received from the medical institution. And the personal information or the unique ID are compared with the above database and credited with the insurance policy number, or a procedure for responding a part of the credit and personal information. The medical institution provides the insurance for the user when applying for the first medical examination. A procedure for obtaining personal information including a certificate number, name, date of birth, current address, and telephone number, and transmitting this information to the insurance institution to which it belongs, and a valid insurance card when receiving the insurance certificate number from the insurance organization A reception method of a medical institution, which has a reception processing procedure having a procedure of starting a reception processing of medical treatment based on the information that is treated and acquired in the same manner as presented.
診の受付処理で利用者の保険証番号と個人情報とを患者
管理データとして登録し、利用者の再来診療申込み時に
は利用者の保険証番号と固有IDを取得し、これらの情
報を属する保険機関に送信し、保険機関より保険証番号
の与信と対応する個人情報の一部を受けると受信した個
人情報で前記患者管理データを特定しその再来診療申込
みを受付け処理することを特徴とする請求項9記載の医
療機関の受付方法。10. The reception processing procedure of the medical institution registers the user's insurance card number and personal information as patient management data in the reception processing of the first medical examination, and the user's insurance card number when applying for the return visit of the user. And a unique ID are acquired, and these pieces of information are transmitted to the insurance institution to which they belong, and when the insurance institution receives a part of the personal information corresponding to the credit of the insurance policy number, the patient management data is specified by the received personal information and 10. The method of accepting a medical institution according to claim 9, wherein the application for returning medical treatment is accepted and processed.
保険証番号と固有IDと生体情報と個人情報を記録した
電子カードを発行し、前記医療機関は利用者の電子カー
ドを読み書きする手順と利用者の身体の一部より生体情
報を読み取る手順と利用者の電子カード内容を読み取っ
た際にその内の生体情報と身体からの生体情報とを照合
し電子カードが利用者本人のものであることを確認する
手順と確認された利用者の診療申し込みと読み取った保
険証番号と個人情報とを前記受付処理手順に渡す手順も
含み、前記受付処理手順は前記利用者の電子カードによ
る診療申し込みと保険証番号と個人情報を受けると前記
同様に受付処理し患者管理データや、診療予定データの
登録を行い、診療予定日時の電子カードへの書き込みを
指示することを特徴とする請求項10記載の医療機関の
受付方法。11. The insurance institution issues an electronic card having an insurance card number, a unique ID, biometric information and personal information recorded to the subscriber as an insurance card, and the medical institution reads and writes the user's electronic card. The procedure for reading biometric information from part of the user's body and the biometric information from the user's electronic card when the content of the user's electronic card is read and the electronic card is the user's own It also includes a procedure for confirming that the medical treatment application for the confirmed user, and a procedure for passing the read insurance card number and personal information to the reception processing procedure, the reception processing procedure including a medical application by the user's electronic card. When receiving the insurance card number and personal information, reception processing is performed in the same manner as above, patient management data and medical treatment schedule data are registered, and writing of the scheduled medical treatment date and time to an electronic card is instructed. The medical institution reception method according to claim 10.
も含み、前記受付処理手順は利用者の初診申し込みに際
し、利用者の個人情報として連絡先も取得し、前記初診
と再来の受付処理後確定した診療開始予定日時を前記連
絡先の端末や通信機器に送信し、その後の診療予定に変
更が生じると変更後の日時も送信することを特徴とする
請求項11医療機関の受付方法。12. The contact information is included in the personal information of the electronic card, and the reception processing procedure acquires the contact information as the personal information of the user when applying for the first visit of the user, and after the acceptance processing of the first visit and the return visit. 12. The reception method of a medical institution according to claim 11, wherein the confirmed scheduled start date and time of medical treatment is transmitted to the terminal or the communication device of the contact, and the date and time after the change is transmitted when the medical treatment schedule changes thereafter.
定データを登録するほか診療のつどその結果を診療記録
データに登録し、又診療後処理手順も備え、前記電子カ
ードの個人情報には薬の受け取り場所も含めることが出
来、前記受付処理手順は利用者の初診申し込みに際し、
利用者の個人情報として薬の受け取り場所も取得し、前
記受付処理にて個人情報の一部とし患者管理データに登
録し、前記診療後処理手順は新たに蓄積された診療記録
に基づき薬等の準備を薬局に指示し、その診療記録に対
応する患者の管理データの個人情報に薬の受け取り場所
指定があれば準備された薬等の指定場所への配達を指定
宅配業者の端末に指示し、指定宅配業者に配達を行わせ
ることを特徴とする請求項12医療機関の受付方法。13. The medical institution, in addition to registering patient management data and schedule data, also registers the result of each medical treatment in medical record data, and also has a medical treatment post-processing procedure. You can also include the receiving place of the, the reception processing procedure, when applying for the first visit of the user,
The user also obtains the drug receiving location as personal information, registers it in the patient management data as a part of the personal information in the reception process, and the post-treatment procedure for the drug etc. based on the newly accumulated medical records. Instruct the pharmacy to prepare, and if the personal information of the patient management data corresponding to the medical record specifies the receiving location of the drug, instruct the delivery of the prepared drug etc. to the designated location to the terminal of the designated courier, 13. The method of accepting a medical institution according to claim 12, characterized in that the delivery is performed by a designated courier.
融機関が、利用者の口座情報を含む口座情報データベー
スを管理登録する手順を備え、前記電子カードの個人情
報には利用者の金融機関口座番号も含めることが出来、
前記医療機関は患者管理データや診療予定データの登録
手順の他、診療のつどその結果を診療記録データに登録
する手順も含み、前記医療機関には前記受付処理手順の
他診療後処理手順も有し、前記受付処理手順は利用者か
らの初診申し込みに際し、利用者の個人情報として金融
機関の口座番号も取得し、前記受付処理にて個人情報の
一部とし患者管理データに登録し、前記診療後処理手順
は新たに蓄積された診療記録とそれに対応する患者管理
データを用い医療費の本人負担額を算出し、対応する患
者管理データの個人情報より金融機関の口座番号を取得
し、これと本人負担額とを伴い該当する金融機関に前記
口座番号より医療機関の口座への振り込みを指示する手
順も有することを特徴とする請求項12、又は13記載
の医療機関の受付方法。14. A financial institution having an account with a user of the medical institution is provided with a procedure for managing and registering an account information database including the account information of the user, and the personal information of the electronic card includes the financial institution of the user. You can also include your account number,
The medical institution includes a procedure for registering patient management data and medical treatment schedule data, and also a procedure for registering the result of each medical treatment in medical record data. The medical institution has a post-treatment processing procedure in addition to the reception processing procedure. However, in the reception processing procedure, when applying for the first medical examination from the user, the account number of the financial institution is also acquired as the user's personal information, and it is registered in the patient management data as a part of the personal information in the reception processing. The post-processing procedure uses the newly accumulated medical records and the corresponding patient management data to calculate the burden of medical expenses, and obtains the account number of the financial institution from the personal information of the corresponding patient management data. 14. The reception of the medical institution according to claim 12, further comprising a procedure for instructing a corresponding financial institution to transfer the amount from the account number to the account of the medical institution together with the amount paid by the principal. Law.
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