The person specified by Order of the Ministry of Health, Labour and Welfare referred to in Article 141, paragraph (1) of the Act means a physician who works at a hospital (meaning a hospital prescribed in Article 1-5, paragraph (1) of the Medical Care Act (Act No. 205 of 1948); the same applies in paragraph (2), item (ii) of the following Article) or a clinic (meaning a clinic prescribed in Article 1-5, paragraph (2) of that Act; the same applies in paragraph (2), item (ii) of the following Article) (excluding a physician who does not perform work whose direct purpose is the medical examination and treatment of persons receiving medical care), or a physician who works at a long-term care health facility (meaning a long-term care health facility prescribed in Article 8, paragraph (28) of the Long-Term Care Insurance Act (Act No. 123 of 1997); the same applies in paragraph (2), item (ii) of the following Article) or an integrated facility for medical and long-term care (meaning an integrated facility for medical and long-term care prescribed in Article 8, paragraph (29) of that Act; the same applies in paragraph (2), item (ii) of the following Article) (hereinafter referred to as a "specified physician").