JP2001143000A - Medical examination managing system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To fetch data inputted by a medical examination support system into a medical office work system. SOLUTION: A medical examination support input application 20 of a medical examination support system 10 writes medical examination data required to be transferred among inputted data into a transfer information transaction 24. A medical office work converter application 14 reads out transfer information stored in the transfer information transaction 24, refers to a conversion table stored in a conversion master 28 and transmits the information to a medical office work system after converting it to the format of data, which can be fetched in the medical office work system 12.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical management system including an electronic medical record system for managing medical data of a patient as an electronic medical record, and a medical affairs system for managing issuance of a medical fee statement for medical care.

[0002]

2. Description of the Related Art Conventionally, medical office computers (medical systems) have been widely used in medical office work. The medical office computer inputs and stores the medical treatment performed on the patient and issues a medical remuneration statement (recept). On the other hand, medical data described in medical charts are rarely handled by computers due to the use of handwritten medical charts. However, the use of electronic medical records that electronically store data instead of handwritten paper medical records is being recognized, and medical care support systems that use electronic medical records are also becoming widespread.

[0003] In such a medical care support system,
Usually, a doctor inputs medical data. The input medical care data basically corresponds to data on medical care required in the medical affairs system.

[0004] Therefore, it is also possible to completely integrate the medical system and the medical care support system and construct a single system. By adopting one system, it is considered that medical data input to the electronic medical record as data to be described in the medical record can be used as it is for preparing a medical remuneration statement.

[0005]

However, a medical affairs system is an office machine for a medical institution to issue a claim, while an electronic medical record system is used by a physician to manage a patient's medical record, thereby protecting privacy. However, it is not always preferable to integrate them into one system.

Therefore, it is preferable to construct these medical systems and the medical support system as separate systems. However, if another system is used, the data already input in the medical care support system in order to be described in the medical record often needs to be input again in the medical system in order to issue a receipt, which is inefficient.

The present invention has been made in view of the above problems, and relates to a medical care management system that can effectively combine a medical system and a medical care support system.

[0008]

SUMMARY OF THE INVENTION The present invention provides a medical treatment management system including an electronic medical record system for managing medical data of a patient as an electronic medical record, and a medical affairs system for managing issuance of a medical fee statement for medical treatment. There is provided a conversion means for converting medical data input in the electronic medical record system using a conversion table and transferring the data to a medical system. As described above, the medical data is converted by the conversion means and provided to the medical system. Therefore, in the medical affairs system, the medical care data input by the medical support system can be used, and the trouble of separately inputting can be saved.

[0009] In the electronic medical record system,
Transfer data storing means for storing, as transfer information, data to be transferred to the medical system from the data when the data is input, wherein the converting means stores the transfer information stored in the transfer information storage means; Is preferably read, converted, and transferred to the medical system. In order to temporarily store the information to be transferred in the transfer information storage means, the conversion means may convert the information stored in the transfer information storage means sequentially.

The transfer information stored in the transfer information storage means is divided for each action such as treatment or prescription, and data for each action is unprocessed for data not transferred. It is preferable to set a processing-in-progress flag for already-transferred data and a processing-in-transfer flag for data being transferred. By looking at the flag, data to be converted can be easily searched. In addition, when an error occurs in the transfer, correct data can be supplied to the medical system by transferring the data having the flag being processed to the medical system as corrected data.

When the conversion means is activated, the conversion means first searches the transfer information stored in the transfer information storage means for one having a flag being processed and converts them as correction data. Preferably, the transfer is made to a medical system. Thus, when an error occurs during the conversion, the work of redoing can be easily performed.

[0012]

Embodiments of the present invention (hereinafter referred to as embodiments) will be described below with reference to the drawings.

FIG. 1 is a diagram showing the overall configuration of a medical care management system according to this embodiment. The system basically includes two units, a medical treatment support system 10 and a medical system 12. The medical care support system 10 is provided with a medical converter application 14. The medical converter application 14 performs necessary data conversion and supplies medical data for issuing a receipt to the medical system 12. In the medical care support system 10, a terminal is provided in a medical office or the like.
The doctor operates the terminal to call the patient's chart, and inputs medical data on medical care in the same manner as creating a medical chart by hand. Usually, a plurality of terminals are provided.

The medical care data input at the terminal is taken into the medical care support input application 20. The physician inputs data on the medical treatment when performing the medical treatment, and finally performs an approval process and ends the input on one patient. The medical care support input application 20 receives the approval of the medical care data from the terminal and writes the data into the chart transaction 22. Thereby, the chart of each patient is updated. That is, when a doctor completes one medical treatment for one patient, the medical data is input and approved, so that the medical data is determined and stored in the electronic medical record.

On the other hand, the medical care support input application 20 extracts necessary data in the medical care system 12 from the medical care data stored in the electronic medical record, and writes the data in the transfer information transaction 24. The writing of the data into the transfer information transaction 24 is also performed in a state where the data is approved and the medical care data on the medical care is determined. As a result, in the transfer information transaction 24, data on one medical treatment of the patient performed at that time is input and stored in chronological order. Here, information as to which data needs to be transferred to the medical system is stored in the chart master 26,
The medical care support input application 20 performs a transfer information extraction operation using the information of the medical chart master 26.
The medical chart master also stores various data necessary for creating an electronic medical chart.

The medical converter application 14 converts the transfer information stored in the transfer information transaction 24 into data to be handled in the medical system 12 using the conversion table stored in the conversion master 28, and converts this into communication. To the medical system 12. Here, in the transfer information transaction 24, one medical treatment data on the patient is grouped into one,
They are stored in chronological order in the order of input. The medical converter application 14 reads in one input medical data of one patient and performs a conversion operation.

Here, in the input medical data, a flag is provided for each action such as treatment or prescription, and when written in the transfer information transaction 24, this flag is set to an unprocessed state. Therefore, the medical converter application 14 searches for the data having the unprocessed flag from the top, and converts the data for the medical system 12. Then, when the transfer information is read, the flag is changed during processing. Further, when the conversion and transfer operations are completed, the flag is changed to “processed”. It is also preferable to change the flag to the processed state after receiving confirmation from the medical system 12 that the transfer data has been received. Communication with the medical system 12 is performed according to a predetermined protocol.

The medical care support input application 20
, Correction data for past input may be input. Also in this case, the transfer information transaction 24 stores the correction data in a time series. And
The medical converter application 14 converts the correction data and transmits the converted data to the medical system 12. As a result,
In the medical system 12, correction work of past data is performed. In this way, it is possible to suppress the occurrence of errors and achieve the correction work.

If the transfer from the medical converter application 14 to the medical system 12 cannot be completed due to some trouble, the data of the processing-in-progress flag remains in the transfer information transaction 24 as it is. Therefore, medical converter application 1
4 retrieves and converts the data having the processing-in-progress flag at the beginning after the restart, and retransmits the data as corrected data. The medical system only needs to perform normal correction work, and no discrepancy in data occurs.

Further, the medical care support system 10 is provided with a medical care support maintenance application 30 and a conversion master maintenance application 32, and the contents of the medical chart master 26 and the conversion master 28 can be changed using these applications. .

For example, when a medical code is changed in the medical affairs system, this can be dealt with by changing the contents of the conversion master 28 by the conversion master maintenance application 32. On the other hand, when the medical care code for inputting the medical chart is changed, first, the medical care support application 30 rewrites the medical chart master 26. In addition, a conversion master maintenance application 3 is displayed on the screen by the medical treatment support maintenance application 30.
Button 2 is provided. Then, when the change of the chart master 26 is completed, the read button of the conversion master maintenance is operated. As a result, the conversion master maintenance application 32 is activated, and the conversion master 28
A corresponding change for can be made. Note that, in this case, it is preferable that the data on available changes be used as it is in the conversion master maintenance application 32.

The medical system 12 has a medical data receiving operation 34, and by this operation, the medical data transmitted from the medical support system 10 is transferred to the medical system 12
Is taken into the database as the data. Then, a medical remuneration statement is created based on the captured medical data.

As described above, according to the medical care management system of the present embodiment, the medical care converter application 14 is provided, and in the medical care support system 10, of the input medical care data necessary for the medical care system 12, Then, the data is converted into data that can be captured by the medical system 12 and supplied to the medical system. Therefore, in the medical system 12, the transmitted data can be used, and the trouble of inputting again can be saved.

Next, the medical converter application 1
4 will be described together with the contents of the conversion master 28.

First, if the code in the medical care support system 10 is different from the code in the medical system 12, this is converted. For example, medical practice, drugs, procedures,
Since codes such as disease names, medical departments, and medical classifications are different between the two systems, a one-to-one correspondence table is stored in the conversion master 28, and simple conversion is performed according to this table.

The medical care support input application 20
In the above, those which are not related to the medical system such as findings about diseases are excluded, but those which cannot be calculated are also written in the transfer information transaction 24. For example, self-injection syringes and the like cannot be calculated medically. Conversion master 2
8 stores data on the items for which medical calculations cannot be performed, and cuts those for which medical calculations cannot be performed.

When the unit such as the amount of the medicine used differs between the medical care support system 10 and the medical system 12, this is converted. For example, a conversion table is prepared so that one tablet is used for 10 mg of the drug, and the amount and the unit of the drug are converted together. As described above, one-to-one conversion is performed by referring to a table. In addition to the above, there is the following conversion in which another code is added, divided, or combined.

When it is necessary to add a classification change code for a medicine or a medical material, this code is added. In the medical system 12, there are cases where the treatment and the medicine are grouped as one prescription and cases where this must be separately described as another prescription. In this case, it is necessary to add a classification change code. Further, when a predetermined medicine is used as a one-time medicine, it is necessary to specify this, and a code for this is added.

In the medical treatment support system 10,
Even if an individual test is merely an individual test, it may be necessary to divide the test into a predetermined group and describe it. For example, when examinations 1 to 5 are performed, the medical system may need to classify these examinations 1 to 5 into the kensa 1 or kensa 2. Conversion master 2
Data about this is stored in 8 and this conversion is performed.

If the codes in the medical system 12 are the same for a plurality of examinations, conversion is performed to combine them. For example, regarding the allergy test, in the medical care support system 10, allergies such as cedar, shrimp, and eggs are input as separate tests. On the other hand, in the medical affairs system 12, the code is one code, which is collectively set to 3 in quantity.

In some cases, another code must be added to the converted code in the medical system 12, and the conversion is also performed.

[0032] Those that are input alone are separated from other codes. That is, in the medical affairs system, some data must be input separately, and the data for medical treatment is separated even if it is continued. For example, oxygen is a single input that is separated in the medical system 12.

As described above, various conversions must be performed, and data for the conversion is stored in the conversion master 28. The medical converter application 14
This conversion is performed by referring to the conversion master 28 from the transfer information.

The table in the conversion master 28 has a hierarchical structure. That is, (a) a conversion main master for converting codes such as medicines and actions, and (b)
(A) The lower master of (a), which is used when converting the usage, and (c) the lower master of (a), which is used when the converted code is different under a predetermined condition. (D) a conversion submaster, which is a lower order master of (a) and is a conversion addition master used when adding a code;
(A) a lower order master, a conversion group master that divides an input unit for each group, (f) a conversion procedure master that converts codes such as injection procedures, and (g) a section change master that is used when performing a section change. , (H) masters such as converted disease name masters used for converting prefixes of disease names and the like. In particular, if the conversion main master has a predetermined value, the conversion main master passes the conversion to a lower-level master. Therefore,
Maintenance of each master becomes easy. In addition, operations such as extension are also facilitated.

The processing by the medical converter application 14 is divided into two types of processing according to the contents of the transfer data. That is, as shown in FIG. 2, among the data of the treatment and the prescription unit stored in the transfer information transaction 24, the data of the flag in the unprocessed state is searched (S11), and the flag is set during the processing (S11). S12). Next, the transfer category in the transfer basic data is determined (S13). The transfer category includes a disease name and an action such as treatment or prescription, that is, an order. If the disease name is a disease name, the disease name is converted using the converted disease name master (S1).
4). On the other hand, if it is an order, the data is divided depending on which of the above-mentioned conversion masters is used, and conversion processing is performed using the corresponding conversion master. When all the unprocessed data has been converted, the converted data is transferred to the medical system (S17), and finally, the flag of the transferred data is changed to processed (S18).

[0036]

As described above, according to the present invention,
Convert medical data and provide to medical system. Therefore, in the medical affairs system, the medical care data input by the medical support system can be used, and the trouble of separately inputting can be saved.

[Brief description of the drawings]

FIG. 1 is a diagram showing an overall configuration of a system.

FIG. 2 is a flowchart illustrating an operation.

[Explanation of symbols]

10 medical care support system, 12 medical system, 14
Medical affairs converter application, 20 medical care support input application, 22 medical record transaction, 2
4 transfer information transaction, 26 chart masters,
28 conversion master, 30 medical care support maintenance application, 32 conversion master maintenance application, 34
Medical data reception business.

Claims (4)

[Claims] 1. A medical care management system including an electronic medical record system for managing medical data of a patient as an electronic medical record, and a medical affairs system for managing issuance of a medical remuneration statement for medical care. A medical care management system, comprising: a conversion unit for converting data obtained by using the conversion table and transferring the converted data to a medical system. 2. A transfer information storage unit according to claim 1, wherein, in the electronic medical record system, when data is input, data to be transferred to a medical system from the data is stored as transfer information. Wherein the converting means reads and converts the transfer information stored in the transfer information storage means and transfers the read information to a medical system. 3. The system according to claim 2, wherein the transfer information stored in the transfer information storage unit is divided for each action such as a treatment or a prescription, and the transfer for each action is performed. A medical care management system characterized in that data that has not been processed is not processed, data that has been transferred has been processed, and data that is being transferred is flagged as being processed. 4. The system according to claim 3, wherein the conversion means searches for transfer information having a flag being processed among transfer information stored in the transfer information storage means when the conversion means is started. A medical care management system characterized in that they are converted as correction data and transferred to a medical system.