JPH01134664A - Information processing system - Google Patents

Abstract

PURPOSE:To facilitate an operation at the time of calculating compensation by updating and referring to a data file with a sub computer based on inputted date data and data related to a date sent from a main computer. CONSTITUTION:Before executing the amendment of a point-number drug tariff, the updating program of a data base for all the items in medical examination is started, and the object table of codes to indicate the act of the medical examination and a medicine, an identifier of amended contents, and the data of an amended point-number and a drug tariff are prepared. The main computer 1 transmits data according to a request from a sub computer 2, and the sub computer 2 stores the transmitted data in a buffer memory 24, rewrites a data file 21 using the stored transmitted data, and prepares a new data file. Thereafter, the sub computer 2 calculates the compensation by selectively referring to either a data file before being rewritten or the new data file based on the date data to be inputted and the data related to the date sent from the computer 1.

Description

[Detailed Description of the Invention] [Field of Industrial Application] The present invention relates to an information processing system that can efficiently perform tasks such as requesting compensation for medical treatment and medication under health insurance. This paper proposes an information processing system that can quickly respond to changes in compensation due to legal revisions, etc.

[Conventional technology]

In the case of medical treatment and medication provided by health insurance at a clinic, hospital 1 clinic, etc., the patient and the health insurance association.

It is necessary to request each local government for their respective burdens, and there is an insurance medical point calculator that can automatically do this (for example, Japanese Patent Application Laid-open No. 78749/1983).

This is a computer-based system that has data files such as scores for medical procedures and prices of drugs used.When the data on medical procedures and medications given to patients is manually collected, billing slips etc. that are compiled from these data are generated. This is how it is output.

Since the above scores and drug prices are revised from time to time, it is necessary to update the data file each time.

This update was conventionally performed as follows.

(After copying the data files of medical institutions such as 11 clinics and hospitals to a recording medium such as a floppy disk, and sending this to the computer or software manufacturer, the manufacturer rewrites it to match the revised content.) , and return it to the medical institution, and the receiving medical institution transfers the contents of this recording medium to a computer.

(2) The manufacturer sends the data on scores and drug prices recorded on a recording medium to a medical institution, and the medical institution extracts only the data necessary for the medical institution from this data and transfers it to a computer.

(3) The medical institution copies the data file to a recording medium and saves it, while inputting the corrected data from the keyboard and rewriting the data file.

[Problem that the invention seeks to solve]

However, both require a great deal of manpower on the part of the medical institution or the manufacturer, and there are also problems such as incorrect data being written into the data file due to operational errors on the part of the medical institution.

Furthermore, after the implementation date of the revision, it is necessary to use data files based on the old score equivalency standards and data files based on the new standards depending on the date of medical treatment, which is cumbersome.

Additionally, the manufacturer had no means to check whether each medical institution had correctly modified the data file.

The present invention was made in order to solve such problems, and it connects the computers of a plurality of medical institutions and the computer that controls them in a communicable manner, and transmits revised data from the latter to the former. It is an object of the present invention to provide an information processing system that solves the above-mentioned problems by having a configuration that rewrites the data file.

[Means for solving problems]

The information processing system according to the present invention includes a main computer equipped with a database containing information related to medical treatment and medication fees related to medical affairs, and a data file containing part or all of the data of the database, a plurality of sub-computers network-connected to the main computer, and the main computer makes part or all of the data in the database valid from then on in response to a request from the sub-computers. the subcomputer includes a memory for storing the data transmitted from the main computer, and a means for transmitting data related to the date to be sent from the main computer to a subcomputer; a new data file creation means that creates a new data file by rewriting the above data file, and rewriting the data based on the input date data and the data related to the said date sent from the main computer when calculating the consideration. The present invention is characterized by comprising means for selectively referencing the previous data file or the new data file.

[Effect]

When the subcomputer issues a transmission request to the main computer, the main computer sends part or all of the database and the date on which it becomes effective to the subcomputer.

The secondary computer stores this in its memory, then rewrites the old data file based on this stored data to create a new data file.

The secondary computer refers to the old data file before rewriting or the new data file after rewriting according to the date input for calculation of compensation.

〔Example〕

The present invention will be described in detail below based on drawings showing embodiments thereof.

FIG. 1 is a schematic diagram showing an overview of the system of the present invention. In the figure, 1 is a main computer, which is the core of this system, and is installed at the system manufacturer or management company, and 2 subcomputers (terminals) installed at medical institutions such as clinics and hospitals. 2... via a communication path (wired or wireless may be used) such as a telephone line.

In addition, the main computer 1 and the sub computers 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 2, 3, 3, 3, 3, 3, 3, 4, 4, 4, 4, 4, 4, 4, 4, 3, 4, 3, 3, 3, 3, 3, 4, 4, 4, 4,, 4, , 5, ,, , , , , , , , , , , , , , , , , , 2,
An intermediate node computer may be interposed between the main computer 1 and the main computer 1 to partially replace the functions of the main computer 1.

The main computer 1 is equipped with an output device for five arithmetic units (not shown), a database file 11 and a program file 12 using appropriate storage media, and a communication control device 13 for transmitting and receiving data with the subcomputer 2. ing.

Reference numeral 3 denotes a computer of the testing institution, in which test request data issued from the sub-computer 2 of the medical institution is sent to the computer 3 via the main computer 1, and conversely, test results are sent from the computer 3 and sent to the main computer 1.
It is given to the sub computer 2 via.

Reference numeral 4 is a computer of a drug wholesaler, and order data issued from the subcomputer 2 of the medical institution is sent to the computer 4 via the main computer 1, and conversely, drug supply information is sent from the computer 4 to the computer. 4 and is transmitted to the secondary computer 2 via the main computer l.

Data regarding the ordering and results of these tests and the ordering and supply of medicines may be transmitted and received using an intermediate node station as described above, if such an intermediate node station is provided.

FIG. 2 is a conceptual diagram showing the relationship between the database file 11 and the program file 12.

A system management program 120 and an application program 121 for the main computer 1 are stored in the program file 12 . Further, the database file 11 stores data necessary for executing the application program 121 described above.

The system management program 120 manages the entire system;
It is a program that has control, and is used to perform process management, input/output management, memory management, and network management.

Next, the application program will be explained.

The all-medical item database update program 12a is a program for updating the all-medical item database lla, which contains medical treatment points, drug prices, etc. related to health insurance medical activities, at the time of its revision. Extract only the changed parts and create a revised file. This is then stored in the database file 11 as the all medical item change information file llb.

The all-medical-item file transmission program 12b is a program for transmitting the revised file, that is, the all-medical-item change information file, to the subcomputer.

The medical treatment item mask reception/transmission program 12c extracts the corresponding data from the all medical item database file lla based on the code of the medical item data sent from the sub computer 2 to the main computer 1, and sends it to the secondary computer 2. This is a program to do this. A medical institution that has newly installed a subcomputer transmits data on medical treatment items and drugs in order to obtain the medical treatment items and the number and price of drugs related to the medical practice in a data file to be described later. This program 12c receives this data and performs the above-mentioned processing. The medical care item data transmitted from the medical institution is stored as a medical care item mask transmission request file lie, and the data to be sent to the subcomputer 2 created by the program 12c is stored as a medical care item mask file for transmission lid.

Online maintenance program for medical office data files 1
2d is used for maintenance in the event that the medical affairs data file (patient information 2 medical content information, medical item mask, etc.) possessed by the secondary computer 2 is destroyed, and receives this from the secondary computer 2 and performs simulation diagnosis on its contents. ,
If the contents need to be repaired, this program performs the repair and sends the result to the subcomputer 2. The data necessary for this simulation repair is stored in the medical office data maintenance file lle.

Program for receiving system change information for secondary computer 1
2e is a program related to work when changing the system of the secondary computer 2, and is sent from the secondary computer 2 when the secondary computer 2 wants to add hardware (e.g. Eva printer) or add software. The main computer 1 receives these requests.

The main computer 1 receives the received data and the main computer 1
Based on the transmission management setting information file l1g managed within the system, the management setting information file of the user, for example, the configuration of the user's dedicated equipment, resource allocation of storage devices (disks, etc.), and the system requested by the user. Perform version upgrades on your behalf.

As a result, the newly required program is stored in the sending program file llf, and the management setting information file is
It is stored in the transmission management setting information file l1g.

The sending program 12f of the management setting program file for the secondary computer includes the sending program file llf and the sending management setting information file l1 to the secondary computer 2.
This is a program that transmits data of the corresponding program of g.

The user management file regular check program 12g is a program that checks the contents of the user management file llh in the database file.

When a single drug price is revised, the main computer 1 transmits the information to the sub-computer 2 in response to a request from the sub-computer 2. At the same time, information regarding legal revisions will also be sent. Main computer 1 is sub-computer 2, 2
. . . It manages data indicating that it has been transmitted based on a transmission request for each. The program 12g performs this management, and stores a retrieval promotion message in an electronic mailbox file l1m, which will be described later, for the sub-computer 2 from which the revised information has not been retrieved.

Test order information reception, distribution, and transmission program 12h
is a program that receives inspection order information issued by the subcomputer 2 to inspection agencies, distributes it to multiple inspection agencies as necessary, and sends it to the corresponding computer 3.The order information is stored in the inspection order information file lli. is stored in

Test result information reception, distribution, and transmission program 12i
is a program that receives the test results sent from the computer 3 of the testing institution, distributes them to the requesting medical institution, and sends them to the subcomputer 2, and the test results are stored in the test result information file 11j.

Program for receiving, distributing, and transmitting drug order information 12
J is a program that receives order information issued by the sub-computer 2 to drug wholesale companies, etc., distributes it to multiple drug wholesale companies as necessary, and sends it to the corresponding computer 4. Drug ordering information file ll
It is stored in k.

Program for receiving, distributing, and transmitting drug supply information 12
This is a program that receives supply information (for the above-mentioned orders) of drugs and the like supplied to medical institutions from drug wholesalers, etc., distributes them to the relevant medical institutions, and sends this to the subcomputer 2. This supply information is stored in the drug supply information file 111.

The e-mail program 121 registers a message input from the main computer 1, the sub-computer 2, or another computer 3-4 together with the addressee in the e-mail box file l1m, and also registers the message when it is accessed by the recipient of the addressee of the message. In this case, this is retrieved from the electronic mailbox file l1m. It also performs broadcast transmission to multiple destinations and notifies the sender that the message has reached the destination.

The electronic bulletin board program 12m is a program that allows the main computer 1, the secondary computer 2, and other computers 3.4 to write messages to the electronic bulletin board file lln, and to read them freely. It is also possible to enable only the use of ゜2....

The software management program 12n of the secondary computer stores the version information of the software (program) sent from the secondary computer 2 and the database file l.
Compare the version information of the latest version of the software in the software management file llp in l,
If the latter is newer than the former, it is a program that sends the new software in the file llp to the secondary computer 2 along with the date data of the implementation date (the date on which the new version of the software should be executed from then on). The date of this transmission is stored in the user management file llb.

Next, the configuration of the subcomputer 2 will be explained.

The subcomputer 2 is equipped with devices such as an arithmetic unit, an input keyboard, and a printer (not shown), and is connected to the main computer l.
Data is transmitted and received via the communication control device 23. The program file 22 constructed using an appropriate recording medium includes an application program as shown in FIG. 3 in addition to the system program.

That is, the program transfer program 22a corresponds to the secondary computer software management program 12n, and is a program for receiving software for operating the secondary computer 2 from the main computer l. The program sent from the main computer 1 is stored in the software file 21a in the data file 21.

The treatment item information transfer program 22b is a program corresponding to the all treatment item file transmission program 12b and the treatment item mask reception/transmission program 12c. It is used to transmit codes of medical treatment items, etc. in order to create item masks, and to receive data transmitted from the main computer 1 in response to the codes. These data are included in the medical item mask 2 of data file 21.
1b.

The maintenance file transfer program 22c is a program that transmits the medical treatment item mask 21b and the medical affairs data file 21c in the data file 21 to the main computer 1, and receives the results processed by the online maintenance program 12d.

Other test information transfer program 22d, drug ordering information transfer program 22e, e-mail program 22f,
The electronic bulletin board program 22g includes programs 12h, 12i, and 12i related to inspection orders and results on the main computer l side, respectively.
Program 123 related to ordering and supplying drugs.

12 are programs corresponding to the e-mail program 121 and the electronic bulletin board program 12m.

Next, the main parts of the present invention will be explained.

Before the point drug price revision is implemented, the update program 12a for all treatment item databases is activated on the main computer side, and codes representing medical procedures and drugs (main computer 1, sub computer 2, etc. that are unified within this system) are activated. ), the identifier of the revision content (representing the item that requires change, such as whether it is revised or abolished), and the revision score.

Create a target table (Figure 4) with drug price data.

This table is the aforementioned revision file, and implementation date data is also attached.

FIG. 5 is a flowchart showing an outline of the execution procedure of the above program.

The entire medical treatment item database is structured in the format shown in Figure 6, but upon revision, the column for point drug prices and the effective date will be rewritten.

In other words, as an operation, when you input the unified code, the contents of the corresponding line are displayed, and the drug price of the corresponding item in this line is displayed.

Input to change the score column and effective date column, and input an identifier to determine which item has been changed.

If this operation is performed for the medical practice or drug price that has been revised, the entire medical treatment item database can be updated. Next, specify the effective date of the revision in order to create the revised file. As a result, the main computer 1 accesses the all-medical item database file lla of the updated data file and reads the code (one line in FIG. 6).

If the data in the enforcement date column does not match the specified enforcement date, that is, if the current revision is not applicable and an old date has been written, the next record is read. - If you lose, write the necessary information to the revised bone file, read the next record, and repeat this process.
A revised bone file will be created.

This revised bone file is all medical item change information file ub
It is stored in the database file 11 as .

The creation of such a revised bone file is reported to the medical institution by executing the e-mail program 121 or the electronic bulletin board program 12m.

FIG. 7 is a flowchart outlining the processing procedure of both computers when the secondary computer 2 of the medical institution accesses the main computer 1 to obtain revision information.

Medical item information transfer program 22 on subcomputer 2
When b is started, the subcomputer 2 starts the communication control device 23.
A predetermined signal is issued to the main computer l side, and a call is made to the main computer l side.
A connection is made with the main computer 1. Next, the subcomputer 2 requests transmission of the revised bone file. The main computer 1 receives this through the communication control device 13, accesses the all medical item change information file (revised bone file) 11b, and transmits it. When the subcomputer 2 receives this, it sends a reception notification back to the main computer l.

FIG. 8 is a conceptual diagram showing the structure of the user management file llh, which has a column for storing the month and date of transmission of all medical item data.

The main computer that receives the reception notification writes the date of this processing in the column and sets a flag (not shown) to "sent". Next, a termination notification is sent to the secondary computer 2. The communication control device 23 receives this and disconnects the communication.

The subcomputer 2 stores a part of the file obtained in this way in the bath sofa memory 24, and creates a new medical item mask (hereinafter referred to as a new file).

FIG. 9 is a flowchart showing the processing procedure. In this process, first, an enforcement date table 25 is created. This is a process of converting the enforcement date in the transmitted file into the same format as the system date table 26 of the secondary computer 2.

Next, the medical treatment item mask 21b (hereinafter referred to as the old file) in the data file 21 is copied to the memory 27.

Next, the revised bone file sent from the main computer 1 is read record by record to check whether the same code exists in the old file. If the same code does not exist, it is assumed that the revised item is unrelated to the medical institution and the next record is read.

If the same code exists, the drug price 1 point in the corresponding code part of the old file copied to the memory 27 is rewritten.

This process is repeated until there is no more data in the revised bone file. Then, a medical item mask with the revised items rewritten, that is, a new file is completed in the memory 27.

FIG. 10 is a flowchart showing the procedure for referring to the medical treatment item mask 21b. After turning on the power to the subcomputer 2, enter the system date manually from the keyboard (not shown). Here, the system date refers to the date that specifies that the medical treatment or medication was performed.If the input work is to be performed on that day, it should be set on that day according to the calendar date.If the input is later than the action execution date, it is the execution date. The date back to .

Next, the system date table 26 is updated based on the input system date, and it is checked whether this date is after the date in the enforcement date table 25.

If it is before the enforcement date, access the old file.

If it is after the effective date, the new file will be accessed, but if the old file is no longer necessary to be referenced, the new file will be stored in the data file 21.

In addition, a medical institution has a medical item mask extracted from the all medical item database lla according to its specialty, but general hospitals, etc. may have the same mask as the all medical item database file lla. .

[Effect] When using the system of the present invention as described above, the revised file will be sent from the main computer just by the operation for requesting the revised file from the medical institution side, and this will automatically be added to the white medical treatment item. Since the mask is rewritten, the operation at the time of the 9-point drug price revision is easy, and not only does it save manpower, but there is no room for error. Furthermore, the main computer l side only needs to rewrite the white file lla, which greatly simplifies the operation.

At the time of making a request, the old file or the new file will be referred to without error, and there is no possibility that an error will occur in the request.

[Brief explanation of the drawing]

Figure 1 is a schematic diagram of the system of the present invention, Figure 2 is a conceptual diagram of the program file and database file of the main computer, Figure 3 is a conceptual diagram of the program file and data file of the secondary computer, and Figure 4 is the revised version. A conceptual diagram showing the file structure. Figure 5 is a flowchart of the revision file creation process in the main computer. Figure 6 is a conceptual diagram showing the configuration of the all medical item database file. Figure 7 is a flowchart of the process of creating a revised file on the main computer. A flowchart showing the procedure for transmitting and receiving revised files, Figure 8 is a conceptual diagram showing the structure of the user management file, Figure 9 is a flowchart of the process of creating a new file on the secondary computer, and Figure 10 is a process of referencing old and new files. FIG. 1... Main computer 2... Sub computer 11
... Database file I2 ... Program file 13 ... Communication control device 21 ... Data file 22 ... Program file 23 ... Communication control device 24 ... Buffer memory 25 ... Enforcement date table 26...System date table 27.
...Memory patent Applicant: Sanyo Electric Co., Ltd. Representative: Patent attorney Noboru Kawano Figure 9 Figure 10

Claims (1)

[Scope of Claims] 1. A main computer equipped with a database containing information related to treatment and medication fees related to medical affairs, and a data file containing part or all of the data of the database; The main computer has a plurality of sub-computers connected to the computer via a network, and the main computer stores, in response to a request from the sub-computers, part or all of the data in the database and the date from which the data is to become effective. The subcomputer includes a memory for storing the data transmitted from the main computer, and a means for writing part or all of the data file using the data in the memory. A new data file creation means for creating a new data file to be replaced, and a new data file creation means for creating a new data file before rewriting, based on the input date data and the data related to the date sent from the main computer in calculating the consideration. An information processing system comprising means for selectively referencing the data file or new data file. 2. The information processing system according to claim 1, wherein said new data file creation means selectively rewrites only data in said data file corresponding to data sent from said main computer.