JPH01136275A - Information processing system - Google Patents

Abstract

PURPOSE:To reduce a quantity of input operation and to accurately perform the recording of an inspection value by connecting first and second sub computers via a computer, and transmitting/receiving the item and the result of inspection. CONSTITUTION:The item of inspection is inputted by the first sub computer 2 arranged in a medical institute. Thereby, the remuneration of the item of inspection is calculated, and an input item is stored in a data file 21. The content of the data file 21 is transmitted from the first sub computer 2 to a second sub computer 3 via a main computer 1. The result of inspection is transmitted from the second sub computer 3 to the first sub computer via the main computer 1, and is stored in the data file. Also, when the data file to store the attribute of a patient is provided, a transmission file is generated by relating to the attribute of the patient.

Description

[Detailed Description of the Invention] [Industrial Application Field] The present invention enables requests for testing from medical institutions to testing institutions, and delivery of test results from testing institutions to medical institutions quickly and easily.
The present invention relates to an information processing system that can perform the following tasks.

[Conventional technology]

A system is known in which various data generated in hospitals are centrally managed by computer (Japanese Patent Laid-Open No. 5
3-137643). Although many types of tests are performed in hospitals, the above system does not specifically mention test data. As a method for processing this medical test data, a method disclosed in Japanese Patent Application Laid-Open No. 54-55144 is known. This system sends test data via telephone lines to a large computer installed outside the hospital, and sends the analysis results back to the hospital.

[Problem that the invention seeks to solve]

In general medical institutions, a doctor recognizes the necessity of a test at the time of consultation, orders the test, sends the test to an external laboratory, obtains the test result after a considerable period of time, and then carries out the test at the next consultation. The treatment policy will be determined based on the results.

In health insurance medical treatment, billing for the patient's burden occurs when a test is ordered.

Therefore, if data is managed by computer, input for insurance claims must be made at the time the test is ordered, and request slips and order slips with test items written to external testing institutions must be created (these are also computerized). When obtaining test results, it is necessary to enter the test values in order to write them into the patient file, which is cumbersome and takes a long time, and there is also the problem of incorrect data input. .

The present invention has been made in order to solve such problems, and aims to provide an information processing system that reduces the amount of input operations and records test values more accurately.

[Means for solving problems]

The information processing system according to the present invention includes a plurality of first sub-computers each installed in a plurality of medical institutions, one or more second sub-computers installed in one or more testing institutions, and a first sub-computer installed in one or more testing institutions. ．． It has a second sub-computer and a main computer connected to a network, and the first sub-computer has a means for inputting inspection items to be requested to the inspection agency, a means for calculating consideration for the input items, and a means for inputting the input items and inspection items. A data file for storing results is provided, and the first. The second sub-computer is configured to transmit the input items from the first sub-computer to the second sub-computer, and the second sub-computer to transmit the inspection results to the first sub-computer, respectively, via the main computer. Features.

'Also, the first sub-computer is provided with a data file for storing patient attributes, and means is provided for associating input items and patient attributes to create a file to be transmitted to the second sub-computer. .

[Effect]

At medical institutions, test items are input when a test is ordered. As a result, the consideration is calculated, and the input items are stored in the data file. This data file is transmitted from the first secondary computer to the second secondary computer via the primary computer. The test results are transmitted from the second sub-computer via the main computer to the first sub-computer and stored in a test result data file.

Furthermore, if a data file storing patient attributes is included, a transmission file is created in association with the patient attributes.

〔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, l is the main computer, which is the core of this system, and is installed at the manufacturer or management company of the system, and is installed at medical institutions such as clinics and hospitals. )2.2... through a communication channel (wired or wireless may be used) such as a telephone line.

In addition, for the purpose of reducing the burden on the main computer 1, burdening communication costs, and reducing the frequency of access to the main computer, the main computer 1 and the sub computers 2.2...
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 arithmetic unit and an input/output device (not shown), as well as a database file 11 and a program file 12 using appropriate storage media, and a communication control device 13 for transmitting and receiving data to and from the subcomputer 2. ing.

3.3... is the second sub-computer of the testing institution, and test request data issued from the sub-computer 2 of the medical institution is sent to the computer 3 via the main computer 1.
In turn, the test results are issued from the computer 3 and given to the sub computer 2 via the main computer 1.

Each sub-computer 3 has a communication control device 33 that communicates with the main computer 1 and the sub-computer 2 via this.
In addition to having a data file 31 for storing data transmitted from the sub-computer 2, it is also equipped with a printer for printing inspection request slips, and a keyboard for inputting inspection results (none of which are shown). There is.

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

When testing institutions and drug wholesalers are connected to the same intermediate node as the medical institution, the main computer is not used.
Data may be exchanged between the computer 2 and the computer 3.4 via a computer in an intermediate node station.

In this case, the intermediate node station performs the function of the main computer l.

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

The program file 12 stores a system management program 120 and an application program 121 for the main computer I. 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 bone file. This is then stored in the database file 11 as an all-medical item change information file llb.

All treatment item file transmission program 12b is a program for transmitting a revised file, that is, an all treatment item change information file, to the subcomputer 2.

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 2 transmits data on medical treatment items and drugs in order to obtain the medical treatment items and the number of drugs and prices 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 treatment item data sent from the medical institution is the medical treatment item mask transmission request file lie.
The data to be sent to the subcomputer 2 created by the program 12c is stored as a transmission medical item mask file 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 1 medical content information, medical item mask, etc.) owned by the secondary computer 2 is destroyed, and receives this from the secondary computer 2 and performs simulation diagnosis on its contents. ,
If the content needs 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 lie.

The system change information receiving program 12e for the secondary computer 2 is a program related to work when changing the system of the secondary computer 2, and is a program that is related to work when changing the system of the secondary computer 2, and it is desired to increase hardware (for example, a printer), add software, etc. on the secondary computer 2 side. In this case, the main computer 1 receives these requests sent from the secondary computer 2.

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 transmission program 12f of the management setting program file for the secondary computer 2 includes a program file Iff for transmission to the secondary computer 2 and a management setting information file l for transmission.
This is a program that transmits data of the corresponding program of 1g.

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 the 9-point drug price is revised, the main computer l transmits the information to the sub computer 2 in response to a request from the sub computer 2 side. At the same time, information regarding legal revisions will also be sent. Main computer 1 is secondary 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 the e-mail box file 11, which will be described later, for the sub-computer 2 for which the revision information has not yet been released.

The inspection order information reception/distribution/transmission program 12h according to the gist of the present invention receives inspection order information issued by the subcomputer 2 to inspection agencies, distributes it to multiple inspection agencies as necessary, and This is a program to be sent to the computer 3, and the ordering information is stored in the inspection ordering information file lli.

Similarly, the test result information reception/distribution/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. , the test results are stored in the test result information file llj.

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 12N registers a message input from the main computer 1, the sub-computer 2, or another computer 3-4 together with the address in the e-mail box file l1m, and also allows the message to be accessed by the recipient of the address. If it exists, it is retrieved from the e-mail box file l1m.

It also causes a broadcast to be sent to multiple recipients and notifies the sender that the message has reached the recipient.

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....

Software management program 12n of secondary computer 2
is the software sent from subcomputer 2 (
Compare the version information of the latest version of the software in the software management file 11p in the database file 11 with the version information of the latest version of the software in the software management file 11p in the database file 11, and if the latter is newer than the former, the implementation date This is a program that sends the new software in the file llp to the secondary computer 2 along with the date data (day). 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 1. 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 l in response. 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 items, masks 21b, and 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.

The inspection information transfer program according to the gist of the present invention creates a file of data to be sent to the inspection agency, calculates the inspection cost, sends the data file to the inspection agency, receives inspection result data from the inspection agency, and processes this data. This is a program that performs processing, etc. In this process, the medical treatment item mask 21b is used to calculate the test cost, and the patient's attribute information (code,
The medical office data file 21c that stores information such as name, gender, date of birth, year of birth, past illnesses, medical treatment history, etc.) is referred to. Further, the created data file is stored in the inspection file 21d.

In addition, the drug ordering information transfer program 22e, e-mail program 22f, and electronic bulletin board program 22g are respectively connected to programs 12h and 12i related to test ordering and results on the main computer 1 side, and programs 12j and 12 related to drug ordering and supply. Email program 126
and the electronic bulletin board program 12m.

FIG. 4 is a flowchart showing the processing procedure for creating an inspection request data file. When the doctor issues a test instruction, the operator starts the program 22d and inputs the patient code and test items. Based on this input, the subcomputer 2 refers to the medical treatment item mask 21b, reads out the scores corresponding to the inspection items, calculates the billing cost to be borne by the patient, and outputs a billing slip. On the other hand, an inspection request data file as shown in FIG. 5 is created. In addition to the test items, this data includes information such as the test facility code, order date, specimen number, and patient information. The testing facility code is written when specifying a testing facility at a medical institution. Patient information includes patient code, name, gender, date of birth, 2 years, etc. Other special notes include past illnesses, names of injuries and illnesses, and the speed and severity of testing, etc., as necessary. These pieces of information are selected from patient attribute data in the medical office data file and automatically transcribed.

If patient data is not used in this way, manual input is sufficient. The file created in this manner is stored in the inspection file 21d.

Next, such data files are sent sequentially or in batches to the subcomputer 3 of the inspection agency. FIG. 6 shows this transmission procedure. By executing the program 22d, the subcomputer 2 of the medical institution uses its communication control device 23.
The sub computer 2 and the main computer 1 are connected by this. Then, the test request data file is read from the file 21d and transmitted to the main computer l. When the main computer receives this, it starts the program 12h and sends a reception notification to the sub computer 2, which then cuts off the line. On the other hand, main computer 1
examines the received file and, if the inspection agency to be requested is not specified, designates it according to predetermined criteria. This is then stored in the inspection order information file llf of the database file 11.

Next, connect to the secondary computer 3 of the inspection institution to which you should request,
The bones requested by the relevant testing organization are selectively read out from the file lli and transmitted to the subcomputer 3. FIG. 7 shows the format of the transmitted file, which is different from the one transmitted from the subcomputer 2, in that a code indicating the requesting medical institution is added.

Data sent to the same testing institution is collected from multiple medical institutions. When the secondary computer 3 receives this, it issues a reception notification to the main computer l, and the main computer l
disconnects the line. The subcomputer 3 stores the received file in the data file 31 and outputs an inspection request slip.

FIG. 8 shows the format of a file when test results are sent from the subcomputer 3 to the main computer 1.

The difference from the test request file format is that an area for test results is added. FIG. 9 shows the format of a file when test results are sent from the main computer 1 to the sub computer 2. The difference from the test request file is that an unconfirmed flag is added outside the test result area. The unconfirmed flag is used when a medical institution receives this file to compare it with the previous requested file and to set a flag here if it is not the requested test.

FIG. 10 is a flowchart showing the procedure for transmitting test results from the subcomputer 3 of the testing institution to the subcomputer 2 via the main computer 1. The inspection results are input into the subcomputer 3 of the inspection agency and the file shown in FIG. 8 is created.

It then connects to the main computer 1 and sends this file. Upon receiving this, the main computer 1 issues a reception notification and stores the received file in file llj.

The main computer then connects to the requesting medical institution, selectively reads out files from this medical institution in the file llj, creates the file shown in FIG.
Send to. The subcomputer 2 issues a reception notification and stores it in the inspection file 21d.

FIG. 11 is a flowchart showing the processing in the subcomputer 2 after receiving the test results. Code the received file from the inspection file (equivalent to one line in the format diagram)
Read each test request data, check whether the request is from your own medical institution, and if a request that is not already requested is sent, set the unconfirmed flag, and check that it is an already requested request. If it is confirmed, it is stored in the patient attribute data file of the medical affairs data file 21c. Then print out the test results. Data with an unconfirmed flag will be marked with a mark to identify it, and this fact will be reported to the inspection agency by appropriate means.

〔effect〕

In the case of the present invention as described above, insurance claims and test request slips can be completed by manually inputting the relevant items when giving test instructions, and there is no need to manually input test results. In addition, when a patient attribute file is provided, it is highly convenient because it is possible to omit inputting data for identifying a patient or auxiliary information for testing when creating a file to be sent to a testing institution.

Since incorrect input of test results is eliminated, a highly reliable system can be obtained.

[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 a conceptual diagram of the inspection request. Flowchart showing the file creation procedure, Figure 5 is a format diagram of the inspection request file, Figure 6 is a flowchart showing the procedure for sending an inspection request, Figure 7 is a format diagram of the inspection request file, Figures 8.9 are inspection FIG. 10 is a flow chart showing the procedure for transmitting the test result file, and FIG. 11 is a flow chart showing the processing of the test result file. 1... Main computer 2.3... Sub computer 11... Database file 12... Program file 13... Communication control device 21.31...
・Data file 22...Program file 2
3.33...Communication control device Figure 3

Claims (1)

[Claims] 1. A plurality of first sub-computers installed in a plurality of medical institutions, one or more second sub-computers installed in one or more testing institutions; The first sub-computer has a second sub-computer and a main computer connected to a network, and the first sub-computer has a means for inputting inspection items to be requested to the inspection agency, a means for calculating consideration for the input items, and a means for inputting the input items and inspection items. The first and second sub-computers are equipped with a data file for storing the results.
An information processing system characterized in that the input items are transmitted from the first sub-computer to the second sub-computer, and the second sub-computer transmits the test results to the first sub-computer via the main computer. 2. A plurality of first sub-computers installed in a plurality of medical institutions, one or more second sub-computers installed in one or more testing institutions, and a network with the first and second sub-computers. A first sub-computer is connected to a main computer, and the first sub-computer stores means for inputting test items to be requested to the testing institution, means for calculating consideration for the input items, and input items, test results, and patient attributes. and a means for associating the input items with the attributes of the patient to create a data file to be transmitted to the second sub-computer, and the first and second sub-computers An information processing system characterized in that the transmission data file is transmitted to the secondary computer, and the second secondary computer is configured to transmit the inspection results to the first secondary computer, respectively, via the main computer.