JP3940126B2 - Audit management method and audit management program - Google Patents

Description

  The present invention relates to a screening management method and screening management program for extracting screening targets from a population composed of objects having a plurality of quantity data. In particular, the present invention relates to an examination management method and examination management program for efficiently examining a receipt sent from a medical institution in the medical insurance system.

  Usually, for a population composed of objects having a plurality of quantity data, a part of the population may be extracted and examined. For example, a receipt received from a medical institution in the medical insurance system is examined. Here, in the medical insurance system, when a medical institution provides a medical practice to a patient, a receipt that describes the contents of the medical practice carried out and the medical remuneration score related to the amount charged is listed in the health insurance association or the national government. Charge the cost-bearing organization. As a result, the medical fee is paid excluding the patient's self-payment. In this case, the medical institution sends a receipt to the examination and payment institution. Then, the review is conducted at the reviewing agency. In other words, the examination / payment institution conducts an administrative examination such as an error in the score calculation and a validity examination of the medical treatment contents for the receipt submitted from the medical institution.

  In this way, the examination and payment institution performs processing related to receipts, but the number of receipts handled is enormous. In addition, in order to pay insurance premiums, the examination and payment institution must promptly process the receipt. On the other hand, since the examination is not easy, the examination contents may vary depending on the skill of the person in charge (inspection committee) conducting the examination at the examination / payment institution. In this case, a re-examination request may be made from the insurer to the examination and payment institution, and the procedure may become complicated.

Therefore, a receipt processing device that can be easily dealt with even if the calculation standard of the receipt is revised, and that can perform the receipt examination in the same manner as the conventional receipt examination, has been proposed. (For example, refer to Patent Document 1). This receipt processing apparatus is a processing system that implements database-related processing by software, and includes a database management system that enables processing functions to be added to basic functions implemented by software provided in the processing system. Furthermore, a holding means for holding a parameter for executing the target process, and a parameter generation means for generating the parameter by selecting a matter that realizes the target operation from the list of processes are provided. Thereby, it is possible to flexibly cope with changes in processing contents.
JP 2000-293573 A (FIGS. 16 and 17)

However, patient occurrence may vary depending on the season. Therefore, if examination is performed using fixed parameters, examination according to the situation cannot be performed.
The contents of the examination vary depending on the importance of the item. Therefore, it is possible to create a logic for changing the examination contents according to the items. However, if examination is performed using complex logic, it is not possible to respond flexibly according to the situation.

The present invention has been made to solve the above-described problems, and the object of the present invention is that there is a possibility that there is a problem from the population with respect to the population composed of objects having a plurality of quantity data. An object of the present invention is to provide an examination management method and an examination management program capable of extracting an object. In particular, it is to provide an examination management method and examination management program for efficiently examining a receipt sent from a medical institution in the medical insurance system.

In order to solve the above problems, the invention according to claim 1, receipt identifier, for each receipt of attribute identifiers for grouping is granted, including the quantity data for each receipt item included in the receipt receipt The examination request data storage means for recording the received data, the weight function data storage means for recording the data relating to the weight function in association with the item identifier for specifying the receipt item, the receipt identifier, and the data relating to the total points are configured. A method for managing an examination using an examination management system including a receipt evaluation data storage unit in which receipt evaluation data is recorded and a management computer, wherein the management computer records in the examination request data storage means Receipt reception that includes a common attribute identifier for each received receipt data Extracts over data, a first step of calculating a plurality of the deviation quantity data for each receipt fields for receipt items included in the extracted receipt reception data, receipt of the deviation deviates from the range of the predetermined statistic identifying reception data, by using the item identifier of receipt item exceeds a predetermined statistic, the extracts weighting function from the weighting function data storage means, by substituting the number of receipts item to the weighting function, the receipt a second step of calculating a point for items, the point calculates the total points obtained by summing for each receipt reception data, the total points in the receipt evaluation data storage unit in association with the receipt identifier of the receipt reception data recording, to the subject matter in that it comprises a third step of identifying the following audited predetermined number in the order of the total points .

The invention according to claim 2 is the examination management method according to claim 1 , wherein the examination management system further comprises examination result data storage means for recording examination result data relating to the examination object, and the management computer comprises: The gist further includes a feedback step of changing the weighting function recorded in the weighting function data storage means based on the examination result data.

The invention according to claim 3 is an examination request data storage for recording reception acceptance data including quantity data for each reception item included in each reception for each reception provided with a reception identifier and an attribute identifier for grouping. Means , weight function data storage means for recording data relating to a weight function in association with an item identifier for specifying a receipt item, and receipt evaluation data including data relating to a receipt identifier and total points are recorded. A program for managing examination using an examination management system including a receipt evaluation data storage unit and a management computer, wherein the management computer is common to each receipt reception data recorded in the examination request data storage means. Extract receipt reception data including attribute identifiers First means for calculating a plurality of deviation quantity data for each receipt fields for receipt items included in the receipt reception data, wherein the deviation is identifies Rezept reception data deviating from a predetermined range statistic predetermined statistic using item identifier receipts item exceeds said extracting weighting function from the weighting function data storage means, the quantity of the receipts item by substituting the weighting function, the second to calculate the points for the receipt item And a total point obtained by summing the points for each reception reception data , and the total points are recorded in the reception evaluation data storage unit in association with a reception identifier of the reception reception data, in the order of the total points. The gist is to make it function as a third means for specifying examination objects of a predetermined number or less .

According to a fourth aspect of the present invention, in the examination management program according to the third aspect , the examination management system further includes examination result data storage means for recording examination result data relating to the examination object, and the management computer includes: The gist is to further function as a feedback means for changing the weighting function recorded in the weighting function data storage means based on the examination result data.

(Function)
According to the invention described in claim 1 or 3 , the examination is managed by using an examination management system including examination request data storage means for recording examination request data including quantity data for a plurality of items and a management computer. The management computer calculates a deviation of the quantity data for each item with respect to a plurality of items for each examination request data. Next, points for the item are calculated based on the deviation. And the total point which totaled the said point for every examination request is calculated, and examination object is specified based on the said total point. The characteristics may vary depending on the situation. For this reason, the examination object can be specified using the total points based on the deviation.

According to the present invention, the management computer specifies a predetermined number or less of examination objects in the order of the total points. For this reason, it is possible to narrow down the number of cases to be examined.

According to the present invention, the examination request data further includes data relating to the attribute of the examination request. The management computer classifies by the attribute, and calculates a deviation of the quantity data for each item for a plurality of items based on the classification. For this reason, the examination object which has specificity in the common classification | category can be specified.

According to the present invention, the examination management system further includes weight function data storage means for recording data relating to a weight function corresponding to an item. Then, the management computer calculates points for the item using the weighting function for the item from the weighting function data storage means. The importance may vary depending on the item. For this reason, the weighting function is used to weight each item, and the examination target can be specified.

According to the invention described in claim 2 or 4 , the examination management system further includes examination result data storage means for recording examination result data relating to the examination object. Then, the management computer changes the weighting function recorded in the weighting function data storage means based on the examination result data. For this reason, the weighting function can be generated by reflecting the examination result.

According to the first or third aspect of the present invention, the examination request data is receipt data sent from a medical institution. A huge number of receipts must be reviewed over a period of time. In addition, the disease that causes the number of patients changes depending on the season. For this reason, according to a situation, the examination object can be specified efficiently.

  According to the present invention, it is possible to efficiently specify a screening object from a population of an object having a plurality of quantity data. In particular, when used for the examination of a receipt sent from a medical institution in the medical insurance system, the examination object can be efficiently identified.

  Hereinafter, an embodiment embodying the present invention will be described with reference to FIGS. The present embodiment will be described as an examination management method and an examination management program used when a receipt is determined. In this case, the receipt examination / payment institution extracts from the receipt received from the medical institution, a possibly improper receipt. Then, the receipt examination / payment institution provides the extracted receipt to the examination committee and requests examination of the contents of the receipt. For this reason, in this embodiment, the receipt examination and payment institution uses the receipt evaluation system 20 as an examination management system.

  In the present embodiment, as shown in FIG. 1, the medical institution provides a receipt to the receipt examination and payment institution using the medical institution terminal 10. The medical institution terminal 10 is a computer terminal that can be connected to the reception evaluation system 20 via the Internet I as a network. Each medical institution uses this medical institution terminal 10 to input the receipt data and transmit it to the receipt evaluation system 20.

  On the other hand, the examiner examines the receipt using the examination organization terminal 30. This examination organization terminal 30 is a computer terminal that can be connected to the receipt evaluation system 20 via the Internet I. The screening committee member receives a notification regarding a reception subject to screening from the reception evaluation system 20 using the screening body terminal 30. Then, the examination committee transmits examination result data to the receipt evaluation system 20 using the examination organization terminal 30.

  The receipt evaluation system 20 includes a management computer 21 as shown in FIG. The management computer 21 evaluates the receipt data received from the medical institution terminal 10 and extracts a receipt for which a screening committee is requested to perform screening. For this reason, the management computer 21 of the reception evaluation system 20 is connected to the medical institution terminal 10 and the examination institution terminal 30 via the Internet I, and transmits / receives data to / from these terminals.

  The management computer 21 includes a CPU, a RAM, a ROM, and the like (not shown), and performs processing described later (processing including a first stage, a second stage, a third stage, a feedback stage, and the like). By executing the examination management program for this purpose, the management computer 21 functions as first means, second means, third means, feedback means, and the like.

  Further, as shown in FIG. 1, the management computer 21 receives a receipt acceptance data storage unit 22 as examination request data storage means, a weighting function data storage part 23 as weighting function data storage means, and a receipt as examination result data storage means. The evaluation data storage unit 24 is connected.

As shown in FIG. 2, the receipt acceptance data 220 related to the receipt received from the medical institution terminal 10 is recorded in the receipt acceptance data storage unit 22. The receipt acceptance data 220 is recorded when the receipt evaluation system 20 receives receipt data from the medical institution terminal 10. The receipt reception data 220 is configured to include data on a receipt identifier, a patient identifier, a medical institution identifier, attribute identifiers (1) to (m), and quantities (1) to (n) for each receipt.

In the receipt identifier data area, data relating to an identifier for specifying the received receipt is recorded.
In the patient identifier data area, data relating to an identifier for identifying a patient relating to this receipt is recorded. By using this patient identifier, data related to the patient such as the patient's name can be acquired from a patient information storage unit (not shown).

  In the medical institution identifier data area, data relating to an identifier for identifying the medical institution that has treated this patient and created a receipt is recorded. By using this medical institution identifier, data on the medical institution such as the name of the medical institution can be acquired from a medical institution information storage unit (not shown).

  In the attribute identifier data area, data (qualitative data) related to the attribute relating to the receipt is recorded. This attribute is used when groups of receipts with common attributes as described later. In the present embodiment, it is assumed that m attribute identifiers (1) to (m) can be set for one receipt. For example, attribute identifiers (1) to (m) include hospitalization attributes (hospital flag, non-hospital flag), gender identifiers (male flag, female flag), elderly identifiers (general elderly flag), and age group identifiers. Etc. are used.

  In the quantity data area, data (quantitative data) relating to quantities relating to items (receipt items) included in the receipt is recorded. This quantity is used for statistical evaluation of the receipt as will be described later. In the present embodiment, it is assumed that n quantities (1) to (n) can be set for one receipt. For example, the quantity (1) to (n) includes a score meter, a day meter, a number of wounds, a medication score, a medication count, a medication rate, a test score, a test count, a test rate, a diagnostic imaging score, and a diagnostic imaging count, respectively. Quantities related to diagnostic imaging ratio, surgical score, number of operations, surgical ratio, etc. are used.

  As shown in FIG. 3, the weighting function data storage unit 23 records weighting function data 230 for calculating points for each receipt item. This weighting function data 230 is recorded when the weighting function for the receipt item is determined. The weighting function data 230 includes data relating to the weighting function in association with the item identifier.

  In the item identifier data area, data relating to an identifier for specifying a receipt item is recorded. In this receipt item, in correspondence with the quantity data, a score meter, a day meter, the number of wounds, the number of medications, the number of medications, the dosage rate, the number of examinations, the number of examinations, the examination rate, the number of diagnostic imaging, the number of diagnostic imaging, There are image diagnosis rate, number of surgery, number of surgery, rate of surgery, etc.

  In the weighting function data area, data relating to a weighting function for calculating points with respect to a statistic regarding the quantity of each receipt item is recorded. For example, when the quantity of a predetermined receipt item is equal to or greater than “average value + standard deviation * 3” for a specific receipt, for example, a function for calculating “10 points” is used.

  As shown in FIG. 4, in the receipt evaluation data storage unit 24, the receipt evaluation data 240 relating to the result of evaluation for each receipt is recorded. The receipt evaluation data 240 is generated when a receipt determination process is performed. It will be updated after the review by the review committee. The receipt evaluation data 240 includes data relating to a receipt identifier, a total point, a caution flag, and an examination result.

In the receipt identifier data area, data relating to an identifier for identifying a receipt that has been evaluated for the necessity of examination is recorded.
In the total point data area, data related to the total points calculated for this receipt is recorded.

  In the caution flag data area, data relating to a flag for identifying a receipt for identifying a target to be examined by the judging committee is recorded. In the caution flag data area, a caution flag is recorded for a receipt that causes the review committee to perform the review.

  In the examination result data area, data relating to the result of examination conducted by the examination committee is recorded. In the examination result data area, null data is recorded before the examination is performed, and data regarding the evaluation result is recorded after the examination is performed.

In the system configured as described above, a processing procedure for performing a receipt screening process will be described. This process will be described with reference to FIG.
First, a medical institution that has performed medical care or the like inputs the contents to the medical institution terminal 10 and generates receipt data. Then, the medical institution terminal 10 transmits the input receipt data to the receipt evaluation system 20 via the Internet I. The receipt data includes data on patient identifiers, medical institution identifiers, attribute identifiers (1) to (m), and quantities (1) to (n).

  The management computer 21 of the reception evaluation system 20 stores the reception data received from the medical institution terminal 10. In this case, the management computer 21 gives a receipt identifier to the received receipt data, and records the receipt data together with the receipt identifier in the receipt reception data storage unit 22.

Then, the management computer 21 executes a determination process for determining a receipt to be examined. This process is executed every predetermined period (one month in this embodiment).
Here, first, the management computer 21 calculates a quantity data distribution for each item for a plurality of items (step S1-1). Specifically, first, the management computer 21 specifies the Rezept reception data 220 for performing determination processing to extract the receipt reception data 220 including the attribute identifiers (i) (i = 1~m) for common further from its . Then, a distribution using the quantity as a parameter for each item is calculated. For example, the distribution of the quantity data is generated with the quantity (i) as the horizontal axis.

Next, the management computer 21 extracts items that are equal to or greater than a predetermined statistic (step S1-2). Here, the management computer 21, the receipt reception data 220 extracted to calculate a statistical index for each free Murrell quantity. For example, the average value and standard deviation of the quantity (i) of the extracted receipt reception data 220 are calculated. In the present embodiment, the reference value of the quantity (i) is set to “average value”, the reference value is compared with the quantity (i) of each receipt reception data 220, and the difference is calculated. Then, those whose difference exceeds a predetermined statistic (for example, standard deviation * 3) are extracted. That is, the receipt acceptance data 220 whose quantity (i) deviates from the range of “average value−standard deviation * 3” to “average value + standard deviation * 3” is specified.

  Next, the management computer 21 gives points using a weighting function (step S1-3). Specifically, the management computer 21 extracts the weighting function from the weighting function data storage unit 23 using the item identifier of the item exceeding the predetermined statistic with respect to the receipt acceptance data 220 identified in step S1-2. . Then, the management computer 21 calculates points by substituting the quantity (i) of this item into the weighting function.

Next, the management computer 21 calculates the total points for each receipt (step S1-
4). Specifically, the management computer 21 adds the points calculated in step S1-3 to the total points of the reception evaluation data 240 for each reception.

  As described above, the management computer 21 performs steps S1-1 to S1-4 for all attribute identifiers (i) and quantities (i), and calculates the total points for each receipt. Then, the management computer 21 records the calculated total points in the receipt evaluation data storage unit 24.

  Next, the management computer 21 calculates the cumulative number of receipts in descending order of the total points (step S1-5). Specifically, first, the management computer 21 specifies the highest total point in the receipt evaluation data 240 and sets this as a reference point (initial value). Then, the number of receipt evaluation data 240 equal to or higher than the reference point is calculated. In this initial state, the number of receipts given the highest total points is calculated.

  Then, the management computer 21 compares the calculated cumulative number with a predetermined number (step S1-6). When the cumulative number is smaller than the predetermined number (in the case of “No” in step S1-6), the management computer 21 sequentially lowers the reference points, and the cumulative number of receipt evaluation data 240 in which the total points equal to or higher than the reference points are recorded. Is calculated (step S1-5).

  When the cumulative number of receipts exceeds the predetermined number (in the case of “Yes” in step S1-6), the management computer 21 extracts the reception evaluation data 240 having a high total point (step S1-7). Specifically, the management computer 21 extracts the receipt evaluation data 240 to which the total points are given from the reference points at this time.

  Next, the management computer 21 assigns a caution flag to all extracted receipts (step S1-8). Here, attention flag data is recorded in the receipt evaluation data 240 extracted in step S1-7.

  Thus, the management computer 21 ends the determination process. Then, the management computer 21 notifies the certification authority terminal 30 that the caution flag has been recorded. Upon receiving this notification, the screening committee extracts the receipt acceptance data 220 from the receipt acceptance data storage unit 22 using the receipt identifier of the receipt evaluation data 240 in which the attention flag is recorded. Then, the screening committee member confirms the contents of the receipt reception data 220 using the screening body terminal 30 and notifies the reception evaluation system 20 of the screening result. The management computer 21 of the receipt evaluation system 20 that has received the examination result notification records data relating to the examination result in the receipt evaluation data storage unit 24.

  Further, the management computer 21 changes the weighting function recorded in the weighting function data storage unit 23 based on the examination result by the examination committee recorded in the receipt evaluation data storage unit 24. Specifically, the correlation between the examination result and the total points is calculated periodically (in this embodiment, every month). Then, the weighting function is changed according to the correlation. For example, the weighting degree of the weighting function relating to the receipt point of fraudulent claims is increased. In this way, the weighting function recorded in the weighting function data storage unit 23 is changed.

According to this embodiment, the following effects can be obtained.
In the present embodiment, the management computer 21 calculates a quantity data distribution for each item for a plurality of items (step S1-1). Next, the management computer 21 extracts items that are equal to or greater than a predetermined statistic (step S1-2). Patient distribution varies depending on the season and fashion. For example, influenza is often prevalent in winter. by this,
The range of specificity of the receptor also changes. Since the management computer 21 extracts a receipt for a plurality of items according to the quantity data distribution for each item, it can extract a statistically specific receptor in accordance with a temporal variation. Thereby, the appropriateness of the receipt can be determined efficiently and objectively.

  In the present embodiment, the management computer 21 extracts from the receipt reception data 220 including the common attribute identifier (i). Then, for each item, a distribution using the quantity as a parameter is calculated for a plurality of items. For this reason, the receptor which has specificity can be extracted on the conditions common as an attribute.

  In the present embodiment, the management computer 21 extracts from the receipt reception data 220 including the common attribute identifier (i). Then, for each item, a distribution using the quantity as a parameter is calculated for a plurality of items. For example, the distribution is generated with the quantity (i) as the horizontal axis. Usually, there are many attribute identifiers and items included in a receipt, and a quantity (for example, a score) is determined by a plurality of factors. For this reason, the receptor which has specificity can be extracted using the distribution in consideration of a plurality of factors.

In the present embodiment, the management computer 21 gives points using a weighting function (step S1-3). Then, the management computer 21 calculates the total points for each receipt (step S1-4). Usually, it is often complicated and difficult to determine the specificity from an event in which a plurality of factors are complicatedly related, such as a receipt. For this reason, the receptor which has specificity can be specified by expressing a some factor by a total point.
In addition, there are factors that have a large influence and small factors. By using a weighting function, items (factors) can be weighted.

  In the present embodiment, the management computer 21 compares the calculated cumulative number with a predetermined number (step S1-6). When the cumulative number of receipts exceeds the predetermined number, the management computer 21 extracts the receipts whose total points are higher than the reference points (step S1-7). Then, the management computer 21 gives a caution flag to the extracted receipt (step S1-8). As a result, the screening committee can extract the receipt acceptance data 220 from the receipt acceptance data storage unit 22 using the receipt identifier in which the attention flag is recorded in the receipt evaluation data 240, and specify a receipt having specificity. . Since there is a limit to the screening ability of the screening committee that reviews the contents of the receipt reception data 220, it is possible to extract and review a specific receipt. That is, it is possible to effectively use the screening ability of the screening committee members.

  In the present embodiment, the management computer 21 further changes the weighting function recorded in the weighting function data storage unit 23 based on the examination result by the examination committee recorded in the receipt evaluation data storage unit 24. Thereby, a more appropriate weighting function can be set reflecting the examination result.

In addition, you may change each said embodiment as follows.
In the above embodiment, the receipt evaluation system 20 as an examination management system is used when determining a receipt. The examination management method and the examination management program are not limited to the case of receipt determination.

  In the above embodiment, the receipt examination / payment institution uses the receipt evaluation system 20 as an examination management system. Instead, the insurer may use the receipt evaluation system 20.

  In the above embodiment, the management computer 21 extracts items that are equal to or greater than a predetermined statistic (step S1-2). Then, the management computer 21 gives points to the extracted receipt reception data 220 using a weighting function (step S1-3). Instead, the total points may be calculated based on the deviation of the quantity (i) for all the receipt reception data 220. Specifically, the point is calculated by substituting the deviation into a predetermined function. Then, the calculated points are totaled, and a receipt with a high total point is examined. This also makes it possible to extract a specific receptor.

  In the above embodiment, the weighting function data storage unit 23 records weighting function data 230 for calculating points for each receipt item. Then, the management computer 21 gives points using the weighting function recorded in the weighting function data storage unit 23 (step S1-3). In this case, the point may be further determined based on the attribute identifier. That is, when calculating points, the weight is further changed according to the attribute identifier. For this reason, a weighting function using the attribute identifier as a parameter is recorded in the weighting function data storage unit 23. This is useful for changing the weighting function using the examination result.

  In the above embodiment, the medical institution terminal 10 transmits the input receipt data to the reception evaluation system 20 via the Internet I. Then, the management computer 21 of the receipt evaluation system 20 accumulates the receipt data received from the medical institution terminal 10. Provision of receipt data from the medical institution to the receipt evaluation system 20 is not limited to provision performed via the Internet I. For example, the program may be provided by being recorded on various recording media, or may be provided using a LAN or the like.

The system schematic of embodiment of this invention. Explanatory drawing of the data recorded on the receipt reception data memory | storage part. Explanatory drawing of the data recorded on the weighting function data storage part. Explanatory drawing of the data recorded on the receipt evaluation data storage part. Explanatory drawing of the process sequence of this embodiment.

Explanation of symbols

  DESCRIPTION OF SYMBOLS 10 ... Medical institution terminal, 20 ... Receipt evaluation system as examination management system, 21 ... Management computer, 22 ... Receipt reception data storage part as examination request data storage means, 220 ... Receipt data as examination request data, 23 ... Weight Weighted function data storage unit as function data storage unit, 24... Receipt evaluation data storage unit as examination result data storage unit, 30.

Claims (4)

Receipt request data storage means for recording receipt acceptance data including quantity data for each receipt item included in each receipt, for each receipt provided with an attribute identifier for grouping a receipt identifier ,
Weighting function data storage means for recording data relating to a weighting function in association with an item identifier for specifying a receipt item;
A receipt identifier, a receipt evaluation data storage unit in which receipt evaluation data including data relating to the total points is recorded;
A method for managing examinations using an examination management system equipped with a management computer,
The management computer is
For each Rezept reception data stored in the examination request data storage means, common to extract Rezept reception data including attribute identifiers, extracted quantity data for each receipt item for a plurality of receipts items included in the receipt reception data A first stage of calculating the deviation of
The receipt acceptance data in which the deviation deviates from the range of the predetermined statistic is specified, the weight function is extracted from the weight function data storage means using the item identifier of the receipt item that exceeds the predetermined statistic, and the receipt item A second stage of substituting a quantity into the weighting function to calculate points for the receipt item;
A total point obtained by summing up the points for each receipt reception data is calculated, and the total points are recorded in the reception evaluation data storage unit in association with a reception identifier of the reception reception data, and a predetermined number or less in order of the total points. And a third stage for specifying a screening object.   The examination management system further comprises examination result data storage means for recording examination result data relating to the examination object,
  The management computer is
  The screening management method according to claim 1, further comprising a feedback step of changing a weighting function recorded in the weighting function data storage unit based on the screening result data.   Each receipt is given a receipt identifier and an attribute identifier for grouping.
Examination request data storage means for recording receipt acceptance data including quantity data for each receipt item included in the client message;
  Weighting function data storage means for recording data relating to a weighting function in association with an item identifier for specifying a receipt item;
  A receipt identifier, a receipt evaluation data storage unit in which receipt evaluation data including data relating to the total points is recorded;
  A program for managing examinations using an examination management system equipped with a management computer,
  The management computer,
  For each receipt acceptance data recorded in the examination request data storage means, the receipt acceptance data including a common attribute identifier is extracted, and the quantity data for each receipt item with respect to a plurality of receipt items included in the extracted receipt acceptance data A first means for calculating the deviation of
  The receipt acceptance data in which the deviation deviates from the range of the predetermined statistic is specified, the weight function is extracted from the weight function data storage means using the item identifier of the receipt item that exceeds the predetermined statistic, and the receipt item A second means for substituting a quantity into the weighting function to calculate a point for the receipt item; and
  A total point obtained by summing up the points for each receipt reception data is calculated, and the total points are recorded in the reception evaluation data storage unit in association with a reception identifier of the reception reception data, and a predetermined number or less in order of the total points. An examination management program that functions as a third means for specifying an examination object.   The examination management system further comprises examination result data storage means for recording examination result data relating to the examination object,
  The management computer,
  4. The examination management program according to claim 3, wherein the examination management program further functions as feedback means for changing the weighting function recorded in the weighting function data storage means based on the examination result data.

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