JP2000215259A - Past month managing device for medical treatment payment processing system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To precisely execute a medical business processing operation for a past diagnosis and medical treatment action. SOLUTION: In the past month managing device of a medial treatment payment processing system formed of a medical treatment payment computer 12 and a past month processing computer 13, a present medical program memory 2a, a present medical treatment action storage file 8 and an operation part 9a executing the processing operation of a pertinent patient by using a present medical program in accordance with a processing operation command designating the patient and the execution period of a medical treatment action are added to the medical treatment payment computer 12. A past month medical diagnosis and treatment action storage file 19, a past month medical program memory 22a and a past month operation part 23 executing the processing operation of the pertinent patient by using the past month medical program in accordance with the processing operation command designating the patient and the execution period of the medical treatment action from the medical treatment payment computer are added to the past medical treatment payment processing computer 13.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical clerical work processing system for performing medical clerical work calculations such as medical fees from medical treatments for patients in hospitals and clinics.
In particular, the present invention relates to a device for managing a month of a medical business processing system that can perform a medical business processing operation even for a medical practice performed in the past.

[0002]

2. Description of the Related Art For example, a medical office processing system installed in a large-scale hospital performs various office processing operations related to hospital administration. For example, a billing service that calculates a medical fee using the medical treatment score set based on the law, etc., and issues bills (recepts) to various payment institutions such as patients and health insurance. Is a very important task.

[0003] Various payment institutions, such as the payment fund, the National Federation of Health Insurance, and the corporate health insurance union, which have received the invoice (recept) for each patient from the hospital, charge the invoice amount stated in the invoice (recept). Pay to the original hospital. In this case, each paying institution may recalculate whether the billed amount is correct. If the recalculation result is correct, the payment is performed as it is, but if there is any doubt, the hospital is instructed to recalculate the medical fee for the medical treatment of the patient.

[0004] When the hospital receives a recalculation instruction of the billing amount from the paying institution, the hospital recalculates the medical remuneration by using the medical remuneration score set based on the law and the like.
Re-send the revised bill to the relevant payment institution.

[0005] In general, a considerable period of time, such as one to two years, elapses between each payment institution receiving a bill (recept) from a hospital and transmitting a recalculation instruction for the bill. In some cases. Therefore, as a medical office processing system installed in a hospital, it is necessary to store and hold data of medical care performed for each patient for a long period of time.

[0006] Furthermore, points and formulas for calculating medical fees for each patient from each medical practice are defined by law. And the law is frequently revised. Therefore, each time the law is revised, the medical program for calculating the medical fee is updated.

As a result, the medical office processing system stores and holds not only the current medical program effective at the present time but also the previous medical program applied before the start of application of the current medical program.

[0008] Then, upon receiving a recalculation instruction of the billing amount from the paying institution, the reimbursement of the medical treatment fee is performed using the medical program corresponding to the operation period to which the execution time of the medical treatment in the instructed bill belongs. .

A medical office processing system having such a function of recalculating a medical fee is constituted, for example, as shown in FIG. In the storage device 1, a current medical program memory 2a for storing the current medical program 2 applied to the medical treatment at the current time (from N-m months onward), before the start of application of the current medical program 2 (N-m + 1) The previous medical program memory 3a that stores the previous medical program 3 applied before the month, the patient information file 4 that stores the medical condition and personal information of each patient, the medical practice score memory 5 that is currently used for the medical program 2, the last medical program A medical practice score memory 6 and the like used for the program 3 are provided.

Further, in the storage device 1, a current medical practice action storage file 7, which stores a medical practice for each patient for each month (for N months to Nm months) to which the medical program 2 is currently applied, In addition, a previous medical practice storage file 8 is provided which stores a medical practice for each patient for each month (N-m + 1 month to N-m + 1 month) to which the previous medical program 3 is applied.

[0011] In this medical office processing system, for example, a medical fee calculation unit 9 comprising a CPU or the like includes:
In the normal state, based on a calculation command from the input operation unit 10, according to the current medical practice program 2, a medical treatment fee for each patient's medical care stored in the current medical care storage file 7 is calculated, and billing to each payment institution is performed. Issue a letter (recept).

When receiving a recalculation instruction of a medical fee from each paying institution, a person in charge (operator) inputs a patient name and a time to perform a medical practice from the input operating unit 10. In accordance with one of the medical programs 2 and 3 in which the operation period includes the corresponding implementation time, the medical fee for the corresponding period of the medical treatment of the corresponding patient stored in the current medical practice storage file 7 or the previous medical practice storage file 8 is recalculated. And reissue the bill to the paying institution.

[0013]

However, the medical office processing system shown in FIG. 7 still has the following problems to be improved.

That is, the current medical practice storage memory 7 and the previous medical practice storage memory 8 formed in the storage unit 1 of this medical office processing system also have a certain limit in storage capacity. Therefore, the data of the medical practice before k months older than (N−m + 1) months that can be stored in the previous medical practice storage memory 8 is discarded (erased) from the medical business processing system, or as shown in FIG. , MT (magnetic tape) or the like in an external storage medium 11.

In the case where the medical treatment corresponding to the recalculation instruction of the medical fee is performed by the payment mechanism before k months, the external storage medium 11 such as the MT (magnetic tape) is read from the reading device of the medical business processing system. To restore the corresponding medical practice from the external storage medium 11. Then, a medical fee for the restored medical practice is calculated using a medical program, and a bill is reissued.

However, since the operation of restoring the relevant medical practice from the external storage medium 11 such as an MT (magnetic tape) is a manual operation of the person in charge, a great deal of labor and time are required. In addition, it is necessary to secure an area for restoring the medical care stored in the external storage medium 11 in the storage unit 1 of the medical office processing system in advance, and the storage capacity required by the storage unit 1 increases. I do.

Further, only the medical treatment is stored in the external storage medium 11 such as an MT (magnetic tape). As described above, since the basic law for calculating the medical fee is frequently revised, the medical affairs program whose application period is the execution time of the medical care action stored in the external storage medium 11 is a program memory of the medical office processing system. The information is not always stored and held in 2a and 3a. In such a case, even if the medical action specified by the recalculation instruction is stored in the external storage medium 11, a correct medical fee cannot be calculated.

The present invention has been made in view of such circumstances, and even if a medical practice before a prescribed month, which cannot be completely stored and stored in the main body computer, is stored and stored externally, the medical care stored and stored externally is performed. A business management system for medical work processing systems that can reliably perform business processing calculations, such as calculating medical fees, can perform medical business processing efficiently, and can greatly improve the reliability of the entire system. The purpose is to provide.

[0019]

SUMMARY OF THE INVENTION In order to solve the above-mentioned problems, a medical office processing system in which a month management apparatus of the present invention is incorporated comprises a medical affairs computer and a month management computer. According to the first aspect of the present invention, the medical computer stores a current medical program memory for storing a current medical program applied to the current medical practice, and provides a medical care program for each patient to whom the current medical program is applied every month. A medical treatment action storage file for storing the action and a calculation unit for performing the business processing calculation of the corresponding patient using the current medical affairs program in accordance with the business processing calculation instruction designating the patient and the timing of performing the medical care action are added. ing.

Further, for the over-month processing computer,
Stores a pre-monthly medical practice storage file that stores medical practice for each patient for each month before the prescribed month that cannot be stored in the current medical practice storage file, and one or more pre-monthly medical programs that specify the application period Monthly operation section for executing the operation processing of the relevant patient using the old month medical program in accordance with the operation processing instruction from the medical computer, which specifies the patient and the time for performing the medical treatment, from the medical computer. And are added.

In the over-month management apparatus of the medical office processing system thus configured, the over-month processing computer stores in the over-month processing computer every month before the prescribed month which cannot be stored in the current medical practice storage file of the medical computer. A medical practice for each patient is stored, and one or more past medical affairs programs are stored.

Therefore, the clerical processing operation for the medical practice with the old implementation time stored in the over-month processing computer is also stored in the over-month processing computer and executed by using the over-month medical affairs program.

Therefore, even in the case of an old medical practice that cannot be stored and stored in the medical computer, it is possible to reliably execute the business processing operation without hindering the normal business processing operation in the medical computer when necessary.

According to a second aspect of the present invention, there is provided a medical administration system, comprising: a current medical program memory for storing a current medical program applied to a medical practice at a current time; A previous medical program memory that stores the previous medical program that was applied before the start of the application of the medical treatment, a current medical practice storage file that stores the medical practice for each patient for each month to which the current medical program is applied, According to a previous medical practice storage file that stores the medical practice for each patient for each month to which the program is applied, and a paperwork calculation command that specifies the patient and the timing of the medical practice, using any medical program A calculation unit for performing the paperwork calculation of the patient is added.

Further, for the over-month processing computer,
Stores a pre-monthly medical practice storage file that stores the medical practice for each patient for each month before the prescribed month that cannot be stored in the previous medical practice storage file, and one or more pre-monthly medical programs that specify the application period Monthly operation section for executing the operation processing of the relevant patient using the old month medical program in accordance with the operation processing instruction from the medical computer, which specifies the patient and the time for performing the medical treatment, from the medical computer. And are added.

In the above-structured month management apparatus, the medical computer has a current medical program to be applied to the medical practice at the current time and a previous medical service applied before the start of the application of the current medical program. The program is stored. Then, one or a plurality of past month medical affairs programs specifying an application period are stored in the past month processing computer.

Therefore, in the medical affairs computer, in addition to the currently effective medical affairs program, it is possible to easily perform the clerical operation calculation for the medical practice performed during the previous application period of the medical affairs program which was effective in the previous period. Can be implemented.

Therefore, the old-month processing computer only has to carry out the clerical calculation for the older medical treatment.

According to a third aspect of the present invention, there is provided a medical treatment computer in the above-mentioned second month management apparatus, wherein the last month's medical treatment action storage file of the last month's medical treatment action computer stored in the last month's medical action storage file is stored. In response to the transfer command, the file transfer means for transferring the relevant medical practice to the pre-monthly medical practice storage file, and the execution time of the transferred medical practice was stored in the pre-monthly medical program memory of the pre-monthly processing computer. A program copying means for copying the previous medical program stored in the previous medical program memory to the previous month medical program memory as the previous month medical program when the time period is not included in the application period of the previous month medical program is added.

In the month management apparatus of the medical affairs processing system configured as described above, when the medical care action stored in the medical affairs computer becomes almost full and a transfer command is output by the operation of the operator, The medical practice stored in the computer is transferred to the over-month processing computer. In this case, the corresponding medical program is also copied into the over-month processing computer at the same time.

Therefore, even in the case of the medical care action stored and retained in the over-monthly processing computer, it is possible to reliably perform the business operation calculation within the over-monthly processing computer.

According to a fourth aspect of the present invention, in response to the transfer command, the medical month computer in the above-mentioned third month management apparatus responds to the transfer command, and stores each of the months stored in the month-long medical treatment action storage file of the month-old processing computer. A storage state output unit for outputting the month in which the medical practice is performed is added.

In the month management apparatus of the medical office processing system configured as described above, the contents stored in the month management computer are displayed when the medical care is transferred to the month management computer in accordance with the operator's transfer command. Therefore, it is possible to prevent the operator from mistakenly writing the medical treatment in the old month processing computer.

According to a fifth aspect of the present invention, the previous medical practice action storage file is stored in the previous medical practice activity storage file due to a shortage of the storage capacity of the previous medical practice activity storage file. In response to an erasure command for a medical practice with an old practice time, a storage state output means for outputting the practice belonging month of each medical practice stored in the historical medical practice storage file of the monthly processing computer is added.

In the above-structured management apparatus of the medical business processing system, for example, in response to an erasure command issued by the operator, the medical care action transferred to the previous medical care action storage file of the previous medical care action storage file of the medical affairs computer, for example. Is deleted, it is possible to prevent the operator from erroneously deleting untransferred medical care.

Further, according to the present invention, there is provided a medical treatment computer which is automatically generated every time a predetermined period of time elapses with respect to a medical computer in the above-mentioned management system for a month. File transfer means for transferring the corresponding medical practice to the old-month medical practice storage file in response to a transfer command to the old-month medical practice storage file of the computer for the old-month medical practice activity stored in the old-school medical practice If the execution time of the performed medical practice is not included in the applicable period of the old month medical program stored in the old month medical program memory of the old month computer, the previous medical program stored in the previous month medical program memory is replaced with the old month medical program. And a program copying means for copying the data into the older medical program memory.

[0037] In the month management apparatus of the medical office processing system configured as described above, when the medical practice stored in the medical computer becomes full, the old medical practice is automatically transferred to the month processing computer. In addition, the medical affairs department corresponding to the transferred medical practice is also automatically transferred to the over-month processing computer.

Therefore, the operator can perform office work without worrying about whether the medical care stored in the medical computer is full or not, so that the work load on the operator can be reduced and the efficiency of office work can be improved. .

[0039]

DESCRIPTION OF THE PREFERRED EMBODIMENTS One embodiment of the present invention will be described below with reference to the drawings. FIG. 1 is a block diagram showing a schematic configuration of a medical affairs processing system in which the overage management device of the present invention is incorporated. The same parts as those of the conventional medical affairs processing system shown in FIG. 7 are denoted by the same reference numerals. Therefore, the detailed description of the overlapping part will be omitted.

The medical affairs processing system according to the embodiment is roughly divided into a medical affairs computer 12 and a long-term processing computer 13 which are connected to each other via a transmission line.

The medical computer 12 has a storage unit 1 having the same configuration as the storage unit in the conventional medical office processing system shown in FIG. 7, for example, a medical treatment for each patient based on an instruction from the input operation unit 10a. Calculate the reward,
A medical fee calculation unit 9a for issuing a bill (recept) to the payment institution, an input operation unit 10a for the operator to input various instructions such as a transfer instruction and an erasure instruction as needed, and the like are provided. The medical computer 12 further includes a past month data storage control unit 14, an automatic past month data storage control unit 15, a clock circuit 16 for measuring the date, and a recalculation instruction unit 17.

On the other hand, in the old month processing computer 13,
The storage unit 18 and the medical fee calculation unit 23 are provided.
The storage unit 18 stores a past month medical practice storage file 19 for storing medical practice for each patient before k months which could not be accommodated in the previous medical practice storage file 8 of the medical computer 12, 19, a patient information file 21 for storing patient information of each patient to be subjected to medical treatment, and a medical information computer 12 which is applied before the application period of the previous medical program 3 stored in the previous medical program memory 3a of the medical computer 12. A past month medical program memory 22a that stores one or a plurality of past month medical programs that are designated application periods,
A medical practice score memory 20 and the like for storing medical practice constants to which the old month medical program 22 is applied are provided.

Next, the old-month data storage control unit 14 and the automatic old-month data storage unit 1 incorporated in the medical affairs computer 12 will be described.
5. The detailed operation of the recalculation instructing section 17 will be described step by step. FIG. 2 is a block diagram showing a schematic configuration of the old-month data storage control unit 14. Medical fee revision date management information memory 1
In 4a, the medical fee revision date accompanying the revision of the law is stored. Also, the medical care data storage management information memory 14b
In the past, monthly medical treatments that have been handled by this medical office processing system have been
Is stored in the file 19 of the month-old medical practice storage file.

When the operator inputs a transfer instruction of a medical practice in the previous medical practice storage file 8 via the input operation unit 10a, the stored month / month display unit 14c displays the medical data storage management information. FIG. 3 shows the transfer status of each month's medical practice stored in the memory 14b, that is, the storage status of each medical practice storage file 7, 8 of the medical affairs computer 12 and the medical practice storage file 19 of the over-monthly processing computer 13. As shown, it is displayed and output on the display screen 24. As shown in FIG.
Monthly storage period 24 of medical practice stored in
a, The remaining period 24b of the monthly unit remaining in the medical affairs computer 12 is displayed.

Then, when the operator is in the computer 1
When the monthly storage period of the medical practice to be transferred to and stored in 3 is input through the input operation unit 10a, the current storage period 24c is displayed on the display screen 24. As a result, the remaining period 24b is the current storage period 24c and the next and subsequent storage periods 2c.
4d.

The past month storage year / month input check unit 14e determines that the input storage period 24c is
And it is confirmed that the data is not stored across the previous medical practice storage memory 8, that is, the data is not crossed on the medical treatment fee revision date. The medium check unit 14f displays the display screen 2
4, the storage period 24c of the inputted current medical practice is changed to the medical fee revision date management information memory 1
It is confirmed that there is no inconsistency in the medical fee revision date accompanying the revision of the law stored in 4a.

When the confirmation processing in the medium check section 14f is completed, the storage target program judgment section 14 is started. As shown in FIG. 4, the storage target program determining unit 14 stores a month storage table 25 storing each program number of each medical program stored in the month medical program memory 22a of the month processing computer 13. It is remembered.

A storage period 24c, which indicates a period of the medical practice to be stored in the previous month medical treatment storage file 19 of the previous month processing computer 13, corresponds to each program number stored in the previous month storage table 25. It is determined whether or not it is included in the application period of the medical program 22a to be performed using, for example, the medical fee revision management information memory 14a.
If it is not included, the old-month medical storage unit 14j is activated, and the previous medical program 3a in which the corresponding storage period 24c is included in the applicable period is stored in the old-month medical program memory 22 of the old-month processing computer 13. Program 22
Copy as a. Then, the program name of the copied medical program 22a is written in the past month storage table 25.

When the confirmation processing in the medium check section 14f is completed, the storage target medical data determination section 14h is activated. This storage target medical data determination unit 14h
This storage period 2 confirmed by the medium check unit 14f
The data of the medical practice to be stored for the month corresponding to 4c is read from the previous medical practice storage file 8. Then, the older-day medium storage unit 14j is activated, and writes the read data of the medical practice to be saved to the older-month medical care storage file 19 of the older-month processing computer 13.

When the confirmation processing in the medium check unit 14f is completed, the medical treatment act score judging unit 14i to be stored is determined.
Is started. This storage target medical care action score judging unit 14i
Reads the medical treatment score used in the medical affairs program 3 determined to be transferred (saved) to the over-month processing computer 13 by the save target program determination unit 14g from the previous activity score memory 6. Then, the media storage unit 14j is activated,
The read medical practice points to be stored are written to the previous month medical practice point memory 20 of the previous month processing computer 13.

Thereafter, the update unit 14k for storing information on whether or not to store the past month stores the information on whether or not to store the medical practice in the monthly processing computer 13 in the medical data storage management information memory 14b in each month.

As described above, the old-month data storage control unit 14
Is stored in the storage period 24 via the input operation unit 10a.
When a transfer (save) command is input to the computer 13 for the over-monthly processing of the medical treatment by designating c, the medical treatment is transferred to the record file 19 of the medical treatment for the over-monthly treatment of the computer 13 for the over-monthly processing. The medical program 3a corresponding to the corresponding medical practice is also copied to the old month medical program memory 22 of the old month processing computer 13. Therefore, even in the case of an old medical practice, it is possible to calculate a correct medical fee for the medical practice on the excessive month processing computer 13 side.

Automatic data storage controller 1 shown in FIG.
5 is configured as shown in FIG. When, for example, a monthly change signal is input from the clock circuit 16 on the first day of every month, the month passing determination unit 15a is activated. The monthly judgment unit 15a compares the current system start date (current application start date of the medical affairs program 2) with the previous system start date (previous application start date of the medical affairs program 3). And the previous medical practice record file 8 of the medical affairs computer 12
It is determined whether or not the oldest month-based medical practice in can be deleted.

Similarly, the monthly judgment section 15a judges whether or not the previous medical program 3 of the medical computer 12 can be deleted based on whether or not the previous medical program 3 crosses the medical fee revision date. If the deletion is possible, it is determined whether or not the monthly medical practice corresponding to the medical program 3 to be deleted exists in the medical practice storage memory 8 last time.

If the oldest monthly medical practice can be deleted, and if there is a monthly medical practice corresponding to the medical program to be deleted, the monthly migration determining unit 15a stores the medical data storage management information memory. 14b is searched to determine whether or not the monthly medical treatment to be deleted is already stored in the over-month processing computer 13.

If the relevant medical practice is not stored in the over-month processing computer 13, the over-month data storage guidance unit 15 b is activated and the month-over-month determination unit 15 a activates the display screen 2.
3, as shown in FIG. 3, each medical practice stored in the over-month processing computer 13 is displayed on a monthly basis, and, for example, “Since the medical practice data for n years and m months is deleted, The guidance display of "Execute data storage" is implemented.

The old month data storage section 15c stores n years and months of medical treatment data to be deleted after a lapse of a predetermined time even if the operator has performed a storage instruction operation or no instruction. The necessary medical program is stored in the over-month processing computer 13.

Thereafter, the medical care data deleting unit 15e is activated. This medical data deletion unit 15e stores the medical action data for n years and m months to be deleted in the previous medical action storage file after a predetermined time has elapsed even if the operator has performed a delete instruction operation or no instruction. Delete from 8 (clear).

The above-mentioned monthly medical treatments are stored in the over-month processing computer 13, and the medical affairs computer 12
Upon completion of the deletion from the medical data storage management information memory 14b, the information on the presence or absence of the storage of the medical care activity for each month in the over-month processing computer 13 is updated.

As described above, the automatic old data storage control unit 1
5, when a month-changing signal is input from the clock circuit 16, the medical care operation of the oldest month stored in the medical computer 12 is automatically stored in the over-month processing computer 13, and the corresponding medical information in the medical computer 12 is stored. Delete the practice. In this case, a month indicating the timing of the medical practice before the deletion is displayed and output to alert the operator.

Therefore, even if the operator forgets to perform an operation for storing medical treatments in the over-month processing computer 13, the fact is automatically displayed when the month changes,
Since the medical treatment is not stored in the old month processing computer 13, the medical treatment that is not stored is not automatically deleted. Therefore, the reliability of the entire medical office processing system of the embodiment can be improved.

The recalculation instructing section 17 in FIG. 1 is configured as shown in FIG. Via the input operation unit 10a,
When a medical fee recalculation command designating the patient and the time to perform the medical practice is input, the medical treatment date specifying unit 17a reads the medical practice data from the medical data storage management information memory 14b into the medical practice storage file of the medical computer 12. It is determined whether the stored information is stored in the old-month medical treatment action storage file 19 of the old-month processing computer 13.

Further, the medical treatment date specifying unit 17a specifies a medical affairs program whose application period includes the execution time of the corresponding medical practice from the medical fee revision date management information memory 14a.
It is confirmed that the corresponding medical program 2, 3, 22 is stored in the computer 12, 13 on the side where the previously determined relevant medical practice is stored.

The instruction section 17b is provided with a medical treatment date specifying section 17a.
Sends a medical remuneration calculation command specifying the medical program to be used, the patient, and the medical care execution time to the medical remuneration calculation units 9a, 23 of the computers 12, 13 on the side specified by (1).

The medical affairs computer 12 which has received the operation command
Medical fee calculation unit 9a or the over-month processing computer 13
The medical remuneration calculation unit 23 calculates the medical remuneration for the medical treatment of the corresponding patient stored in the designated medical programs 2, 3, 22 and the medical practice storage memories 7, 8, 19. Then, a claimant (recept) for the payment institution is issued.

As described above, for example, when there is a request for recalculation of the medical fee from the paying institution, the operator operates the input operation unit 10.
When the operation time of the patient and the medical practice is input from a,
The recalculation instructing unit 17 is activated, and the corresponding medical program and the medical computer 12 or the over-month processing computer 13 that executes the relevant medical program are automatically specified. Further, recalculation of the target medical fee is automatically performed by the specified computers 12 and 13.

Therefore, when there is a request for recalculation of the medical fee from the paying institution, the operator performs the same operation without being conscious of which computer of the medical affairs computer 12 or the long-term processing computer 13 is to carry out. Since the recalculation of the medical treatment fee can be performed, the operation burden can be significantly reduced.

Further, the operator can perform office work without worrying about whether the medical care stored in the medical computer is full or not, so that the work load on the operator can be reduced and the efficiency of office work can be further improved. it can.

[0069]

As described above, in the over-month management apparatus of the medical office processing system of the present invention, the medical practice before the prescribed month, which cannot be fully stored in the medical computer, is determined by the application period of the relevant medical practice. And stored in the over-month processing computer together with the medical program included in the above.

Therefore, it is possible to reliably perform the medical processing calculation such as the calculation of the medical treatment fee even for the medical care action stored and held in the over-month processing computer, so that the medical business processing can be efficiently performed and the medical business processing system can be performed. The overall reliability can be greatly improved.

Further, the operation burden on the operator can be reduced.

[Brief description of the drawings]

FIG. 1 is a block diagram showing a schematic configuration of a medical office processing system into which a month management device according to an embodiment of the present invention is incorporated.

FIG. 2 is a block diagram illustrating a schematic configuration of a past month data storage control unit in the past month management device.

FIG. 3 is a diagram showing a display screen on a medical computer of the medical business processing system.

FIG. 4 is a block diagram showing an essential part of a past month data storage control unit in the past month management device;

FIG. 5 is a block diagram showing a schematic configuration of an automatic data storage control unit in the same month management device.

FIG. 6 is a block diagram showing a schematic configuration of a recalculation instruction unit in the same month management device.

FIG. 7 is a block diagram showing a schematic configuration of a conventional medical office processing system.

[Explanation of symbols]

 1, 18: Storage unit 2: Current medical program 3: Previous medical program 4, 21: Patient information file 7: Current medical practice storage file 8: Previous medical practice storage file 9a, 23: Medical fee calculation unit 10a: Input operation unit DESCRIPTION OF SYMBOLS 12 ... Medical computer 13 ... Monthly processing computer 14 ... Monthly data storage control unit 15 ... Automatic month data storage control unit 16 ... Clock circuit 17 ... Recalculation instruction unit 19 ... Monthly medical treatment action storage file 22 ... Monthly medical affairs program

Claims (6)

[Claims] The present invention relates to a medical management system comprising a medical computer and a pre-month processing computer, wherein the medical computer stores a current medical program applied to a medical practice at a current time. A program memory, a current medical care action storage file for storing a medical care action for each patient for each month to which the current medical care program is applied, and a paperwork calculation command specifying a patient and a time for performing the medical care action, A computing unit for performing a paperwork computation for the patient using a current medical affairs program, wherein the over-monthly processing computer is a patient for each month before a prescribed month which cannot be stored in the current medical practice storage file. A month-old medical practice storage file that stores medical practice for the patient, and one or more months-old medical programs that specify the applicable period In accordance with a stored medical program program memory and an administrative processing instruction from the medical computer, which specifies a patient and an execution time of medical treatment, an administrative processing operation of the relevant patient is performed using the advanced medical program. A month management device for a medical business processing system, comprising a month calculation unit. 2. A month management apparatus for a medical business processing system comprising a medical computer and a month processing computer, wherein the medical computer stores a current medical program applied to a medical practice at a current time. A program memory, a previous medical program memory for storing a previous medical program applied before the start of application of the current medical program, and a medical treatment for each patient for each month to which the current medical program is applied. In response to a current medical practice storage file, a previous medical practice storage file that stores the medical practice for each patient for each month to which the previous medical program is applied, and a paperwork calculation command that specifies the patient and the implementation time of the medical practice. And an arithmetic unit for performing a paperwork calculation for the patient using any of the medical programs. The past month processing computer has a past month medical practice storage file that stores medical practice for each patient for each month before the prescribed month that cannot be stored in the previous medical practice storage file, and an application period. A month-old medical program memory storing one or more specified month-old medical programs, and the month-old medical program in response to a paperwork operation instruction from the medical computer that specifies a patient and a time for performing a medical treatment. A month management device for a medical business processing system, comprising: a month management unit for performing business processing calculation of a corresponding patient using the same. 3. The medical affairs computer, in response to a transfer command of the medical care action stored in the previous medical care action storage file to the previous month medical care action storage file of the previous month's medical care action storage file, and File transfer means for transferring to the medical practice storage file, when the execution time of the medical practice transferred this file is not included in the application period of the monthly medical program stored in the monthly medical program memory of the monthly processing computer, 3. The medical office processing system according to claim 2, further comprising: program copying means for copying the last medical program stored in the last medical program memory as the old medical program into the old medical program memory. Monthly management device. 4. The medical computer, in response to the transfer command, includes a storage state output unit that outputs a month in which each medical practice is carried out, which is stored in a monthly medical practice storage file of the monthly processing computer. 4. The apparatus for managing months of a medical business processing system according to claim 3, wherein: 5. The medical affairs computer, in response to a deletion instruction for a medical practice in which the execution time stored in the previous medical practice storage file is old due to a shortage of storage capacity of the previous medical practice storage file, 4. The management of the medical administration system according to claim 3, further comprising a storage status output unit for outputting a month in which each medical practice is carried out, which is stored in the historical medical activity storage file of the computer. apparatus. 6. The medical computer according to claim 1, wherein said medical computer automatically generates a medical treatment every time a predetermined period of time elapses. File transfer means for transferring the relevant medical practice to the above-mentioned monthly medical practice storage file in response to a transfer instruction for the monthly medical practice storage file; and A program copy for copying the previous medical program stored in the previous medical program memory as the previous month medical program to the previous month medical program memory as the previous month medical program when not included in the application period of the previous month medical program stored in the medical program memory. 3. The medical administration system according to claim 2, further comprising: Management apparatus.