JP2002109045A - Medical treatment book check system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To prevent information capable of specifying patients and medical facilities such as the name, address and telephone number of the patient and the name, location and telephone number of the medical facilities from being leaked to the outside together with medical treatment records and insurance points, etc., in the check of a medical treatment book. SOLUTION: Contents included in the medical treatment book are classified into presentable information H1 and non-presentable information H2 and the medical treatment books C and R for presentation in which only the presentable information H1 is presented are prepared.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical examination book check system which is operated using a medical institution side device, a substitute side device and a computer system which are communicably connected to each other.

[0002]

2. Description of the Related Art Medical records created in medical institutions such as dental clinics and internal medicine clinics typically include medical records and receipts. Each of these medical records and claims is submitted to a prescribed institution when requesting a medical fee, and records medical records, insurance points, and the like. Since the work of creating these medical records and receipts requires specialized knowledge such as medical affairs, the medical institution sometimes requests a check of the medical records and receipts from a trader.

[0003]

However, as a rule, however,
The contents of the receipt and the medical chart include information that can specify the patient, such as the patient's name, address, and telephone number, and information that can specify the medical institution, such as the name, location, and telephone number of the medical institution. Therefore, it cannot be denied that the information which can identify these patients and medical institutions may leak to the outside together with medical records, insurance points, etc. when requesting a check of a medical record and a receipt from a trader.

[0004]

SUMMARY OF THE INVENTION In view of the above-mentioned problems, the present invention checks a medical institution side device used by a medical institution side and a patient's medical record created by the medical institution side in place of the medical institution side. It is operated using an agent device used by a check agent in a position to perform, and a computer system communicably connected to the medical institution device and the agent device, For the medical institution side device, a medical table creation support means that enables the creation of a medical table, and information classification means for classifying the contents included in the medical table into discloseable information and non-disclosure information,
It is provided with a presentation medical record creation means for creating a presentation medical book that discloses only the discloseable information, and a medical record output means for outputting the presentation medical book to a substitute device. Features.

[0005] In such a case, the medical institution side:
A medical record can be created without being aware of the distinction between discloseable information and non-discloseable information, and the created medical record can be leaked to the outside by the presentation medical record creation means. You will be able to check without worrying. Therefore, it is possible to prevent information that can identify the patient and the medical institution, such as the patient's name, address, telephone number, medical institution name, location, and telephone number, from leaking to the outside together with medical records and insurance points. Become.

[0006] As a specific embodiment, the information classifying means classifies the information which can identify the patient among the contents included in the medical record as non-disclosable information, and the information classifying means comprises: And information that can identify the medical institution out of the contents included in the medical examination book is classified as non-disclosure information.

In order for the check agent to smoothly connect the medical institution to the check agent when the check agent points out a problem of the medical record to the medical institution, a medical record for presentation is required by a presentation medical record creation means. It is preferable that a medical record created by using the medical record preparation support means and a medical record for presentation of the same format be prepared.

In order to make the introduction of this system extremely effective for the medical institution, it is preferable that the medical record is a medical record and a receipt.

Further, as a specific embodiment, it is preferable that the non-disclosable information is a patient's name, address, telephone number and the name, location, and telephone number of a medical institution.

[0010]

Embodiments of the present invention will be described below with reference to the drawings. (1) Overall Device Configuration As shown in FIG. 1, a medical institution check system 1 of the present invention includes a medical institution side device P1 used by each of the medical institution side 2
And the agent device P2 used by the check agent 3 who is in a position to check the medical record and the receipt as the medical record of the patient created by the medical institution 2 on behalf of the medical institution 2
The medical institution side device P1 and the agent side device P2 are communicably connected to each other, and are operated using a computer system P3 used by a provider of the present system.

Each of these devices P1 to P3 is basically the same, and as shown in FIG.
01, a mouse 102, a display 103, a storage device 104 such as an HD, a CPU 105, an internal memory 106, and a communication interface 107, and are connected to the Internet NET via a telephone line.

The medical institution side device P1 is a server machine lent to a person who provides the present system, and the ownership belongs to the person who provides the present system. This medical institution side device P
Reference numeral 1 has a Web server function and the like, and stores various programs and data in a storage device. Then, the medical institution side device P1 operates according to these programs, and the medical record creation support means 91, the information classification means 9
2. It performs the functions of the medical record transmitting means 93 and the like.

The proxy device P2 is a personal computer having at least a web browser function, and is connected to a printer P.

The computer system P3 is a server having a Web server function and a database server function, and stores an information database D and various programs in a storage device. Then, as shown in the functional configuration diagram of FIG. 3, the computer system P3 operates according to these programs, cooperates with the medical institution side device P1 and the substitute side device P2, and stores the medical record storage means 94, the medical institution display means. 95, a patient list display means 96, a presentation medical record creation means 97, a medical record output means 98, and the like. It does not matter whether the computer system P3 is provided centrally or separately, and its location is not limited to Japan and may be abroad. (2) Outline of Function Next, each of the units 91 to 98 will be described.

The medical record creation support means 91 enables the creation of a medical record and a receipt for the medical institution side device P1. This medical record creation support means 91
It functions according to the medical record creation support program that is customized for each medical institution 2 and stored in each medical institution-side device P1. Then, the original program is stored in the information database D, and when a problem such as an error occurs in the medical record creation support program of the medical institution side device P1, a system revision related to the creation of a medical chart and a receipt is performed. When this is done, a medical list creation support program that operates normally and a medical list creation support program corresponding to system revision can be uploaded from the computer system P3 to the medical institution side device P1.

The information classifying means 92 divides the contents included in the medical record and the receipt into the discloseable information H1 and the non-discloseable information H
And 2. In particular, the information classifying means 92 in the present embodiment classifies information that can specify a patient, information that can specify a medical institution, and the like, among contents included in a medical chart and a claim, as non-disclosure information H2. Specifically, the information classification means 92 includes the name A1, the address A2, and the telephone number A3 of the patient of the medical record and the receipt, the name B1, the location B2, and the telephone number B3 of the medical institution, the patient's birth date C1, and the insurance. The type C2 and the insurance code / number C3 are classified as non-disclosure information H2, and among the contents included in the medical chart and the receipt, the non-disclosure information H2 is included.
Not included in the medical record, the date D1, the therapy / treatment D2,
The insurance score D3, the medical care site E1 on the receipt side, and the like are classified as the disclosureable information H1. Thus, the check agent 3 can reliably check the insurance points of the receipt and the medical chart.

The medical record transmitting means 93 transmits the undisclosed information H2.
And the disclosable information H1 are transmitted asynchronously to the computer system P3. When the daily medical chart and receipt creation work is completed, the medical institution side device P1
When the "end button" on the display screen is clicked, the medical table transmitting means 93 together with the information classifying means 92 are clicked.
Is working.

The medical record storage means 94 stores the non-disclosable information H2 and the discloseable information H1 transmitted to the computer system P3 in the information database D. In this embodiment, the medical record storage means 9 is used.
4 is a table for storing the information H1 that can be disclosed in the information data database D;
And the non-disclosure information H2 is stored in the non-disclosure data file F2 provided in the information data database D. When a problem occurs in the medical record and the receipt stored in the medical institution side device P1, the disclosable information H1 can be appropriately downloaded from the computer system P3 to the medical institution side device P1. When the medical institution requests the information H2, the computer system P authenticates the medical institution 2, and then transmits the information H2 from the computer system P3 to the medical institution side device P1.

The medical institution display means 95 displays a list of the medical institution 2 using the present system 1 on the agent side device P2 that has accessed the computer system P3, and displays the list on the agent 3 side. This prompts the user to select a medical institution 2 to be checked.

The patient list display means 96 is provided for the agent device P
For example, a list of patients held by the medical institution 2 is displayed, and the agent 3 is prompted to select a patient to be checked.

The presentation medical record creation means 97 includes the non-disclosable information H2 and the discloseable information H stored in the information database D.
1 to create a presentation chart C and a presentation receipt R that disclose only the disclosed information H1. Specifically, as shown in FIGS. 6 and 7, in the presentation chart C and the presentation receptor R, for example, if the phone number of the patient is A3, “TELXX-XXXXX-XXXXX” is used. , "X" or "X"
Mark, etc. In the present embodiment,
The presentation medical record creation unit 97 creates a medical record and a receipt created by using the medical record creation support unit 91, and a presentation medical record C and an example receipt R in the same format.

The medical record output means 98 is provided as a substitute device P2
, The disclosure chart C of the selected check target patient
And a disclosure receipt R.

(3) Method of Use Next, a method of using the present system 1 by the check agent 3 will be described with reference to a flowchart shown in FIG.

In order for the check agent 3 to use the present system 1, it is necessary to first access the computer system P3 using the agent device P2. In this top page, a form in which the authentication of the check agent 3 is performed is desirable from the viewpoint of the security of the system operation (S1, S2).
2). Then, when the check agent 3 is authenticated by the computer system P3, the medical institution display means 95 displays the medical institution list W1 shown in FIG. 4 (S).
3). In this medical institution list W1, medical institution 2
Means "A dental clinic", "B
Dental clinic ". Then, when the check agent 3 appropriately selects the medical institution 2 (S4), the patient list display means 96 displays the patient list W2 of the medical institution 2 shown in FIG. 5 (S5). In the patient list W2, the patient names are displayed as "A0001" and "B0002" without being specifically disclosed.

When a patient is appropriately selected from the patient list W2 (S6), the presentation medical record creation means 97 creates a presentation chart C and a presentation receipt R on the computer system P3 (S7). 6), the patient's presentation chart C and the presentation receipt R shown in FIGS. 6 and 7 are displayed on the substitute device P2 by the medical record output unit 98 (S8). In the present embodiment, it goes without saying that the screens shown in FIGS. 4 to 7 may be displayed in the same window, and it is also necessary to check the presentation chart C and the presentation receipt R. May be performed on the screen or printed out from the printer P of the proxy device P2. In this embodiment, the check agent 3 reports to the medical institution 2 the result of the check and an indication such as an erroneous entry by e-mail.

The present invention is not limited to the above embodiment. For example, as an extended example of the above embodiment, a form in which a chart for presentation and a receipt for presentation can be presented to an unspecified number of general users connected to the Internet is also conceivable. In addition, this system
A dedicated network such as a LAN may be constructed from the medical technician's device, the computer system, and the agent's device to prevent access from outside.

[0027] For example, the presentation medical record creation means may include:
In the presentation chart and the presentation receipt, only the discloseable information may be disclosed by leaving the portion of the non-disclosable information blank or by adding a diagonal line or double line from the top. .

Furthermore, the medical record is not limited to medical records and receipts. In addition, the selection between the non-disclosable information and the disposable information can be changed as appropriate.

In addition, the present invention may be in a form in which the agent device used by each of a plurality of check agents is connected to a computer system. In addition to the form in which the medical record creation program is stored in the local server, a form in which a recording medium storing the medical record creation program is set in the medical technician device each time the program is used may be used. Furthermore, the medical record creation program may be stored in a computer system so that the medical record can be created on the WEB.

In addition, the present invention is not limited to the illustrated example described above, and can be variously modified without departing from the gist thereof.

[0031]

As described above in detail, according to the medical record check system of the present invention, the medical institution can prepare the medical record without being aware of the distinction between the information that can be disclosed and the information that cannot be disclosed. In addition, the created medical record can be checked by the presentation medical record creation means without worrying that the undiscloseable information is leaked outside. Therefore, it is possible to prevent information that can identify the patient and the medical institution, such as the patient's name, address, telephone number, medical institution name, location, and telephone number, from leaking to the outside together with medical records and insurance points. Become.

If the presentation medical record creation means is for creating a presentation medical book in the same format as the medical treatment book created using the medical record creation support means, the check agent is When the medical institution points out a problem with the medical record, the medical institution and the check agent can be smoothly connected.

If the medical record is a medical record and a receipt, the introduction of the present system can be made extremely effective for the medical institution.

[Brief description of the drawings]

FIG. 1 is a device configuration diagram showing a medical checkbook check system according to an embodiment of the present invention.

FIG. 2 is a device configuration diagram showing a configuration of a device in the embodiment.

FIG. 3 is a functional configuration diagram of a medical checkbook check system according to the embodiment;

FIG. 4 is a screen explanatory diagram showing a medical institution list and the like in the embodiment.

FIG. 5 is a screen explanatory view showing a patient list and the like in the embodiment.

FIG. 6 is a screen explanatory diagram showing a presentation chart in the embodiment.

FIG. 7 is a screen explanatory view showing a presentation receipt in the embodiment.

FIG. 8 is a flowchart showing the flow of processing in the embodiment.

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 1 ... Medical record check system 2 ... Medical institution side 3 ... Check agent 91 ... Medical record creation support means 92 ... Information classification means 97 ... Presentation medical record creation means 98 ... Medical record output means C ... Present chart H1 ... Disclosure information H2 ... Disclosure prohibited information P1 ... Medical institution side device P2 ... Substitute side device P3 ... Computer system R ・ ・ ・ Reception for presentation

Claims (6)

[Claims] 1. A medical institution side device used by a medical institution side, an agent side device used by a check agent in a position to check a patient's medical record created by the medical institution side on behalf of the medical institution side, It is operated using a medical institution side device and a computer system that is communicably connected to the agent side device so that a medical record can be created for the medical institution side device. Medical table creation support means; information classification means for classifying the contents included in the medical list into discloseable information and non-disclosure information; and presentation medical treatment for creating a presentation medical list disclosing only the discloseable information. A medical list check system, comprising: a list creating unit; and a medical list output unit that outputs the presentation medical list to a substitute device. 2. The medical record book according to claim 1, wherein the information classifying means classifies at least information that can identify the patient among contents contained in the medical record book as undiscloseable information. Check system. 3. An information classifying means for classifying at least information that can identify a medical institution among contents contained in a medical record as non-disclosure information. The medical checkbook check system described. 4. The present invention is characterized in that the presenting medical record creation means creates a presenting medical record in the same format as the medical record created using the medical record creating support means. The medical checkbook check system according to 1, 2, or 3. 5. The medical record check system according to claim 1, wherein the medical record is a medical record and a receipt. 6. The medical examination book according to claim 1, wherein the information that cannot be disclosed is a patient's name, address, telephone number and the name, location, and telephone number of a medical institution. Check system.