JP2002183299A - Information recording medium for medical examination and treatment - Google Patents

Abstract

PROBLEM TO BE SOLVED: To construct a medical accounting processing system capable of easily and efficiently performing medical expenses accounting. SOLUTION: A prepaid consultation ticket 1 being an information recording medium for a medical examination and treatment is issued from the reception terminal 4 of a reception department in the institution of a hospital 2 where a medical accounting processing system is constructed in the case of the first medical examination of a patient. Advance payment information in the case of purchase by advance payment is recorded in the prepaid consultation ticket 1 in addition to a patient ID for identifying the patient. The advance payment information is money information for purchase by a prepaid system and various kinds of settlements (a medical examination expenses settlement and a medicine preparation settlement, etc.), are performed by the advance payment information.

Description

DETAILED DESCRIPTION OF THE INVENTION

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical information recording medium for storing medical information including a patient ID for identifying a patient.

[0002]

2. Description of the Related Art In recent years, especially in urban areas, university hospitals or general hospitals have a plurality of medical departments and are equipped with advanced medical facilities. General outpatients and health checkups are concentrated.

On the other hand, it has become a social issue to arrange medical doctors by placing home doctors in the vicinity of general residents, to avoid concentration in the above-mentioned university hospitals or general hospitals, and to construct an efficient medical treatment system. I have.

[0004]

However, for patients, there is a merit that a plurality of medical departments can be consulted in the same hospital, and it is actually difficult to avoid concentration in a university hospital or general hospital. is there. This concentration causes problems such as patients having to wait for a long time to wait for medical treatment and accounting for reimbursement of medical expenses after medical treatment, which is very mentally painful for patients. In addition, there is a problem that the hospital requires a lot of time and human resources for the accounting process in addition to the actual medical treatment, which hinders efficient hospital operation.

SUMMARY OF THE INVENTION The present invention has been made in view of the above circumstances, and has as its object to provide a medical information recording medium capable of constructing a medical accounting processing system capable of performing medical expense accounting simply and efficiently. And

[0006]

According to the present invention, there is provided a medical information recording medium comprising: a patient-specific information storage unit for recording patient-specific information of a patient; And a deposit information storage unit.

[0007]

Embodiments of the present invention will be described below with reference to the drawings.

FIGS. 1 to 8 relate to an embodiment of the present invention. FIG. 1 is a configuration diagram showing a configuration of a medical accounting system, FIG. 2 is a configuration diagram showing a configuration of an input device in FIG. 1, and FIG. 4 is a flowchart for explaining the operation of the medical accounting processing system of FIG. 1, FIG. 4 is a flowchart showing the flow of the prepaid consultation ticket issuing process of FIG. 3, FIG. 5 is a flowchart showing the flow of the medical treatment process of FIG. 3, and FIG. 3 is a flowchart showing the flow of the medication process, FIG. 7 is a configuration diagram showing a configuration of a first modification of the medical accounting processing system of FIG. 1, and FIG. 8 is a configuration diagram of a second modification of the medical accounting processing system of FIG. It is a block diagram showing a structure.

As shown in FIG. 1, a prepaid consultation ticket 1 which is a medical information recording medium according to the present embodiment is a terminal of a reception section 3 in a hospital 2 facility where a medical accounting processing system was constructed at the first consultation of a patient. (Hereinafter, reception terminal) 4. The prepaid consultation ticket 1 records, in addition to the patient ID for identifying the patient, prepaid money information when the prepaid money is purchased. The prepaid money information is money information purchased by a so-called prepaid method, and various payments (medical expenses settlement, medication settlement, etc.) can be performed with the prepaid money information.

The reception terminal 4 is connected to an in-hospital LAN 5 installed in the hospital 2. When the patient is first consulted, the prepaid consultation ticket 1 is issued and the in-hospital L
The patient data (name, gender, age, date of birth, address, medical history, medical data after medical treatment, etc.) is databased and registered in the data management server 6 via the AN 5. In the data management server 6, a patient ID is generated at the same time as basic patient data is registered.
Through the AN5, the accounting server 7 makes a database of prepaid money information and registers it based on the patient ID.

Further, the in-hospital LAN 5 has terminals (hereinafter referred to as medical terminals) 9 of a plurality of medical departments (first medical department to n-th medical department) and terminals of a pharmacy 10 for medication (hereinafter referred to as pharmacy terminals). In the reception terminal 4, the medical care terminal 9, and the pharmacy terminal 11, the patient ID and the prepaid information recorded in the prepaid consultation ticket 1 can be read by a card reader (not shown). Patient I
By searching the data management server 6 based on D, the patient data can be displayed on the terminal, and the deposit information can be displayed on the terminal.

Further, the medical care terminal 9 and the pharmacy terminal 11 have a settlement function based on prepaid money information. The prepaid money information is updated and re-recorded on the prepaid consultation ticket 1, and the prepaid money information of the accounting server 7 is updated to the prepaid money information after settlement.

Further, a plurality of depositing devices 12 are connected to the in-hospital LAN 5, and the depositing devices 12 are arranged adjacent to the medical department 8 or the pharmacy 10.

As shown in FIG. 2, the depositing device 12
It has a consultation ticket insertion slot 21 for inserting a prepaid consultation ticket 1 and inserts the prepaid consultation ticket 1 into the consultation ticket insertion slot 21 to perform recorded prepaid information, ie, balance inquiry and new prepaid payment purchase. You can do it.

More specifically, when the prepaid consultation ticket 1 is inserted into the consultation ticket insertion slot 21 and, for example, the balance inquiry button 22 is pressed, the current balance of the prepaid money is displayed on the liquid crystal display section 23 as a display means. It has become so.

When purchasing a prepaid deposit, the prepaid consultation ticket 1 is inserted into the consultation ticket insertion slot 21, the purchase button 24 is pressed, and bills or coins are inserted through the bill insertion slot 25 or the coin insertion slot 26. , A desired purchase price is selected with the purchase price designation button 27. As a result, in addition to the current balance of the prepaid money, the deposit amount, the (preferred) purchase amount, the balance of the prepaid money after the purchase, the change, and the like are displayed on the liquid crystal display unit 23. Liquid crystal display 2
3 is provided with a touch sensor as a pointing device. After confirming the above display contents,
By touching the “yes” icon 28 on 3, the advance payment is purchased.

When the prepaid money is purchased, the depositing device 12 updates and re-records the prepaid money information of the prepaid consultation ticket 1, and updates the prepaid money information in the accounting server 7 via the hospital LAN 5. Thereafter, the prepaid consultation ticket 1 is returned from the consultation ticket insertion slot 21 and the change is returned from the change take-out port 29, and the prepaid money purchase history is issued as a receipt from the receipt issuing port 30. ing.

As shown in FIG. 3, when a patient comes to the hospital, reception is performed by the reception terminal 4 in step S1. Then, in step S2, it is determined whether or not the patient who has visited the hospital is the first consultation. If it is the first consultation, a prepaid consultation ticket issuing process described later is performed in step S3, and the process proceeds to step S6.

If the patient who has visited the hospital is not the first visit, the patient ID of the prepaid consultation ticket 1 is read by the card reader of the reception terminal 4 in step S4, and the patient data is retrieved from the data management server 6 based on the patient ID read in step S5. Then, the process proceeds to step S6.

In step S6, the data management server 6 transmits the patient data to the medical care terminal 9 of the medical care destination, and
At 7, the medical treatment department 8 at the medical office performs the medical treatment described below. At step S 8, prescription data for medication is transmitted from the medical care terminal 9 to the pharmacy terminal 11 via the data management server 6.

If it is determined in step S9 that there is medical care in another medical department 8, the patient moves to the next medical department, returns to step S7, and determines that there is no medical care in another medical department. Then, the patient moves to the pharmacy 10 and the step S10
Then, a medication process described later is performed in the pharmacy 10, and the process ends.

Next, the prepaid consultation ticket issuance processing in step S3 will be described. As shown in FIG. 4, in the prepaid consultation ticket issuance processing, the medical examination data entered by the patient in step S21 is input to the reception terminal 4. Step S
At 22, the reception terminal 4 creates a database of the patient data in the data management server 6 based on the input inquiry data and registers it. When the patient data is registered in the data management server 6, a patient ID is automatically generated in step S23, and the accounting server 7 is registered with the patient ID in step S24. Therefore, the data in the data management server 6 and the data in the accounting server 7 are linked based on the patient ID.

Next, in step S25, it is determined whether or not the patient wants to purchase a prepaid money. If so, in step S26 the prepaid money information purchased by the patient is paid by the accounting server 7.
And proceeds to step S27. If the purchase is not desired, the process proceeds directly to step S27. As a result, the prepaid amount information = “purchased prepaid amount” or “0 yen” is stored in the accounting server 7 based on the patient ID.

Then, in step S27, the prepaid consultation ticket 1 in which the patient ID and the prepaid information are recorded is issued to the patient, and the process ends.

Next, the medical treatment processing in step S7 will be described. As shown in FIG. 5, in the medical treatment process, the patient ID and the prepaid information are read from the prepaid consultation ticket 1 by the card reader of the medical terminal 9 at step S31, and the patient data and the prepaid information are read to the medical terminal 9 at step S32. indicate. Then, in step S33, the patient is treated, and in step S34, medical information indicating the contents of the medical treatment is input from the medical treatment terminal 9, and in step S35, the patient data in the data management server is updated.

In step S36, the medical treatment fee and the amount of the patient's bill to be paid by the patient are calculated based on the medical treatment information in the medical terminal 9, and in step S37, the amount of the patient's bill and the prepaid money information recorded in the prepaid consultation ticket 1 are calculated. Compare with

In step S38, as a result of the comparison, it is determined whether or not the prepaid amount information is equal to or more than the amount charged by the patient. The accounting processing is performed at the medical care terminal 9 by the deducted prepaid settlement, the prepaid consultation ticket 1 and the prepaid information in the accounting server 7 are updated, and the updated prepaid information is re-recorded on the prepaid consultation ticket 1, and the prepaid consultation ticket 1 is recorded. Is returned to the patient and the process is terminated.

If the prepaid money information is less than the amount charged by the patient, the patient is instructed in step S40 to make a cash settlement in the accounting server 7, so that the patient can make a cash payment in the terminal 7a of the accounting server. , The transaction is completed by cash and the processing is terminated.

It is to be noted that the patient is in the medical department 8 during standby before medical treatment.
The balance of the prepaid amount of the prepaid consultation ticket 1 is confirmed by the depositing device 12 adjacent to the terminal, and the prepaid amount is purchased as necessary, so that the account processing can be easily performed by the prepaid settlement.
Can be performed.

Next, the administration process in step S10 will be described. As shown in FIG. 6, in the medication process, the patient ID and the prepaid information are read from the prepaid medical examination ticket 1 by the card reader of the pharmacy terminal 11 in step S51, and the patient data and the prepaid information are read to the pharmacy terminal 11 in step S52. indicate. Then, the medicine is prepared in step S53, and the medicine is administered to the patient in step S54.

Then, in step S55, the amount charged by the patient at the pharmacy terminal 11 is calculated, and in step S5
In step 6, the patient's billing amount is compared with the prepaid information recorded in the prepaid consultation ticket 1.

At step S57, as a result of the comparison, it is determined whether or not the prepaid money information is equal to or more than the amount charged by the patient. The account processing is performed at the pharmacy terminal 11 by the deducted prepaid settlement, and the prepaid consultation ticket 1
Then, the prepaid money information in the accounting server 7 is updated, the updated prepaid money information is recorded again in the prepaid medical examination ticket 1, the prepaid medical examination ticket 1 is returned to the patient, and the process is terminated.

If the prepaid money information is less than the amount billed to the patient, the cash is received from the patient at the pharmacy terminal 11 in step S59, and the transaction is completed using cash.

In addition, the patient is required to wait at the pharmacy 10 before the medication.
Check the balance of the prepaid amount of the prepaid consultation ticket 1 with the depositing device 12 adjacent to the terminal, and purchase the prepaid amount as necessary, thereby easily performing the accounting processing by the prepaid settlement.
1 can be performed.

Conventionally, medical information is temporarily stored in a data management server from individual medical terminals, and after medical treatment, patients are concentrated in an accounting department, and the accounting server searches the data management server for medical information for each patient from the data management server. The bill was calculated and settled in cash. In such a method, first of all, patients in multiple medical departments are concentrated in one accounting department, so that not only the patients have to wait for a long time for accounting, but also the data management server for each accounting. Since it is necessary to search for medical information for each patient, it takes time and effort to calculate the amount charged by the patient, and efficient payment processing cannot be performed.

According to the present embodiment, in the medical department 8, the amount of the patient's bill is calculated based on the medical information inputted immediately after the medical treatment, and the medical terminal 9 uses the prepaid amount recorded in the prepaid medical consultation ticket 1 to quickly calculate the amount. Thus, prepaid payment can be performed simply and efficiently, and the user can immediately return home without performing a new accounting process.

In the case of medication at the pharmacy 10, the prepaid amount recorded in the prepaid consultation ticket 1 also causes the pharmacy terminal 1
1 makes it possible to perform prepaid payment, which enables more efficient accounting than cash payment, and eliminates the need to wait by payment.

As shown in FIG. 7, a deposit may be purchased only at the reception terminal 4 without providing a depositing device. In this case, there is no need to install a depositing device, and the system is inexpensive. Can be built.

As shown in FIG. 8, in the hospital 2 having no pharmacy 10, a network server 31 for constructing a safety net is provided, and is connected to, for example, the Internet 32. By sending a prescription to the external pharmacy 33
The patient may be more medicated. In this case, the medication process described with reference to FIG. 6 is performed at the terminal 34 of the external pharmacy 33. Also, the Internet 32 has a depositing device 1
2 is connected to the Internet, and installed in the depositing device 12 outside the hospital 2, for example, in an external pharmacy 33, in a convenience store, in a public facility such as a station, or the like. Checks and advance payments can be made, and there is no need to carry more cash than necessary when going to the hospital.

[0040]

As described above, according to the present invention, there is an effect that a medical accounting processing system capable of performing medical expense accounting simply and efficiently can be constructed.

[Brief description of the drawings]

FIG. 1 is a configuration diagram showing a configuration of a medical accounting processing system according to an embodiment of the present invention;

FIG. 2 is a configuration diagram showing a configuration of the input device of FIG. 1;

FIG. 3 is a flowchart illustrating the operation of the medical accounting processing system of FIG. 1;

FIG. 4 is a flowchart showing the flow of a prepaid consultation ticket issuing process in FIG. 3;

FIG. 5 is a flowchart showing the flow of medical treatment processing in FIG. 3;

FIG. 6 is a flowchart showing the flow of a medication process in FIG. 3;

FIG. 7 is a configuration diagram showing a configuration of a first modification of the medical accounting processing system in FIG. 1;

FIG. 8 is a configuration diagram showing a configuration of a second modification of the medical accounting processing system of FIG. 1;

[Explanation of symbols]

 DESCRIPTION OF SYMBOLS 1 ... Prepaid consultation ticket 2 ... Hospital 3 ... Reception department 4 ... Reception terminal 5 ... Hospital LAN 6 ... Data management server 7 ... Accounting server 8 ... Clinical department 9 ... Clinical terminal 10 ... Pharmacy 11 ... Pharmacy terminal 12 ... Payment device

 ──────────────────────────────────────────────────続 き Continued on the front page (72) Inventor Masakazu Omoto 2-43-2 Hatagaya, Shibuya-ku, Tokyo Inside Olympus Optical Industrial Co., Ltd. (72) Inventor Shinichi Omori 2-43-2 Hatagaya, Shibuya-ku, Tokyo No. Olympus Optical Co., Ltd. F-term (reference) 3E042 AA10 CC02 CD04

Claims (5)

[Claims] 1. A patient-specific information storage unit for recording patient-specific information of a patient, and a deposit information storage unit for recording, as deposit information, expenses that can be paid for medical treatment for the patient. Medical information recording medium to be performed. 2. A medical information recording medium insertion unit into which a medical information recording medium having a patient specific information storage unit for recording patient specific information of a patient can be inserted, a bill insertion unit into which bills can be inserted, and the bills Prepayment for recording, on the medical information recording medium inserted in the medical information recording medium insertion medium, prepaid money information that can be paid for medical treatment for the patient based on the money amount information of the bill inserted from the insertion section. A medical prepaid money information recording device comprising: a money information recording means. 3. A medical practice information input means capable of inputting medical practice information to be performed on a patient, and the prepaid amount of a medical information recording medium in which a payable cost relating to a medical practice for a patient is recorded as prepaid money information. Prepayment information reading means capable of reading information, medical treatment for the patient based on the medical practice information input from the medical practice information input means and the prepaid money information read out by the prepaid money information reading means. A medical accounting system comprising: a cost processing unit for performing a cost process relating to an act. 4. A first medical practice information input means arranged in a first medical office for performing medical practice on a patient and capable of inputting first medical practice information performed on the patient, A first prepaid money information reading means arranged in the first consultation room and capable of reading out the prepaid money information of a medical information recording medium in which a cost that can be paid for a medical practice for a patient is recorded as prepaid money information; Based on the medical practice information input from the first medical practice information input means and the prepaid money information read by the first deposit information reading means, cost processing relating to medical practice for the patient is performed. A first cost processing unit, a second medical practice information input that is arranged in a second medical office for performing a medical practice on a patient and is capable of inputting second medical practice information performed on the patient hand Reading the prepaid money information, which is arranged in the second medical office and is capable of reading the prepaid money information of the medical treatment information recording medium in which the payable cost relating to the medical practice for the patient is recorded as the prepaid money information. Based on the medical practice information input from the second medical practice information input means and the deposit information read by the second deposit information reading means, a cost related to a medical practice for the patient. And a second cost processing means for performing processing. 5. A medical practice information inputting step capable of inputting medical practice information to be performed on a patient, and the advance payment of a medical information recording medium in which expenses payable for a medical practice for a patient are recorded as advance payment information. A prepaid money information reading step capable of reading information; and a medical treatment for the patient based on the medical practice information input in the medical practice information input step and the prepaid money information read in the prepaid money information reading step. A medical accounting method, comprising: a cost processing step of performing cost processing relating to an act.