JP2003085275A - Monthly tabulation output management device - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a monthly tabulation output management device capable of outputting the tabulation of daily medical fee scores and the tabulation of monthly medical fee scores. SOLUTION: This device is provided with; a daily tabulation outputting part for reading medial data from a medial data base and outputting the medial records of a patient to a clinical chart; a daily tabulation management data base for storing the print-out of the medical records prepared by the daily tabulation outputting part; a monthly tabulation outputting part for outputting monthly tabulation as the tabulation of medical scores per month to the clinical chart of the patient; a monthly tabulation management data base for storing the target dates of the tabulation of the medial scores prepared by the monthly tabulation outputting part for each patient, and a monthly tabulating output processing part for retrieving the patient whose previous daily tabulation output records are present in the daily tabulation management data base but whose previous monthly tabulation output records are not present in the monthly tabulation management data base, and for controlling the monthly tabulation output part so as to output the monthly tabulation of the retrieved patient.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical information processing apparatus which stores input medical care data of a patient and outputs a medical record for each day, and more particularly, collects medical care remuneration points for each day, The present invention relates to a monthly total output management device that outputs the total of medical care remuneration points for each.

[0002]

2. Description of the Related Art Medical treatment performed by a doctor on a patient is to be described in a medical chart. Patient's name, date of birth,
Patient-specific so-called patient initials information, such as address and insurance card number, is indicated on the cover called Chart No. 1. The medical treatment performed on the patient is described on the second and subsequent sheets of paper called medical chart No. 2 paper.

FIG. 5 shows an example of medical record No. 2 paper used in a dental clinic or the like. On the medical record No. 2, the medical treatment date and the medical treatment actually performed on the patient, such as the treatment site, the treatment content, and the prescription drug, are recorded. Also, enter the number of each medical examination. When a medical institution treats a patient, it is required to describe in the medical record the medical treatment performed during the day. Therefore, the medical information processing apparatus prints out the initial data of the registered patient on the medical record No. 1, and stores the medical practice data input by the doctor or the medical staff inside, and the medical record No. 2 To print out. The medical record No. 1 paper may be output once when starting a series of treatment actions for the injury or illness. On the other hand, the medical record No. 2 outputs the medical care activity for each day when the patient visited the hospital, so if the patient visited the hospital multiple times while the treatment was continued, the medical care data for that day and the medical care data for that day will be recorded. To
Print out according to the ruled line of medical chart No. 2. Since the medical information processing device remembers the line number of the last line of the medical care action data printed before, it can print the medical care action data of this time following the line.

The medical record No. 2 also prints out the total number of medical care points of the day at the end of the medical care action data of the day. This aggregated data is called a daily total, and printing and outputting the daily total and the medical practice data of the day on a medical record is called a daily total output operation or simply a daily total operation. Figure 5
In the example shown in, the total result 970 of the individual medical care points output in the score column 61 is output at the end as the daily total 62. Here, the drug contribution of 60 yen for the patient is also output.

Further, the medical record No. 2 paper is for totaling and printing out the total number of medical care points of the month on the last medical care day of the month divided by calendar months. This aggregated data is called monthly total. As shown in (b) of the figure, the monthly total 63 is the number of medical care points 970 and the number of actual days treated. Then, conventionally, in the daily total work for printing out the medical practice data of the day, it has been possible to specify to continuously output the monthly total of the month.

[0006]

[Problems to be Solved by the Invention] Since the daily total is totaled for each medical treatment day, it is possible to output the medical practice data of the day together with the medical record data. However, the monthly total cannot be output unless it can be determined that the medical treatment for the day is the last medical treatment for the month. For example, in the case of dentistry, appointment medical treatment is common, and it is easy to determine whether or not it is the last medical treatment of the month. However, it is unclear whether it will be the last medical practice. Therefore, I will carry over the processing next month.

In the conventional medical information processing apparatus, in the daily total work for outputting the medical practice data of the day, the monthly total for the previous month can be first aggregated and output at the first visit to the present month. As a result, it was possible to print out the monthly total for the previous month on the chart of the patient who could not output the monthly total because it was not possible to determine whether or not it was the last medical treatment of the previous month.
However, this too could not be done unless the patient visited the month.

Therefore, among the patients who have visited the hospital in the previous month, those who did not visit this month were often left without outputting the monthly total for the previous month. In order to prevent this, there was no way to look at the charts of all patients and find each patient for which the monthly total for the previous month was not output. Moreover, this was a burden because I had to manually search for a paper chart.

[0009]

The present invention relates to a medical record database that stores input medical data of a patient, a daily output unit that reads medical data from the database and outputs the medical record of the patient to a medical record. A daily total management database that stores the daily output of medical records printed by the daily total output unit, a monthly total output unit that outputs a monthly total summing up the medical treatment points for one month to the patient's chart, and the monthly total output unit performs medical treatment There is a monthly management database that stores the target year and month for which the points are aggregated for each patient, and a record that the daily total is output in the previous month is in the daily management database,
Further, the monthly total management database is provided with a monthly total output processing unit that controls the monthly total output unit to search for a patient who does not have a record that has output the previous month's monthly total, and outputs the monthly total of the searched patient, This is to solve the above problem.

[0010]

1 is a block diagram showing the configuration of a medical information processing apparatus 10 which is an embodiment apparatus. Here, 1 is a control unit for controlling the operation of the entire apparatus, 2 is a bus, and 3 is an input means composed of a keyboard and a mouse. Reference numeral 4 is a medical care point master database in which medical care fees and medical treatment fee points are stored. Reference numeral 5 is a medical record database that stores medical records that are records of medical treatments received by patients. Reference numeral 6 denotes a medical care data processing unit which reads out the medical care act score input from the input means from the medical care score master database, creates a medical record of the patient, and stores the medical record in the medical record database 5.

Reference numeral 7 is a medical record database 5 for the medical records of patients.
It is a daily total output unit that reads out from the above, and outputs the medical action of the day together with the daily total that aggregates the medical treatment points of the day. 8
Is a daily total management database that stores, for each patient, the medical treatment date on which the daily total is printed out on the chart. Here, the date is stored every time the daily total output unit 7 outputs the daily total. Reference numeral 9 denotes a monthly total output unit for reading out the medical care points of all medical treatment days in the designated calendar month from the medical record database 5 and totaling and outputting them. Reference numeral 11 denotes a monthly total management database that stores, for each patient, the year and month when the monthly total is printed out on the chart. Here, the monthly output unit 9
When is output the monthly total, the year and month are stored.

Reference numeral 12 is a chart output processing section for receiving the data output by the daily total output section 7 and the monthly total output section 9, sending it to the printing means 13 and printing it out on the medical chart No. 2 paper. The medical record output processing unit 12 causes the output line database 14 to store the line number indicating the final print line on the medical record No. 2 paper every time a printout is performed. Reference numeral 15 denotes a monthly total output processing unit that refers to the daily total management database 8 and the monthly total management database 11 according to an operator's instruction and searches for a patient who has visited the hospital in the previous month but has not yet output the monthly total. is there. And 16
Is a display unit for displaying a list of relevant patients searched by the monthly output processing unit 15.

FIG. 2 shows the record structure of the daily management database 8. The patient ID for identifying the patient and the date when the daily total has been output are recorded. Here, the date on which the daily total has been output is the date on which the patient came to the hospital and received medical treatment, and the date on which the medical practice and daily total on that day were printed out on the medical chart by the daily total operation. is there.

FIG. 3 shows the record structure of the monthly total management database 11. Similar to the daily total management database 8, the patient ID and the year and month when the monthly total has been output are recorded.

FIG. 4 shows the record structure of the output line database 14. The patient ID, the medical record number, and the line number of the last printed line are stored.

Next, the operation of the embodiment will be described. First, the medical care data processing unit 6 receives a medical care act of the day input by the operator, creates a medical record of the patient, and stores the medical record in the medical record database 5. Next, when the operator instructs the output of the daily total, that is, the printing of the medical record on the medical chart No. 2, the daily output unit 7 reads the medical record of the patient from the medical record database 5 and outputs it to the printing means 13. . At that time, the line number of the last line printed last time is read from the output line database 14 and printing is performed from the continuation. Then, the total number of medical care points on that day is calculated, and it is used as daily total data to output one line. The data output by the daily output unit 7 is printing means 13.
Since it is received and printed out, the operator may take out the chart of the patient and set it in the printing means 13 in advance. An example of the printing result is shown in FIG.

When the daily total output unit 7 outputs daily total data,
The patient ID and date of the patient are stored in the daily total management database 8
Remember. That is, it is recorded that the daily total of the medical treatment date has been output. Then, finally, the line number of the last line printed is stored in the output line database 14.

Next, the monthly output work will be described. When the operator gives an instruction through the input means to search for a patient who has not printed the monthly total in the previous month, the monthly total output processing unit 15 accordingly displays the monthly total output work screen as shown in FIG. To display. At that time, the month before the day on which the monthly total output work is performed is displayed by default in the designation column 51 for designating the year and month to be searched. In this example, the implementation date is August 1
Since it is a day, the previous month, July 2001, is displayed. Therefore, the operator designates the search button 52 with the mouse cursor 54 without changing the search target year or month or after changing it to a desired year and month.

In response to this, the monthly total output processing unit 15 searches for a monthly total non-output patient in the designated month. Specifically, first, the daily management database 8 is referenced to search for a patient who has a record of printing out the daily total on a chart in July of the previous month.
Next, of those patients, monthly management database 11
Extract patients who have no record of monthly output in July. Then, the retrieved patients are output as a list on the monthly output task screen. In this example, the search is instructed with the default display. As described above, in the embodiment, the patients whose daily total output has been output in the previous month are narrowed down. This is because it is not possible to know whether or not there was a hospital visit in the previous month only by recording the monthly total management database 11. Since there is no need to output the monthly total if there is no previous month's visit, the daily total management database 8 is first referenced in order to exclude such patients.

When the patient is searched and displayed, the operator presses the monthly output button 53 with the mouse cursor 54 to instruct the printing of the monthly total on the chart. At this time, only the desired patient may be selected from the patient list and the monthly total may be printed.

In response to this, the monthly total output processing unit 15 instructs the monthly total output unit 9 to output the monthly totals of the patients in the order of the list. The record is read, the total number of medical care points on all medical treatment days of the previous month is summed, and one line is output as monthly total data. Since the printing unit 13 receives and prints out the data output by the monthly output unit 9, the operator may set the charts of the patients listed in the printing unit 13 in advance. An example of the print result is shown in FIG. After outputting the monthly total data, the monthly total output unit 9 stores the patient ID and the year / month of the patient in the monthly total management database 11. That is, it is recorded that the monthly total for that year has been output. Then, finally, the line number of the last line printed is stored in the output line database 14.

As described above, in the embodiment, it is possible to easily search for a patient who does not have the monthly output of the previous month regardless of whether the patient does not come to the hospital in the current month, and the monthly total is continuously added to the charts of those patients. It can be printed out.

[0023]

According to the present invention, since the record of the output of the daily total and the record of the output of the monthly total are made for each patient, the record of the daily total output by visiting the previous month. However, it is possible to search for patients who did not output the monthly total and output the monthly total. Moreover, regardless of whether the patient came to the hospital this month, the monthly output task can be performed at any time, and the monthly output can be continuously output to the chart of the patient who has not output. As a result, it is possible to eliminate the trouble of manually searching for a patient who has not yet output the monthly total, and to eliminate the leakage of the monthly total output.

[Brief description of drawings]

FIG. 1 is a block diagram showing a configuration of an embodiment.

FIG. 2 is a diagram showing a record structure of a daily management database in the embodiment.

FIG. 3 is a diagram showing a record structure of a monthly total management database in the embodiment.

FIG. 4 is a diagram showing a record structure of an output line database in the embodiment.

FIG. 5 is a diagram showing an example of medical chart No. 2 paper.

FIG. 6 is a display example of a monthly total output work screen in the embodiment.

[Explanation of symbols]

1 control unit 2 bus 3 input means 4 medical treatment point master 5 medical record database 6 medical treatment data processing unit 7 daily total output unit 8 daily total management database 9 monthly total output unit 10 medical information processing device 11 monthly total management database 12 medical record output processing Section 13 printing means 14 output line database 15 monthly output processing section 16 display means

Claims (8)

[Claims] 1. A medical record database for storing input medical data of a patient, a daily output unit for reading medical data from the database and outputting the medical record of the patient to a medical record, and the daily output unit for recording medical records. A daily management database that stores the printed output, a monthly total output unit that outputs a monthly total that aggregates the medical treatment points for one month to the patient chart, and a target year and month for which the monthly total output unit aggregates the medical treatment points. A monthly management database to be stored for each patient, a patient who has a daily output record in the previous month in the daily management database, and a patient who does not have a record of the previous month's monthly output in the monthly management database is searched and searched. A monthly total output management device including a monthly total output processing unit that controls the monthly total output unit to output the monthly total of the patient. 2. A medical record database for storing the medical care data of the input patient, a daily total output unit for reading the medical data from the database and outputting the medical record of the patient together with the medical treatment date to a medical chart, and the daily total output unit. The daily total management database that stores the medical treatment date that outputs the daily total for each patient, the monthly total output unit that outputs the monthly total that aggregates the medical treatment points for the previous month to the patient's chart, and the monthly total output unit calculates the medical treatment points Monthly total management database that stores the target year and month for each patient,
Search for patients who have daily records output in the previous month in the daily management database, and do not have records that output the previous month's monthly totals in the monthly management database, and continuously search the monthly totals of the retrieved patients. A monthly totaling output management device including a monthly total output processing unit that controls the monthly total output unit to output. 3. The daily total output unit and the monthly total output unit,
The monthly totaling output management device according to claim 1 or 2, which prints out a medical record or a monthly total on a medical record on a paper medium. 4. The daily total management database stores at least a patient ID for identifying a patient and a medical treatment date, and the monthly total management database stores at least a patient ID and a target year / month. The monthly aggregation output management device according to any one of claims 1 to 3. 5. A computer, a medical record storage means for storing the input medical care data of the patient, a daily total output means for reading the medical data from the database and outputting the medical record of the patient to a medical record, the daily total output unit. The daily total management storage means for storing that the medical records were printed out by the patient, the monthly total output means for outputting the monthly total sum of the medical care points for one month to the patient's chart, and the monthly total output section totals the medical care points The monthly total management storage means for storing the target year and month for each patient, the daily total output record for the previous month is in the daily total management storage means, and the monthly total output record for the previous month is output to the monthly total management storage means. A program for functioning as a monthly total output processing means for controlling the monthly total output means so as to search for a patient who does not exist and output the monthly total of the searched patient. 6. A computer, a medical record storage means for storing the input medical care data of the patient, a daily total output means for reading the medical care data from the database and outputting the medical record of the patient together with the medical care date to a medical chart. A daily total management storage unit that stores the medical treatment date in which the daily total output unit outputs the daily total for each patient, a monthly total output unit that outputs the monthly total sum of the medical treatment points for the previous month to the patient's chart, and the monthly total The monthly total management storage means for storing the target year and month for which the output unit aggregates the number of medical care points for each patient, the daily total management storage means has a record of the daily total output in the previous month, and the monthly total management storage means stores A monthly operating output processing means for controlling a monthly operating output means so as to continuously output the monthly operating information of the retrieved patient, and a program for operating. 7. The program according to claim 5, wherein the daily total output unit and the monthly total output unit function to print out a medical record or a monthly total on a medical chart of a paper medium. 8. The patient ID according to claim 5, wherein the daily management storage means stores at least a patient ID for identifying a patient and a medical treatment date, and the monthly management storage means stores a patient ID. And a program for causing the target year and month to be stored at least.