JP2004005097A - Clinic-side client, clinic medical service fee calculation server, client program, and server program - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a clinic-side client, clinic medical service fee calculation server, client program and server program capable of reducing the load at a low cost while sufficiently retaining the security to a patient. <P>SOLUTION: According to the information transmitted from the dental clinic-side client 20, an insurance point calculation logic and data are extracted by the calculation logic/data extraction part 83 of the dental clinic medical service fee calculation server 80 and transmitted to the dental clinic-side client 20. The calculation of insurance point is performed by use of the transmitted insurance point calculation logic and data by the insurance point calculation part 25 of the dental clinic-side client 20 to form medical bill data. The medical bill data is stored in a storage part 27 with the medical chart of the patient. <P>COPYRIGHT: (C)2004,JPO

Description

[0001]
TECHNICAL FIELD OF THE INVENTION
The present invention relates to a clinic client, a clinic medical fee calculation server, a client program, and a server program for processing information representing a clinic medical fee detail.
[0002]
[Prior art]
2. Description of the Related Art Conventionally, in a medical fee billing operation of dental care, many dentists have used a computer adopting a receipt system for creating a medical fee detail. A computer employing the receipt system is provided to a dentist by a predetermined company. However, since this computer has a dedicated hardware configuration and calculates medical fees using dedicated application software, there is a problem that the entire apparatus is expensive and the burden on the dentist is large.
[0003]
In addition, in calculating the medical treatment fee, according to the treatment for the patient (for example, radiography in the oral cavity, anesthesia treatment, etc.), the insurance points defined by the insurance system of the Ministry of Health and Welfare and the logic for calculating the insurance points are used. These insurance scores and logic are updated regularly. For example, major revisions are about once a year and minor revisions are about once every six months, so the revision period is relatively short, and the dentist or the provider of the claim system must provide a dentist with each revision. It is necessary to modify the data and programs (application software) of the computer on the side according to the contents of the revision, and the burden on the dentist and the contractor is heavy.
[0004]
By the way, since a patient may be transferred to a surgeon or a physician, an ASP (Application Service Provider) service suitable for centralized management can be considered for the surgeon or the physician. In this ASP service, a client computer generally called a workstation or a personal computer connected via a communication line such as the Internet is installed on each of a plurality of users (surgeons and the like). A server serving as a host computer for them is installed. In the ASP system, patient information (information on the type of insurance of a patient, information on the individual, family, and the like in each insurance) and treatment information on the patient (such as X-ray photography and anesthesia treatment) are provided by a client computer installed on the user side. Information) is input and transmitted to the server on the center side via a communication line such as the Internet. The server calculates a medical fee using, for example, medical fee application software based on information from the client computer, and transmits the calculation result to the client computer. The user bills the patient for a medical fee based on the calculation result. According to the ASP system, the client computer may be an inexpensive computer that only inputs the patient information and the treatment information and transmits the information to the server, so that the burden on the user can be reduced. Further, even when the medical fee is revised, only the server on the center side needs to be modified (maintenance), so that the burden on the trader can be reduced.
[0005]
[Problems to be solved by the invention]
The above-mentioned ASP system is a system that collectively manages application software for medical fees and information from the user side in a server on the center side, and stores personal information (medical record data) of a patient to be treated in the center side server. And insurance claim information). Therefore, when an abnormal access (hacking or the like) is made to the server from the outside, the personal information of the patient may be stolen or destroyed. Here, as described above, since the patient may be transferred to a surgeon or a physician, there is a meaning of centralized management. In that case, a large-scale system for managing security on the server side is required. On the other hand, since dentists rarely transfer patients, there is little merit to adopting a large-scale system for centralized management that requires difficult security management, and the risk of leaking personal information to the outside Although there is no need to accept a dentist, as described above, the problem of expensive equipment in the medical reimbursement claim business of dental care and the dentist every time the insurance points and the logic for calculating the insurance points are revised It is necessary to modify the data and program of the computer on the side according to the contents of the revision, and there is a problem that the burden on the dentist and the contractor is large.
[0006]
In view of the above circumstances, an object of the present invention is to provide a clinic-side client, a clinic medical fee calculation server, a client program, and a server program that are inexpensive and reduce the burden while maintaining sufficient security for the patient. And
[0007]
[Means for Solving the Problems]
The first clinic client of the clinic clients of the present invention that achieves the above object is:
An information input unit for inputting patient information and treatment information for the patient according to an operation;
A chart data creating unit that creates a chart data of a patient based on the information input from the information input unit,
Of the information input from the information input unit, an information transmission unit that transmits information for extracting insurance score calculation logic and data to a predetermined server,
A calculation logic / data receiving unit that receives insurance point calculation logic and data transmitted from the server in response to information transmission from the information transmission unit;
An insurance score calculation unit that calculates an insurance score based on the information input from the information input unit and the insurance score calculation logic and data received by the calculation logic / data reception unit;
A receipt data creation unit that creates receipt data based on the information input from the information input unit and the insurance score obtained by the insurance score calculation unit,
A storage unit for storing the chart data created by the chart data creating unit and the receipt data created by the receipt data creating unit.
[0008]
The first clinic side client of the present invention calculates insurance points based on insurance point calculation logic and data transmitted from a predetermined server, creates receipt data based on the calculated insurance points, Since the receipt data is stored together with the patient's chart data, it is not necessary to modify the data or program on the clinic side every time the insurance score calculation logic or data is revised. In addition, since the application software and data are distributed to the first clinic side client of the present invention, there is no need to collectively manage the application software for medical fees and information from the clinic side at the center side server, Therefore, the entire system is inexpensive, and even when abnormal access (hacking or the like) to a predetermined server is performed from the outside, the risk that the personal information of the patient is stolen or destroyed is reduced. .
[0009]
Here, a surgeon or a physician has the meaning of centralized management because the patient may be transferred to another hospital. In that case, a large-scale system for managing security is required. On the other hand, since dentists rarely transfer patients, there is no need for centralized management that requires difficult security management, and there is no risk of leaking personal information to the outside. The clinic client of the present invention is suitable for a dentist or a department with a small possibility of transfer. In addition, although personal information of a patient is transmitted on the Internet, such information can be protected from leakage of secret information by encrypting the information.
[0010]
In addition, the second clinic client among the clinic clients that achieves the above-mentioned object is:
An information input unit for inputting patient information and treatment information for the patient in accordance with an operation, and a chart data creation unit for creating patient chart data based on the information input from the information input unit,
Of the information input from the information input unit, an information transmission unit that transmits information representing a medical treatment statement that receives the calculation of insurance points to a predetermined server,
An insurance point receiving unit that receives the insurance points transmitted from the server in response to the information transmission from the information transmission unit;
A receipt data creation unit that creates receipt data based on the information input from the information input unit and the insurance score received by the insurance score receiving unit,
A storage unit for storing the chart data created by the chart data creating unit and the receipt data created by the receipt data creating unit.
[0011]
For example, insurance points may differ between the first treatment and the second treatment for a clinic patient. The second clinic side client of the present invention transmits information indicating a medical treatment statement for which insurance points are calculated to a predetermined server, receives the insurance points transmitted from the server, and based on the insurance points. Since the receipt data created as described above is stored together with the patient's medical record data, the insurance score is calculated by a predetermined server, and the processing on the second clinic side client side of the present invention is reduced. Also, data from the clinic side does not concentrate on a predetermined server, but is distributed to the second clinic side client side of the present invention. Therefore, even when an abnormal access is made to the predetermined server from the outside, the risk that the personal information of the patient is stolen or destroyed is reduced.
[0012]
Furthermore, the clinic medical fee calculation server of the present invention that achieves the above object,
A calculation logic / data storage unit for storing insurance point calculation logic and data in each insurance system;
An information receiving unit that receives information transmitted from the client for extracting desired insurance point calculation logic and data from the insurance point calculation logic and data stored in the calculation logic / data storage unit;
A calculation logic / data extraction unit that extracts insurance score calculation logic / data corresponding to the information received by the information receiving unit from the insurance score calculation logic / data stored in the calculation logic / data storage unit;
A calculation logic / data transmission unit for transmitting the insurance score calculation logic / data extracted by the calculation logic / data extraction unit to a client that has transmitted the information received by the information reception unit. I do.
[0013]
The clinic medical fee calculation server of the present invention extracts the insurance point calculation logic and data according to the information transmitted from the client, and transmits the extracted insurance point calculation logic and data to the client. On the side, the calculation and the like of the insurance points are performed and stored based on the transmitted insurance point calculation logic and data. Therefore, there is no need to modify the data or program on the client side every time the insurance score calculation logic or data is revised. In addition, since the application software and data are distributed to the client side, there is no need to collectively manage the application software for medical fees and information from the clinic side in the clinic medical fee calculation server of the present invention. Thus, even if an abnormal access is made from the outside, the possibility that the patient's personal information is stolen or destroyed is reduced.
[0014]
Further, the client program of the present invention that achieves the above object,
The program is executed in an information processing device that executes a program, and the information processing device is
An information input unit for inputting patient information and treatment information for the patient according to an operation;
A chart data creating unit that creates a chart data of a patient based on the information input from the information input unit,
Of the information input from the information input unit, an information transmission unit that transmits information for extracting insurance score calculation logic and data to a predetermined server,
A calculation logic / data receiving unit that receives insurance point calculation logic and data transmitted from the server in response to information transmission from the information transmission unit;
An insurance score calculation unit that calculates an insurance score based on the information input from the information input unit and the insurance score calculation logic and data received by the calculation logic / data reception unit;
A receipt data creation unit that creates receipt data based on the information input from the information input unit and the insurance score obtained by the insurance score calculation unit,
It is characterized by operating as a clinic-side client including a storage unit for storing the chart data created by the chart data creation unit and the receipt data created by the receipt data creation unit.
[0015]
The client program of the present invention is executed in the information processing apparatus that executes the program, and operates the information processing apparatus as the first clinic client of the present invention. It is inexpensive while keeping the load, and the burden on the dentist and contractor is reduced.
[0016]
Further, the server program of the present invention that achieves the above object,
The program is executed in an information processing device that executes a program, and the information processing device is
A calculation logic / data storage unit for storing insurance point calculation logic and data in each insurance system;
An information receiving unit that receives information transmitted from the client for extracting desired insurance point calculation logic and data from the insurance point calculation logic and data stored in the calculation logic / data storage unit;
A calculation logic / data extraction unit that extracts insurance score calculation logic / data corresponding to the information received by the information receiving unit from the insurance score calculation logic / data stored in the calculation logic / data storage unit;
Clinic medical fee calculation including a calculation logic / data transmission unit for transmitting the insurance score calculation logic / data extracted by the calculation logic / data extraction unit to a client that has transmitted the information received by the information reception unit. It is characterized by operating as a server.
[0017]
The server program of the present invention is executed in an information processing device that executes the program, and operates the information processing device as the clinic medical fee calculation server of the present invention. Application software and data are not concentrated on the client side, but are distributed on the client side. Therefore, the apparatus is inexpensive, and even if an abnormal access is made from the outside, the possibility that the patient's personal information is stolen or destroyed is reduced.
[0018]
BEST MODE FOR CARRYING OUT THE INVENTION
Hereinafter, embodiments of the present invention will be described.
[0019]
FIG. 1 is a schematic diagram showing an example of an ASP system including a first clinic client and a clinic medical fee calculation server according to the first embodiment of the present invention.
[0020]
FIG. 1 typically shows four computers 100, 300, 400, and 500, and these computers 100, 300, 400, and 500 are connected via a communication line 600. As these computers 100, 300, 400, and 500, computers generally called workstations or personal computers can be used. Note that the communication line 600 may be any communication line such as the Internet, a LAN (Local Area Network), etc. Here, the communication line 600 will be described as being the Internet.
[0021]
One of the four computers 100, 300, 400, and 500 plays a role as a host computer in the ASP system, and includes an insurance score calculation in each insurance system described later. A calculation logic / data storage unit for storing logic and data is provided.
[0022]
On the other hand, the remaining three computers 300, 400, and 500 except the computer 100 that plays the role of the host computer play the role of a client computer on the clinic side for the host computer. In the present embodiment, a dentist will be described as an example of the clinic according to the present invention.
[0023]
The computers 300, 400, and 500 input patient information and treatment information for the patient in accordance with the operation of the dentist who operates the computer, and create patient chart information based on the input information. Exchange data with the computer 100 as a host computer.
[0024]
Hereinafter, the hardware configurations of these computers will be described first.
[0025]
These computers 100, 300, 400, and 500 include main units 101, 301, 401, and 501 each including a CPU (central processing unit), a RAM (random access memory), a hard disk, a communication board, and the like. , 301, 401, and 501, display units 102, 302, 402, and 502 for displaying images and character strings on display screens 102a, 302a, 402a, and 502a, and users at respective computers 100, 300, 400, and 500. By specifying an arbitrary position on the keyboards 103, 303, 403, 503 and the display screens 102a, 302a, 402a, 502a for inputting the instruction of the user, according to the icon displayed at that position at the time of the specification. With the mouse 104, 304, 404, 504 for inputting That.
[0026]
The main bodies 101, 301, 401, and 501 further include a flexible disk (not shown), flexible disk loading ports 101a, 301a, 401a, and 501a in which the CD-ROM 700 is loaded, and CD-ROM loading ports 101b and 301b. , 401b, 501b, and a flexible disk or a CD-ROM 700 loaded from the loading ports 101a, 301a, 401a, 501a, 101b, 301b, 401b, 501b is driven to access them. A flexible disk drive and a CD-ROM drive are also built-in.
[0027]
FIG. 2 is a hardware configuration diagram of a computer having the appearance shown in FIG. Here, the computer 100 will be described as a representative, but the computers 300, 400, and 500 have the same configuration.
[0028]
2 shows a CPU 111, a RAM 112, a hard disk controller 113, a flexible disk drive 114, a CD-ROM drive 315, a mouse controller 116, a keyboard controller 117, a display controller 118, and a communication board 119. And they are interconnected by a bus 110.
[0029]
As described with reference to FIG. 1, the flexible disk drive 114 and the CD-ROM drive 115 access the flexible disk 710 and the CD-ROM 700 loaded from the flexible disk loading port 101a and the CD-ROM loading port 101b, respectively. Things. The communication board 119 is connected to the communication line 600.
[0030]
FIG. 2 also shows a hard disk 120 accessed by a hard disk controller 113, a mouse 104 controlled by a mouse controller 116, a keyboard 103 controlled by a keyboard controller 117, and a CRT display 102 controlled by a display controller 118. It is shown.
[0031]
FIG. 3 is a conceptual configuration diagram of an embodiment of a client program operated as the first clinic client according to the present invention.
[0032]
The client program 200 shown in FIG. 3 causes any one of the three computers 300, 400, and 500 shown in FIG. 1 to operate as a client computer on the dentist side.
[0033]
The client program 200 includes an information input processing unit 210, a chart data creation processing unit 220, an information transmission processing unit 230, a calculation logic / data reception processing unit 240, an insurance score calculation unit 250, a receipt data creation processing unit 260, and a storage processing unit. The client program 200 is stored in the CD-ROM 700 shown in FIG. The details of each unit of the client program 200 will be described together with the operation of each unit of the embodiment of the first clinic client according to the present invention.
[0034]
FIG. 4 is a conceptual configuration diagram of a first embodiment of a server program operated as a clinic medical fee calculation server of the present invention.
[0035]
The server program 800 shown in FIG. 4 causes the computer 100 shown in FIG. 1 to operate as a host computer in an ASP system.
[0036]
The server program 800 includes a calculation logic storage processing unit 810, an information reception processing unit 820, a calculation logic / data extraction processing unit 830, a calculation logic / data transmission processing unit 840, and a usage result storage processing unit 850. The client program 800 is stored in the CD-ROM 700 also shown in FIGS. The details of each part of the server program 800 will be described together with the operation of each part of the first embodiment of the clinic medical fee calculation server of the present invention.
[0037]
FIG. 5 is a diagram showing the configuration of an embodiment of the first clinic client of the present invention and the configuration of the first embodiment of the clinic medical fee calculation server of the present invention.
[0038]
The dentist-side client 20 shown in FIG. 4 is included in the computers 300, 400, and 500 shown in FIG. 1. The dentist-side client 20 includes an information input unit 21, a chart data creation unit 22, an information A transmission unit 23, a calculation logic / data reception unit 24, an insurance score calculation unit 25, a receipt data creation unit 26, and a storage unit 27 are provided.
[0039]
The information input unit 21 operates under the action of the program of the information input processing unit 210 shown in FIG. 3, and inputs patient information and treatment information for the patient according to the operation.
[0040]
The chart data creation unit 22 operates under the action of the program of the chart data creation processing unit 220 shown in FIG. 3, and creates patient chart data based on the information input from the information input unit 21.
[0041]
The information transmission unit 23 operates under the action of the program of the information transmission processing unit 230 shown in FIG. 3, and performs information for extracting insurance score calculation logic and data from the information input from the information input unit 21. Is transmitted to the dental practice fee calculation server 80.
[0042]
The calculation logic / data receiving unit 24 operates under the action of the program of the calculation logic / data reception processing unit 240 shown in FIG. 3, and transmits from the dental service fee calculation server 80 in response to information transmission from the information transmission unit 23. Receive the insurance point calculation logic and data that have been done.
[0043]
The insurance score calculation unit 25 operates under the action of the program of the insurance score calculation processing unit 250 shown in FIG. 3 and calculates the information input from the information input unit 21 and the insurance score calculation received by the calculation logic / data receiving unit 24. Calculate insurance score based on logic and data.
[0044]
The receipt data creation unit 26 operates under the action of the program of the receipt data creation processing unit 260 shown in FIG. 3, and operates based on the information input from the information input unit 21 and the insurance score obtained by the insurance score calculation unit 25. To create the receipt data.
[0045]
The storage unit 27 operates under the action of the program of the storage processing unit 270 shown in FIG. 3, and stores the chart data created by the chart data creation unit 22 and the receipt data created by the receipt data creation unit 26.
[0046]
The dental medical fee calculation server 80 shown in FIG. 4 is included in the computer 100 shown in FIG. 1, and the dental medical fee calculation server 80 includes a calculation logic / data storage unit 81, an information receiving unit 82, , A calculation logic / data extraction unit 83, a calculation logic / data transmission unit 84, and a usage record storage unit 85.
[0047]
The calculation logic / data storage section 81 operates under the action of the program of the calculation logic / data storage processing section 810 shown in FIG. 4, and stores insurance point calculation logic and data in each insurance system.
[0048]
The information receiving section 82 operates under the action of the program of the information receiving processing section 820 shown in FIG. 4 and calculates the insurance points transmitted from the dentist side client 20 and stored in the calculation logic / data storage section 81. The information for extracting the desired insurance score calculation logic and data from the logic and data is received.
[0049]
The calculation logic / data extraction unit 83 operates under the action of the program of the calculation logic / data extraction processing unit 830 shown in FIG. 4 and operates out of the insurance score calculation logic / data stored in the calculation logic / data storage unit 81. , The insurance point calculation logic / data corresponding to the information received by the information receiving unit 82 is extracted.
[0050]
The calculation logic / data transmission section 84 operates under the action of the program of the calculation logic / data transmission processing section 840 shown in FIG. 4, and converts the insurance score calculation logic / data extracted by the calculation logic / data extraction section 83 into: The information received by the information receiving unit 82 is transmitted to the dentist-side client 20 that has transmitted the information.
[0051]
The use record storage unit 85 operates under the action of the program of the use record storage processing unit 850 shown in FIG. 4, and stores the number of times of communication with each dentist side client 20.
[0052]
FIG. 6 is a schematic diagram showing a data flow between the dentist side client and the dental care fee calculation server in the ASP system shown in FIG.
[0053]
The computers 300, 400, and 500 shown in FIG. 6 are specifically personal computers (abbreviated as personal computers) provided on the dentist side, and the computer 100 is an ASP server provided on the center side. . The computer 100 exchanges data with the computers 300, 400, and 500 via the firewall (FW) 1000 using the Internet as described later. This ASP system realizes an ASP service of a receipt system that creates a dental medical fee statement on an ASP server at the center side, provides the dentist side using the Internet, and uses the dentist who is a user. It is a business model that gets paid by managing it. When receiving the provision of the ASP service, the dentist first accesses the ASP server via the Internet and initially registers information (user information) on the dentist. Hereinafter, this initial registration will be described with reference to FIGS.
[0054]
FIG. 7 is a flowchart of a processing routine for initial registration in the ASP system shown in FIG.
[0055]
The dentist operates the computer 300, which is a personal computer on the dentist side shown in FIG. 6, to connect to the ASP service provided by the computer 100, which is the ASP server on the center side, via the Internet, and to connect to the WWW (World). A registration screen by Wide Web is displayed (step S1).
[0056]
Next, user information is registered (step S2). As a result, the name, address, telephone number, password, and mail ID of the dentist are registered in the user master constituting the user authentication system provided in the computer 100 on the center side.
[0057]
Next, the computer 100 on the center side registers the login ID with the user master (step S3), and notifies the login ID by mail (step S4).
[0058]
The dentist's computer 300 receives the login ID by e-mail (step S5), and displays a screen for setting the ASP service environment (step S6). Further, a login ID / password is input and transmitted to the center (step S7). In the center computer 100, the user authentication logic (application software) checks whether the login ID / password matches the one registered in the user master (step S8).
[0059]
If it is determined in step S9 that there is no corresponding data (login ID / password) in the user master, an error screen is displayed on the dentist side (step S10), and the screen returns to the login ID / password screen (step S10). Step S7). On the other hand, if it is determined that the corresponding data exists in the user master, a screen for downloading the environment creation file is displayed (step S11). Next, the environment creation file is downloaded (step S12). Here, the computer 100 is provided with a download logic and an environment creation file constituting the individual environment download system. Here, the environment creation file is downloaded to the dentist's computer 300 by the download logic. Next, the software of the environment creation file is executed (step S13), whereby a user environment on the dentist side is created on the computer 300 (step S14). Here, as the user's individual environment, a patient master file, an individual drug price master file, a chart data file, and a receipt data file are stored in the storage unit 27 shown in FIG. Further, a data input logic program for performing processing in the chart data creation unit 22, the insurance score calculation unit 25, and the receipt data creation unit 26 shown in FIG. 5 is also stored. After the initial registration, registration of patient data is performed on the dentist side as follows.
[0060]
8 is a flowchart of the first half of a processing routine of patient data registration in the ASP system shown in FIG. 6, and FIG. 9 is a flowchart of a second half of a processing routine of patient data registration in the ASP system shown in FIG.
[0061]
As shown in FIG. 8, the dentist connects to the ASP service provided by the computer 100 via the Internet and displays a screen for the ASP service (step S21).
[0062]
Next, a login ID / password is input and transmitted to the center (step S22). The center-side computer 100 checks whether the login ID / password matches the one registered in the user master (step S23). If it is determined in step S24 that there is no corresponding data (login ID / password) in the user master, an error screen is displayed on the dentist side (step S25), and the process returns to step S22. On the other hand, if it is determined that the corresponding data exists in the user master, the process proceeds to step S26, where an instruction to display the entry screen is transmitted, and the process proceeds to step S27.
[0063]
In step S27, an instruction to display the entry screen is received, and the data input logic program is activated. Next, in step S28, a data entry screen (reception screen) is displayed. Further, in step S29, input or update of patient data (patient name, insurance card number, type, etc.) is performed, and the process proceeds to step S30. In step S30, a patient data calculation key (for example, CR, which is one of the national insurance, the person, and the treatment content, corresponding to information for extracting data according to the present invention) is transmitted to the center side.
[0064]
The center receives the above-mentioned patient data calculation key (step S31), and searches for the insurance point calculation logic master and the insurance point master using the received patient data calculation key (abbreviated as reception key). The insurance point calculation logic master and the insurance point master are stored in the calculation logic / data storage unit 81 shown in FIG. The insurance score calculation logic master includes, for example, 20% for a person with national insurance, 40% for a family with national insurance, 10% for a person with social insurance, and 20% for a family with social insurance. Information and the like that the insurance score is calculated by the ratio are stored. In addition, the insurance score master stores, for example, information on the insurance score of “112” for the CR filling treatment, “120” for the anti-inflammatory treatment, and “135” for the occlusal treatment.
[0065]
In step S33, the data of the search result searched by the reception key (for example, 20% that is the case of the person in the case of the national insurance, the insurance score 112 of CR filling) is transmitted to the dentist.
[0066]
The dentist uses the data input logic program to calculate data (insurance points for CR filling 112 × national insurance 0.2 × unit price 10 yen = 224 yen) in step S3 shown in FIG. Next, in step S35, the calculation result is displayed on the screen, and the screen on which the calculation result is displayed is confirmed (step S36).
[0067]
If it is determined in step S37 that the data content is incorrect, the process returns to step S29 to input / update the patient data again. On the other hand, if the data content is correct, the data is output by the data input logic program, and the chart data and the receipt data are stored in the storage unit 27 (see FIG. 5) (step S38). Further, an end screen is displayed in step S39, and the end is transmitted to the center. On the center side, in response to this, the usage result is written in the usage result master of the usage result storage unit 85 (step S40).
[0068]
The ASP system including the first embodiment of the first clinic side client and the first embodiment of the clinic medical fee calculation server according to the present invention, based on the insurance point calculation logic and data transmitted from the dental medical fee calculation server 80, the dentist side. A distributed processing type in which the insurance points are calculated on the client 20 side, and the receipt data created based on the insurance points is stored in the storage unit 27 provided in the dentist side client 20 together with the patient's chart data. System. For this reason, application software and data are not concentrated on the server side as in the conventional system for managing medical fee application software and information from the dentist collectively on the server on the center side. Application software and data are distributed to the client 20 side. Therefore, even if an abnormal access is made to the dental care fee calculation server 80 from the outside, the risk that the patient's personal information is stolen or destroyed is reduced.
[0069]
In addition, since a patient may be transferred to a surgeon or a physician, it has a meaning of centralized management. In that case, a large-scale system for managing security is required. On the other hand, since dentists rarely transfer patients, adopting the ASP system described in this embodiment eliminates the need for centralized management, which requires difficult security management, and also allows external personal information to be stored. There is no need to accept the risk of leakage.
[0070]
In addition, although personal information of a patient is transmitted on the Internet, such information can be encrypted to prevent leakage of secret information.
[0071]
Further, when transmitting from the dentist side client 20 to the dental medical fee calculation server 80, the dental medical fee calculating server 80 stores the patient information (for example, information such as national insurance, social insurance, seafarer insurance, and personal information in each insurance). Instead of transmitting the family information, only the treatment information (for example, information on the intraoral radiography and anesthesia treatment) may be transmitted, in which case the security of the patient's personal information is further enhanced.
[0072]
Further, in the present embodiment, an example has been described in which the number of times of communication with the dentist-side client 20 is stored in the usage record storage unit 85, but, for example, the dentist side and the provider side providing the ASP service In the case where a fixed monthly fee is set between the above, the use result storage unit 85 is unnecessary.
[0073]
FIG. 10 is a conceptual configuration diagram of one embodiment of a client program operated as the second clinic client according to the present invention.
[0074]
The client program 305 shown in FIG. 10 is operated as a client computer on the dentist side.
[0075]
The client program 305 includes an information input processing unit 310, a chart data creation processing unit 320, an information transmission processing unit 330, an insurance point reception processing unit 340, a receipt data creation processing unit 350, and a storage processing unit 360. The details of each part of the client program 305 will be described together with the operation of each part of the second embodiment of the dentist client of the present invention.
[0076]
FIG. 11 is a conceptual configuration diagram of a second embodiment of a server program operated as a clinic medical fee calculation server of the present invention.
[0077]
The server program 900 illustrated in FIG. 11 includes a calculation logic storage processing unit 910, an information reception processing unit 920, an insurance score calculation processing unit 930, and an insurance score transmission processing unit 940. The details of each part of the server program 900 will be described together with the operation of each part of the second embodiment of the dental practice fee calculation server of the present invention.
[0078]
FIG. 12 is a diagram showing the configuration of one embodiment of the second clinic client of the present invention, and the configuration of the second embodiment of the clinic medical fee calculation server of the present invention.
[0079]
The dentist-side client 30 shown in FIG. 12 includes an information input unit 31, a chart data creation unit 32, an information transmission unit 33, an insurance score reception unit 34, a receipt data creation unit 35, and a storage unit 36. Provided.
[0080]
The information input section 31 operates under the action of the program of the information input processing section 310 shown in FIG. 10, and inputs patient information and treatment information for the patient according to the operation.
[0081]
The medical chart data creation unit 32 operates under the action of the program of the medical chart data creation processing unit 320 shown in FIG. 10 and creates the patient's medical chart data based on the information input from the information input unit 31.
[0082]
The information transmission unit 33 operates under the action of the program of the information transmission processing unit 330 shown in FIG. 10, and, among the information input from the information input unit 31, the information indicating the medical treatment details for which the insurance points are calculated. It is transmitted to the dental medical fee calculation server 90.
[0083]
The insurance point receiving unit 34 operates under the action of the program of the insurance point receiving processing unit 340 shown in FIG. 10, and the insurance transmitted from the dental medical fee calculation server 90 in response to the information transmission from the information transmitting unit 33. Receive points.
[0084]
The receipt data creation unit 35 operates under the action of the program of the receipt data creation processing unit 350 shown in FIG. 10, and operates based on the information input from the information input unit 31 and the insurance score received by the insurance score reception unit 34. To create the receipt data.
[0085]
The storage unit 36 operates under the action of the program of the storage processing unit 360 shown in FIG. 10, and stores the chart data created by the chart data creation unit 32 and the receipt data created by the receipt data creation unit 35.
[0086]
The dental care fee calculation server 90 shown in FIG. 12 includes a calculation logic / data storage unit 91, an information receiving unit 92, an insurance score calculation unit 93, and an insurance score transmission unit 94.
[0087]
The calculation logic / data storage unit 91 operates under the action of the program of the calculation logic / data storage processing unit 910 shown in FIG. 11, and stores insurance point calculation logic and data in each insurance system.
[0088]
The information receiving unit 92 operates under the action of the program of the information receiving processing unit 920 shown in FIG. 11, and receives the information indicating the medical treatment statement for which the insurance points are calculated, transmitted from the dentist side client 30. .
[0089]
The insurance point calculation unit 93 operates under the action of the program of the insurance point calculation processing unit 930 shown in FIG. 11 and receives information from the insurance point calculation logic / data stored in the calculation logic / data storage unit 91. The insurance point calculation logic / data corresponding to the information received by the unit 92 is used to calculate the insurance points corresponding to the calculation.
[0090]
The insurance point transmission unit 94 operates under the action of the program of the insurance point transmission processing unit 940 shown in FIG. 11, and converts the insurance points obtained by the insurance point calculation unit 93 into the information received by the information reception unit 92. It is transmitted to the dental client 30 of the transmission source.
[0091]
For example, the insurance score may differ between the first treatment and the second treatment for the patient on the dentist side. As described above, the ASP system including the second embodiment of the second clinic side client and the second embodiment of the clinic medical care fee calculation server according to the present invention includes information indicating the details of receiving the medical treatment for which the insurance points are calculated from the dentist side client 30 as described above. Is transmitted to the dental practice fee calculation server 90, and the insurance data transmitted from the dental practice fee calculation server 90 is received by the dentist side client 30, and the receipt data created based on the insurance score is received. This is a distributed processing type system in which the storage unit 36 provided in the dentist client 30 stores the data together with the patient's chart data. For this reason, the insurance score is calculated by the dental medical fee calculation server 90, and the processing on the dentist side client 30 side is reduced. Further, the information from the dentist side is not concentrated on the dental medical fee calculation server 90 side, but is distributed to the dentist side client 30 side. Therefore, even when an abnormal access is made to the dental care fee calculation server 90 from outside, the possibility that the personal information of the patient is stolen or destroyed is reduced.
[0092]
Note that, in the above-described embodiment, an example of a dentist has been described, but the present invention may be a clinic other than the dentist.
[0093]
Further, the storage medium on which the client program and the server program of the present invention are stored is not limited to the CD-ROM described here, but any storage medium whose contents can be read by a computer. For example, any other storage medium such as a DVD, a compact flash memory, a smart media, and a memory stick may be used.
[0094]
Alternatively, the client program and server program of the present invention may be distributed via the Internet and downloaded to a computer.
[0095]
Alternatively, the client program and server program of the present invention may be stored in a storage medium (for example, a hard disk) built in the computer in advance.
[0096]
Hereinafter, various aspects of the present invention will be additionally described.
[0097]
(Supplementary Note 1) An information input unit for inputting patient information and treatment information for the patient in accordance with an operation,
A chart data creating unit that creates the chart data of the patient based on the information input from the information input unit,
Of the information input from the information input unit, an information transmission unit that transmits information for extracting insurance score calculation logic and data to a predetermined server,
A calculation logic / data receiving unit that receives insurance point calculation logic and data transmitted from the server in response to information transmission from the information transmission unit;
An insurance score calculator that calculates an insurance score based on the information input from the information input unit and the insurance score calculation logic and data received by the calculation logic / data receiver;
A receipt data creation unit that creates receipt data based on the information input from the information input unit and the insurance score obtained by the insurance score calculation unit,
A clinic-side client, comprising: a storage unit for storing the chart data created by the chart data creation unit and the receipt data created by the receipt data creation unit.
[0098]
(Supplementary Note 2) an information input unit for inputting patient information and treatment information for the patient in accordance with an operation;
A chart data creating unit that creates the chart data of the patient based on the information input from the information input unit,
Of the information input from the information input unit, an information transmitting unit that transmits information representing a medical treatment statement that receives the calculation of insurance points to a predetermined server,
An insurance score receiving unit that receives the insurance score transmitted from the server in response to the information transmission from the information transmitting unit,
A receipt data creating unit that creates receipt data based on the information input from the information input unit and the insurance score received by the insurance score receiving unit,
A clinic-side client, comprising: a storage unit for storing the chart data created by the chart data creation unit and the receipt data created by the receipt data creation unit.
[0099]
(Supplementary Note 3) a calculation logic / data storage unit for storing insurance point calculation logic and data in each insurance system;
An information receiving unit that receives information for extracting desired insurance point calculation logic and data from the insurance point calculation logic and data stored in the calculation logic / data storage unit transmitted from the client;
A calculation logic / data extraction unit that extracts insurance score calculation logic / data corresponding to the information received by the information receiving unit from the insurance score calculation logic / data stored in the calculation logic / data storage unit;
A calculation logic / data transmission unit for transmitting the insurance point calculation logic / data extracted by the calculation logic / data extraction unit to a client that has transmitted the information received by the information reception unit. Clinic medical fee calculation server to do.
[0100]
(Supplementary Note 4) A calculation logic / data storage unit for storing insurance point calculation logic and data in each insurance system,
An information receiving unit that receives information transmitted from the client and that indicates the medical treatment statement for which the insurance score is calculated;
Of the insurance point calculation logic / data stored in the calculation logic / data storage unit, the insurance point calculation logic / data corresponding to the information received by the information receiving unit is used to calculate the insurance point corresponding to the calculation. An insurance score calculation unit to calculate,
A clinic medical fee calculation server, comprising: an insurance score transmission unit that transmits the insurance score obtained by the insurance score calculation unit to a client that has transmitted the information received by the information receiving unit.
[0101]
(Supplementary note 5) The clinic medical fee calculation server according to Supplementary note 3 or 4, further comprising a use result storage unit that stores the number of times of communication with each client.
[0102]
(Supplementary Note 6) The information processing apparatus is executed in an information processing apparatus that executes a program,
An information input unit for inputting patient information and treatment information for the patient according to an operation;
A chart data creating unit that creates the chart data of the patient based on the information input from the information input unit,
Of the information input from the information input unit, an information transmission unit that transmits information for extracting insurance score calculation logic and data to a predetermined server,
A calculation logic / data receiving unit that receives insurance point calculation logic and data transmitted from the server in response to information transmission from the information transmission unit;
An insurance score calculator that calculates an insurance score based on the information input from the information input unit and the insurance score calculation logic and data received by the calculation logic / data receiver;
A receipt data creation unit that creates receipt data based on the information input from the information input unit and the insurance score obtained by the insurance score calculation unit,
A client program that operates as a clinic-side client including a storage unit that stores the chart data created by the chart data creation unit and the receipt data created by the receipt data creation unit.
[0103]
(Supplementary Note 7) The information processing apparatus is executed in an information processing apparatus that executes a program,
An information input unit for inputting patient information and treatment information for the patient in accordance with an operation, and a chart data creating unit for creating patient chart data based on information input from the information input unit,
Of the information input from the information input unit, an information transmitting unit that transmits information representing a medical treatment statement that receives the calculation of insurance points to a predetermined server,
An insurance score receiving unit that receives the insurance score transmitted from the server in response to the information transmission from the information transmitting unit,
A receipt data creating unit that creates receipt data based on the information input from the information input unit and the insurance score received by the insurance score receiving unit,
A client program that operates as a clinic-side client including a storage unit that stores the chart data created by the chart data creation unit and the receipt data created by the receipt data creation unit.
[0104]
(Supplementary Note 8) The program is executed in an information processing device that executes a program, and the information processing device is
A calculation logic / data storage unit for storing insurance point calculation logic and data in each insurance system;
An information receiving unit that receives information for extracting desired insurance point calculation logic and data from the insurance point calculation logic and data stored in the calculation logic / data storage unit transmitted from the client;
A calculation logic / data extraction unit that extracts insurance score calculation logic / data corresponding to the information received by the information receiving unit from the insurance score calculation logic / data stored in the calculation logic / data storage unit;
Clinic medical fee calculation comprising: a calculation logic / data transmission unit for transmitting the insurance score calculation logic / data extracted by the calculation logic / data extraction unit to a client that has transmitted the information received by the information reception unit. A server program characterized by operating as a server.
[0105]
(Supplementary Note 9) The program is executed in an information processing apparatus that executes a program, and the information processing apparatus is
A calculation logic / data storage unit for storing insurance point calculation logic and data in each insurance system;
An information receiving unit that receives information transmitted from the client and that indicates the medical treatment statement for which the insurance score is calculated;
Of the insurance point calculation logic / data stored in the calculation logic / data storage unit, the insurance point calculation logic / data corresponding to the information received by the information receiving unit is used to calculate the insurance point corresponding to the calculation. An insurance score calculation unit to calculate,
The insurance points calculated by the insurance point calculation unit, the insurance point transmission unit that transmits to the client of the source of the information received by the information receiving unit, and operates as a clinic medical fee calculation server comprising: Server program to do.
[0106]
(Supplementary Note 10) The information processing apparatus is further operated as a clinic medical fee calculation server including a usage record storage unit that stores the number of times of communication with each client. The server program described.
[0107]
【The invention's effect】
As described above, according to the present invention, there is provided a clinic-side client, a clinic medical fee calculation server, a client program, and a server program that are inexpensive and reduce the burden while maintaining sufficient security for the patient. be able to.
[Brief description of the drawings]
FIG. 1 is a schematic diagram showing an example of an ASP system including a first clinic client and a clinic medical fee calculation server according to a first embodiment of the present invention.
FIG. 2 is a hardware configuration diagram of a computer having the appearance shown in FIG.
FIG. 3 is a conceptual configuration diagram of an embodiment of a client program operated as a first clinic client according to the present invention.
FIG. 4 is a conceptual configuration diagram of a first embodiment of a server program operated as a clinic medical fee calculation server of the present invention.
FIG. 5 is a diagram showing a configuration of an embodiment of a first clinic side client of the present invention and a configuration of a first embodiment of a clinic medical fee calculation server of the present invention.
FIG. 6 is a schematic diagram showing a data flow between a dentist side client and a dental care fee calculation server in the ASP system shown in FIG. 1;
FIG. 7 is a flowchart of a processing routine for initial registration in the ASP system shown in FIG. 6;
8 is a flowchart of the first half of a processing routine for patient data registration in the ASP system shown in FIG. 6;
9 is a flowchart of the latter half of a processing routine for patient data registration in the ASP system shown in FIG. 6;
FIG. 10 is a conceptual configuration diagram of an embodiment of a client program operated as a second clinic side client according to the present invention.
FIG. 11 is a conceptual configuration diagram of a second embodiment of a server program operated as a clinic medical fee calculation server of the present invention.
FIG. 12 is a diagram showing a configuration of an embodiment of a second clinic client of the present invention and a configuration of a second embodiment of a clinic medical fee calculation server of the present invention.
[Explanation of symbols]
20,30 Dentist side client
21, 31 Information input unit
22, 32 chart data creation unit
23, 33 information transmission unit
24 Calculation logic / data receiving unit
25 Insurance score calculator
26,35 Receipt data creation unit
27,36 storage unit
34 Insurance point receiving unit
80 Dental service fee calculation server
81,91 Calculation logic / data storage unit
82, 92 information receiving unit
83 Calculation Logic / Data Extraction Unit
84 Calculation logic / data transmission unit
85 Usage record storage
93 Insurance score calculator
94 Insurance Point Transmitter
100, 300, 400, 500 computers
101, 301, 401, 501 Main body
102, 302, 402, 502 display unit
103, 303, 403, 503 Keyboard
104, 304, 404, 504 mouse
200,305 client program
210, 310 Information input processing unit
220,320 chart data creation processing unit
230, 330 Information transmission processing unit
240 calculation logic / data reception processing unit
250,930 Insurance score calculation processing unit
260, 350 Receipt data creation processing unit
270, 360 storage processing unit
340 Insurance point reception processing unit
600 communication lines
700 CD-ROM
800,900 server program
810,910 Calculation logic / data storage processing unit
820,920 Information reception processing unit
830 Calculation logic / data extraction processing unit
840 Calculation logic / data transmission processing unit
850 Usage record storage processing unit
940 Insurance score transmission processing unit
1000 Firewall

Claims (5)

An information input unit for inputting patient information and treatment information for the patient according to an operation;
A chart data creating unit that creates the chart data of the patient based on the information input from the information input unit,
Of the information input from the information input unit, an information transmission unit that transmits information for extracting insurance score calculation logic and data to a predetermined server,
A calculation logic / data receiving unit that receives insurance point calculation logic and data transmitted from the server in response to information transmission from the information transmission unit;
An insurance score calculator that calculates an insurance score based on the information input from the information input unit and the insurance score calculation logic and data received by the calculation logic / data receiver;
A receipt data creation unit that creates receipt data based on the information input from the information input unit and the insurance score obtained by the insurance score calculation unit,
A clinic-side client, comprising: a storage unit for storing the chart data created by the chart data creation unit and the receipt data created by the receipt data creation unit. An information input unit for inputting patient information and treatment information for the patient according to an operation;
A chart data creating unit that creates the chart data of the patient based on the information input from the information input unit,
Of the information input from the information input unit, an information transmitting unit that transmits information representing a medical treatment statement that receives the calculation of insurance points to a predetermined server,
An insurance score receiving unit that receives the insurance score transmitted from the server in response to the information transmission from the information transmitting unit,
A receipt data creating unit that creates receipt data based on the information input from the information input unit and the insurance score received by the insurance score receiving unit,
A clinic-side client, comprising: a storage unit for storing the chart data created by the chart data creation unit and the receipt data created by the receipt data creation unit. A calculation logic / data storage unit for storing insurance point calculation logic and data in each insurance system;
An information receiving unit that receives information for extracting desired insurance point calculation logic and data from the insurance point calculation logic and data stored in the calculation logic / data storage unit transmitted from the client;
A calculation logic / data extraction unit that extracts insurance score calculation logic / data corresponding to the information received by the information receiving unit from the insurance score calculation logic / data stored in the calculation logic / data storage unit;
A calculation logic / data transmission unit for transmitting the insurance point calculation logic / data extracted by the calculation logic / data extraction unit to a client that has transmitted the information received by the information reception unit. Clinic medical fee calculation server to do. The information processing apparatus is executed in an information processing apparatus that executes a program,
An information input unit for inputting patient information and treatment information for the patient according to an operation;
A chart data creating unit that creates the chart data of the patient based on the information input from the information input unit,
Of the information input from the information input unit, an information transmission unit that transmits information for extracting insurance score calculation logic and data to a predetermined server,
A calculation logic / data receiving unit that receives insurance point calculation logic and data transmitted from the server in response to information transmission from the information transmission unit;
An insurance score calculator that calculates an insurance score based on the information input from the information input unit and the insurance score calculation logic and data received by the calculation logic / data receiver;
A receipt data creation unit that creates receipt data based on the information input from the information input unit and the insurance score obtained by the insurance score calculation unit,
A client program that operates as a clinic-side client including a storage unit that stores the chart data created by the chart data creation unit and the receipt data created by the receipt data creation unit. The information processing apparatus is executed in an information processing apparatus that executes a program,
A calculation logic / data storage unit for storing insurance point calculation logic and data in each insurance system;
An information receiving unit that receives information for extracting desired insurance point calculation logic and data from the insurance point calculation logic and data stored in the calculation logic / data storage unit transmitted from the client;
A calculation logic / data extraction unit that extracts insurance score calculation logic / data corresponding to the information received by the information receiving unit from the insurance score calculation logic / data stored in the calculation logic / data storage unit;
Clinic medical fee calculation comprising: a calculation logic / data transmission unit for transmitting the insurance score calculation logic / data extracted by the calculation logic / data extraction unit to a client that has transmitted the information received by the information reception unit. A server program characterized by operating as a server.

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