JP2005174143A - Processing device for medical office work - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a superior maintainability medical office work processing device, allowing easy performance of calculation of medical treatment fee points, using a simple constitution. <P>SOLUTION: This medical office work processor has a storage means 3 storing a reception table for storing reception data including a reception date and a patient ID; a medical treatment record table storing medical treatment data, and a medical treatment record analysis result table; and a control means 4 for reading the corresponding medical treatment data from the medical treatment record table, on the basis of the reception date and the patient ID stored in the reception table stored in the storage means 3, converting a disease name into a code in reference to a disease name code conversion master, on the basis of the read medical treatment data, and storing it to the medical treatment record analysis result table of the storage means 3. <P>COPYRIGHT: (C)2005,JPO&NCIPI

Description

  The present invention relates to a medical paperwork apparatus.

2. Description of the Related Art Conventionally, an information processing system in a medical institution that manages medical appointments, medical applications, examinations, medical treatments, drug dispensing, and accounting processes based on patient IDs has been proposed (see, for example, Patent Document 1). .
JP 2002-269230 A

  However, since the system manages only by the patient ID, for example, the medical fee is different depending on whether the medical treatment is performed within the medical treatment time or the medical treatment outside the medical treatment time, but it cannot be handled.

  Thus, the present invention stores not only the patient ID but also the reception date in association with each other, thereby making it possible to easily calculate the medical remuneration score with a simple configuration, and to provide medical office work with excellent maintainability. It is an object to provide a processing apparatus.

As a means for solving the above problems, the present invention provides:
Medical office equipment,
A reception table that stores reception data including a reception date and a patient ID, a medical record table that stores medical data, and a storage unit that stores a medical record analysis result table;
Based on the reception date and patient ID stored in the reception table stored in the storage means, the corresponding medical data is read from the medical record table, and the disease name is coded based on the read medical data by referring to the disease name code conversion master. Control means for converting and storing the result in the medical record analysis result table of the storage means is provided.

  And by this structure, based on patient ID and reception date, medical data can be prepared so that it can be utilized by accounting processing etc. That is, the medical data is associated with the patient ID and the reception date, and the disease name is transcoded to facilitate use in the accounting process. In addition, even if the point calculation method in accounting processing is changed due to legal revisions, it is not necessary to change the contents stored in the medical record analysis result table, and it is possible to respond quickly with the minimum necessary work. .

The storage means stores a medical practice master, a pharmaceutical master, a material price master,
Based on the reception date and patient ID stored in the reception table stored in the storage unit, the control unit refers to each master, and calculates the medical remuneration score. Even if a medical examination is received, it is preferable in that the accounting process for one day can be performed based on the reception date.

  When the infusion technique is calculated as the medical fee, the control means cancels the infusion technique if there is an infusion technique already calculated on the same day, and totals the infusion volume for one day. If the drip technique fee is recalculated again, it is preferable in that it is possible to automatically calculate the medical remuneration score by drip without error.

  When the medicine to be prescribed is an internal medicine, it is preferable that the control means calculates the decreasing points if there are seven or more kinds.

  According to the present invention, medical data can be managed not only by the patient ID stored in the reception table but also by the reception date, so that the accounting process in units of one day can be reliably performed without error. In addition, since the disease name is converted into code and stored in the medical record analysis result table, there is no need to change the stored contents in the medical record analysis result table even if the score calculation method in the accounting process is changed It is possible to respond quickly with the minimum necessary work.

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

  FIG. 1 shows a medical paperwork apparatus according to this embodiment. This device includes a display device 1 such as a liquid crystal display, an input device 2 such as a keyboard / mouse, a storage device 3 such as a hard disk, and a central processing unit (CPU) 4 for input / output control. Reference numeral 5 denotes an electronic medical record terminal capable of transmitting and receiving data to and from the medical office processing apparatus.

  On the display device 1, a reception work screen shown in FIG. 2 is displayed as an initial screen. The reception work screen includes a work menu bar 10, a function menu bar 11, a patient ID (identification) input area 12, a received patient list 13, a patient notice list 14, a patient notice information detail list 15, a patient reservation information calendar 16, and a work notice panel. 17 and a status bar 18.

  The business menu bar 10 is used for switching to any of reception business, accounting business, reservation business, survey business, and setting business.

  The function menu bar 11 includes a patient ID search button, an emergency patient reception button, a new patient reception button, a patient information input button, an inquiry information input button, a diagnosis information input button, a family list display button, a chart information display button, an up button, A down movement button and a reception cancellation button are provided.

  The patient ID input area 12 is used to directly input a patient ID using a keyboard or the like when the examination ticket cannot be read by a scanner.

  The reception patient list 13 includes columns of reception number, priority classification, reception time, waiting time, name, age, gender, state, memo, first / re, payment, temperature measurement, blood pressure, urinalysis, patient information, and inquiry information. It is configured. The receipt number is automatically assigned sequentially when the patient ID search button or the like is clicked on the function menu bar 11. In the priority classification, a display indicating the degree of urgency when the patient is examined is performed. For example, “urgent” is displayed in the case of an emergency patient. In the reception time, the system time when the reception input is completed is displayed. The reservation time is displayed in parentheses next to the reception time. In the waiting time, a result obtained by subtracting the reception time from the system time is displayed. When the waiting time exceeds a preset time, it is highlighted by changing the character color or the like. The name is displayed in both reading and kanji. When the maiden name is registered, that is, when there is a record in which the patient ID matches and the patient's surname Kana is different, the maiden name is displayed in parentheses. The age is calculated from the system date and the date of birth entered, and is displayed in the form of ** years and ** months. However, less than one month after birth will be displayed in days. The gender is displayed with different character colors for men and women. Status displays the current patient status. Specifically, any one of waiting for reservation, waiting for medical examination, during medical examination, waiting for payment, waiting for reservation, or completion of payment is displayed. These displays are all displayed with different character colors. The contents entered on the examination information input screen are displayed in the memo. In the first / re-visit, whether it is a first visit or a re-examination is displayed. In the payment, the self-payment category is converted into a name and displayed. For insurance, the burden rate is displayed in parentheses (). In case of own expense, the multiplication rate is displayed in parentheses. In the temperature measurement, blood pressure, and urinalysis, the results of the previous examination are displayed as they are. Blood pressure and urinalysis results are highlighted when they exceed the normal range. In the patient information, a circle is displayed only when the input of patient information is completed. In the inquiry information, a circle is displayed only when the input of the inquiry information is completed.

  The patient notification list 14 includes information about the patient selected in the accepted patient list 13. Specifically, it includes items such as an insurance card confirmation list, a reservation confirmation list, a non-accrual list, and a patient table / comment. By clicking and selecting any item (a check is put in the check column), the content corresponding to the clicked item is displayed in the patient notification information detailed list 15.

  The patient notification information detailed list 15 is composed of detailed information for the item selected in the patient notification list 14. When the insurance card confirmation list is selected, a part of the description contents of the insurance card is displayed in a list. Specifically, items of type, insurer number, symbol-number, delivery date, expiration date, relationship, and burden are displayed. If you double-click on the line where each of these items is displayed, the detailed contents of the insurance card will be displayed in a separate window. In addition to the items described above, detailed data including the establishment name, location, date of qualification acquisition, date of final confirmation, insured person, remote place certificate, and high medical expenses are displayed.

  The patient reservation information calendar 16 is displayed on the lower right side of the reception work screen and can be switched in units of one month. In the displayed calendar, the past visit date is highlighted for the patient selected in the accepted patient list 13. By clicking on the past visit date, the reception time and the contents of the reception memo are displayed. In addition, the patient reservation information calendar 16 may be provided with a button on the reception work screen, and may be popped up when this button is clicked.

  The business notification panel 17 can display a notification message for each of the entire system and the window business. By clicking the edit button, it is possible to display the editing screen in a separate window and edit the display contents. The notification message input for the entire system is displayed on all connected terminals (in this case, the electronic medical chart terminal 5 corresponds). In addition, the notification message input for the window service is displayed only on the display device 1.

  The status bar 18 displays supplementary explanations on operations, system operating conditions, system date, and system time.

  As the input device 2, a mouse, a keyboard, a pen device, or the like can be used. When using a pen device, the display is configured with a touch panel.

  The storage device 3 stores various master files and various tables.

  The master file includes a medical practice master, a medicine master, a material price master, and a disease name code conversion master.

  The medical practice master stores, for example, data related to a medical practice such as injecting a patient.

  The drug master stores data related to drugs (drugs), for example, drug names, drug prices, unit name codes, unit quantities, and the like.

  The material price master stores the price of a material used in a procedure or the like, for example, the price of a film or the like used in X-ray photography.

  The disease name code conversion master includes the “International Statistical Classification of Diseases and Related Health Problems, Tenth Revison (ICD-10)” established by the World Health Organization (WHO). Code numbers (ICD-10 codes) and receipt computer codes are stored in a one-to-one correspondence.

  The various tables include a reception table, a medical record table, a medical record analysis result table, a patient information table, a calculation result history table, and the like.

  The CPU 4 reads each data stored in the storage device 3 based on the input signal from the input device 2, performs reception work at the medical record analysis unit, and performs accounting work at the calculation control unit.

  Next, the operation of the medical paper processing apparatus will be described separately for reception work and accounting work.

  (Reception Work) In the reception work, a predetermined input is performed by clicking a button corresponding to the type of patient on the reception work screen. The types of patients referred to here mean emergency patients, new patients, and revisited patients.

  In the case of an emergency patient, the patient is clicked on the emergency patient acceptance button and a patient record is added to the accepted patient list 13. The fields of the patient record (here, the reception number, priority classification, and reception time) are automatically input as follows. In other words, the reception number is automatically assigned according to today's reception order. In this case, the emergency letter is highlighted in red. In addition, since it is an emergency patient, you may make it give the earliest number among patients waiting for a medical examination. In the priority classification, the letter “Urgent” is displayed in red. The current system time is input as the reception time. And these input data are reflected in the electronic medical record installed in the terminal which a doctor uses.

  In the case of a new patient, the new patient acceptance button is clicked to display the patient information registration screen shown in FIG. 3 in a separate window. On the patient information registration screen, the basic information registration screen is initially displayed, and tabs are prepared according to the type of insurance so that the display contents can be switched. If you have an insurance card, click the appropriate insurance tab and enter the relevant information.

  In the case of a revisit patient, if there is no examination ticket, the patient ID button is clicked to display the patient ID search screen shown in FIG. If the patient's name, date of birth, telephone number, etc. are known, the patient ID can be specified by inputting and searching for the corresponding location. If only the name does not match between the patient specified by inputting the telephone number and the patient currently accepted, it is determined that the surname has been changed due to marriage or the like, and the maiden name is displayed in parentheses. It is also possible to display a list of registered patient data by clicking the search button. In the initial state, the patient names are displayed in the order of the Japanese syllabary, and the patient ID can be specified using a search formula if necessary.

  If there is an examination ticket, the patient ID is specified by reading the examination ticket with a scanner. However, if the examination ticket cannot be read by the scanner, the patient ID is directly input.

  If the patient ID is specified, the registered patient data is called to determine whether or not three months have passed since the previous examination. If 3 months have passed, it will be treated as the first visit, and if it has not passed, it will be treated as a reexamination on the condition that the return date for the disease name has not been entered. In this case, the calendar is displayed in a separate window so that the visit history can be seen at a glance. That is, on the day when the patient visits, the display is distinguishable from other days, and the visit time pops up when the mouse is moved on that day.

  In the case of the first visit, ask the patient to fill out a questionnaire and enter the contents. The input contents are registered as questionnaire information and reflected in the electronic medical record. If there is an insurance card, enter the details. If your family name is listed on your insurance card, enter it at the same time. Thereby, for example, if someone in the family comes to the clinic, it is possible to respond even if you do not bring your health insurance card. If the patient has been examined before, the insurance card registration data is searched from the patient ID and the like.

  When the acceptance is completed by the above input work and the input data of the questionnaire is registered together with the patient ID, the patient data is displayed in a list in the order of acceptance. The examination will be conducted in the order of acceptance. In this case, the examination order can be changed by selecting the patient name (row) and changing the reception order.

  (Accounting Business) In the accounting business, as shown in FIG. 5, based on the data read from the reception table, the medical record table, and the disease name code conversion master, the code conversion processing shown in FIG. 6 and the receipt calculation shown in FIG. Logic, partial contribution creation processing shown in FIG. 8, and invoice data creation processing shown in FIG. 9 are performed.

  In the code conversion process, as shown in FIG. 6, first, data required for calculating the medical fee score is read from the reception table and the medical record table (step S1). Here, based on the reception date (date data and time data) read from the reception table and the patient ID, for example, from the medical record table, among the data recorded in the medical record, for example, the disease name and the prescription drug name are read. . The read data is code-converted based on the data read from the disease name code conversion master (step S2). In the code conversion, the ICD-10 code read from the medical record table is converted into a receipt computer code. Then, the data converted by the code conversion process is stored in the medical record analysis result table (step S3). The above is a common process regardless of whether or not the method for calculating the medical reward points has been changed due to the revision or the like. By making it possible to execute common processes all together, it is possible to easily and quickly respond to revisions only by changing only the changed parts.

  In the receipt calculation logic, as shown in FIG. 7, corresponding data from the first day of this month to the present is read from the data stored in the medical record analysis result table based on the patient ID and the reception date data ( Step S10). Then, based on the read data, the medical treatment master, the pharmaceutical master, and the material price master are referred to, and the medical remuneration score calculation process is performed (step S11). Subsequently, the calculation result is stored in the calculation result history table (step S12).

  In the medical fee calculation process, depending on the diagnosis category, initial fee, revisit fee, guidance fee, home fee, medication fee, injection fee, treatment fee, surgery fee, anesthesia fee, examination fee, diagnostic imaging fee, rehabilitation fee, etc. Processes such as calculation.

  For example, in the dosage calculation process, as shown in the flowchart of FIG. 10, a drug fee, a dispensing fee, a prescription fee, a hepatotoxic addition, and a dispensing fee are calculated, and a decreasing point calculation is performed for the drug fee (step S20). To S25).

  In the medicine fee calculation, as shown in the flowchart of FIG. 11, all medicine data for a certain patient are sorted by taking method identification number (the same number is given to the same taking method) (step S30). ), After initializing the memory, that is, the serial number of the medication method identification number, the drug price, and the internal medicine type (step S31), until the last line (all drug data is completed) (step S32), Each drug data is read (step S33). Based on the read drug data, the drug price is calculated by multiplying the unit price of the drug by the quantity (step S34). When there are a plurality of medicine data and the manner of taking is different among the medicines, the same taking method identification number is set as one group, and calculation is performed for each group (steps S35, S36, S37). After calculating the total drug price for each group (step S38), the drug fee score is calculated for all drugs prescribed to the patient (step S39). In addition, about the internal medicine, the number of types is stored as internal medicine kind data (step S40).

  In the calculation of the drug fee score in step S39, as shown in the flowchart of FIG. 12, it is determined whether or not the total drug price exceeds 15 yen (step S50). If it exceeds 15 yen, 5 is subtracted from the total drug price. Then, the value obtained by dividing by 10 is rounded up to the point of one agent (step S51), and when it is 15 yen or less, it is uniquely set to 1 point (step S52). If the score for one drug is calculated in this way, the drug charge is calculated by multiplying the number of doses (step S53). Here, it is determined whether or not the medicine to be prescribed is an internal medicine (step S54), and if it is an internal medicine, the number of types of internal medicine is calculated (step S55).

  In the calculation of the number of internal medicines, as shown in the flowchart of FIG. 13, it is determined whether or not the total medicine price exceeds 205 yen in the same medicine unit among the medicines prescribed for a certain patient (step S60). . That is, when the usage is the same, it is determined whether or not the number of prescriptions is more than necessary for the medicine of the same taking method with 205 yen as a guideline, thereby preventing unauthorized charges. If the total price of drugs with the same medication method exceeds 205 yen, the number of types of drugs is determined as it is (step S61), and if it is 205 yen or less, it is determined as one type (step S62).

  In the dispensing fee calculation, the number of points to be given is changed depending on whether or not an internal medicine or a medicine is included and whether or not an external medicine is included.

  In the prescription fee calculation, the number of points given is changed depending on whether there are seven or more internal medicines, whether the patient is less than 3 years old, or whether the patient has a specific disease.

  In the case of narcotic addition, if any of narcotics, psychotropic drugs, stimulants and poisons is included, the score is added.

  In the base fee calculation, the score to be added is changed depending on whether or not the pharmacist is working full time.

  In the decreasing point calculation, as shown in the flowchart of FIG. 14, the total is calculated for all internal medicines that are not temporary medication (step S70). Then, it is determined whether or not the number of internal medicines is seven or more (step S71). If the number is seven or more, it is determined whether or not the number of diminishing points has not been calculated for the same prescription (step S72). If there are more than 7 types of internal medicine and the number of decreasing points has not been calculated, 0.9 is added to the total of the drug charges, and the first decimal place is rounded off (step S73). Subsequently, the sum of the drug charges is subtracted from the value obtained in step S73, and the value is set as the drug charge decrement point (step S74).

  Specifically, the case of prescribing A to G drugs (all internal medicines) shown in the following table for a certain patient X will be described. In this case, A to C and D to G are all the same, and the prescription is 4 days.

  Based on the drug price for one drug for each drug, the total drug price for the AG drugs prescribed this time is calculated. For example, in the case of A drug, the price for one tablet is 9.7 yen, so the price for two tablets prescribed is 19.4 yen. In the same manner, when the drug prices of the A to C drug and the D to G drug are summed in the same manner, they are 248.6 yen and 250.5 yen, respectively. Therefore, based on this total, in step S51, the drug price for one drug is calculated, and 25 points are obtained for both. Therefore, since the prescription is for 4 days, the total is 100 points. Since all the A to G drugs are internal medicines, the number of internal medicine types is calculated in step S55. That is, the total price of medicines is 248.6 yen and 250.5 yen, which exceeds the judgment standard of 205 yen, so the number of prescriptions is judged to be 3 and 4 kinds. Hereinafter, a dispensing fee, a prescription fee, a hepatotoxic additive fee, and a dispensing basic fee are calculated and added in order to obtain 148 points (since these score calculations are well known in the art, description thereof will be omitted). . And as mentioned above, since there are (3 + 4) 7 types of internal medicines, the decreasing points are -10 points obtained by multiplying 100 points calculated in step S51 by 0.9 and subtracting 100, The medical treatment reward score obtained by calculating the drug fee is 138 points.

  Further, in the injection fee calculation process, as shown in the flowchart of FIG. 15, a drug fee calculation process (step 200) and a technique fee calculation process (step S201) are executed. Since the medicine fee calculation process is as described above, the technique fee calculation process will be described below.

  As shown in the flowchart of FIG. 16, the procedure fee calculation process sorts all procedure data by procedure identification number (step S210), sequentially reads the data (steps S211 and S212), and relates to the operation. A check is made (steps S213 and S214). If there is a relevance to surgery, score calculation is not performed. If there is no relevance to the operation, it is determined whether or not it is an infusion (step S215). If it is a drip injection, a drip technique fee is calculated (step S216), and if it is not a drip injection, various injection charges are calculated (step S217). In addition, narcotic injection addition calculation (step S218), precise continuous infusion injection addition calculation (step S219), and biological preparation injection addition calculation (step S220) are performed.

  In the calculation of the drip technique, as shown in the flowchart of FIG. 17, first, the already calculated drip technique on the same date is canceled (step S230). Then, it is determined whether or not the patient is under 6 years old (step S231). If the patient is under 6 years old, it is determined whether or not the total amount of infusion per day is 100 ml or more (step S232). If the total amount of infusion per day is 100 ml or more, the infusion technique fee is 95 points (step S233), and if it is less than 100 ml, 47 points (step S234). Then, it is determined whether or not the baby is added on the same date (step S238). If the baby is not added, 21 points are added (step S239). On the other hand, if the patient is 6 years old or older, it is determined whether or not the total amount of daily infusion is 500 ml or more (step S235). If the total amount of infusion per day is 500 ml or more, the infusion technique fee is 95 points (step S236), and if it is less than 500 ml, 47 points (step S237).

  For example, if a patient Y (28 years old) receives an infusion of drug A as shown in the following table and receives an infusion of drug B after the procedure fee has been calculated, as shown in the following table: The procedure fee is calculated as follows.

  That is, 47 points of the drip technique fee are canceled in step S230 and the age is 28, so the process proceeds from step S231 to step S95. Since the total amount of infusion is 600 ml, the process proceeds to step S237, and 95 points are obtained as the infusion technique fee.

  As described above, in the calculation of the drip technique fee, not only whether or not the patient is an infant under 6 years old but also a case where the drip is performed a plurality of times on the same date is considered. In particular, when instilling a plurality of times, the previous infusion technique is always canceled, the total amount is calculated again, and the score is calculated. Therefore, it is possible to appropriately calculate the medical fee score.

  Returning to FIG. 5, in the partial contribution creation process, as shown in FIG. 8, data for one day of the corresponding patient is extracted from the data stored in the calculation result history table (step S <b> 100). Subsequently, based on the public expenditure information included in the extracted data (medical remuneration points), a target public expenditure selection process is performed in which the target public expenditure is selected with reference to the public expenditure matrix (step S101). In the selection process, first, the public expenditure with the highest priority is selected. Subsequently, a public expense that can be combined with the selected public expense is selected. Then, the public expenses that were not selected are eliminated. Next, patient information (burden rate and contribution limit) is extracted from the extracted data (step S102). Further, for the public expense selected in step S101, a public expense calculated based on the burden ratio and a public expense calculated based on the burden ratio limit amount are obtained (step S103). Then, a low amount is selected from the obtained calculation results (step S104) and stored in the calculation result history table (step S105).

  Specifically, the case where the partial contribution creation process is performed will be described with reference to FIG. 22 in which a part of the public expenditure matrix is extracted. For example, when a certain patient satisfies three conditions of 27 “old man”, 11 “tuberculous 35”, and 51 “specific disease”, 27 “old man” having a high priority is selected. Then, 10% of the self-pay for 27 “old man” is calculated (for example, 1000 yen). In addition, 27 “old people” can be combined with 11 “tuberculosis 35” and 51 “specific disease” from the public expenditure matrix. In 11 “tuberculosis 35” and 51 “specific disease”, 11 “tuberculosis 35” has a high priority, so the self-pay 0 yen is adopted. Finally, the self-payment of 1,000 yen calculated for 27 “old man” and the self-payment of 0 yen calculated for 11 “tuberculosis 35” are compared. It becomes unnecessary.

  Returning to FIG. 5 again, in the invoice data creation process, as shown in FIG. 9, the data for one month of the corresponding patient is extracted from the calculation result history table (step S110), and the extracted data (medical fee score) (Partial contribution) and the format (code) for the invoice are converted (step S111). If the patient receives one or more visits in the same month in addition to this time, the bill data processed so far is extracted from the calculation result history table (step S112). Subsequently, the data code-converted in step S111 is charged for one month, and a difference from the invoice data extracted in step S112 is calculated (step S113). Then, the calculated result is stored in the calculation result history table as current invoice data (step S114).

  When the accounting process is completed and payment is made, the accounting reservation screen shown in FIG. 18 is displayed by clicking on the accounting business button on the acceptance service screen shown in FIG. Here, when the accounting button is clicked, as shown in FIG. 19, the account is switched to a settlement screen in which the settlement tab is clicked, and all the settlement items for today are displayed in a list. In addition, on the right side of the screen, insurance points and billing details for all settlement items are displayed, and calculation results processed as described above are displayed in the corresponding items. In the lower part of the screen, a billing column is displayed showing the amount of medical care that has been receivable from the patient in the past, such as the date of examination, reception time, and department, and on the right side, the amount of receivable displayed in the billing column is displayed. Billed amount, the deposit amount deposited this time, and the change for the deposit amount. In this case, it is possible to cope with even a payment of one copy of the account receivable. In this case, the change is displayed as a minus sign.

  When the accounting card tab is clicked, as shown in FIG. 20, the account is switched from the settlement screen to the accounting card screen, and a list of items required for calculating the medical fee is displayed for each month to which today belongs. . The displayed contents can be printed by clicking the print button.

  When the payment is completed and the next medical appointment is to be made, the reservation screen shown in FIG. 21 is displayed by clicking the reservation button on the reception work screen shown in FIG. On the appointment screen, a calendar is displayed, and the examination time is divided into four time zones for each examination date, and is displayed in different colors except for the time zone when there is no examination. However, the setting of this time zone can be changed freely. For example, it can be set in two time zones of morning and afternoon. When you click on the date you want to reserve, the reservation status is listed on the right side of the calendar. When you click on the time you want to make a reservation, a reservation acceptance screen pops up, so you can click the registration button to complete the reservation.

It is a block diagram which shows the structure of the medical paperwork apparatus which concerns on this embodiment. 3 is a reception work screen displayed as an initial screen on the display device of FIG. 1. FIG. 2 is a patient information registration screen displayed by clicking a new patient acceptance button in FIG. It is a patient ID search screen displayed by clicking a patient ID button in FIG. It is a flowchart which shows accounting work. It is a flowchart which shows the code conversion process of FIG. It is a flowchart which shows the receipt calculation logic of FIG. It is a flowchart which shows the partial contribution creation process of FIG. It is a flowchart which shows the invoice data creation process of FIG. It is a flowchart which shows the dosage calculation process performed by the medical treatment reward score calculation process of the receipt calculation logic of FIG. It is a flowchart which shows the medicine fee calculation process performed by the dosage calculation process of FIG. It is a flowchart which shows the medicine fee score calculation performed by the dosage calculation process of FIG. It is a flowchart which shows the internal medicine type number calculation performed by the dosage calculation process of FIG. It is a flowchart which shows the decreasing point calculation performed by the dosage calculation process of FIG. It is a flowchart which shows the injection fee calculation process performed by the medical treatment reward score calculation process of the receipt calculation logic of FIG. It is a flowchart which shows the technique fee calculation process performed by the injection fee calculation process of FIG. It is a flowchart which shows the drip technique fee calculation process performed by the injection fee calculation process of FIG. It is an accounting reservation screen displayed by clicking an accounting operation button on the reception operation screen shown in FIG. 19 is a settlement screen displayed by clicking an accounting button on the accounting reservation screen shown in FIG. FIG. 20 is a list of items required for calculating a medical fee score displayed by clicking the accounting card tab on the checkout screen shown in FIG. 19. It is a reservation screen displayed by clicking the reservation button on the reception work screen shown in FIG. It is a chart which shows a public expenditure matrix.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 ... Display apparatus 2 ... Input device 3 ... Memory | storage device 4 ... Central processing unit (CPU)
10 ... Business menu bar 11 ... Function menu bar 12 ... Patient ID input area 13 ... Accepted patient list 14 ... Patient notification list 15 ... Patient notification information detailed list 16 ... Patient reservation information calendar 17 ... Business notification panel 18 ... Status bar

Claims (4)

A reception table that stores reception data including a reception date and a patient ID, a medical record table that stores medical data, and a storage unit that stores a medical record analysis result table;
Based on the reception date and patient ID stored in the reception table stored in the storage means, the corresponding medical data is read from the medical record table, and the disease name is coded based on the read medical data by referring to the disease name code conversion master. A medical office processing apparatus comprising: a control unit that converts and stores the result in a medical record analysis result table of the storage unit. The storage means stores a medical practice master, a pharmaceutical master, a material price master,
2. The medical treatment according to claim 1, wherein the control unit calculates a medical fee based on the reception date and patient ID stored in the reception table stored in the storage unit with reference to the masters. Business processing equipment.   When the infusion technique is calculated as the medical fee, if the infusion technique has already been calculated on the same day, the control means cancels the infusion technique and totals the infusion volume for one day. The medical office processing apparatus according to claim 1, wherein the drip technique fee is calculated again. 4. The medical office processing apparatus according to claim 1, wherein when the prescription medicine is an internal medicine, the control means calculates a decreasing point if there are seven or more kinds. 5.