JP2017083948A - Examination request information generation device and examination request information generation method - Google Patents

Abstract

PROBLEM TO BE SOLVED: To easily generate examination request information by easily associating original information of an examination institute with information that a medical institution has.SOLUTION: A storage part 13 of an examination request information generation device 10 stores a master 13a for association in which at least any one of an examination item name, a clinical examination item classification code identifying an examination item and a medical action code for receipt demand is registered for each examination item, and stores a master 13b for examination in which at least any one of the examination item name, the clinical examination item classification code and the medical action code is registered for each examination item. In the case where it is discriminated that a clinical examination item classification code matched with the master 13b for examination and the master 13a for association is registered for each examination item in the master 13b for examination, a control part 14 associates information included in the master 13b for examination with information included in the master 13a for association and generates examination request information 13e with the medical action code in the master 13b for examination defined as a code for examination request.SELECTED DRAWING: Figure 1

Description

  The present invention relates to an inspection request information generation apparatus and an inspection request information generation method for generating information about an inspection request.

  Conventionally, test request information for requesting a test such as a virus test, a urine test, or a blood test from a medical institution such as a hospital is created, and the created test request information is transmitted to the server device of the test institution via the network. The system is being used.

  For example, Patent Document 1 discloses an inspection item input device for inputting inspection items, which simplifies the operation and allows the inspection items to be input quickly.

Japanese Patent No. 3148341

  An inspection institution that performs various inspections upon request from a medical institution assigns a unique code to each inspection item and manages data. Therefore, when introducing the function to transmit the inspection request information to the above-described system, the inspection organization creates an inspection master including information on the unique code used by each medical institution, The original code and the information for claim receipt were manually linked and input to the electronic medical chart apparatus. However, since this work takes an enormous amount of time, it has been desired to develop a technique for efficiently performing such work.

  The present invention relates to an inspection request information generation apparatus and an inspection request information generation method that make it possible to easily link original information of an inspection institution with information held by a medical institution and thereby easily generate inspection request information. The purpose is to provide.

  In the examination request information generating apparatus of the present invention, at least one of the examination item name, the clinical examination item classification code for specifying the examination item, and the medical practice code for receiving a claim is registered for each examination item. A storage unit that stores a linking master, and stores a test master in which at least one of a test item name, a clinical test item classification code, and a medical practice code is registered for each test item; For each test item, it is determined whether or not a clinical test item classification code matching the master for inspection and the master for linking is registered, and if it is determined that the clinical test item classification code is registered, Link the information included in the master for information with the information included in the master for linking, and use the medical treatment code of the master for inspection as the code for requesting the inspection request information. And a control unit that formed.

  In the test request information generation method of the present invention, at least one of the test item name, the clinical test item classification code for specifying the test item, and the medical practice code for receiving a claim is registered for each test item. Test request information that generates test request information using the master for linking and the test master in which at least one of the test item name, clinical test item classification code, and medical practice code is registered for each test item A step of determining whether or not a clinical test item classification code that matches the test master and the linking master is registered for each test item of the test master, and the clinical test item classification If it is determined that the code is registered, the information included in the examination master and the information contained in the association master are linked, and the examination master And generating the examination order information code as a code for the examination request, the.

  ADVANTAGE OF THE INVENTION According to this invention, the original information of a test | inspection organization and the information which a medical institution have can be tied easily, and, thereby, test request information can be produced | generated easily.

Functional block diagram showing an example of the configuration of an inspection request system according to the present invention The figure which shows an example of the master for pegging The figure which shows an example of the inspection master Diagram showing an example of creation information The figure which shows an example of inspection request information The flowchart which shows an example of the process sequence of the production | generation information generation process which concerns on this Embodiment

  Hereinafter, embodiments of the present invention will be described in detail with reference to the drawings.

  First, an example of the configuration of the inspection request system according to the present invention will be described. FIG. 1 is a functional block diagram showing an example of the configuration of an inspection request system according to the present invention. As shown in FIG. 1, in this inspection request system, an inspection request information generation device 10 and an inspection organization server 20 are connected via a network 30.

  The inspection request information generation device 10 is installed in a medical institution such as a hospital, generates inspection request information for requesting an inspection organization such as a virus test, a urine test, and a blood test, and sends the generated inspection request information to the inspection organization. It is a device that transmits to the installed inspection agency server 20. Further, the inspection request information generating apparatus 10 receives the later-described inspection master 13b and inspection result information transmitted from the inspection organization server 20, and stores and displays the received information.

  The inspection request information generation device 10 includes an input unit 11, a display unit 12, a storage unit 13, and a control unit 14.

  The input unit 11 is an input device such as a keyboard, a mouse, or a touch panel. The display unit 12 is a display device such as a display.

  The storage unit 13 is a storage device such as a hard disk device or a memory. The storage unit 13 stores an association master 13a, an inspection master 13b, creation information 13c, personal data 13d, inspection request information 13e, inspection result information 13f, and the like.

  The linking master 13a is a master data in which at least one of an examination item name, a clinical examination item classification code for specifying the examination item, and a medical practice code for making a claim for each examination item is registered. It is.

  The linking master 13a is generated based on, for example, a standard clinical examination master established by the Japanese Society for Clinical Laboratory Medicine. The information included in the association master 13a is associated with the information included in the inspection master 13b obtained from the inspection organization.

  FIG. 2 is a diagram illustrating an example of the linking master 13a. The linking master 13a includes a name, a clinical examination item classification code, and a medical practice code. The linking master 13a may include information other than this.

  The inspection item name is the name of the inspection item. The clinical test item classification code is a code for specifying a test item such as a JLAC10 code established by the Japanese Society for Clinical Laboratory Medicine. The medical practice code is, for example, a code that identifies a medical practice such as an inspection item in a code for a receipt computer processing system established by the Ministry of Health, Labor and Welfare for receiving a claim.

  The inspection master 13b is master data in which at least one of an inspection item name, a clinical inspection item classification code, and a medical practice code is registered for each inspection item. The inspection master 13b is master data including information on a unique code used by the inspection organization, and is obtained from the inspection organization by receiving it from the inspection organization server 20 via the network 30, for example.

  FIG. 3 is a diagram illustrating an example of the inspection master 13b. The inspection master 13b includes an inspection item name, a clinical inspection item classification code, a medical practice code, and an inspection organization item code. Note that the inspection master 13b may include other information.

  The test item name, clinical test item classification code, and medical practice code are the same as the test item name, clinical test item classification code, and medical practice code described in FIG. The inspection organization item code is a code uniquely used by the inspection organization to identify the inspection item.

  The creation information 13c is information obtained as a result of linking the information included in the linking master 13a and the information included in the inspection master 13b.

  FIG. 4 is a diagram illustrating an example of the creation information 13c. The creation information 13c includes a test item name, a clinical test item classification code, a medical practice code, and a test organization item code. The creation information 13c may include other information.

  The test item name, clinical test item classification code, medical practice code, and test organization item code are the test item name, clinical test item classification code, clinical practice code, and test organization item code described in FIGS. Is the same.

  Here, for the inspection items whose inspection item names are “A” and “C”, the clinical inspection item classification code between the linking master 13a shown in FIG. 2 and the inspection master 13b shown in FIG. Match. In this case, the creation information 13c shown in FIG. 4 includes the name of the test item registered in the test master 13b corresponding to the matched clinical test item classification code, the matched clinical test item classification code, and the matched clinical test item. The medical practice code registered in the examination master 13b corresponding to the classification code and the examination institution item code registered in the examination master 13b corresponding to the matched clinical examination item classification code are registered.

  For the inspection item whose inspection item name is “B”, the clinical inspection item classification code is not registered in the inspection master 13b. In such a case, using the medical practice code registered in the linking master 13a and the examination master 13b, the tie between the information included in the linking master 13a and the information included in the examination master 13b. The attachment is done.

  Specifically, the medical practice code is the same between the linking master 13a and the examination master 13b. In this case, the creation information 13c shown in FIG. 4 includes the clinical examination item classification code, the matched medical practice code, and the matched medical practice code registered in the linking master 13a corresponding to the matched medical practice code. The inspection institution item code registered in the corresponding inspection master 13b is registered.

  For the inspection item whose inspection item name is “D”, the clinical inspection item classification code and the medical practice code are not registered in the inspection master 13b. In such a case, the association between the information included in the association master 13a and the information included in the inspection master 13b is manually performed.

  Here, the case where the clinical examination item classification code and the medical practice code are not registered in the examination master 13b has been described, but the clinical examination item classification code and the medical practice code are registered in the examination master 13b. The same processing is performed when the information does not match the information registered in the linking master 13a.

  Further, here, a case has been described in which the clinical examination item classification code and the medical practice code are not registered in the examination master 13b, but the clinical laboratory item classification code and the medical practice code are not registered in the association master 13a. In this case, the same processing is performed.

  The personal data 13d is patient personal data such as a patient code and a name.

  The inspection request information 13e is information transmitted to the inspection institution server 20 in order to request an inspection institution such as a virus inspection, a urine inspection, and a blood inspection. The inspection organization specifies an inspection to be performed based on the inspection request information 13e and performs the inspection.

  FIG. 5 is a diagram illustrating an example of the inspection request information 13e. The examination request information 13e includes patient information, medical practice code, examination item name, and examination organization item code. The inspection organization information 13e may include information other than this.

  The patient information is information such as a patient code and a name of a patient to be examined. This information is generated based on the personal data 13d. The medical practice code, examination item name, and inspection organization item code are the same as the medical practice code, examination item name, and examination organization item code shown in FIG. 4, and are generated from these pieces of information.

  The inspection result information 13f is information indicating the result of the inspection performed by the inspection organization, and is information transmitted from the inspection organization server 20 via the network 30.

  Returning to the description of FIG. 1, the control unit 14 is a control device such as a CPU (Central Processing Unit).

  For example, the control unit 14 determines whether or not a clinical examination item classification code that matches the examination master 13b and the linking master 13a is registered for each examination item of the examination master 13b. When it is determined that the item classification code is registered, the information included in the inspection master 13b is associated with the information included in the association master 13a, and the medical practice code of the inspection master 13a is used for the inspection request. The inspection request information 13e is generated as a code.

  In addition, when the control unit 14 determines that the clinical test item classification code that matches the test master 13b and the linking master 13a is not registered for the specific test item, the control unit 14 performs the test for the specific test item. When it is determined whether or not a matching medical practice code is registered in the master 13b and the linking master 13a, and it is determined that a medical practice code is registered, the information is associated with the information included in the examination master 13b. The information included in the master 13a is linked.

  Further, when the control unit 14 determines that a medical practice code that matches the test master 13b and the linking master 13a is not registered for the specific test item, the control unit 14 performs the test for the specific test item. When it is determined whether or not the inspection item names that match or are similar are registered in the master 13b and the linking master 13a, and it is determined that the inspection item names that match or are similar are registered, these inspection item names Control to display all. Here, that the inspection item names are similar means, for example, a case where a predetermined character or more of the inspection item names match, and a similar criterion is set in advance.

  And the control part 14 receives selection of the inspection item name which a user performs via the input part 11 from all the displayed inspection item names, and it is in the inspection master 13b corresponding to the selected inspection item name. The information included is associated with the information included in the association master 13a corresponding to the selected inspection item name, and the associated information is registered in the creation information 13c.

  In addition, the control unit 14 generates the inspection request information 13e by including the inspection item name registered in the inspection master 13b as the inspection item name in the inspection request information 13e.

  Next, a processing procedure for generating the creation information 13c according to the present embodiment will be described. FIG. 6 is a flowchart illustrating an example of a processing procedure for generating the creation information 13c according to the present embodiment.

  First, the control unit 14 of the inspection request information generation device 10 reads the linking master 13a and the inspection master 13b from the storage unit 13 (step S101). Then, the control unit 14 selects one unprocessed inspection item in the inspection master 13b (step S102).

  Subsequently, the control unit 14 determines whether or not clinical test item classification codes that match the test master 13b and the linking master 13a are registered (step S103).

  When the clinical examination item classification code that matches the examination master 13b and the association master 13a is registered (YES in step S103), the control unit 14 associates the information with the information included in the examination master 13b. Association with the information included in the master 13a for registration is performed, and the associated information is registered in the creation information 13c (step S104).

  Thereafter, the control unit 14 determines whether or not the processing for all the inspection items is completed in the inspection master 13b (step S105).

  When the process for all the inspection items is completed (YES in step S105), the generation process of the creation information 13c is ended. If the processing for all the inspection items has not been completed (NO in step S105), the process returns to step S102, and one unprocessed inspection item is selected in the inspection master 13b.

  In step S103, when the clinical examination item classification code that matches the examination master 13b and the association master 13a is not registered (NO in step S103), the control unit 14 associates with the examination master 13b. It is determined whether or not a medical practice code matching the master 13a is registered (step S106).

  When a medical practice code that matches the examination master 13b and the linking master 13a is registered (YES in step S106), in step S104, information included in the examination master 13b and the linking master 13a are registered. Is associated with the information included in the information, and processing for registering the associated information in the creation information 13c is executed. Thereafter, the subsequent processing is continued.

  When the medical practice code that matches the examination master 13b and the linking master 13a is not registered (NO in step S106), the control unit 14 controls the display unit 12 to obtain the examination master 13b. Control is performed to display all inspection item names that match or are similar to the linking master 13a (step S107).

  And the control part 14 receives selection of the inspection item name which a user performs via the input part 11 from all the displayed inspection item names, and is contained in the inspection master 13b corresponding to the inspection item name. The information is associated with the information included in the association master 13a corresponding to the inspection item name, and the associated information is registered in the creation information 13c (step S108).

  Thereafter, the processing after step S105 is executed.

  The inspection master 13b described above may be collected from a plurality of inspection institutions. In this case, the storage unit 13 stores a plurality of inspection masters 13b. Then, the above-described processing is performed on each inspection master 13b, and creation information 13c and inspection request information 13e are generated for each inspection organization.

  Further, the control unit 14 may register information in the linking master 13a by using a plurality of inspection masters 13b when all information is not registered in the linking master 13a. Good.

  For example, the control unit 14 matches a plurality of clinical examination item classification codes registered in the plurality of examination masters 13b but does not match a plurality of medical practice code registered in the plurality of examination masters 13b. Control for displaying a plurality of medical practice codes on the display unit 12 is performed. Then, the control unit 14 accepts selection of one medical practice code from the user, and the selected medical practice code corresponds to the clinical examination item classification code of the linking master 13a that matches the plurality of clinical examination item classification codes. It is good also as adding and registering to the master 13a for correlation.

  In the above-described embodiment, when the control unit 14 determines that the clinical test item classification code that matches the test master 13b and the linking master 13a is registered, the control unit 14 is registered in the test master 13b. However, the following processing may be further performed, although the medical practice code is registered as the examination request code in the examination request information 13e.

  Specifically, the control unit 14 determines that the clinical examination item classification code that matches the examination master 13b and the linking master 13a is registered, but the medical practice code corresponding to the clinical examination item classification code. May not be registered in the examination master 13b, the medical practice code registered in the association master 13a may be registered in the examination request information 13e as an examination request code.

  In addition, the control unit 14 determines that the clinical laboratory item classification codes that match the examination master 13b and the linking master 13a are registered, but the medical practice code corresponding to the clinical laboratory item classification code that matches is registered. When the inspection master 13b and the linking master 13a do not match, control for displaying a confirmation message on the display unit 12 may be performed.

  Furthermore, the control unit 14 updates the clinical examination item classification code in the linking master 13a stored in the storage unit 13, and the examination master 13b and the linking master 13a in which the clinical examination item classification code is updated. It is possible to determine whether or not a clinical test item classification code matching the above is registered, and when it is determined that a clinical test item classification code is not registered, control to display a confirmation message on the display unit 12 may be performed. Good.

  As described above, the storage unit 13 of the test request information generation device 10 according to the present embodiment is provided with the test item name, the clinical test item classification code for specifying the test item, and the receipt request for each test item. For each of the examination items, any one of the examination item name, the clinical examination item classification code, and the medical practice code is stored. At least the registered examination master 13b is stored, and for each examination item of the examination master 13b, the control unit 14 registers clinical examination item classification codes that match the examination master 13b and the linking master 13a. If it is determined whether or not the clinical test item classification code is registered, the information included in the test master 13b and the linking master Perform association with the information contained in 3a, generates examination order information 13e as a code for a test request intervention code inspection master 13b.

  This makes it possible to easily link the original information of the inspection institution with the information held by the medical institution, thereby easily generating inspection request information.

  In addition, when the control unit 14 determines that the clinical examination item classification code that matches the examination master 13b and the linking master 13a is not registered for a specific examination item, the examination is performed for the specific examination item. When it is determined whether or not a matching medical practice code is registered in the master 13b and the linking master 13a, and it is determined that a medical practice code is registered, the information and the string included in the examination master 13b Association with information included in the attaching master 13a is performed.

  Thereby, even when the clinical examination item classification code that matches the examination master 13b and the association master 13a is not registered, the information included in the examination master 13b and the information included in the association master 13a Pegging can be performed.

  In addition, when the control unit 14 determines that a medical practice code that matches the inspection master 13b and the linking master 13a is not registered for the specific inspection item, the control unit 14 performs the inspection for the specific inspection item. It is determined whether or not an inspection item name that matches or is similar to the master 13b and the linking master 13b is registered, and when it is determined that the inspection item name is registered, control for displaying all the inspection item names is performed. Do.

  Thereby, even if there is no clinical examination item classification code and medical practice code that match the examination master 13b and the linking master 13a, the user takes an appropriate action based on the indication of the examination item name. Can do.

  In addition, the control unit 14 generates the inspection request information 13e by including the inspection item name registered in the inspection master 13b as the inspection item name in the inspection request information 13e.

  Thereby, since the name of the inspection item used by the inspection organization is transmitted to the inspection organization, the inspection organization can easily manage the information included in the inspection request information 13e.

  The storage unit 13 stores a plurality of examination masters 13b, and the control unit 14 matches a plurality of clinical examination item classification codes registered in the plurality of examination masters 13b, but a plurality of examination masters 13b. If multiple medical practice codes registered in the list do not match, control is performed to display multiple medical practice codes, further accepting selection of one medical practice code, and selecting the selected clinical practice code as a plurality of clinical examination items The data is registered in the linking master 13a in association with the clinical examination item classification code of the linking master 13a that matches the classification code.

  Accordingly, it is possible to easily register highly reliable information in the linking master 13a using a plurality of inspection masters 13b.

  In addition, the control unit 14 determines that the clinical test item classification code that matches the test master 13b and the linking master 13a is registered, but the medical practice code corresponding to the clinical test item classification code is used for the test. If not registered in the master 13b, the examination request information 13e is generated using the medical practice code registered in the linking master 13a as the examination request code.

  Thereby, even if the medical practice code corresponding to the clinical examination item classification code is not registered in the examination master 13b, the medical practice code can be transmitted to the examination organization.

  In addition, the control unit 14 determines that the clinical laboratory item classification codes that match the examination master 13b and the linking master 13a are registered, but the medical practice code corresponding to the clinical laboratory item classification code that matches is registered. When the inspection master 13b and the linking master 13a do not match, control is performed to display a confirmation message.

  Thereby, even if the clinical practice code is different between the examination master 13b and the linking master 13a, when the clinical examination item classification code matches, the user can easily confirm it and appropriately deal with it. Can do.

  In addition, the control unit 14 updates the clinical examination item classification code in the linking master 13a stored in the storage unit 13, and the examination master 13b and the linking master 13a in which the clinical examination item classification code is updated. It is determined whether or not a clinical test item classification code matching the above is registered, and when it is determined that a clinical test item classification code is not registered, a control message is displayed.

  Thereby, when the clinical examination item classification code is updated to the latest one, it can be easily confirmed whether or not the examination master 13b obtained from the examination organization is compatible with it.

  As mentioned above, although embodiment concerning this invention has been explained in full detail with reference to drawings, the function of each apparatus mentioned above may be realized by a computer program.

  A computer that realizes the functions of the above-described devices by a program includes an input device such as a keyboard, a mouse, and a touch pad, an output device such as a display and a speaker, a CPU (Central Processing Unit), a ROM (Read Only Memory), and a RAM (Random Access memory (HDD), storage devices such as hard disk devices and SSDs (Solid State Drives), readers that read information from recording media such as DVD-ROM (Digital Versatile Disk Read Only Memory) and USB (Universal Serial Bus) memories, and networks The network card etc. which communicate via this are provided and each part is connected by the bus | bath.

  Then, the reading device reads the program from the recording medium on which the program for realizing the function of each device is recorded, and stores the program in the storage device. Or a network card communicates with the server apparatus connected to the network, and memorize | stores the program for implement | achieving the function of said each apparatus downloaded from the server apparatus in a memory | storage device.

  Then, the CPU copies the program stored in the storage device to the RAM, and sequentially reads out the instructions included in the program from the RAM and executes them, thereby realizing the functions of the respective devices.

  The present invention is suitable for an inspection request information generation apparatus and an inspection request information generation method for generating information about an inspection request.

DESCRIPTION OF SYMBOLS 10 Inspection request information production | generation apparatus 11 Input part 12 Display part 13 Memory | storage part 13a Master for connection 13b Master for inspection 13c Creation information 13d Personal data 13e Inspection request information 13f Inspection result information 14 Control part 20 Inspection organization server 30 Network

Claims (9)

For each test item, store a linking master in which at least one of the test item name, a clinical test item classification code for specifying the test item, and a medical practice code for requesting a claim is stored, For each test item, a storage unit that stores a test master in which at least one of the test item name, the clinical test item classification code, and the medical practice code is registered;
For each examination item of the examination master, it is determined whether a clinical examination item classification code matching the examination master and the linking master is registered, and the clinical examination item classification code is registered If it is determined that the information included in the inspection master and the information included in the association master are associated with each other, the medical treatment code of the inspection master is used as an inspection request code, A control unit to generate;
An inspection request information generating device comprising:   When the control unit determines that a clinical test item classification code that matches the test master and the linking master is not registered for a specific test item, the control unit performs the test for the specific test item. When it is determined whether or not a medical practice code matching the master and the linking master is registered, and it is determined that the medical practice code is registered, the information included in the examination master and the string 2. The inspection request information generation device according to claim 1, wherein the inspection request information generation device performs association with information included in the attachment master.   When the control unit determines that a medical practice code that matches the inspection master and the linking master is not registered for the specific inspection item, the control master for the specific inspection item And whether or not an inspection item name that matches or is similar to the linking master is registered, and if it is determined that the inspection item name is registered, control to display all the inspection item names is performed. The inspection request information generation device according to claim 2 to be performed.   4. The control unit according to claim 1, wherein the control unit generates the inspection request information by including the inspection item name registered in the inspection master as the inspection item name in the inspection request information. 5. The inspection request information generation device described. The storage unit stores a plurality of the inspection masters,
The control unit matches a plurality of clinical examination item classification codes registered in the plurality of examination masters, but does not match a plurality of medical practice code registered in the plurality of examination masters, A clinical examination item of the linking master that performs control to display a plurality of medical practice codes, accepts selection of one medical practice code, and matches the selected clinical practice code with the plurality of clinical examination item classification codes The inspection request information generation device according to any one of claims 1 to 4, wherein the inspection request information is registered in the association master in association with a classification code.   The control unit determines that a clinical examination item classification code that matches the examination master and the linking master is registered, and a medical practice code corresponding to the clinical examination item classification code is The examination according to any one of claims 1 to 5, wherein, when not registered in the master, the examination request information is generated using the medical practice code registered in the linking master as the examination request code. Request information generator.   The control unit determines that a matching clinical examination item classification code is registered in the examination master and the linking master, but a medical practice code corresponding to the matched clinical examination item classification code is the examination The inspection request information generation device according to any one of claims 1 to 6, wherein control is performed to display a confirmation message when the master for matching and the master for linking do not match.   The control unit updates the clinical examination item classification code in the linking master stored in the storage unit, and updates the examination master and the linking master in which the clinical examination item classification code is updated. 8. The control according to claim 1, wherein it is determined whether or not a matching clinical laboratory item classification code is registered, and when it is determined that the clinical laboratory item classification code is not registered, a control message is displayed. The inspection request information generation device according to one item. For each test item, an inspection master name, at least one of a test item name, a clinical test item classification code for specifying the test item, and a medical practice code for receiving a claim is registered, and the test item A test request information generation method for generating test request information using a test master in which at least one of the test item name, the clinical test item classification code, and the medical practice code is registered. ,
Determining, for each test item of the test master, whether a clinical test item classification code matching the test master and the linking master is registered;
When it is determined that the clinical examination item classification code is registered, the information included in the examination master and the information contained in the association master are associated, and the medical practice code of the examination master is determined. Generating inspection request information as an inspection request code;
Inspection request information generation method including

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