JP2018072946A - Receipt creation support system - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a receipt input support system which enables a provider of a service such as healthcare, nursing care, recuperation, care, rehabilitation to dynamically input correct receipt data on time.SOLUTION: A human body icon display unit 130 displays a human body icon imitating a human body on a monitor 120, and human body part designation acceptance means 140 accepts designation in response to a touch input to a part of the human body icon. Units of respective parts of the human body icon are positions which can be designated in accordance with receipt examination standards. A receipt creation support unit 170 supports input of information relating to the position of a touched part of the human body icon. The receipt creation support unit 170 can be also configured to support creation of a receipt conforming with the receipt examination standards on the basis of display of candidates for selection on a receipt input item display unit 150 and information inputted via receipt input content designation means 160. Further, the receipt input support system can be configured to use the position of each of parts of the human body icon as user's approval button with respect to informed consent.SELECTED DRAWING: Figure 1

Description

The present invention relates to a receipt creation support system created by a service provider who is qualified for medical care, nursing care, medical treatment, nursing care or rehabilitation in connection with service provision to a user.
Here, the service refers to various acts provided in medical care, nursing, medical treatment, care or rehabilitation, provision of various drugs, use of various devices, and the like.
In addition, the service provider refers to the insurance coverage for users such as doctors, nurses, dentists, dental hygienists, masseurs, massagers, shiatsu teachers, judo reducers, care workers, physical therapists, etc. Say someone who offers possible services and gets rewards.

In providing services such as medical care, nursing, medical treatment, nursing care, or rehabilitation that can be covered by insurance, a medical remuneration statement (hereinafter referred to as “receipt”) is prepared, and the insurer (municipal municipal public health association, mutual aid association) based on the receipt. The insurance inspector examines the legitimacy of the receipt and, if it is valid, pays the insurance claimant medical fees and nursing care fees.
Under the health insurance system and the national health insurance system, medical fees are determined for each user's medical treatment, nursing content, dental treatment, and medical treatment, and the claimant creates a receipt based on the rules for medical fees. Etc. to ask the insurer to which the user belongs to pay the expenses.
Medical treatment institutions that continue treatment for a long time, such as the Osteopathic Hospital, Acupuncture Clinic, and Satsuma Massage Hospital, have a medical treatment fee determined for each medical treatment. In accordance with the above, the insurer to which the healer belongs is requested to pay the medical expenses using the created medical expenses payment application.
In addition, under the long-term care insurance system, long-term care rewards are determined for each user's care, and the claimant pays the insurer to which the user belongs using the created receipt, etc. according to the rules for long-term care remuneration. Ask for payment.

FIG. 16 shows a flow of a system for charging a medical treatment fee or a nursing care fee using a service provider system B having a conventional receipt creation support function.
After the service provider provides the service to the user A, the service provider collectively inputs the service contents provided at the user home A to the service provider system B, while using the receipt creation support function. The receipt was completed manually and sent to the Receipt Reviewer System C.

  Those receipts are checked for legitimate service provision by the receipt reviewing body before being given to the insurer, and if they are determined to be unfair, no medical fees are paid. Therefore, the service provider checks the contents of the receipt in advance by the service provider itself or the office staff before submitting the receipt.

  Such a manual check after creating the receipt takes a lot of time and labor, and if there is a return from the receipt examination body due to omission of check or check mistake, it takes time until payment is received. As a result, the service management of the service provider was directly affected, and the burden on any service provider was large.

Service providers try to create a correctly written and problem-free reception, but the services provided to medical, nursing, medical, nursing or rehabilitation users vary widely depending on the user's condition. Based on various materials showing the conformity to the receipt examination standards provided by the etc., the receipts were inspected one by one while referring to them.
The receipts are generally checked monthly, but if you become a large-scale service provider, thousands of receipts will be created in January, and all of them will be checked manually. Enormous labor and cost is required, and since the time allocated to one receipt is short, there is a possibility that inspection errors may occur.
Even for the receipt payment examination organization, a large amount of receipt examination is conducted every day, and it is a heavy burden to find and extract a receipt that does not meet the conformity to the receipt examination standard provided by the Ministry of Health and Welfare etc. It is difficult to do this.

  Therefore, in the prior art, as a system for supporting reception creation of each service provider, a receipt creation support computer called a receipt computer is provided by various business operators. By using this receipt computer, various checks are performed so that the created receipt conforms to the receipt examination standard. For example, a receipt evaluation system disclosed in Japanese Patent Application Laid-Open No. 2003-076780 is known.

FIG. 17 is a diagram showing an outline of a conventional receipt computer system disclosed in Japanese Patent Laid-Open No. 2003-077680.
As shown in FIG. 17, the conventional receipt computer system disclosed in Japanese Patent Application Laid-Open No. 2003-077680 includes one or a plurality of receipt creation apparatuses 10 and a receipt evaluation apparatus 20 connected via a network. Yes. Each receipt data input and created by the receipt creation device 10 is collected in the receipt evaluation device 20 via the network, and a receipt check is performed by the receipt evaluation device 20.
The receipt evaluation device 20 includes a receipt check unit, and checks the received receipt data according to each check item. Check items include disease name-drug data, disease name-examination data, disease name-treatment data, drug-drug data, drug administration data, number of examination data, number of treatment data, and the like.
Since the receipt evaluation apparatus 20 checks the receipt data, it is ensured that the checked receipt data that has passed the check has a content that conforms to the receipt examination standard.

Japanese Patent Laid-Open No. 2003-077680

In the conventional receipt computer system disclosed in Japanese Patent Application Laid-Open No. 2003-076780, if the contents of the check items used by the receipt evaluation apparatus 20 are enriched, the contents of the checked receipt data can easily conform to the receipt examination standard.
However, as in the conventional receipt computer system disclosed in Japanese Patent Application Laid-Open No. 2003-077680, each receipt data created by the receipt creation apparatus 10 installed in each service provider's office is stored at the center side. In a system of a type in which checking is performed by a device having a check function such as the evaluation device 20, there are the following problems.

The first problem is that the correction procedure after the check takes time and the overall efficiency of the receipt data creation operation is not improved.
Receipt data that is determined to be non-conforming by the check in the receipt evaluation device 20 is notified to the receipt creation device 10, subsequently corrected in the receipt creation device 10, and the receipt data after the correction is received again in the receipt check device. A flow of re-checking by the receipt check device 20 is necessary. In addition, in this way, the receipt data that has been found to be non-conforming by the check is often complicated in service provision or rare service contents that the service provider has never experienced before. There is a possibility that it is determined as non-conforming by the check of the check device 20.

The second problem is that the load when the service provider inputs the receipt data using the receipt creation device 10 is not reduced.
Service providers are dedicated to providing services and provide a wide variety of services to many users. There is no way to create a receipt on-time at the same time when providing services to users, and after the service has been provided for one day, data is entered at the office to create receipt data. This is the current situation. Since service providers rely on memory for input, there may be input due to wrong memory, input with ambiguous content, input omission, and the like. As described above, when there is an unclear item in the input of the receipt data, there is a high possibility that it is determined to be incompatible by the check by the receipt check device 20. As described above, when there is an unclear item in the input of the receipt data, and the fact that the nonconformity is notified to the receipt creation device 10, the service provider gives priority to rework according to the check result by the receipt check device 20. Inevitably, the correctness of my memory will be secondary.

  The third problem is that if the receipt is created after the operation (for example, after business hours) and there is an excess or deficiency of information at that time, the contents of the informed consent for the user and the contents of the user's approval It will be forced to change later, and it will be difficult for the user to give informed consent and approval again. If the correct informed consent and approval is made on the spot, the service to users can be improved, and fraudulent claims such as fictitious billing will be prevented.

If the service provider can input correct receipt data that is on-time and conforms to the receipt examination standard when providing the service, post-processing is eliminated and the load on the service provider is greatly reduced. In addition, if correct receipt data that always conforms to the receipt examination standards can be input, the burden on the receipt examination organization is reduced, and insurance claims and payments can be made without delay.
However, although service providers are experts in the service provision itself, very few people understand the details of the receipt screening standards and can always generate correct receipt data immediately on-time. It is impossible for the service provider.
However, in the prior art, there is no known system that allows a service provider to dynamically input correct receipt data on-time when providing a service.

  Therefore, an object of the present invention is to provide a receipt input support system in which a service provider can dynamically input correct receipt data on-time when providing a service.

In order to achieve the above object, the receipt creation support system according to the present invention creates a receipt created by a service provider who is qualified for medical care, nursing, medical treatment, care or rehabilitation in connection with the provision of services to users. A support system that is displayed on the portable terminal that can be carried by the service provider, a human body icon display unit that displays a human body icon imitating a human body on a monitor of the portable terminal, and the human body icon display unit Part designation accepting means that accepts designation of the part by touch input to the part of the human body icon, and the unit of each part that can be designated is a part that can be designated by a receipt examination standard; and the portable terminal When the part designation accepting means designates the part of the human body icon displayed on the monitor of the A structure having a receipt preparation supporting unit input are possible information regarding exposure of the site of receipts according to the-bis provided.
With the above-described configuration, it is possible to specify a site for which a service is to be provided simply by touching visible symbols such as a human body icon and its parts with a finger or the like. In the creation of a receipt, the identification of a part is a basic item, and the input of the name can be saved, and further, the details of the service provision contents for each part can be input.

Next, in order to enable detailed input of the contents of service provision for each part that conforms to the reception screening standards, the reception creation support system of the present invention includes a reception screening standard database storing various information on the reception screening standards, A reception input item display unit for displaying selection candidates on the monitor for reception input items including injury names, symptoms, and treatments that can be assigned to each part of the human body in accordance with the receipt examination criteria; and on the monitor It is configured to include a receipt input content designation unit that accepts designation of input content for the receipt input item by touch input to the selection candidate of the displayed receipt input item, and the receipt creation support unit includes the receipt input item. Display of the selection candidates on the display unit, and the receipt input content specifying means By repeating specification of concept entries, and it can be to create a receipt conforming to the receipt screening criteria.
With the above configuration, only the receipt input items including the name of the sickness, symptom, and treatment action that can be assigned to each part of the human body according to the receipt examination standard are displayed for each part to be provided with service. Therefore, it is not possible to input slang words or arbitrary expressions that are commonly used by service providers as in the past. Receipts that meet the screening criteria can be created.

  In addition, the input itself is centered on selection by touch input, and the character input by the service provider is basically eliminated, and the data input work can be completed in a short time by the selection input by touch. It is possible to create a typical receipt.

As a device, the display of the human body part of the human body icon specified by touching the human body icon display unit can be modified by highlighting or emphasizing.
The modified human body part may also be configured to also serve as an approval button for receiving an input of intention indicating that the user approves after providing informed consent regarding the contents of service provided to the user.
In this way, according to the user's approval by touching the part of the affected area highlighted or highlighted in the human body icon, it is easy to understand that the approval is only for the part related to the treatment, It is possible to effectively prevent an illegal act of performing a treatment with water inflated to the site.

  As a further ingenuity, the “remaining number of repetitions of the display of selection candidates by the receipt input item display unit and the specification of the receipt input content by the means for specifying the receipt input” required to create a receipt that conforms to the criteria for the receipt examination. A configuration for displaying on a monitor is also possible. There is information that should be obtained through interviews in order to create a receipt that complies with the receipt screening standards, but it is convenient to check whether there are any items that are missing as necessary information. In particular, in the case of a service provider who is inexperienced, or in a case where the site or symptom is rare, it is possible to intuitively know how much information necessary for creating a receipt remains, and thus it is possible to prevent hearing leakage.

Next, as a further contrivance, there is a function for prompting input of uninput information. For items that require input to be completed as a receipt, the service provider may not be able to grasp all the input items and actively enter them, and items that should be input at the site of service provision may be dropped. obtain.
Therefore, the receipt creation support system according to the present invention includes a non-input information extraction unit that extracts a non-input item among receipt input items, and an inquiry associated with the non-input item extracted by the non-input information extraction unit. Q & A presenting means for presenting content candidates or hearing content candidates, and information obtained by the service provider asking questions from the interview content candidates or hearing content candidates presented by the Q & A presenting means Q & A input accepting means for inputting is provided, and the receipt creation support unit can assist the input of information for an unentered item based on the information inputted from the Q & A input accepting means.

  In addition, as question content candidate or hearing content candidate by the above Q & A presenting means, it is related to treatment contents, injury / disease name, modifiers indicating the site related to injury / disease name, administration drug, and use device required for completion of the receipt. There may be candidates for obtaining missing information that is missing in order to be able to identify information.

In addition, the selection candidates presented by the receipt input item display unit and the inquiry content candidates or interview content candidates presented by the Q & A presenting means are limited to terms and options that conform to the receipt examination criteria accumulated in the receipt examination criteria database. It is preferable that the receipt completed as a result of the receipt support by the receipt creation support unit is guaranteed to meet the receipt examination standard.
With the above configuration, it is possible to specify the parts to be serviced and to enter details of the contents of service provision for each part, and also to the user about unentered items that the service provider could not actively enter It is possible to provide input support in the Q & A format, which is an appropriate hearing content, and it is possible to dynamically input all information necessary for creating receipt data in real time at the service provision site.

  Furthermore, the receipt creation support system of the present invention can be configured such that the created receipt data is compared with past approved receipt data to confirm its consistency. In other words, it has an approved receipt database that accumulates approved receipts that have been approved in the past by the reviewing organization of the receipt, and the receipt creation support department has completed the receipt support and completed the receipt and stored in the approved receipt database. Compared with the approved receipt, at least a treatment conformity, a wound name, and a receipt conformity confirmation means for confirming whether or not a modifier representing a site related to the wound name matches are included.

It goes without saying that the receipt creation support system of the present invention can also be applied to a plurality of affected areas. What is necessary is just to receive an input separately about a 1st affected part and a 2nd affected part. When input is made for a plurality of affected areas, the informed consent for the first affected area and the second affected area and the approval through the user's human body parts may be performed individually. The receipt itself may be created as a merged type by describing information on a plurality of parts.
In general, Q & A questionnaires may be handed over to the patient before the operation, and the patient himself / herself fills in a pre-inquiry. However, some functions of the receipt creation support system of the present invention may be used in advance. This is used as an input tool, and some items are set to be inputable in advance by the user's own touch input, and the contents of the input result of the prior inquiry are displayed by the service provider at the main examination. It is also possible to input all items while checking.

The receipt creation support system according to the present invention can identify a part to be provided with a service only by touching a visible symbol such as a human body icon and its parts with a finger or the like.
In the receipt creation support system of the present invention, only the receipt input items including the injury name, symptom, and treatment action that can be assigned to each part of the human body according to the receipt examination standard are displayed for each part to be provided with the service, Since the input is selected and input, the input content is always normalized so as to be content that conforms to the receipt screening standards, and a receipt that conforms to the reception screening standards can be created.
In addition, the receipt creation support system of the present invention enables input support in a Q & A format, which is an appropriate hearing content to the user, even for unentered items that the service provider has not been able to actively input. All information necessary for data creation can be dynamically input in real time at the service provision site.
A part of the function of the receipt creation support system of the present invention can also be used as an input tool for prior inquiry inputted by the patient himself.

It is a figure which shows simply the structure of the receipt creation assistance system of this invention. It is the figure which showed the inquiry-input procedure 1 of a receipt preparation assistance system. It is the figure which showed the inquiry-input procedure 2 of a receipt preparation assistance system. It is the figure which showed the inquiry-input procedure 3 of a receipt preparation assistance system. It is the figure (the 1) which showed the inquiry-input procedure 4 of a receipt preparation assistance system. It is the figure (the 2) which showed the inquiry-input procedure 4 of a receipt preparation assistance system. It is the figure (the 3) which showed the inquiry-input procedure 4 of a receipt preparation assistance system. It is the figure which showed the inquiry-input procedure 5 of a receipt preparation assistance system. It is the figure which showed the inquiry-input procedure 6 of a receipt preparation assistance system. It is the figure which showed the inquiry-input procedure 7 of a receipt preparation assistance system. It is the figure which showed the inquiry-input procedure 8 of a receipt preparation assistance system. It is the figure which showed the inquiry-input procedure 9 of a receipt preparation assistance system. It is the figure which showed simply the receipt data of the form image which a receipt preparation assistance system produces. It is the figure which showed simply the operation record which a receipt preparation support system produces. It is the figure which showed simply a mode that the receipt data produced by the receipt production assistance system were transmitted to an external system. It is a figure which shows the flow of the system which charges a medical treatment reward and a nursing care reward using the service provider system B with the conventional receipt preparation assistance function. It is a figure which shows the payment claim office work system described in Unexamined-Japanese-Patent No. 2009-032129.

Hereinafter, the best mode for carrying out the present invention will be described specifically by way of examples. The present invention is not limited to these examples.
The receipt creation support system of the present invention is used in the fields of medical care, nursing, medical treatment, nursing care or rehabilitation.
In the following description, the medical treatment fee, nursing medical fee, dental medical fee, medical treatment fee, nursing care fee, nursing care fee for rehabilitation are included in the rewards targeted by the receipt creation support system of the present invention. However, for example, an integrated system that can handle all cases is possible, and a specialized system is also possible. In other words, if the system is tuned for a medical institution, it is a system that mainly deals with medical treatment fees for nursing and nursing, and if it is a system that is tuned for a dental clinic, it is a system that mainly deals with dental treatment fees. It becomes. Similarly, if the system is tuned for osteopaths, needles and acupuncture, it will be a system that mainly deals with medical treatment fees. If it is a system that is tuned for nursing stations and rehabilitation stations, nursing care fees and rehabilitation will be provided. It is also possible to use a system that mainly handles nursing care rewards.

In the following example, explanation will be made taking medical treatment as an example.
Here, medical treatment is for those who are continuously receiving medical treatment due to illness or injury, and those who have national qualifications such as Satsuma, Masseur, Shiatsu, Judo Reduction, etc. Appropriate treatment. Reduce or reduce fractures, dislocations, bruises, sprains, contusions, etc. caused by acute or subacute causes of bones, joints, muscles, tendons, ligaments, etc. by non-surgical treatment without surgery It is said to be a treatment that maximizes the healing ability of human beings by fixing them.

A configuration example of a receipt creation support system 100 according to the present invention will be described with reference to the drawings.
FIG. 1 is a diagram simply showing the structure of a receipt creation support system 100 of the present invention.
In FIG. 1, in addition to the receipt creation support system 100 of the present invention carried by the service provider, the service provider system 300 installed by the service provider or the operating body, the receipt examination payment of the payment fund / National Health Insurance Federation, etc. A receipt examination system 500 installed and managed by the institution and an insurer system 600 installed and managed by the insurer are also shown.

Each component of the receipt creation support system 100 according to the first embodiment of the present invention will be described.
The configuration example of the receipt creation support system 100 according to the first embodiment shown in FIG. 1 includes a portable terminal 110, a touch panel monitor 120, a human body icon display unit 130, a part designation receiving unit 140, and a receipt input item display unit 150. , A receipt input content designation means 160, a receipt creation support unit 170, a receipt examination standard database 180, an insurance information database 181 and a communication unit 190.
Although not shown as a configuration, there may be a configuration equipped with a service provider authentication unit, a service provider information database, a user information database, and a schedule management unit.

  The service provider authentication unit (not shown) is a part that authenticates who is providing the service to the user while using the receipt creation support system 100 of the present invention. There are various authentication methods of the service provider authentication unit. For example, a method of inputting an ID number, a method of reading and inputting ID information stored in an IC card, fingerprint information, finger vein information, etc. There is a method of inputting biometric information.

  The service provider information database (not shown) is a database that stores various information of service providers that provide services such as medical treatment, medical treatment, and nursing care. In addition to name, qualification information, service provider ID information, Service information such as the name, service content, and schedule of the user who is scheduled to provide the service by the service provider can also be stored. In the case where the service provider ID information is biometric information, biometric information of the service provider, for example, finger vein pattern information, fingerprint information, palm vein pattern information, iris pattern information, and the like can be stored.

The user information database (not shown) is a database that stores various information for each user who wishes to provide services such as medical care, medical treatment, and nursing care, and uses the user's name, address, age, insurance number, etc. In addition to various information indicating user attributes, user status information indicating the user's status, such as the name and symptoms of the user and the degree of care required, and the contents of the service scheduled to be provided to the user and its schedule, etc. The service information can also be stored.
When providing services, users can access various information about users stored in the user information database to confirm the provision of services such as medical treatment, medical treatment, and nursing care, and can proceed with interviews and interviews. .

  The schedule management unit (not shown) is a function that can manage a service provision schedule for each service provider. When a service provider has a number of service provision schedules, it is convenient to have a function capable of managing the service provision schedule.

Next, each component shown in FIG. 1 will be described.
The portable terminal 110 is a main body part of a portable terminal carried by a service provider. As the portable terminal 110, a smartphone equipped with an application for functioning as the receipt creation support system 100 of the present invention can be used.
General-purpose smartphones are equipped with touch panel monitors, camera shooting functions, GPS functions, ID information reading functions such as fingerprint authentication, and various other functions by launching various applications. 1 can be obtained by incorporating an application so as to exhibit the function of each component of the receipt creation support system 100 of the present invention.
The portable terminal 110 is a specific application that demonstrates the function of each component of the receipt creation support system 100 of the present invention, as well as a doctor, a nurse, a dentist, a dental hygienist, a masseur, a masseur, a chiropractor, and judo. Other applications that are useful in providing services based on their respective qualifications, such as reduction workers, care workers, and physical therapists, may be incorporated.

  The touch panel monitor 120 is a monitor / input interface that enables data input and selection designation by a touch of a service provider to be operated. When the portable terminal 110 is equipped with a touch panel monitor, the monitor can be used as the touch panel monitor 120.

The human body icon display unit 130 displays a human body icon imitating a human body on the touch panel monitor 120. The human body icon may be any object that can be recognized as a human body by the service provider, but the human body icon is designed to be recognized for each part of the human body so that the human body part can be designated by the part designation receiving means described later. It is preferable.
In the example of FIG. 1, the human body icons are designed to be recognized as parts of the head, neck, torso, shoulder, upper arm, elbow, forearm, wrist / hand, waist, thigh, knee, lower leg, ankle / foot. Has been. It is preferable that the unit of each of these parts corresponds to a part that can be designated by the receipt examination standard.

The part designation accepting unit 140 accepts designation for each part by touch input to each part of the human body icon displayed by the human body icon display unit 130. For example, in the example of FIG. 1, when the waist part of the human body icon is touched, the parts designation receiving means 140 detects that the waist part has been designated by the service provider and obtains designated input data.
When the part designation receiving means 140 receives a human body part designation input, the designation input data is transferred to the receipt creation support unit 170, and as will be described later, as the receipt data creation, the target part is related to "waist". As going to help with receipt creation. Furthermore, it is possible to continue to input information relating to the reception of the body part “waist” related to service provision.

The receipt input item display unit 150 displays selection candidates on the touch panel monitor 120 for the receipt input items including injury names, symptoms, and treatment actions that can be assigned to each part of the human body according to the receipt examination standard.
Although the method of displaying each receipt input item by the receipt input item display unit 150 is not limited, for example, a non-input item is displayed as a blank in a form format, and a choice is displayed in a pull-down menu type by touching the blank. good.

The receipt input content designation means 160 provides a function of accepting designation of input content for a receipt input item by touch input to a selection candidate of the receipt input item displayed on the touch panel monitor 120. By restricting the receipt input content specifying means 160 so that only the choices displayed by the receipt input item display unit 150 can be selected, the receipt data created by the receipt creation support unit 170 is received at the receipt examination organization. It can be created with content that fits all the time.
Of course, it is possible to input an arbitrary description for an item such as a free description column that has no problem in conformity with the receipt examination.

The receipt creation support unit 170 collects data necessary for creating a receipt by repeating the display of the selection candidates by the receipt input item display unit 150 and the specification of the receipt input content by the receipt input content designating unit 160, and inputs them. Based on the data, we support the creation of a receipt that conforms to the receipt screening standards. The receipt completed by the receipt creation support section 170 is a receipt that conforms to the receipt examination standard.
In other words, only the receipt input items including injury names, symptoms, and treatment actions that can be assigned to each part of the human body according to the receipt examination standard are displayed for each part to be provided with service. Therefore, the input content must be normalized so that it conforms to the receipt screening standards, and it is impossible to input slang words and arbitrary expressions that are commonly used by service providers as in the past. The unit 170 can create a receipt that conforms to the receipt examination standard. Further, since the input itself is mainly selected by touch input, character input by the service provider is basically eliminated, and unique expressions of the service provider are eliminated.
In this example, the receipt creation support unit 170 includes sub-modules of a non-input information extraction unit 171, a Q & A presentation unit 172, and a Q & A input reception unit 173 in order to improve the receipt creation support function.

The uninput information extraction unit 171 extracts an uninput item from the receipt input items to be input. The uninput information extraction unit 171 works in conjunction with the receipt examination standard database 180 and the approved receipt database 182 to detect items that are insufficient to create the receipt data that conforms to the receipt examination standard. Since the information regarding the receipt input item to be input is stored in the receipt screening criteria database 180, the uninput information extraction means 171 accesses the reception screening criteria database 180 to detect the uninput receipt input items. be able to. In addition, since the approved receipt database 182 is actually submitted in the past and approved receipt data is accumulated, by comparing the approved receipt data with the receipt input items currently collected, An uninput receipt input item can be detected.
The uninput information extraction unit 171 may be activated upon receiving a request for detection of an uninput receipt input item from the service provider, or provides a service for the receipt input item presented by the receipt input item display unit 150. If the person does not input for a while, the receipt creation support unit 170 may automatically activate the uninput information extraction unit 171.

Here, the non-input information extracting means 171 has a function of displaying the remaining number on the touch panel monitor 120 after detecting the remaining number of uninput receipt input items when generating the receipt data conforming to the receipt examination standard. Can also be prepared. For example, if the number of uninput receipt input items is five, the display of the non-input item “5” is displayed. If one receipt input item is filled by the operation of the service provider, the uninput item is displayed as “4”. That is, by repeating the display of the selection candidate by the above-described receipt input item display unit 150 and the specification of the receipt input content by the receipt input content specifying unit 160, the number of uninput receipt input items is reduced.
In this way, if the remaining number of input items remaining in order to obtain receipt data that conforms to the receipt screening standard is known, input omissions can be eliminated in interviews and hearings, and unreceived receipt input items can be recognized. .

  The Q & A presenting means 172 assists the display of the selection candidate by the receipt input item display unit 150 and the specification of the receipt input content by the receipt input content specifying means 160, and the uninput items extracted by the non-input information extraction means This is a function for presenting a candidate for interview contents or a candidate for interview contents associated with. As described above, the selection candidate display by the receipt input item display unit 150 is a receipt input item that conforms to the receipt examination standard as described above, and only items that are correctly expressed in “formal terms used in the receipt”. Is displayed, and is selected by touch input via the receipt input content specifying means 160. In other words, only the injured name, symptom, and conclusion of the cause of the injury that are found as a result of the interview and hearing are entered in formal terms, but the interview and hearing to hear and derive it consists of conversation with the patient Therefore, a gap can occur there. Veteran service providers can conduct targeted interviews and interviews with users such as the elderly, but not all service providers can perform targeted interviews and interviews. Absent. Therefore, the Q & A presenting means 172 presents the inquiry content candidate or the hearing content candidate associated with the uninput item.

The candidate for interview contents or the candidate for interview contents by the Q & A presenting means 172 specifies the information about the treatment contents, the name of the disease, the modifier related to the site related to the name of the disease, the administered drug, and the device used, which are required for completing the receipt. Any candidate may be used as long as it is a candidate for obtaining missing information that is insufficient to obtain.
For example, as a Q & A for investigating the cause of injury, “When did you get injured?”, “Where did you get injured?”, “What caused the injury?” “What happens when you get injured?”, “How did you get injured?” Etc., questions for eliciting the cause of the injury are presented step by step, and candidate answers are presented in a pull-down menu. The service provider may ask the user in spoken language.

The Q & A input accepting unit 173 is a part that accepts input of information obtained by the service provider asking a question based on the interview content candidate or the interview content candidate presented by the Q & A presenting unit 172. Yes, based on the user's answer, the service provider inputs the corresponding answer from the pull-down menu presented by the Q & A presenting means 172 by touch input. The Q & A input reception unit 173 passes the response data designated by the touch input to the receipt creation support unit 170.
If the information that can fill the receipt input item can be collected by the interlocking of the Q & A presentation unit 172 and the Q & A input reception unit 173, the receipt creation support unit 170 completes the receipt input item.

The user approval unit 174 is a part that accepts input of an intention display to approve the content from the user after giving informed consent to the user. The approval button is presented on the touch panel monitor 120 and the button is pressed.
In this example, it is assumed that the selected human body part itself modified with highlight or the like also serves as an “approval button”. That is, the user touches the human body part indicating the affected part on the human body icon with respect to the informed consent received for each affected part to be treated, so that the user approval unit 174 receives the approval by the user.

  The receipt examination standard database 180 is a database in which various information on the receipt examination standard is accumulated. It is preferable that various information on the latest version of the receipt examination standard is accumulated, and if the receipt examination standard is revised by the insurer, it is preferably replaced with the latest version at any time.

  The insurance information database 181 includes basic information on local governments and other companies (information on insured persons), basic information on medical institutions and dispensing pharmacies such as hospitals (information on approval applications, etc.), and the Ministry of Health and Welfare at the time of law revision. Information necessary for calculating the medical fee issued by the hospital is received, and the receipt data creation unit 170 accesses the insurance information database 160 to convert the medical care contents into insurance points when the medical care contents are converted into insurance points. And necessary information such as calculation formulas can be acquired.

The approved receipt database 182 is a database in which approved receipts that have been approved in the past by the examination of the receipt examination organization are accumulated. The receipt creation support unit 170 compares the created receipt with the past approved receipts stored in the approved receipt database 182, and at least a treatment word, a wound name, and a modifier representing a site related to the wound name are present. A receipt conformity confirmation function for confirming whether or not they match is provided.
The communication unit 190 has a data communication function via a network. The receipt creation support unit 170 is used to transmit the completed receipt data to the receipt examination system 500.
The above is a brief description of each component of the receipt creation support system 100.

Next, the service provider system 300 will be described.
The service provider system 300 is a system managed and operated by the service provider. There can be various forms depending on the service provided.
For medical care and nursing, the management body of the medical institution operates. If it is a dental practice, it is operated by a management body such as a dental clinic. If it is medical treatment, it is operated by the management body such as osteopathic clinic and hospital. If it is nursing care, it is operated by a management entity such as a home care support provider. In the case of rehabilitation, the management body of the medical institution operates.
Since the receipt data created by the receipt creation support system 100 is dynamically created and transmitted at the service provision site, the service provider system 300 stores the receipt data, and once a week or a month. The received receipt data is transmitted at a frequency agreed with the receipt examination organization such as once.

  Next, the receipt screening system 400 will be described. The receipt review system 400 is a system established and managed by a receipt review / payment organization such as a payment fund / National Health Insurance Federation, and receives information such as receipt data necessary for the receipt review, and results of the receipt review (return notification) Information). In the configuration example of FIG. 1, since the receipt data created by the receipt creation support system 100 is transmitted to the service provider system 300 and aggregated, the notification of the result of the receipt examination from the receipt examination system 400 is notified to the service provider system 300. To do.

Insurer system 500 is a system established and managed by insurers of local governments (National Health Insurance, etc.) and companies (Health Insurance Associations, etc.), which includes information on the insured and is approved by the Receipt Review Organization According to the received data, insurance payment processing is performed according to the medical fee request.
The above is the description of the system configuration centering on the receipt creation support system 100 shown in FIG.

Next, an inquiry process for the user executed in the receipt creation support system 100, a service provision content determination process through hearing, a termination process after the service provision, and a flow of the receipt creation process will be described in order.
In the following example, the flow from the inquiry to the treatment at the osteopathic clinic will be described as an example, but the flow from the inquiry to the treatment at the medical clinic, rehabilitation facility, care facility, and physical therapy facility can be considered in the same way.
2 to 12 and 15 are diagrams showing the flow of operations and data processing in the configuration example of the receipt creation support system shown in FIG. 1, and FIG. 13 is a receipt printed from the created receipt data. FIG. 14 shows an image of a surgical record to be created.
In the following flow of operations, it is assumed that a service provider schedules service provision for users as a premise. Furthermore, in the case of medical treatment, it is assumed that the medical treatment plan and the medical treatment payment application form have been created, and that the paperwork such as signature of the necessary medical treatment payment application has been completed.
Also, in general, Q & A format questionnaires may be handed over to patients who come to the hospital, and the patient himself / herself fills out and conducts prior interviews, but some functions of the receipt creation support system of the present invention are It is used as an input tool for pre-examination for patients, and some items can be entered in advance by the user's own touch input, and the service provider inputs the pre-examination at the main examination. It is also possible to input all items while checking the content of the result.

[Operating procedure]
The service provider starts an application of the receipt creation support system 100 installed in advance on the mobile terminal, displays an initial screen for inquiry in the receipt creation support system 100, and interviews the user.
At the beginning of the interview, check the user's name.

[Display initial screen]
The service provider operates the application of the receipt creation support system 100 and taps the “Start” button.
The human body icon display unit 130 displays a human body icon on the touch panel monitor 120 (FIG. 2).
In this example, it is assumed that there is a function for displaying the remaining number of uninput receipt input items by the non-input information extraction means 171. As will be described later, the total number of unreceived receipt input items is four items of "injury name", "injury cause", "injury date", and "procedure details". Seven items including "" symptom "" and "test result" are handled. For example, as shown in FIG. 2, the remaining number "7" is displayed near the right shoulder.

[Interview-Input procedure 1: Select site]
The service provider starts an inquiry with the user.
In the inquiry to the user, the service provider hears a site where the user has pain or discomfort, confirms that the site is an affected area, and then touches the affected area on the human body icon. In this example, it is assumed that there is an offer from the user that “the back hurts”, and it is confirmed that the lumbar region is an affected part by palpation of the service provider. As shown in FIG. Touch the upper waist area with your finger to input.
The part designation accepting unit 140 accepts designation of the waist part by touch input to the waist part among the parts of the human body icon displayed by the human body icon display unit 130 (FIG. 2).
Since the input item of “part” is determined, the remaining number of uninput receipt input items displayed on the right shoulder is displayed as “6”.

[Interview-Input procedure 2: Selecting symptoms]
Upon receipt of the designation of the lumbar region, the receipt input item display unit 150 displays the name of a symptom that can occur in the lumbar region, in terms that are recognized on the basis of receipt creation.
In this example, as shown in FIG. 3, “fracture”, “incomplete fracture”, “dislocation”, “bruise”, “sprain”, “contusion”, and the like are displayed as possible symptoms that may occur in the lower back region.
Here, it is assumed that it is confirmed to be “sprain” from the state of the lumbar region by observation, palpation, etc. of the service provider. As shown in FIG. 3, the service provider selects the pull-down menu on the touch panel monitor 120. Then touch "Sprain" with your finger.
The receipt input content designation means 160 accepts designation of “sprain” as “symptom” by touch input to “sprain” in the pull-down menu displayed by the receipt input item display unit 150 (FIG. 3).
Since the input item of “symptom” is determined, the remaining number of uninput receipt input items displayed on the right shoulder is displayed as “5”.

[Interview-Input procedure 3: Injury name selection]
In response to the presentation of the selection candidates of the receipt input item display unit 150 and the designation of the symptom “sprain” by the receipt input content designating unit 160, the receipt input item display unit 150 displays the “injury name” that may occur as a sprain on the lumbar region. "Is displayed in terms that are allowed under the receipt preparation standards.
In this example, as shown in FIG. 4, “lumbar sprain”, “lumbar sprain”, “right hip sprain”, “left hip sprain”, and the like are displayed as candidates for injuries caused by sprains that may occur in the lumbar region.
Here, it is assumed that the waist has been confirmed to be “lumbar sprain” from the state of the lumbar region by palpation of bones, cartilage, muscles, etc. of the lumbar region by the service provider. As shown in FIG. From the pull-down menu on the touch panel monitor 120, touch “lumbar sprain” with a finger and input.
The receipt input content designation means 160 accepts designation of “lumbar sprain” as “injured name” by touch input to “lumbar sprain” in the pull-down menu displayed by the receipt input item display unit 150 (FIG. 4).
Since the input item of “injury name” has been determined, the remaining number of uninput receipt input items displayed on the right shoulder is displayed as “4”.
The item of “injury name” is an item directly written in the receipt as shown in FIG.

[Interview-Input procedure 4: Confirming the cause of injury]
Next, the process proceeds to confirmation of the cause of injury.
Since there are a plurality of pieces of information to be collected for confirming the cause of the injury, it is assumed here that the non-input information extraction unit 171 of the receipt creation support unit 170 is activated and receives support according to the designation of the user. In a state where the receipt input item display unit 150 requests input of information necessary for confirming the cause of the injury, a situation in which the service provider does not input for a while continues, and the receipt creation support unit 170 automatically selects the uninput information extraction unit 171. May be activated.
The uninput information extraction unit 171 detects that the cause of injury remains as an uninput item by comparing the input item with the receipt examination standard database 180 and the approved receipt database 182.

The Q & A presenting means 172 selects a question pattern (Q) necessary for obtaining data that conforms to the receipt creation criteria for the cause of injury that is a non-input item detected by the non-input information extracting means 171, and the touch panel monitor 120. Display the questionnaire (Q). The Q & A presenting means 172 also displays the answer candidate (A) in a format such as a pull-down menu.
In the example of FIG. 5, a question item (Q) “when?” Is presented. The service provider uses the question (Q) presented by the Q & A presenting means 172 as a reference for the inquiry and asks when the injury was injured. Here, it is assumed that the user has learned that it is “timing when returning home from work”. In the example of FIG. 5, “after getting up”, “commuting”, “working”, “going home”, “after going home”, and the like are presented as answer candidates (A). Here, “after going home” is selected.
The Q & A input receiving unit 173 receives an input designation of data “after returning home” from the answer candidates (A) touched by the service provider.

If there is still insufficient information to be collected to confirm the cause of injury, Q & A presentation means 172 presents questions (Q), answer candidates (A), and Q & A input acceptance means 173 accepts data input designation Is repeated.
In this example, as shown in FIG. 6, the Q & A presenting means 172 causes questions “Q” where “Where is it?” “Injury inducer?” “What is the action?” “What happened?” The answer candidate (A) presentation and the data input designation by the Q & A input accepting unit 173 are repeatedly accepted.
When information to be collected for confirmation of the cause of injury is prepared, the receipt creation support unit 170 automatically generates a receipt input item that conforms to the receipt examination standard.
Here, as shown in FIG. 7, the cause of the injury that conforms to the receipt examination standard that the waist was stretched and injured by trying to pull out a large pan in the kitchen at home after returning home, as shown in FIG. 7. The contents to be filled in in the explanation column are created.
Since the input item of “cause of injury” has been determined, the remaining number of uninput receipt input items displayed on the right shoulder is displayed as “3”.

[Interview-Input procedure 5: Confirmation of injury date]
Next, it shifts to confirmation of the injury date.
Here, since the input item of “cause of injury” has been completed in the most recent procedure, the receipt input item display unit 150 is activated again, and the input screen of “injury date” as shown in FIG. Is displayed. Here, since the date and time when the user was injured replied “around 19:30 on October 31, 2015”, the service provider responds to the input screen of “injury date” on the touch panel monitor 120. Touch with your finger to enter. In this example, the year, month, day, hour, and minute are displayed in a pull-down menu, and input is possible by touching the number of the corresponding date.
The receipt input content designation means 160 accepts designation of “injury date / time” by touch input to the numbers in the pull-down menu displayed by the receipt input item display unit 150 (FIG. 8).
Since the input item of “injury date” has been determined, the remaining number of uninput receipt input items displayed on the right shoulder is displayed as “2”.
The item of “injury name” is an item directly written in the receipt as shown in FIG.

[Interview-Input procedure 6: Input of test results]
Next, the service provider inspects the user in order to identify a detailed injured part and examine the degree of the injury. The examination may be palpation, auscultation or measurement using a medical device.
The receipt input item display unit 150 displays examination items that can be examination candidates based on the injured site, symptom, injured name, injured cause, and the like that have been inputted. In this example, as shown in FIG. 9, inspection items such as “pain pain”, “flexion pain”, “tenderness”, and “hot feeling” are displayed on the touch panel monitor 120.
The service provider may perform all the inspection items displayed by the receipt input item display unit 150, or may select and perform only a part of the inspection items. In this example, it is assumed that “rotation pain”, “flexion pain”, and “tenderness” are inspected. As shown in FIG. 9, a check box is attached to the inspection item, and every time the check item is executed, the check is performed by tapping the check box.
The input method of the test result is not particularly limited, but if it is a two-step display of “presence / absence”, “○” or “×” may be displayed. You may display and input by the number of taps. If it is a measurement result using a medical device, a measurement numerical value may be input from a pull-down menu.
In this example, as shown in FIG. 9, the receipt input item display unit 150 displays an input screen of “five steps of pain display” for each examination item, and displays a tap button and inputs by the number of taps. It is something to be made.
The receipt input content designation means 160 accepts the input of “five-step pain display” by counting the number of taps of the button displayed by the receipt input item display unit 150 (FIG. 9).
Since the input item of “inspection result” has been determined, the remaining number of uninput receipt input items displayed on the right shoulder is displayed as “1”.

[Interview-Input procedure 7: Enter treatment details]
Next, the service provider determines the service content to be provided and inputs the service content to be provided. In this example, the treatment content is input.
The receipt input item display unit 150 displays items that can be candidates for treatment contents based on the injury site, symptoms, injury name, injury cause, and examination results that have been input. In this example, from the injury name “lumbar sprain” and the numerical value of the test result, as shown in FIG. 10, “Trigger Point Therapy”, “Exercise Therapy”, “ROM Training”, “Tension Relief”, etc. are displayed on the touch panel monitor 120. Displays treatment items.
The service provider may adopt all the treatment items displayed by the receipt input item display unit 150, or may select only a part of the treatment items. In this example, it is assumed that the “trigger point therapy” and “tension relief” treatment items are selected. As shown in FIG. 10, a check box is attached to the treatment item, and each time it is adopted, the check box is tapped to check the treatment item.

Further, when a treatment item is tapped, an input screen for selecting which muscle to perform the treatment item is displayed. In this example, as shown in FIG. 10, muscles related to “trigger point therapy” of “lumbar sprain” are displayed. In this example, candidate muscles to be treated such as “great gluteus muscle”, “large quadriceps muscle”, and “standing muscle” are displayed, and “large gluteus muscle” and “standing muscle” are selected.
The receipt input content specifying means 160 accepts input of treatment items, treatment muscles, and the like displayed by the receipt input item display unit 150, and receives receipts with treatment details such as lumbar sprain, relaxation of the gluteal muscles and standing muscles by trigger point therapy. Items are determined (FIG. 10).
The item “treatment content” is an item that is directly written in the receipt as shown in FIG.
Since the input item of “treatment content” has been determined, the remaining number of uninput receipt input items displayed on the right shoulder is displayed as “0”.

[Interview-Input procedure 8: Attempt to create a receipt]
The receipt creation support system 100 according to the present invention is a system in which a receipt can be completed on the spot if a service provider inputs information obtained through an inquiry or interview with a user.
In response to the remaining number of uninput receipt input items becoming “0”, the receipt creation support unit 170 tries to create receipt data based on the information inputted so far. At that time, the receipt creation support unit 170 may refer to the receipt examination standard database 180 and the insurance information database 181.
The receipt creation support unit 170 compares the created receipt data with the previously received receipt data stored in the approved receipt database 182 so that the receipt data can be approved by the receipt reviewing institution. Confirmation is also made (FIG. 11).
At this point, the service provider can confirm that the receipt data meeting the receipt examination standard has been prepared.

[Interview-Input procedure 8: Informed consent, user approval]
The service provider explains the treatment policy based on the results of interviews, interviews, and examinations to the user and gives informed consent.
The user receives the explanation of the service provider and the treatment policy established by the service provider, and agrees and approves it. In this example, it is assumed that the user touches the site of the affected area highlighted in the human body icon displayed on the touch panel type monitor 120 of the receipt creation support system 100 as an approval intention display.
For example, “Because my hips are sprained, I do a massage called trigger point therapy to loosen the standing muscles along the spine and the gluteal muscles of the buttocks. "If you are happy with the treatment, please touch the" lumbar region "in this picture. ]

In this way, it is easy to understand that the user's approval by touching the part of the affected area highlighted in the human body icon is the approval only for the part related to the operation, and it is inflated to other unrelated parts. It is possible to effectively prevent the illegal act of performing the treatment with.
In the prior art, after informed consent, the patient presses the approval button, but simply pressing the button marked “Approve” has inflated other unrelated parts. It ’s hard to be intuitive. However, touching the "lumbar region" portion of the human body icon in a situation where the user is aware that the lower back hurts can intuitively understand that other unrelated regions have not been added.

Here, it goes without saying that the receipt creation support system 100 of the present invention can be applied to a plurality of affected areas. As a symptom, not only the “lumbar region” but also the pain in the “right knee joint”, for example, when the first affected area “lumbar region” is determined from the determination of the region shown in FIG. The procedure up to the input of the treatment content of 10 is performed, and the procedure from the determination of the region shown in FIG. 2 to the input of the treatment content of FIG. 10 is subsequently performed for the “right knee joint” which is the second affected part. Just do it.
In this case, after finishing the input to a plurality of affected areas such as the first affected area and the second affected area, the trial of making the receipt shown in FIG. 11 was performed, and it was confirmed that necessary information for creating the receipt could be inputted. Thereafter, the patient is approved through the informed consent and the user approval unit 174 for the first affected area and the second affected area shown in FIG.

In the example of FIG. 12, only the treatment for “lumbar sprain” is performed, and therefore, the highlighted part in the human body icon is only the “lumbar part”. However, as described above, the “right knee joint” is used as the second affected part. If there is, there are two highlights in the human body icon: the "lumbar region" and the "right knee joint". User approval is approved for each affected area by separate touches on the highlighted “lumbar region” and “right knee joint”.
In this way, by the individual touch of the “lumbar region” and the “right knee joint”, it is possible to intuitively understand that the treatment contents are in two locations that are recognized, and that there are no other unrelated regions added. it can.

[Creation of Receipt Data by Receipt Creation Support Unit 170]
FIG. 13 is a form image of the receipt data created by the receipt creation support unit 170. In addition to basic items such as the user's name, date of birth, and insurance number, data on the receipt input items "Injury name", "Injury cause", "Injury date", "Surgery details", and other input items, It is created with terms and expressions that meet the receipt screening standards.

  FIG. 14 is a treatment record created by the receipt creation support unit 170. Although it is not necessary to submit a record of the procedure to the Receipt Review Organization, the procedure is voluntarily recorded as a so-called chart. In this example, in addition to the basic items such as the user's name, date of birth, insurance number, "injury name", "injury cause", "injury date", "treatment contents", and "symptoms", and other items It is recorded.

[Receive receipt data]
FIG. 15 shows how the receipt data created by the receipt creation support system 100 is transmitted to the service provider system 300 via the communication unit 190.
Thereafter, the service provider system 300 performs processing with the receipt examination system 400 and the insurer system 500, and a reward is paid.
The above is the flow of a series of processes.

  As mentioned above, although preferred embodiment in the structural example of the receipt creation assistance system of this invention was illustrated and demonstrated, it is understood that various changes are possible without deviating from the technical scope of this invention. Let's go.

  The receipt creation support system of the present invention creates a receipt such as a medical fee for home medical care, a medical fee for home nursing, a medical fee for home dental care, a medical fee for home medical care, a home care care fee, or a home rehabilitation care fee. It can be applied to support systems.

DESCRIPTION OF SYMBOLS 100 Receptacle creation support system 110 Portable terminal 120 Touch panel monitor 130 Human body icon display part 140 Parts designation | designated reception means 150 Recto input item display part 160 Recto input content designation means 170 Receptacle creation support part 180 Receipt examination reference database 181 Insurance information database 190 Communication Department 300 Service Provider System 400 Receipt Review System 500 Insurer System

Claims (8)

A receipt creation support system created by a service provider who is qualified for medical, nursing, medical treatment, nursing care or rehabilitation in connection with the provision of services to users,
A portable terminal equipped with a touch panel monitor carried by the service provider;
A human body icon display unit for displaying a human body icon imitating a human body on the monitor;
The specification for the human body part is received by touch input to the human body part of the human body icon displayed by the human body icon display unit, and the unit of each part that can be specified is a part that can be specified by the receipt examination standard. Human body parts designation receiving means,
A receipt creation support system including a receipt creation support unit that supports input of information related to a part of a human body part to be touched when the part of the human body icon displayed on the monitor of the portable terminal is touched. Receipt examination standard database storing various information of the receipt examination standards;
Receipt input for displaying on the monitor selection candidates according to the receipt examination criteria for the receipt input items including injury names, symptoms, and treatment actions that can be assigned to each part of the human body designated by the parts designation receiving means. An item display section;
A receipt input content specifying means for receiving an input content specification for the receipt input item by touch input to the selection candidate of the receipt input item displayed on the monitor;
Based on information inputted by the receipt creation support unit by repeatedly displaying the selection candidates on the receipt input item display unit and specifying the receipt input content by the receipt input content designating unit, the receipt examination criteria The receipt creation support system according to claim 1, wherein the receipt is adapted to the requirement. The display of the human body part of the human body icon specified by touching the human body icon display unit is modified by highlighting or emphasis,
The modified human body part is also used as an approval button for accepting an input of intention indicating that the user approves after providing informed consent about the contents of service provided to the user. The receipt creation support system according to claim 1 or 2.   3. The receipt according to claim 2, wherein the receipt creation support unit displays the remaining number of unreceived receipt input items on the monitor when creating the receipt that conforms to the receipt examination standard. Creation support system. Among the receipt input items, uninput information extraction means for extracting an uninput item,
Q & A presenting means for presenting an inquiry content candidate or a hearing content candidate associated with the non-input item extracted by the non-input information extraction means;
Q & A input receiving means for inputting information obtained by the service provider asking a question based on the inquiry content candidate or the interview content candidate presented by the Q & A presenting means,
4. The receipt creation support system according to claim 2 or 3, wherein the receipt creation support unit supports input of information for the non-input items based on information input from the Q & A input reception unit. .   Candidates for interview contents or interview contents candidates by the Q & A presenting means specify the information about the treatment contents, the name of the disease, the modifier relating to the site related to the name of the disease, the administered drug, and the device used, which are required for the completion of the receipt. The receipt creation support system according to claim 4, wherein the receipt creation support system is a candidate for obtaining deficiency information that is deficient. The selection candidates presented by the receipt input item display unit are limited to terms and options that match the receipt examination criteria stored in the receipt examination criteria database,
6. The receipt creation support system according to claim 5, wherein it is ensured that the receipt completed as a result of the creation support by the receipt creation support unit conforms to the receipt examination standard. It has an approved receipt database that accumulates approved receipts that have been approved in the past by the reviewing body of the receipt reviewing authority.
The receipt creation support unit compares the receipt completed with creation support and the approved receipt stored in the approved receipt database, and at least the treatment content, injury name, injury site 7. The receipt creation support system according to claim 6, further comprising a receipt conformity confirmation means for confirming whether or not the modifiers to be represented match.