JP4847605B1 - Screen processing system for foreign electronic receipt and screen display method - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a screen display method capable of efficiently and effectively examining a large number of foreign electronic receipts.
A screen display method includes an overall medical treatment item number calculating step (S36) for calculating an average number of medical treatment items with respect to the number of receipts per 100 cases received by a signing department of a medical institution group to be compared. Individual medical item number calculation step (S37) for calculating the number of each medical treatment item with respect to the number of receipts per 100 receipts of the medical institution subject to examination, the average number of the whole medical treatment items and the number of individual medical treatment items A medical item magnification calculating step (S41) for calculating the magnification of the medical item, a magnification sorting step (S42) for sorting the medical items, a first display step for displaying the medical items sorted by the magnification on the first screen, A medical item selection step for selecting an arbitrary medical item from the medical items displayed on the screen, and an external electronic reception of the selected medical item Is displayed on the second screen.
[Selection] Figure 6

Description

  The present invention relates to an efficient screen processing system for an external electronic receipt (medical remuneration statement) and a method for displaying the screen.

  When a patient (insured person) receives medical treatment at a medical institution, the patient pays the amount of his / her own contribution at the medical institution's accounting window. At this time, the medical institution issues a receipt (detailed medical remuneration statement) to the insurer every month and charges medical expenses other than the self-payment. The medical institution does not directly charge the insurer for medical expenses, but makes a claim to the national health insurance association of the prefecture where it is located (hereinafter referred to as the examination and payment institution). That is, an examination / payment institution that examines a receipt for confirming the validity of the receipt is interposed between the medical institution and the insurer. Then, when the examination payment organization accepts the receipt, the examination assistant coordinator confirms that there are no errors in the rules on the request (examination assistant assistance), and then the examination committee, who is a doctor with sufficient technical knowledge, Review the contents of the receipt from a medical point of view. Receipts that have been reviewed are billed to the insurer and medical fees are paid from the insurer to the medical institution.

  When the examination / payment institution processes the foreign electronic receipt on a computer, it is necessary to display the foreign electronic receipt on the monitor of the client (personal computer), and to perform examination assistance and examination. The number of outpatient electronic receipts handled by the examination and payment institution is enormous, and the examination / examination co-help system (hereinafter referred to as the screen processing system) using a screen (monitor) for accurate payment without delay of medical treatment fees. It must be able to promptly display the foreign electronic receipt on the monitor and operate properly.

  For example, in Patent Document 1, the legitimacy of this electronic receipt is automatically examined by computer processing, and when the electronic receipt is inadequate for billing in this automatic examination, a visual examination by the examination committee using a man-machine interface is performed. The technology for conducting an electronic receipt review is disclosed.

JP 2005-050245 A

  However, Patent Document 1 does not disclose an efficient examination method for a large number of foreign electronic receptors. Moreover, it does not disclose a statistical comparison method for each of the signage departments and medical items used at that time. The amount of foreign electronic receipts sent from medical institutions is enormous, so the person in charge of examination office can efficiently and appropriately assist the examination office, or the examination committee The screen processing system must be capable of efficient and effective screening.

  In Patent Document 1, there is a disclosure in which a visual examination is performed by a coordinating assistant for examination work or an examination committee using a man-machine interface when there is a flaw in the electronic receipt, but how is it efficient? In addition, no disclosure is made as to whether to properly assist the office work or to conduct the examination efficiently and effectively. In particular, the amount of electronic receipts for outpatients is enormous, and the processing of one case at a time is a heavy burden on the assistant counselor or reviewer.

  SUMMARY OF THE INVENTION An object of the present invention is to provide a screen processing system and a screen display method in which a screening assistant coordinator or a screening committee can efficiently and effectively assist a screening office with a large amount of foreign electronic receipts. is there.

  The screen processing system for a foreign electronic receipt according to the first aspect includes a vast amount of foreign electronics having a medical department code indicating a medical department such as an internal medicine sent from many medical institutions and a medical care item code in which medical care items are defined. A screen processing system for a foreign electronic receipt including a terminal device having a first screen and a second screen different from the first screen and a server connecting the terminal device for screening a receipt. The server includes a storage unit that stores the external electronic receipt information sent from the medical institution, and a medical subject to be compared based on the signage department code and the medical item code included in the external electronic receipt read from the storage unit. In the institution group, the total number of medical treatment item number calculating means for calculating the average number of medical treatment items for the number of receipts per 100 cases of these medical institution groups, the signage department code included in the external electronic receipt read from the storage unit, and Individual medical item number calculation means for calculating the number of medical treatment items for 100 cases received by each medical institution subject to examination based on the medical treatment item code, and for each medical item for the number of receipts per 100 cases per medical treatment department Number of cases for each medical treatment item of the entire medical institution group to be compared and the number of medical institutions to be reviewed Medical item magnification calculating means for calculating a magnification with the number of cases for each medical item, magnification sorting means for sorting the medical items in order of higher magnification, and displaying the medical items sorted by the magnification on the first screen of the terminal device The terminal device displays the contents of the external display of the medical item selected by the first display unit, the medical item selection unit for selecting an arbitrary medical item from the medical items displayed on the first screen, and the medical item selection unit Second display means for displaying on the second screen.

  The screen processing system for the external electronic receipt according to the second aspect includes a sort unit for sorting the items in order of the number of medical items, and the first display unit displays the medical items sorted by the sort unit for the number of cases on the first screen. .

  The screen processing system for the external electronic receipt according to the third aspect displays the medical items selected by the medical item selection means on the first screen, and when there are a plurality of selected medical items, rearranges them in any order. Can do.

  The second display means of the screen processing system for the external electronic receptor of the fourth aspect characterizes and displays the selected medical item when the external electronic receptor is displayed on the second screen.

  The screen processing system for the external electronic receipt according to the fifth aspect can switch between examination based on the initial display and comparative examination. The first display means in the case of the examination based on the initial display is the contents of the number of claims including examination, processing, images, etc. of the foreign electronic receipts by the signage department of the medical institution group which is the comparison target on the first screen, and the medical examination subject The contents of the number of claims made up of examinations, treatments, images, etc. of the foreign electronic receipts by the signage department of the institution are displayed in a pie chart. The first display means in the case of the comparative examination displays the medical items sorted by the magnification on the first screen.

  The screen processing system for external electronic receipts according to the sixth aspect provides an overall average number of claims for calculating the average number of external electronic receipts per medical institution group for each of the medical institution groups to be compared. And a calculation means and an individual claim number calculation means for calculating the number of foreign electronic receipts for each of the signage departments of the medical institution to be examined. At the time of the examination based on the initial display and the comparative examination, the first display means displays a number graph indicating the average number of requests per medical institution and the number of medical institutions to be examined every month for the entire group of medical institutions to be compared. .

  The screen processing system for external electronic receipts according to the seventh aspect provides an overall average billing for calculating the average number of claims per medical institution for external electronic receipts for each of the medical institutions in the medical institution group to be compared. A score calculation means, and an individual average claim score calculation means for calculating the average claim score of the foreign electronic receipts for each of the medical departments to be examined. At the time of the examination based on the initial display and the comparative examination, the first display means displays a score graph showing the average number of claims per medical institution for the entire comparison target medical institution group and the average number of claims for the medical institution to be examined for each month. indicate.

  The screen processing system for external electronic receipts according to the eighth aspect provides an average charge per medical institution for calculating the distribution of claim points for external electronic receipts for each of the medical institutions in the medical institution group to be compared. A score distribution calculating means, and an individual claim score distribution calculating means for calculating a claim score distribution of a foreign electronic receipt for each of the signage departments of the medical institution to be examined. At the time of the examination based on the initial display and the comparative examination, the first display means assigns a score indicating, for each score distribution, the distribution of the number of claims per medical institution for the entire group of medical institutions to be compared and the average distribution of the points of demand for medical institutions to be examined. Display a distribution graph.

  In the screen processing system for an external electronic receipt according to the ninth aspect, at the time of comparison examination, the first display means displays a screen for inputting a predetermined set number of points on the first screen, and the second display means is inputted. The foreign electronic receipts higher than the predetermined set points are sequentially displayed on the second screen in the order of the highest number of claims.

  In the external electronic receipt screen processing system according to the tenth aspect, at the time of examination based on the initial display, the first display means displays an office inspection error indicating an office error included in the external electronic receipt of one medical institution. The number of cases is displayed on the first screen for each medical practice.

  In the screen processing system for an external electronic receipt according to the eleventh aspect, the first display means is not responsible for the suspicion attached to the external electronic receipt due to the suspicion of the medicinal product or medical treatment item at the time of the examination based on the initial display. The number of cases is displayed for each medical practice.

  In the external electronic receipt screen processing system according to the twelfth aspect, at the time of the comparative examination, the second display means displays the external electronic receipt with the question attached on the second screen in the order of the medical items.

  In the screen processing system for the external electronic reception of the thirteenth aspect, when the second display means displays the external electronic reception on the second screen during the comparative examination, the external electronic reception having a plurality of different medical items is Only displayed once on the second screen.

  In the external electronic receipt screen processing system according to the fourteenth aspect, when the medical item selection unit selects a plurality of medical items in combination during the comparative examination, the second display unit simultaneously has the plurality of medical items. The foreign electronic receipt is displayed on the second screen.

  The screen display method according to the fifteenth aspect examines a large number of foreign electronic receipts including a signage department code indicating a signage department such as internal medicine sent from many medical institutions and a medical care item code in which a medical care item is defined. This is performed using the first screen and the second screen of the terminal device and a server connected to the terminal device. The storage step in which the server stores the external electronic receipt information sent from the medical institution, and in the medical institution group to be compared based on the indicia department code and the medical treatment item code, these medical institution-specific receipts 100 of these medical institution Calculate the average number of medical treatment items for each medical treatment item per case, and the number of medical treatment items per 100 medical receipts for each medical treatment subject of examination based on the medical treatment subject code and the medical treatment item code. The number of individual medical treatment items to be calculated and the number of medical treatment items for the entire medical institution group to be compared with respect to the number of medical treatment items with respect to the number of receipts per 100 cases according to the signing department, and the medical treatment items of the medical institutions to be examined The medical item magnification calculation step to calculate the magnification with the number of cases, and sort the medical items in order of high magnification A magnification sorting step, a first display step for displaying medical items sorted by magnification on the first screen, a medical item selection step for selecting an arbitrary medical item from among the medical items displayed on the first screen, And a second display step of displaying a foreign electronic receipt of the selected medical item on the second screen.

The screen display method according to the sixteenth aspect includes a sort step for sorting items in order of the number of medical items, and the first display step displays the medical items sorted in order on the first screen.
In the screen display method according to the seventeenth aspect, the medical items selected in the medical item selection step are displayed on the first screen, and when there are a plurality of selected medical items, they can be rearranged in any order.

  The screen processing system of the present invention can efficiently assist or examine a large amount of external electronic receipts.

It is a block diagram which shows the whole structure of the screen processing system of the electronic receipt in the examination payment organization EX. 2 is a conceptual diagram showing a configuration of a second system server 12. FIG. It is a figure which shows the flowchart of examination office work assistant and examination. It is the example which showed the information contained in medical institution unit receipt UR (outpatient). It is a screen for performing mutual examination assistance or examination of “outpatient electronic receipt ER” of an outpatient in examination assistance and examination. It is a flowchart which displays the medical treatment item comparison column 340 It is an example of a display of the medical treatment item comparison column 340. It is an example of a display of the medical treatment item comparison column 340. It is a screen for selecting a specific medical treatment item by the medical treatment item selection unit 15. It is an example of a display of the medical treatment item comparison column 340. FIG. 10 is a screen on which “external electronic receipt ER” of an outpatient is displayed on the second monitor 35. (A) is a screen when the examination assistant co-helper or the examination committee member selects the medical item “I medical item” shown in the selection window 360. (B) is a screen when the examination assistant coordinating staff or the examination committee selects the medical treatment item of “Ku medical treatment item” shown in the selection window 360. (C) is a screen when the examination assistant coordinator or the examination committee member clicks the combination button 364 of the selection window 360. It is a screen of the summary column 74 when displaying the “external electronic receipt ER” including the medical item “I medical item” or “K medical item” on the operation information screen. (A), (b) is the example which showed the medical institution information column 320. FIG. (A) is the example which showed the medical institution information column 320. FIG. (B) is an example showing a score input window 370. This is an example showing an error display field 330. It is the example which showed the request score column 350 according to medical treatment.

<Configuration of Screen Processing System 100>
FIG. 1 relates to an embodiment of the present invention and is a block diagram showing the overall configuration of a receipt screen processing system in a screening and payment institution EX such as the National Health Insurance Association. An electronic receipt is sent from the medical institution HP to the screen processing system 100 of the examination and payment institution EX online. Then, the electronic receipt that has been examined by the examination and payment institution EX is sent to the insurer IS.

  The monthly electronic receipts of the medical institution HP are collectively sent from the medical institution HP as “medical institution unit receipt UR”. The “medical institution unit reception UR” includes an outpatient “outpatient electronic reception ER” and an inpatient electronic reception. Here, the clinical department input by the medical institution is replaced by the examination / payment institution EX using the medical item code to replace “clinical department” with “signpost department”. Hereinafter, in this specification, internal medicine, surgery, and the like are referred to as “acupuncture department”. Among the “medical institution unit receipts UR”, the number of “outpatient electronic receptors ER” of outpatients is particularly enormous. In this specification, the examination of the “foreign electronic receptor ER” will be described.

  The screen processing system 100 includes a first system server 11 that mainly exchanges the “foreign electronic receipt ER” with the medical institution HP or the insurer IS, and a second system server 12 that summarizes examination and examination assistance. Yes. The second system server 12 is connected via a network so that a plurality of terminal devices 22 as clients can be mutually accessed. The terminal device 22 is a personal computer, for example, and the terminal device 22 has a first monitor 33 and a second monitor 35. The first system server 11, the second system server 12, and the terminal device 22 have access authority set hierarchically so that personal information is not leaked.

  FIG. 2 is a conceptual diagram showing the configuration of the second system server 12. The screen processing system 100 includes a storage unit 20 such as a hard disk, and the second system server 12 stores “medical institution unit reception UR” sent from the medical institution HP, that is, a plurality of “external electronic receptors ER”. ”And a calculation rule master file 25 for storing calculation rules for determining the number of times of medical treatment items and the like. Yes. Although not shown, the first system server 11 is also connected to the receipt information file 23 and the claim score master file 24.

  The second system server 12 further includes a medical treatment item number calculation unit 13, a medical treatment item magnification calculation unit 14, a medical treatment item selection unit 15, a billing number calculation unit 16, an average billing score calculation unit 17, a sorting unit 18, and a display unit 19. ing.

  Based on the medical practice code SC (see FIG. 4) included in the “external electronic receptor ER” of the identified signage department, the medical item count calculation unit 13 stores the “external electronic receptor ER” stored in the receipt information file 23. The number of medical treatment items is calculated. The number-of-medical-items calculation unit 13 calculates the average number of cases for each medical item with respect to the number of receipts per 100 outpatient electronic receipts of each medical institution group (composed of a plurality of medical institutions) for each of the medical institutions. And an individual medical item number calculation unit 132 that calculates the number of each medical item for the number of receipts per 100 cases received by the target department of the examination medical institution. The “medical item” is an item specified by a medical practice code SC (9 digits) defined by the Ministry of Health, Labor and Welfare.

  The medical treatment item magnification calculator 14 calculates a magnification between the number of medical treatment items calculated by the individual medical treatment item number calculator 132 and the average number of medical treatment items calculated by the overall medical treatment item number calculator 131. For example, when the medical item is computer image processing addition, when the number of computer image processing additions calculated by the individual medical item number calculation unit 132 is 20 and the total average number is 10, the medical item The magnification calculator 14 calculates 2 times.

The medical item selection unit 15 selects a specific medical item in order to display the “foreign electronic receptor ER” having a specific medical item from among the enormous “foreign electronic receptor ER”.
The number-of-claims calculation unit 16 calculates the number of “external electronic receipt ER” for each signage. Based on the signage department code DT (see FIG. 4), the number of cases for each signage department is calculated from the “foreign electronic receipt ER” stored in the receipt information file 23. The number-of-claims calculation unit 16 includes an overall average number-of-claims calculation unit 161 that calculates an average number of cases per medical institution of the foreign electronic receipts for each of the medical institution groups to be compared, And a separate billing number calculation unit 162 for calculating the number of external electronic receipts for each medical institution.

  The average claim score calculation unit 17 calculates an “external electronic receipt ER” average claim score for each of the signposts. The average claim score calculation unit 17 calculates an average claim score per medical institution for each of the medical institution groups to be compared, and calculates an average claim score per medical institution for each of the medical department groups of the foreign electronic receipts. And an individual average claim score calculation unit 172 that calculates the average claim score of the foreign electronic reception for each of the medical institutions to be examined.

  The sorting unit 18 sorts the medical items in a specific order. The sort unit 18 sorts in the order of the number of medical items calculated by the individual medical item number calculation unit 132, and the order of magnification for sorting in the order of the medical item magnification calculated by the medical item magnification calculator 14. A sorting unit 182. The number order sorting unit 181 can sort both the order from the largest number of cases to the smallest number and the order from the smallest number of cases to the largest number.

  The display unit 19 displays the contents of the “foreign electronic receipt ER” on the first monitor 33 and the second monitor 35 of the terminal device 22, displays the number of claims calculated by the number of claims calculation unit 16, and sort unit The number of items sorted by 18 is displayed. The display unit 19 displays an information aggregation display unit 191 that displays the number of claims or the number of sorted items on the first monitor 33 of the terminal device 22, and displays the contents of the “foreign electronic receipt ER” on the second monitor 35. The co-assistant or examiner has an operation information display unit 192 for operating the contents of the “foreign electronic receipt ER”.

<Examination assistant support and examination flow>
FIG. 3 is a diagram showing a flowchart of mutual examination assistance and examination performed by the screen processing system 100.
In step S11, the first system server 11 receives a “medical institution unit receipt UR” (see FIG. 2) via a network or the like. One “external electronic receipt ER” in the “medical institution unit reception UR” includes the contents of medical treatment for one patient for one month. Specifically, the “external electronic reception ER” is a medical institution, It includes information such as a signpost, patient information, injury / illness name information, medical information, and detailed symptom information. These pieces of information are stored in the receipt information file 23.

  In step S12, the first system server 11 uses the claim score master file 24 (see FIG. 2) to perform office check checks such as a recording condition check, a fixed score check, and a score calculation check. If there is an error (error) in these checks, the assistant in charge of examination office performs an office inspection error process in step S15.

  In step S <b> 13, the second system server 12 uses the calculation rule master file 25 to check the request for the external electronic receipt ER. The check by the calculation rule master file 25 is a check to check whether the examination or treatment performed by the medical institution is in accordance with the calculation rule such as the number of times of medical treatment items set by the Ministry of Health, Labor and Welfare in the medical remuneration score table. is there. A calculation rule error is automatically attached to inspections or treatments that do not comply with the calculation rule. The second system server 12 checks the “foreign electronic receipt ER” and attaches a calculation rule error tag if an error occurs. The calculation rule master file 25 is updated as needed at the timing of medical fee revision. When the calculation rule error tag is attached, the examination assistant co-worker performs processing of the calculation rule error tag in step S15.

  In step S14, “external electronic receipt ER” is screened for the purpose of efficient examination assistant assistance and examination. The “external electronic receipt ER” that must be examined and supported by the examination assistant is enormous, and is not an amount that can be easily processed by one examination assistant assistant or one examination committee member. For this reason, “distribution”, “extraction”, and the like are performed as sieving, so that examination assistants and examinations can be performed efficiently. For example, “external electronic receipt ER” is distributed to the examination assistant coordinator and the examination committee for each of the headings. Further, in step S14, “external electron receptor ER” is extracted and tabulated.

  In step S15, the examination assistant co-worker first performs an office check error process for the error generated in step S12, and performs a process for the calculation rule error tag generated in step S13. In addition, the examination assistant coordinator will check against the score table and collection of medicines, and if there is any doubt about the medicine or medical practice, attach a question on the monitor. ing.

  In step S16, the examination committee examines the validity of the processing for the questioning and the medical treatment contents from the medical remuneration score table and the medical viewpoint. For example, the screening committee examines the dosage with a question, etc., and makes an assessment to reduce the dosage if it is determined that the dosage is excessive. In addition, the review committee will also review the contents of medical treatment of “external electronic receipt ER” without any question.

In step S17, the person in charge of examination office work performs the post-assessment processing in which reduction or the like has been performed. The post-assessment process in which reduction or the like has been performed is a process of confirming the contents of the “foreign electronic receipt ER” that has been reviewed.
In step S18, the second system server 12 performs a counting process. The counting process is a process for determining the number of claims for each “external electronic receipt ER”. Thereafter, the “foreign electronic receipt ER” after the examination is sent to the insurer IS via the first system server 11 and the network.

<Information included in medical institution unit receipts>
FIG. 4 is a detailed example showing information included in the medical institution unit receipt UR, and particularly shows the contents of the “outpatient electronic receipt ER” of the outpatient.

  The medical institution unit receipt UR includes medical institution information of the medical institution HP that issues the “foreign electronic receipt ER”. The medical institution information includes a medical institution information record IR, the medical institution information record IR includes a medical institution code for identifying the medical institution, a signage department code DT for dividing the “external electronic receipt ER” into internal medicine and surgery, etc. Includes information such as the billing date from.

  The “External Electronic Receipt ER” includes a receipt common record RE in which the receipt number and name are recorded, receipt information in which the total number of claims BM and the insured number is recorded, a wound name record in which the wound name is recorded, and medical treatment Summary information in which information is recorded, a symptom detail record in which symptom detail is recorded, and the like are included.

  The summary information includes a medical practice record SI, a medical product record IY, a specific equipment record TO, and a comment record. Among the summary information, the medical practice record SI includes a medical identification code, a nine-digit medical practice code SC indicating the medical practice, and the like. In the medical record IY, a medical identification code and a 9-digit pharmaceutical code IC indicating a pharmaceutical are recorded. In the specific equipment record TO, a medical identification code and a 9-digit specific equipment code TC indicating the specific equipment are recorded.

<Switching between screening based on initial indication and comparative screening>
FIG. 5 is a screen for performing mutual examination work assistance (step S15 in FIG. 3) or examination (step S16 in FIG. 3) of the “outpatient electronic receipt ER” of the outpatient. 5A shows an examination screen based on the initial display, and FIG. 5B shows a comparison examination screen.

  As shown in FIG. 5, in the screening and comparative screening based on the initial display, the first monitor 33 and the second monitor 35 of the terminal device 22 are used to efficiently screen the “outpatient electronic receptor ER” of the outpatient. Supports administrative work or reviews. The information aggregation display unit 191 (see FIG. 2) of the display unit 19 causes the first monitor 33 to display information aggregation data obtained by counting and processing the “outpatient electronic receptor ER” of the outpatient. The operation information display unit 192 (see FIG. 2) of the display unit 19 causes the second monitor 35 to display the “outpatient electronic receptor ER” of the outpatient for each receptor.

  As shown in FIG. 5A, the information aggregation data displayed on the first monitor 33 by the information aggregation display unit 191 at the time of examination based on the initial display includes the medical institution that issued the “external electronic receptor ER”. For each medical practice showing the pie chart of the content of the number of claims for each of the target medical departments of the comparison target medical institution and the medical institution to be compared, and the error display column 330 indicating the error result of the “foreign electronic receipt ER” A claim score column 350 is displayed. The medical institution signage information column 320 will be described with reference to FIGS. 14 and 15, the error display column 330 will be described with reference to FIG. 16, and the medical treatment request score column 350 will be described with reference to FIG. 17.

  As shown in FIG. 5B, the information aggregation data displayed on the first monitor 33 by the information aggregation display unit 191 at the time of the comparative examination includes the medical department information column 320 and the medical item comparison column 340 of the medical institution. Is displayed. The medical item comparison column 340 will be described with reference to FIGS. An operation screen switching field 310 is arranged at the upper part of the signage department information field 320 of the medical institution. The operation screen switching field 310 includes a doubt button 311, a high score button 312, and a comparison button 313. The suspicion button 311 is a button for causing the second monitor 35 to display “foreign electronic receipt ER” having the suspicion displayed in the error display field 330 by the examination committee. The high score button 312 is used to select a high score “external electronic receptor ER” based on the number of “external electronic receptors ER” having a high score displayed in the medical institution information column 320 by the examination assistant or examiner. This button is displayed on the second monitor 35. The comparison button 313 displays, on the second monitor 35, the “foreign electronic receptor ER” having the medical treatment item based on the medical treatment item arbitrarily selected from the medical treatment items displayed in the medical treatment item comparison column 340. It is a button to make.

  The operation information display unit 192 includes a medical institution column 71 indicating medical institution information, a patient column 72 indicating a patient name and age, a wound name column 73 indicating a wound name, a summary column 74 displaying a receipt content, and the like. The image is displayed on the second monitor 35 (see FIG. 11). In FIG. 5A and FIG. 5B, the contents of the receipt displayed on the second monitor 35 are common.

  Further, the same “frequency” button 314 is arranged on the upper right portion of the first monitor 33 shown in FIGS. 5 (a) and 5 (b). The examination assistant coordinating staff or the examination committee can switch the screen shown on the first monitor 33 to the examination or comparison examination screen based on the initial display by clicking the “frequency” button 314. In other words, screening of “foreign electronic receptor ER” that has an error indication is first performed by screening based on the initial labeling, and then screening of “foreign electronic receptor ER” that requires careful screening is performed by comparative screening. Is called.

<Flowchart of display on the first monitor 33>
FIG. 6 shows the medical institution information column 320 that issued the “external electronic receipt ER” on the first monitor 33 and the magnification of the medical treatment item in order to assist or examine the examination of the “external electronic receipt ER” of the outpatient. It is a flowchart which displays the medical treatment item comparison column 340 which sorts and displays a medical treatment item in order.

  In step S31, the second system server 12 receives the medical institution to be examined from the receipt information file 23 storing the “medical institution unit receipt UR” sent from these medical institution groups in the medical institution group to be compared. The “foreign electronic receptor ER” of the swords department is extracted. Specifically, as shown in FIG. 4, the signage department code DT is recorded in the medical institution information record IR of “external electronic receptor ER”. Therefore, the second system server 12 extracts the “foreign electronic receipt ER” having the same signage code DT.

In step S <b> 32, the total number of claims calculation unit 161 (see FIG. 2) calculates the average number of “external electronic receptors ER” for each of the medical institutions in the medical institution group to be compared.
In step S <b> 33, the individual billing number calculation unit 162 (see FIG. 2) calculates the number of “foreign electronic receptors ER” classified by the medical department of the examination target medical institution.
As shown in FIG. 4, since the medical institution code is recorded in the medical institution information record IR of “foreign electronic receipt ER”, the number of claims calculation unit 16 (total number of claims calculation unit 161, individual The number-of-claims calculation unit 162) can calculate the number of claims for the “foreign electronic receipt ER”.

In step S <b> 34, the overall average claim score calculation unit 171 (see FIG. 2) calculates the average claim score of the “foreign electronic receptor ER” for each of the medical institution groups in the comparison target medical institution group. .
In step S <b> 35, the individual average claim score calculation unit 172 (see FIG. 2) calculates the average claim score for the “foreign electronic receipt ER” for each of the medical departments to be examined.
As shown in FIG. 4, the bill total number BM is recorded in the receipt information of “foreign electronic receipt ER”. The average billing score calculation unit 17 (the overall average billing score calculation unit 171 and the individual average billing score calculation unit 172) divides the total billing score BM by the total billing score and the individual billing score, respectively. The average number of claims for “electronic receipt ER” is calculated.

In step S36, the overall medical treatment item number calculation unit 131 (see FIG. 2) performs medical treatment for the number of receipts per 100 “external electronic receptors ER” classified by the target department of the medical institution group to be compared. Calculate the average number of items for each item.
In step S <b> 37, the individual medical treatment item number calculation unit 132 (see FIG. 2) calculates the average number of medical treatment items for every 100 medical item “external electronic receptors ER” of the examination departments. As shown in FIG. 4, the medical practice code SC is recorded in the medical information of “external electronic receipt ER”. The medical treatment item number calculation unit 13 (the whole medical treatment item number calculation unit 131 and the individual medical treatment item number calculation unit 132) calculates the medical treatment code SC. In addition to the medical practice code SC, the “medical treatment item” may include a pharmaceutical product code IC and a specific equipment code TC. In this case, the number of items of the medicine code IC and the specific equipment code TC is also calculated.

In step S38, the total number-of-claims calculation unit 161 and the total average number-of-claims calculation unit 171 (see FIG. 2) determine the “foreign electronic receptor ER” for each medical institution group to be compared. The distribution of the average number of cases per medical institution and the average number of claims is calculated.
In step S39, the individual billing number calculation unit 162 and the individual average billing point calculation unit 172 (see FIG. 2) determine the distribution of the number of “external electronic receptors ER” classified by the target department of the medical institution to be examined and the average billing point distribution. calculate.

In step S40, the information aggregation display unit 191 determines the average per medical institution of “external electronic receptor ER” for each medical institution group in the medical institution group to be compared calculated in step S32 and step S33. A graph (see FIG. 14 (a)) of the number of cases and the number of “external electronic receipt ER” by signage department of the medical institution to be examined is displayed in the signage department information column 320 (see FIG. 5) of the medical institution.
In step S41, the information aggregation display unit 191 determines the average per medical institution of “foreign electronic receptor ER” for each medical institution group in the medical institution group to be compared calculated in steps S34 and S35. A graph (see FIG. 14 (b)) of the number of billing points and the average number of billing points for “external electronic receipt ER” for each medical institution subject to examination is displayed in the medical institution information column 320 (see FIG. 5) of the medical institution. .
In step S42, the information aggregation display unit 191 displays the distribution of the number of cases and the number of claims calculated in steps S38 and S39. In other words, the average number and average number of claims for each medical institution, and the number of medical institutions to be examined and the average number of points for each medical institution group to be compared, for each claim point, A graph (see FIG. 15) is displayed in the department information column 320 (see FIG. 5). Since the number of claims for “outpatient electronic reception ER” of outpatients is widely distributed, the number of claims is displayed in logarithm.

In step S43, the medical treatment item magnification calculation unit 14 (see FIG. 2) calculates the “external electronic receptor ER” for each medical institution group to be compared in the medical institution group to be compared, calculated in step S36 and step S37. The ratio of the average number of each medical treatment item with respect to the number of receipts per 100 cases and the number of medical treatment items with respect to the number of receipts per 100 cases of “external electronic reception ER” for each of the examination departments of the medical institutions to be examined is calculated.
In step S44, the number-order sorting unit 181 (see FIG. 2) in the order of the number of cases for each medical item with respect to the number of receipts per 100 cases of “external electronic receipt ER” classified by the medical department subject to examination calculated in step S37. Sort. Further, the order sorting unit 182 in the magnification order averages the number of medical items for each medical treatment item with respect to the number of receipts per 100 cases of “foreign electronic receptor ER” for each medical institution group as a comparison target calculated in step S43. And the number of cases for each medical treatment item with respect to the number of receipts per 100 cases of “foreign electronic receipt ER” classified by the medical department subject to examination, are sorted in the order of magnification. The information aggregation display unit 191 displays the sort result in the medical item comparison column 340 (see FIG. 5).

<Display example of the medical item comparison column>
7 and 8 are display examples of the medical item comparison column 340. FIG. FIG. 7 shows the result of sorting by the number-of-cases sorting unit 181 in the order of the number of medical items. FIG. 8 shows the result of sorting by the magnification order sorting unit 182 in the order of the magnification of the medical items. These are also the display results performed in step S43 in FIG.

  In FIG. 7, a medical item comparison table 341 is displayed in the medical item comparison column 340. In the upper part of the medical item comparison table 341, a magnification button 342 for sorting in order of high magnification, a high frequency button 343 for sorting from a high frequency of the number of medical items, and a low frequency of the number of medical items are sorted. A low frequency button 344 is provided. When a low frequency button 344 is clicked with a pointer (not shown) displayed on the first monitor 33, a medical care item comparison table 341 shown in FIG. 7 is displayed.

The medical item comparison table 341 includes a number column, an extraction target display column 345, a medical item column 346, a frequency column 347, and a magnification column 348 from the left column to the right column.
The extraction target display column 345 is a column that is displayed so that the mark can be distinguished from others when the examination assistant coordinating staff or the examination committee performs the extraction work in particular. The medical treatment item column 346 is a column in which the content of the medical practice code SC is displayed. The frequency column 347 is a column for displaying the number of medical care items, and in this embodiment, the appearance frequency per 100 cases is displayed. The magnification column 348 shows the average number of cases for each medical treatment item and the number of medical institutions subject to examination with respect to the number of receipts per 100 cases of “external electronic receptor ER” for each of the medical institution groups to be compared. This is a column for displaying the magnification of the number of cases for each medical item with respect to the number of cases received per 100 “external electronic receipts ER”.

  When the examiner wants to pay attention to a medical item whose appearance frequency is rare when examining the “foreign electronic receipt ER”, the low frequency button 344 is clicked. Then, as shown in FIG. 7, the color of the low frequency button 344 is changed, and the medical treatment items are displayed in the order of decreasing frequency column 347. Although not shown in the drawing, the high frequency button 343 may be clicked when the examination committee wants to focus on the high frequency medical treatment item when examining the “external electronic receipt ER”.

  The medical item comparison table 341 has 40 rows, and the first 10 rows display the specified medical items when the medical item selection unit 15 (see FIG. 2) selects a specific medical item. Line. When there are 41 or more medical treatment items, they cannot be displayed on the first monitor 33 and are temporarily displayed on the second monitor 35.

  FIG. 8 is a display example when the magnification button 342 is clicked. The configuration of the medical care item comparison table 341 is the same as that shown in FIG. When the examiner examines the “foreign electronic receipt ER” and wants to pay attention to the magnification of the examination item, the magnification button 342 is clicked. Then, as shown in FIG. 8, the color of the magnification button 342 changes and the medical treatment items are displayed in the magnification column 348 in order from the higher magnification. The examiner can understand how much the magnification for each medical treatment item in the department of the medical institution to be examined is compared with the medical institution group to be compared.

  FIG. 9 is a screen for selecting a specific medical item from the medical item comparison table 341 by the medical item selection unit 15 (see FIG. 2). FIG. 9A shows an example of a selection window 360 that is displayed by selecting the medical items that are rare in the appearance frequency shown in FIG. 7, for example, the medical items “A medical item” and “B medical item”. . FIG. 9B shows a result of the selection of FIG. 9A based on the medical items with higher magnification than the other medical institutions shown in FIG. 8, for example, “So medical care item” and “Ku medical care item”. It is an example of the selection window 360 added by selecting an item.

  When the examiner double-clicks one medical item in the medical item comparison table 341 displayed in FIG. 7 or FIG. 8 with a mouse or the like, a selection window 360 is displayed. 9A and 9B, the selection window 360 includes a 10-line medical treatment item selection table 341Z, a confirm button 361, an add button 362, a delete button 363, a combination button 364, a non-duplicate button 365, a cancel button 366, And a rearrangement button 367.

  The medical care item selection table 341Z corresponds to the first 10 rows of the medical care item comparison table 341 having 40 rows. When the examiner selects one medical item to be examined from the medical item comparison table 341 and clicks the add button 362 with a mouse or the like, the medical item is displayed in the medical item selection table 341Z. In FIG. 9A, “a medical treatment item” is selected as the medical treatment item. By clicking the add button 362, a plurality of medical items such as “b medical item” are added. To delete a medical item added to the medical item selection table 341Z, select one medical item in the medical item selection table 341Z and click the delete button 363 to delete the medical item. . The medical treatment items in the medical treatment item selection table 341Z are rearranged when the rearrangement button 367 is clicked. When it is desired to confirm the finally selected medical item, the determination button 361 is clicked to confirm, the selection window 360 disappears, and the selected medical item is displayed in the first 10 rows of the medical item comparison table 341. Is done. The combination button 364 is used when examining a “foreign electronic receipt ER” by combining a plurality of medical care items. When the combination button 364 is clicked, an “AND search” is performed. The non-overlapping button 365 is a button for preventing a duplicated “foreign electronic receipt ER” from being displayed again once displayed. The combination button 364 and the non-overlapping button 365 will be described later with reference to FIGS. If all the medical items are to be deleted, the selection window 360 disappears when the cancel button 366 is clicked.

  The same applies to the selection window 360 shown in FIG. In addition to the medical treatment item selected in FIG. 9A, two medical treatment items are newly added from the medical treatment item whose magnification is higher than that of the comparison-target medical institution group shown in FIG.

<Example of operation information screen display>
FIG. 10 shows a screen when the confirm button 361 is clicked in the selection window 360 shown in FIG. 9B. In the first 10 rows of the medical care item comparison table 341, the medical care items selected in the selection window 360 are displayed.

  In this state, when the examiner clicks the comparison button 313 (FIG. 5) with the mouse MS, “10” corresponding to the 10 rows of medical treatment items in the medical treatment item column 346 of the extraction target display column 345 of the medical treatment item comparison table 341 “ “External electronic receipt ER” is displayed on the second monitor 35. That is, all “external electronic receptors ER” including the medical items of “a medical care item”, “b medical care item”, “so medical care item”, and “ku medical care item” shown in FIG. Displayed sequentially.

  FIG. 11 is a screen on which the operation information display unit 192 (see FIG. 2) displays the “outpatient electronic reception ER” of the outpatient on the second monitor 35. As shown in FIG. 5, when the doubt button 311, the high score button 312 or the comparison button 313 displayed on the first monitor 33 is clicked, the “foreign electronic receptor ER” that satisfies the condition is displayed on the second monitor 35. Is displayed.

Medical institution information is described in the medical institution column 71 in the upper part of the second monitor 35. The assistant in charge of the examination office or the examination committee can understand which medical institution is the “foreign electronic receipt ER”.
A patient column 72 is set below the medical institution column 71. In the patient column 72, in addition to the date of birth of the patient, sex, etc., a mark indicating that the patient is an outpatient, the number of claims for the “external electronic receipt ER”, and the like are displayed.

Under the patient column 72, a wound name column 73 is set. A list of up to 21 items of all wound names included in the “external electronic receipt ER” is displayed. The order of display of the names of wounds is arranged in order from the date of the onset, starting with the name of the main wound and disease.
A summary column 74 is set in the middle left of the operation information screen. All medications included in “external electronic receptor ER” are listed. Comments of symptoms included in the “external electronic receipt ER” are displayed.
Further, an operation button 76 such as a receipt print is set in the lower part of the operation information screen, and a column indicating the number of pages and a page feed button 77 are set on the right side of the lower part.

  The summary column 74 includes an extraction display column 51, an asterisk column 52, a calculation rule / question column 53, a name display column 54 for medical practice / medicine, etc., a quantity column 55, an assessment column 56, and a score / count column 57, etc. ing. The summary column 74 can be selected from general screen display and extracted screen display. The medical practice record SI includes a medical identification code (see FIG. 4), the general screen display is a screen displayed in the order requested by the medical institution, and the extracted screen display is a surgical system (surgery is performed). ) Or a screen in which the display order is changed according to the internal medicine system (without surgery).

  In the extraction display column 51, a medical identification code is described. This is “11” for the first visit, “21” for internal use, “50” for surgery, etc. The number is described as a medical identification code.

The asterisk column 52 is a column that displays “*” for a series of medical care items, medicines, and specified insurance medical materials. As a result, the examination assistant coordinating staff or the examination committee can recognize that a plurality of medical treatment items have been implemented in a series. In addition, when the comparison button 313 (see FIG. 5) is clicked, the asterisk column 52 of the medical treatment item is changed to orange so that the medical treatment item is selected.
The warning / question column 53 is a column in which, when there is an office inspection error, a calculation rule error lamp, and a suspicion display, a mark related to each is displayed in this column. When the examiner's assistant assistant or examiner selects the field with the mouse MS, the office check, the check rule master file check contents, or the doubt contents are displayed. The office check error is the second system to check whether there are omissions in the patient name, injury / illness name, insurer number, etc., medical treatment (medicine, injection, treatment, surgery, inspection, etc.) This means that an error is found as a result of checking by the server 14. The calculation rule error lamp means that an error is found as a result of the second system server 14 checking the electronic receipt according to the calculation rule master.

The name display column 54 for medical practice / medicine and the like displays medical information such as medical practice, medical supplies, specified insurance medical materials, comments, and the like.
The quantity column 55 is a column in which the quantities of medical care items, medicines, and specified insurance medical materials are displayed.
The assessment column 56 is used when the examiner makes an assessment to reduce all points or an assessment to reduce the quantity of individual items, drugs, and specified insurance medical materials. The reason for the assessment will also be indicated.
The score / count column 57 is a column for displaying the score / count of medical items, medicines, and specified insurance medical materials.

<Selecting whether or not to double-examine "foreign electronic receipt ER">
As described with reference to FIG. 10, in the comparative examination, for example, “external electronic receptor ER” having these medical treatment items in the order of “a medical treatment item”, “b medical treatment item”, “So medical treatment item”, and “K medical treatment item”. Is displayed on the second monitor 35, and the examination is performed. When the “foreign electronic receptor ER” having the target “I medical treatment item” is displayed on the second monitor 35 (see FIG. 11), “ "Medical care item" may happen to be included. In such a case, the screening committee examines the “external electronic receipt ER” having the target “b medical item” and then the “external electronic receptor ER” having the target “c medical item”. In doing so, there is a possibility that the same “foreign electronic receptor ER” will be examined again.

  Therefore, a display method of an operation information screen for enabling examination at a time when a plurality of target medical care items are in the same “external electronic receipt ER” will be described with reference to FIGS. 12 and 13. To do. FIG. 12A shows a screen when the screening committee selects the medical treatment item “I medical treatment item” shown in the selection window 360, and FIG. 12B shows the “K medical treatment item” displayed in the selection window 360 by the screening committee member. It is a screen when the medical treatment item "is selected." The color of the line of the medical item of “K medical item” has changed. FIG. 12C shows a screen when the screening committee member clicks the combination button 364 in the selection window 360. The color of the row of the medical item “I medical item” has changed. FIG. 13 is a screen of the summary column 74 for displaying “external electronic receipt ER” having medical items of “B medical item” and “K medical item” on the operation information screen.

  As shown in FIGS. 12 (a) and 12 (b), if the examiner selects the medical item “I medical item” or “K medical item” shown in the selection window 360, these are included. The “external electronic receipt ER” can be displayed on the operation information screen. Here, FIG. 13 shows a summary column 74 of one “foreign electronic receipt ER” in these displayed screens. As shown by the dotted line in FIG. 13, the “external electronic receptor ER” has a medical item “b)” and a medical item “c”. Therefore, the “external electronic receipt ER” is displayed when the medical item “I medical item” is examined, and is also displayed when the medical item “K medical item” is examined.

  In order to prevent the same “foreign electronic receptor ER” from being repeatedly displayed in this way, when the examiner clicks the “No Duplicate” button 365, the “foreign electronic receptor ER” that has been displayed once and examined is displayed again. Not.

  On the other hand, even if the “no duplication” button 365 is not clicked, it can be recognized by the second monitor 35 that the “external electronic receptor ER” has a plurality of medical items displayed in the extraction target display field 345. preferable. For this reason, for example, if the row of the medical item “I medical item” and the row of the medical item “K medical item” can be surrounded by a dotted line or colored as shown in FIG. Even when “ER” is displayed again, the review committee member knows that this “foreign electronic receipt ER” has already been reviewed once in the comparative review.

<Combination examination of “External Electronic Receipt ER”>
In addition, “external electronic receipt ER” including a plurality of medical treatment items displayed in the extraction target display field 345 can be displayed on the operation information screen. For example, as shown in FIG. 12C, “external electronic receipt ER” having the medical item “K medical item” and the medical item “B medical item” at the same time is displayed on the operation information screen for examination. You can also.

  Specifically, as shown in FIG. 12C, when the examiner selects the medical item “I medical item” and the medical item “K medical item” with the mouse MS, the color of the row changes. With a star mark, etc., the jury can recognize that the row has been selected. When the “combination” button 364 is clicked with the mouse MS, “external electronic receptor ER” having both the medical item “I medical item” and the medical item “K medical item” is extracted. As a result, the “external electronic receptor ER” having both the selected medical treatment items “I medical treatment item” and “K medical treatment item” is displayed on the operation information screen.

<Display example of medical institution information column>
FIG. 14 is an example showing a signage department information column 320 of a medical institution. FIG. 14 (a) shows the average number of cases per medical institution of “foreign electronic receptors ER” for each medical institution group in the comparison target and “outside electronic receipts” for each medical institution subject to examination. It is a monthly bill count graph 321 indicating the number of bills for “ER”. FIG. 14 (b) shows the average number of claims per medical institution of “foreign electronic receptor ER” for each medical institution group to be compared and “outside electronic receipt for each medical institution subject to examination”. It is a monthly claim score graph 324 showing the average claim score of “ER”.

  In the billing number graph 321 by signage department shown in FIG. 14A, the horizontal axis is the billing month and the vertical axis is the number of cases. The billing months on the horizontal axis are lined up from January to December because the “external electronic receipt ER” in December is being assisted or examined. When examining the “foreign electronic receipt ER” for June, June is displayed on the rightmost and the past 11 months are displayed on the left in order.

  The information aggregation display unit 191 displays the average number per medical institution of the “foreign electronic receptor ER” for each medical institution group as a comparison target calculated in step S32 in white circles WC. The number of “foreign electronic receipts ER” of the medical institution subject to examination calculated in step S33 is displayed as a red circle RC. Although not shown, the number of requests may be displayed as a line graph or a bar graph. For example, when the screening committee member observes the monthly billing number graph 321 shown in FIG. 14 (a), the number of medical institutions subject to examination is only in December, which is less than the group of medical institutions subject to comparison. You can recognize that there is.

  In the monthly bill score graph 324 shown in FIG. 14B, the horizontal axis is the billing month and the vertical axis is the score. In the billing score graph 324 for each month according to the signage department, the billing month on the horizontal axis is rearranged according to the billing month to be examined.

  The information aggregation display unit 191 displays the average number of claims of “foreign electronic receipt ER” for each of the medical institution groups of the medical institution group to be compared calculated in step S34 in white circles WC, and step S35. The average number of claims for the “foreign electronic receipt ER” of the medical institution subject to examination calculated in step 1 is displayed as a red circle RC. For example, when the examiner observes the monthly billing score graph 324 shown in FIG. 14B, the average billing score of the medical institutions subject to examination is compared with the group of medical institutions subject to comparison in April and February. Can recognize that it is expensive.

  FIG. 15A is an example showing a medical institution information field 320 of a medical institution, and is a billing number graph 327 for each billing month. In the number-of-claims graph 327, the horizontal axis represents the logarithmic number of claims and the vertical axis represents the number of cases. In the medical institutions that are subject to comparison, the average number of requests per medical institution for each “institutional electronic receipt ER” of each medical institution group is displayed in white circles WC. The number of claims for each “external electronic receipt ER” is displayed in red circle RC. For example, the number of “external electronic receipts ER” that is 0 points or more and less than 250 points is displayed at the point where the number of claims is 0, and the number of “external electronic receptors ER” that is 250 points or more and less than 500 points The number of cases is displayed at the point where the number of claims is 250.

  The number-of-claims graph 327 shows the average number of medical institution groups to be examined and the average number of medical institutions to be examined and the number of medical institution to be examined for each medical institution in the group of medical institutions subject to comparison. The number of claims by the number of claim points of the “foreign electronic receipt ER” by the signpost department is compared and displayed. For this reason, the examination committee can recognize, for example, which number of claims is greater or less than this other medical institution in this medical institution as shown in FIG.

  If the reviewer wants to check the contents of those “external electronic receipts ER” one by one, paying attention to the fact that the number of requests in the high score area is higher than other medical institutions, the reviewer can select the operation screen switching field. Click the 310 high score button 312 (FIG. 5). Then, the point input window 370 shown in FIG. 15B is displayed on the first monitor 33.

  FIG. 15B is an example showing a score input window 370. The score input window 370 is further provided with a high score examination execution button 371. When this execution button 371 is clicked, an arbitrary number of claims can be set. For example, in FIG. 15B, an input field 372 for inputting a lower limit numerical value (the number of claims) and an input field 373 for inputting an upper limit numerical value are provided, and “10000” and “30000” are respectively input. When the number of claims is input in this way, the number of target receipts between the lower limit and the upper limit is displayed in the number field 374 as “88”. If the examiner decides to examine the “foreign electronic receipt ER” for the number of claims in this range, the confirmation button 375 may be clicked. Then, “external electronic receptor ER” that satisfies the condition is displayed on the second monitor 35.

<Display example of error display field 330>
FIG. 16 is an example showing the error display field 330. In the error display column 330, a sign section column 331, a medical treatment identification column 332, an office check column 333, a calculation rule column 334, a doubt column 335, a return column 336, and an assessment column 337 are provided.

  In the signpost field 331, the signage department of the medical institution currently being examined is displayed, and the number of claims for “foreign electronic receipt ER” of the signage department is displayed. In the medical identification column 332, medical identification based on the medical identification code (see FIG. 4) is displayed. In the office work check column 333, the number of errors that occurred during the office work check is displayed for each medical identification. In the calculation rule column 334, the number of cases with calculation rule errors that occurred during the calculation rule check is displayed for each medical identification. In the doubt column 335, the number of cases in which the examination assistant counselors attached a question is displayed for each medical identification. In the return column 336, the number of returns for one year until the previous month is displayed for each medical identification. In the assessment column 337, the number of assessments for one year until the previous month is displayed for each medical identification. In the last row, the total number of each column is displayed.

  When the examination committee wants to confirm the electronic select ER to which the question is attached, the question button 311 (FIG. 5) in the operation screen switching field 310 is clicked. Then, the “foreign electronic receipt ER” to which a question is attached is displayed on the second monitor 35 in the order of medical identification to which the question is attached.

<Display example of the request score column 350 by medical practice>
FIG. 17 is an example showing a request score column 350 for each medical practice. Here, FIG. 17 (a) is a pie chart showing the contents of the number of claims for foreign electronic receipts by medical practice of each medical institution group to be compared, and FIG. 17 (b) shows the medical institutions to be examined. It is the pie chart which showed the contents of the claim score of the foreign electronic receipt according to the medical practice according to the signage department. In addition, the contents of the claim points displayed in FIGS. 17A and 17B are medical treatments such as examinations, treatments, and images.

  The examination assistant co-worker or the examination committee compares the pie charts of FIGS. 17A and 17B displayed on the first monitor 33 (see FIG. 2) when conducting the examination based on the initial indication. However, it is possible to process “foreign electronic receptors ER” displayed on the second monitor 35 (see FIG. 2) one by one. For example, the examination of the medical institution to be examined shown in FIG. 17 (a) is 48%, but the examination in the group of medical institutions to be compared shown in FIG. 17 (b) is 31%. The examiner or the examiner can focus on the “inspection” item.

DESCRIPTION OF SYMBOLS 11, 12 ... System server 13 ... Medical treatment item number calculation part (131 ... Whole medical treatment item number calculation part, 132 ... Individual medical treatment item number calculation part)
14 ... Medical item magnification calculation unit 15 ... Medical item selection unit 16 ... Number of claims calculation unit (161 ... Total number of claims calculation unit 162 ... Individual number of claims calculation unit)
17 ... Average claim score calculation unit (171 ... Overall average claim score calculation unit, 172 ... Individual average claim score calculation unit)
18 ... Sorting part (181 ... Sorting part by number, 182 ... Sorting part by magnification)
19 ... Display section (191 ... Information aggregation display section, 192 ... Operation information display section)
22 ... Terminal equipment 33, 35 ... Monitor 23 ... Information file 24 ... Claim score master file 25 ... Calculation rule master file 51 ... Extraction display column, 52 ... Asterisk column 53 ... Calculation rule / question column, 54 ... Name display column 55 ... Quantity field, 56 ... Assessment field, 57 ... Score / times field 71 ... Medical institution field, 72 ... Patient field 73 ... Injury name field, 74 ... Abstract field 76 ... Operation button, 77 ... Page feed button 100 ... Screen processing system 310 ... Operation screen switching field (311 ... doubt button, 312 ... high score button, 313 ... comparison button)
320 ... Medical institution information column 321 ... Monthly billing number graph by signpost department, 324 ... Monthly billing score graph by signpost department 327 ... Claimed number graph by billing point 330 ... Error display field 331 ... Signpost section, 332 ... Medical treatment identification field 333 ... Office check column, 334 ... Calculation rule column 335 ... Question column, 336 ... Return column, 337 ... Assessment column 340 ... Medical item comparison column 341, 341Z ... Medical item selection table 342 ... Magnification button, 343 ... High frequency button, 344 ... Low frequency button 345 ... Extraction object display field 346 ... Medical treatment item field 347 ... Frequency field, 348 ... Magnification field 350 ... Request score column by medical practice 360 ... Selection window 361 ... Confirm button, 362 ... Add button, 363 ... Delete button 365 ... Cancel button, 366 ... Rearrange button 370 ... Score input win Doe 371 ... Execution button 372, 373 ... Input field 374 ... Number of cases field 375 ... Confirmation button BM ... Total number of claims, DT ... Signage department code ER ... Electronic receipt, EX ... Examination payment institution HP ... Medical institution, IC ... Pharmaceutical code IS … Insurer, IY… Medical record SC… Medical practice code, SI… Medical practice record TC… Specific equipment code, TO… Specific equipment record UR… Medical institution unit receipt

Claims (17)

A first screen and examination system of foreign electronic receipt that includes a server for connecting the terminal device and the terminal device having a second screen different from the first screen,
The server
A storage unit for storing information of a foreign electronic receipt having medical care item code determined for each advocate family code and medical items stipulated in advocating family specific sent from the medical institution,
Based on the signage department code and the treatment item code included in the external electronic receipt read from the storage unit, for each medical care item with respect to the number of receipts per 100 signage departments of the medical institution group consisting of a plurality of medical institutions A means for calculating the total number of medical treatment items for calculating the average number of cases,
An individual for calculating the number of cases for each medical item with respect to the number of receipts per 100 cases of the signage department of one medical institution based on the signage department code and the medical care item code included in the external electronic receipt read from the storage unit Means for calculating the number of medical care items,
The number of each of the medical items for receipt number per reviews the slogan family by 100, to calculate the ratio between the number of each medical care item average number and said one medical institution for each of the medical care item of the medical care institution group Medical item magnification calculation means;
Magnification sorting means for sorting the medical items in order of high magnification;
A first display means for displaying the medical care items is sorted by the magnification to the first screen of the terminal device,
Medical item selection means for displaying a window for selecting an arbitrary medical item from the medical items displayed on the first screen;
Second display means for displaying on the second screen of the terminal device the contents of the external electronic receipt of the medical care item selected by the medical care item selection means;
A screening system for foreign electronic receipts. A number order sorting means for sorting in order of the number of the medical items,
The examination system for an external electronic receipt according to claim 1, wherein the first display means displays the medical items sorted by the number order sorting means on the first screen instead of the magnification sorting means . The medical item selected by the medical item selection unit is displayed on the first screen, and when there are a plurality of selected medical items, the medical item selection unit includes a button for rearranging in an arbitrary order. The screening system for an external electronic receipt according to claim 2. The said 2nd display means characterizes and displays the said selected medical treatment item differently from the medical treatment item which was not selected , when displaying the said external electronic receipt on the said 2nd screen. 4. The screening system for external electronic receptors according to any one of 3 above. The screening system for foreign electronic receipts can switch between the display for screening based on the initial display and the display for comparative screening,
When switched to the display for comparison examination , the first display means displays the medical items sorted by the magnification on the first screen,
When the display is switched to the examination display based on the initial display, the first display means displays on the first screen the contents of the number of claims according to the medical practice of the foreign electronic receipt for each of the medical institutions, and the one medical The examination system of the foreign electronic receipt according to any one of claims 1 to 4, wherein the contents of the number of claim points for each medical practice of the foreign electronic receipt for each signage department of the institution are displayed in a pie chart. A mean average number of claims calculating means for calculating the average number of external electronic receipts per medical institution of the medical institution group
An individual claim number calculating means for calculating the number of foreign electronic receipts for each of the one medical institution departments,
The comparison display for examination and display for examination under the initial display, the first display means, slogan department-specific average number and the medical institution per medical institutions advocating family by foreign electronic receipt of medical institution group 6. The screening system for foreign electronic receptors according to claim 5, wherein a number graph showing the number of foreign electronic receipts every month is displayed. An overall average claim score calculating means for calculating an average claim score per one medical institution for a foreign electronic receipt according to the signage department of the medical institution group;
An individual average claim score calculating means for calculating an average claim score of an external electronic receipt for each of the examination departments of the medical institutions to be examined,
In the display for the comparative examination and the display for the initial examination , the first display means includes the average number of claims per medical institution for the external electronic reception for each medical institution of the comparison target medical institution and the indicia of the medical institution for the inspection. The screening system for an external electronic receipt according to claim 5 or 6, wherein a score graph showing the monthly average number of requests for external electronic receipts is displayed. An average billing point distribution calculating unit for calculating a billing point distribution of a foreign electronic receipt for each of the medical institutions in the medical department group;
An individual claim score distribution calculating means for calculating a distribution of claim points of the foreign electronic receipts for each of the examination departments of the medical institutions to be examined,
Wherein in the comparison display for examination and display for the initial examination, the first display means, slogan family 1 hospitals per claim number distribution and the examination subject medical institutions advocating family by foreign electronic receipt to be compared healthcare The screening system for an external electronic receptor according to any one of claims 5 to 7, wherein a score distribution graph showing an average request score distribution of the different external electronic receptors for each score distribution is displayed. In the comparative examination display ,
The first display means displays a screen for inputting a predetermined set point number on the first screen,
The said 2nd display means displays sequentially the external electronic receptor higher than the input predetermined set number | score on the said 2nd screen in order with a high claim number | score, The any one of Claim 5-8 characterized by the above-mentioned. Examine electronic receipt screening system as described in the section. In the display for the initial examination ,
The first display means displays, on the first screen, the number of office inspection errors indicating an office error included in an external electronic receipt of the one medical institution for each medical practice. The screening system for external electronic receptors according to any one of claims 5 to 9. In the display for the initial examination ,
The first display means displays, for each medical practice, the number of suspected cases attached to the foreign electronic receipt because there is a suspicion about a medicine or a medical item. The screening system for external electronic receptors according to any one of claims 10 to 10. In the comparative examination display ,
12. The examination system for an external electronic receipt according to claim 11, wherein the second display means displays the external electronic receipt to which the question is attached on the second screen in the order of the medical practice. In the comparative examination display ,
When said second display means displays the foreign electronic receipt to the second screen,
Before Stories second display means, the exogenous electron according plurality of said foreign electronic receipt containing said different medical fields, in any one of claims 12 to claim 5 which is not displayed once the second screen Receipt screening system. In the comparative examination display ,
If the medical care item selection means for selecting a combination with AND a plurality of the medical care items,
The second display means, the exogenous electron receipt according plurality of only the foreign electronic receipt having simultaneously the medical items claims 5 that displays the second screen in any of claims 13 Screening system. A screen display method for an examination system having a terminal device having a first screen and a second screen and a server connected to the terminal device,
The server is
A storage step of storing external electronic receipt information including a signage department code determined for each signage department and a medical care item code determined for each medical care item sent from a medical institution ;
Based on the signage department code and the treatment item code, an overall number of treatment item number calculating step for calculating the average number of treatment items per 100 cases of the receipt by the signage department of the medical institution group consisting of a plurality of the medical institutions ;
Based on the signage department code and the treatment item code, an individual treatment item number calculating step of calculating the number of treatment items per 100 cases of the receipt-specific receipt of the examination target medical institution;
A medical treatment item magnification calculating step for calculating a magnification between the average number of medical treatment items and the number of individual medical treatment items;
A magnification sorting step for sorting the medical items in descending order of magnification,
A first display step of displaying the medical items sorted by the magnification on the first screen;
A medical item selection step for displaying on the first screen a window for selecting an arbitrary medical item from the medical items displayed on the first screen ;
A second display step of displaying a foreign electronic receipt of the medical care item selected in the window on the second screen;
Screen display method comprising a. A number order sorting step for sorting in order of the number of the medical items,
The screen display method according to claim 15, wherein, in the first display step , instead of the magnification sorting step, the medical items sorted in the number order sorting step are displayed on the first screen. The medical items care items selected in the selection step is displayed on the first screen, claim 15 or claim 16 when there are a plurality of medical care selected item has a rearranging function in any order in the first screen The screen display method described in 1.