JP5092470B2 - Receipt check device, receipt check method, program, and recording medium - Google Patents

Description

  The present invention relates to a receipt check device, a receipt check method, a program, and a recording medium.

  Conventionally, for a drug prescribed to a patient, whether or not the name of the applicable disease is registered in the patient's medical data, and if the name of the applicable disease is not registered, the name of the applicable disease and the medical data of the patient A disease name check method that presents registered disease names is known (for example, see Patent Document 1).

  Also, a disease name check method is disclosed in which, when the disease name in the medical fee remuneration statement is checked, if the name of the applicable disease is not registered, the disease name check method in which the name of the drug is indicated (for example, see Patent Document 2).

Japanese Patent No. 3462788 JP 2000-311206 A

  However, in any of the above methods, the indication is only checked based on the prescribed drug and the disease name. That is, it is necessary to confirm all data in which an error has occurred. And even if it is the same prescription, you have to repeat a complicated confirmation operation | work for a user.

  Therefore, an object of the present invention is to provide a receipt check device, a receipt check method, a program, and a recording medium that can alleviate the complexity of error confirmation during an indication check and can realize efficient processing. .

As a means for solving the above problems, the present invention provides:
A receipt check device for executing an indication check process for determining whether or not drug data corresponding to indication data included in prescription data is included in drug data associated with the indication data registered in a drug master. ,
Drug / indication storage means for storing drug data and its indication data in association with each other;
Extracting indication data included in the prescription data, and as a result of the indication check processing, a disease name display means for displaying the indication data in which an error has occurred so as to be distinguishable from other indication data;
As a result of the indication check process, drug data in which an error has occurred, indication indication means for displaying a list of indications, and
By dragging indication data displayed on the disease name display means and dropping it on the corresponding medicine data on the indication display means, the indication data and the medicine data are associated with each other to store the medicine / indication memory. Medicinal / indication association means memorized in the means;
It is equipped with.

  With this configuration, the user can easily drag the error indication data displayed on the disease name display unit and drop it on the corresponding drug data displayed on the indication unit. This makes it possible to easily register new drug data and indication data in association with each other without requiring troublesome operations such as switching screens. Therefore, even if similar prescription data is input from the next time, it is not determined as an error as described above, and an efficient indication check can be performed.

  When the indication data is stored in the medicine / indication storage means by the medicine / indication association means, the indication data displayed in an identifiable manner on the disease name display means is set to a normal display mode, and the indication display means It is preferable to further include display control means for hiding drug data to which indication data is added by drag and drop.

  With this configuration, it can be seen at a glance that drug data and indication data have been newly registered in association with each other, and can be used with confidence.

The disease name display means displays indication data in units of each receipt,
Receptive switching means for switching the indication data of one receptor displayed on the disease name display means to the indication data of another receptor, further comprising:
The display control means displays another receptor switched by the receipt switching means based on the indication data after being registered in the medicine / indication storage means by the medicine / indication association means. Is preferred.

  With this configuration, every time new drug data and indication data are registered in association with each other, if there is similar receipt data to be processed thereafter, an error is avoided. As a result, as the input work proceeds, the number of indication check processes can be gradually narrowed down to what is really necessary.

  Data updating means for executing an indication check process for all the receipts based on the indication data and the medicine data after being registered in the medicine / indication storage means by the medicine / indication association means. Is preferred.

  With this configuration, it is possible to update the data for all the receipts based on the indication data and drug data that have been newly registered in the idle time or the like.

  The drug / indication association means drags the drug data or the indication data associated with the drug data displayed on the indication display means and drops the drug data on the display area of the disease name display means, whereby the drug data is displayed. And the indication data are registered in association with each other.

  With this configuration, not only from the indication data for which an error has occurred, but also for example for the indication prescribed for a certain main drug, it is added for the purpose of assisting the efficacy of the main drug or preventing or mitigating side effects. Even when it is desired to prescribe a drug), it can be easily handled.

  The drug / indication association means is more preferably registered as unique to the subject patient when the drug data and the indication data are registered in association with each other.

  With this configuration, the association between drug data and indication data can be registered as individual information in a patient. For example, even if the indication classification is the same, the details are different, and if the prescribed drug is different, information can be individually registered for the patient, preventing the occurrence of errors from the next time. Rapid processing can be performed.

An error content display unit for displaying the indication on the disease name display means so that the indication of an error that has occurred as a result of the indication check process can be distinguished from other indication data, and a chart display unit for displaying the contents of the chart It is preferable to further include a chart switching means for switching between and.
The disease name display means and the indication display means are preferably displayed on the same screen.

Further, the present invention provides a means for solving the above-described problems,
A receipt check method for executing an indication check process as to whether or not drug data corresponding to indication data included in prescription data is included in drug data associated with the indication data registered in a drug master. ,
Extracting indication data included in the prescription data, and as a result of the indication check processing, a disease name display step for displaying the indication data for which an error has occurred in a manner that can be distinguished from other indication data;
As a result of the indication check processing, drug data in which an error has occurred and an indication display step for displaying a list of indications;
By dragging the indication data displayed in the disease name display step and dropping it on the corresponding drug data among the drug data displayed in the indication indication step, the indication data and the drug data are mutually connected. A drug / indication association step to associate and memorize;
Is executed by a computer .

In the drug / indication association step, when the indication data is stored, the indication data displayed in an identifiable manner in the disease name display step is set to a normal display mode, and drag and drop is performed in the indication indication step. It is preferable to further cause the computer to execute a display control step for hiding the drug data to which the indication data is added.

In the disease name display step, indication data is displayed for each receipt unit,
A receptor switching step of switching the indication data of one receptor to the indication data of another receptor displayed in the disease name display step,
In the display control step, it is preferable to cause the computer to display another receptor switched in the receipt switching step based on the indication data and the drug data registered in the drug / indication association step. .

It is preferable to further cause the computer to execute a data update step for executing an indication check process for all the receipts based on the indication data registered in the medicine / indication association step.

In the medicine / indication association step, the drug data displayed in the indication display step or the injury / illness name data associated with the drug data is dragged and dropped on the area displayed in the disease name display step, thereby It is preferable to cause the computer to execute processing for storing the drug data and the indication data in association with each other.

In the medicine / indication association step, when the medicine data and the indication data are registered in association with each other, it is preferable to cause the computer to execute a process of registering as unique to the target patient.

The display in the disease name display step, an error content display unit for displaying the indication of an error in which an error has occurred as a result of the indication check process, so as to be distinguishable from other indication data, and a medical chart display unit for displaying the medical record content It is preferable to further cause the computer to execute a chart switching step for switching to.

Further, according to the present invention, as a means for solving the above problems, a program causes a computer to execute each step of the receipt check method.

  According to the present invention, as a means for solving the above-described problem, a recording medium is recorded with the program readable by a computer.

  According to the present invention, after confirming the location of the error by the disease name display means and the indication display means, an indication is made so that an error does not occur from the next time by a very simple method of drag and drop. Data can be associated with drug data. Therefore, the complexity of error confirmation at the time of checking the indication is avoided, and the indication checking process can be performed efficiently.

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

  FIG. 1 shows a receipt check apparatus according to this embodiment. This apparatus includes a display device 1 such as a liquid crystal display, an input device 2 such as a keyboard / mouse, a storage device 3 such as a hard disk, and a control device 4 that performs program control of the entire receipt check device. These devices may be constituted by a personal computer. Note that a printing device 5 such as a laser printer and a host computer 6 (prescription data transmission device) are connected as necessary.

  The display device 1 displays an initial screen shown in FIG. 4, an indication check screen shown in FIG. 5, a disease name management screen shown in FIG. The disease name management screen includes a disease name display unit 7 (disease name display unit) and an indication display unit 8 (indication display unit).

  The disease name display section 7 includes a patient information column 9, a disease name display column 10, and the like. The patient information field 9 displays the patient's name, sex, date of birth, and the like. In the disease name display column 10, each of the insurance type, disease name number (#), main disease name (whether or not it is the main disease name, “main” is displayed if it is the main disease name), disease name, start date, posting, posting date It consists of columns.

  On the lower side of the disease name display unit 7, buttons “a disease name addition”, “disease name correction”, and “disease name deletion” buttons 7a, 7b, and 7c are displayed, respectively. When the “disease name” button 7a is clicked, an item can be entered in each column of the disease name display field 10 in a separate window. When the “disease name correction” button 7 b is clicked, the line selected in the disease name display field 10 can be corrected. In addition, when the “disease name deletion” button 7c is clicked, the selected line is deleted. Further, an option setting unit 11 is displayed below each button. The option setting unit 11 can select an insurance type option (insurance type), input a disease name comment, select a print option, and select a main disease / secondary disease option (main disease name or secondary disease name).

  The indication display section 8 displays an error content column 13 or a chart reference column (not shown) by switching the tab key 12 (the chart switching means). In the error content column 13, error information indicating the result of the indication check is displayed for each prescribed drug unit. That is, a drug name that is an indication error and a list of indications (candidate disease names) are displayed. In the medical record reference column, subjective information (S: Subjective Information), objective information (O: Objective Information), evaluation information (A: Assessment Information), and plan information (P: Plan) input by a doctor at the time of medical examination or the like. Information) is displayed. Subjective information (S) is related to symptoms subjectively felt by the patient, and means the contents of the questionnaire that the patient has filled out before the examination. Objective information (O) means a finding, that is, a symptom recognized by a doctor at the time of examination. The evaluation information (A) means an assessment, that is, diagnosis contents for a symptom (a doctor's evaluation or judgment based on subjective and objective information). The plan information (P) means a treatment plan, that is, a future treatment plan such as a diagnosis plan, treatment, and patient education.

  The input device 2 may include a touch panel when using the touch panel as the display device 1 in addition to a keyboard, a mouse, and the like.

  The storage device 3 stores various masters such as a medicine master 14, a disease name master 15, a medical practice master 16, and a search menu master 17. The drug master 14 stores data related to a drug (drug), for example, drug name, drug code number, drug effect, indication, and the like. The drug master 14 includes a main master 14a and a sub master 14b (drug / indication storage means). The main master 14a is not rewritable, but the sub master 14b can be freely registered, changed, deleted, etc. Yes. Here, indications added to a certain medicine can be registered in the submaster 14b.

  In addition to the central processing unit 19 (CPU), the control device 4 includes a ROM 20 that stores programs such as BIOS and a RAM 21 that temporarily stores data necessary for processing. Various storage areas are secured in the RAM 21. CPU19 performs the receipt check process mentioned later based on prescription data. Here, the receipt (medical remuneration statement) is a medical billing statement, that is, a statement when a medical institution charges a medical fee to an insurer. In the following description, it is handled for each patient.

  The host computer 6 has a function of transmitting prescription data. Here, the host computer 6 can be either a hospital host on which a hospital prescription ordering system or the like operates, a pharmacy dispensing system control device (built-in computer), or the like.

  Next, the receipt check process, which is a characteristic part of this embodiment, will be described with reference to the flowcharts of FIGS.

  In the receipt check process, first, by clicking the receipt button 22 from the initial screen shown in FIG. 4 (step S1: YES), the indication check screen (subject list) shown in FIG. 5 is displayed (step S2). ). The indication check screen checks whether the disease name in the prescription data matches the indication obtained by referring to the drug master based on the prescribed drug. An error is displayed in distinction from the others (in FIG. 5, the color difference is not known, but actually, as a result of the indication check, indications that do not match the indication are displayed in red). As a result, the user (usually a doctor) does not register the disease name included in the prescription data as the disease name of the drug prescribed in the prescription data, but what is registered as an indication for the drug. Can be understood at a glance.

  When a patient name is selected by a user's click operation or the like on the indication check screen (step S3: YES), the background color is changed so that the selected line can be distinguished from other lines (step S4: FIG. 5). (I don't know for sure, but the background of the selected row A is light blue.) However, the display form is not limited as long as the selected line can be distinguished from other lines, and any display form such as reverse display or highlight display may be used.

  When the disease name management button 23 is operated in a state where a specific patient is selected (step S5: YES), the disease name management screen shown in FIG. 6 is switched (step S6).

  If the error content is confirmed on the disease name management screen and, as a result, it is determined that the prescription drug is appropriate even for an indication not registered in the drug master, as shown in FIG. Of the disease names displayed in the display column 10, the corresponding disease name is dragged and dropped into the corresponding drug region B in the error content column 13 to perform an additional indication process (step S7: indication registration step).

  In the indication addition process, when a corresponding one of the disease names (indication data) displayed in the disease name display column 10 is dragged (step S71: YES), the selected disease name is displayed together with the moving mouse pointer. It is displayed (step S72). Therefore, the user can perform work while confirming the indication to be added. Further, when moving to the error content column 13 that is the movement destination (step S73: YES), the background of the region where the mouse pointer is located (the drug region B composed of the name and the candidate disease name) is identifiable from others. The color is changed (step S74). Here, the background is pink. ). When the dragged indication data is dropped on the corresponding drug area in the error content column 13 (step S75: YES), the disease name is written in the drug master (submaster) (step S76). Thereby, the medicine column displayed in the error content column 13 is deleted (step S77), and the error display in the disease name display column 10 is canceled (step S78: In the example of FIG. 6, the red letter is changed to the black letter). : Display control step).

  FIG. 9 shows an example of data registration in the processing (steps S71 to S78). Here, as a result of the indication check for the drug 2 prescribed in the disease name A registered in the receipt disease name table, an error has occurred, and extracted from the drug master into the indication customization table as the drug master (submaster). A list of indications for drug 2 (here, disease name code) is displayed. Then, by drag and drop in the above process, the disease name A in the receptor disease name table is registered in the indication customization table.

  If the tab key 12 is operated before the indication addition process is executed, the error content column 13 can be switched to the chart reference column. Therefore, the cause of the error can be confirmed by referring to the contents of the chart on the spot. In this case, if the corresponding drug name is displayed in the chart reference column so as to be distinguishable from others, such as a red letter, the error cause can be confirmed more efficiently.

  Thereafter, similarly, the disease names in which an error has occurred are sequentially confirmed in the disease name display column 10, and necessary items are registered in the medicine master (submaster) executed in step S7.

  When the “next receipt” button 24a is clicked (step S8: YES), the display of the disease name display column 10 is switched to the next (patient) receipt (step S9: receipt switching step). The indication addition process is repeated for the newly displayed receipt. In this case, when the newly displayed receipt includes the content that has been displayed as an error in the disease name addition process until then, it is determined that the prescription is not an error but an appropriate prescription. It is never displayed. In order to switch to the previous patient's reception, the “previous reception” button 24b may be clicked.

  Further, when the “close” button 25 is operated (step S10: YES), the disease name management screen is closed (step S11), and the indication check process is ended. At this time, the data with respect to all the receipt data is updated for the drug with the disease name added (step S12: data update step). Then, the screen display is switched to the receipt print screen (step S13). The reason why this data update is not performed in the indication addition process is that it takes time to process when the data volume of the drug master 14 is large, and the data update is performed every time data is added. It is also possible to perform.

  As described above, by executing the indication addition process, it is possible to re-register the content that has been notified as an error in the conventional indication check process so as to be appropriate. Therefore, the number of error occurrences can be suppressed from the next indication check process, and workability can be improved.

  In the above-described embodiment, the data is updated by dragging the corresponding disease name in the disease name display column 10 and dropping it in the corresponding drug region in the error content column 13. Good.

  That is, as shown in FIG. 8, the disease name displayed in the error content display column 13 may be dragged and dropped on the disease name display column 10. Since the disease name displayed in the error content display column 13 is associated with the drug, the disease name displayed in the disease name display column 10 is registered in association with the drug by dropping the disease name in the disease name display column 10 To do. Thereby, the error display in the disease name display column 10 is eliminated, and the display in the error content display column 13 is deleted. In this case, the data registered by associating the disease name with the drug by the above operation may be registered as rewritable data unique to the patient and stored in the storage device 3 separately. As a result, even if the error that occurred in a patient A as a result of the indication check is the same as the error that occurred in another patient B, only in the case of the patient A, no error will occur from the next time. Can be handled individually. For example, the indication that causes an error occurring in both patient A and patient B is “rheumatoid arthritis” (there is no finer classification due to the receptor), and details of the indication However, if the patient A is “positive rheumatoid arthritis” and the patient B is “negative rheumatoid arthritis”, the prescribed drug may be appropriate for the patient A even if the prescribed drug is inappropriate for the patient B. is there. Therefore, by registering the prescribed drug and the indication “rheumatoid arthritis” in association with each other only for patient A, it is possible to prevent the occurrence of an error from the next time.

  FIG. 10 shows an example of data registration by drag and drop in FIG. Here, the error display in the disease name display column 10 is eliminated by adding the disease name A of the candidate disease name table to the receipt disease name table of a certain patient (patient ID “0001”). As a result, only for this patient from the next time, even if the medicine 2 is prescribed for the disease name A, no error is displayed in the disease name display column 10.

  In addition to the error content column 13 and the chart reference column 13 switched from there, the drug (name) displayed by clicking the button (not shown) and calling it from the drug master 14 is dragged. Then, by dropping the dragged drug (name) on the corresponding disease name in the disease name display field 10, the disease name and the drug are associated and registered in the drug master 14 (submaster 14b).

  In this way, by dragging and dropping the content displayed in the error content display field 13 to the disease name display field 10, the prescription drug and the disease name input as the diagnosis result can be associated with each other. This is effective, for example, when adding a drug used as an auxiliary to the main drug, such as an auxiliary drug.

It is a block diagram of the receipt check apparatus which concerns on this embodiment. It is a flowchart figure which shows the content of the indication check process performed with the receipt check apparatus shown in FIG. It is a flowchart figure which shows the content of the indication addition process of FIG. It is a figure which shows the initial screen displayed on the display apparatus of FIG. It is a figure which shows the indication check screen switched from FIG. It is a figure which shows the disease name management screen switched from FIG. In FIG. 6, it is a figure which shows the state which has dragged and dropped the chemical | medical agent name. In FIG. 6, it is a figure which shows the state which is dragging and dropping the disease name. It is a figure which shows the example of registration of the data by drag and drop of FIG. It is a figure which shows the example of registration of the data by drag and drop of FIG.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 ... Display apparatus 2 ... Input device 3 ... Storage apparatus 4 ... Control apparatus 5 ... Printing apparatus 6 ... Host computer 7 ... Disease name display part 7a ... "Disease name addition" button 7b ... "Disease name correction" button 7c ... "Disease name deletion" button 8 ... Indication display unit 9 ... Patient information column 10 ... Disease name display column 11 ... Option setting unit 12 ... Tab key 13 ... Error content column 14 ... Drug master 14a ... Main master 14b ... Sub master 15 ... Disease name master 16 ... Medical practice master 17 ... Search menu master 18 ... Receive check processing program 19 ... Central processing unit (CPU)
20 ... ROM
21 ... RAM
22 ... Receipt button 23 ... Disease name management button 24a ... "Next receipt" button 24b ... "Previous receipt" button 25 ... "Close" button

Claims (17)

A receipt check device for executing an indication check process for determining whether or not drug data corresponding to indication data included in prescription data is included in drug data associated with the indication data registered in a drug master. ,
Drug / indication storage means for storing drug data and its indication data in association with each other;
Extracting indication data included in the prescription data, and as a result of the indication check processing, a disease name display means for displaying the indication data in which an error has occurred so as to be distinguishable from other indication data;
As a result of the indication check process, drug data in which an error has occurred, indication indication means for displaying a list of indications, and
By dragging indication data displayed on the disease name display means and dropping it on the corresponding medicine data on the indication display means, the indication data and the medicine data are associated with each other to store the medicine / indication memory. Medicinal / indication association means memorized in the means;
A receipt check device comprising:   When the indication data is stored in the medicine / indication storage means by the medicine / indication association means, the indication data displayed in an identifiable manner on the disease name display means is set to a normal display mode, and the indication display means The receipt check device according to claim 1, further comprising display control means for hiding drug data to which indication data is added by drag and drop. The disease name display means displays indication data in units of each receipt,
Receptive switching means for switching the indication data of one receptor displayed on the disease name display means to the indication data of another receptor, further comprising:
The display control means displays another receptor switched by the receipt switching means based on the indication data after being registered in the medicine / indication storage means by the medicine / indication association means. The receipt check apparatus according to claim 1 or 2, wherein   Data update means for executing indication check processing for all the receipts based on the indication data and the medicine data after being registered in the medicine / indication storage means by the medicine / indication association means. The receipt check apparatus according to any one of claims 1 to 3.   The drug / indication association means drags the drug data or the indication data associated with the drug data displayed on the indication display means and drops the drug data on the display area of the disease name display means, whereby the drug data is displayed. The receipt check device according to any one of claims 1 to 4, wherein the data and the indication data are registered in association with each other.   6. The receipt check apparatus according to claim 5, wherein the drug / indication association means registers the drug data and the indication data as being specific to a target patient when registering the drug data and the indication data in association with each other.   An error content display unit for displaying the indication on the disease name display means so that the indication of an error that has occurred as a result of the indication check process can be distinguished from other indication data, and a chart display unit for displaying the contents of the chart The receipt check device according to any one of claims 1 to 6, further comprising a chart switching means for switching between and.   The receipt check apparatus according to claim 1, wherein the disease name display unit and the indication display unit are displayed on the same screen. A receipt check method for executing an indication check process as to whether or not drug data corresponding to indication data included in prescription data is included in drug data associated with the indication data registered in a drug master. ,
Extracting indication data included in the prescription data, and as a result of the indication check processing, a disease name display step for displaying the indication data for which an error has occurred in a manner that can be distinguished from other indication data;
As a result of the indication check processing, drug data in which an error has occurred and an indication display step for displaying a list of indications;
By dragging the indication data displayed in the disease name display step and dropping it on the corresponding drug data among the drug data displayed in the indication indication step, the indication data and the drug data are mutually connected. A drug / indication association step to associate and memorize;
Receipt check method characterized by causing a computer to execute . In the drug / indication association step, when the indication data is stored, the indication data displayed in an identifiable manner in the disease name display step is set to a normal display mode, and drag and drop is performed in the indication indication step. The receipt check method according to claim 9 , further comprising causing the computer to execute a display control step of hiding the drug data to which the indication data is added. In the disease name display step, indication data is displayed for each receipt unit,
A receptor switching step of switching the indication data of one receptor to the indication data of another receptor displayed in the disease name display step,
In the display control step, based on the indication data and the drug data registered in the drug / indication association step, the computer displays another receptor switched in the receptor switching step. The receipt check method according to claim 9 or 10 . Based on the indications data that has been registered in the drug-indications associating step, a data updating step of executing the indication check process for all receipts, 9 through claim further characterized by causing a computer to execute The receipt check method according to any one of 11 . In the medicine / indication association step, the drug data displayed in the indication display step or the injury / illness name data associated with the drug data is dragged and dropped on the area displayed in the disease name display step, thereby The receipt check method according to any one of claims 9 to 12, wherein a computer executes processing for storing drug data and said indication data in association with each other. In the drug-indications associating step, to register by associating the agent data and the indication data with each other, to a patient of interest to claim 13, characterized in that to execute the process of registering as specific to the computer Receipt check method as described. The display in the disease name display step, an error content display unit for displaying the indication of an error in which an error has occurred as a result of the indication check process, so as to be distinguishable from other indication data, and a medical chart display unit for displaying the medical record content receipt check method according to any one of claims 9 to 14, characterized in that to execute a chart switching step, further to a computer to switch to and. A program that causes a computer to execute each step of the method according to any one of claims 9 to 15 . A computer-readable recording medium on which the program according to claim 16 is recorded.