JP6089944B2 - Check item creation program, apparatus, and method - Google Patents

Description

  The present invention relates to a check item creation program, apparatus, and method.

  2. Description of the Related Art Conventionally, medical accounting systems have been used to calculate medical fee points, calculate patient burdens, create medical fee bills (receipts), etc., for medical practices in hospitals. Some medical accounting systems have a check function for checking for data errors when inputting data or creating a form using the input data.

  For example, an information processing apparatus that communicates with an electronic medical record system and outputs information related to medical expenses has been proposed. In this information processing apparatus, the medical information value included in the medical information of the electronic medical record system or the medical information value based on the processed medical information is acquired. Then, the risk level corresponding to the acquired medical information value is searched from the first storage unit that stores the medical information value and the risk level that the medical cost becomes unaccrued, and corresponds to the searched risk level. Output information is output.

  Further, in an apparatus that automatically processes a form, a form reading apparatus that checks an allowable range of correction input when an end user corrects information on a form accepted by the apparatus has been proposed. For example, in this form reading apparatus, when the reading result of the form received by the apparatus is corrected, a range in which correction is allowed for the reading result is set in advance, and when there is a correction exceeding the set value, Restrictions are added to the subsequent processing.

  In addition, in a device that performs data analysis, diagnosis, form creation, etc., when the data value in the displayed form is modified by the user with respect to the form displayed on the terminal on the user side, An apparatus for storing a change history such as input time information has been proposed.

JP 2012-198687 A JP 2003-150900 A JP 2002-024423 A

  In a conventional medical accounting system and a device related to form processing, a check master is created in which rules for extracting confirmation objects such as contents that cause errors or items that need to be confirmed are created in advance. Then, this check master is applied to the input data to perform a system check on the input data. By such a system check, a confirmation target is extracted from the input data. The user confirms the extracted confirmation target and corrects the input data from the user terminal.

  However, the confirmation target extracted by the predetermined rule may be different from the target that the user intends to confirm with priority, and may impose a burden on the confirmation work on the user. It is also conceivable that the result of the system check conforms to the user's intention by designating the target determined by the user by giving priority to the rule determined by the check master.

  However, there is a case where the object that the user wants to confirm with priority changes every predetermined period, or the rule for extracting the confirmation object may vary. In such a case, it is burdensome for the user to pre-determine rules for extracting high priority items to be checked in the system check rules.

  An object of the present invention is to create a check item that can extract a confirmation target with a high priority to be checked.

  When the accounting information including the information indicating the medical practice is corrected, the disclosed technology stores at least the information indicating the medical practice included in the accounting information and the correction information including the information on the time when the correction was performed. To remember. In addition, the disclosed technique counts the number of times the accounting information is corrected for a predetermined period for each medical practice based on a plurality of correction information stored in the storage unit. In addition, the disclosed technology provides a request for selecting whether to add, as a check target, information indicating the medical practice in which the counted number of corrections exceeds a predetermined number to a check item used for checking the accounting information. Do. In addition, the disclosed technique adds information indicating the medical practice to the check item when it is selected to be added.

  As one aspect, the disclosed technology has an effect that a check item that can extract a confirmation target with a high priority to be checked can be created.

It is a block diagram which shows an example of a structure of the medical accounting system which concerns on 1st Embodiment. It is a figure which shows an example of the correction history database in 1st Embodiment. It is a figure which shows an example of the candidate guide in 1st Embodiment. It is a schematic block diagram which shows an example of the computer which functions as a medical accounting processing apparatus. It is a flowchart which shows the medical accounting process in 1st Embodiment. It is a block diagram which shows an example of a structure of the medical accounting system which concerns on 2nd Embodiment. It is a figure which shows an example of the correction history database in 2nd Embodiment. It is a figure which shows an example of the correction history database in 2nd Embodiment. It is a figure which shows an example of the candidate guide in 2nd Embodiment. It is a figure which shows an example of the maintenance screen of the check master in 2nd Embodiment. It is a flowchart which shows the check master maintenance process in 2nd Embodiment. It is a figure for demonstrating the priority which should be checked.

  Hereinafter, an example of an embodiment of the disclosed technology will be described in detail with reference to the drawings.

<First Embodiment>
FIG. 1 shows a medical accounting system 100 according to the first embodiment. The medical accounting system 100 includes an electronic medical record processing device 40 for managing the progress of medical treatment and the medical accounting processing device 10 for processing accounting information based on medical treatment.

  As shown in FIG. 1, the electronic medical record processing device 40 includes an input unit 41 and a control unit 42. In addition, a medical master 46 is stored in a predetermined storage area of the electronic medical record processing device 40.

  The input unit 41 is a medical treatment performed on a patient by a doctor from an input device such as a keyboard connected to the electronic medical record processing device 40 or a user terminal connected to the electronic medical record processing device 40 via a network. Accepts information indicating an action. The user inputs information indicating a medical practice by selecting a medical care code registered in the medical care master 46. Here, the medical care master 46 is a master table in which, for example, medical practices such as medical examination, examination, prescription, treatment, medication, and surgery are registered in association with medical codes. In addition, the input unit 41 includes patient information for identifying a patient who has undergone a medical practice, date and time information on which the medical practice has been performed, the number of times the medical practice has been performed (amount if the medical practice is a medication), and information on a disease name Also accept information related to medical practice such as. The input unit 41 delivers medical information in which information related to the medical practice is associated with a medical code to the control unit 42.

  The control unit 42 transmits the medical information delivered from the input unit 41 to the medical accounting processing apparatus 10 via a network or the like.

  As illustrated in FIG. 1, the medical accounting processing apparatus 10 includes an accounting processing unit 30 and a check master creation unit 20. The accounting processing unit 30 includes an accounting information processing unit 31 and a form creation unit 32. A score master 36 and a transaction information table 37 are stored in a predetermined storage area of the medical transaction processing apparatus 10.

  The accounting information processing unit 31 receives the medical information transmitted from the electronic medical chart processing device 40, refers to the score master 36, and acquires the medical fee score corresponding to the medical code included in each medical information. Here, the score master 36 is a master table in which the medical fee score defined for each medical practice is registered in association with the medical code. The accounting information processing unit 31 generates accounting information in which the acquired medical fee is added to the medical information, and stores the generated accounting information in the accounting information table 37. For example, one record of accounting information may include patient information, date and time when a medical practice was performed, a medical code, the number of times a medical practice was performed, and a medical fee.

  The form creation unit 32 creates a form such as a receipt (medical fee bill) and a patient bill based on the accounting information stored in the accounting information table 37. Specifically, the form creation unit 32 extracts accounting information for a period necessary for the form to be created from the accounting information stored in the accounting information table 37, and a check master that defines check items for the extracted accounting information. 27 is extracted, and a confirmation target that needs confirmation by the user such as an error part is extracted. The form creation unit 32 displays the extracted confirmation target on a display device connected to the medical accounting processing apparatus 10 or a display device of a user terminal connected to the medical accounting processing apparatus 10 via a network. The user corrects the accounting information based on the displayed confirmation target.

  The form creation unit 32 reflects the correction of the accounting information made by the user in the accounting information stored in the accounting information table 37. The form creation unit 32 extracts the accounting information for the period necessary for the form to be created again from the accounting information stored in the accounting information table 37 reflecting the correction, and calculates necessary for each item included in the form to be created. And create a form by applying the necessary values to the format of the form to be created.

  Next, the check master creation unit 20 includes a correction history management unit 21 and a check master addition unit 22. In a predetermined storage area of the medical accounting processing apparatus 10, a correction history database (DB) 26 and a check master 27 are stored. The check master creation unit 20 is an example of a check item creation device of the disclosed technology.

  When the accounting information is corrected, the correction history management unit 21 acquires correction information including at least the medical code included in the corrected accounting information and the correction date when the accounting information is corrected, and the correction history DB 26 To manage the history of correction information. For example, a description will be given taking a modification to accounting information as shown below.

<Accounting information>
Patient information: Taro Date of medical practice: April 2013 x Day Medical code: 21000 (mevalotin tablets)
Quantity: 2 tablets Medical Reward Points: XXX

  In the example of the accounting information above, when the quantity of “mevalotin tablet”, which is the medical practice (here drug name) indicated by the medical code “21000”, is corrected from 2 tablets to 1 tablet, the corrected information as shown below Can be obtained.

<Correction information>
Date of correction: April 2013 x Sunday Medical code: 21000 (mevalotin tablets)

  Further, the correction history management unit 21 holds information on the number of corrections for the correction information stored in the correction history DB 26 and having the same medical code and the correction date is counted within the predetermined period. Furthermore, the correction history management unit 21 adds information for managing the number of corrections described above to each correction information. Accordingly, the records stored in the correction history DB 26 are records including correction information and information added to the correction information, and records indicating the number of correction times.

FIG. 2 shows an example of the data structure of the correction history DB 26. In the example of FIG. 2, information included in the acquired correction information is stored in “correction date” and “medical care code”. In FIG. 2, the name of the medical practice corresponding to the medical code is shown in parentheses for easy understanding of the explanation. “Year / month”, “type”, and “count” are information added to manage the number of corrections. “Year / Month” is an example of a predetermined period for counting the number of corrections, and stores information obtained by extracting the year / month portion from the correction date included in the correction information. That is, in this example, the number of corrections in the same year and month is counted for the same medical code.
In “type”, information indicating the type of each record is “detail” or “total” is stored. “Detail” indicates that the record includes correction information and information added to the correction information. Further, “total” indicates that the record is a record indicating information on the number of corrections. The “count” stores a numerical value that is incremented by 1 every time a record of the same medical code in the same year and month is stored in the correction history DB 26. The “number of corrections” of the record whose “type” is “total” stores the total number of records of the same medical code in the same year and month.

  The check master adding unit 22 monitors the “correction count” in the correction history DB 26 and asks the user whether or not to add a medical code whose “correction count” exceeds a predetermined number (for example, 10) to the check master 27. Check. If the number of corrections in a predetermined period is large, it indicates that the input of accounting information including the medical code is likely to be erroneous. In addition, it is assumed that the user is checking the accounting information including the medical care code. The case where the user performs the check mainly includes, for example, a case where the medical treatment indicated by the medical treatment code is a medical treatment for a disease that is currently prevalent, or a case where the user is designated as a check strengthening target for the target year and month. is there. That is, it can be said that a medical code whose number of corrections exceeds a predetermined number is a high priority item to be checked.

  For example, the check master adding unit 22 displays a candidate guide for confirming to the user whether or not to add to the check master 27 a medical code whose number of corrections exceeds a predetermined number. For example, as shown in FIG. 3, the candidate guide 52 can be displayed superimposed on the accounting information input or correction screen 51. In the example of FIG. 3, the candidate guide 52 confirms with the user whether or not to add to the check master 27 the medical practice indicated by the medical code whose number of corrections exceeds the predetermined number (<> in the example of FIG. 3). A message can be included. In addition, the candidate guide 52 is selected when adding the presented medical practice to the check master 27 and when the display of the candidate guide 52 is closed without adding the presented medical practice to the check master 27. A cancel button can be included.

  When the check master adding unit 22 receives information indicating that the presented medical code is to be added to the check master 27, for example, by selecting the add button of the candidate guide 52, the check master adding unit 22 checks the medical code. Is added to the check master 27. The check master adding unit 22 sets the medical care code added to the check master 27 so that the candidate guide 52 is not displayed thereafter. As a result, a confirmation target having a high priority to be checked is added to the check master 27.

  The medical accounting processing apparatus 10 can be realized by, for example, a computer 60 shown in FIG. The computer 60 includes a CPU 61, a memory 62, a nonvolatile storage unit 63, an input / output interface (I / F) 64, and a network I / F 65. The CPU 61, the memory 62, the storage unit 63, the input / output I / F 64, and the network I / F 65 are connected to each other via a bus 66.

  The storage unit 63 can be realized by an HDD (Hard Disk Drive), a flash memory, or the like. In the storage unit 63 as a recording medium, a medical accounting processing program 70 for causing the computer 60 to function as the medical accounting processing apparatus 10 is stored. The medical accounting processing program 70 includes an accounting processing program 90 and a check master creation program 80. The CPU 61 reads the medical accounting processing program 70 from the storage unit 63 and develops it in the memory 62, and sequentially executes the processes of the medical accounting processing program 70.

  An accounting processing program 90 included in the medical accounting processing program 70 includes an accounting information processing process 91 and a form creation process 92. The check master creation program 80 included in the medical accounting processing program 70 includes a correction history management process 81 and a check master addition process 82.

  The CPU 61 operates as the accounting information processing unit 31 illustrated in FIG. 1 by executing the accounting information processing process 91. Further, the CPU 61 operates as the form creation unit 32 shown in FIG. 1 by executing the form creation process 92. Further, the CPU 61 operates as the correction history management unit 21 shown in FIG. 1 by executing the correction history management process 81. Further, the CPU 61 operates as the check master adding unit 22 illustrated in FIG. 1 by executing the check master adding process 82. As a result, the computer 60 that has executed the medical accounting processing program 70 functions as the medical accounting processing apparatus 10.

  The medical accounting processing apparatus 10 can be realized by, for example, a semiconductor integrated circuit, more specifically, an ASIC (Application Specific Integrated Circuit) or the like.

  Similarly to the medical accounting processing apparatus, the electronic medical chart processing apparatus 40 can also be realized by a computer including a CPU, a memory, a storage unit, an input / output I / F, and a network I / F. Further, the electronic medical record processing apparatus 40 can be realized by, for example, a semiconductor integrated circuit, more specifically, an ASIC or the like.

  Next, the operation of the medical accounting system 100 according to the first embodiment will be described. Medical information is input to the electronic medical chart processing apparatus 40 according to the progress of medical treatment. Then, medical information is transmitted from the electronic medical record processing device 40 to the medical accounting processing device 10 at a predetermined timing such as a timing for creating a form. When the medical accounting processing apparatus 10 receives the medical information, the medical accounting processing apparatus 10 executes medical accounting processing shown in FIG.

  In step S10 of the medical accounting process shown in FIG. 5, the accounting information processing unit 31 receives the medical information transmitted from the electronic medical chart processing device 40, refers to the score master 36, and stores the medical information included in each medical information. Acquire the corresponding medical fee. Then, the accounting information processing unit 31 generates accounting information in which the acquired medical fee is added to the medical information, and stores the generated accounting information in the accounting information table 37.

  Next, in step S12, the form creation unit 32 extracts accounting information for a period necessary for the created form from the accounting information stored in the accounting information table 37 in step S10. Then, the form creation unit 32 applies the check master 27 to the extracted transaction information, and extracts a confirmation target that is a portion that needs to be confirmed by the user. The form creation unit 32 displays the extracted confirmation target on the display device. The user corrects the accounting information based on the displayed confirmation target.

  Next, in step S14, the correction history management unit 21 determines whether or not the accounting information has been corrected. If the accounting information is corrected, the process proceeds to step S16. If the accounting information is not corrected even after a predetermined time has elapsed, the process proceeds to step S28.

  In step S16, the correction history management unit 21 acquires correction information including the medical care code included in the accounting information corrected in step S14 and the correction date when the accounting information is corrected, for example, as shown in FIG. The data is stored in the correction history DB 26 having such a data structure. Further, the correction history management unit 21 updates the “number of corrections” in the correction history DB 26.

  Next, in step S18, the check master adding unit 22 determines whether there is a medical code for which the “number of corrections” in the correction history DB 26 exceeds a predetermined number (for example, 10 times). When it exists, it transfers to step S20, and when it does not exist, it transfers to step S26.

  In step S20, the check master adding unit 22 superimposes and displays the candidate guide 52 on the accounting information input or correction screen 51 as shown in FIG. The candidate guide 52 includes a message for confirming whether or not to add to the check master 27 the medical code that has been determined that the number of corrections exceeds the predetermined number in step S18.

  Next, in step S <b> 22, the check master adding unit 22 determines whether information indicating that a medical code exceeding a predetermined number of times is added to the check master 27 has been received from the user. If accepted, the process proceeds to step S24. If not accepted, the process proceeds to step S26.

  In step S24, the check master adding unit 22 adds the medical code presented to the user by the candidate guide 52 in step S20 as a check target in the check master 27.

  In step S26, the correction history management unit 21 determines whether or not the input of the correction information from the user is finished. This determination can be made based on, for example, whether or not the user has executed a command to end the correction of the accounting information. If the input of correction information has not ended, the process returns to step S14 and waits until the next correction information is input. On the other hand, when the input of the correction information is completed, the process proceeds to step S28.

  In step S28, the form creation unit 32 reflects the correction of the accounting information made by the user in the accounting information stored in the accounting information table 37, and extracts the accounting information for the period necessary for the form to be created again. To do. Then, the form creation unit 32 performs necessary calculations for each item included in the form to be created, applies values necessary for the format of the form to be created, creates the form, and ends the medical accounting process.

  As described above, according to the medical accounting processing apparatus 10 according to the first embodiment, it is determined whether or not to add a medical code whose accounting information is frequently corrected to the check master as a confirmation target. Therefore, it is possible to create a check master that can extract a confirmation target with a high priority to be checked.

Second Embodiment
Next, a second embodiment will be described. In the medical accounting system according to the second embodiment, the same parts as those in the medical accounting system 100 according to the first embodiment are denoted by the same reference numerals, and detailed description thereof is omitted.

  FIG. 6 shows a medical accounting system 200 according to the second embodiment. The medical accounting system 200 includes an electronic medical record processing device 40 and a medical accounting processing device 210. As shown in FIG. 6, the medical accounting processing apparatus 210 includes an accounting processing unit 30 and a check master creation unit 220. The check master creation unit 220 includes a correction history management unit 221, a check master addition unit 222, and a check master maintenance unit 23. Further, a correction history DB 226 and a check master 227 are stored in a predetermined storage area of the medical accounting processing apparatus 210.

  Similar to the correction history management unit 21 in the first embodiment, the correction history management unit 221 acquires correction information and stores it in the correction history DB 226 when the accounting information is corrected, and manages the history of the correction information. . In the second embodiment, the medical code of the corrected accounting information, the value before correction of the corrected item, the value after correction of the corrected item, the correction date when the accounting information is corrected, and the comment regarding the correction Get correction information including the presence or absence of. For example, a description will be given taking a modification to accounting information as shown below.

<Accounting information 1>
Patient information: Taro Date of medical practice: April 2013 x Day Medical code: 21000 (mevalotin tablets)
Quantity: 2 tablets Medical Reward Points: XXX
<Accounting information 2>
Patient Information: XX Hanako Date of medical treatment: April △ Day 2013 Medical code: 21000 (mevalotin tablets)
Quantity: 1 tablet Medical reward points: XXX

  In the example of the accounting information 1 above, the number of “mevalotin tablets”, which is the medical practice (here, the drug name) indicated by the medical code “21000”, is corrected from 2 tablets to 1 tablet, and no comments regarding the correction are added. In such a case, correction information as shown below can be acquired.

<Correction information 1>
Date of correction: April 2013 x Sunday Medical code: 21000 (mevalotin tablets)
Quantity (before correction): 2 tablets Quantity (after correction): 1 tablet Comments: None

  In the example of the accounting information 2 above, when the quantity of “mevalotin tablets” is corrected from 1 tablet to 2 tablets and a comment regarding the correction (for example, “because of seriousness”) is added, as shown below Correction information can be acquired.

<Correction information 2>
Date of correction: April 2013 x Sunday Medical code: 21000 (mevalotin tablets)
Quantity (before revision): 1 tablet Quantity (after revision): 2 tablets Comments: Available

  Similarly to the correction history management unit 21 in the first embodiment, the correction history management unit 221 has the same medical code for the correction information stored in the correction history DB 226 and the correction date is within a predetermined period. The information of the number of corrections obtained by counting the correction information is stored. The revision history management unit 221 has the same pattern of revision contents including the medical code, quantity (before change), quantity (after change), and presence / absence of comments, and the revision date is within a predetermined period. Information of the number of corrections for each pattern of the correction content for which the correction information is counted is also held.

  FIG. 7 shows an example of the data structure of the correction history DB 226. In the example of FIG. 7, the “correction date”, “year / month”, “type”, “medical care code”, and “number of corrections” are the same as those in the correction history DB 26 in the first embodiment shown in FIG. . Information included in the correction information is stored in “quantity (before correction)”, “quantity (after correction)”, and “comment presence / absence”. In “Count”, each time a record having the same correction content pattern is stored in the correction history DB 226, a numerical value incremented by 1 is stored for each correction content pattern. For example, FIG. 8 shows an example in which the correction information 1 and the correction information 2 are stored in the correction history DB 226 in the state shown in FIG. In FIG. 7, since the last record of the same correction content as the correction information 1 has a “count” of “4”, when a record corresponding to the correction information 1 is stored, as shown in FIG. Information with “5” is added. Similarly, in FIG. 7, since the “count” is “2” for the last record having the same correction contents as the correction information 2, when the record corresponding to the correction information 2 is stored, as shown in FIG. In addition, information whose “count” is “3” is added. By adding the correction information 1 and the correction information 2, the “number of corrections” within the predetermined period of the same medical code is also updated from “8” to “10”.

  The check master adding unit 222 monitors the “number of corrections” in the correction history DB 26 as in the case of the check master adding unit 22 in the first embodiment, and the medical treatment in which the “number of corrections” exceeds a predetermined number (for example, 10 times). The user is asked whether or not to add the code to the check master 227. As in the first embodiment, the confirmation to the user is, for example, a candidate guide for confirming to the user whether or not to add a medical code whose number of corrections exceeds a predetermined number to the check master 227 on the display device. This can be done by displaying. For example, as shown in FIG. 9, the candidate guide 252 can be displayed superimposed on the accounting information input or correction screen 51. In the example of FIG. 9, the candidate guide 252 confirms with the user whether or not to add to the check master 227 the medical practice indicated by the medical code whose number of corrections exceeds the predetermined number (<> in the example of FIG. 9). A message can be included.

  Further, the candidate guide 252 can also include a condition for extracting the presented medical code as a confirmation target when the check master 227 is applied to check the accounting information. The check master adding unit 222 acquires conditions for extraction as a confirmation target from the corrected history DB 226 from the corrected content of the pattern having the highest number of corrections for each pattern of the corrected content within the predetermined period of the same medical code. And can be included in the candidate guide 252. The number of corrections for each correction content pattern can be acquired from the value of “count”. For example, in the example of FIG. 8, in “2013.04” of “Mevalotin Tablet”, the number of times the number is corrected from “2 tablets” to “1 tablet” without comment is the highest. Therefore, it is assumed that the appropriate amount of “mevalotin tablets” is “1 tablet”, and the condition is such that the medical code included in the accounting information in which the quantity of “mevalotin tablets” exceeds “1 tablet” is extracted as the confirmation target. Set.

  In addition, if a comment regarding the correction is added to the accounting information, it can be estimated that the information is intentionally corrected to the contents that do not meet the conditions, so the medical code included in the accounting information is extracted as the confirmation target. Is not appropriate. Therefore, with reference to the correction history DB 26, whether or not the number of corrections with comments is greater than or equal to a predetermined number even when information related to the medical practice included in the accounting information (here, “quantity”) does not meet the conditions. Determine whether. If it is a predetermined number of times or more, an exceptional condition may be added that excludes the medical code included in the accounting information from the confirmation target. Note that not only the presence / absence of a comment but also the comment content may be managed by the correction history DB 226, and an exception condition may be set according to the comment content.

  Further, the candidate guide 252 may include a display indicating the correction contents with the number of corrections for each correction content pattern being equal to or greater than a predetermined number for the same medical code in a predetermined period. The number of corrections for each pattern of the correction content is useful information for the user as the content indicating the basis for setting the above condition. The number of corrections for each correction content pattern can be acquired from the correction history DB 226. In addition, when there are a plurality of correction contents in which the number of corrections for each pattern of the correction contents is a predetermined number or more, the correction contents can be displayed in descending order. In the setting example of the above condition, conditions are set for extracting the correction contents with the highest number of corrections as the confirmation target. However, a plurality of correction contents whose correction times are the predetermined number or more are displayed and selected by the user. The corrected content of the corrected content may be set as the above condition.

  For example, the check master adding unit 222 receives information indicating that a medical code exceeding a predetermined number of times is added to the check master 227 together with a condition by selecting an add button of the candidate guide 252 or the like. Then, the check master adding unit 222 adds the medical code and the condition indicated by the information to be added to the received check master 227 to the check master 227 as a confirmation target. Note that the check master adding unit 222 sets the medical care codes and conditions added to the check master 227 so that the candidate guide 252 is not displayed thereafter. As a result, a confirmation item having a high priority to be checked is added to the check master 227. Furthermore, since appropriate conditions are set based on the number of corrections for each pattern of correction content, the burden on the user is reduced. In addition, by setting an exceptional condition based on the presence or absence of a comment, a flexible condition can be set.

  The check master maintenance unit 23 receives maintenance information for the check master 227 from the user, for example, by displaying the contents registered in the check master 227 on a display device in a list format. FIG. 10 shows an example of the maintenance screen of the check master 227. In the example of FIG. 10, “condition” and “exception condition” for each medical code are included in the list, and information on “condition” and “exception condition” can be changed by the user.

  Further, “adopt / non-adopt” is information indicating whether or not the condition for each medical code is adopted when the check master 227 is applied to the accounting information. The information “adopted / not adopted” can be selected by the user. The initial setting of “adopt / non-adopt” when the condition for each medical code is added to the check master 227 by the check master adding unit 222 can be “adopt”. If it is desired to cancel the condition once added to the check master 227, “Non-adopt” may be selected. If it is desired to restore the condition that has been temporarily not adopted, “Adopt” may be selected. If the user does not select to add the contents of the candidate guide 252 presented by the check master adding unit 222 to the check master 227, the condition of the medical code is “not adopted” in the check master 227. You may make it register.

  The check master maintenance unit 23 updates the check master 227 based on the maintenance information received from the user.

  The medical accounting processing apparatus 210 can be realized, for example, by a computer 60 shown in FIG. The storage unit 63 as a recording medium of the computer 60 stores a medical accounting processing program 270 for causing the computer 60 to function as the medical accounting processing apparatus 210. The medical accounting processing program 270 includes an accounting processing program 90 and a check master creation program 280. The CPU 61 reads the medical accounting processing program 70 from the storage unit 63 and develops it in the memory 62, and sequentially executes the processes of the medical accounting processing program 70.

  An accounting processing program 90 included in the medical accounting processing program 270 includes an accounting information processing process 91 and a form creation process 92. The check master creation program 280 included in the medical accounting processing program 70 includes a correction history management process 281, a check master addition process 282, and a check master maintenance process 83.

  The CPU 61 operates as the correction history management unit 221 illustrated in FIG. 6 by executing the correction history management process 281. Further, the CPU 61 operates as the check master adding unit 222 illustrated in FIG. 6 by executing the check master adding process 282. Further, the CPU 61 operates as the check master maintenance unit 23 shown in FIG. 6 by executing the check master maintenance process 83. Other processes are the same as the medical accounting program 70 in the first embodiment. As a result, the computer 60 that has executed the medical accounting processing program 270 functions as the medical accounting processing apparatus 210.

  The medical accounting processing apparatus 210 can be realized by, for example, a semiconductor integrated circuit, more specifically, an ASIC or the like.

  Next, the operation of the medical accounting system 200 according to the second embodiment will be described. The medical accounting process is the same as the medical accounting process in the first embodiment shown in FIG. 5 except for the items included in the correction history DB 226, candidate guide 252, and check master 227, and detailed description thereof will be omitted.

  Next, the check master maintenance process shown in FIG. 11 will be described. In step S40, the check master maintenance unit 23 displays the contents registered in the check master 227 on the display device in a list format in which each piece of information as shown in FIG. 10 can be changed, for example.

  Next, in step S42, the check master maintenance unit 23 determines whether or not maintenance information for the check master 227 is received from the user. When the maintenance information is accepted, the process proceeds to step S44, and when the maintenance information is not accepted, the check master maintenance manual process is finished as it is. In step S44, the check master maintenance unit 23 updates the check master 227 based on the maintenance information received from the user, and ends the check master maintenance manual process.

  As described above, according to the medical accounting processing apparatus 210 according to the second embodiment, the items with a large number of corrections of the accounting information are presented to the user together with the conditions set based on the correction details with the large number of corrections, Decide whether to add to the check master as a confirmation target. Therefore, it is possible to create a check master that can extract confirmation items with high priority to be checked. In addition, by receiving maintenance information from the user with respect to the automatically created check master, it is possible to create a check master in accordance with the user's intention while suppressing the burden on the user.

  In the second embodiment, when the number of corrections in the predetermined period of the same medical code is greater than or equal to the predetermined number, the corrected content of the pattern with the highest number of corrections is changed to the accounting information including the medical code. The case where the condition for extracting as a check target has been described. The setting method of the conditions for extracting as the confirmation target is not limited to the method of the second embodiment. As shown in FIG. 12, when the number of corrections of the same medical code in a predetermined period is large, it indicates that the accounting information including the medical code has a high probability of including an error, that is, the degree of error determination is high. In addition, when there are many patterns of corrections for the same medical code, various corrections have been made to the accounting information that includes the medical code, that is, the error location is not easily understood (is difficult to understand). Indicates.

  In consideration of the correlation between the degree of error determination and the easy-to-understand error location, it is possible to determine a threshold for obtaining the confirmation target and condition from the correction history DB. For example, let us consider a case where an item having a high error deterministic degree and an easy-to-understand error part is included in the check master as a confirmation target having a high priority to be checked. In this case, for example, the threshold for the number of corrections for a predetermined period of the same medical code and the threshold for the number of corrections for each correction content pattern set in the conditions are set so that the area A in FIG. That's fine. Note that the level of the number of corrections for each correction content pattern corresponds to the number of correction content patterns. Similarly, in the case where an item having at least one of the error determinism and the easy-to-understand error location is included in the check master as a confirmation target with a high priority to be checked, the areas A and B in FIG. What is necessary is just to set a threshold value so that it may become. Similarly, in order to reflect an item having a probability of error as little as possible in the check master regardless of easy understanding of the error location, the threshold value may be set so that the area C in FIG. 12 is also targeted. .

  Moreover, although each said embodiment demonstrated the case where the predetermined period which adds up the frequency | count of correction of the same medical treatment code was made into the period with the same year and month, it is not limited to this. An arbitrary period can be specified using the corrected date.

  Moreover, although each said embodiment demonstrated the example in which the quantity of the medical treatment act contained in accounting information was corrected, it is not limited to this. Disclosure technology can be applied to each item included in accounting information.

  In each of the above embodiments, the case has been described in which the candidate guide is displayed on the display device as a presentation for the user to select whether or not to add the medical code whose number of corrections exceeds the predetermined number to the check master. However, the present invention is not limited to this. The content similar to the content displayed on the candidate guide may be presented to the user by voice output. Moreover, you may receive the information of whether to add by an audio | voice input also from a user.

  Moreover, although each said embodiment demonstrated the case where the accounting information produced | generated by the accounting information processing part based on the medical treatment information input from the electronic medical chart processing apparatus was stored in an accounting information table, it is not limited to this. The accounting information may be directly input to the medical accounting processing apparatus and stored in the accounting table.

  In the above description, the check master creation programs 80 and 280, which are examples of the check item creation program in the disclosed technology, are stored (installed) in the storage unit 63 in advance. However, the check item creation program in the disclosed technology can be provided in a form recorded on a recording medium such as a CD-ROM or a DVD-ROM.

  Regarding the above embodiment, the following additional notes are disclosed.

(Appendix 1)
On the computer,
When accounting information including information indicating a medical practice is corrected, at least information indicating the medical practice included in the accounting information and correction information including information on the time when the correction was performed are stored in the storage unit,
Based on a plurality of correction information stored in the storage unit, for each medical practice, the number of corrections of the accounting information in a predetermined period,
The information indicating the medical practice whose counted number of corrections exceeds a predetermined number of times is presented for selection as to whether or not to add to the check items used for confirmation of the accounting information,
A check item creation program for executing processing including adding information indicating the medical practice to the check item when addition is selected.
(Appendix 2)
In the computer,
Storing correction information including information related to medical practice included in the accounting information in the storage unit;
Based on the correction information stored in the storage unit, for each medical practice, count the number of times that the same correction was made to the information related to the medical practice in a predetermined period,
When the information related to the medical practice included in the accounting information does not match the condition, the same correction as the condition is performed as the condition when the information indicating the medical practice included in the accounting information is to be confirmed. Presenting the corrected content of the correction that the number of times received is greater than or equal to the predetermined number, together with information indicating the medical practice,
The check item creation program according to supplementary note 1 for executing processing including adding information indicating the medical practice to the check item together with the condition when the addition is selected.
(Appendix 3)
In the computer,
When there are a plurality of corrections in which the number of times the same correction is performed is a predetermined number or more, at least one corrected content is set as the condition, and the corrected content of each of the plurality of corrections is The check item according to supplementary note 2 for executing processing including inclusion in the presentation as a basis for the condition, or including the condition in the presentation so that the condition is selected from contents after correction of each of the plurality of corrections Creation program.
(Appendix 4)
In the computer,
The check item creation program according to supplementary note 3 for executing a process including presenting in order of decreasing number of times of the same modification when the content after modification of each of a plurality of modifications is included in the presentation.
(Appendix 5)
In the computer,
Storing correction information including information indicating whether or not a comment relating to the correction is added when the accounting information is corrected, in the storage unit;
Based on the correction information stored in the storage unit, the information related to the medical practice after correction does not match the condition, and the number of corrections with the comment added is counted,
Even if the information related to the medical practice included in the accounting information does not match the condition, it matches the counted condition as an exception condition for excluding information indicating the medical practice included in the accounting information from the confirmation target. Appendices 2 to 4 for executing a process including the content of the amendment to which the comment is added and the amendment to which the comment is added is equal to or more than a predetermined number and the comment additional information included in the presentation The check item creation program according to any one of the above.
(Appendix 6)
In the computer,
Present the contents of the check items in a changeable state,
The check item creation program according to any one of appendix 1 to appendix 5, for executing a process including updating the check item based on maintenance information indicating a change in content of the received check item.
(Appendix 7)
When accounting information including information indicating a medical practice is corrected, at least information indicating the medical practice included in the accounting information and correction information including information on the time when the correction was performed are stored in a storage unit, Based on a plurality of correction information stored in the storage unit, for each medical practice, a correction history management unit that counts the number of corrections of the accounting information in a predetermined period;
Presenting a request for selecting whether or not to add information indicating the medical practice in which the number of corrections counted by the correction history management unit exceeds a predetermined number to a check item used for confirmation of the accounting information And a check item adding unit that adds information indicating the medical practice to the check item when it is selected to add,
Check item creation device including
(Appendix 8)
The correction history management unit stores correction information including information related to a medical practice included in the accounting information in the storage unit, and based on the correction information stored in the storage unit, for each medical practice, Count the number of times the same correction has been made to the information related to the medical practice in a given period,
The check item adding unit is configured to count the information indicating the medical practice included in the accounting information as the confirmation target when the information related to the medical practice included in the accounting information does not match the condition. Information indicating the medical practice when it is selected to present and add the revised contents of the correction that the number of times the same correction has been performed is a predetermined number or more together with the information indicating the medical practice. The check item creation device according to appendix 7, wherein the check item is added to the check item together with the condition.
(Appendix 9)
When there are a plurality of corrections in which the number of times that the same correction is performed is equal to or more than a predetermined number, the check item adding unit sets at least one corrected content as the condition and the plurality of corrections. Item 9. The check item creation device according to supplementary note 8, wherein each corrected content is included in the presentation as a basis for the condition, or is included in the presentation so that the condition is selected from the corrected content of each of the plurality of corrections .
(Appendix 10)
The check item creating apparatus according to appendix 9, wherein the check item adding unit presents the corrected content of each of a plurality of corrections in the presentation in order of decreasing number of the same corrections.
(Appendix 11)
The correction history management unit stores correction information including information indicating whether or not a comment relating to the correction is added when the accounting information is corrected in the storage unit, and the correction information stored in the storage unit Based on the above, the number of corrections in which the information related to the corrected medical practice does not match the condition and the comment is added,
Even if the information related to the medical practice included in the accounting information does not match the condition, the check item adding unit is counted as an exception condition for excluding information indicating the medical practice included in the accounting information from the confirmation target. Any one of Supplementary Note 8 to Supplementary Note 10 including the content after modification of the modification in which the number of modifications to which the comment is added is equal to or greater than a predetermined number and the additional information of the comment is included in the presentation. Check item creation device described in one.
(Appendix 12)
Any one of Supplementary notes 7 to 11 including a check item maintenance unit that presents the contents of the check items in a changeable state and updates the check items based on maintenance information indicating changes in the contents of the received check items. The check item creation device according to any one of the above.
(Appendix 13)
On the computer,
When accounting information including information indicating a medical practice is corrected, at least information indicating the medical practice included in the accounting information and correction information including information on the time when the correction was performed are stored in the storage unit,
Based on a plurality of correction information stored in the storage unit, for each medical practice, the number of corrections of the accounting information in a predetermined period,
The information indicating the medical practice whose counted number of corrections exceeds a predetermined number of times is presented for selection as to whether or not to add to the check items used for confirmation of the accounting information,
A check item creation method for executing processing including adding information indicating the medical practice to the check item when addition is selected.
(Appendix 14)
In the computer,
Storing correction information including information related to medical practice included in the accounting information in the storage unit;
Based on the correction information stored in the storage unit, for each medical practice, count the number of times that the same correction was made to the information related to the medical practice in a predetermined period,
When the information related to the medical practice included in the accounting information does not match the condition, the same correction as the condition is performed as the condition when the information indicating the medical practice included in the accounting information is to be confirmed. Presenting the corrected content of the correction that the number of times received is greater than or equal to the predetermined number, together with information indicating the medical practice,
The check item creation method according to supplementary note 13, wherein when the addition is selected, information including the medical practice is added to the check item together with the condition.
(Appendix 15)
In the computer,
When there are a plurality of corrections in which the number of times the same correction is performed is a predetermined number or more, at least one corrected content is set as the condition, and the corrected content of each of the plurality of corrections is 15. The check item creation method according to supplementary note 14, wherein a process including the inclusion of the condition in the presentation as the basis of the condition or the inclusion of the condition in the presentation so that the condition is selected from the corrected contents of each of the plurality of modifications. .
(Appendix 16)
In the computer,
The check item creation method according to supplementary note 15, wherein when the contents after modification of each of a plurality of modifications are included in the presentation, the process including presentation in order of descending number of times of the same modification is performed.
(Appendix 17)
In the computer,
Storing correction information including information indicating whether or not a comment relating to the correction is added when the accounting information is corrected, in the storage unit;
Based on the correction information stored in the storage unit, the information related to the medical practice after correction does not match the condition, and the number of corrections with the comment added is counted,
Even if the information related to the medical practice included in the accounting information does not match the condition, it matches the counted condition as an exception condition for excluding information indicating the medical practice included in the accounting information from the confirmation target. Any one of Supplementary Note 14 to Supplementary Note 16 for executing a process including the content of the modification after the modification and the additional information of the comment included in the presentation Check item creation method according to any one of the above.
(Appendix 18)
In the computer,
Present the contents of the check items in a changeable state,
The check item creation method according to any one of appendix 13 to appendix 17, wherein a process including updating the check item is executed based on maintenance information indicating a change in the content of the received check item.

10, 210 Medical accounting processing devices 20, 220 Check master creation units 21, 221 Modification history management units 22, 222 Check master addition unit 23 Check master maintenance unit 27, 227 Check master 37 Accounting information table 40 Electronic medical record processing device 60 Computer 100 , 200 Medical accounting system

Claims (8)

On the computer,
When accounting information including information indicating a medical practice is corrected, at least information indicating the medical practice included in the accounting information and correction information including information on the time when the correction was performed are stored in the storage unit,
Based on a plurality of correction information stored in the storage unit, for each medical practice, the number of corrections of the accounting information in a predetermined period,
The information indicating the medical practice whose counted number of corrections exceeds a predetermined number of times is presented for selection as to whether or not to add to the check items used for confirmation of the accounting information,
A check item creation program for executing processing including adding information indicating the medical practice to the check item when addition is selected. In the computer,
Storing correction information including information related to medical practice included in the accounting information in the storage unit;
Based on the correction information stored in the storage unit, for each medical practice, count the number of times that the same correction was made to the information related to the medical practice in a predetermined period,
When the information related to the medical practice included in the accounting information does not match the condition, the same correction as the condition is performed as the condition when the information indicating the medical practice included in the accounting information is to be confirmed. Presenting the corrected content of the correction that the number of times received is greater than or equal to the predetermined number, together with information indicating the medical practice,
The check item creation program according to claim 1, wherein when the addition is selected, information indicating the medical practice is added to the check item together with the condition. In the computer,
When there are a plurality of corrections in which the number of times the same correction is performed is a predetermined number or more, at least one corrected content is set as the condition, and the corrected content of each of the plurality of corrections is The check according to claim 2, wherein the process includes including in the presentation as a basis for the condition, or including the condition in the presentation so that the condition is selected from the corrected contents of each of the plurality of corrections. Item creation program. In the computer,
The check item creation program according to claim 3, wherein when including the contents after correction of each of a plurality of corrections in the presentation, the process including the steps of presenting the same corrections in descending order is performed. . In the computer,
Storing correction information including information indicating whether or not a comment relating to the correction is added when the accounting information is corrected, in the storage unit;
Based on the correction information stored in the storage unit, the information related to the medical practice after correction does not match the condition, and the number of corrections with the comment added is counted,
Even if the information related to the medical practice included in the accounting information does not match the condition, it matches the counted condition as an exception condition for excluding information indicating the medical practice included in the accounting information from the confirmation target. 2 and claim 2 for causing the presentation to include the content after correction of the correction and the additional information of the comment to be included in the presentation. Item 5. The check item creation program according to any one of Items4. In the computer,
Present the contents of the check items in a changeable state,
The check item creation program according to any one of claims 1 to 5, for executing a process including updating the check item based on maintenance information indicating a change in the content of the received check item. . When accounting information including information indicating a medical practice is corrected, at least information indicating the medical practice included in the accounting information and correction information including information on the time when the correction was performed are stored in a storage unit, Based on a plurality of correction information stored in the storage unit, for each medical practice, a correction history management unit that counts the number of corrections of the accounting information in a predetermined period;
Presenting a request for selecting whether or not to add information indicating the medical practice in which the number of corrections counted by the correction history management unit exceeds a predetermined number to a check item used for confirmation of the accounting information And a check item adding unit that adds information indicating the medical practice to the check item when it is selected to add,
Check item creation device including On the computer,
When accounting information including information indicating a medical practice is corrected, at least information indicating the medical practice included in the accounting information and correction information including information on the time when the correction was performed are stored in the storage unit,
Based on a plurality of correction information stored in the storage unit, for each medical practice, the number of corrections of the accounting information in a predetermined period,
The information indicating the medical practice whose counted number of corrections exceeds a predetermined number of times is presented for selection as to whether or not to add to the check items used for confirmation of the accounting information,
A check item creation method for executing processing including adding information indicating the medical practice to the check item when addition is selected.