JP6193342B2 - Receipt inspection support system, receipt inspection support method, and receipt inspection support program - Google Patents

Description

  The present invention relates to a receipt inspection support system, a receipt inspection support method, and a receipt inspection support program used for secondary inspection of a receipt.

  In recent years, in the medical field, the efficiency of office work using computers has been promoted. With regard to claims for medical fees, a receipt computer processing system is introduced to improve the efficiency of billing affairs and IT (for example, see Non-Patent Document 1). Here, the receipt computer processing system is a mechanism for submitting a request for medical treatment fee using an electronic receipt recorded in an electronic medium instead of a paper receipt. The goal is to build a consistent and consistent system through medical institutions, examination and payment institutions, and insurers to reduce the amount of work, speed up paperwork, and make paperless.

  In such a medical insurance system, a medical institution that has performed a medical practice on a patient sends an electronic receipt that describes the contents of the medical practice carried out and the amount of medical remuneration related to the amount charged to the medical insurance association or local government. Claim the insurer. As a result, payment of medical expenses excluding the patient's self-payment is performed. In this case, the electronic receipt sent from the medical institution to the examination / payment institution is examined by the examination / payment institution. That is, the examination / payment institution performs an administrative examination on the electronic receipt submitted from the medical institution, such as an error in the score calculation, and the validity of the medical treatment contents.

  The electronic receipt describes the name of the wound or the like, but a technique for coding the name of the wound or disease described in a character string has been studied (for example, see Patent Document 1). In the technique described in this document, the management computer creates a dictionary (electronic dictionary) using the modifier master in the modifier master data storage unit and the wound name master in the wound name master data storage unit. Then, the constituent characters of the uncoded disease name are extracted one by one, the vocabulary candidate recorded with the extracted component character as the first character is extracted, and the appearance of the constituent characters in the uncoded disease name is extracted from this vocabulary candidate A candidate list in which positions are associated is generated. Then, a combination of vocabulary candidates that expresses the entire wound name without excess or deficiency is generated using the vocabulary candidates included in the candidate list, and an uncoded wound name is encoded based on the generated combination.

  In addition, a receipt inspection support method for extracting a receipt to be inspected using a rule has been studied (see, for example, Patent Document 2). In the technique described in this document, a request word indicating the request contents of the reexamination request result data is searched by a receipt code keyword including a drug name or a medical practice name and a word keyword included in the request word, and the combination Create a receipt extraction rule from the pattern. In addition, based on the results of re-examination results and scores, an index for improving efficiency is calculated.

JP 2006-309585 A JP 2008-134756 A

Social Insurance Medical Fee Payment Fund, “Reception Computer Processing System Electronic Receipt Creation Guide”, [online], [Search June 16, 2014], Internet, <URL: http://www.ssk.or.jp /rezept/iryokikan/download/files/jiki_i01.pdf>

  In the national health insurance system, the insured (member of the national health insurance) pays an insurance premium to the insurer (city / city). When a medical institution conducts medical care for an insured person, the medical institution charges a medical fee to the National Health Insurance Association (examination and payment institution). In this case, for example, in the national health insurance, the national health insurance association, which is the examination and payment organization, performs the primary inspection. The Federation of National Health Insurance Organizations conducts an examination and reports the examination results to the insurer. In addition, the second check will be conducted by the insurer or the National Federation of Health Insurance Organizations entrusted by the insurer and charged for medical expenses. In this secondary inspection work, a monthly inspection, a side inspection, a general inspection, and a joint inspection are performed as will be described later. And according to this check result, the medical expenses are paid to the medical institution through the National Health Insurance Association.

  Here, in monthly inspection, electronic receipt data of medical department, DPC, dentistry, and dispensing is obtained from the monthly receipt computer processing system, and electronic receipt data for the month of examination is individually determined based on the monthly inspection items. Perform inspection. In the general inspection, electronic receipt data for medical departments, DPCs, dentistry, and preparations are obtained from the receipt computer processing system every month, and the electronic receipt data for the examination month is determined for each insured based on the inspection inspection items. Perform inspection. In general inspection, electronic receipt data of medical department, DPC, dentistry, and dispensing is acquired from the receipt computer processing system every month, and the accumulated electronic receipt data for up to 12 months (in general inspection period) is determined based on general inspection items. Perform inspection. In the check-in, the electronic receipt data of the medical department or dentistry and the dispensing is acquired from the receipt computer processing system every month, and checked and connected, and then the check is performed based on a predetermined check item.

  However, the inspection items in the single month inspection, the side inspection, the general inspection, and the joint inspection may differ depending on the inspector. Even the same inspector may want to change the inspection items according to the situation. Here, if it takes time to change inspection items, an efficient secondary inspection operation cannot be performed.

  The present invention has been made in view of the above-described problems, and an object of the present invention is to provide a receipt inspection support system, a receipt inspection support method, and a receipt inspection support program for efficiently performing a secondary inspection of a reception. It is in.

(1) A reception check support system that solves the above problems includes a reception storage unit that stores an electronic receipt, an inspection master storage unit that stores inspection items for checking the contents of items included in the electronic reception, and a receipt type. For the drug, medical treatment, specific equipment, injury and illness name , connect to the client terminal and the group storage unit that stores the group setting information that is grouped based on the item values treated as synonymous A control unit. The control unit has a basic registration screen for basic information including a message to be affixed to the electronic receipt , and a first extraction condition for setting a plurality of group names for the receipt type for the electronic receipt to be inspected. For the first registration screen of the target record to be set and the electronic receipt referred to in order to identify the electronic receipt to be inspected, a second extraction condition capable of setting a plurality of group names is set for the type of receipt. The second registration screen of the reference record to be output is output at the client terminal. Furthermore, the extraction conditions set on the first and second registration screens are recorded in the inspection master storage unit as inspection items in association with the basic information set on the basic registration screen. When a group name is set in at least one of the first and second extraction conditions, the group setting information of all the set group names is used using the item values recorded in the group storage unit. The electronic receipt extracted from the receipt storage unit under the first extraction condition recorded in the inspection master storage unit is inspected using the inspection item of the second extraction condition recorded in the inspection master storage unit. and, Oite to the client terminal, the electronic receipt extracted in the first extraction condition, the affixed messages basic information, outputs the inspection result screen by arranging an electronic receipt extracted by the second extraction condition To do. Thereby, based on the extraction conditions set by the inspector, a secondary inspection of the electronic receipt can be performed.

  (2) In the reception inspection support system, the registration screen for setting the extraction condition includes a setting field for a plurality of items included in the electronic receipt, and when the extraction condition is set in the first setting field, It is preferable to display the second setting field related to the first setting field as a setting field requiring setting. Thereby, omission of setting of inspection items can be suppressed.

(3) In the above-mentioned receipt inspection support system, a common item value of any one of a medicine, a medical practice, a specified device, and a disease name is acquired, and group setting information grouped based on the acquired item value is stored. in the extraction condition, using the group configuration information, we extract electrons receipt. Thereby, it is possible to group and handle synonymous medicines, medical treatments, specific equipment, and wound names.

(4) In the said receipt inspection assistance system, the extraction conditions regarding the 1st electronic receipt are set in the said 1st registration screen, and the 2nd electronic different from the said 1st electronic receipt is set in the said 2nd registration screen. by setting the extraction conditions on the receipt, you inspect a row. Thereby, inspection can be performed using different electronic receptors. For example, by setting an extraction condition related to the first electronic receipt on the first registration screen, and setting an extraction condition related to the second electronic receipt different from the first electronic receipt on the second registration screen, A butt inspection can be performed. In addition, on the first registration screen, an extraction condition related to the electronic receipt of the examination target month (first electronic receipt) is set, and on the second registration screen, the electronic receipt of the inspection period other than the examination target month (the second electronic receipt) A general inspection can be performed by setting an extraction condition for the electronic receipt.

  (5) In the said receipt inspection assistance system, it is preferable that the said inspection assistance part adds and displays the tab for selecting each electronic receipt with respect to the extracted several electronic receipt. Thereby, an electronic receipt can be selected by a tab and examined.

(6) In the above-described reception check support system, it is preferable that the first and second registration screens and the check result screen include a tooth display column, and a medical site is designated in the tooth display column. . Thereby, it is possible to efficiently designate a medical site.
(7) In the above-described reception check support system, the check result screen includes a dental display column, obtains medical site information in a dental electronic receipt, and places the medical site in the dental display column. Is preferably output. Thereby, a medical treatment site can be confirmed efficiently.

  According to the present invention, it is possible to efficiently perform a secondary inspection of a receptor.

Explanatory drawing of the receipt inspection assistance system of embodiment of this invention. It is explanatory drawing of the data recorded on the memory | storage part of this embodiment, Comprising: (a) is an electronic receipt memory | storage part, (b) is an inspection master memory | storage part, (c) is data recorded on the receipt power group memory | storage part. FIG. Explanatory drawing of the process sequence of this embodiment. Explanatory drawing of the screen expansion | deployment of this embodiment. It is explanatory drawing of the process sequence of this embodiment, Comprising: (a) is the management process of an inspection item, (b) is explanatory drawing of the display process of an item column. Explanatory drawing of the screen of this embodiment. Explanatory drawing of the screen of this embodiment. Explanatory drawing of the screen of this embodiment. Explanatory drawing of the screen of this embodiment. Explanatory drawing of the screen of this embodiment. Explanatory drawing of the screen of this embodiment. Explanatory drawing of the screen of this embodiment. Explanatory drawing of the screen of this embodiment. Explanatory drawing of the screen of this embodiment. Explanatory drawing of the screen of this embodiment. Explanatory drawing of the screen of this embodiment. Explanatory drawing of the screen of this embodiment. Explanatory drawing of the screen of this embodiment. Explanatory drawing of the screen of this embodiment. Explanatory drawing of the screen of this embodiment. Explanatory drawing of the screen of this embodiment. Explanatory drawing of the screen of this embodiment. Explanatory drawing of the screen of this embodiment. Explanatory drawing of the process sequence of other embodiment.

  Hereinafter, an embodiment of a receipt inspection support system embodying the present invention will be described with reference to FIGS. The present embodiment will be described as a receipt inspection support system, a receipt inspection support method, and a receipt inspection support program that are used when supporting an insurer's secondary inspection operation among the examination payment operations at the reception. Here, as shown in FIG. 1, a receipt computer processing system 10, a receipt secondary inspection support system 20, and an insurer receipt management system 30 connected via a network are used.

  The receipt computer processing system 10 is a computer system that allows a medical fee request to be submitted by an electronic receipt. The receipt computer processing system 10 is connected to an examination terminal. This screening terminal is a computer terminal used by a screening committee for screening electronic receipts.

  This receipt computer processing system 10 acquires and accumulates electronic receipts from a medical institution terminal installed in each medical institution via a network. The receipt computer processing system 10 includes various master storage units 12a, an electronic receipt storage unit 12b, and an examination result storage unit 12c.

  Various master data used in the inspection of the receipt is recorded in the various master storage units 12a. In the present embodiment, medical institution master data, insurer master data, disease name basic table master data, modifier table master data, and the like are recorded.

The medical institution master data is master data in which information on a medical institution that submits an electronic receipt is recorded.
The insurer master data is master data in which information related to the insurer is recorded.
The disease name basic table master data is a master table composed of “disease name notations” determined in principle for each disease state.
The modifier table master data is a master table in which state expressions necessary for the expression of the disease name (for example, the site of disease, acute degree, etiological expression) are recorded as “modifiers”.

  As shown in FIG. 2A, a receipt file obtained from each medical institution is recorded in the electronic receipt storage unit 12b. In this embodiment, the case where medical department, DPC, dentistry, and a dispensing receipt are handled is assumed. The receipt file includes medical institution information, receipt common information, insurance information, injury / illness name column information, summary column information, and total information. As described in Non-Patent Document 1, each information is assigned a record identifier for identifying each record.

  The medical institution information means the start of data, and includes a medical institution information record to which a record identifier (IR) is assigned. In this medical institution information record, information relating to the examination / payment institution code, prefecture, point table, medical institution code, medical institution name, billing amount, etc. is recorded.

  The receipt common information includes a receipt common record. A record identifier (RE) is assigned to the receipt common record. And the receipt number, receipt type, medical treatment date, name, gender classification, date of birth, benefit ratio, hospitalization date, ward classification, partial contribution / meal medical expenses / life care expenses standard burden classification, receipt Information related to special items, number of beds, chart number, discount unit price, etc. is recorded.

  The insurance information includes an insurer record and a public expense record. A record identifier (HO) is assigned to the insurer record, and information on an insurer number, a symbol such as an insured card, a number such as an insured card, the number of actual medical treatment days, and the like is recorded. Record identifier (KO) is given to public expense record, bearer number, beneficiary number, voluntary benefit classification, number of actual treatment days, total points, public expense, part of outpatient for public expense benefit, part of hospitalization for public expense benefit Information related to the burden is recorded.

  The wound name column information includes a wound name record. A record identifier (SY) is assigned to the wound name record, and information on the wound name code, the medical treatment start date, the outcome classification, the modifier code, the wound name, the main wound, etc. is recorded.

In the summary column information, a serial number is assigned to the medical identification, and is composed of a medical practice record, a pharmaceutical record, a specific equipment record, and a comment record.
A record identifier (SI) is assigned to the medical practice record, and information on medical identification, burden classification, medical practice code, quantity, score, number of times, and the like is recorded.
A record identifier (IY) is assigned to the drug record, and information on medical identification, burden classification, drug code, amount used, score, number of times, and the like is recorded.

  A record identifier (TO) is assigned to the specific equipment record, and information on medical treatment identification, burden classification, specific equipment code, usage amount, points, number of times, unit code, specific equipment name, product name, standard or size, etc. To be recorded.

A record identifier (CO) is assigned to the comment record, and information regarding medical treatment identification, burden classification, comment code, and character data is recorded.
The total information means the end of data, and includes the total information record to which the record identifier (GO) is assigned. Here, in one medical institution, the receipt common record to the comment record are registered by the number of receipts.

  The examination result storage unit 12c functions as a receipt storage unit, and records examination result data to which examination result information by the examination committee is added to the electronic receipt file. In this review, regarding the medical treatment contents described in the electronic receipt, “Is it properly calculated based on the prescribed insurance medical treatment rules?”, And for pharmaceuticals, it is “calculated or used based on the drug price standards and the content approved by the Pharmaceutical Affairs Law. It is carried out from a medical standpoint.

  The receipt secondary inspection support system 20 is a computer system for supporting secondary inspection work. And the control part 21 of the receipt secondary inspection assistance system 20 outputs a secondary inspection result to the insurer's receipt management system 30. FIG. A client terminal is connected to the receipt secondary inspection support system 20. This client terminal is used to instruct the setting of secondary inspection items and the start of monthly processing.

  The receipt secondary inspection support system 20 includes a control unit 21, an examination result storage unit 22a, various master storage units 22b, a coded dictionary storage unit 22c, a sample storage unit 22d, a screen storage unit 22e, an inspection master storage unit 22f, and a receipt power. A group storage unit 22g, a progress information storage unit 22h, and an examination information storage unit 22i are provided.

  The control unit 21 includes a control unit including a CPU, a RAM, a ROM, and the like, and performs later-described processing (processing including a management stage, a data acquisition stage, a coding stage, an inspection item management stage, an inspection support stage, etc.). Do. By executing the receipt inspection support program for this purpose, the control unit 21 functions as a management unit 210, a data acquisition unit 211, a coding unit 212, an item management unit 213, an inspection support unit 214, and the like.

The management unit 210 executes processing for controlling the data acquisition unit 211 to the inspection support unit 214.
The data acquisition unit 211 executes processing for acquiring various data from the receipt computer processing system 10 and the insurer receipt management system 30. In the present embodiment, the data acquisition unit 211 acquires various master data from the various master storage units 12a of the receipt computer processing system 10, and records them in the various master storage units 22b. Furthermore, the data acquisition unit 211 acquires examination result data from the examination result storage unit 12c of the receipt computer processing system 10, and records it in the examination result storage unit 22a. Further, the data acquisition unit 211 acquires error adjustment / qualification mismatch result data from the error adjustment / qualification mismatch result storage unit 32a of the insurer's receipt management system 30.

  The encoding unit 212 uses the encoding dictionary storage unit 22c to execute a process of encoding a disease name that has not been encoded. In the present embodiment, the disease name encoding process disclosed in Patent Document 1 is executed.

The item management unit 213 supports the creation of inspection items used in a single month inspection, a side inspection, a general inspection, and a joint inspection in the secondary inspection operation, and executes processing to be recorded in the inspection master storage unit 22f.
The inspection support unit 214 uses the inspection items recorded in the inspection master storage unit 22f to execute support processing for a single month inspection, a side inspection, a general inspection, and a joint inspection. Specifically, the machine extracts electronic receipts that are the targets of monthly inspection, inspection inspection, inspection inspection, and inspection inspection.

  Examination result data acquired from the receipt computer processing system 10 is recorded in the examination result storage unit 22a. The examination result data includes information on the examination result in the receipt computer processing system 10 together with the electronic receipt.

Various master data acquired from the receipt computer processing system 10 is recorded in the various master storage units 22b.
Information for encoding the name recorded in the electronic receipt is recorded in the encoding dictionary storage unit 22c. Specifically, the vocabulary data storage means disclosed in Patent Document 1 is recorded in the coded dictionary storage unit 22c.

  In the sample storage unit 22d, data related to the sample for the inspection item of the secondary inspection is recorded. The inspector can register the sample itself or the inspection item with the corrected sample in the inspection master storage unit 22f by designating the inspection item sample.

  Screen data for performing a secondary inspection is recorded in the screen storage unit 22e. In the present embodiment, screen data for setting inspection items used in a single month inspection, a general inspection, a general inspection, and a joint inspection, and screen data for outputting inspection results are recorded.

  As shown in FIG. 4, menu screen 500 to extraction target setting screen 560 are recorded in the screen storage unit 22e as screens for setting inspection items. In addition, monthly processing screen 600 to [dental] simple reception screen 650 are recorded as screens for outputting the inspection results.

The menu screen 500 is a screen for selecting system management, inspection item management, and monthly processing.
FIG. 6 is an explanatory diagram of the menu screen 500. This menu screen 500 is provided with various selection buttons for selecting columns for business (medicine, DPC, dentistry, dispensing), system management, inspection item management, and monthly processing.

When the inspection item management button is selected on the menu screen 500, a secondary inspection item list screen 501 is displayed.
FIG. 7 is an explanatory diagram of the secondary inspection item list screen 501. The secondary inspection item list screen 501 displays a list of the contents of the secondary inspection items recorded in the inspection master storage unit 22f.

The secondary inspection item master registration screen 510 is a screen for setting inspection items.
The basic information setting screen 520 is a screen for setting basic information for secondary inspection in the secondary inspection item master registration screen 510. On this screen, set the name and abbreviation of secondary inspection, message display message, and attributes of linked items.

The target record setting screen 530 is a screen for setting an extraction condition for searching for a target record in the secondary inspection item master registration screen 510.
The reference record setting screen 540 is a screen for setting an extraction condition for searching for a reference record in the secondary inspection item master registration screen 510.

The Riseden group setting screen 550 is a screen for identifying and grouping items to be treated as synonymous with respect to any of medicines, medical treatments, specific equipment, and wound names.
The extraction target setting screen 560 is a screen for setting a medical institution to be inspected and inspection items to be applied to each medical institution.

The monthly processing screen 600 is a screen for managing the progress status of the monthly processing.
The secondary inspection item result list screen 610 is a screen for displaying a list of secondary inspection result results.

  [Medical] Simple Receipt Screen 620, [Dispensing] Simple Receipt Screen 630, [DPC] Simple Receipt Screen 640, and [Dental] Simplified Receipt Screen 650 are each attached with a message in [Medical] to [Dental]. It is a screen for displaying a receipt. Note that the [dental] simple receipt screen 650 includes a detailed display of the name of the wound and disease corresponding to the tooth type.

  As shown in FIG. 2B, the inspection master storage unit 22f records data relating to inspection items used in a single month inspection, a side inspection, a joint inspection, and a general inspection. The inspection item value data set using the secondary inspection item master registration screen 510 to the extraction target setting screen 560 recorded in the screen storage unit 22e is recorded in the inspection master storage unit 22f. In the present embodiment, target record inspection item information and reference record inspection item information are recorded in the inspection master storage unit 22f with respect to basic information inspection item information.

In the basic information check item information, bibliographic items of each check item and data on an attached message to be attached to the extracted electronic receipt are recorded.
In the target record inspection item information, data relating to a condition for extracting a target record included in an electronic receipt to which an attachment message is added is recorded.
In the reference record inspection item information, data relating to conditions for extracting the reference record is recorded.

  As shown in FIG. 2 (c), the Receipt group storage unit 22g records data relating to the group (Receden group) related to items handled synonymously with respect to medicines, medical treatments, specific equipment, and names of wounds. The power transmission group data is recorded when a group is set when the inspection item is generated. In the power reception group data, data related to the power reception group name, the receipt type, and the inspection type are recorded.

In the receipt power group name data area, data relating to an identifier for identifying each receipt power group is recorded.
In the receipt type data area, information for specifying the type of electronic receipt (medicine, dispensing, dentistry, DPC) to which this receipt group is applied is recorded.

In the inspection type data area, information for specifying the type of secondary inspection (single month inspection, side inspection, general inspection, and joint inspection) using this power transmission group is recorded.
In the code data area, data relating to an identifier for identifying a grouped medicine, a medical practice, a specific device, and a wound name is recorded.

  In the name data area, data relating to the names of grouped medicines, medical practice, specific equipment, and names of wounds are recorded. For example, when “reflux esophagitis” is grouped, the names including “reflux esophagitis” as a wound name are grouped. In this case, “reflux esophagitis”, “refractory reflux esophagitis”, “refractory reflux esophagitis requiring maintenance therapy”, “postoperative reflux esophagitis”, “postoperative surgery requiring maintenance therapy” “Refractory reflux esophagitis”, “Postoperative refractory reflux esophagitis”, etc. are recorded.

  In the progress information storage unit 22h, progress management data related to the progress status in the monthly processing is recorded. The progress management data includes data on the examination date, process name, status, execution date / time, end date / time, and the like.

In the examination year / month data area, data related to the year and month for specifying the time of monthly processing of the electronic receipt is recorded.
In the process name data area, data relating to each process performed in the monthly processing is recorded. In the present embodiment, examination date setting, master data fetching, examination result data fetching, qualification mismatch data fetching, machine extraction, inspection result list output, and the like are used as processes.

In the status data area, data relating to the status of this process (not executed or executed) is recorded. When registering progress management data, “unexecuted” is recorded as an initial value.
In each data area of the execution date and time and the end date and time, data related to the date and time of starting and ending each process is recorded.

  Data on the secondary inspection result is recorded in the examination information storage unit 22i. In the examination information storage unit 22i, an electronic receipt in which a secondary inspection item name and an attached message are pasted at predetermined positions is recorded.

  The insurer receipt management system 30 is a computer system that is used by an insurer to manage electronic receipts. The insurer receipt management system 30 includes an error adjustment / qualification mismatch result storage unit 32a and a linkage data storage unit 32b. Further, the insurer receipt management system 30 is connected to the insurer terminal. This insurer terminal is used by an insurer to manage electronic receipts.

In the error adjustment / qualification mismatch result storage unit 32a, data related to an electronic receipt that was in error before the previous month and an electronic receipt that was not qualified in the current month are recorded.
In the cooperation data storage unit 32b, the cooperation data created in the receipt secondary inspection support system 20 is recorded. By this linkage data, the inspection result and the electronic receipt recorded in the examination result storage unit 22a are linked.

In the system configured as described above, a processing procedure in the case of performing a secondary inspection of the electronic receipt will be described with reference to FIG.
First, a medical institution that has performed a medical practice or the like inputs its contents to a medical institution terminal and creates an electronic receipt. Then, the medical institution terminal transmits the created electronic receipt to the receipt computer processing system 10 via the network.

In this case, the receipt computer processing system 10 stores the electronic receipt received from the medical institution terminal in the electronic receipt storage unit 12b.
And the receipt computer processing system 10 performs a screen examination process (step S1-1). Specifically, a screening committee member who performs screening designates an electronic receipt to be screened at a screening terminal, thereby displaying a reception screening screen on the display. The receipt examination screen includes a receipt common information column, an insurance information column, an injury / illness name column, a total column, and a summary column. The summary column includes a medical identification column, a serial number column, a name column, a quantity column, and a score / count column, and information included in the electronic receipt is output.

  Next, the receipt computer processing system 10 executes post-examination processing (step S1-2). Specifically, the receipt computer processing system 10 records the result of the screen screening in the screening result storage unit 12c.

When performing work related to the secondary inspection, the client terminal is used to access the receipt secondary inspection support system 20.
In this case, the receipt secondary inspection support system 20 outputs a menu screen on the display of the client terminal.

First, the receipt secondary inspection support system 20 executes inspection item management processing (step S2-1). This process will be described later with reference to FIG.
And the control part 21 of the receipt secondary inspection assistance system 20 performs a monthly start process (step S2-2). Specifically, the “monthly processing” button is selected on the menu screen 500 shown in FIG. In this case, the management unit 210 registers the progress management data in which the examination date is recorded in the progress information storage unit 22h, records the execution date / time and end date / time of the process name “examination year / month setting”, and sets the status to “execution” Change to "Done".

  Next, the control part 21 of the receipt secondary inspection support system 20 performs a master taking-in process (step S2-3). Specifically, the data acquisition unit 211 of the control unit 21 acquires each master data from the various master storage units 12 a of the receipt computer processing system 10. Then, the data acquisition unit 211 records the acquired master data in the various master storage units 22b. In this case, the management unit 210 records the execution date / time and end date / time of the process name “master data fetch” for each master data in the progress management data of the progress information storage unit 22h, and changes the status to “executed” To do.

  Next, the control part 21 of the receipt secondary inspection support system 20 performs examination result data taking-in processing (step S2-4). Specifically, the data acquisition unit 211 of the control unit 21 acquires examination result data (medicine, DPC, dentistry, dispensing) from the examination result storage unit 12c of the receipt computer processing system 10, and stores it in the examination result storage unit 22a. Record. In this case, the management unit 210 records the execution date / time and end date / time of the process name “load examination result data” in the progress management data of the progress information storage unit 22h, and changes the status to “executed”.

  Next, the control part 21 of the receipt secondary inspection support system 20 performs the encoding process of an uncoded injury disease name (step S2-5). Specifically, the encoding unit 212 of the control unit 21 uses the encoding dictionary storage unit 22c to encode an unencoded disease name.

  Next, the control unit 21 of the receipt secondary inspection support system 20 executes an error adjustment / qualification mismatch result acquisition process (step S2-6). Specifically, the management unit 210 of the control unit 21 extracts the error adjustment result and the qualification mismatch result storage unit 32a from the error adjustment / qualification mismatch result storage unit 32a of the insurer receipt management system 30, and stores them in the examination result storage unit 22a. reflect. In this case, the management unit 210 records the execution date / time and end date / time of the process name “capture result data capture” and the process name “capacity mismatch data capture” in the progress management data of the progress information storage unit 22h, and the status Is changed to “Executed”.

  Next, the control part 21 of the receipt secondary inspection support system 20 performs an inspection support process (step S2-7). Specifically, the inspection support unit 214 of the control unit 21 extracts electronic receipts such as a single month inspection, a side inspection, a general inspection, and a joint inspection based on the inspection items recorded in the inspection master storage unit 22f. To do. Here, an electronic receipt that matches the item value recorded in the inspection master storage unit 22f is extracted from the examination result storage unit 22a. Here, when the receipt power group is set, the inspection support unit 214 uses the receipt power group data recorded in the receipt power group storage unit 22g to use the medicine, the medical practice, the specified equipment, the name of the sick and sick. Is extracted with the same meaning and handling. Then, the management unit 210 records the execution date / time and end date / time of the process name “machine extraction” in the progress management data of the progress information storage unit 22h, and changes the status to “executed”. Then, a sticky message is attached to the corresponding record of the electronic receipt. Then, the inspection support unit 214 records the inspection result in the examination information storage unit 22i.

  Next, the control part 21 of the receipt secondary inspection support system 20 performs a cooperation data creation process (step S2-8). Specifically, the data is converted into a format (for example, CSV format) to be captured by the insurer's receipt management system 30. The link data includes link information between the inspection result in the secondary inspection and the electronic receipt recorded in the examination result storage unit 22a.

  In this case, the insurer receipt management system 30 executes data linkage processing (step S3-1). Specifically, the insurer's receipt management system 30 acquires the linkage data from the receipt secondary inspection support system 20 and records it in the linkage data storage unit 32b. As a result, the insurer's receipt management system 30 can search for a desired electronic receipt.

  Next, the control unit 21 of the receipt secondary inspection support system 20 executes an inspection result list creation process (step S2-9). Specifically, the inspection support unit 214 of the control unit 21 creates an inspection result list based on the inspection results recorded in the examination information storage unit 22i.

  Next, the control unit 21 of the receipt secondary inspection support system 20 executes an inspection result list output process (step S2-10). Specifically, the inspection support unit 214 of the control unit 21 prints the created inspection result list. This inspection result list is provided to the insurer. Here, the inspection result list may be provided to the insurer in a predetermined data format. This list of inspection results is used in receipt inspection by the insurer.

  Next, the insurer receipt management system 30 executes reexamination application reason registration processing (step S3-2). Specifically, the insurer confirms the inspection result using the cooperation data and the inspection result list, and requests the reinspection to the insurer receipt management system 30 using the insurer terminal as necessary. sign up.

(Inspection item management process)
Next, the inspection item setting process will be described with reference to FIG. As described above, this is executed when the inspection item management button is selected on the menu screen 500 shown in FIG. Specifically, essential items and optional items are set in each column of the basic information setting screen to the reference record setting screen of the secondary inspection item master registration screen 510. Furthermore, in the arbitrary items, related items associated with other items are set.

  The control unit 21 of the receipt secondary inspection support system 20 executes display processing of the master registration screen (step S4-1). Specifically, the item management unit 213 of the control unit 21 outputs the secondary inspection item master registration screen 510 on the display of the client terminal.

  Next, the control unit 21 of the receipt secondary inspection support system 20 executes an inspection item setting process (step S4-2). Specifically, the item management unit 213 of the control unit 21 uses the secondary inspection item master registration screen 510 to acquire setting information for each item of basic information, target records, and reference records. Note that the reference record is set in the case of the inspection for inspection and the inspection for inspection. Specific processing will be described using an explanatory diagram of a secondary inspection item master registration screen 510 described later. Furthermore, here, the item management unit 213 performs a process for setting the power reception group and a process for displaying the item column. The power receiving group setting process will be described using a power receiving group setting screen to be described later. The item column display processing will be described later with reference to FIG. The item value used for the secondary inspection can be set with reference to the sample data recorded in the sample storage unit 22d.

  Next, the control unit 21 of the receipt secondary inspection support system 20 executes extraction target setting processing (step S4-3). This process will be described using an extraction target setting screen 560 described later.

  Next, the control part 21 of the receipt secondary inspection support system 20 performs a registration process (step S4-4). Specifically, the item management unit 213 of the control unit 21 records the set inspection items in the inspection master storage unit 22f.

(Item field display processing)
Next, the display processing of the item column will be described with reference to FIG.
Here, the control part 21 of the receipt secondary inspection support system 20 performs the identification display process of an essential item (step S5-1). Specifically, the item management unit 213 of the control unit 21 acquires the secondary inspection item master registration screen 510 specified in the client terminal from the screen storage unit 22e. Next, the required items and optional items are specified in the screen. And the item management part 213 changes the display color of an essential item and the display color of an arbitrary item, and outputs it to the display of a client terminal for the secondary inspection item master registration screen 510. FIG.

  Next, the control unit 21 of the receipt secondary inspection support system 20 executes an item value setting process (step S5-2). Specifically, the item management unit 213 of the control unit 21 detects the setting of each column of the basic information setting screen 520 to the reference record setting screen 540 of the secondary inspection item master registration screen 510 output to the client terminal.

  Next, the control part 21 of the receipt secondary inspection support system 20 performs the determination process about whether there exists a related item (step S5-3). Specifically, the item management unit 213 of the control unit 21 confirms the presence / absence of the setting column for the related item in the setting column set by the user.

  When it is determined that there is no related item (in the case of “NO” in step S5-3), the control unit 21 of the receipt secondary inspection support system 20 returns to the item value setting process (step S5-2).

  On the other hand, when it is determined that there is a related item (in the case of “YES” in step S5-3), the control unit 21 of the receipt secondary inspection support system 20 executes a display color changing process (step S5-4). . Specifically, the item management unit 213 of the control unit 21 changes the specified related item setting field to the display color of the essential item. Then, when an item value setting process (step S5-2) is newly performed, the processes of steps S5-3 and S5-4 are executed.

(Screen used for inspection item management processing)
Screens used for inspection item management processing will be described with reference to FIGS.
In the menu screen 500 shown in FIG. 6, when an operation is selected and an inspection item management button is selected, the item management unit 213 of the control unit 21 of the receipt secondary inspection support system 20 displays two items on the display of the client terminal. The next inspection item master registration screen 510 is output.

  FIG. 8 is an explanatory diagram of the secondary inspection item master registration screen 510. This secondary inspection item master registration screen 510 is a screen for setting inspection items used in the secondary inspection of the electronic reception.

  In the secondary inspection item master registration screen 510, a classification selection field 511 is provided. In the classification selection field 511, basic information, target records, and reference records can be selected. Further, the classification selection field 511 is provided with display fields for the record type, receipt type, positional relationship, existence / non-existence check box of the target record and reference record, and the reception power group name.

  A case where “basic information” is selected in the classification selection field 511 will be described with reference to FIG. In this case, a basic information setting screen 520 is displayed below the category selection field 511. The basic information setting screen 520 is a screen for inputting attributes of inspection items such as a name, an abbreviation, and a display message in secondary inspection of the electronic receipt of the medical department.

  The basic information setting screen 520 has columns for setting a name to an inspection target score table. Here, the name, medical treatment date / dispensing date, and inspection target score table are indispensable setting items.

The name column is a setting column for the name of the secondary inspection item.
The abbreviation column is a setting column for abbreviations of secondary inspection items.
The error reason code field is a code setting field that is displayed together with the attached message when the result list is output.

The attachment type column is a setting column for the type (office work and medical) of the attachment message to be attached to the electronic receipt.
The question type column is a setting column for reexamination, matching, and general inspection.
The message display message field is a setting field for a message displayed as a message displayed in the result list.

The column other than the second half / late term is a setting column for the receipt to be checked to set any of “both”, “late”, and “other than late”.
The gender classification column is a setting column for setting the reception subject to inspection to “both”, “male”, or “female”.

The medical treatment date / dispensing date column is a setting column for the medical treatment / dispensing date of the subject to be inspected.
The main target medical institution column is a setting column for entering the corresponding medical institution code (10 digits) when only a receipt of a specific medical institution is to be inspected.

The inspection target score table column is a setting column for designating a medical score, dentistry, or DPC score table as a receipt to be checked.
When the confirmation button on the basic information setting screen 520 is selected, the item management unit 213 of the control unit 21 records the inspection item value data regarding the basic information in the inspection master storage unit 22f.

  Next, a case where “target record” is selected in the classification selection field 511 will be described with reference to FIG. In this case, the target record setting screen 530 is displayed below the classification selection field 511. This target record setting screen 530 is a screen for setting conditions for extracting a target record of an electronic receipt that is a target of inspection in the secondary inspection.

  This target record setting screen 530 is provided with each column for setting the record type to the number of dietary days, and a receipt power group totaling column. Here, the record type, receipt system group, hospitalization / non-hospitalization are the required setting items.

The record type column is a setting column for the type of record of “medical practice”, “medicine”, or “special equipment”.
The medical treatment identification column is a setting column for designating the medical treatment identification of the inspection target receipt in which the “Reseden group” appears. Accordingly, only when the “Reseden group” appears in the designated medical treatment identification, it becomes a target to be attached. In the present embodiment, a plurality of medical treatment identifications can be designated.

The receipt power group column is a setting column for the name of the receipt power group used for the secondary inspection and the extraction condition (item name / comparison / value) for grouping.
The check boxes other than the above are used when setting up medical practices, medicines, and specified equipment other than the designated “Reseden Group”.

The score column is a score setting column for excluding a drug record in which the score included in the drug is an arbitrary value or less.
The in-hospital / out-of-hospital column is a setting column for the reception subject to check to set “both”, “in-hospital”, or “out-of-hospital”.

  The medical claim score field is a setting field for a specific request score when only a receipt with a specific claim score is to be inspected. Comparison operators “below” and “above” are set as essential related items for an arbitrary number of claims. This medical request score column can be set only when “medicine” is selected in the “check target score table”.

  The dental claim score field is a setting field for this specific claim score when only a receipt with a specific claim score is to be inspected. Here, the comparison operators “below” and “above” are set as essential related items for an arbitrary number of claims. This item can be set only when “Dental” is selected in the “Check Point Score Table”.

  The DPC claim score column is a setting column for this specific claim score when only a receipt with a specific claim score is to be inspected. Here, the comparison operators “below” and “above” are set as essential related items for an arbitrary number of claims. This item can be set only when “DPC” is selected in the “Check Point Score Table”.

The age column is a column for setting the age of the patient of the electronic reception subject to inspection. Here, an arbitrary age and “match” to “above” can be selected as a comparison operator.
The outcome category column is a setting column for the outcome category of the receipt to be inspected. Here, “present” and “non-exist” can be selected for each of “cure,” “cancel (transfer)”, and “death”. In the outcome category column, a plurality of outcome categories can be set.

  The actual medical treatment days column is a setting column for the actual number of medical treatment days of the reception subject to inspection. Here, when an arbitrary number of days is set, the comparison operators “match” to “more than” are set as essential related items.

The dietary treatment days column is a setting column for the number of dietary treatment days of the reception subject to inspection. Here, an arbitrary number of days and any one of “match” to “more than” can be selected.
In addition, the power generation group tabulation column is a setting column for a condition for comparing the tabulated value of the item of the target record with an arbitrary value or a specific item such as the actual number of medical treatment days as an additional condition for the secondary inspection item.

  The tabulation range column is a setting column for designating the tabulation range when “Receive power group” tabulation is required. Here, any one of “Do not count” to “Preview ○ to ○ months ago” can be selected.

  FIG. 10 shows a total range setting screen 531 that is output when “date” is selected in the total range column. In this total range setting screen 531, the positional relationship with the target record in the reference record is set. Specifically, the relative number of days of deviation of the date of calculation of the reference record is set based on the date of calculation of the medical practice or the like in the target record. In the total range setting screen 531, a start date and an end date can be set.

  The other medical institution column of the target record setting screen 530 (FIG. 9) is a setting column for selecting any of “only the own medical institution” to “only the other medical institution” for the aggregation of the same patient. This item can be selected only when “within the same month” or “preview ○ to ○ months ago” is set in the aggregation range.

The aggregation unit column is a setting column for selecting either the aggregation unit “respectively” or “all applicable”.
The tabulation type column is a setting column for selecting the tabulation type “number of times” to “unit usage amount × standard unit × number of times”.

The unit column is a column for specifying the unit of the total item for the specific equipment record.
The comparison operator column is a setting column for designating a comparison operator between “Reseden group” and “comparison value”. Here, “match” to “more than” can be selected.

The comparison value column is a setting column for a comparison value to be compared. Here, “actual medical treatment days” to “value” can be selected.
The “comparison with comparison total value” radio button is selected when comparing the total values of arbitrary medical treatments, medicines, and specific equipment.

  The comparison value calculation formula column is a calculation formula setting column for performing calculation on the comparison value set above. For example, “number of actual medical treatment times × 3 + 1> number of glucose times” and “number of actual medical days ÷ 3-1> number of peripheral blood general examinations” can be set.

  When the confirmation button on the target record setting screen 530 is selected, the item management unit 213 of the control unit 21 records the inspection item value data regarding the target record in the inspection master storage unit 22f.

  Next, the reception power group setting screen 550 will be described with reference to FIG. On the receipt power group setting screen 550, receipt power group data relating to items treated as synonyms are set for the medicine, the medical practice, the specified equipment, and the name of the wound. The receipt power group setting screen 550 includes a receipt power group name column 551, a search column 552, and a candidate column 553.

The receipt power group name column 551 is a setting column for a name assigned to the receipt power group to be generated.
The search field 552 is a search condition setting field for searching for medicines to be grouped, medical practice, specific equipment, names of sicknesses, and the like. In this search column 552, columns such as an exclusion check box, item name, comparison, and value are provided.

The exclusion check box is used to exclude a set value.
The item name field is a setting field for designating an item to be searched.
The comparison field is a setting field for setting the relationship between the item specified in the item name field and the value set in the value field. In the present embodiment, “match”, “non-match”, “less than”, “below”, “exceed”, “more than”, “front match”, “partial match”, or “backward match” is selected. Can do.
The value column is a setting column for keys used for search.

  The candidate field 553 is a display field for displaying candidates such as medicines, medical treatments, specific equipment, and wound names acquired from the various master storage units 22b based on the search conditions set in the search field 552.

  When the confirm button on the power generation group setting screen 550 is selected, the item management unit 213 of the control unit 21 uses the medicine, medical practice, specific equipment, injury / illness name, etc., specified in the candidate field 553, to receive the response. A power generation group is generated and recorded in the reception power group storage unit 22g.

  FIG. 12 is an explanatory diagram of the basic information setting screen 520 of the secondary inspection item master registration screen 510 for the butt inspection. Using this basic information setting screen 520, basic information in the in-situ inspection is set as in FIG.

  FIG. 13 is an explanatory diagram of the target record setting screen 530 of the secondary inspection item master registration screen 510 in the match inspection. Using this target record setting screen 530, as in FIG. 9, it is a screen for setting conditions for extracting a target record of an electronic receipt that is a target for a collision check.

  FIG. 14 is an explanatory diagram of the reference record setting screen 540 of the secondary inspection item master registration screen 510 for the matching inspection. The reference record setting screen 540 is output when “reference record” is selected in the category selection field 511.

  The reference record setting screen 540 is provided with columns for setting a record type to a supplementary comment, a reception power group totaling column, and a dental position designation column. Here, the record type, receipt system group, hospitalization / non-hospitalization, target record positional relationship, existence / non-existence, and supplementary comments are essential setting items.

The record type column is a setting column for the “wound name” record.
The receipt power group column and the hospitalization / out-of-hospital column are setting columns used to designate the receipt power group and hospitalization / out-of-hospital, respectively.
The confirmed / suspected disease name column is a setting column used when “suspected disease name” and “determined disease name” are specified for the wound name record.

The modifier column is a setting column for designating a modifier of the wound name for the wound name record. Here, “all included” to “not included any” can be selected.
The current month onset column is a setting field for designating the current month onset condition of the wound name for the wound name record. Here, it is possible to select “Target only onset in the current month” and “Exclude current month onset”.

  The target record positional relationship column is a setting column for the positional relationship between the reference record and the target record. Items that can be set differ when the target record is a medical record, DPC, or dental record and when it is a dispensing record. When the target record is medical, DPC, or dental, “within the same receipt”, “within the same *”, “within the same score / number of times”, “within the same month”, “date”, “inspection ○ ~ ○ months ago Can be selected. When the target record is dispensing, “within the same month”, “date”, and “preview ○ to ○ months ago” can be selected. In “Vertical inspection ○ to ○ months ago”, a general inspection is performed up to ○ months before including the same month of the same patient. In addition, if “(Check by exact date)” is selected and “General inspection ○ to ○ months ago” is selected, the exact date calculated from the calculation date of the target record (or the prescription date if the target record is a dispensing receipt) Check by date.

The other medical institution column to the dietary treatment days column are the same as the respective columns of the target record setting screen 530.
The supplementary comment field is a setting field for setting when specifying “sickness and disease name supplemental comment” for the record.

The number of teeth field and the tooth position designation field in the power generation group totaling field can be set only when the inspection target score table is “dental”.
The number of teeth column is a setting column for counting up when the number of teeth needs to be counted.
The tooth position designation field outputs the setting contents in a tooth form format when setting the number of teeth of the power generation group total in the sickness name record. For example, when “front teeth” is set in “parts” of “number of teeth”, Nos. 1 to 3 of the tooth image are inverted and output in yellow. Then, a dental electronic receipt including the part designated by using this dental formula position designation column is searched.

  When the confirmation button on the reference record setting screen 540 is selected, the item management unit 213 of the control unit 21 records the inspection item value data regarding the reference record in the inspection master storage unit 22f.

FIG. 15 is an explanatory diagram of the reception power group setting screen 550 in the match inspection. In the match inspection, a reception power group can be generated as in FIG.
FIG. 16 is an explanatory diagram of the extraction target setting screen 560. On this extraction target setting screen 560, inspection items can be set for each medical institution. For this reason, the extraction target setting screen 560 includes setting fields for medical institution codes, medical institution names, and inspection items for secondary inspection. Here, the secondary inspection is performed on the inspection items for which “◯” is set for each medical institution. Specifically, the inspection support unit 214 of the control unit 21 extracts the electronic receipt of the medical institution set on the extraction target setting screen 560 from the examination result storage unit 22a and performs the secondary inspection.

(Screen used for monthly processing)
Next, screens used for monthly processing will be described with reference to FIGS. When the monthly processing button is selected on the menu screen 500 shown in FIG. 6, this monthly processing is performed by the inspection support unit 214 of the control unit 21 of the receipt secondary inspection support system 20 on the display of the client terminal. A processing screen 600 is output.

  FIG. 17 is an explanatory diagram of a monthly processing screen 600. The monthly processing screen 600 displays the monthly processing process and progress recorded in the progress information storage unit 22h for the examination year and month. On the monthly processing screen 600, individual execution by sequentially specifying each process or continuous execution of each process can be selected.

  When the monthly processing is terminated and the inspection result receipt display button is selected on the menu screen 500, the inspection support unit 214 of the control unit 21 displays the secondary inspection item result list screen 610 on the display of the client terminal. Output.

  FIG. 18 is an explanatory diagram of a result list screen 610 for each secondary inspection item. The secondary inspection item result list screen 610 is output based on the secondary inspection result recorded in the examination information storage unit 22i after finishing the secondary inspection. In this secondary inspection item result list screen 610, for each error reason code and secondary inspection item (abbreviation, name), data on the attached message, the number of receipts, the number of attached notes, and the number of deleted attached notes are displayed. The

In the error reason code column, a code indicating the reason why the tag is attached is displayed. This error reason code is a code that is displayed along with the attached message when the inspection result of the secondary inspection item is output in a list format.
In the secondary inspection item (abbreviation, name) column, the abbreviation and name of the secondary inspection item are displayed.
In the attached message column, an attached message attached to the electronic receipt is displayed.
In the number of receipts column, the number of electronic receipts to which an attached message is attached is displayed.

In the number-of-notes column, the number of attached messages attached to this check item is displayed.
In the deleted number-of-notes column, the number of message messages deleted by the inspector is displayed.

  When the receipt display button is selected on the secondary inspection item result list screen 610, the inspection support unit 214 of the control unit 21 displays the simplified error error code screen (620 to 650) on the display of the client terminal. ) Is output.

  FIG. 19 is an explanatory diagram of a [medical department] simple receipt screen 620. The simple receipt screen 620 includes a first display surface 621 and a second display surface 622. The first display screen 621 displays an electronic receipt to be examined this month, and the second display screen 622 displays another related electronic receipt. Then, an attached message 623 attached to the electronic receipt on the first display surface 621 is displayed. Note that, when related to a plurality of electronic receipts, the inspection support unit 214 of the control unit 21 displays a tab for selecting each electronic receipt above each display surface (621, 622). With this tab, the electronic receipt to be displayed can be selected.

FIG. 20 is an explanatory diagram of the [Dispensing] simple receipt screen 630. Also on this simple receipt screen 630, a pasted attachment message is displayed.
FIG. 21 is an explanatory diagram of the [DPC] simple receipt screen 640. Also on this simple receipt screen 640, a pasted attachment message is displayed.

  FIG. 22 is an explanatory diagram of the [dental] simple receipt screen 650. Also on this simple receipt screen 650, a pasted attachment message is displayed. In addition, on the simple receipt screen 650, a tooth type is displayed for the wound name part. Detailed information is output when this disease name part is selected.

  As shown in FIG. 23, a wound name and part detail display screen 651 is output as detailed information. The injury / patient name / part detail display screen 651 is provided with a tooth display column 651a, a status display column 651b, and a treatment display column 651c. In the dental expression display field 651a, the position of the tooth to be treated is displayed as a marker. In the status display field 651b, the status of this tooth is output. Furthermore, the medical treatment about this tooth is output to the treatment display field 651c.

According to this embodiment, the following effects can be obtained.
(1) In the present embodiment, the receipt secondary inspection support system 20 executes inspection item management processing (step S2-1). Here, the inspection items are set using the basic information setting screen 520, the target record setting screen 530, and the reference record setting screen 540 of the secondary inspection item master registration screen 510. As a result, the electronic receipt to be extracted can be identified and the message attached can be attached in the single month inspection, the inspection inspection, the inspection inspection, and the matching inspection. In particular, even when the inspector who wants to inspect by machine extraction is different depending on the inspector, the inspector himself can set the machine extraction item.

  (2) In the present embodiment, using the Riseden group setting screen 550, the drugs, medical treatments, specific equipment, and names of wounds that are treated as synonymous are identified, grouped, and recorded in the Riseden group storage unit 22g. . Thereby, a plurality of items can be treated as synonymous.

  (3) In this embodiment, the control part 21 of the receipt secondary inspection support system 20 performs a master acquisition process (step S2-3) and an examination result data acquisition process (step S2-4). Thereby, a single month inspection, a side inspection, a general inspection, and a match inspection can be performed using the master data used for the examination of the electronic receipt.

  (4) In the present embodiment, the control unit 21 of the receipt secondary inspection support system 20 executes an error adjustment / qualification mismatch result acquisition process (step S2-6). As a result, the electronic receipt data that was in error before the previous month and the electronic receipt data that did not match the current month's qualification can be excluded from the inspection target.

  (5) In this embodiment, the control part 21 of the receipt secondary inspection assistance system 20 performs a cooperation data creation process (step S2-8). Then, the insurer receipt management system 30 executes data linkage processing (step S3-1). As a result, the insurer's receipt management system 30 can search for a desired electronic receipt based on the linkage data and register a reexamination request as necessary.

  (6) In the present embodiment, the control unit 21 of the receipt secondary inspection support system 20 performs an inspection result list creation process (step S2-9) and an inspection result list output process (step S2-10). Run. Thereby, using the inspection result list, the inspector can efficiently specify the object of the reexamination request.

  (7) In this embodiment, the control part 21 of the receipt secondary inspection assistance system 20 performs the identification display process of an essential item (step S5-1). When the control unit 21 of the receipt secondary inspection support system 20 determines that an item value is set and there is a related item (in the case of “YES” in step S5-3), the control of the receipt secondary inspection support system 20 The control unit 21 executes a display color changing process (step S5-4). Thereby, omission of setting of inspection items can be suppressed.

(8) In the present embodiment, the reference record setting screen 540 is provided with a tooth position designation field. Thereby, a treatment site | part can be specified using a dental formula.
In addition, the wound name and part detail display screen 651 is provided with a tooth display column 651a, a status display column 651b, and a treatment display column 651c. Thereby, a treatment site | part and the treatment content can be confirmed using a dental formula display.

In addition, you may change the said embodiment as follows.
In the above embodiment, the control unit 21 of the receipt secondary inspection support system 20 executes an inspection support process (step S2-7). The type of secondary inspection is not limited to single month inspections, inspection inspections, inspection inspections, and inspections. For example, the present invention can be applied to an inspection (a general inspection inspection) that combines a general inspection and an inspection inspection.

  In the above-described embodiment, the [dental] simple receipt screen 650 displays the tooth type for the wound name part. Detailed information is output when this disease name part is selected. In addition to this, a dental formula that takes into account past treatment histories may be displayed.

The receipt display process performed in this case will be described with reference to FIG.
First, the control unit 21 of the receipt secondary inspection support system 20 executes a receipt acquisition process (step S6-1). Specifically, the inspection support unit 214 of the control unit acquires an electronic receipt from the examination result storage unit 22a.

  Next, the control unit 21 of the receipt secondary inspection support system 20 executes tooth extraction information acquisition processing (step S6-2). Specifically, the inspection support unit 214 of the control unit searches for tooth extraction information in an electronic receipt for a general inspection or a horizontal inspection. Further, when detecting the tooth extraction information, the inspection support unit 214 acquires the treatment information of the same insured person.

  Next, the control part 21 of the receipt secondary inspection support system 20 performs the determination process about whether there exists a treatment after tooth extraction (step S6-3). Specifically, the inspection support unit 214 of the control unit compares the extraction date and the treatment date for the same tooth. If there is an electronic receipt for the treatment date that is later than the extraction date, it is determined that there is treatment for the extracted tooth.

  When it is determined that there is treatment after the extraction (in the case of “YES” in step S6-3), the control unit 21 of the receipt secondary inspection support system 20 executes an alerting process (step S6-4). Specifically, the check support unit 214 of the control unit affixes a sticky message about the treatment after tooth extraction to the electronic receipt.

  On the other hand, when it is determined that there is no treatment after tooth extraction (in the case of “NO” in step S6-3), the control unit 21 of the receipt secondary inspection support system 20 skips the alerting process (step S6-4).

  Next, the control part 21 of the receipt secondary inspection support system 20 performs the extraction site | part display process in a tooth type display (step S6-5). Specifically, the inspection support unit 214 of the control unit specifies the tooth extraction position using the electronic receipt in which the tooth extraction information is recorded, and displays the tooth extraction position in the tooth type display.

  Next, the control part 21 of the receipt secondary inspection support system 20 performs the treatment site | part display process in a dental formula display (step S6-6). Specifically, the inspection support unit 214 of the control unit specifies a treatment site based on an electronic receipt in which a treatment date is recorded. Then, the inspection support unit 214 outputs the identified treatment site on the dental display.

  Next, the control part 21 of the receipt secondary inspection support system 20 performs the designation | designated process of an object site | part (step S6-7). Specifically, the inspection support unit 214 of the control unit obtains designation information of the region to be inspected in the dental display from the client terminal.

  Next, the control part 21 of the receipt secondary inspection support system 20 performs the acquisition process of the treatment information of an object part (step S6-8). Specifically, the inspection support unit 214 of the control unit identifies an electronic receipt in which treatment information of a specified site is recorded.

  Next, the control part 21 of the receipt secondary inspection support system 20 performs the receipt display process of an object site | part (step S6-9). Specifically, the inspection support unit 214 of the control unit outputs the specified electronic receipt to the client terminal.

  Thereby, the secondary inspection of the treatment site can be performed in consideration of the tooth extraction status while comparing the tooth extraction status and the treatment site. Furthermore, in the dental display, it is possible to efficiently specify the site to be inspected and confirm the treatment content.

  DESCRIPTION OF SYMBOLS 10 ... Receipt computer processing system, 12a ... Various master memory | storage parts, 12b ... Electronic receipt memory | storage part, 12c ... Examination result memory | storage part, 20 ... Receipt secondary inspection support system, 21 ... Control part, 210 ... Management part, 211 ... Data Acquisition unit, 212 ... coding unit, 213 ... item management unit, 214 ... inspection support unit, 22a ... examination result storage unit, 22b ... various master storage units, 22c ... coding dictionary storage unit, 22d ... sample storage unit, 22e ... Screen storage unit, 22f ... Inspection master storage unit, 22g ... Receptacle group storage unit, 22h ... Progress information storage unit, 22i ... Examination information storage unit, 30 ... Insurer receipt management system, 32a ... Incorrect adjustment / qualification mismatch Result storage unit, 32b ... cooperation data storage unit, 500 ... menu screen, 501 ... secondary inspection item list screen, 510 ... secondary inspection item master registration 520 ... Basic information setting screen, 530 ... Target record setting screen, 540 ... Reference record setting screen, 550 ... Receptacle group setting screen, 560 ... Extraction target setting screen, 600 ... Monthly processing screen, 610 ... Secondary inspection Item-by-item result list screen, 620... [Medicine] simple reception screen, 630... [Dispensing] simple reception screen, 640... [DPC] simple reception screen, 650.

Claims (7)

A receipt storage unit storing an electronic receipt;
An inspection master storage unit for storing inspection items for inspecting the contents of the items included in the electronic reception;
A group storage unit that stores and stores a group name for group setting information that is grouped based on item values that are treated as synonyms for medicines, medical treatments, specific equipment, and sickness names for receipt types;
A receipt inspection support system comprising a control unit connected to a client terminal,
The control unit is
A basic registration screen for basic information including a message to be attached to the electronic receipt,
A first registration screen of a target record for setting a first extraction condition capable of setting a plurality of group names with respect to a receipt type for an electronic receipt to be inspected;
A second registration screen of a reference record for setting a second extraction condition for setting a plurality of group names with respect to a reception type for an electronic reception referred to in order to identify the electronic receipt to be inspected; Output at the client terminal,
An item management unit that records the extraction conditions set in the first and second registration screens in association with the basic information set in the basic registration screen and records them as inspection items in the inspection master storage unit;
When a group name is set in at least one of the first and second extraction conditions recorded in the item management unit, group setting information of all set group names is recorded in the group storage unit. Using the item value, the electronic receipt extracted from the receipt storage unit under the first extraction condition recorded in the inspection master storage unit is used to check the second extraction condition recorded in the inspection master storage unit. check with items, Oite to the client terminal, the electronic receipt extracted by the first extraction condition, attached to the message of the basic information, by arranging the electronic receipt extracted by the second extraction condition A receipt inspection support system comprising an inspection support unit for outputting an inspection result screen. The first and second registration screens include setting fields for a plurality of items included in the electronic receipt,
The second setting field related to the first setting field is displayed as a setting field requiring setting when an extraction condition is set in the first setting field. Receipt inspection support system. The receipt inspection support system according to claim 1 or 2 , wherein the inspection support unit displays a tab for selecting each electronic receipt with respect to the plurality of extracted electronic receptors. The first and second registration screens and the inspection result screen include a tooth display column,
The receipt inspection support system according to any one of claims 1 to 3 , wherein a medical treatment site is designated in the display column of the dental formula. The inspection result screen includes a display column of a tooth type,
In dental electronic receipt, it acquires medical site information, receipt inspection support system according to any one of claim 1 to 4 and outputs the arrangement of the medical care site in the display section of the tooth type. A receipt storage unit storing an electronic receipt;
An inspection master storage unit for storing inspection items for inspecting the contents of the items included in the electronic reception;
A group storage unit that stores and stores a group name for group setting information that is grouped based on item values that are treated as synonyms for medicines, medical treatments, specific equipment, and sickness names for receipt types;
A method for supporting reception check using a reception check support system including a control unit connected to a client terminal,
The control unit is
A basic registration screen for basic information including a message to be attached to the electronic receipt,
A first registration screen of a target record for setting a first extraction condition capable of setting a plurality of group names with respect to a receipt type for an electronic receipt to be inspected;
A second registration screen of a reference record for setting a second extraction condition for setting a plurality of group names with respect to a reception type for an electronic reception referred to in order to identify the electronic receipt to be inspected; Output at the client terminal,
The extraction conditions set in the first and second registration screens are associated with the basic information set in the basic registration screen, and recorded as inspection items in the inspection master storage unit,
When a group name is set in at least one of the first and second extraction conditions, the group setting information of all the set group names is used using the item values recorded in the group storage unit, The electronic receipt extracted from the receipt storage unit under the first extraction condition recorded in the inspection master storage unit is inspected using the inspection item of the second extraction condition recorded in the inspection master storage unit, Oite to the client terminal, the first electronic receipts extracted by the extraction conditions, said that by sticking the message of the basic information, and outputs the second inspection result screen by arranging electronic receipt extracted with extraction condition Receipt check support method characterized by this. A receipt storage unit storing an electronic receipt;
An inspection master storage unit for storing inspection items for inspecting the contents of the items included in the electronic reception;
A group storage unit that stores and stores a group name for group setting information that is grouped based on item values that are treated as synonyms for medicines, medical treatments, specific equipment, and sickness names for receipt types;
A program for supporting reception check using a reception check support system including a control unit connected to a client terminal,
The control unit
A basic registration screen for basic information including a message to be attached to the electronic receipt,
A first registration screen of a target record for setting a first extraction condition capable of setting a plurality of group names with respect to a receipt type for an electronic receipt to be inspected;
A second registration screen of a reference record for setting a second extraction condition for setting a plurality of group names with respect to a reception type for an electronic reception referred to in order to identify the electronic receipt to be inspected; Output at the client terminal,
An item management unit that records the extraction conditions set in the first and second registration screens in the inspection master storage unit as inspection items in association with the basic information set in the basic registration screen;
When a group name is set in at least one of the first and second extraction conditions recorded in the item management unit, group setting information of all set group names is recorded in the group storage unit. Using the item value, the electronic receipt extracted from the receipt storage unit under the first extraction condition recorded in the inspection master storage unit is used to check the second extraction condition recorded in the inspection master storage unit. check with items, Oite to the client terminal, the electronic receipt extracted by the first extraction condition, attached to the message of the basic information, by arranging the electronic receipt extracted by the second extraction condition A receipt inspection support program that functions as an inspection support unit that outputs an inspection result screen.