JPH0256062A - Medical business processor - Google Patents

Abstract

PURPOSE:To execute recording to a medical examination register book without executing posting and key input operation by reading mentioned items of an insured person certificate and a medical examination written application and printing them out. CONSTITUTION:A scanner 1 marks a reference line 10 on a green filter plate, a holding plate 9 is used for a medical examination written application, a holding plate 9' or 9'' is used selectively for an insured person certificate in accordance with a national health insurance or a social health insurance, its alignment is executed, and also, an unnecessary part is erased or covered. In this state, an image which is read by a photosensor of the scanner 1 is allowed to pass through an A/D converter 2 and inputted to a storage part 4 by a control of a control part 3, and also, displayed on a display 5. Moreover, four kinds of masks whose notch positions are different and which are not shown in the figure are selected, and characters of necessary family relationship are read and printed in a medical examination register book. In such a way, the posting work is omitted, and the registration to the medical examination register book can be executed easily without an error.

Description

[Detailed Description of the Invention] [Industrial Application Field] The present invention eliminates the work of transcribing patient affairs attributes into medical records, which is essential for medical affairs processing, thereby saving labor and streamlining the subsequent administration processing. The present invention relates to a medical office processing device that can be used as a computer.

[Prior Art] Administrative attributes required for each patient (hereinafter referred to as patient information) are recorded using computers in recent years.
Approximately 20 mm as shown in block (a) as shown in Figure 12 (8)
The items are handwritten, and further blocks (b), (viii), (
Each item shown in (d) and (e) was input into the computer.

[Problems to be Solved by the Invention] Therefore, with this conventional medical record means for patient information, approximately 20 items must be transcribed manually, which takes time and effort to fill in the head of the medical record. There was a problem in that the writing was incomplete due to transcription errors.

In addition, in the case shown in FIG. 12(B), all patient information is manually operated using the computer's keys, so it goes without saying that the manual operation of the keys is time-consuming and requires skill on the part of the manual operator. There were problems such as the time it took to convert kanji and kana.

[Means for Solving the Problems] The present invention has been made by focusing on the problems of the conventional method, and is based on a system in which the patient side writes down the items and necessary matters written on the insurance card. The items listed in the medical application form are read by an image reading means, and each of the above necessary items is printed out on a predetermined sheet of paper, without any transcribing or manual key operations as in the past.
To enable recording on the header of m-recording. In addition, the present invention eliminates transcription to the medical record header and further simplifies the manual effort of coding patient information for medical fee calculation.
To provide a medical office processing device that can accurately and quickly perform patient information registration work without requiring skill.

To explain the present invention more specifically, first, the patient enters the public medical care number, if available, in the medical treatment application form. In addition, between the medical record and the medical application form, and between the medical record and the insurance card, the format and dimensions of each part of the latter shall be designed to fit within each of the former. Then, an image reading means using an optical sensor such as a scanner or a CCD camera is used to read the patient information written on the medical application form and insurance card as an image and display it on the display. In order to reduce the amount of memory required to store this converted data, data compression may be performed at the same time as reading. Image data is input to a computer through an AD converter in the case of a scanner and a frame buffer in the case of a CCD camera. Next, among the scanned image data, the patient's name in kana, date of birth, relationship, insurance number, and gender need to be data in character code for medical fee calculation, so a form is prepared so that each character is written on each fold. design, cut out this image data, and read the characters using software, or enter them separately from the image data using a keyboard. In the case of a medical application form, the image reading means has a transparent alignment plate provided with a reference line that matches the reference line written outside the frame of the medical application form. In addition, the frame and title of the medical application form are printed in one of the three primary colors, and unnecessary information is optically erased using a filter plate of the same color before being read. Furthermore, the patient reads the medical application form with a mask that covers the application date and relationships that are unnecessary for the medical record. In addition, alignment plate,
The filter plate and mask can be used in any combination. After inputting data, the image data and character data are stored separately in memory. Next, to read the image of the insurance card, use the lower line of the frame of the insured person symbol number column and any vertical line that intersects with it as the reference line, and use a transparent alignment board with a reference line that matches that line. The image reading device also has an opaque mask that covers unnecessary parts of the insurance verification based on this reference line.

It can also be used as a positioning plate and a mask.

The insurance card formats are broadly divided into social insurance and national health insurance, so masks must be at least 2 ftm wide, and there are two types of medical records.

However, there are some variations, and we have software that cuts out and edits everything other than the insured person's name and symbol number to match the medical record, and has a mouse to operate it, and this cutting and movement is often done automatically by a program. . It also has editing software that can enlarge small characters if necessary, erase image data after manually pressing keys to change it to characters, and reduce it when storing it. In order to calculate medical fees, the insurer number in the insurance card requires data in character code, so it can be input separately using a keyboard, or it can be created in character code by using character reading software as before. After editing and character code data, separate it into images and characters and store them in memory. Next, the stored data is printed onto the medical record using a printer that can also print image data. At this time, everything can be based on image data, or anything that has character codes can be printed using character codes.

[Function] According to the present invention, as described in the above configuration, the medical application form filled out by the patient and in rare cases the receptionist adds the public expense number, and the insurance card as it is are aligned, filtered, and masked. You can instantly read it with a scanner or CCD camera, move a part of the image position (in most cases manually by using a program), and print it out as it is to create a medical record header, which requires no human effort at all. Since the input source paper and the output format dimensions are the same, in most cases this amount of work is enough to fit the medical record form without doing anything.

However, the dimensions of National Health Insurance guarantees differ depending on the prefecture, so even if you adjust the parameters, they may sometimes be reduced or deleted if they are from another prefecture. In addition, the input required for calculating medical fees can be easily halved by using the donkey shown in Figure 12 (A), and of course can be eliminated by using a character reading program.

[Example] An example of the present invention will be described below with reference to the drawings. In Fig. 2, 1 is a scanner in which a reference line lO is marked on a green filter plate, a holding plate 9 with a mask a shown in Fig. 5, and a reference line (dotted line) as shown in Fig. 10. show)
The presser plate 9° having the mask b with the mask b can be used interchangeably with the presser plate 91 having the mask C as shown in FIG. In other words, the press plate 9 is used for the medical application form,
Depending on the National Health Insurance or Social Insurance, a holding plate of 9° or a holding plate of 9'' is selectively used to align the insurance card and erase or cover unnecessary parts. It is read by the optical sensor of the scanner 1. The resulting image is converted into a DC signal through an AD converter 2 and stored in a storage unit 4 under the control of a computer control unit 3.
and display this on display 5. Since the above-mentioned positioning is performed when reading, the image is displayed at a fixed position on the display as it is. The frame and title of the medical application form are printed in green, so the green filter prevents them from being read.

Then, design the head of the medical record in the format shown in Figure 4, and create a medical application form in the same format and dimensions as the left half of the form as shown in Figure 4 so that when printed, it will fit exactly within the frame of the medical record. Also, the O mark added to the date of birth and gender on the medical treatment application form will be added to the characters printed on the medical record. Regarding relationships, by selecting four types of masks with different cutout positions as shown in Figure 3, the letters of the necessary relationships can be read and printed on the medical record. diagnosis m
In order to enter the character data necessary for calculating the remuneration statement, the area below the displayed image is used as a character area and is manually entered using the keys. Once completed, these data will be stored in temporary memory.

Insurance cards can be roughly divided into social insurance and national insurance forms, as shown in Figures 6 and 9. First, call up the manual screens of Figures 8 and 11 on the display, and then enter the medical fee statement. Enter the characters of the insurer number necessary for calculation by looking at your insurance card. Next, the presser plate 9'' or 9'' having the mask C or b shown in FIGS. 7 and 10 is overlapped, and the image is read by aligning and removing unnecessary parts.
As you can see by comparing the figure with Figure 3, the right half of the medical record and the insured person's card have different vertical positions even for the same item. Move the name and insurer name up. However, in extremely rare cases, the dimensions of the insurance card may differ depending on the prefecture, so it may be necessary to reduce or delete it. To move, point the diagonal of the rectangle to be moved with the mouse cursor of the mouse 11 in FIG. When the process is completed, the image data of the insurance card and the image data of the previously created medical application form are connected from side to side using software, and the medical record header shown in Figure 3 is printed out using the printer 6. A floppy driver 7 (
to store more information on the disk. At that time, the insured person code number is reduced to about 70% and stored so that it can be used as is later and the storage capacity is reduced.

By simultaneously filling in the medical record head and registering patient information for the medical fee calculation form, and incorporating the handling of image data, which was not previously possible, the key human labor is almost eliminated, and the process is easy and quick even for amateurs without any errors. In addition, by unifying document format dimensions and devising positioning plates, filter plates, and masks, the amount of image data can be significantly reduced, and image processing such as movement can be done in a small amount. It is now possible to process it on a computer.

[Effects of the Invention] As described above, the present invention provides an image reading means using an optical sensor that reads characters on a health insurance card and a medical application form (or patient registration form) as images, and the image reading means. a character reading means for converting necessary image data read by the character code into a character code; a display means for displaying the image data read by the character reading means; and a partial cropping and movement of the image displayed by the display means. , an editing means that performs reduction, deletion, etc. automatically or according to human instructions; a storage means that stores input images or edited images and manually-generated character data; and a storage means that extracts necessary data from the storage means and also stores image data. It is a medical office processing device that includes a printing means that prints text data in the form of a medical record using the same machine.
The following effects can be obtained.

(I) Key Since characters can be read at once as images without manual effort, transcription work can be omitted and registration in the medical record header can be easily made without errors.

(II) Generally, the amount of data increases when reading an image, but by using a mask, color printing, or a holding plate with a color filter, unnecessary image reading can be omitted. Memory can be used effectively and calculation time can be prevented from increasing.

(II+) By matching the display pattern of the sheet to be read and the format of the recording paper to be printed, and by aligning the reference lines, editing work is almost eliminated, processing can be performed even with a low-speed computer, and recording can be performed in the correct position.

(IV) The key human resources needed not only to record medical records but also to provide patient information necessary for subsequent medical fee calculations will be completely eliminated or halved.

[Brief explanation of the drawing]

Fig. 1 is a flow diagram showing the configuration of a medical office processing device showing an embodiment of the present invention, Fig. 2 is a block diagram thereof, and Fig. 3 shows an example of a medical record for which patient information is registered. Figure 4 is an explanatory diagram showing an example of a medical application form, Figure 5 is an explanatory diagram of the holding plate, Figure 6 is an illustration of the form of the insurance card, and Figure 7 is an explanatory diagram of the holding plate. , Fig. 8 is an explanatory diagram showing an example of the insurance card input screen, Fig. 9 is an explanatory diagram of the mode of insurance verification, Fig. 10 is an explanatory diagram of the holding plate, and Fig. 11 is for insurance card input. Explanatory diagram showing an example of the screen, Figure 12 Kan (A)
, (B) is an explanatory block diagram of a conventional example. 1...Scanner 2...AD converter 3...
Computer control unit 4...Computer storage unit 5...Display 6...Printer 7°°
Floppy disk driver 8...Keyboard
9.9°, 9-... Holding plate lO... Positioning filtering plate 11... Mouse and 4 other people Figure 9 Figure 10 Figure 11 A. Name of person responsible I. Display of procedural amendment form Showa 1963 Patent Application No. 20-7-16 Address: 330 Marunouchi Yaesu Building, 2-6-2 Marunouchi, Chiyoda-ku, Tokyo Amendments The following matters have been amended in the specification and drawings of this application. Note 1: The scope of claims is amended as shown in the attached sheet. 2. In the bottom line of page 3 to the first line of page 4, the words "in the medical record means for patient information" are corrected to "in the input of patient information." 3. On the 5th line from the bottom of page 8, correct the text ``National Health Insurance Guarantee'' to ``National Health Insurance Card''. 4. On the second line of page 10, correct the phrase "in the format shown in Figure 4" to "in the format shown in Figure 3." 5. In the drawings, ``Figure 12 (A) J' Figure 12 (B) or a patient registration form) using an optical sensor that reads characters, etc. as an image; a character reading means that converts necessary image data read by the image reading means into a character code; and a character reading means that reads the image. a display means for displaying image data or input characters read by the display means; an editing means for automatically or according to human instructions to cut out, move, reduce, erase, etc. a portion of the image displayed by the display means; It consists of a storage means for storing edited images and input character data, and a printing means for extracting necessary data from the storage means and printing both image data and character data in a medical record format using the same machine. Medical office processing device. 2. The format of the attributes of the medical application form required for the medical record is the same for both, and each dimension of the medical record is related to the corresponding dimension of the medical application form, and the insured person's name and symbol are 3. The medical office processing device according to claim 1, which has the format dimensions of the medical records and the medical application form such that there is a similar relationship between the medical record and the patient's ID regarding numbers. A reference line for alignment or a line equivalent to it is provided on the book, and the frame and name are printed in a single color.
On the other hand, the image reading means includes a transparent alignment plate with a line that matches the reference line of the medical application form, a selective filter plate that erases the same color as the printed color, and an opaque plate that covers unnecessary parts of the medical application form. 2. The medical office processing device according to claim 1, further comprising a mask or a combination plate of any combination of the three. 4 The underline of the frame of the insured person symbol number column of the insurance card and the vertical line that intersects with it are regarded as the reference line for alignment, and a transparent alignment plate is provided with a reference line that matches this line. 2. The medical office processing device according to claim 1, wherein the image reading means includes an opaque mask that covers unnecessary parts of the insurance card based on the reference line, or a plate that serves both. Figure 12 (A) Procedural amendment written on March 2, 1995? Day 1, Indication of the case 1938 Patent Application No. 2a7f''I6 Advocate Ryoshito 3, Person making the amendment Relationship to the case Applicant Person 1 ← - Toko 111 (to) - Name 4 , Agent Address Name: 330 Marunouchi Shigesu Building, 2-6-2 Kunouchi, Chiyoda-ku, Tokyo;;:,,, Go (8331) Kodaira Honda: J-:・- Amendments in the specification of this application We will amend the following matters. 1. The scope of claims will be corrected as shown in the attached sheet. 2. In the procedural amendment dated October 3, 1988, page 1, line 8, it will be written as "In the input of patient information." Correct it to "In the registration of patient information." 3. On page 6, lines 8-9, the statement ``Print the title, etc. in one of the three primary colors,'' is corrected to ``Print the title, etc. in color.'' 7. Subject of amendment 8. Contents of amendment As shown in the appendix, claims 1: An optical sensor that reads the characters on the health insurance card and medical treatment application form (or patient registration form), etc., which describe the patient's administrative attributes, as images. an image reading means using the image reading means, a character reading means for converting necessary image data read by the image reading means into a character code, and a display for displaying the image data read by the image reading means or input characters, etc. means, an editing means for automatically or according to human instructions to partially cut out, move, reduce, delete, etc. the image displayed by the display means; and a storage means for storing the input image or the edited image and the input character data. and a printing means for extracting necessary data from the storage means and printing both image data and text data in a medical record format using the same machine. 2. The format of the attributes of the medical application form required for the medical record is the same for both, and each dimension of the medical record is related to the corresponding dimensions of the medical application form, and the insured person's name and code number are the same as the medical record. 2. The medical office processing device according to claim 1, wherein the medical record and the medical application form have formats and dimensions that have the same relationship as above with the health patient's identification card. 3. A reference line for alignment or a line equivalent to it is provided on the medical application form, and a line matching the reference line of the medical application form is provided in the image reading means. Claims that have a transparent alignment plate with a 3D filter, a selective filter plate that erases the same color as the printed color, an opaque mask that covers unnecessary parts of the medical application form, or a combination plate of any combination of these three. The medical office processing device according to item 1. 4 The underline of the frame of the insured person symbol number column of the insurance card and the vertical line that intersects with it are regarded as the reference line for alignment, and a transparent alignment plate is provided with a reference line that matches this line. 2. The medical office processing device according to claim 1, wherein the image reading means includes an opaque mask that covers unnecessary parts of the insurance card based on the reference line, or a plate that serves both. Indication of the amendment case No. 207 Patent Application No. 207, 3rd year of the Showa Period Name: 2-6-2 Marunouchi, Chiyoda-ku, Tokyo Shigesu Building, 2-6-2 Marunouchi, Chiyoda-ku, Tokyo 330'Bm 方') 4'i = h1sKuno1aEnnolylInvention of Sozan ffContents of amendment in Detailed explanation column The following matters in the specification of the present application will be amended as shown in the attached sheet. Note 1: The scope of claims is amended as shown in the attached sheet. 2. On page 6, lines 10-11, the statement ``Erase and read. Furthermore, from the medical application form'' should be corrected as follows. Either erase and read, or use an image reading means that lacks a light sensor of the same color to not read only the same color, or read and convert it into electrical signals of the three primary colors, and then use an electric filter to erase only the image information of the same color. Or, after inputting it into the computer, erase only the image information of the round color manually in the program.Furthermore, in the medical application form," ...can be prevented.'' is corrected as follows. ``A holding plate with a color filter or an electric filter can eliminate unnecessary reading of images, or it can be easily erased with a computer program, making memory more efficient.''
This can prevent the subsequent calculation time from increasing. ”
Claim 1: An image reading means using an optical sensor that reads characters on a health insurance card and a medical application form (or patient registration form), etc., in which the patient's administrative attributes are recorded, and the above-mentioned image reading means. A character reading means for converting necessary part of the read image data into a character code, a display means for displaying the image data read by the image reading means or input characters, etc., and a portion of the image displayed by the display means. An editing means that performs cutting, moving, reduction, erasure, etc. automatically or according to human instructions; a storage means that stores human images or edited images and input character data; and extracts necessary data from the storage means. , a printing means for printing both image data and text data in a medical record format using the same machine. 2 The format of the attributes of the medical application form required for the medical record is the same for both, and each dimension of the medical record is related to the corresponding dimensions of the medical application form, and the name and symbol number of the insured person are not included in the medical record. 2. The medical office processing device according to claim 1, wherein the medical record and the medical application form have formats and dimensions such that the same relationship as above exists between the medical care record and the medical care application form. 3 A reference line for alignment or a line equivalent thereto is provided on the medical application form, and the frame, name, etc. are printed in one color, and on the other hand, a transparent image reading means with a line that matches the reference line of the medical application form is provided. An alignment board, a selective filtering board that erases the same color as the printed color, and an opaque mask that covers unnecessary parts of the medical application form.
or Claim 1 having a dual-purpose plate of any combination of these three
Medical office processing equipment as described. A reference line for alignment or a line equivalent to it is provided on the medical application form, the frame and name are printed in one color of three primary colors different from the color used to describe the registration details, and the medical application form is placed in the image reading means. An image that has a transparent alignment plate with a line that matches the reference line of the medical application form, an opaque mask that covers unnecessary parts of the medical application form, or a plate that serves both, and lacks a light sensor of the same color as the color printing. Either it is a reading means, or it is an image reading means with an electric filter that erases the same color as the color of the color print after reading the image, or it erases the image information of the same color as the color of the recolor print that is input to the computer. The medical office processing device according to claim 1, comprising a computer program. The underline of the frame of the insured person symbol number column of the insurance card and any of the vertical lines that intersect with it are regarded as the reference line for alignment, and a transparent alignment plate is provided with a reference line that matches this, and this reference line is used. 2. The medical office processing device according to claim 1, further comprising an opaque mask for covering unnecessary parts of the insurance card based on the lines, or a plate serving both of them in the image reading means.

Claims (1)

[Scope of Claims] 1. An image reading means using an optical sensor that reads characters on a health insurance card and a medical treatment application form (or patient registration form), etc., in which the patient's office attributes are recorded, and the above-mentioned image reading means. a character reading means for converting necessary image data read by the image reading means into a character code; a display means for displaying the image data or input characters read by the image reading means; and an image displayed by the display means. an editing means for cutting out, moving, reducing, deleting, etc. automatically or according to human instructions; a storage means for storing input images or edited images and input character data; and a storage means for storing necessary data from the storage means. A medical office processing device that takes out image data and prints both image data and character data in a medical record format using the same machine. 2. The format of the attributes of the medical application form required for the medical record is the same for both, and each dimension of the medical record is related to the corresponding dimensions of the medical application form, and the insured person's name and code number are the same as the medical record. 2. The medical office processing device according to claim 1, wherein the medical record and the medical application form have formats and dimensions that have the same relationship as above with the health patient's identification card. 3. A reference line for alignment or a line equivalent thereto is provided on the medical application form, frames, names, etc. are printed in one of the three primary colors, and on the other hand, the image reading means is provided with a line that matches the reference line of the medical application form. A claim that has a transparent alignment plate with lines, a filter plate of the same color as the color printing, an opaque mask that covers unnecessary parts of the medical application form, or a combination plate of any combination of these three. 1. The medical office processing device according to 1. 4 The underline of the frame of the insured person symbol number column of the insurance card and the vertical line that intersects with it are regarded as the reference line for alignment, and a transparent alignment plate is provided with a reference line that matches this line. 2. The medical office processing device according to claim 1, wherein the image reading means includes an opaque mask that covers unnecessary parts of the insurance card based on the reference line, or a plate that serves both.