JPH03250251A - Data input system for computer for medical business - Google Patents

Abstract

PURPOSE:To efficiently input data while automatically deciding an insurance block by recognizing the insurance block of a specified patient while referring to an insurance table from the insurance number of the patient, and accepting the data input while displaying a picture corresponding to the recognized insurance block. CONSTITUTION:When inputting medical treatment data, etc., concerning the patient, at first, the patient is specified and leading data 9, etc., concerning the patient is read out from a magnetic disk 7. Then, the input picture such as the medical treatment data 10, etc., concerning the patient is displayed and in such a case, however, by comparing the insurance number of the read patient with an insurance table 12, it is recognized whether the insurance block to the medical treatment shows public expense or insured identity. Further, corresponding to the result of this recognition, the input of the medical treatment data 10, etc., is accepted while displaying the input picture of the public expense or the input picture of the insured identity. Thus, the efficiency of data input work is improved by automatically switching the input picture of the public expense and the input picture of the insured identity.

Description

DETAILED DESCRIPTION OF THE INVENTION [Field of Industrial Application] The present invention relates to a data input method in a medical office computer, and particularly to a data input method according to insurance classification, such as whether a patient's payment is public funds or main insurance.

[Prior Art] Medical office calculators have been known for performing administrative management in hospitals, such as issuing billing statements for medical treatment and dispensing.

This medical office calculator includes a keyboard for inputting various data, a display for displaying processing results and a data input screen, a processing section for performing various processes such as data processing, and a magnetic disk as an external storage means for data. , a printer that outputs the processing results, etc.

When performing accounting processing for medical treatment at the counter, the patient is first identified by inputting the patient code. Then, by inputting data regarding the medical practice, the billing amount for the medical practice is calculated and output. Furthermore, since these data are stored for each patient, medical fee statements can be issued once a month.

In addition to regular medical insurance such as social insurance and national health insurance, there is a public medical care payment system based on the Tuberculosis Prevention Act, Venereal Disease Prevention Act, and Elderly Insurance Act to pay medical expenses. The calculation of cost sharing and insurance points differs depending on whether there is public funding or not.

For this reason, when inputting medical data, etc., it is necessary to distinguish whether the data is covered by public funds or not.

On the other hand, if there is public funding, it is not that much, and it is not a good idea to choose whether or not to use public funding every time. Therefore,
Conventional yim usually accepts input of medical activities, etc. for medical insurance (hereinafter referred to as main insurance), and on the input screen for main insurance, it is possible to input public expense data by making a public expense declaration. I am trying to switch to accept .

[Problem to be solved by the invention] However, in order to perform such switching, the operator must recognize whether or not the patient's medical treatment, etc. is borne by public funds, and perform tasks such as pressing a switching key. However, there are problems in that the operation is troublesome and the probability of input errors is high.

The present invention has been made to solve the above-mentioned problems, and it is an object of the present invention to provide a data input method for a medical office calculator that can automatically switch data input screens based on main insurance or public funds. With the goal.

[Means for Solving the Problem] The first invention described in claim (1) stores an insurer number and an insurance classification of whether the payment of the patient with the insurer number is public funds or main insurance. It has an insurance table, and when a patient is identified in order to input data about the patient, the insurance table is referenced from the identified patient's insurance number, the insurance classification of the patient is recognized, and the information about the patient is The second invention as set forth in claim (2) is characterized in that a screen corresponding to a recognized insurance classification is displayed as a data input screen to accept data input. It has an insurance table that stores the insurance classification of whether the payment is public expense or main insurance, and when initial data about a patient is input, the insurance table is referred to from the patient's insurance number and the patient's The insurance classification is recognized and ignored, the recognized insurance classification is stored in the header storage unit as header data, and when the patient is identified for inputting data about the patient, it is recognized as the data input screen for that patient. The system is characterized by displaying a screen corresponding to the selected insurance category and accepting data input.

[Operation] In the first invention, when inputting medical treatment data, etc. for a patient, the patient is first identified, and initial data, etc. for the patient are read from the magnetic disk. Then, an input screen for medical data, etc. regarding the patient is displayed, and the patient's insurer number read here is compared with the insurance table to determine whether the insurance classification for the medical treatment is public funding or main insurance.

Then, depending on the recognition result, a public expense input screen or a main insurance input screen is displayed to accept input of medical data, etc. Therefore, it is possible to automatically switch between the public expense input screen and the main insurance input screen, making it possible to improve the efficiency of data input work.

In the second invention, when the header data is input, the insurance table is referred to based on the insurer number, the insurance classification is recognized, and the result is stored as part of the header data. Therefore, when inputting medical data, etc., the input screen can be automatically switched according to the insurance classification stored in this header data, and as with the first invention, the data input work can be made more efficient. It is possible to aim for

[Embodiments] Hereinafter, embodiments of the present invention will be described based on the drawings.

FIG. 1 is a block diagram showing the configuration of a medical office computer to which the data input method of the present invention is applied. Data input from the keyboard 1 is supplied to the processing section 2, where it undergoes various processing. A display 4 connected to the processing section 2 via a display control section 3 displays processing results in the processing section 2 and an input screen for instructing input from the keyboard 1 . Further, printing of processing results and the like is performed by a printer 6 connected via the print control unit 5.

A magnetic disk 7 is connected to the processing unit 2 as an external storage device, and various data are stored therein. Note that the memory 8 is a RAM used as a work area when performing various processes in the processing section 2.

The magnetic disk 7 includes a header data file 9 that stores header data unique to the patient, such as the patient's code, age, gender, and insurance number; a medical data file 10 that stores medical actions performed on the patient; Accounting billing data file 1 that stores accounting data billed for patients
1 is provided, and also stores an insurance table that shows various insurer numbers and whether the insurance classification of payment will be main insurance or public funds when a patient with that insurer number receives medical treatment. An insurance table file 12 is provided.

Therefore, in the present invention, efficient data input can be performed using the insurance table according to the distinction between public funds and main insurance. This will be explained below.

(Example 1) Setting of insurance table In the present invention, first, a predetermined insurance table file 1 is set.
2 must be created in the magnetic disk 7. Therefore,
The registration setting/modification of this insurance table file 12 will be explained.

For example, as shown in FIG. 2, the insurance table consists of four pieces of data: representative insurer number, insurance name, self-pay rate (individual/family), and insurance category (main/public).

For example, in the case of social insurance, the representative insurer number is:
ro 6//////J, for elderly insurance, r 2
It consists of data 7 //////J. Here, the "/" in the data indicates that the subject of comparison can be anything, so by using this representative insurer number, if the first two digits of the insurer number are "06", the social insurance , if the first two digits are "27", it can be recognized that the person is an elderly person.

In addition, the insurance name is the name of the insurance corresponding to the representative insurer number, and the self-pay rate indicates the burden rate for the individual's family when using that insurance.

The insurance category indicates a category for determining whether or not the payment for the medical treatment will be paid entirely from public funds when the insurance specified by the representative insurer number is used. For example, in the case of elderly insurance, there is a fixed payment of 800 yen/month, but the payment for medical treatment is fully covered by public funds, so "public" is set as the insurance category.

The memory of this distinction between “lord” and “prince” is “0”.
, is performed by storing "1".

Next, the operation of registering/correcting insurance table settings will be explained based on the flowchart of FIG. 3 and the screen display examples of FIGS. 4 to 6.

First, on the initial screen for starting up the system, by pressing the table setting key on the keyboard 1, a mode for registering/correcting insurance table settings is entered. As a result, the screen shown in FIG. 4 is displayed. Therefore, in this state, the representative insurer number is input.

If the representative insurer number is entered, it is checked whether it is already registered or not. If it is not registered, a screen for new registration of the representative insurer number is displayed, and if it is already registered, it is registered. Displays a screen for modifying the representative insurer number. Then, on these screens, data for new registration or correction data for the above-mentioned insurance table is input.

When new registration data or modified data is input in this manner, it is stored in the memory 8 and displayed on the display 4.

If the entered insurance category is social insurance, the screen shown in FIG. 5 will be displayed, and if the entered insurance category is elderly, the screen shown in FIG. 6 will be displayed.

When the input key is pressed, this is registered in the insurance table 12 of the magnetic disk 7, and the work of registering/correcting the insurance table is completed.

Patient Calling Process Next, the patient calling process for actually inputting medical data, etc. regarding a patient will be explained based on the flowchart of FIG. 7 and the screen display examples of FIGS. 8 to 12.

First, on the patient call screen in counter business processing,
Enter the patient code to identify the patient.

After confirming whether the entered patient code has been registered or not, the header data, medical treatment data, etc. are read from the magnetic disk 7 and are expanded onto a predetermined area of the memory 8. In addition, if the entered patient code is unregistered, it is necessary to input the head data, so the head register registration/
Go into correction mode.

In this way, when a patient is successfully called, one is selected to perform various processes such as inputting medical data, issuing accounting slips, and correcting header data.

Then, if input of medical data is selected,
First, the insurer number of the header data developed on the memory 8 is read out. Here, up to three insurer numbers can be entered in the header data. This is standard medical insurance (main insurance) if it is covered by public funds.
This is because there is an insurer number for public expense coverage in addition to the insurer number of This is to do so.

Therefore, the insurer numbers in the header data are read one by one, and the read insurer numbers are compared with the representative insurer number in the insurance table. As mentioned above, the representative insurer number is configured so that the type of insurance can be identified by the first two digits of the insurer number, so the type of insurance can be identified by this comparison.

If a matching representative insurer number is found, it is determined whether the insurance classification for this representative insurer number is public expense.

If this category is public expense, the public expense flag is set to "1" indicating public expense, and an input screen for medical data whose insurance category is public expense is displayed. Therefore, if even one of the patient's insurer numbers has a public insurance category, an input screen for public insurance will be displayed.

Here, this input screen for public expenses is as shown in FIG. 8, and as shown by an arrow in the lower right corner, it is displayed that the payment category is "public expenses 1."

On the other hand, if the insurance category is the main insurance, the public expense flag is set to "0" indicating the main insurance, and an input screen for medical data based on the main insurance category is displayed.

The main insurance input screen is as shown in FIG. 10, and does not display public expenses.

As described above, according to this embodiment, when inputting medical data by calling a patient, it is determined from the insurer number in the header data file 12 of the magnetic disk 7 whether the patient's payment category is primary insurance or public expense. It is possible to recognize the insurance classification and automatically display the input screen for medical data according to this insurance classification.

If an input screen for main insurance or public funds is displayed, enter the medical data for that patient manually. After confirming whether this key input was input of medical data, it is determined whether the public expense flag is "1" or not.

When the public expense flag is "1", the public expense category is added to the medical care data and stored in the memory 8, and the public expense flag is set to rO.
If it is J, the insurance classification is stored in the memory 8 as being the main insurance. This is then displayed on the display 4.

The screens after inputting this medical data are shown in FIGS. 9 and 11. In this example, as the medical data, the medical code r
Since 7005J has been input, the corresponding medical treatment name "Internal Medicine Re-examination" is displayed, and the insurance score "76" is also displayed at the right end of the screen.

In the case of payment using public funds 1, it is clearly indicated that the payment is public funds 1, as shown in FIG. On the other hand, in the case of main insurance, as shown in FIG. 11, public expenses are not displayed.

In addition, public funds may cover only a portion of the cost, or may only cover certain medical procedures. In this case, it is necessary to switch between the public expense input screen and the main insurance input screen.

Therefore, in this embodiment, when the public expense declaration key is pressed instead of inputting medical data, this is recognized and the declaration screen shown in FIG. 12 is displayed.

In the second example, the public expense declaration key was pressed on the main insurance input screen, so rOJ is displayed as the public expense declaration number. Therefore, if you enter "1" in the public expense declaration number on this screen, this input will recognize that it is a public expense input, and the public expense flag will be set to "1".
The public expense input screen will be displayed. On the other hand, if you enter "0" for the public expense declaration number on the public expense declaration screen, the public expense flag will be set to "
0", the main insurance input screen will be displayed. Then, the same medical data as in the case described above can be input.

In this manner, when the input of medical data is completed, termination processing such as storing the input data and the results of accounting calculations based on this data on a magnetic disk is performed.

That is, the medical treatment data stored in the memory 8 includes insurance classifications as described above.

Therefore, the medical care data is read and it is determined whether the insurance classification is public expense or not.

Then, according to the insurance classification, accounting treatment for public funds or accounting treatment for main insurance is performed. At this time, since the burden rate of the second person differs depending on public funds and main insurance, the initial data is stored in memory 8.
The corresponding burden rate stored as one is read out, and accounting calculations are performed according to this.

When the accounting process for all the entered medical data is completed, the results are stored in the memory 8, and after confirmation by displaying them on the screen, the medical data, accounting billing data, etc. are transferred to the magnetic disk. 7, and completes the data input process for the called patient.

As described above, according to this embodiment, the insurance classification of the patient is recognized by comparing the representative insurer number stored in the insurance table with the insurer number of the patient entering the medical care data, and the medical treatment is performed accordingly. A data entry screen can be displayed automatically. Therefore, it is possible to improve the efficiency of data input work.

In the above embodiment, the representative insurer number and the corresponding insurance classification of public expense/main insurance are stored in the insurance table, but in order to distinguish between public expense and main insurance, all representative insurers must be There is no need to store the number; for example, only the number of the representative insurer that will be covered by public funds may be stored, and if this does not apply, it may be determined that the insurance is the main insurance.

(Embodiment 2) Next, another embodiment will be described in which the distinction between a patient's main insurance or public insurance is stored in advance in the headnote data during the work of registering/correcting the headset.

Heading Registration/Correction The header registration/correction work will be explained based on the flowchart of FIG. 13.

First, a patient code is input in the header registration/correction mode, and it is determined whether this patient code has been registered. If the data has already been registered, the data is to be corrected, so the data is read from the magnetic disk 7, expanded on the memory 8, and displayed on the display 4.

On the other hand, if it is unregistered, the header data must be input, so a header data input screen is displayed.

Therefore, on the registration or modification screen, the user inputs new header data or manually inputs correction data.

Then, this input data is stored in the memory 8,
This stored data is displayed on the display 4. Here, if the input key is pressed, it is determined that the input of the header data is completed, and the newly registered or revised header data is stored in the memory 8, but at this time, the insurance classification is also stored. , when the input key is pressed, the insurer number of the header data that has been input and stored in the memory 8 is read out, and the read insurer number and the representative insurer of the insurance table read out from the magnetic disk 7 are read out. Compare with the number. Note that the data of the insurance table may be expanded on the memory 8 in advance.

Then, all insurer numbers and representative insurer numbers are compared, and if they match, it is determined whether the insurance category is public expense or not, and if it is public expense, the insurance category in the header data is changed to public expense. Set. Therefore, if there are multiple insurer numbers and the insurance category of even one of them is public expense, the insurance category of the header data is set to public expense. In addition, to set this public expense, set the flag to "1" as in the case above.
”.

In this way, it is determined whether or not it is a public expense, and the memory 8
When the setting of the insurance classification of the header data developed in is completed, this is registered in the header data file 9 of the magnetic disk 7, and the header registration/correction work is completed by pressing the cancel key.

Patient Call Process As described above, in this embodiment, data indicating whether the insurance classification is public expense is stored as header data. Therefore, the work in patient call processing is also simplified.

That is, as shown in the flowchart of FIG. 14, when the input of medical data is selected, the insurance category of the header data is read and it is determined whether this is public funds or not. Then, it can be determined whether to set the public expense flag to "1" and display the public expense input screen, or to set the public expense flag to "0" and display the main insurance input screen.

Therefore, similarly to the above-described embodiment, it is possible to automatically distinguish between public funds and main insurance, and efficient data input can be achieved.

In the above-mentioned embodiment, only the case where the present invention is applied to a medical computer that manages data regarding medical treatment has been described, but the present invention is not limited to this and can be suitably applied to a dispensing computer, etc.

[Effects of the Invention] As explained above, according to the data input method of the medical office calculator according to the present invention, when inputting data regarding medical treatment, etc., insurance classification is automatically determined and data can be efficiently input. Input can be performed.

[Brief explanation of drawings]

Fig. 1 is a block diagram showing the configuration of a medical office computer to which the data processing method of the present invention is applied, Fig. 2 is an explanatory diagram showing the contents of an insurance table, and Fig. 3 shows the operation of insurance table setting processing. Flow chart, Figures 4 to 6 are explanatory diagrams showing examples of screen displays in insurance table setting processing, Figure 7 is a flow chart showing operations in patient call processing, and Figures 8 to 12 show examples of screen displays in patient call processing. FIG. 13 is a flowchart showing the header data input operation in the second embodiment, and FIG. 14 is a flowchart showing the operation of patient call processing in the second embodiment. 1...Keyboard 2...Processing section 4...Display 6...Printer 7...Magnetic disk 8...Memory

Claims (2)

[Claims] (1) A keyboard for data input, a display for displaying processing results and a screen for data input, a head data storage unit that stores head data such as the patient's unique insurance number, and a processing unit that calculates a claim for the performed medical procedure, and when a patient is identified by input from the keyboard,
In the data entry method of a medical office calculator that displays the data entry screen for the patient and accepts data entry, the insurer number and whether the payment for the patient with that insurer number will be public expense or primary insurance. The system has an insurance table that stores the insurance classification of the patient, and when a patient is identified to enter data about the patient, the insurance table is referenced from the identified patient's insurance number and the insurance classification of that patient is recognized. A data input method for a medical office computer, characterized in that a screen corresponding to the recognized insurance classification is displayed as a data input screen for the patient, and data input is accepted. (2) A keyboard for data input, a display for displaying processing results and a screen for data input, and a head data storage unit for storing head data that stores data such as patient-specific insurance number. , a processing unit that calculates a claim for medical treatment performed on a patient, and when a patient is identified by input from a keyboard, displays a data entry screen for that patient and inputs the data. In the data input method of a medical office calculator that accepts input, it has an insurance table that stores the insurer number and the insurance classification of whether the payment for the patient with that insurer number is public funds or main insurance, When header data is input, the insurance table is referenced based on the patient's insurance number, the patient's insurance classification is recognized, the recognized insurance classification is stored as header data in the header storage unit, and data about the patient is stored. Data in a medical office calculator characterized in that when a patient is identified for input, a screen corresponding to the recognized insurance classification is displayed as a data input screen for that patient and the data input is accepted. Input method.