JPH07262276A - Medical business processing system - Google Patents

Abstract

PURPOSE:To make the input of medical examination data efficient by setting the item of display data in the picture of check in accordance with the real state of a hospital. CONSTITUTION:Medical examination data on inspection, examination. treatment, etc., inputted at an order execution department system 26 is inputted to a main body 12 through a data communication line 30 and stored there. An accounting processing terminal 16 checks medical examination data for each patient and register it as data for accounting but data to be displayed on a screen can be set at this time. For example, whether to display medical examination data in another medical examination section or not can be set. Thereby, data necessary for checking is obtained so as to make checking efficient. On the other hand, a medical examination section, the kind of insurance, etc., can be registered as a confirmation demanding item. This prevents the erroneous input of data whose necessary item is not clear.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a medical office processing system for checking medical data input from an input terminal on a management terminal.

[0002]

2. Description of the Related Art Conventionally, there has been known a medical office processing system which stores medical care data in a medical institution (for example, a hospital) and issues a monthly medical treatment fee statement. In this system, medical care data such as medical examination, treatment, examination and drug administration is input and stored as data for each patient. Here, depending on the hospital, the location of medical examinations and inspections,
It is often different from the accounting location. In such cases,
I want to enter medical care data at the place where the medical treatment was performed. Therefore, there is also known a system in which a terminal is provided at each medical treatment place and the medical treatment data is input at the place where the medical treatment data such as the actual medical treatment and examination is performed.

[0003] Here, the medical treatment remuneration statement is the outpatient of the patient,
It is necessary to identify hospitalization, insurance type, medical department, etc., and it is necessary to correctly input these patient attribute data corresponding to medical data. However, in the following cases, the input of these patient attribute data may be incorrect.

(1) A single patient uses a plurality of different insurances, such as a case where a surgical outpatient suffers a traffic accident while he is treating his arm under social insurance and starts to treat the foot under liability insurance. If the type of insurance is wrong (2) If the patient is hospitalized for a specific illness and has a different illness, and if he / she sees the doctor in a different department, it is difficult to distinguish between hospitalization and outpatient treatment. As described above, in a system for inputting data in a place where medical care is performed, it is difficult for the person who inputs the data to correctly recognize the type of insurance. Therefore, it is unlikely that the above error can be corrected. For this reason, conventionally, the staff of the accounting department checked the medical data later and corrected the data.

[0005]

However, there is a problem in that such checking and correction are difficult to perform and the burden on the staff of the accounting section is heavy. In addition, there is a possibility that a check may be missed, and insurance may not be specified, and a claim may be missed.

The present invention has been made to solve the above problems, and an object of the present invention is to provide a medical office processing system capable of easily and reliably checking input data.

[0007]

The present invention provides an input terminal for inputting medical care data for each patient, and a management terminal for temporarily storing medical care data input by the input terminal and displaying it for checking the contents. In the medical office system that stores and manages medical care data for each patient, including, and has a display setting means for setting items of data to be displayed when checking at the management terminal, and at the time of checking, The feature is that data of necessary items can be obtained.

The present invention also includes an input terminal for inputting medical care data for each patient, and a management terminal for temporarily storing the medical care data input by the input terminal and displaying it for checking the contents. In a medical office system that stores and manages medical care data for each patient, a judgment unit that judges whether the medical care data input at the input terminal includes data about a necessary item, and a judgment unit If the item does not contain data, it has confirmation requesting means for requesting confirmation of this data, and confirmation requesting item setting means for setting an item for which confirmation is requested in this confirmation requesting means. The feature is that it can confirm whether the data is input.

[0009]

As described above, according to the present invention, the data item to be displayed on the screen can be selected at the management terminal when checking the medical care data. For example, in a general hospital, data of other departments is unnecessary because data is managed independently for each department. Therefore, it is set not to display the data of other departments. On the other hand, in a private hospital, the data of all clinical departments are managed together. Therefore, it is better to check the data of other departments together. Therefore, it is better to display the data of other departments. In the present invention, the items of the display data on the check screen are set according to the actual situation of the hospital, and only the relevant data is displayed. Therefore, necessary and sufficient data is displayed, and the check work can be effectively performed.

Further, according to the present invention, it is possible to set an item for requesting confirmation of data. With this setting,
When a confirmation request item is set, confirmation of data on that item is required. Therefore, it is possible to reliably prevent erroneous input of data that has not been input for this item. For example, if confirmation about a medical department is set as an input request item, the medical data (for example, inspection data, treatment data, etc.) sent without inputting the medical department at the input terminal will be treated as a medical department. Confirmation is required. Therefore, without confirming the medical department,
It is possible to prevent the data from being registered and the medical care action from being mistakenly input to a bill of a department different from the original medical department.

[0011]

Embodiments of the present invention will be described below with reference to the drawings. FIG. 1 is a block diagram showing the overall configuration of the embodiment, which is a medical office accounting system 1
0 and the order entry system 20. Medical accounting system 10 is CP
The main body 12 includes a U, a memory, a hard disk, an input / output controller, and the like, a new patient registration terminal 14 and an accounting terminal 16 connected to the main body 12. The order entry system 20 is composed of a server 22 including a CPU, a memory, a hard disk, an input / output controller, an order reception terminal 24 connected to the server 22, and an order execution department system 26. The main body 12 and the server 22 are connected to the data communication line 3
Connected with 0. In addition, each terminal 14, 16, 24
Although only one is shown in the figure, a plurality of are normally provided.

The new patient registration terminal 14 of the medical office accounting system 10 is prepared for reception at the hospital and registers the attributes (patient ID code, address, name, department, insurer number, etc.) of the patient who first visited the hospital. To do. In addition, the new patient registration terminal 14 usually inputs the attributes of the patient who firstly visits a specific medical department in the general hospital and the patient who receives the insurance different from the conventional one. The input patient attribute data is stored in the hard disk in the main body 12. The patient attribute data is also sent to the server 22 via the data communication line 30 and stored in the hard disk in the server 22.

In the order entry system 20, the medical treatment instruction content for the patient is input from the order reception terminal 24 based on the instruction of the doctor and stored in the hard disk of the server 22. It should be noted that which patient the data is is specified by the medical examination card of each patient. For example, when the doctor gives an instruction to collect blood, the instructed mark sheet is given to the patient. The patient carries this mark sheet to the blood collection room and submits it. An order reception terminal 24 is placed in the blood collection room, where an order of blood collection for the patient is input. The order reception terminal 24 has an OCR (optical character reading device), an OMR (optical symbol reading device) as well as a normal keyboard as an input means.
Etc. are provided to reduce the input work.

The order execution department system 26 includes the server 2
The instruction content recorded in the hard disk in 2 is displayed or printed. For blood collection, personnel in the blood collection room perform blood collection based on the instructions. In addition, as the implementation department,
There are a pharmacy, a treatment room, an examination room, an X-ray room, and the like, and in these departments, medical treatment such as medication, treatment, examination, and image diagnosis is performed.

As for the medical practice that can be carried out, the already-executed input is made from the input terminal in the order execution system 26, the order execution data about the executed processing is stored in the hard disk in the server 22, and the data communication is performed. It is supplied to the main body 12 through the line 30 and stored in the hard disk in the main body 12. If the analyzer is an automatic analyzer, the fact that the inspection has been performed is automatically input.

Then, in the accounting processing terminal 16, the main body 12
The patient order fulfillment data sent from the order entry system 20 in the hard disk is displayed on the screen together with the patient attribute data, and while confirming the contents, the data is transferred to the medical office accounting processing program. The medical office accounting processing program records medical care data for each patient, and prepares a bill for the patient's burden and a medical treatment statement as needed.

The function of processing the data sent from the order entry system 20 in the main body 12 of the medical office accounting system 10 will be described with reference to FIG. First, the patient attribute data and the order execution data are received from the order entry system 20 in the data monitoring module 42, and the data format is checked here. Then, a response about the correctness of the data format is returned to the order entry system 20. When the format of the received data is correct, the received data is delivered to the data pool module 44, where it is converted into a predetermined format and stored in the order execution data file group 46.

When the accounting data input process for a predetermined patient is started by the accounting processing terminal 16, the order execution data matching the patient data being processed by the execution data display program 48 is displayed on the screen of the accounting processing terminal 16. . When the operator confirms or corrects the order execution data and then performs a predetermined operation, the corresponding data is handed over to the medical office accounting processing program 50 and stored in the medical office accounting file group 52. Then, the patient contribution bill and the medical treatment fee statement are created by operating the operator accounting processing terminal 16 and executing a predetermined job in the medical office accounting processing program 50. The data used as the basis for this is obtained from the medical office accounting file group 52.

As described above, in this embodiment, when the order execution data is delivered to the medical office accounting processing program 50, the contents are confirmed in the accounting processing terminal 16. Then, it is possible to set a display item for confirming the contents and a confirmation request item for requesting confirmation when there is no predetermined data.

That is, the implementation data display program 48 of the medical office accounting system 10 can be set when confirming the contents. At the time of this setting, an initial display method setting screen as shown in FIG. 3 is displayed. In this example, for outpatients, "whether to display other department data", "whether to display other insurance data", and for inpatients "whether to display outpatient data" and "other insurance" Whether or not to display data "can be set.
If the answer is NO, the data display for that item is not performed.

Further, for outpatients, there are four items: "department unknown data", "other department data", "unknown insurance data", and "other insurance data". For inpatients, "outpatient and inpatient unknown data", It is possible to set whether or not to request confirmation when there is no input for the data of the four items of "foreign data", "insurance unknown data", and "other insurance data". In the case of NO, confirmation is requested when there is no input data.

The above settings of YES and NO are made by moving the cursor to the underlined portion and operating the key (YES or N by operating the key).
O is reversed).

Generally, in the outpatient department of a general hospital, each department has a separate organization, and the data of different departments are
Listed in separate medical fee remuneration statements. Therefore, the data of other departments is not necessary and is set to NO as shown in FIG. On the other hand, in a general hospital, even if the medical department is different, it is described in one medical treatment remuneration statement. Therefore, it is preferable to set such that data of other departments are also displayed. In addition, the clinical department unknown data and the insurance type unknown data are set to be always displayed fixedly in the program. Then, regarding the data of this item, whether to request confirmation or not can be set.

Based on the settings in FIG. 3, the accounting processing terminal 16
FIG. 4 shows a display example of the list screen of the order execution data displayed in FIG. In this way, the medical action performed for the designated patient is displayed. In this example, it is set not to display other department data and other insurance data, so even if this patient has been treated by another department and has been treated by other insurance, the data will not be displayed. Do not show.

The ON mark before each medical treatment,
For the OFF mark □, can the data be input as it is,
It also indicates whether confirmation is required. The ON mark (1) indicates that input is possible as it is, and the OFF mark (□) indicates that confirmation is requested. In this example, the insurance unknown data is ON, so the two inspections in the figure have the insurance type?
Is ON, but it is ON. On the other hand, in the third examination in the figure, the medical department is unknown. This department is set to ask for confirmation, so OFF □
Is displayed. The data for which OFF □ is displayed is not input as it is, and the order fulfillment data cannot be transferred. Therefore, the operator confirms that the relevant data belongs to the medical department currently being processed, changes to □ → ■, and ends the processing. It should be noted that by moving the cursor to the OFF mark □ and operating the key, it is possible to change □ → ■, and by this operation, the data can be transferred after confirming the data.

Next, the processing logic of the display program of this embodiment will be described with reference to the flowchart of FIG. First, the initial display setting data set on the setting screen shown in FIG. 3 is read (S11), and at the same time, the attributes of the treated patient are read (S12). Then, one order execution data of the patient is read (S13), and it is determined whether the data is completed (S14). If it is not finished, it is determined whether the display conditions match (S15). For example, if the data of the other department is not displayed, the data of the other department does not need to be displayed, and therefore the process returns to S13 because the display conditions do not match.

On the other hand, if the display conditions match, the order execution data is saved in the memory and the OFF mark information □ is set (S16). Then, it is determined whether or not the mark conditions match, that is, whether or not the ON mark should be set (S17). If they match, the ON mark information (1) is set (S18), and the process returns to S13. In this way, the order execution data to be displayed is set in the memory together with the mark.

If it is determined in S14 that the data has ended, marks and data are sequentially displayed based on the data stored in the memory (S19). by this,
As shown in FIG. 4, the mark and the performed medical care data are displayed.

Next, the work actually carried out in the accounting terminal 16 will be described. First, the accounting terminal 16
By selecting the patient acceptance service, the screen for identifying the patient in FIG. 6 is displayed. On this screen, enter the patient code. This input may be read from the medical examination card or may be input from the keyboard.

Since the patient has been specified in this way, the medical care data for the patient is displayed as shown in FIG. In this way, when one patient has been treated by multiple insurances at the same time or has been treated in another medical department in the past, it is generally stored as separate medical accounting data. And this is displayed. Therefore, the staff of the medical office accounting department who operates the accounting terminal,
You can judge how to process the current accounting process by referring to the medical records and this display.

Then, when the internal medicine is selected on the screen of FIG. 7, the data to be displayed is selected as described above, and the screen of FIG. 4 is displayed together with the mark. In this screen, the image diagnosis data (first) requested by Dr. Inoue has been confirmed for both the medical department and the insurance type, and thus can be directly adopted as the accounting data of the patient being processed.

On the other hand, the inspection data requested by Dr. Suzuki is
Neither insurance type is specified. However, it can be seen that the upper (second) data on the screen matches the medical departments, and there is only one medical examination for this patient this month, so it can be adopted as accounting data. It should be noted that this point should be confirmed with reference to medical records.

Since the lower (third) data requested by Dr. Suzuki is not the medical record data being processed, it is understood that the lower data (third) is actually surgical liability data for surgery. Therefore, this third data should not be entered as internal medicine data.

As a result, on this screen, the accounting data of the patient is taken in by performing the input operation as it is.

FIG. 8 shows the screen when the input key is pressed on the screen of FIG. On this screen, detailed information for one piece of order execution data (data for the first image diagnosis) is displayed on the screen. Then, by pressing the input key again, the internal medicine order execution data for this patient is transferred to the medical office accounting processing program 50. As a result, the data that forms the basis for creating a bill for the patient, a statement of medical fee, etc. will be generated.

Next, details about the second inspection data are displayed, and the data is similarly transferred by pressing the input key again. Since the mark is ■, the data transfer is performed as it is. Further, the mark of the third inspection data is □, and this data is not transferred even if the input key is pressed, and this confirmation processing is ended.

In this way, the order processing data is checked by the accounting processing terminal 16 and transferred to the medical office accounting processing program 50.

As described above, according to this embodiment, the display data item and the confirmation request item are set. Therefore, it is possible to select and display the data of the item (patient attribute) according to the actual situation of the hospital. For this reason, the necessary and sufficient order execution data can be recognized by the staff of the Medical Affairs and Accounting Section, and the processing of the medical care contents can be ensured. Also,
Since it is possible to set whether or not confirmation is required in the initial display of the designated patient attribute data, it is possible to minimize the operation of the staff of the Medical Affairs and Accounting Section. Further, since the staff of the medical office accounting department checks the account processing terminal, the staff at the medical treatment place does not have to input the data that he / she does not understand, and the burden of the input work here can be achieved.

[0039]

As described above, according to the medical office processing system of the present invention, the data item to be displayed on the screen can be selected at the management terminal when checking the medical care data. Therefore, it is possible to set the items of display data on the check screen according to the actual situation of the hospital and display only the relevant data, and the necessary and sufficient data is displayed to effectively perform the check work. be able to.

Further, according to the present invention, it is possible to set an item for requesting confirmation of data. Therefore, it is possible to reliably prevent erroneous input of data that has not been input for this item.

As described above, according to the present invention, it is possible to easily check the medical care data on the management terminal, experience the work, register accurate medical care data, and perform the work such as billing. It can be done reliably.

[Brief description of drawings]

FIG. 1 is a block diagram showing an overall configuration of an embodiment.

FIG. 2 is a block diagram showing a configuration within a medical office accounting system.

FIG. 3 is an explanatory diagram showing an initial display method setting screen.

FIG. 4 is an explanatory diagram showing an initial screen of an order execution data list.

FIG. 5 is a flowchart showing an operation of displaying an order execution data list initial screen.

FIG. 6 is an explanatory diagram showing a patient reception screen.

FIG. 7 is an explanatory diagram showing a patient data selection screen.

FIG. 8 is an explanatory diagram showing an order fulfillment data input screen.

[Explanation of symbols]

 10 Medical office accounting system 12 Main body 14 New patient registration terminal 16 Accounting terminal 20 Order entry system 22 Server 24 Order reception terminal 26 Order execution department system

Claims (2)

[Claims] 1. A medical terminal comprising: an input terminal for inputting medical data for each patient; and a management terminal for temporarily storing the medical data input by the input terminal and displaying it for checking the content. The medical office system that stores and manages each item has display setting means for setting items of data to be displayed at the time of checking on the management terminal, and data of necessary items can be obtained at the time of checking. Medical office processing system characterized by being able to do. 2. The medical care data is provided to a patient, including an input terminal for inputting medical care data for each patient, and a management terminal for temporarily storing the medical care data input by the input terminal and displaying it for checking the contents. In a medical office system that stores and manages each item, a determination unit that determines whether or not the medical care data input at the input terminal includes data about the required item, and the determination unit determines whether the data about the required item is included. If it is not included, it has input confirmation means for requesting confirmation of this data and confirmation request item setting means for setting the item for confirmation in this confirmation request means, and the data of the necessary items are input. A medical office processing system characterized by being able to confirm whether or not