JPH09305654A - Method for supporting data correction in medical business computer - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a method for supporting work where return is easily executed to a window job and one-dimensional correction is executed in the level consisting of management in data when correction such as data addition, change and removal, etc., is executed in an account job. SOLUTION: A medical examination fee specification, that is, a kind of demand is pre-viewed in a screen in the account job. When data is corrected in the screen, applying data is indicated by a mouse click, etc. (S110). In result, a unit job program under the window job which is main management constituent of the data is started (S112) and data is rewritten from a base. After the correction, return is executed to the window fob and a pre-view screen is re-displayed (S116). During this, an operator has no necessity to execute the completion of the account job and the start of the window job, etc.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a method for assisting this correction work when correcting data in a medical office computer. Particularly, the present invention relates to a method for assisting correction of data included in a medical treatment fee statement when a medical treatment fee statement is created in an accounting task based on data input in a window task of a medical office computer.

[0002]

2. Description of the Related Art In order to manage a wide variety of medical offices,
Medical office calculators are used in various medical institutions. Currently, medical office computers of various system types have been introduced, but in general, the window service and the accounting service are often managed separately. The window work refers to a work for creating an initial file regarding this patient when a new patient comes to the hospital and accumulating the contents of medical treatment for this patient as a medical treatment file. The initial file is a file that records patient-specific information such as the patient's name, insurer number, applicable insurance type (social insurance, national health insurance, etc.), date of birth, and gender.

On the other hand, a medical care file is also created for each patient, and details of medical care performed on the patient, details of medical treatment such as a lasso treatment, injection, name of administered drug, name of patient's injury and illness, The type of first visit and revisit will be recorded along with the medical fee. Thus, it can be said that the window work generally refers to all the work performed by the operator when the patient comes to the hospital.

On the other hand, the accounting work is to prepare and issue a medical fee statement in addition to a medical bill for a patient.

FIG. 6 is a diagram showing a procedure for performing a counter work and an accounting work by such a conventional medical office computer.
As shown in the figure, first, a window service is performed for a patient (S1). That is, when a new patient comes to the hospital, a new head file for this patient is newly created. If there is no new case, the initial file is corrected and updated as soon as the content of the initial file is changed (S10). Subsequently, a new medical care file is created for a new patient, and details of the medical care act are added together with points each time a medical care action occurs. If the patient is not a new patient, the details and points are simply added and the file is updated (S12). You can record the name of injury or illness in the window work,
There is a unit work that specializes in each data such as recording the name of the administered drug and recording the date and time of the visit. In the medical office computer, a subprogram corresponding to each unit work is activated from the window work program to perform these works.

[0006] In general, the counter work occurs irregularly, whereas the accounting work is often performed regularly, mainly at the beginning of the month. Although the accounting work and the counter work are separate works, the accounting work (S2 in FIG. 6) reads the initials file and the medical care file managed by the counter work and refers to them (S20, 22). Taking the issuance of a medical treatment statement as an example, the medical treatment fee of a certain patient is 1000.
However, if the patient's self-pay ratio of medical expenses is 10%, the remaining 90%, 900 points, will be charged to the insurance payment fund. At this time, the medical office computer reads out the medical remuneration points from the medical care file and the self-pay ratio from the initial file to calculate the points (S24), and temporarily creates data to be described in the medical remuneration statement.

FIG. 2 is a diagram showing a schematic structure of a general medical treatment fee statement. As shown in the figure, the medical treatment remuneration statement includes an insurer number column 40 in which the number of the insurance organization is written, the name of the patient,
Gender and date of birth column 42, actual medical treatment day column 4 for that month
4, an injury / illness name column 46, a medical treatment point totaling column 48, a summary column 50 in which a summary of medical treatment is described. The data of the medical treatment remuneration statement temporarily created in the computer in the form of FIG.
It is displayed on the preview screen and the contents are confirmed (S2
6). This is equivalent to performing an examination called in-hospital examination on a medical office computer. If there is no problem here, the medical treatment fee statement is formally issued (S28). As a matter of course, in the accounting work, in addition to the medical treatment fee statement, a bill for medical expenses for the patient can be created and issued.

Japanese Examined Patent Publication No. 3-70276 discloses a counter accounting machine which improves the workability of calculating the medical bill for a patient. This accounting machine takes into account the fact that there are two types of copayment calculation methods for patients, a fixed rate calculation method and an irregular fixed amount calculation method, and has separate calculation tables for copayment payments based on these two methods. . The accounting machine selects one of these tables according to the operator's key operation and automatically calculates the medical expenses.

[0009]

According to the accounting machine, it is possible to save the operator the trouble of calculating the self-pay amount of the patient each time the calculation is performed. However, this accounting machine does not disclose a correction method when there is an error in the provisional medical treatment statement. Actually, an error in the data may be found in the preview scene, and it is necessary to consider the correction method.

In the conventional medical office computer, when an error in the data is found in the accounting work, the data can be corrected in the accounting work and the correct data can be re-entered by returning to the window work. There are two ways. The former is easy to correct, but since the correction is not reflected in the original initial file or medical care file, there remains a problem in terms of data consistency. The latter solves this problem, but once the accounting work is completed, the counter work is started, and then the necessary unit work program is started to correct the data. After that, exit from the program, finish the window service, and start the accounting service again. This hinders the smooth progress of accounting work.

Further, in medical institutions, doctors often add the names of injuries and illnesses according to the progress of medical treatment while looking at the preview screen of the medical treatment remuneration statement. In the conventional medical office computer, the above-mentioned problem also occurs in such a case.

[Purpose of the present invention] The present invention has been made in view of the above problems. The purpose of the present invention is to easily return to the counter work when making corrections such as addition, change and deletion of data in accounting work. It is to provide a method for supporting the work of centrally correcting the data at the level of the management body.

[0013]

[Means for Solving the Problems]

(1) According to the data correction support method of the present invention, in a medical office computer that creates at least a medical treatment fee statement in the accounting task based on the data input in the window operation, the accounting task is the medical fee statement. When the correction of arbitrary data is instructed on that screen, the unit work that is the managing body of the data is specified from among the unit work included in the window work. After that, the program for the unit operation is started, and an opportunity to integrally modify the data at the management entity level is provided.

"Each unit work" means any work belonging to various hierarchies in the counter work, such as creation or modification of an initial file, creation of a medical care file, addition or modification of a disease name in the medical care file. . Actually, for example, the unit work can be realized in the form of a subprogram in the window work program, but it is not limited to this.
The "unit work program" is a program that performs or supports the execution of the unit work, and can exist in the form of a sub-program of the window work program. "Unifying centrally" means to correct data for the same item in a state in which data consistency is ensured so that different values do not exist in two scenes, the window business and the accounting business.

According to this aspect, it is assumed that when the medical fee statement is previewed, an instruction to modify arbitrary data is given on the screen. At this time, the unit work that is the management body of the data is specified from among the unit works included in the window work. Then, the program for the unit work is automatically started. At this stage, since the data can be modified in the unit work, an opportunity is provided to centrally modify the data at the management entity level.

(2) At this time, in an aspect of the present invention, the medical treatment remuneration statement displayed on the screen is divided into a plurality of areas corresponding to the unit work, and these areas are associated with the corresponding unit work. When the data is held and an instruction is made to modify any data on the screen, it is determined which of the plurality of areas the data belongs to, and the program of the unit job associated with the area containing the data is automatically To start.

As an example of "area corresponding to unit work",
There is a column of "Injury name" in the medical treatment statement when the unit work is "Input of injury name". In the case of this example, an area called the "injury or illness name" entry field is associated with a unit job of "input of injury or illness name". Next, in the preview screen, when you try to correct any data on the preview screen, here in the entry field of "Injury name" by mouse click, etc., the data is
It is determined that the item belongs to the entry field area of the “injury name”. After that, the program of the unit work called “input of injury / illness name” is automatically started. Therefore, when it is desired to add a new injury or illness name to the medical treatment fee statement, it is possible to automatically return to the window operation and fundamentally correct the data, instead of simply adding the name on the medical fee statement.

(3) In one aspect of the present invention, the medical treatment fee statement includes at least a summary section regarding medical treatment contents,
In this method, only the summary section of the medical fee statement is scrolled or paged according to the input instruction.

The difference between the summary column and other columns (total column, name column, etc.) is that the latter can be fully described in the first column given, whereas the former has no upper limit and one sheet There is a case that it is not possible to fill in the medical treatment remuneration statement. Therefore, in order to improve the efficiency of the preview, a scrolling or page turning function of only the summary column is added.

(4) In another aspect of the present invention, when the medical fee statement is displayed on the screen, a check program is activated to check the data of each item included in the medical fee statement, and the result of the check When an error is detected, the error location is highlighted on the screen.

Here, the "automatic check program" is
This means that it is sufficient to check within the checkable range, and it is not necessary to check all items 100%.
This aspect is characterized in that the check for the medical fee statement to be checked progresses simultaneously while the medical fee statement to be checked is displayed on the screen. Here, since the error location is highlighted on the screen, it is easy to understand the error location and its reason.

(5) Yet another aspect of the present invention is as follows.
When the correction work by the program of the unit work is completed, the medical fee statement is displayed again on the screen after reflecting the correction. Originally, since the medical fee statement was being previewed, it is intended to automatically return to that state for convenience of work.

[0023]

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS Preferred embodiments of the present invention will be described with reference to the drawings as appropriate.

[Structure] FIG. 3 is an overall structure diagram of a medical office computer that realizes the data correction support method of this embodiment. As shown in the figure, this computer includes a processing unit 1 including a CPU for controlling the entire computer, a display unit 2 including a display for displaying to an operator and its control unit, and a keyboard for receiving a key input to the processing unit 1. 3 and
The processing unit 1 includes a printer device 4 for printing a medical treatment fee bill and the like, and a magnetic storage device 5 for storing various files. A mouse 3a is further connected to the keyboard 3.

In the memory of the processing unit 1, a window work control unit 10 and an accounting work control unit 20 are mounted in the form of a work support program. The window operation control unit 10 further manages and controls the registration or correction of the initial data and the medical care data, and the initial data registration / correction unit 12 and the medical data registration / correction unit 14, and the injury / illness name input operation which is a unit operation to input the injury / illness name. 15, a medical care date and time input business 16 which is a unit business for inputting medical care date and time, a score calculation business 17 which is a unit business for calculating medical care points, and a medical care data input business 18 which is a unit business for inputting medical care data.

On the other hand, the accounting operation control unit 20 activates the preview unit 22 for controlling the preview of the medical fee statement, and the automatic check program when the medical fee statement is displayed for the preview, and the medical fee statement. Check unit 24 for automatically checking the data contained in
When the medical fee statement is divided into a plurality of areas, a unit job link unit 26 that associates (links) each area (hereinafter also referred to as “unit job area”) with a unit job, and data included in a certain area When a correction is instructed, the unit work calling unit 28 that calls and starts the unit work linked to the area is included. The preview unit 22
A program that realizes scrolling and page turning, which will be described later, is built in.

The magnetic storage device 5 includes a master file 6, an initial file 7, which is necessary for the counter work and accounting work.
The medical care file 8 is held. Master file 5
Stores data relating to overall medical treatment activities such as medical treatment remuneration points and names unique to medical treatment. Initial file 7 is
Each patient holds insurance information such as patient name, sex, date of birth, insurer number, insurance type, person / family, self-payment rate, and the like. The medical care file 8 records the contents of medical treatment, the date and time when the medical treatment was performed, and the medical treatment reward score for each patient.

FIG. 4 is a view showing a preview screen of the medical treatment fee statement displayed according to this embodiment. The preview unit 22 reads out necessary data from both the initial document and the medical care file to generate and display the data on the preview screen. As shown in the figure, here, the insurer number column 40 and the column 42 such as name are collectively referred to as the initial data column 60, which are treated as one object. This area is linked to the unit work of "registration or modification of initial file" in the counter work. Similarly, the unit work areas of the actual medical treatment day number column 44, the injury / illness name column 46, the totalization column 48, and the summary column 50 are “input of medical treatment date / time”, “input of injury / disease name”, and “reward of medical treatment fee” in the counter work, respectively. It is linked to the unit work of "calculation" and "input of medical care data". These areas are also stored as objects, and when you try to modify the data that belongs to a certain area, the unit job program linked to that area is started, providing an environment for centrally modifying the data. To be done.

Further, the features of FIG. 4 reside in a scroll instruction section 62 provided next to the summary column 50, and a previous page and next page instruction section 64. With these, it is possible to scroll only the summary column or send only the summary column to the previous or subsequent page while previewing the medical treatment fee statement. Hereinafter, these functions are collectively referred to as a scroll function.

[Operation] A state in which data is actually corrected on the preview screen in this configuration will be described.

FIG. 1 is a flow chart showing the procedure from the start to the end of the preview. This figure shows S26 of FIG.
Can be considered to be subdivided. Therefore, here, the processing up to S24 of FIG. 6 has been completed, and the medical fee statement is displayed on the screen for preview with the score entered.

As shown in the figure, at this stage, the automatic check is first performed by the automatic check unit 24 of FIG. 3 (S10).
0). The automatic check determines the validity of the data within the range that can be judged by the program, and aims to partially automate the in-hospital examination. For example, "First visit" is described as 2 times, or the actual number of consultation days is described as "4 days" even though "1st visit" and "Revisit 2 times". An error is detected when there is no name of injury or disease. If there is no error, the process proceeds to the next step (N of S102), but if an error is detected (S10).
2), the relevant portion is informed to the operator by highlighted display such as reverse display, highlight display with increased brightness, blink display, and display in different colors (S104).
In this embodiment, since the check is performed while the medical fee statement is displayed, it is not necessary to bother to leave the preview screen and enter the check screen for checking. Further, since the error location is clarified on the medical fee statement of the actual image, it is very easy to understand the error content.

When the automatic check is completed, the scroll instruction section 62, the previous page and the next page instruction section 64 of FIG. 4 are activated as object buttons of the user interface, and the scroll function is activated (S106). The program resides in memory. Subsequently, the acceptance of the data correction instruction input on the preview screen is started in each unit work area (S108). Or later,
While there is no preview end instruction (N in S120), the presence or absence of a correction instruction is continuously determined (S110).

Here, suppose that a new injury / illness name is to be added. In this case, by performing an action such as clicking the mouse in the area of the injury / illness name column 46 of FIG.
The unit work calling unit 28 in FIG. 3 refers to the link information made by the unit work linking unit 26. in this case,
The area is the injury / illness name input operation 15 in the window operation control unit 10.
The unit work calling unit 28 instructs the window work control unit 10 to start the injury / illness name input work 15. At that time, the identifier indicating that the program is started on the preview screen and the name of the target medical care file are delivered as parameters, instead of the normal window work. As a result, the program of the unit work “Injury / illness name input” in the window work is started (S11).
2). FIG. 5 shows a state in which the unit work program is activated. Unlike the case where the "Injury / illness name input" program is started in the normal window operation, the window for inputting the injured / illness name is directly displayed on the preview screen here. An input field 202 for inputting a new injury / illness name is displayed on the screen 200, and the injury / illness name input program is in an input waiting state.

After this, when data addition and correction are completed,
The correction contents are reflected in the corresponding file, that is, the initial file 7 or the medical care file 8, and the program of the unit work is ended (S114). As a result, the user exits the window service and returns to the accounting service. Then, at that time, the accounting work control unit 20 instructs the preview unit 22 to create a preview screen again. Therefore, the preview unit 22 reads out the necessary data from the initial and medical files as described above and displays the preview screen (S116). Therefore, the contents modified in the unit work in the previous step S114 are reflected on the preview screen. Is done. Here, if there is no problem in the medical treatment remuneration statement as a result of the preview, a preview end instruction is input (Y in S120), and the preview ends (S12).
2). After that, the medical fee statement is issued in S28 of FIG.

The following modifications can be made to this embodiment.

1. Here, the correction of the injury / illness name in the medical care data has been described, but it goes without saying that the correction may be applied to other data.

2. In the embodiment, the program of the related unit work is always started according to the correction instruction on the preview screen. However, in an actual product, a mode in which the program is not activated (a mode in which correction is made only on the medical treatment statement) may be selectably implemented.

3. It should be noted that the window work control unit 10 and the accounting work control unit 20 in FIG. For example, the unit business link unit 2
6, and the main body of the unit business calling unit 28 is the accounting business control unit 20.
It may be in a place other than.

4. It should be noted that the procedure shown in FIG. 1 has considerable flexibility. That is, a mode for skipping the automatic check may be provided, or the scroll function may be started and the correction input acceptance in each unit work area may be started in the reverse order.

5. Further, in the present embodiment, the program of the unit work is held in the processing unit 1. However, this program is stored in the magnetic storage device 5 and may be read out to the memory in the processing unit 1 as necessary. It may be executed.

[0042]

According to the data correction support method of the present invention,
When a data correction instruction is given on the content confirmation screen of the medical treatment statement, the program for the unit work, which is the managing body of the data, is started directly and automatically. For this reason, the operator does not need to bother to leave the accounting work or re-enter the counter work. In addition, since data is centrally modified at the management entity level, data consistency can be ensured.

In the case of dividing the medical treatment fee statement into unit business areas, it is usually possible to use an action of instructing the data to be corrected by a mouse click or the like. That is, since the program for the unit work can be automatically started from the position of the data for which the instruction such as the mouse click is made, the correction work becomes easy.

When a scroll function for only the summary column is provided, the contents can be easily confirmed even if the contents of the column cannot be included in one medical fee statement, and the efficiency of correction work can be improved. Is improved.

When the automatic check program for the medical fee statement is started on the content confirmation screen and the error location is highlighted on the content confirmation screen, it is not necessary to bother to leave the accounting work for the purpose of checking and to print the print image. Since the error location can be confirmed on the medical fee statement, it is easy to understand the error content.

When the correction work by the program of the unit work is completed and the correction is reflected and the contents confirmation screen of the medical fee statement is displayed again, it is not necessary to restart the accounting work. Therefore, the number of man-hours for the correction work can be reduced.

[Brief description of drawings]

FIG. 1 is a flowchart showing the procedure from the start to the end of a preview.

FIG. 2 is a diagram showing a schematic configuration of a general medical treatment fee statement.

FIG. 3 is an overall configuration diagram of a medical office computer that realizes the data correction support method of the embodiment.

FIG. 4 is a view showing a preview screen of a medical treatment fee statement displayed according to the embodiment.

FIG. 5 is a diagram showing a state in which a unit work program is activated in the embodiment.

FIG. 6 is a diagram showing a procedure of performing a counter work and an accounting work by a conventional medical office computer.

[Explanation of symbols]

1 processing unit, 2 display unit, 3 keyboard, 3a mouse, 4 printer device, 5 magnetic storage device, 6 master file, 7 initials file, 8 medical care file, 10
Window operation control unit, 12 Initial data registration correction unit, 14
Medical data registration / correction unit, 20 Accounting operation control unit, 22
Preview section, 24 automatic check section, 26 unit business link section, 28 unit business call section, 44 medical treatment actual number column, 46 injury / illness name column, 48 totalization column, 50 summary column, 60
Initial data field, 62 scroll instruction section, 64 previous page and next page instruction section.

 ─────────────────────────────────────────────────── ─── Continuation of the front page (72) Yuichi Takahashi 2-5-5 Keihan Hondori, Moriguchi City, Osaka Sanyo Electric Co., Ltd.

Claims (5)

[Claims] [Claim 1] In a medical office computer that creates at least a medical treatment statement in accounting based on data entered in a window, the accounting business displays a screen to confirm the content of the medical statement. If any data is instructed to be corrected on the screen, the unit business that manages the data is specified from among the unit businesses included in the window business, and the unit business A method for supporting data correction, which comprises activating a program and providing an opportunity to centrally correct the data at a management entity level. 2. The data correction support method according to claim 1, wherein the method divides the medical treatment fee statement displayed on the screen into a plurality of areas corresponding to the unit work, Corresponding unit work is held in association, and when correction of arbitrary data is instructed on the content confirmation screen, it is determined which of the plurality of areas the data belongs to, and the data is associated with the area containing the data. A method for supporting data correction, which comprises activating a program for a specified unit operation. 3. The data correction support method according to claim 1, wherein the medical treatment remuneration statement includes at least a summary column regarding medical treatment contents, and the medical treatment remuneration statement according to an instruction input from the outside. Of these, a data correction support method characterized in that only the summary column is scrolled or paged. 4. The data correction support method according to any one of claims 1 to 3, wherein the method further activates a check program when the medical treatment statement is displayed on the screen, A data correction support method characterized in that the data of each included item is checked, and when an error is detected as a result of the check, the error location is highlighted on the screen. 5. The data correction support method according to any one of claims 1 to 4, wherein when the correction work by the program of the unit work is completed, the method further reflects the correction and then the medical fee. A data correction support method characterized in that a statement is displayed again on the screen.