JPS60198670A - Automatic calculation system for special technical fee with computer for medical affairs - Google Patents

Abstract

PURPOSE:To omit the time and labor for input and also to perform accurate calculations of a proper frequency by attaining an automatic calculation for the special technique which is required for a special medial treatment and has a limited calculating frequency with the same patient. CONSTITUTION:Various data are supplied through a keyboard 1 and processed at a processing part 7. These processed data are displayed at a CRT display 2. At the same time, a full statement on medical treatment fee and the result of totalization are printed by a printer 3. A file device 4 containing a magnetic disk includes a patient superscription file 5, a medical treatment file 6 and a medical treatment department file 11. The part 7 retrieves the calculated frequency for special technical fee of the same patient when a special technical treatment item is supplied from the keyboard 1. Then the special technical fee is calculated only when said calculated frequency does not reach a level limited previously.

Description

DETAILED DESCRIPTION OF THE INVENTION (a) Industrial field of application The present invention is directed to a special technical fee for a medical office computer that is equipped with a patient head record file and a medical practice file that are different for each medical department or insurance manager for the same patient. Regarding automatic calculation method.

(b) Conventional technology For an overview of medical office calculators, see [Sanyo Giho VOL.

11Nhl (1979 edition), and generally there is a patient record file that stores patient-specific patient record data such as name, date of birth, address, etc., and a patient record file that is created corresponding to this patient record file. A medical practice file storing patient's medical practice data is provided, and the file is searched based on the patient code assigned to each patient. In addition, since medical fee statements must be submitted for each medical department or insurance department, different patient codes are usually assigned to the same patient depending on the department or insurance department, and the patient information file and Medical practice files are also provided separately.

However, among the technical fees such as various basic technical fees and guidance fees that are incurred in connection with specific medical activities, there are fees that are paid by multiple medical departments and insurance managers, such as basic dispensing technology fees and chronic disease guidance fees. However, there are special technical fees that are limited to the number of times that they can be calculated for the same patient within a predetermined period, and in general systems, even for the same patient, the patient head record file Conventionally, it has been impossible to accurately calculate such special technical fees for all patients using a computer, as medical practice files differ depending on the medical department or insurance administrator. It was done at

(C) Purpose of the Invention The present invention provides that even when the same patient receives medical treatment in multiple medical departments or insurance departments, such fees are incurred in conjunction with a specific medical practice, such as basic fees for dispensing techniques. The purpose of this invention is to automatically and accurately calculate special technical fees, which can only be calculated a limited number of times for the same patient, regardless of the insurance administrator.

B) Structure of the Invention The present invention provides a patient header file and a medical action file that are different for each medical department or insurance department for the same patient, and a patient code that includes identification data for identifying the medical department or insurance department and a patient number. Based on this, the medical office computer that searches both files sets the patient number included in the patient code to the same number for the same patient, and also sets the patient number included in the patient code to the same number for the same patient. A means for determining that a specific medical practice that may be accompanied by a special technical fee that is calculated only a limited number of times is entered, and a method that is the same as the patient number in the entered patient code. A means for searching a patient head file or medical practice file having a patient number from among patient head record files or medical practice files in all medical departments or insurance administrations, and a medical practice file or a patient searched by the means. means for determining whether or not there is a medical practice record indicating the special technical fee in the medical practice file corresponding to the header file, and when inputting the specific medical practice, the special technical fee for the same patient is The special technical fee is calculated only when the calculated number of times has not reached a predetermined number.

(E) Embodiment FIG. 1 is a block diagram showing the configuration of a medical office computer for explaining an embodiment of the present invention. (1) is a keyboard for inputting various data; 2) is a display device consisting of a CRT display for displaying various data, (3) is a printer device for printing medical fee statements and tally results, and (4) is a patient head record file ■ and a medical practice file (6). ), (7) is a processing unit that performs various processes,
It is equipped with a RAM (81) for expanding data read from the file device (4). Note that (9) is a search pointer, Ql is a search register, and RAM (81) is provided.
In 81, (8a) and (8b) are areas in which the read patient head card data and medical practice data are expanded, respectively.

By the way, in the present invention, as shown in FIG. 2, a patient code is composed of identification data α indicating the medical department, identification data β indicating the insurance manager, and patient number γ, and for the same patient, The patient number r is set to the same number regardless of whether the medical department or insurance manager is different6, and all of the identification data α handled by this system are A, B, etc., and the name of the corresponding medical department, internal medicine, surgery. and... are stored in advance in the medical department table (lla) as shown in FIG. 3(a), and all of the handling identification data β are A, B... National insurance 9 social insurance, etc. are stored in advance in the insurance administration table (llb) as shown in Figure 3(b).
As shown in FIG. 1, at least one of these is provided as a table uv in the file device (4).

Figure 4 shows the patient head record file (■) and the medical practice file (
6) shows an example of the structure of each patient's initial file (5a
), (5b), and (5c) store each patient's patient code and patient header data Ha, I(b, He), and each patient's previous month's medical practice data Pall P
bl.

Pcl is each medical practice file (61
a), (61b), and (61c), and this month's medical practice data Pa2 and Pb2 are stored in the medical practice files (62a) and (62b) of the area 12, respectively. Then, in order to make the patient initial file and the medical practice file correspond, each patient initial file (5a) (5b) (
5c), each pointer (51a) to (51c),
(52a) to (52b) have corresponding medical practice files (61a) to (61c), (62a) to (62b).
) address A. + AI + At... are stored respectively.

Next, an embodiment of the automatic calculation method of the present invention will be described with reference to the flowchart of FIG. 5, focusing on the processing contents of the processing section (7).

In the following explanation, we will take the calculation of the basic dispensing technology fee as an example, but this basic fee for dispensing technology is generated incidentally after administering 9 medical treatments, and the number of times that can be calculated from the same patient is Once a month, regardless of department or insurance manager. In this embodiment, it is assumed that files are differentiated only by medical department and not by insurance manager.

Now, as shown in Figure 4, patients with patient codes AAOO001 and AAOOOO2 have already been registered in clinical department A, and patient number 00001 and patient number 00000 are stored in each file. patients,
That is, assume that a patient with the same patient code AAOOOOOI comes to the hospital and receives treatment for the first time this month in another medical department B. In this case, the patient code BAOOOOOI is attached to this patient, so when that patient code is input, the patient head record file is searched, and the patient head record data He is called from the corresponding file (5c) onto the RAM (81). , this data is displayed on the screen of the display device (2).Of course, before entering the patient code, the processing blade is entered to declare that the processing is for this month, and based on this data This month's pointer (52C) is selected, and the pointer (
If the data is stored in the address specified by 52C), the medical practice data will be loaded onto RAM (8), but in this case, since this is the first visit this month,
No medical practice data is stored.

When the operator inputs the medical practice data after confirming the display of the patient's head card data, the processing unit (7) stores the input medical practice data in the area (8b) of the RAM (81) and stores this data. Determine whether it is a medication code9. This determination is made for all input medical practice data, and when a medication hood is input, first,
A search is made to see if there is prescription data indicating a basic dispensing technique fee (hereinafter referred to as a prescription fee) in the medical practice data of the department called up on the RAM+81. In this case, since there is no key data, the process moves on to searching for files from other departments with the same patient number, that is, from other departments. In other words, first, the clinical department table (lla)
Set the search pointer (9) to the first address ADO, add the identification code A stored at this address to patient number 00001, and obtain the patient code AAOOO.
Set OI in search register 1101.

In this case, it is assumed that the identification data β indicating the insurance manager is always constant and is A. Then, a search is made for a patient header file having the same patient code as the contents of the search register (11).If there is no matching result as a result of the search, the search pointer (9) is incremented.

The next identification data B is called from the medical department table (lla), and the patient code BAOO0,01 is retrieved from the search register (
From 9 onwards, the same process is repeated until the desired patient's head card file is retrieved. However, in the case of Figure 4, the patient code AA
Since a patient header file (5a) with OOOOI exists, it is determined whether there is key data in the medical practice data Pa2 in this month's medical practice file (62a) indicated by the pointer <52a) in the file (5a). or searched.

If there is no key data, the patient declaration file and medical practice file of other departments are searched through the same process as described above, but if there is key data, the key is not calculated and the end key (la ), all input medical practice data are stored in the medical practice file (62c) as this month's data Pc2. The same applies when there is key data in the medical practice file of one department. Note that when the medical practice data Pc2 is stored, the address An+2 is stored in the pointer (52c) of the patient header file (5c).

By the way, if there is no base data in the medical practice files of one department and other departments that have the same patient number as the input patient number 00001, the processing unit (7) calculates the base as a medical practice of one department. . That is, on the screen of the display device (2), the key is displayed below the entered medication code, the leg base data is written in the clinical practice file of the department called up on the RAM (8), and the end key ( After suppressing la), the key data is stored together with all input medical practice data in this month's medical practice file (62υ) corresponding to the patient code BAOOOOOI.

In this way, the monthly basis calculation is carried out on a purposeful basis, and even if the patient with patient number 00001 receives medication in any department after the calculation, the above-mentioned process has been applied and the basis has already been calculated. It will be determined that the amount is the same and will not be counted twice.

In the above embodiment, processing in a plurality of clinical departments has been described.
), if you use the insurance manager table (llb),
Even if the same patient receives medical care from multiple insurance providers, the same process can be used to automatically calculate the base amount. 7 By the way, in order to determine whether or not the key data is in the medical practice file, in the example, the medical practice data in the medical practice file was directly searched, but if the key data is not found in the medical practice file. If a base pointer is provided in each patient's initial file, it can be determined whether or not the base data is in the medical treatment file simply by checking the content of the base pointer. Furthermore, if the patient code is stored in the medical practice file, it is possible to search for key data without searching for the patient's head record file.

Now, among special technical fees, in addition to those that are limited to once a month, such as training fees, there are also those that are limited to twice or three times a month. Maybe 1. In order to deal with such technical fees, in the flowchart of FIG. Automatic calculation is possible by determining whether the content has reached a pre-limited number of times, for example, 2 or 3 times.In addition, if the number of times limited in this way is 2 or more, To use the above-mentioned key pointer, the content of the key pointer in the corresponding patient record file is incremented to 5 each time key data is input to the medical practice file, and the complaint data is searched. Sometimes, it is sufficient to add the contents of each key pointer and determine whether or not the addition result has reached a pre-limited number of times.

(F) Effect The automatic calculation method for special technical fees in the medical office calculator according to the present invention is used to calculate special technical fees that occur in conjunction with specific medical treatment and can be calculated only a limited number of times from the same patient. This is done automatically, which not only saves the time and effort of inputting data, but also allows accurate calculation of the appropriate number of times, and reliably prevents double counting or non-calculation.

[Brief explanation of the drawing]

Figure 1 is a block diagram showing the configuration of a medical office computer for explaining the present invention, Figure 2 is an explanatory diagram showing an example of the configuration of a patient code of the present invention, and Figures 3 (a) and (b) are An explanatory diagram showing the configuration of each medical department table and insurance management table,
FIG. 4 is an explanatory diagram showing an example of the structure of a patient header file and a medical practice file, and FIG. 5 is a flowchart showing the processing contents of the processing section. Explanation of the main figure numbers (1)...Keyboard, (2)...Display device,
(2)...Patient head record file, (6)...Medical practice file, (7)...Processing unit, (lla)...
Medical department table, (llb)...Insurance management table. Applicant Sanyo Electric Co., Ltd. and 1 other representative Patent attorney Shizuo Sano Figure 3 Figure 2 Figure 4

Claims (1)

[Claims] (1) For the same patient, different patient header files and medical practice files are provided for each medical department or insurance manager.
A medical office computer that searches both files based on a patient code that includes identification data that identifies a medical department or insurance administrator and a patient number, searches for the same patient number included in the patient code for the same patient. In addition to setting the number, it is also possible to indicate that a specific medical practice that may be accompanied by a special technical fee, which can be calculated only a limited number of times from the same patient, regardless of the medical department or insurance manager, has been entered. means for determining, and means for searching for a patient head file or medical practice file having the same patient number as the patient number in the input patient code from patient head record files or medical practice files in all medical departments or insurance departments; and means for determining whether or not there is medical practice data indicating the special technical fee in the medical practice file corresponding to the medical practice file searched by the means or the patient head record file searched, When inputting a specific medical treatment, the number of times the special technical fee has been calculated for the same patient is searched, and the special technical fee is calculated only if the number of times the special technical fee has been calculated has not reached a pre-limited number of times. An automatic calculation method for special technology fees in a medical office calculator, which is characterized by: