JPS60205666A - Data processing system of computer for claiming medical insurance - Google Patents

Abstract

PURPOSE:To enable efficient medical insurance claiming business by preparing a file in which data of medical treatment of patients who received medical treatment in a specified month and copying specified items automatically in another file at the time of medical treatment in the next month. CONSTITUTION:Data of medical treatment in the month are stored successively in a file 7 by a keyboard 1. When preparing a file in the next month, only specified items out of data of content of medical treatment in the file 7 of the last month are copied automatically in a file 8. That is, in the case where a patient attends a hospital extending for a period of more than two months, in many cases specified items such as the name of disease, etc. are same as those in the last month. Accordingly, specified items are registered in a key table 9 and copied automatically in the file 8 for the month of processing. Thus, it becomes not necessary to input from the keyboard specified items that become necessary repeatedly out of medical treatment data of patients who receives medical treatment continuously. Further, erroneous inputting is removed, and efficient medical insurance claiming business can be performed.

Description

Detailed Description of the Invention (a) Field of Industrial Application The present invention relates to a medical insurance claim office computer for social insurance, national insurance, etc., and in particular, it is used to identify information in medical treatment data as data held by the computer. Data processing method of this calculator that automatically copies items for the next month % type % Generally, in medical insurance billing calculators, medical data for each patient is entered using the keyboard provided on the calculator each time the medical treatment is performed, and the points are calculated monthly. I was doing calculations and tallying them up.

Incidentally, insurance billing is a system in which bills are billed and settled on a monthly basis, and medical fee statements are submitted in the month following the medical treatment for the patient. Such work is described in Sanyo Electric Technical Report, Vol. 11, No. 1 (published February 1979).

Conventionally, for two months, the previous month and the current month, commonly needed medical care data, such as disease names, were stored in a header file containing patient-specific information. In this method, an area for storing the medical data is allocated to the head file for one patient, so the area size of the head file increases, and the storage means,
For example, it requires a large capacity of the magnetic disk, and the medical data stored in the header file must be treated separately from other data such as medicines.

(c) Purpose of the Invention The object of the present invention is to provide a new data processing system for a medical insurance billing office computer that eliminates the drawbacks of the conventional system.

B) Structure of the Invention The present invention provides a medical insurance claim office computer comprising a data input means, a data processing device for processing data input by the data input means, a storage means, and a display device. A first file is created by inputting medical treatment content data representing the medical treatment contents of a patient treated in a month into the data processing device through the data input means, and storing the data in the storage means after predetermined data processing; Copying the specific items in the first file to a second file provided in the storage device when the patient receives medical care the next month, and retaining the specific items in the medical care data for patients who have received medical care for two consecutive months. It is the composition.

(E) Example To explain the present invention according to the drawings, Fig. 1 is a block diagram for explaining the data processing method of the medical insurance billing office computer of the present invention, and Fig. 2 is a block diagram of the data file used in the system. Indicates one constitutive factor. In the drawing, (11 is a keyboard as a data input means, (2) is a RAM
(4) is a magnetic disk connected to the data processing device and provided as a storage device in which various data are stored; (5) is a data processing device having a memo such as January 3); A printer that prints a predetermined portion of data from the magnetic disk (4), (6) a data display device, (7) a first file, (8) a second file, (9) a Shows the key table.

Next, to explain the processing procedure of the method of the present invention, the data that has already been keyed in using the keyboard (1) will be sequentially stored in one file (7) for each medical treatment data D1, Dl, D.
, and D4 are stored.

At this time, for each patient, the patient's name called a header, insurance card number, serial number, etc. are written. For example, if it is a cold, "cold" is entered as the code name, and the file number is RLJ or depending on the medical treatment. Medication data is written in the unit (Tv or tablet, etc.), drug price (or score), name (
(treatment name, drug name, etc.) is written into the first file (7) as the medical treatment data. The first file (7
) is created in an area provided as the previous month's data area on the magnetic disk (4).

At this time, the key table (
9), it is assumed that a and b are defined as specific values of specific items in the medical data, as shown in the example of FIG.

. Next, when the processing blade and the code for identifying the patient are input to retrieve the medical data of a predetermined patient, it is stored in the previous month's file, that is, the first file (7), and -D.

Dl in the above is set in the key table (9), and there is no data with the same content as the above D1 and in the processing blade file, that is, the second file (8). Therefore, D1 and D1 are the first file (
7) to the second file (8) while displaying its contents on the data display device (6), since it is defined as a specific item, it is automatically copied.

Here, the specific item actually refers to a format number, which corresponds to a number representing the type of medical treatment, such as a drug, a treatment (9) should be defined.

Therefore, when a patient visits the hospital for more than two months, the disease name (format number rlJ), etc., and the treated blade are often the same as the previous month.
By registering lJ in the key table (9) and calling the patient, the disease name is extracted from the first file (7) in which the previous month's data is stored, and is stored in the second file (8) for the processing blade. Copy.

If such copying is performed sequentially as the months change, it is possible to eliminate the input work from the keyboard for specific items that are repeatedly required in the medical care data of patients who continue to receive medical care.

Note that if the first file and the second file are created separately for odd-numbered months and even-numbered months, the operator can easily read the medical data.

(F) Effects of the Invention According to the data processing method of the medical insurance billing computer of the present invention, if a patient who received medical treatment at Curved Blade continues to receive medical treatment in the following month, then the patient receives the aforementioned medical treatment at Processing Blade. There is no need to re-enter specific items in the clinical data at the time of treatment, and they are automatically copied from the first file to the second file, which not only reduces key-in operations and saves time, but also eliminates errors. Since input can also be removed, if the method of the present invention is used in a medical insurance billing calculator, the effect will be extremely large.
).

[Brief explanation of drawings]

FIG. 1 is a block diagram for explaining the data processing method of the medical insurance billing office computer of the present invention, and FIGS. 2 and 3 are diagrams showing the configuration of files and key tables used in the method. Explanation of main figure numbers (1)...keyboard, (2)...data processing device, (3)...memory, (4)...magnetic disk, (5)...printer, ( 6)...Data display device, (7)...First file, (8)...Second file, (9)...Key table. Applicant Sanyo Electric Co., Ltd. and one other agent Patent attorney Shizuo Sano

Claims (1)

[Claims] ( ]) A medical insurance billing office computer comprising a data input stage, a data processing device for processing data input by the data input means, a storage means, and a display device, in which medical treatment is performed in a predetermined month. The data representing the medical treatment of the patient received is input into the data processing device by the data input means, and after predetermined data processing, it is stored in the storage means to create a first file, and the data representing the patient's medical treatment for the next month is inputted into the data processing device. The specific items of the first file of the timeline are copied to an m2 file provided in the storage device, and the specific items are retained in the medical care data for patients who received medical treatment for two consecutive months. A data processing method for a medical insurance billing office computer.