JPS62177659A - Medical business processing system - Google Patents

Abstract

PURPOSE:To attain the selective execution of corresponding medical business processing by using a control means which stores information on the law revision date and decides the execution of the medical business processing before or after the law revision. CONSTITUTION:When the data on the processing date is supplied from an input device 15, a controller 12 compares the law revision date received from a law revision date memory device 13 with the input processing date to decide whether the relevant medical business processing is carried out before or after the revision of law. If the processing set before revision of law is needed, the controller 12 reads the processing programs of the window account and production of receipts out of the pre-revision memory area of a processing program memory device 11 and outputs them to a processor 10. In the same way, the controller 12 reads those said programs out of the after-revision memory area of the device 11 and outputs them to the processor 10 respectively.

Description

DETAILED DESCRIPTION OF THE INVENTION [Technical Field of the Invention] The present invention relates to a medical office processing system that automatically executes medical office processing.

[Technical background of the invention and its problems] In recent years, medical office processing systems using computer systems have been developed. A medical office processing system is a system that, when medical practice data is input, executes counter accounting processing and the creation of a medical fee statement (hereinafter referred to as a receipt) based on a pre-filed score master file. The score master file is the medical treatment performed by a doctor on a patient.

This is a file containing various information regarding drugs, etc., such as their names, points, additional items, and identification codes.

Incidentally, the scores for medical procedures, drugs, etc., score calculation standards, receipt output format, etc. are not fixed, but are determined by the provisions of the Health Insurance Law.

Therefore, if the Health Insurance Act is amended, the content of medical practices, drug scores, score calculation criteria, receipt output format, etc. will be changed in accordance with this law amendment. However, conventional medical office processing systems execute medical office processing based on point masters and processing programs that comply with the current provisions of the Health Insurance Act. Therefore, after the law is revised, if it is necessary to perform the processing that existed before the law revision, it is necessary to change the current score master and processing program, but this is practically impossible.

[Purpose of the Invention] The purpose of the present invention is to reliably execute any of the medical administrative processes corresponding to after or before the revision of the Health Insurance Act, which determines the score master and processing program, with a simple input operation. Our goal is to provide a medical office processing system that allows you to:

[Summary of the invention] The present invention has a storage means for storing law revision date information,
This medical office processing system is equipped with a control means for determining whether to perform medical office processing before or after the legal amendment based on this legal amendment date information. The control means are
When starting medical administrative processing according to input data such as medical practice data, it is determined whether medical administrative processing is required before the legal revision date or after the legal revision date based on the legal revision date information, The score master information and processing program corresponding to this determination result are read from the score master information storage means and the processing program storage means, respectively.

[Embodiment of the Invention] An embodiment of the present invention will be described below with reference to the drawings. 1st
The figure is a block diagram showing the configuration of a system according to an embodiment. In FIG. 1, a processing bag H10 is a central processing unit that executes medical office processing based on a processing program stored in a processing program storage device 11. The processing program storage device Wll is provided with respective storage areas for storing processing programs before and after the revision of the Health Insurance Act.

The control device 12 has a function of determining whether the content of medical administrative processing is before or after the legal revision, based on the legal revision date information stored in the legal revision date storage device 13. Furthermore, the control device 12 controls the processing block O based on the determination result.
The corresponding processing program and score master information are read from the gram storage device 11 and the score master storage device 14 and output to the processing bag H10.

The score master storage device 14 includes storage areas for storing each score master information before and after the revision of the Health Insurance Act.

The input bag M15 is a device for inputting processing execution requests, processing dates, medical practice data, etc., and is composed of a keyboard and a display device. The output device 16 is a printer or the like that outputs the results of medical office processing performed by the processing device 10.

The personal file device 17 is a storage device that stores individual patient data such as insurance information and medical treatment data necessary for medical administrative processing.

Next, the operation of this embodiment will be explained. First, the input bag @15 is operated on the date on which the revision of the Health Insurance Law is applied, and the law revision date information is stored in the law revision date storage device 13, as shown in FIG. Furthermore, as shown in FIG. 2, each processing program before and after the legal revision is stored in the processing program storage device ↑1.

Further, as shown in FIG. 3, each score master information before and after the law revision is stored in the score master storage device 14, respectively.

Next, when a processing execution request is input from the input device 15,
The processing device 10 and the control device 12 start booting. When the data of the processing date is input from the input device 15, the control device 12 inputs the legal revision date storage device i! The date of the legal revision from 13 onwards is compared with the input processing date to determine whether the medical administrative processing occurred before or after the legal revision. If the result of this judgment processing requires processing before the law revision,
The control device 12 reads out processing programs for counter accounting processing and receipt creation processing from the pre-amendment storage 1m of the processing program storage device 11, and outputs them to the processing bag [10]. Further, the control device 12 reads the score master information from the pre-revised storage area of the score master storage device 14 and outputs it to the processing bag [10]. Thereby, the processing device 10 executes counter accounting processing and receipt creation processing based on the medical practice data etc. and point master information inputted from the input device 15, and outputs the processing results to the output device 16.

Therefore, the output device 16 outputs processing results corresponding to medical administrative processing before the legal revision.

Similarly, if processing after the legal revision is required based on the judgment result of the control device 12, the control device 12 downloads processing programs for counter accounting processing and receipt creation processing from the post-amendment storage area of the processing program storage device 11. The data is read out and output to the processing device 10. Further, the control device 12 reads the score master information from the revised storage area of the score master storage device 14 and outputs it to the processing device 10 . Thereby, the processing device 10 executes counter accounting processing and receipt creation processing based on the medical practice data etc. and point master information inputted from the input device 15, and outputs the processing results to the output device 16.

Therefore, the output device 16 outputs processing results corresponding to medical administrative processing after the legal revision.

In this way, at the start of the process, it is determined whether medical administrative processing is required before or after the legal revision, based on the pre-stored legal revision date information.

Further, depending on the judgment result, appropriate score master information and processing program corresponding to before or after the legal revision are read out and the processing is executed.

Therefore, by simply specifying the processing date from the input device 15, the operator can selectively execute medical office processing corresponding to before or after the legal revision.

[Effects of the Invention] As described in detail above, according to the present invention, medical administrative processing corresponding to before or after the revision of the I-Health Insurance Act can be selectively executed by a simple input operation. Therefore, it is possible to automatically and reliably execute any of the medical administrative processes that correspond to after or before the revision of the law, without requiring the operator to change the score master information and processing program. It is possible.

[Brief explanation of drawings]

FIG. 1 is a block diagram showing the configuration of a system according to an embodiment of the present invention, FIG. 2 is a diagram showing an example of the storage contents of a processing program storage device of the embodiment, and FIG. 3 is a score diagram of the embodiment. FIG. 4 is a diagram showing an example of the storage contents of the master storage device, and FIG. 4 is a diagram showing an example of the storage contents of the law revision date storage device of the same embodiment. 10... Processing device, 11... Processing program storage device, 12... Control device, 13... Law revision date storage device. Applicant's agent Patent attorney Takeshi Suzue
Figure 3 Figure 4

Claims (1)

[Scope of Claims] In a medical office processing system that performs medical office processing such as creating medical fee statements based on input data such as medical practice data, there is provided a law revision date storage means for storing law revision date information in advance;
a score master information storage means for storing each score master information necessary for the medical administrative processing created before the law revision date and after the law revision date; processing program storage means for storing each processing program for executing the medical administrative processing created in accordance with the above-mentioned legal amendments when starting the medical administrative processing according to input data such as the medical practice data; Based on the date information, it is determined whether medical administrative processing is required before the law revision date or after the law revision date, and the score master information and processing program corresponding to the result of this determination are stored in the score master information storage means and the processing program. A medical office processing system comprising: control means for reading from each of the storage means.