KR20140034467A - Method for managing insurance number code and medical information system using the same - Google Patents

Abstract

A method for managing insurance number codes in a medical information system and a medical information system using the same are provided. The method comprises the steps of: receiving a notified standard medical fee file and updating an insurance number code table; setting a calculation code for each insurance number code using calculation code names on the insurance number code table, and storing the set calculation codes in a calculation code table for each insurance number code; matching a charge calculation code of the insurance number code and the calculation code and storing the matched codes in a calculation code management table; and determining a calculation amount, based on a calculation code corresponding to an insurance number code relative to treatment, and calculating a medical fee using the determined calculation amount. [Reference numerals] (110) Communication server; (120) Authentication unit; (130) Application management unit; (140) DB storage unit; (150) Medical equipment interface; (160) External link interface; (200) Nurse PC; (300) Doctor PC; (400) Administration PC; (500) Medical equipment; (600) External link server; (AA) Network

Description

[0001] The present invention relates to a code management method and a medical information system using the same,

The present invention relates to a number code management method in a medical information system and a medical information system using the same.

A medical information system is a comprehensive term that refers to a system that manages information related to a medical practice in a medical institution, and processes such information as information necessary for another medical treatment. Such a medical information system can provide sufficient time and room for patients and medical staffs by reducing the movement of patients and data between departments by rapidly providing regular and accurate information to the medical departments, the medical care support departments, and the hospital administration departments, Analyze accumulated medical information and make effective decision making possible.

In the past, the medical information system was mainly aimed at the support of the general hospital administration, but now it is the main purpose of the medical care support of the doctor and the nursing support of the nurse. The medical information system is composed of an OCS (Order Communication System), a Picture Archiving Communication System (PACS), an Electronic Medical Record (EMR), an electronic document exchange system (EDI) Electronic Data Interchange) to actively accept these requirements, to store various medical information and patient's medical care data in a database, to digitize the medical records created by the doctor in the process of diagnosing the patient, To each relevant department through the network, and provides functions such as transmission of required image information and computer-based medical record keeping.

In such a medical information system, the main object of the workflow is the number of codes. This number of codes is the core of OCS that allows the patient to carry and deliver all the information needed to receive and store the patient, the physician chooses the number of codes corresponding to the practice, and the selected number codes are sent to each care- And allows a given number to convert the code into an amount to earn the hospital's revenues.

These number codes are regularly notified by the Health Insurance Review and Assessment Service, and the hospital's medical information system receives the notified standard number code master and applies it to the system. In the conventional medical information system, since the standard number to be noticed reflects the code master manually, the operation is troublesome and the possibility of error occurrence is high. In addition, the standard number of standards notified by the Health Insurance Review and Assessment Service is divided into reference codes and estimation meanings, and the calculation mean is used as the basis for the calculation of the patient's medical expenses. However, in the case of medical information systems in which the number of standards currently being notified can not uniquely distinguish the calculation meanings of each number when the hospital code is applied to the code as it is, There is a problem in that all the numbers to be considered can not uniquely distinguish the meaning of the star calculation.

Therefore, there is a need for a technique that can automatically distinguish the standard number codes as described above on the medical information system, while uniquely distinguishing the calculation meanings of the numbers used internally.

Korean Patent No. 10-0781210, " Method and Apparatus for Detecting Medical Information Standard Code "

In order to solve the above problems, the present invention provides a code management method and a medical information system using the same, wherein the standard number notified by the health insurance review and evaluation agency can automatically calculate a medical fee reflecting a code.

The objects of the present invention are not limited to the above-mentioned objects, and other objects not mentioned can be clearly understood from the following description.

In order to achieve the above object, a number code management method in a medical information system according to the first aspect of the present invention includes the steps of: Setting the calculation code for each number code by using the calculation code name of the code table and storing the number in the code calculation code table; Storing the number in the calculation code management table by matching the billing calculation code of the code with the calculation calculation code; And a step of calculating an amount of the medical care based on the calculation calculation code corresponding to the code corresponding to the number of medical care operations and using the calculation result.

Here, the calculating of the medical care cost may include: selecting a number code for the medical care action; Selecting a calculation calculation code that satisfies an application condition from among the one or more calculation calculation codes matched with the number codes; Referring to the calculation code management table to determine an error sum based on the selected calculation code; And calculating the medical care cost using the determined cumulative sum.

Here, the number code may be composed of a reference code and a billing calculation code, and the step of calculating the billing rate may be performed by adding or subtracting the reference code and the calculation code corresponding to the code to the billing code, And calculating the cumulative cumulative sum.

According to a second aspect of the present invention, there is provided a number code management method in a medical information system, comprising the steps of: Setting the calculation code for each number code by referring to the calculation code name of the code table, and storing the number in the code calculation code table; Storing the number in the calculation code management table by matching the billing calculation code of the code with the calculation calculation code; And a step of determining a billing calculation code based on a calculation calculation code corresponding to the number of the medical care activities at the time of claiming the insurance premium and claiming the insurance premium using the bill calculation code.

Here, the step of charging the insurance premium may include: selecting a code for the medical care action; Selecting a calculation calculation code that satisfies an application condition from among the one or more calculation calculation codes matched with the number codes; Referring to the calculation code management table to determine a billing estimation code that matches the selected calculation calculation code; And claiming the insurance premium using the determined claim determination code.

Here, the number code may be composed of a reference code and a billing calculation code, and the step of claiming the premium may include adding or subtracting the reference code and the calculation code corresponding to the code, And calculating the cumulative cumulative sum.

The medical information system according to the third aspect of the present invention is a medical information system that manages maternal-related information input through a terminal for medical use, stores patient information collected through processing of a medical treatment order, A service processor; A nursing service processing unit for collecting the preliminary information of the patient inputted through the nursing-using terminal and storing it in the EMR DB; A prescription service processor for acquiring the patient information and the preliminary information from the original DB and the EMR DB and displaying the patient information and the preliminary information on the doctor terminal and storing the prescription information for the patient inputted through the doctor terminal in the prescription DB; And a medical record processor for preparing an electronic form based on a medical record for the patient inputted through the doctor terminal and storing the electronic form in the EMR DB; Wherein the amenity service processing unit calculates a treatment fee for the patient based on at least one of the patient information, the prescription information, and the medical record.

Here, the adornment service processing unit reflects the number of received standard numbers included in the admission database in the admission database, sets the calculation calculation code for each admission number code using the number of the code table, The billing calculation code included in the code may be matched with the calculation calculation code and stored in the calculation code management table.

Here, the juvenile service processing unit may determine an accumulated amount based on a calculation calculation code set in the code, the number corresponding to a medical treatment, a medicine, and a treatment material, and calculate the treatment fee using the calculation result.

Here, the adornment service processing unit selects a code corresponding to the medical care action from the code table, selects a calculation calculation code that satisfies the application condition among the at least one calculation calculation codes matched with the code, The cumulative sum can be determined based on the selected calculation code.

BRIEF DESCRIPTION OF THE DRAWINGS The above and other objects, features and advantages of the present invention will be more apparent from the following detailed description taken in conjunction with the accompanying drawings, in which: FIG.

The present invention may, however, be embodied in many different forms and should not be construed as being limited to the embodiments set forth herein. Rather, these embodiments are provided so that this disclosure will be thorough and complete, and will fully convey the scope of the invention to those skilled in the art. It is provided to fully inform the owner of the scope of the invention.

According to one of the above-mentioned objects of the present invention, the standard fee of the standard number notified by the health insurance examination and evaluation institution can be reflected in the medical information system, so that the medical expenses can be automatically calculated.

1 is an overall configuration diagram of a medical information system according to an embodiment of the present invention.
2 is a block diagram illustrating a detailed configuration of an application management unit of a medical information server according to an embodiment of the present invention.
3 is a flow chart for explaining a patient outpatient treatment process in a medical information system according to an embodiment of the present invention.
4 is a flowchart illustrating an in-patient medical care process in a medical information system according to an embodiment of the present invention.
5 is a diagram illustrating an example of the configuration of a number code table used in code management in a medical information system according to an embodiment of the present invention.
6 is a diagram illustrating an example of the configuration of a calculation code table for each number code used in the code management in the medical information system according to the embodiment of the present invention.
7 is a diagram illustrating an example of the configuration of a calculation code management table used in the code management in the medical information system according to the embodiment of the present invention.
FIG. 8 is a flowchart for explaining a method of managing calculation codes for each code by matching a calculation code to a code in the medical information system according to an embodiment of the present invention.
9 is a flowchart illustrating a process of automatically calculating a medical fee using a code management method in a medical information system according to an embodiment of the present invention.

While the present invention has been described in connection with certain exemplary embodiments, it is to be understood that the invention is not limited to the disclosed embodiments, but, on the contrary, is intended to cover various modifications and similarities. It should be understood, however, that the invention is not intended to be limited to the particular embodiments, but includes all modifications, equivalents, and alternatives falling within the spirit and scope of the invention.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS Hereinafter, the present invention will be described in detail with reference to the accompanying drawings. In addition, numerals (e.g., first, second, etc.) used in the description of the present invention are merely an identifier for distinguishing one component from another.

Also, in this specification, when an element is referred to as being "connected" or "connected" with another element, the element may be directly connected or directly connected to the other element, It should be understood that, unless an opposite description is present, it may be connected or connected via another element in the middle.

Hereinafter, embodiments of the present invention will be described in detail with reference to the accompanying drawings.

1 is an overall configuration diagram of a medical information system according to an embodiment of the present invention.

As shown in FIG. 1, the medical information system of the present invention computerizes a process occurring in a hospital centered on a patient, thereby organically treating hospital medical services, nursing services, medical care support services, and interworking with external servers A nurse use terminal 200 for accessing the medical information server 100 through a network to read information on patients and input preliminary information into the system, A doctor terminal 300 for accessing the connected medical information server 100 to inquire various information about patients and input medical treatment and prescription data, and general staff in charge of the general affairs of the hospital, And a source terminal 400 for accessing and inputting information related to the hospital work.

Further, in the medical information system of the present invention, the medical information server 100 may receive test results from various medical equipment 500 used for medical care support in a hospital, or may be connected to a plurality of external servers 600 Information can be exchanged. For example, the external server 600 may include a data warehouse (DWH) system for processing and analyzing accumulated hospital data, a u-healthcare system related to telemedicine via the Internet, and various information about hospital patients. This may be a customer relationship management (CRM) system utilized for customer management.

Although the nursing-use terminal 200, the doctor terminal 300 and the medical terminal 400 have been described in the above description, the present invention is not limited thereto. The terminal may be provided with a nursing use menu, a doctor's menu, and a general employee's menu, or may not include the nursing-using terminal 200 separately.

The nursing-using terminal 200, the doctor terminal 300 and the medical terminal 400 may not be distinguished from each other in terms of hardware. For example, the nursing-use terminal 200, the doctor terminal 300, The menu related to the job may be displayed or activated depending on the job of the user.

In addition, the network in which the terminals are connected to the medical information server 100 may be an intranet in a hospital, and in some cases, may be interconnected through a network such as the Internet.

The medical information server 100 includes a communication unit 110 connected to a network and transmitting and receiving data to and from the nursing care terminal 200, the doctor terminal 300 and the employee terminal 400, An application management unit 130 for processing a variety of business services such as nursing, maternity, and prescription provided by the medical information system; And a DB storage unit 140 for systematically storing and managing various information to be acquired.

At this time, the authentication unit 120 accesses the medical information server 100 to perform an authentication operation as to whether the user who is going to use the medical information system is a user who is allowed to access, It can be judged. In addition, the authentication unit 120 may be an internal authentication module configured inside the medical information server 100, or may be configured in the form of a separate external authentication server depending on the construction environment.

In addition, the DB storage unit 140 may be implemented on a data storage medium installed in the medical information server 100, and may be stored in a separate external storage medium Lt; / RTI >

The medical information server 100 may include a medical device interface 150 that is connected to an external medical device 500 and sends an inspection command to the medical device 500 or receives an inspection result. And an external interworking interface 160 for interworking with external external servers 600.

Hereinafter, the detailed configuration of the application management unit 130 for processing the operations of the services provided by the medical information server 100 will be described in detail.

2 is a block diagram illustrating a detailed configuration of an application management unit of a medical information server according to an embodiment of the present invention.

2, the application management unit 130 includes a common service processing unit 131, an admission / prescription service processing unit 132, a nursing service processing unit 133, a maternity service processing unit 134, a treatment support processing unit 135, And a medical record processing unit 136.

The common service processing unit 131 provides a common service such as a configuration of a menu provided to a user and a permission setting for each menu.

Specifically, the common service processing unit 131 may distribute various menu files for menu screen processing to the corresponding terminal, or manage the execution log of each component operating on the medical information server 100. In addition, the common service processing unit 131 can set the menu activation authority and the system basic code for each user based on the job or role of the user logged into the system.

The maternity service processing unit 132 manages the maternity related information input through the maternity terminal 400 and can process the hospital work such as the patient's request for the treatment or the procedure for admission.

Specifically, the maternity service processing unit 132 stores maternal-related data input through the maternal terminal 400 or another terminal in the maternal database, and when there is a request for maternal-related data from the terminal, Data can be acquired and transmitted to the requested terminal. At this time, the original DB can be created and managed in the DB storage unit 140. [

In addition, the maternity service processing unit 132 can perform the medical care order processing, the admission procedure processing, and the like, and inquire the insurance qualification of the patient who visited the medical institution. Patient information collected in the above process may be stored in the business database. This will be described later in detail with reference to FIG. 3 and FIG.

On the other hand, the adornment service processing unit 132 can calculate the bill for the patient to be charged to the patient or the bill to be charged to the health insurance assessment and assessment institution based on the patient information, the doctor's medical record, or the prescription history. This will be described later in detail with reference to FIG. 5 and other related drawings.

The nursing service processing unit 133 collects the patient's preliminary information inputted through the nursing-using terminal 200 and stores it in the nursing DB. In this case, the nursing DB may be generated and managed in the DB storage unit 140.

Specifically, when there is a request for information on a patient in charge from the nursing service terminal 200 or another terminal, the nursing service processing unit 133 can acquire the medical information of the patient from the nursing DB and transmit it to the corresponding terminal.

When the nursing service processing unit 133 receives the medical care acceptance signal for the patient from the maternity service processing unit 132, it collects the preliminary information about the patient and stores it in the nursing EMR DB. Such preliminary information may include patient's height, blood pressure, weight information, and the like. The preliminary information stored in the nursing EMR DB can be requested from the doctor terminal 300 and displayed on the screen at the time of the doctor's examination.

In addition, the nursing service processing unit 133 may receive the doctor's prescription information for the patient, and may acquire the subsequent procedure information corresponding thereto to generate the patient guide statement.

The prescription service processing unit 134 retrieves the basic information of the patient and the collected preliminary information from the admission DB and the nursing EMR DB and displays the preliminary information on the screen of the doctor terminal 300, And stores the prescription information in the prescription DB. At this time, the prescription information for the patient is referred to by the nursing service processing unit 133 or the maternal service processing unit 132 and used as basic data for follow-up work such as an outpatient prescription or an inpatient prescription, or used as a basic data for calculating the medical expenses .

The medical care support processing unit 135 performs the business processing in the medical care support department based on the prescription information about the patient and stores the result in the medical care support DB. These services may include dispensing at pharmacies, manufacturing of meals in the nutrition rooms, imaging services for imaging in the imaging department, physical therapy services in the physical therapy department, and other functional testing services.

The medical record processing unit 136 creates an electronic form based on the medical record for the patient inputted through the doctor terminal 300 and stores it in the medical care EMR DB.

Specifically, the medical record processing unit 136 can generate an electronic format of a proper format based on the medical information that is to be recorded in the process of the doctor's examination by the doctor terminal 300. The created electronic form can be stored in the medical care EMR DB of the DB storage unit 140 and can be displayed on the doctor terminal 300 as basic reference data for medical examination at the time of the patient's resumption.

At this time, the electronic form may include, for example, information such as the patient's medical history, demographic data, symptoms, symptoms, results of additional examination, and progress record. Such electronic forms may have various formats, The clock can be stored and managed thermally.

The medical record processing unit 136 can provide a menu that allows the user to input the contents of the examination into the electronic form together with the menu for viewing the past medical record for the patient.

Next, the outpatient treatment process in the medical information system of the present invention will be described.

3 is a flow chart for explaining a patient outpatient treatment process in a medical information system according to an embodiment of the present invention.

Referring to FIG. 3, when the patient visits the hospital to receive a medical treatment, the staff member of the hospital staff receives the patient's medical care request through the terminal 400 (S100). At this time, the maternity service processing unit 132 collects the basic information such as the patient's personal information input through the financial terminal 400 (S104) and stores the basic information of the patient's health information Requests a health insurance management server (not shown) to inquire the patient's insurance qualification and receives the result (S102). The result of the inquiry of the patient's insurance qualification can be reflected at the time of claiming the patient's medical expenses.

When the patient information collected in the maternity service processing unit 132 is transmitted to the nursing service processing unit 133 in step S106, the nursing service processing unit 133 collects the patient's preliminary information inputted through the nursing terminal 200 (S108), and stores it in the nursing EMR DB (S110). At this time, the nursing EMR DB storing the patient's preliminary information may be provided separately from the medical EMR DB, and the nursing EMR DB and the medical EMR DB may be composed of a single DB.

Then, when the doctor selects a patient to be examined at the doctor terminal 300, patient information and preliminary information for the patient are called from the original DB and the nursing EMR DB (S112), and the menu screen of the doctor terminal 300 (S114). The prescription service processing unit 134 displays the patient's preliminary diagnosis information and past medical care information on the screen of the doctor terminal 300 so that the doctor can refer to it in the medical care process, The doctor's prescription information is stored in the prescription DB (S118).

In addition, the medical record processing unit 136 can create an electronic form using the patient's medical record inputted through the doctor's terminal 300. [ At this time, the created electronic form can be stored in the medical care EMR database in a time-series manner and managed (S116).

Thereafter, the prescription information of the patient stored in the prescription DB is called by the nursing service processing unit 133 (S120), and a patient guide statement including a follow-up procedure according to the prescription contents may be issued (S122). At this time, the subsequent procedure corresponding to the prescription content can be determined beforehand according to the prescription content, and the nursing service processing unit 133 can acquire information on the subsequent procedure corresponding to the prescription information from the admission database.

Then, the maternity service processing unit 132 may calculate the medical fee based on the medical record, the prescription information, and the patient information of the patient called from the prescription DB, and proceed the receiving procedure (S124, S126).

4 is a flowchart illustrating an in-patient medical care process in a medical information system according to an embodiment of the present invention.

Referring to FIG. 4, when a patient visits a hospital to receive a medical treatment, a staff member of the hospital staff receives a request for medical treatment of the patient through the terminal 400 (S200). At this time, the maternity service processing unit 132 collects basic information such as the personal information of the patient inputted through the maternity terminal 400 and stores the basic information in the maternal DB (S204). Then, based on the patient's basic information, Requests the health insurance management server (not shown) to inquire the patient's insurance qualification and receives the result (S202). The result of the inquiry of the patient's insurance qualification can be reflected at the time of claiming the patient's medical expenses.

When the patient information collected in the maternity service processor 132 is transmitted to the nursing service processor 133 (S206), the nursing service processor 133 collects the patient's prognosis information input through the nursing terminal 200 (S208) and stores it in the nursing EMR DB (S210).

Then, when the doctor selects a patient to be examined at the doctor terminal 300, patient information and preliminary information for the patient are called from the admission DB and the nursing EMR DB (S212) (S214). The prescription service processing unit 134 displays the patient's preliminary diagnosis information and past medical care information on the screen of the doctor terminal 300 so that the doctor can refer to it in the medical care process, The doctor's prescription information is stored in the prescription DB (S218).

If the doctor makes an admission decision for the patient in the course of medical treatment, the admission decision information inputted through the doctor terminal 300 may be stored in the prescription DB together with the prescription information by the prescription service processing unit 134 have.

In addition, the medical record processing unit 136 can create an electronic form using the patient's medical record and admission decision information input through the doctor terminal 300. [ At this time, the generated electronic form can be stored in the medical care EMR database in a time-series manner and managed (S216).

Thereafter, the prescription information of the patient stored in the prescription DB is called by the nursing service processing unit 133 (S220), and a patient guide statement including a follow-up procedure according to the prescription contents may be issued (S222). At this time, the patient guide letter may include information on a subsequent procedure according to the admission decision.

Then, the maternity service processing unit 132 may calculate the medical fee based on the medical record, the prescription information, and the patient information, and proceed the receiving procedure (S224, S226). If the recipe information includes the admission decision information, the adornment service processing unit 132 stores the admission registration information for the patient in the admission DB (S228). Thereafter, the nursing service processing unit 133 sends the admission decision information to the patient The hospitalization procedure is performed based on the hospitalization registration information and the necessary information is stored in the nursing EMR DB (S230, S232). In addition, the nursing service processing unit 133 registers the relevant patient as a financial patient and stores it in the nursing EMR DB together with the assigned ward information (S234).

Hereinafter, the method of calculating the medical expenses in step S130 of FIG. 3 and step S226 of FIG. 4 will be described in detail.

Fig. 5 shows an example of the detailed structure of the numerical code table. The above number is set in the code table, the number code is notified by the evaluation evaluation agency, and is individually set for each medical treatment, medication, and treatment material. In the case of medical treatment, a 5-digit reference code (for example, AA257 for the test fee) , Or may be configured in such a manner that it further includes a 3-digit calculation term meaning code (hereinafter referred to as a claim calculation meaning) in addition to the reference code (for example, the fee for a pediatric examination under the age of 6 is AA257600 ).

In this case, as shown in the code table of FIG. 5, the test fee for the initial and night medical care and the test fee for the night medical care are all matched with the same claim determination value (010) There is a problem that the number of combinations of the calculated meanings can not be divided into codes. On the other hand, the name of the calculation code for the number code is set so that the combination of the calculation meanings in all cases can be distinguished.

To this end, the adornment service processor 132 of the present invention maps and stores a calculation code for the number of codes notified by the evaluation evaluation center, and uses a combination of the calculation meanings of all cases applicable to the reference code, The calculation is made by combining the calculation codes.

Specifically, FIG. 8 discloses a process for managing and managing the number of notices, which is matched with a calculation calculation code. First, when the standard number of the standard numbers notified by the examination evaluation institution is transmitted, the adornment service processing unit 132 reflects the number generated in the admission DB in the code table (S300).

After that, the maternity service processing unit 132 maps and sets the calculation calculation code for each number code using the calculation code name of the number table (S310). The calculated calculation code may be stored in the calculation code table for each code together with the number code (S320). At this time, an example of the configuration of the calculation code table for the number codes is shown in Fig.

Referring to FIG. 6, a five-digit calculation calculation code may be set for each of the number codes, and a calculation meaning represented by the calculation code name can be assigned using the position and code value of each calculation calculation code. For example, when the code value of calculation calculation code 2 is "1", it means "night care", and when the code value of calculation criterion 3 is "3", " it means.

In addition, the calculation mean value of the calculation calculation code may be set differently for each reference code. For example, if the reference code is "AA *** ", which is the reference fee, the code value" 2 " The code value "2" set in the calculation meaning 4 means "hospitalization before 6:00, discharge after 18:00".

Referring again to FIG. 8, the maternity service processing unit 132 stores the calculation calculation code set for the number code and the billing calculation code included in the number code in the calculation code management table (S330). At this time, an example of the detailed configuration of the calculation code management table is shown in Fig. In this case, by using the calculation code management table, it is possible to easily select the code corresponding to the billing calculation code to be charged to the evaluation evaluation entity using a combination of calculation calculation codes. In addition, the calculation code management table has a calculation point calculation code for each type of insurance to be applied to the patient at the time of calculation of the calculation, so that the calculation amount calculation code is used to add or subtract the calculation amount to the standard amount It can be easily judged.

Next, a method of calculating a medical fee through the above-described configuration will be described.

9 is a flowchart illustrating a process of automatically calculating a medical fee using a code management method in a medical information system according to an embodiment of the present invention.

Referring to FIG. 9, first, the business service processing unit 132 selects a number code corresponding to a medical treatment to be billed based on medical records (S400). Thereafter, a calculation calculation code applied to the patient is selected from the calculation calculation codes mapped to the number codes (S410). For example, in the calculation of the test fee, the combination of the calculation code applied when the patient is initialized and the patient is under 6 years old is "60010 ".

Thereafter, referring to the calculation code management table, a calculation is made using the selected calculation code (S420). At this time, the selection of the insurance type to be applied to the patient can be selected based on the result of inquiring the insurance qualification for the patient as described above.

The medical fee may be calculated by reflecting the thus determined acid value to the standard number (S430).

On the other hand, in the case of claiming the insurance claim amount excluding the patient's co-payment from the calculated medical expenses, the billing calculation code matching the calculation calculation code selected in the calculation code management table is obtained, and by selecting the number code including the bill calculation code The number for the claim can easily be judged by the code.

Through the invention as described above, the medical information system of the present invention automatically reflects the standard number to be notified, and by matching the calculation code to the number code, it is possible to obtain a combination of all the calculation meanings So that it is possible to automate the calculation of the medical expenses.

The foregoing description is merely illustrative of the technical idea of the present invention, and various changes and modifications may be made by those skilled in the art without departing from the essential characteristics of the present invention.

Therefore, the embodiments disclosed in the present invention are intended to illustrate rather than limit the scope of the present invention, and the scope of the technical idea of the present invention is not limited by these embodiments.

The protection scope of the present invention should be interpreted by the following claims, and all technical ideas within the equivalent scope should be interpreted as being included in the scope of the present invention.

Claims (10)

A number code management method in a medical information system,
Updating the code table with the number of the notified standards accepted and received;
Setting the calculation code for each number code by using the calculation code name of the code table and storing the number in the code calculation code table;
Storing the number in the calculation code management table by matching the billing calculation code of the code with the calculation calculation code; And
Determining a calculation amount based on a calculation calculation code corresponding to a code corresponding to the medical treatment, and calculating the medical expenses using the calculation amount;
Wherein the number of codes in the medical information system is < RTI ID = 0.0 > The method of claim 1,
The step of calculating the medical care cost includes:
Selecting a number of codes for the medical practice;
Selecting a calculation calculation code that satisfies an application condition from among the one or more calculation calculation codes matched with the number codes;
Referring to the calculation code management table to determine an error sum based on the selected calculation code; And
Calculating the medical fee using the determined cumulative sum;
Further comprising the steps of: The method of claim 1,
The number code is composed of a reference code and a billing code,
Wherein the step of calculating the medical care rate comprises the step of calculating a cumulative sum to be added or reduced using the reference code for the code and the calculation calculation code corresponding to the code,
A number code management method in a health insurance system. A number code management method in a medical information system,
Updating the code table with the number of the notified standards accepted and received;
Setting the calculation code for each number code by referring to the calculation code name of the code table, and storing the number in the code calculation code table;
Storing the number in the calculation code management table by matching the billing calculation code of the code with the calculation calculation code; And
Determining a billing calculation code based on a calculation calculation code corresponding to a number of the medical care actions at the time of claiming the insurance premium and claiming the insurance premium using the bill calculation code;
Wherein the number of codes in the medical information system is < RTI ID = 0.0 > 5. The method of claim 4,
Claim 3,
Selecting a number of codes for the medical practice;
Selecting a calculation calculation code that satisfies an application condition from among the one or more calculation calculation codes matched with the number codes;
Referring to the calculation code management table to determine a billing estimation code that matches the selected calculation calculation code; And
Claiming the insurance premium using the determined claim determination code;
Further comprising the steps of: 5. The method of claim 4,
The number code is composed of a reference code and a billing code,
Wherein claiming said premium is a step of calculating an addendum to be added or sensed using said reference code for said code and said calculation code corresponding to said code,
A number code management method in a health insurance system. In a medical information system,
A maternal and child care service processing unit for managing maternal related information input through the terminal for maternity use, storing the patient information collected through the processing of the medical treatment order and inquiring the insurance qualification in the admission DB;
A nursing service processing unit for collecting the preliminary information of the patient inputted through the nursing-using terminal and storing it in the EMR DB;
A prescription service processor for acquiring the patient information and the preliminary information from the original DB and the EMR DB and displaying the patient information and the preliminary information on the doctor terminal and storing the prescription information for the patient inputted through the doctor terminal in the prescription DB; And
A medical record processing unit for preparing an electronic form based on a medical record for the patient inputted through the doctor terminal and storing the electronic form in the EMR DB; Lt; / RTI >
The business service processing unit calculates a medical fee for the patient based on one or more of the patient information, the prescription information, and the medical record,
Medical Information System. The method of claim 7, wherein
The genuine service processing unit,
The received standard number notice file is reflected in the number code table included in the business database, a calculation calculation code is set for each number code using the calculation code name of the number table, and the billing calculation code included in the number code. Matching the calculation code and storing it in the calculation code management table,
Medical Information System. The method of claim 8,
The genuine service processing unit,
Determining a cumulative sum based on a calculation calculation code set in a code corresponding to one of a medical treatment, a medical treatment, a medicine, and a treatment material,
Medical Information System. The method of claim 9,
The genuine service processing unit,
Selecting a code from the code table corresponding to the medical care action, selecting a calculation calculation code that satisfies the application condition from the at least one calculation calculation code matched with the code, and calculating, based on the selected calculation calculation code, To determine the semen,
Medical Information System.

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