JPH0140373B2 - - Google Patents

Description

[Detailed Description of the Invention] (a) Field of Industrial Application The present invention relates to a medical office calculator used in medical institutions such as hospitals, and is used to collect special medical fees incurred in connection with specific medical activities. Regarding automatic calculation method. (b) Prior art The outline of medical office calculators that issue medical fee statements as part of counter operations and monthly operations is disclosed in ``Sanyo Technical Report VOL.11 No. 1 (1979 edition)''. In such systems, medical procedures are generally coded, and for all medical procedures necessary for medical administrative processing, each treatment code, classification (statutory classification of medication, test, etc.), medical fee points, or drug price is assigned. -Medical practice data consisting of units and names is stored in the master file. Note that the units include mg, ml, g, vial, tablet, etc. in the case of drugs.
In addition, for each patient, there is a patient initial file that stores patient-specific initial data such as name, date of birth, address, etc., and a patient treatment file that stores medical practice data corresponding to the medical treatment performed on the patient. A medical practice code is input from the input device, the medical practice data corresponding to this practice code is searched from the master file, and the medical practice data obtained through the search is stored in the patient practice file of the corresponding patient. I have to. Incidentally, among medical treatments, certain medical treatments such as hospitalization with meals and hospitalization without meals are accompanied by a special medical fee called a medical management fee at the time of hospitalization.
Therefore, when calculating the hospitalization fee for hospitalization with food or without food, it is necessary to calculate the hospitalization fee with food or hospitalization fee without food and the medical management fee at the time of hospitalization. It was necessary to input the medical treatment code for the hospitalization fee with meals or the hospitalization fee without food, and the medical treatment code for the medical management fee at the time of hospitalization. However, with the above-mentioned method, it is easy for patients to forget to calculate the medical management fee at the time of hospitalization, resulting in the medical management fee at the time of hospitalization not being calculated.In order to prevent this, automatic calculation of the medical management fee at the time of hospitalization has come to be carried out in recent years. In the conventional automatic calculation method, the medical fee points for hospitalization medical management fees are the same for general insurance such as National Health Insurance and Social Insurance, so in the master file there is only one type of hospitalization medical management fee for general insurance. is memorized, and this one type of medical management fee for hospitalization is automatically calculated when a medical treatment code is entered for a hospitalization fee with meals or a hospitalization fee without meals. However, in elderly insurance and workers' compensation insurance, the medical fee points for medical management fees at the time of hospitalization are different from those in general insurance, so when calculating edible or non-edible hospitalization fees for patients enrolled in such insurance, it is necessary to automatically The incorrectly calculated admission medical management fee had to be manually input into the correct admission medical management fee using the input device, which was extremely troublesome to operate. (C) Purpose of the Invention The present invention is intended to enable accurate automatic calculation of special medical fees that occur in conjunction with specific medical procedures, such as medical management fees at the time of hospitalization, regardless of the type of insurance. The purpose is to (d) Structure of the Invention The present invention provides a master file that stores all medical practice data necessary for medical administrative processing, a patient head file that stores patient-specific head data provided for each patient, and a medical practice data for each patient. A patient medical treatment file for storing data and an input device are provided, a medical treatment code is inputted from the input device, medical practice data corresponding to the medical treatment code is searched from the master file, and is stored in the patient medical treatment file of the corresponding patient. In a medical office calculator, special medical practice data for each insurance corresponding to special medical fees generated in conjunction with a specific medical practice is stored in the master file along with insurance identification data indicating the type of insurance. , storing the insurance identification data corresponding to the insurance that the patient has subscribed to in the patient's head office file, and when inputting the medical treatment code for the specific medical treatment, the corresponding insurance identification data is stored in the patient's head office file based on the insurance identification data of the patient's head office file; The special medical treatment fee is calculated by retrieving the special medical treatment data from the master file and writing the special medical treatment data into the patient treatment file of the corresponding patient together with the medical treatment data corresponding to the inputted specific treatment code. It is configured to automatically calculate the (e) Embodiment FIG. 1 is a block diagram showing the configuration of a medical office computer for explaining an embodiment of the present invention, in which 1 is a keyboard for inputting various data, and 2 is a keyboard for inputting various data. A display device consisting of a CRT display for displaying information; 3 a printer device for printing medical fee statements and tally results; 4 a file consisting of a magnetic disk having a master file 5 , a patient initial file 6 and a patient treatment file 7 ; The device 8 is a processing unit equipped with a RAM 9 and performs various processes.Hereinafter, as an example, automatic calculation of medical management fees at the time of hospitalization will be explained. In this embodiment, first, insurance identification data a, b, c, etc. indicating the type of insurance are determined for each insurance such as general insurance, elderly insurance, and worker's compensation insurance, and the data corresponds to the medical management fee at the time of hospitalization under each insurance. Multiple medical practice data Ha,
Hb, Hc, . . . are stored in association with insurance identification data a, b, c, . . . as shown in FIG. 2a. In addition, each patient's initial file 61, 62 stores patient codes N ₁ , N ₂ and initial data G ₁ , G _2, respectively, as shown in FIG. The insurance identification data b and c shown are stored. Specifically, when each patient comes to the hospital as a new patient, a patient code is assigned to the patient, and the patient code, header data, and insurance identification data are input sequentially from the keyboard 1 while looking at the screen of the display device 2. good. Next, the processing contents in the processing section 8 will be explained with reference to the flowchart of FIG. Assume that you are currently trying to input the medical treatment for the day of a patient with patient code _N1 who is enrolled in elderly insurance. Therefore, when the patient code ^N1 is inputted from the keyboard 1, the processing section 8 inputs the corresponding patient initial file 61 based on the patient code.
is retrieved, the header data G ₁ and the insurance identification data b are read out to the header area 9 a on the RAM 9 , and the header data G ₁ is displayed on the screen of the display device 2 . Therefore, after confirming the displayed header data, the operator sequentially inputs the medical treatment codes for the medical treatment of the day from the keyboard 1, and the processing unit 8 inputs the medical fee points, name, etc. corresponding to the input medical treatment code. Searches the medical practice data from the master file 5 , stores it in the medical practice area 9b on the RAM 9, determines whether the input medical practice code is a specific medical code indicating a edible hospitalization charge or a non-food hospitalization charge,
If it is not a specific medical code, master file 5
Displays the medical practice data read from , and prepares for inputting the next medical care code. If the next inputted medical code is not a specific medical code, the same process will be repeated, but if it is a specific medical code, the medical practice data corresponding to the hospitalization fee with meals or the hospitalization fee without meals itself. After storing P ₁ or P ₂ in the medical treatment area 9b of the RAM 9, the insurance identification data b read out in the header area 9a of the RAM 9 is referred to, and the inpatient medical management fee data Hb corresponding to this identification data b is stored. Searched from Master Aisle 5 ,
This data Hb is stored in the medical treatment area 9b of the RAM 9. and stored medical management fee data at the time of admission.
Hb is displayed on the screen of the display device 2. When the end key 1a is pressed after all the medical treatment codes have been input, the data for hospitalization with meals _P1 or the hospitalization fee without meals P2 stored in the medical treatment area 9b of the RAM ₉ and the insurance type b, that is, elderly insurance, are displayed. All the medical treatment data T ₁ including the admission medical management fee data Hb will be stored in the patient medical treatment file 71 provided corresponding to the patient head record file 61 . Similarly, if a patient with patient code _N2 is hospitalized without food, the medical management fee data Hc at the time of hospitalization under the worker's compensation insurance (insurance identification data c) to which this patient is enrolled will be calculated as the hospitalization fee without food. It is stored together with the data P ₂ in the patient treatment file 72 corresponding to the patient initial file 62 of this patient. Incidentally, the patient initial file and the patient treatment file are associated with each other by, for example, writing the addresses A ₂ and A ₃ of the patient treatment files 71 and 72 in the patient initial file 61 and 62, respectively. As described above, in this embodiment, no matter what kind of insurance the patient subscribes to, the medical management fee at the time of hospitalization corresponding to the insurance is reliably automatically calculated. Note that it is not necessary to store all of the medical practice data read from the master file 5 in the patient medical treatment file 7 ; for example, names are not often used as data, so it is not necessary to store them. (F) Effect The automatic calculation method in the medical office calculator of the present invention can accurately calculate special medical fees that occur in conjunction with a specific medical treatment, regardless of the type of insurance, so the operation is easy. Not only is this simplified, but also erroneous calculations can be reliably prevented, and processing efficiency is therefore significantly improved.

[Brief explanation of drawings]

FIG. 1 is a block diagram showing the configuration of a medical office computer for explaining an embodiment of the present invention, and FIGS. 2 a, b, and c show the configurations of the master file, patient head office file, and patient treatment file. The explanatory diagram shown in FIG. 3 is a flowchart showing the processing contents of the processing section. Explanation of main drawing numbers, 1...Keyboard, 2...Display device, 4...File device, 5 ...Master file, 6
…Patient head file, 7 …Patient treatment file, 8
...Processing department.

Claims (1)

[Claims] 1. A master file that stores all medical practice data necessary for medical administrative processing, a patient head file that is created for each patient and stores patient-specific head data, and a patient treatment file that stores each patient's medical work data. A medical office computer comprising an input device, which inputs a medical treatment code from the input device, searches the master file for medical practice data corresponding to the medical treatment code, and stores the medical practice data in the patient medical file of the corresponding patient. Special medical practice data for each insurance corresponding to special medical fees generated in conjunction with medical practice is stored in the master file along with insurance identification data indicating the type of insurance, and the patient subscribes to the patient head office file. When entering a medical treatment code for the specific medical treatment, the special medical treatment data of the corresponding insurance is stored in the master file based on the insurance identification data in the patient head file. The special medical fee is automatically calculated by searching the special medical practice data from the patient and writing the special medical practice data into the patient medical file of the patient along with the medical practice data corresponding to the input specific medical code. An automatic calculation method for medical office calculators featuring: