JPH0332827B2 - - Google Patents

Description

[Detailed description of the invention]

<Technical Field of the Invention> The present invention relates to a counter accounting machine for simplifying counter operations at hospitals, clinics, etc., and is particularly applicable to general hospitals with multiple medical departments (internal medicine, pediatrics, surgery, etc.) depending on the medical institution. This type of counter accounting machine is designed to facilitate input operations at both hospitals and single-specialty hospitals. <Technical Background of the Invention> Conventional medical counter operations are based on each patient's medical record, and a medical office staff with specialized knowledge performs the work based on the calculated insurance points and the type of insurance used by the patient. Currently, the amount to be paid is calculated and each patient is billed for the cost. Therefore, those who perform such counter processing should be familiar with the drug price standards based on the Health Insurance Act, as the contents of the medical records mentioned above vary depending on the medical department, treatment content, medication details, etc. Due to the necessity, this processing work was extremely troublesome, and also required a great deal of effort to calculate the amount to be paid by each patient and to classify and tabulate each medical department. <Object of the Invention> Therefore, in view of the problems of the conventional counter operations as described above, the present invention aims to provide an accounting machine that can further simplify the counter operations. In other words, the first designation means for designating the medical department, and the
a second specifying means for specifying the type of outpatient visit, a selection means for selecting whether the patient's payment is self-pay or payment by insurance, and an input means for inputting the type if payment is by insurance. and,
A registration means for registering the patient's medical treatment details, a first storage means for storing burden rates of various insurances when the payment is by insurance, and a second storage means for storing the registered contents. We provide counter accounting machines that allow patients to register each patient's treatment details (medications, injections, holidays, night consultations, etc.) with simple key operations, as well as to determine whether payment for the treatment will be made at their own expense. Alternatively, it is possible to register whether payment is made by various insurances, and furthermore, the above-mentioned registered contents can be categorized and aggregated for each medical department (internal medicine, pediatrics, surgery, etc.). Furthermore, the counter accounting machine is designed so that the input operation of the counter accounting machine is convenient depending on the medical institution where it is used, that is, a hospital with multiple medical departments and a single department hospital.
To provide a counter accounting machine in which it is possible to set whether to force the pressing of an item key at the beginning of a registration operation or to make it non-forced. In other words, in medical institutions with multiple medical departments, there is a risk that the wrong department will be registered at the time of registration, so registration errors can be prevented by forcing the user to press the department key at the beginning of the transaction. Since account operations are not required in single-specialty hospitals, etc., it is possible to register without pressing the subject key at the beginning of a transaction (non-compulsory), and it has become a counter accounting machine that can be set to force or non-force these subject keys. It is something. <Embodiments of the Invention> The present invention will be described in detail below with reference to embodiments shown in the drawings. FIG. 1 is a diagram showing the external appearance of a counter accounting machine embodying the present invention. key 2 for inputting the subject (internal medicine, surgery, etc.); input means 3 for inputting the medical details of each patient and the type of insurance used to pay for the medical treatment; A display means 4 for checking the contents, etc., a printing means 5 for printing the registration details for each patient's medical treatment on a receipt and a journal, a storage means 6 for storing money etc. for storing each patient's medical fee, and a means for issuing receipts. Switch means 7 that can force a stop
and a person in charge key 8 for inputting the person in charge of operating the device. In the setting mode of the mode switch 1,
The compulsory/non-compulsory conditions for the subject key, the self-pay rate to be described later, and the PLU code information are set, and after this setting, the mode switch 1 is set to the registration mode and the registration operation is performed. FIG. 2 shows a specific configuration of the input means 3 in FIG. 1, including an instruction key 10 for instructing when payment for medical treatment is to be paid at one's own expense, and a no-out-of-pocket key where all expenses are paid by insurance or public funds. 11, a group of insurance type selection keys 12 in the case of insurance payment, a group of numerical keys 13 for inputting insurance points etc. for each medical treatment, a group of medical treatment instruction keys 14 for instructing each medical treatment, and a group of keys for receiving payments from each patient. It is made up of a group of function keys 15 for instructing etc. FIG. 3 is a diagram showing the block configuration of a counter accounting machine in which the present invention is implemented, and shows a keyboard section including a mode switch 1, subject keys 2, and input means 3 for inputting and instructing each patient's medical treatment details, insurance type, etc. 19
is connected to a central processing unit (hereinafter referred to as CPU) 21 via a key input control means 20. This CPU 21 includes a ROM 23 that stores a program for controlling registration for each patient via a memory control means 22, and a RAM 24 that stores in advance the burden rate for each insurance necessary for registration of each patient according to the program of this ROM 23. and a display means 2 that displays each registration progress etc. via a totalizing memory 25 that stores and totals each registration content and a display control means 26.
7 is connected. Further, a printing means 29 is connected to the CPU 21 via a printing control means 28. In addition, each medical department (
-) are provided with areas a to c for storing registered contents of each medical practice and areas d to j for storing registered data for each type of inpatient/outpatient and insurance. In addition, RAM24 has self-pay rate and PLU
A code information setting area is provided. The self-pay rate storage area of the RAM 24 shown in FIG. 3 stores the outpatient/inpatient co-pay rates for each type of insurance in advance, and is specifically configured as shown in the table below.

[Table] FIG. 4 is a diagram showing the operation flow of the counter accounting machine embodying the present invention, and the operation of the counter accounting machine of the present invention will be explained below according to this flowchart. First, before the registration operation using this device, the mode switch 1 of the device is set to the setting mode, and it is set whether to make the subject key mandatory or non-mandatory. This is a predetermined setting case, e.g. 4 digits or 5 digits.
When a predetermined digit code is input, the CPU 20 determines whether or not the subject key is forced from this input code.
If it is mandatory, set the subject key flag to "1", and if it is not mandatory, set it to "0". In addition to making the subject key compulsory/non-compulsory, input and set whether to make the key for each person in charge compulsory or non-compulsory, as well as data such as self-pay rate and PLU code information. After such setting operations, the mode switch 1 is set to the registration mode and various registration operations are performed. In this registration operation, the counter person first presses the corresponding person instruction key 8, and then presses the key input control means 2.
0 to the CPU 20 to indicate which person is responsible for the registration operation ( _N1 step). Then, the device determines whether the subject key is forced or not based on the status of the flag in _J1 , and if the current subject key is in the forced state, it enters a waiting state for inputting the next subject key. Based on each patient's medical record, the person in charge at the counter first inputs the subject in which the patient was treated from the subject input means 2 to the CPU 21 via the key input control means 20 (step _N2 ). I received instructions for this subject.
In accordance with this instruction, the CPU 21 stores the registration data that will be input thereafter in a predetermined storage area (~) of the tally memory 25 according to the program stored in the ROM 23. Next, the person in charge confirms whether the patient is an inpatient, and if so, the person in charge
Press the /Hospitalization key in 3 to instruct the CPU 21 that this registration is for an inpatient. On the other hand, if the subject key is set to non-forced, the process proceeds to step _N3 after the step _N1 . Next, the person in charge at the counter specifies the type of insurance used by the patient. At this time, if the copayment rate for that insurance is previously set in the RAM 24, the person in charge of the counter specifies the type of insurance used by the patient.
Press (Person, Family, National Health Insurance~), CPU21
reads out the corresponding burden rate stored in the RAM 24 and displays it on the display means 27 under the control of
Check its contents. On the other hand, if this burden rate has not been set in advance, the person in charge can enter the corresponding burden rate using the numerical key 13 and the insurance type key 12.
Input to CPU 21 (N ₄ , N ₅ steps). The burden rate for each insurance preset in the RAM 24 can be changed by pressing the insurance instruction key 12 at any time unless the device is set in the registration mode and the medical treatment details of each patient are being registered.
The configuration is such that the setting contents can be displayed and confirmed on the display means 27. The person in charge operates the device as described above and then registers the specific treatment details, but the person in charge may have already registered the details that they are about to enter.
Determine whether or not the drug has been set in advance in the PLU area of the RAM 24 (N ₆ steps), and if the drug is not set in the PLU area, the person in charge will numerically calculate the insurance points or amount corresponding to the drug, etc. Input means 1
Enter by step 3 (N ₇ steps). At this time, if the patient has been given multiple medicines or if the same medicine has been given multiple times, use the key and +/= key to register the details (N ₈ , ~N ₁₀ steps). Next, the person in charge presses one of the medical practice keys 14 to indicate which medical practice the data registered as described above is based on, and stores the registered contents in a predetermined area of the tally memory 25. Add and memorize (N ₁₁ steps). The above-mentioned series of registered contents are displayed on the display means 27 via the display control means 26, and are printed on the receipt by the printing means 29 via the print control means 28 as shown in FIG. 5A or B. On the other hand, if the content to be registered is preset in the PLU area, the person in charge uses the numerical key 13 to specify the code corresponding to the drug (step _N12 ), and then the drug is dispensed. (N ₁₃ step), and if so, the number of doses per day,
If it is necessary to manually input the number of doses, etc., press the manual instruction key (step _N14 ) and instruct the input of the above information in steps _N15 and _N16 . Once this input is completed, the person in charge will is the PLU key 1 to store the above registration data in each area based on the PLU code information specified above.
Press 6 (step _N17 ). Registration for one subject is completed as described above, but if the patient is receiving treatment in another subject, the person in charge presses another subject key again and repeats the series of operations described above. Repeat. When the series of registration operations is completed in this way, the person in charge presses the subtotal key to calculate the total of the registered contents up to that point. When this subtotal key is pressed, the CPU 21 operates based on the contents of the insurance type key 12 that was pressed earlier.
The corresponding burden rate of the self-pay rate stored in a predetermined area of the RAM 24 is read out, and calculation is performed between it and the total value of the registered data to calculate the burden amount for the patient and display it on the display means 27. , the printing means 29 prints on the receipt as shown in FIG. Next, the person in charge processes the payment for the treatment with the patient in steps _N19 and _N20 . <Effects of the Invention> As described above, according to the present invention, complicated and wide-ranging counter operations at medical institutions such as hospitals and clinics can be efficiently handled with simple key operations, and tallying after operations are completed is extremely easy. It is possible to provide a counter accounting machine that can do this. In addition, since it is possible to select whether or not to force the user to press the item key at the beginning of a transaction, the counter accounting machine is easy to use depending on the medical institution where it is used. be able to.

[Brief explanation of drawings]

FIG. 1 is an external view showing a counter accounting machine embodying the present invention, FIG. 2 is a plan view showing a specific configuration of the key input means 3, and FIG. 3 is a diagram showing a circuit block configuration embodying the present invention. , FIG. 4 is a flowchart showing the specific operation of the present invention, and FIG. 5 is a diagram showing an outline of a receipt issued from the teller accounting machine of the present invention. 3: Key input means, 12: Insurance type input key,
21: CPU, 23: ROM, 24: RAM, 2
5: tally memory, 27: display means, 29: printing means.

Claims (1)

[Claims] 1. A first designation means for specifying the medical department, a second designation means for specifying the type of inpatient/outpatient treatment, and a selection means for selecting whether the patient will be paid out of pocket or paid by insurance. , an input means for inputting the type of payment in the case of insurance payment, and a registration means for registering the patient's medical treatment details;
A counter accounting machine comprising a first storage means for storing burden rates of various insurances when the above payment is insurance, and a second storage means for storing the registered contents, wherein registration by the registration means is provided. A counter accounting machine characterized in that selection of whether or not to force the operation of the first specifying means prior to the operation can be set by an external input operation.