JPH05197733A - Information processing system for medical service system - Google Patents

Abstract

(57) [Summary] [Purpose] With regard to the information processing method in the medical office system, the purpose is to create a totalization file according to the totalization method according to the user's request, and to enable the user to set the item title of the printout form. And [Structure] A medical accounting information file 3'that stores information on medical care contents, a total file 3 having data storage items corresponding to medical departments, a total file creation means 1, and total files 3 for each medical content Point master file 2 that defines the special editing category that determines the items to be treated and the unit price of the medical treatment, correspondence table 4 that associates the items of the special editing category and the summary file 3, the score master file search unit 8, and the summary file search unit 9 And a totalization processing unit 10 that totals the medical contents of the medical accounting information file 3'and stores the totalized result in the totalization file 3, and the totalization data is stored in the items of the totalization file 3 corresponding to the special editing category. have.

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to an information processing system for aggregating the number of cases for each medical treatment category, the total amount of medical care, etc. in a medical office work system that processes medical office work by a computer.

In medical office work, it is necessary to prepare a medical treatment remuneration statement (receipt) on a monthly basis based on the medical treatment contents of each patient and to make an insurance claim. For this reason, in medical office work, a medical accounting system using a computer is used to input data on the medical care contents of a patient into the computer to create a receipt.

At each hospital, the number of cases for each day's medical care category, daily report on the total amount of medical care costs, the number of cases for each medical care category for one month, and the total medical care cost are used by using the data inputted by the computer. We make various forms such as monthly reports about the amount.

[0004]

2. Description of the Related Art FIG. 10 shows an information processing system in a conventional medical office system. In the figure, reference numeral 121 is a score master file, which is a file in which the type of drug, unit price (score), and the like are registered in advance based on the standard established by the Ministry of Health and Welfare. The code is the code of the record, and the abbreviation code is a code that represents medical treatment such as initial diagnosis and examination. The name is the name of the record (first visit, aspirin, etc.). Other points The master file stores medical treatment categories such as initial visits and return visits, unit prices (points), and the like.

Reference numeral 122 is a medical accounting information file,
It is composed of patient ID, medical record number, medical treatment date, medical treatment contents (type of medical action such as examination, treatment, name of drug used, amount used).

Reference numeral 123 is an input means for inputting a patient ID, a medical record number, a type of medical practice (hereinafter simply referred to as medical practice), medical treatment contents such as the name of a medicine used, and the like based on the medical record. is there.

Reference numeral 124 is a totaling file, which has a data storage area for each medical treatment category (item) such as initial examination and medication, and stores the number of cases for each item, the total amount of money, and the like. 125
Is a totaling file creating means, and based on the data in the medical accounting information file 122, the score master file 121
With reference to, the number of cases for each item, the total amount of money, etc. are calculated, and a total file is created. Reference numeral 130 denotes a score master file search means, which is a medical accounting information file 122.
Master file 1 based on the content of the
21 is retrieved, and the corresponding abbreviation code (medical act such as initial diagnosis and medication) and unit price are extracted. Reference numeral 131 denotes a totalized file search unit, which obtains the search result of the score master file search means 130 and stores the stored data of the totalized file 124 stored in the items of the medical treatment category (first visit, medication, etc.) corresponding to the abbreviation code. It is something to take out.

Reference numeral 132 is a totaling processing unit, for example, according to the medicine and the usage amount of the medical accounting information file 122 and the unit price extracted from the score master file 121.
In addition to calculating the billing amount, the total file search unit 13
The total data is created by adding to the data extracted from 1 and the total file is updated. Reference numeral 135 is an editing means, which prints out the data of the totalization file,
Editing is performed for displaying on the display. 1
An output unit 36 prints out or displays the editing result of the editing unit 135.

FIG. 11 shows a conventional daily report printout method, which is a conventional method of printing out a daily report such as the number of cases and the amount of money for each medical treatment category of a hospital. In the figure, reference numeral 141 is a daily report editing means for editing the daily report based on a total file (billing information file) 144. Reference numeral 142 is a fixed title area in which a title representing a medical treatment section fixedly determined by the program is developed. 143
Is a data expansion area, and is an area for expanding the number of items, the amount of money, etc. of the totalization file (billing information file) 144 corresponding to the title. Reference numeral 144 is a totaling file (billing information file), in which items are determined for each medical treatment category in the case of daily report editing, and the number of cases, total amount of money, etc. are stored, which is called a billing information file. .. 145
Is a printer for printing out the editing result of the daily report editing means 141. 146 is an example of a daily report printout form, which is composed of the number of cases in a day corresponding to a fixed title (first visit, revisit, etc.) of items, total medical expenses, and the like. When the daily report is edited on the display, it is displayed on the display based on the editing result of the data expansion area 143.

[0010]

[Problems to be Solved by the Invention] In the conventional method of creating the totalized file, the diagnosis area (abbreviation code) of the score master file is used.
According to the above, the data is totaled in the totalized file, but for example, it may be more convenient to make a total printout or display output without distinguishing medication and injection in office work.

In the conventional method of creating a totalization file, the totalization destination is fixed by the diagnosis area (abbreviation code) on the score master file, and it cannot be changed according to the actual operation of the hospital. ..

Further, the titles of the printout forms and the like of the totalized file are fixedly set according to the medical treatment category, and cannot be changed so that the user can easily see them. The present invention provides an information processing system in a medical system which allows a hospital to create a total file in accordance with each request and also allows a user to freely set a title on a printed output form and a display. The purpose is to

[0013]

According to the present invention, a user can freely change the totaling destination of the score master file by providing a special edit classification setting area in the score master file. In addition, the user can set the item title to output the counting result independently, and the calculation area is provided in the system management file that holds the management data of the counting file and print items, and the user sets the calculation formula. ， Allowed to freely process items.

FIG. 1 shows a basic configuration (1) of the present invention, showing a basic configuration of a portion for creating a totalization file in the present invention. In FIG. 1, 1 is a totaling file creating means, 2 is a score master file, which is a conventional score master file provided with a special edit classification setting area. The special editing category defines the item of the totaling destination of the totaling file that stores the totaling processing result, and is uniquely determined by the user in association with the item. A totaling file 3 stores the items, the number of cases corresponding to each, the total amount of money, and the like. Further, the totalization file 3 is provided with a calculation formula setting area 13 so that the user can set a calculation formula for an item and store the calculation result. Reference numeral 4 is a correspondence table, which is a table in which the items of the totalization file are associated with the special editing categories. Reference numeral 4'denotes a correspondence table creating means for registering a special editing section in the correspondence table 4 in association with a medical treatment section. 5
Is an input means and comprises a keyboard or the like. Reference numeral 6 denotes an output means, which comprises a printer, a display and the like. Reference numeral 7 denotes a special edit section setting section for setting the special edit section in the special edit section setting area of the score master file 2. Reference numeral 8 denotes a score master file search unit, which searches the score master file 2 by the name of the record and retrieves the special editing category, unit price (score), and the like. Reference numeral 9 denotes a totaling file search unit, which refers to the correspondence table 4 to find the items of the totaling file corresponding to the special edit classification of the search result of the score master file searching unit 8 and searches the totaling file 3 by the obtained items. , The data of the corresponding item is taken out. Reference numeral 10 denotes a totalization processing unit, which calculates the billing amount based on the unit price of the medicine used in the medical treatment accounting information file 3 ', for example, medicine used for medical treatment, amount used and score master file retrieval result, and special editing section The data is added to the data extracted from the tally file and the number of cases is totaled and the total amount of money is calculated. Then, the data of the totalization file 3 is written back to the extracted item and the totalization file 3 is updated. An arithmetic expression setting unit 11 sets the arithmetic expression input by the input means 5 in the arithmetic expression setting area of the calculation file of the tabulation file 3. Reference numeral 12 denotes an arithmetic processing unit, which calculates, for example, the sum of the special edit section setting area 01 (first consultation fee of column number 1) and the special edit section setting area 02 (revisit fee of column number 2) in the arithmetic expression setting area 13. Is to calculate the expression.

The operation of the configuration shown in FIG. 1 will be described later in the section "Operation". FIG. 2 shows the basic configuration (2) of the present invention, and shows the basic configuration of the portion for outputting the data of the aggregation file in the present invention.

In FIG. 2, the same numbers as those in FIG. 1 represent the same items. In the figure, 3 is a totalization file. The column number represents the number of the item storage area. Reference numeral 5 is an input means and 6 is an output means. Reference numeral 20 denotes a system management file, which is an item title setting area for defining the item titles of the summary file 3, a print order on the print form when printing the items, or a print order in which the user sets the display position order on the display. It has a serial number for managing the setting area 23 and their information. The serial number corresponds to the column number of the item in the summary file. Reference numeral 21 denotes a print item setting means for setting the item title input by the user in the item title setting area of the system management file 20. An item title setting area 22 is an area in which an item title is set. A print order setting area 23 is used to set a print order designated by the user. 23 '
Is an arithmetic expression setting area for setting an arithmetic expression related to an item. The example shown in the figure is an expression ((1) x 0.003) for calculating the consumption tax of the serial number 1 item (initial examination fee). ) Is set.

Reference numeral 24 is an editing means, which is a totalization file 3
Editing is performed to output the data. Two
Reference numeral 4'denotes a computing means for computing the computing equation set in the computing equation setting area 23 '. Reference numeral 25 denotes an editing area for expanding the item title of the system management file 20 and expanding the data of the totalization file 3 corresponding to the item title. Reference numeral 26 is an example of output, which is a printed output form or display.

[0018]

The operation of the basic configuration (1) of FIG. 1 will be described. In the special edit section registration mode, the user inputs the special edit section defined by the user in accordance with the screen instruction in association with the item of the totalization file 3 from the input means 5. As a result, the correspondence table creating means 4'registers the special editing section in the correspondence table in association with the correspondence of the items in the totalization file 3. For example, the special editing category “06” is associated with the item “injection” in the aggregation file (corresponding table 4 in the figure).
reference). On the other hand, in the special edit category setting mode, the special edit category is keyed in according to the instructions on the screen. For example, when summing up the aspirin tablets having the abbreviation code “medicine” in the score master file 2 to the item “injection” in the count file 3, the special edit section “06” (count file 3 Corresponding to the item “injection” in (see correspondence table 4).

Next, the operation of the basic configuration (1) in FIG. 1 will be described for the case where the name "aspirin lock" of the score master file 2 in the figure is totaled in the totalization file 3. "Aspirin tablet" input as data to be aggregated from the medical accounting information file 3'in the aggregate file creation mode
With respect to the points, the score master file search unit 8 searches the score master file 2 by the record name "aspirin lock", and obtains data such as the special edit classification setting area "06" and unit price. Then, the totalized file search unit 9 receives the search result of the score master file search unit 8 and receives the correspondence table 4
Seeing that the special edit classification setting area "06" corresponds to the "injection" of the medical care classification, the total file 3 is searched for in the item "injection", and data about "injection" is acquired.

On the other hand, the totalization processing unit 10 calculates the billed amount based on the usage amount of the "aspirin tablet" input from the medical accounting information file 3'and the unit price obtained from the search result of the score master file search unit 8. To do. Then, it is added to the amount of the item “injection” extracted from the totalization file 3 by the search of the totalization file search unit 9, and the number of cases is increased by one. Then, the addition result is stored in the item “injection” of the totalization file 3, and the totalization file 3 is updated.

Further, the arithmetic processing unit 12 obtains the sum (for example, the amount of money) of the data of the item for the first visit and the data of the item for the return visit according to the arithmetic expression set in the item for calculation, and stores the result in the item for calculation.

Next, the operation of the basic configuration (2) in FIG. 2 will be described. In the item title setting mode, the user inputs the item title uniquely determined by the user through the input means 5 according to the instruction on the screen.

The print item setting means 21 sets item titles in the item title setting area 22 of the system management file 20 in association with serial numbers. In addition, when the user changes the print order in the print form of the item or the display order in the display, the user can follow the on-screen instructions.
Enter the print order. The item title setting area 22 sets the printing order in the printing order setting area 23. Further, when the user processes the data of the serial number items by using the arithmetic expression, the user inputs the arithmetic expression according to the instruction on the screen.
Enter more. As a result, the print item setting means 21 sets the arithmetic expression input by the user in the arithmetic expression setting area 23 '.

When the total file 3 is printed or displayed on a disk, the editing means 24 prints the titles set in the item title setting area 22 under the control of serial numbers in accordance with the print items of the system management file 20. The data is expanded in the editing area 25 of the editing means 24 according to the order. For example, as shown in the figure, the "first examination fee" of serial number 01 of printing order 1 is expanded and set in the editing area of the editing means 24. Next, the title of printing order 2 (not shown) is set next to the title of "first examination fee" in the editing area 25. Similarly, item titles of rank 3 or lower are sequentially set in the editing area 25 in accordance with the rank. The item for which the print order 0 is set again is not output. In the illustrated example, since the serial number 05 has the printing order 0, it is not output, and the item title "medical injection fee" of the next serial number 06 is set next to the item title of the serial number 04. Similarly, all the item titles of the totalization file 3 are set according to the print order.

On the other hand, in the editing area 25 of the editing means 24,
The data of the item of the column number of the totalization file corresponding to the serial number of the item title set in the edit region is extracted and set in each region.

The output means 6 prints out or displays a disc according to the format edited by the editing means 24. For example, in the illustrated example, the printing order 1 is designated, and "first examination fee" is output as the item title at the top of the title. Further, the data corresponding to the initial examination fee of the totalization file 3 is output corresponding to the initial examination fee. Further, since the arithmetic expression is set in the arithmetic expression setting area of the serial number 01, the arithmetic result of the arithmetic means 24 'is output corresponding to the initial examination fee.

In addition, the injection of the column number 06 of the totalization file 3 stores the total of medication and injection in the explanation of the operation in FIG. Therefore, the user sets the item title “medical injection” in the serial number 06 of the system management file, the title “medical injection fee” is displayed as set, and the injection data of the column number 06 of the total file 3 is displayed. It is output corresponding to the title. Also,
Although not shown, since the item title of the serial number 06 of the system management file 20 corresponding to the medication of the column number 05 of the totalization file 3 is a space and the printing order is 0, it is not output. In addition, as the calculation item of the column number 25 of the totalization file, the addition result of the initial examination of the column number 01 and the re-examination (not shown) of the column number 02 is stored. Therefore, the user has set the "examination fee" in the item title setting area of the serial number 25 of the system management file. Therefore, the item title "examination fee" is displayed and the total of the first visit and the return visit of the summary file 3 is output in the corresponding area.

In the above description, the item title, the print order, and the arithmetic expression setting are described in the setting of the print item. However, according to the present invention, the item title and the data are arranged vertically or horizontally by designating them in the system management file. It is also possible to make settings.

[0029]

EXAMPLE FIG. 3 shows a structural example of the medical accounting system of the present invention. In the figure, 40 is a computer,
The arithmetic processing is performed based on each processing means of the system and each file data. Reference numeral 41 is a billing information file (totaling file 41 '), which is a totaling file for editing the daily report. An accounting card file (total file 42 ') 42 is a total file for editing the monthly report. 43 is a medical accounting information file, 44 is a score master file, 45 is a special editing classification setting means, 46 is a system management information file, 47 is a daily report creating means (totaling file 41 'creating means), and the medical accounting information file 43 The billing information file 41 (totaling file 41 ') is created from the data of the point master file 44 and the like. 48 is a monthly report creating means (total file 42 '
It is a creating means) and creates an accounting card file from data such as the medical accounting information file 43 and the score master file 44. Reference numeral 49 denotes an arithmetic means for performing arithmetic processing of an arithmetic expression set in the system management information file 46 as a print item. 50 is a correspondence table, 50 'is a correspondence table creating means, 51 is an editing means, 52 is a print item setting means, 53 is a printer, 54 is a display, and 55 is a keyboard.

Reference numeral 61 is a score master file search unit, 62 is an invoice information file search unit, 63 is a totalization processing unit, 64 is a four arithmetic operation unit, and 65 is an output form selection means, which distinguishes between outpatient and hospitalization. In addition to daily reports, admission, daily reports by department of internal medicine, surgery, etc., by type of daily surgery, by type of daily surgery, by type of health in addition to by type of surgery, each type of daily report is selected. It defines the output items.

In the above configuration, the operation of the daily report creating means 47 is the same as the basic configuration (1) in FIG. The method of creating the correspondence table 50 by the correspondence table creating means 50 'is also the same as in the case of the basic configuration (1) of FIG. further,
Point master file 4 by the special editing classification setting means 45
The method of setting the special editing division to 4 is also the same as the basic configuration (1) in FIG. The print item setting (item title, print order, calculation formula setting, etc.) in the system management file 46 by the print item setting means 52 is the same as the basic configuration (2) in FIG.

To create the accounting card file 42 (totaling file 42 ') by the monthly report creating means 48, the score master file is searched based on the information in the medical accounting information file 43, and the data is totaled based on the special editing category. This is the same as in the case of creating a daily report such as determining the destination.

The editing means 51 edits the data output of the billing information file 41 by the system management information file 46 and the billing information file 41 when the daily report is edited (basic configuration (2) in FIG. 2). Same as the operation of editing with the totals file and system management file).

When the monthly report is edited, the editing means 51 edits the data output of the accounting card file 42 by the system management information file 46 and the accounting card file 42 (the basic configuration of FIG. 2 ( Follow the operation of editing with the summary file and system management information file in 2).

FIG. 4 is a flow chart of a system configuration embodiment of the present invention. In the figure, 68 is a billing information file, 69
Is an accounting card file, 70 is a medical accounting information file,
71 is a score master file, 72 is a correspondence table, 73
Is a system management information file, and 74 is a creation mode selection, which represents a process of selecting a daily report creation mode, a monthly report creation mode, a special edit classification setting mode, and a correspondence table creation mode. 75 indicates that the daily report creation mode has been set. Reference numeral 76 indicates that the monthly report creation mode has been set. 7
7 indicates that the special edit section setting mode has been selected.
Reference numeral 78 indicates that the correspondence table creation mode has been set.

Reference numeral 79 is a billing information file creation process, 7
9'denotes an accounting card file creation process, 80 represents a special editing section setting process, and 81 represents a correspondence table creation process. Reference numeral 82 represents a form type selection process in the daily report creation mode. Reference numeral 83 represents a form type selection process in the monthly report creation mode. Reference numeral 84 represents a print item setting process in the daily report creation mode. Reference numeral 85 represents a print item setting process in the monthly report creation mode. Reference numeral 86 denotes a form output process.

The flow of the figure will be described. (1) When creating the correspondence table, the user selects the correspondence table creation mode 78 according to the menu screen.
Then, the user inputs the special editing category in association with the items of the totaling file (billing information file, accounting card file) and creates the correspondence table 72 (correspondence table creation 81).

(2) When setting the special editing category as the score master, the user selects the special editing category setting 80 according to the menu screen. Enter the special edit classification on the special edit classification setting screen in the score master file registration screen,
Set it in the point master file (special editing classification setting 8
0).

(3) When creating a daily report The user selects a creation mode on the menu screen (creation mode selection 74). Daily report creation mode 75 is selected,
Based on the medical association information file 70 and the score master file 71, the data aggregated for each special editing section is stored in the billing information file 68 (billing information file creation 79). Further, if necessary, the user sets an arithmetic expression in the billing information file 68.

Next, the user reports daily by type of report (outpatient / inpatient outpatient, outpatient / outpatient / inpatient / outpatient / individual / individual / individual / health, etc.). Select the type of. Further, as the print output method, output of horizontal line by line (horizontal line display) or vertical line display (vertical line display) is specified.

Further, the user inputs the item title to be printed, the print order thereof, and an arithmetic expression if necessary on the print item setting screen, and sets it in the system management information file 73. According to the printing items of the system management information file 73, the data of the billing information file 68 is output as a daily report to a printer, a display, etc. (form output 86).

(4) When creating a monthly report The user selects a creation mode from the menu screen (creation mode selection 74). Monthly report creation mode 76 is selected,
Based on the medical accounting information file 70 and the score master file 71, the data aggregated for each special editing category is stored in the accounting card file 69 (accounting card file creation 7
9 ').

Next, the user selects a form type (outpatient / inpatient-specific admission / exit, admission / exit-specific division, and admission / department-specific admission / department). Select the type of monthly report (by health, etc.). Further, as the print output method, output of horizontal line by line (horizontal line display) or vertical line display (vertical line display) is specified.

Further, the user inputs the item titles to be printed, the print order thereof, and an arithmetic expression if necessary on the print item setting screen, and sets them in the system management information file 73. A monthly report is output to a printer, a display, etc. according to the print items of the system management information file 73 (form output 86).

FIG. 5 shows the format of the score master file.
Figure (a) shows the structure of the record of the score master file of the present invention. In the figure, 90 is the code number of the record, 9
Reference numeral 1 is an abbreviation code, which is a code of an input key of a medical practice (inspection, treatment, etc.) set for a record.
Reference numeral 92 is a record name, 93 is a medical treatment section, 94 is a unit price (score), and 95 is a special editing section.

FIG. (B) shows an embodiment of the score master file. The figure is a record for an aspirin lock, and shows an example in which the special editing category "06" is set.

It is composed of a code, an abbreviation code, a name "aspirin lock", a unit price, a set special editing section "06", and the like. Hereinafter, a case where the daily report is edited will be described as an example.

FIG. 6 shows an embodiment of the correspondence table of the present invention. In the figure, reference numeral 100 is a correspondence table, and a diagnosis section is a medical treatment section. The total column indicates the items of the billing information file (totaling file) (the items in the billing information file are divided according to the medical treatment category).

Reference numeral 102 is a set value, which is a set value of the special editing category. The figure shows "01" in the first visit column and "0" in the return visit column.
This is an example in which "2" is set. The setting value “00” indicates that the column corresponding to the abbreviation code set in the record of the score master file is totaled. The four arithmetic operation columns to are areas used when arithmetically processing the data of the items of the billing information file, the arithmetic expressions are set in the respective columns, and the arithmetic results are stored in the respective columns. For example, in the case of calculating and storing the ratio of the total number of points (special editing classification setting value 24) of the data (injection) of the special editing classification setting value 06 in the four arithmetic operation field (special editing classification setting value 17), The calculation formula (6) / (24) is set in the calculation column. The result is stored in the four arithmetic operation columns.

Reference numeral 101 represents a billing information file (aggregation file). The total column of the correspondence table 100 corresponds to the item column (each has a column number) of the billing information file 101.

For example, the special edit classification 05 of the correspondence table 100 corresponds to the totaling column "medicine", and the totaling column "medicine" of the corresponding table corresponds to "medicine" (column number 05) of the item column of the billing information file 101. It means to do.

Therefore, for example, the data of the record for which “05” is set in the score master file is referred to the correspondence table 100 and is totaled in the medication column of the billing information file 101.

FIG. 7 shows an embodiment of correspondence between the system management file and the billing information file of the present invention. In the figure, 1
Reference numeral 01 is a billing information file (aggregation file), which is the same as that in FIG. A system information management file 105 manages records by serial numbers. Each record has an area for setting the item title, print order, and four arithmetic operations.

The item title and print order for each record can be set by the user, and the four arithmetic expressions are set by the user. For example, serial number 0 as shown
If the item title "Initial consultation fee" is set to 1, "Initial consultation fee" is output in the print form output and display, and the data of the corresponding item column of the column number of the billing information file 101 is taken out and printed or displayed. .. If the print order is specified, the item titles are arranged and output in the print order.

In addition, the arithmetic expression in the four arithmetic operation items of serial number 01,
For example, if (1) x 0.03 is set, the initial examination fee x 0.
The operation result of 03 is obtained. In addition, the serial number 17
If you set (1) + (2), the initial examination fee of serial number 01 and serial number 02
The result of addition of the re-examination fee is stored in the serial number 17.

FIG. 8 shows an embodiment of the system management file of the present invention. Figure (a) shows the structure of the system management file record (printed items). In the figure, the usage classification is a code indicating the field in which the record is used, such as daily report creation and medical accounting. The serial number is a number for managing records. The vertical direction is a print item setting area for vertical single line display, and the horizontal direction is a print item setting area for horizontal single line display. Title is print (display) set on the record
The title. The print order is designated and the print order is designated. Inserted rows is the number of inserted rows. The four arithmetic calculation formulas are areas for setting the four arithmetic formulas.

FIG. 6B shows a horizontal line display. Since the horizontal line display is designated, the editing means reads the horizontal print items of the system management file, extracts the records by serial numbers in the print order, and expands them in the edit area. Then, the data of the item of the billing information file corresponding to the serial number is taken out, and the data is expanded in the area corresponding to the item title. Then, as shown in the figure, the item titles “first visit”, “revisit”, ...
Display one line horizontally and print or display the data of the claim information file in the corresponding area.

FIG. 6C shows a vertical single column display. Since the vertical single-row display is designated in the editing means, the print items in the vertical direction of the system management file are read, the records are taken out by serial numbers in the order of printing, and are expanded in the editing area. Then, the data of the item of the billing information file corresponding to the serial number is taken out, and the data is expanded in the area corresponding to the item title. Then, as shown in the figure, the item titles “first visit”, “revisit”, ...
Display in one column vertically, and print or display the data of the billing information file in the corresponding area.

FIG. (C ') shows an example of the output form when there is no change in the printing order. If the print order is not specified, the items are printed or displayed in the order of serial numbers. Figure (d) shows an example in which the item titles are replaced by specifying the print order.

In the figure, when the printing order 2 is specified for the serial number 3 and the printing order 3 is specified for the serial number 2, the item titles set in the records of the serial numbers are printed or displayed. Figure (e) shows the case where the item title is specified as blank.

When "0" is set and set in the print order setting area of the system management file, the item title and the data of the corresponding billing information file are not printed or displayed but become a space.

FIG. 9 shows an example of the display screen of the present invention. Figure
(a) shows the registration screen to the point master file. Window display 110 (check information) on the score master file display screen when the special edit category setting mode is selected
Is done. Then, the window display 110 has a special edit section input area 111, which is displayed by the user placing the cursor on the special edit section setting area and inputting the special edit section. A special edit category is set for the record in the score master file.

In the figure, for the record "aspirin lock" of the score master file, the special editing category "0" for daily report editing is added.
6 ”is set. Figure (b) shows an example of the screen for specifying the type of form to be output when creating the daily report.

According to the present invention, in the daily report creation mode, different types of daily reports such as admission / exit and admission / external department can be printed out or displayed based on the created billing information file.

The figure shows a screen for specifying the type of print form in that case. As shown in the figure, the print form is designated by inputting the type of the print form in the print form setting area 112 by designating and inputting the number of the form type displayed on the screen. Further, there is a print direction designation area on the same screen, and the print direction is designated by inputting a number designating the print direction displayed on the screen.

FIG. 6C shows the print item setting screen in the print item setting mode. As shown in the figure, by inputting the item title defined by the user in the item title input area 114 corresponding to the item number (corresponding to the serial number in the system management file), the item title is set in the corresponding record of the system management file. To be done. A window display 115 is a screen for setting an arithmetic expression in the system management file. The window display 115 has an arithmetic expression input area 116, and the arithmetic expression is set in the four arithmetic expression setting area of the record corresponding to the item number for which the arithmetic expression is input.

[0067]

According to the present invention, the user can set the total number of cases, the amount of money, etc. for each medical care item, and the user can set the item title according to the total contents. Further, it is possible to perform arithmetic processing on the aggregated data. Therefore, according to the present invention, it is possible to freely edit the material, and it is possible to create a form edited with a title suitable for the content.

[Brief description of drawings]

FIG. 1 is a diagram showing a basic configuration (1) of the present invention.

FIG. 2 is a diagram showing a basic configuration (2) of the present invention.

FIG. 3 is a diagram showing an example of a system configuration of the present invention.

FIG. 4 is a diagram showing a flow of a system configuration embodiment of the present invention.

FIG. 5 is a diagram showing a format of a score master file of the present invention.

FIG. 6 is a diagram showing an example of a correspondence table of the present invention.

FIG. 7 is a diagram showing an example of correspondence between a system management file and a billing information file of the present invention.

FIG. 8 is a diagram showing an example of a system management file of the present invention.

FIG. 9 is a diagram showing an example of a display screen of the present invention.

FIG. 10 is a diagram showing an information processing method in a conventional medical office system.

FIG. 11 is a diagram showing a conventional daily report printout method.

[Explanation of symbols]

 1: Aggregation file creating means 2: Score master file 3: Aggregation file 4: Correspondence table 4 ': Correspondence table creating means 5: Input means 6: Output means 7: Special edit classification setting section 8: Score master file search section 9: Total file search unit 10: Total processing unit 11: Arithmetic formula setting unit 12: Arithmetic processing unit 13: Arithmetic formula setting area

Claims (7)

[Claims] 1. A medical accounting information file (3 ') for storing information on medical treatment contents for a patient and a data storage item corresponding to a medical treatment category in an information processing method in a medical office work system for processing medical accounting by a computer. The totalized file (3), the totalized file creating means (1) for creating totalized data to be stored in the totalized file (3), and the special edit classification and medical treatment that determine the items to be totaled in the totalized file (3) for each medical care content Master file of points with unit price (2)
And a correspondence table (4) in which the items of the special edit category and the totalization file (3) are associated with each other, and the totalization file creation means (1) searches the score master file (2) for the score master file search unit (8). ), A total file search unit (9) for searching the total file, and a total processing unit (10) for totaling the medical contents of the medical accounting information file (3 ') and storing the total result in the total file (3). The score master file search unit (8) searches the score master file (2) according to the medical care contents of the medical accounting information file (3 ') and sets the special edit category and the special edit category set in the score master file (2). Data is calculated, and the total file search unit (9) is the score master file search unit.
With regard to the special edit classification obtained in (8), the correspondence table (4) is referenced to find the corresponding item in the summary file (3), the data of the corresponding item in the summary file (3) is extracted, and the summary processing unit (10) ) Is the medical care information file (3 ') medical care contents and points Master file (2) above data and summary file
An information processing method in a medical office system, characterized in that aggregated data is obtained from the above data in (3) and stored in the item of the aggregated file (3) corresponding to the special editing category. 2. The system management file (20) according to claim 1, comprising a system management file (20) for managing a format for printing out or storing a display data of the summary file (3), wherein the system management file (20) is a summary file ( It is managed by the serial number corresponding to the item number of 3), and has an item title setting area (22) for setting the item title defined by the user for each serial number, and prints out or displays the item title set by the user. In addition, the information processing method in the medical office system is characterized in that the item data of the totalization file corresponding to each serial number is printed out or displayed in the area corresponding to each item title. 3. The system management file (20) according to claim 2, wherein the system management file (20) has a print order setting area (23) for determining the order of print output of item titles or display output, and the item title set by the user is designated. Information processing in a medical office system characterized by printing or displaying in order and displaying item data of the summary file corresponding to each serial number in the area corresponding to each item title method. 4. The totalization file (3) according to claim 1, wherein the totalization file (3) has a calculation area for calculating each item data, and the totalization file creating means (1) is set in the calculation area of the totalization file (3). Arithmetic processing unit (12) that computes arithmetic expressions
The information processing method in the medical office system is characterized in that the total file (3) is stored in the calculation result. 5. The system management file (20) according to claim 2 or 3, wherein the system management file (20) has a calculation area for calculating each item data, and the item data is processed according to a calculation formula set in the system management file (20). Computing means (24 ')
An information processing method in a medical office system, characterized by comprising: outputting a calculation result by printing or displaying on a display. 6. In claim 1, 2, 3, 4 and 5, the tabulation file (3) includes tabulated data for editing a daily report about the number of cases of medical treatment for one day and the amount charged, respectively. An information processing method in a medical office system, which is a billing information file to be stored in, and prints out or displays a daily report. 7. The aggregate file (3) according to claims 1, 2, 3, 4 and 5, wherein aggregate data for editing a monthly report on the number of medical care contents for one month and the billed amount is stored. Accounting card file to be stored in the item,
An information processing method in a medical office system, which is characterized by printing or outputting a monthly report.