JP4929642B2 - Medical office processing apparatus, method, and system - Google Patents

Description

  The present invention relates to a medical paper processing apparatus, a medical paper processing method, and a medical paper processing system.

  In recent years, medical institution systems have been introduced in order to automate the calculation (accounting process) of medical remuneration points. For example, if there are multiple medical practices for a patient, check for medical practices that cannot be calculated simultaneously, or install a function that allows each medical institution (user) to register and refer to the necessary contraindication checks. There has been proposed a medical paperwork system that can handle the above (see, for example, Patent Document 1).

Japanese Patent No. 3613261

  By the way, the calculation of the medical remuneration score in a medical institution is performed based on the health insurance law. The Health Insurance Law has been revised once every two years, and its contents have been changed significantly. Along with this, it is necessary to change the method of calculating the medical fee score.

  However, in the conventional system, when changing the method of calculating the medical remuneration score, it is necessary to change the program itself, and it is impossible to respond flexibly. In particular, the revision of the Health Insurance Law has a short period between notification and implementation, and it is a fact that it is necessary to secure a large number of human resources who are familiar with both the method of calculating medical fee points and programming. is there.

  Therefore, in the present invention, even when it is necessary to change the method for calculating the medical remuneration score, it is possible to respond flexibly and quickly without changing the program, medical office processing, It is an object to provide a method and a medical paperwork system.

As a means for solving the above problems, the present invention provides:
Medical office equipment,
A storage unit and a processing unit;
The storage unit
Accounting data that stores medical practice-related items , including score items and dates, consisting of the contents of medical practice or treatment,
An item addition process management master in which the medical practice-related items and other medical practice-related items that can be charged for medical fees simultaneously with the medical practice-related items are stored in association with each other;
The number of times limit processing management master in which the number of time limit items including the period and the number of times that the medical practice related item and medical fee related to the medical practice related item can be claimed are stored in association with each other;
Remember
The processor is
Based on the medical practice related item included in the accounting data, the item additional process management master is searched, and if the relevant medical practice related item is included, another medical practice stored in association with this medical practice related item is stored. Extract action-related items,
Add other extracted medical practice-related items to the accounting data,
Based on the medical practice related item included in the added accounting data, the number limit processing management master is searched, and if the corresponding medical practice related item is included, this medical practice related item and this medical practice related item are included. Extract the number of limit items stored in association with the item,
Based on the extracted medical practice-related items and the number-of-times-restricted items, it is configured to update the accounting data by determining whether or not the medical practice-related items corresponding to the accounting data within the period are equal to or greater than the number of times. is there.

With this configuration, it is possible to specify medical practice-related items that can be added based on medical practice-related items included in the accounting data simply by setting a combination of medical practice-related items that can be billed at the same time stored in the item addition process management master can do. Therefore, even if the Health Insurance Law is revised, it is possible to respond flexibly, easily and quickly without changing the program by changing the item addition processing management master. Become. In addition, it is possible to reliably cancel and erroneously charge cancellation items that cannot be left as items among the medical practice-related items included in the accounting data.

The storage unit further stores patient-related data including patient information, and the item addition processing management master adds the other medical practice-related items to the accounting data based on the patient-related data. additional condition data to determine whether the stored,
The processing unit can be added to the updated accounting data according to the additional condition data of the item additional processing management master based on each medical practice related item included in the updated accounting data and the patient related data. It is preferable to extract only medical practice related items.

  With this configuration, even by adding additional condition data to the item addition process management master, it is possible to easily perform condition setting when adding a medical practice related item.

The storage unit preferably stores, in the item addition process management master, insurance period data that allows a health insurance application period to be set.

  With this configuration, it is possible to reliably prevent processing that is outside the application period of the revised health insurance law.

The storage unit further stores an item cancellation processing management master including a cancellation item including a period that cannot be charged at the same time when the medical practice related item is included in the accounting data,
The processing unit further includes:
Based on the medical practice related items in the current accounting data, by referring to the item cancellation processing management master, and extracted with medical practice related items that match, and a cancel items associated with the medical practice See also ,
Based on the medical practice related items and cancel items and the extraction, it is preferable to determine whether there is a medical practice related items corresponding to the accounting data in the period.

  With this configuration, it is possible to surely prevent duplicate billing for the number-of-times-restricted items that are limited in addition among the medical practice-related items included in the accounting data.

The storage unit stores a display segment for setting a display mode of each medical care action related items each master data,
A display unit for displaying current accounting data;
Wherein the processing unit is further based on the medical practice related items in the current accounting data, preferably it intends line display control to display on the display unit in accordance with the display segment stored in the storage unit.
The processing unit preferably performs color-coded display on the display unit according to the display category stored in the storage unit.

The storage unit stores a plurality of categories having different priorities as display categories,
Wherein the processing unit, when in medical practice See also has a plurality of display segment, other than the highest display segment priority and cancellation process, the highest display section of priority, it is preferable to be displayed on the display unit .

  With this configuration, it is possible to visually confirm the state after each processing.

Wherein the storage unit, due to medical practice See also has a plurality of display segment, when the cancellation process other than the high display segment priority, it is preferable to store the input history table that revocation contents are stored.

  With this configuration, it is possible to confirm the processing contents later.

Further, the present invention provides a means for solving the above-described problems,
Medical paperwork system
A computer having storage means for storing medical chart data;
Create accounting data including medical practice related items based on the medical record data, and add the accounting data, the medical practice related items, and items including items that can request medical fees simultaneously with the medical practice related items Based on each medical practice related item included in the accounting data and a storage unit that stores the process management master, the medical practice related items that can be added to the accounting data are extracted from the item additional process management master and extracted. A medical office processing apparatus comprising a processing unit for adding the medical practice-related items to the accounting data;
Is a network connection.

  According to the present invention, since it is possible to extract the medical practice related items to be added by the master data based on the medical practice related items included in the accounting data, it is stored in the master data for the revision of the Health Insurance Act. By changing the data contents, it is possible to deal with it flexibly, easily and quickly.

  Embodiments according to the present invention will be described below with reference to the accompanying drawings.

A. Configuration FIG. 1 is a block diagram showing an outline of a medical paperwork system according to this embodiment. In this system, a medical office processing apparatus 1, a host computer 2, a reception terminal, and the like are connected to each other via a network.

  The medical paperwork apparatus 1 includes a processing unit 4, a storage unit 5, and a display unit 6.

  The processing unit 4 includes an item addition processing unit 7, a frequency limit processing unit 8, an item cancellation processing unit 9, and a screen display processing unit 10. The item addition processing unit 7 executes item addition processing based on patient information data, medical institution information data, and master data. The number limiting process unit 8 executes the number limiting process with reference to the patient information data and the medical institution information data as necessary based on the accounting data after the item addition process is completed. The item cancellation processing unit 9 executes item cancellation processing for canceling items for which medical fees cannot be charged for the current accounting data based on the accounting data. The screen display processing unit 10 executes screen display processing for setting a display form on the display unit 6 according to the difference in items included in the accounting data.

  The storage unit 5 stores patient information data, accounting data, medical institution information data, master data, and the like.

  Patient information data (see FIG. 11 etc.) is composed of age and medical plan classification. The medical treatment plan category indicates a medical practice and processing contents for a patient.

  The accounting data (see FIG. 11 etc.) is composed of a date, a score classification, and a score item. The date and time when the examination was received is stored in the date (in FIG. 11, the time is not displayed but exists as data). The score classification stores the contents of medical practice or treatment. In the score item, detailed contents of medical practice and treatment are stored. However, in reality, a receipt computer code (sickness name code) is used. The medical institution information data is composed of a consultation time section and a prescription section.

  The master data includes an item addition process management master, a number limit process management master, an item cancellation process management master, additional condition data, patient information data, medical institution information data, additional data to accounting data, and the like.

  As shown in FIG. 2, the item addition process management master includes registration management items, condition items, and calculation items.

  The registration management item includes an additional condition action code, an additional condition receipt computer item, an employment start date, an employment end date, and a registration number. The registration management item is used to further narrow down the corresponding code after referring to the accounting data and narrowing down records according to condition items described later. The additional condition action code is a code number of various actions (medical action, treatment, etc.) to which an item is added, and consists of three digits. The additional condition receipt computer item is a code number unique to the name of the disease that is the subject of the various actions, and a receipt computer code consisting of 9 digits is used. The hiring start date is the date of enforcement of the revised health insurance law, and the hiring end date is the expiration date. The registration number is an arbitrary number (serial number) set for each user.

  The condition items are composed of various conditions for adding items to the accounting data, such as age lower limit, age upper limit, overtime division, out-of-hospital prescription division, and treatment plan division. The condition item is used for referring to medical institution information and patient information and narrowing down corresponding records. For example, “0: Within time”, “1: Out of time”, “2: Holiday”, “3: Late night”, “A: Other than within time”, “*: All categories” Selectable. The out-of-hospital prescription category can be selected from “0: in-hospital prescription”, “1: out-of-hospital prescription”, and “*: all categories”.

  The calculation item includes a data type, an additional action code, an additional receipt computer item, and an additional display category. The calculation item is an item to be added to the accounting data when a record is specified by the registration management item and the condition item. Data types include “0: medical practice”, “1: insurance material”, and “2: pharmaceuticals”. The additional action code can be selected from, for example, “MST: medical practice master reference”, “ORG: calculation condition reference (existing group)”, and “NEW: calculation condition reference (new group)”. The additional receipt computer item is, for example, a receipt computer code (injury name code) of an item that can be added if the registration management item is included in the accounting data. In addition, for example, the display form on the display unit 6 is set as the additional display category, and can be selected from “2: Cancel display”, “3: Calculation display”, and “NULL: Conventional color (black or red)”. It is.

  As shown in FIG. 3, the number limit process management master is composed of registration management items and condition items. The registration management item includes a deletion target action code, a deletion target receipt computer item, a recruitment start date, a recruitment end date, and a processing type. The hiring start date and hiring end date are the same as those in the item addition process management master, and the deletion target action code and the deletion target receipt computer item are different depending on whether they are addition target items or deletion target items. Only. The processing type can be selected from, for example, “320: restriction display category (month)”, “350: restriction display category (day)”, and “370: restriction display category (hour)”. The processing type is used to determine the period when limiting the number of charges for medical fees. The condition items consist of a limited number of times and an accounting indication category. The limited number of times is the number of times that a medical fee can be charged within the period set by the processing type. For example, “0: Delete automatically added”, “1: Hide”, “2: Cancel display”, “3: Calculation display”, “NULL: Conventional color (black or red)” Is possible.

  As shown in FIG. 4, the item cancellation process management master includes registration management items and condition items as in the case of the number limit process management master.

  The additional data is composed of a score category, a score item, and a display category. The display category means a display form when displaying the contents of the accounting data, that is, the accounting screen or the like on the display unit 6.

  The display unit 6 displays an accounting screen showing the contents of accounting data obtained as a result of each processing described later. The accounting screen is composed of a score category, a score item, and a score.

  The host computer 2 stores prescription data (contents described in the prescription), and transmits / receives necessary data to / from the medical paperwork apparatus 1 and the reception terminal. However, it can be configured by another computer such as a server in place of the host computer, and a horizontal distributed system can also be employed.

  The reception terminal 3 inputs patient information (name, address, gender, age, etc.), interview contents, etc., and transmits the input data to the host computer 2 and the medical paper processing apparatus 1, and is necessary from these. Receive data.

B. Next, the outline of the processing contents in the medical paperwork processing system will be described with reference to FIG.

  In this system, chart data is read from a host computer to obtain accounting data (current medical data). Based on the patient information data, accounting data (past history data), and medical institution information data read from the storage unit 5 by the item addition processing unit 7, the number of times limiting processing unit 8, and the item cancellation processing unit 9, the accounting data An item addition process, a frequency limit process, and an item cancellation process are executed for (current medical data). Subsequently, the screen display processing unit 10 executes a counting process based on newly obtained accounting data to obtain patient billing data. Also, edit processing is executed to obtain receipt data. Further, screen display processing is executed. On the accounting screen, the result of the display process based on the patient billing data and the result of the screen display process are displayed.

  Hereinafter, the processing contents of the respective processing units 4 which are characteristic portions of the present invention, that is, (1) item addition processing, (2) number of times limiting processing, (3) item cancellation processing, and (4) screen display processing Will be described in detail. In addition, each following process is performed in the said description order based on the chart data of the same date for every patient.

  (1) In the item addition process, as shown in the flowchart of FIG. 6, first, patient information data and medical institution information data are read (step S1). That is, the age and the treatment plan classification are read as patient information data. In addition, the examination time division and the prescription division are read as medical institution information data. Subsequently, accounting data (current medical treatment) is read (step S2). That is, as the accounting data, the reception date and time, the point classification and the point item (Recey computer code) are read. However, when a plurality of items are included in the accounting data, they are sequentially read one by one. Patient information data, medical institution information data, and accounting data are all automatically created by extracting each item from the chart data.

  Next, the transaction data read in step S2 is collated with the item addition process management master shown in FIG. 2 (step S3). Then, it is determined whether or not any data included in the master data exists in the accounting data (step S4). This determination is made based on whether there is a matching receipt computer code. If there is a matching receipt computer code, it is determined whether or not the patient information data and medical institution information data read in step S1 satisfy the conditions set in the patient information data column and medical institution information data column of the master data. To do. If any of the conditions is satisfied, an accounting data update process described later is performed on the condition that the additional data is not already included in the accounting data (step S5).

  When the accounting data is composed of a plurality of items, the processing of steps S1 to S5 is repeated for all items (step S6).

(Specific example 1)
In the example of FIG. 11, in step S1, patient information data (five years old, normal medical care) and medical institution information data (inside the prescription time / in-hospital prescription) are read, and in step S2, the current accounting data (re-examination) Loading, medication, rehabilitation). In steps S3 and S4, the item addition process management master is referred to and it is searched whether the corresponding data exists. As a result, “revisit fee (infant addition)” for “revisit” and “dispensing fee” and “prescription fee” for “medicine” are extracted from the medical practice related items included in the accounting data. Therefore, in step S5, the extracted data is added to the accounting data to obtain new accounting data shown in FIG.

(Specific example 2)
In the example of FIG. 15, in step S1, patient information data (20 years old / normal medical care) and medical institution information data (inside the prescription time / in-hospital prescription) are read. In step S2, the current accounting data ( Read reexamination / reexamination fee, inspection / creatine, etc.). In step S3, the item addition process management master is referred to. In step S4, it is determined whether or not an item included in the transaction data exists, and “examination / creatine” is specified as an additional condition item. . In the item addition process management master, an additional item “examination / biochemistry (I) judgment fee” is set for the additional condition item “examination / creatine”. Further, this additional item is not included in the accounting data. Therefore, in step S5, the additional item “Inspection / Biochemistry (I) Judgment Fee” is added to the accounting data by accounting data update processing (specifically, according to the setting of the display category as the calculation item in the accounting data). Items are added in black.)

  As described above, according to the item addition process, it is possible to reliably prevent a medical fee to be charged from being leaked.

  (2) In the number limiting process, as shown in the flowchart of FIG. 7, the accounting data (current medical treatment) is read (step S11), and is matched with the number limiting process management master shown in FIG. 3 (step S12). In this case, in the master data to be collated, a frequency limit condition is set for each medical action or treatment (cancellation target) for which the calculation frequency is limited. Therefore, it is determined whether or not the item (receipt computer code) of the accounting data (current medical treatment) matches the number limit target included in the master data (step S13). If they match, the transaction data processed within the period set by the number of times limiting condition is searched (step S14). If the corresponding accounting data exists as a result of the search (step S15), an accounting data update process is executed (step S16). When the current accounting data is composed of a plurality of items, the processing in steps S11 to S16 is repeated for all items in the same manner as the item addition processing (step S17).

  In the above-mentioned number limiting process, the master data is composed of the cancellation target and the cancellation condition, but it is also possible to include patient information data and medical institution information data. For example, for a specific action such as rehabilitation, the number limiting process may be executed under separately set conditions.

(Specific example 1)
In the example of FIG. 12, the medical practice related item included in the new accounting data obtained by the item addition process is read in the step S11. Then, in step S12, the read accounting data and the number limit processing management master are matched, and in step S13, it is determined whether or not there is matching data, and items (medication / dispensing fee, medication / prescription fee) are determined. ). Further, in step S14, the current accounting data is searched according to the restriction range (simultaneous examination amount) of the items (medication / dispensing fee, medication / prescription fee). As a result, in step S15, the same items (medication / dispensing fee, medication / prescription fee) for simultaneous examination are obtained. Therefore, in step S16, the same item (medication / dispensing fee, medication / prescription fee) is deleted from the accounting data. That is, for the dispensing fee and the prescription fee, the number of billing is limited to one according to the number-of-times restriction management master, so that one of the display categories is converted to data deletion (0: automatic addition deletion).

(Specific example 2)
In the example of FIG. 16, the items (examination / biochemistry (I) judgment fee, examination / biochemistry (II) judgment fee, examination / venous blood sampling fee) are specified in step S13. In step S14, it is searched whether there is another item that satisfies the restriction range. In step S15, an item that satisfies the condition, that is, the condition of the restriction range (for the same month examination) is accounted for. Extract only items that have the same items in the data (test / biochemistry (II) judgment fee). As a result, in step S16, the display category of the item (inspection / biochemistry (II) judgment fee) is converted to “cancel / hide” (specifically, according to the display category setting “cancel / hide”). , (Do not take the inspection / biochemistry (II) judgment fee) and hide the item (record).)

  Thus, according to the number-of-times restriction process, it is possible to reliably prevent erroneous charges exceeding the number of charges for a medical practice or the like for which the number of charges within a certain period is determined. Also, for example, by setting the display category in the calculation limit count parameter to “Cancel / Hide” or “Cancel / Red Display” for each item, it is possible to determine which processing caused the canceled item. It can be confirmed later.

  (3) In the item canceling process, as shown in the flowchart of FIG. 8, the accounting data (current medical treatment) is read (step S21) and matched with the item canceling process management master (step S22), as in the number-of-times limiting process. It is determined whether the item of accounting data is included in the master data (step S23). If the item of accounting data is included in the master data, the accounting data within the period set in the master data is searched (step S24). That is, the item (cancellation condition item) that is the cancellation condition set for the item of the current accounting data (cancellation target item) included in the master data exists in the accounting data within the period set as the cancellation condition Search whether or not to do. If the cancellation condition item exists in the accounting data (step S25), the accounting data update process is executed (step S26). When the current accounting data is composed of a plurality of items, the processes in steps S21 to S26 are repeated for all items in the same manner as the item addition process and the number of times limit process (step S27).

(Specific example 1)
In the example of FIG. 13, new accounting data obtained by the number limiting process is read in step S21, and the item cancellation process management master is matched in step S22. In step S23, it is determined whether or not the item of the new accounting data is included in the item cancellation processing management master, and an item (rehabilitation / physical therapy (IV)) is obtained. Subsequently, in step S24, based on the obtained item (rehabilitation / physical therapy (IV)), the accounting data is searched according to the cancellation condition such as the processing type (within the same month ). As a result, since the corresponding item (guidance / chronic pain disease management fee) is extracted from the accounting data in step S25, the display classification of the extracted item is converted to “cancel / red display” in step S26 ( Specifically, the display is red and no points are added.)

(Specific example 2)
In the example of FIG. 17, since items (test / PSA precision measurement, test / venous blood collection fee) are obtained in step S23, accounting data is searched according to the cancellation condition in step S24, and the corresponding item is determined in step S25. (Guidance / malignant tumor treatment management fee) is extracted. In step S26, the display classification of the item (guidance / malignant tumor treatment management fee) is converted to “cancel / red display”.

  In the accounting data update process in the number limiting process and the item cancellation process, as shown in the flowchart of FIG. 9, first, the accounting data display classification read in the pre-processing and the master data of the current process are set. The current display category is read (step S31). In the number limiting process, as a result of the item addition process, the display classification of the medical practice related items in the obtained accounting data and the changed display classification are read by the number limiting process management master. In the item cancellation process, the display category of the medical practice related item in the accounting data obtained as a result of the number limiting process and the display category after the change by the item cancellation processing management master are read.

  Then, the priority of both display categories is compared for the same score category, and it is determined whether or not the priority of the display category of the accounting data is lower than the display category set in the master data (step S32).

The priority is determined according to FIG. In other words, the calculation categories are set to have a higher priority in the order of “delete”, “cancel”, and “calculation”. In the same calculation category “cancel”, the priority is set higher in the order of “1: non-display”, “2: cancel display (set color)”, and “4: cancel display (basic color: red)”. In addition, the priority is set in the order of “restriction display”, “cancel display”, and “additional display”, and the priority is set higher in the order of the longer period in each processing category. . In the restriction display, the priority is set in the order of “All”, “Year”, “June” ..., and in the cancellation display, the priority is set in the order of “Month”, “Day”, “Hour”, “Ban”. ing.
Specifically, the priority is determined as follows. When “Restriction display (hours)” is “0: Delete data”, if the calculation category of other conditions is “Cancel” or “Calculation”, “0: Delete data” in “Restriction display (hours)” Becomes the highest priority, and data update described later is performed.

  If it is determined that the priority of the accounting data display category is high (step S32: NO), the accounting data display category is used as it is. On the other hand, if it is determined that the priority of the display classification of the accounting data is low (step S32: YES), the display classification of the accounting data is updated according to the display classification of the master data (step S33).

  (4) In the screen display processing, as shown in the flowchart of FIG. 10, the current accounting data finally obtained as a result of each processing is read (step S41), and the display unit is displayed according to the display category included in the accounting data. The item name and the like are displayed in a corresponding form on the accounting screen displayed in step 6 (step S42). In this way, by displaying in different colors according to the “calculation / cancellation” of the score item, if you look at the display color of the calculation result (accounting data), under what conditions the accounting data was added or canceled Can be confirmed.

  As described above, desired accounting data is obtained by executing each of the above processes. When the health insurance law is revised, each master data is changed as follows.

  First, an employment start date and an employment end date are set for the revised health insurance law. This makes it possible to specify master data to be used from the built-in clock of the medical office processing device and the set period when executing the processes.

  Subsequently, for the changed content, data is added to, changed, or deleted from the corresponding master data. For example, when adding, changing, or deleting other items based on a certain medical practice-related item included in the accounting data, one corresponding record is added, changed, or changed to the item addition process management master shown in FIG. Just delete it. When adding or changing an item, it is preferable that the input of each field constituting the record is displayed in a list so that it can be selected. For the number limit item, it is only necessary to add, change, delete, etc., the corresponding record in the number limit process management master shown in FIG. For the cancellation item, it is only necessary to add, change, delete, etc., the corresponding record in the item cancellation processing management master shown in FIG.

  In addition, as described above, it is possible to easily cope with adding, changing, or deleting data to the master data without changing the program (or the minimum necessary change). Separately, there is a unique welfare countermeasure system, etc. Even if the treatment of medical fee reimbursement processing varies depending on the department, simply adding, changing, and deleting data (records) in the master data makes it flexible and easy. Can deal with.

It is a block diagram which shows the outline of the medical paperwork system which concerns on this embodiment. It is a chart which shows the structure of the item addition process management master memorize | stored in the memory | storage part of the medical paper processing apparatus of FIG. It is a chart which shows the structure memorize | stored in the memory | storage part of the medical paperwork apparatus of FIG. It is a chart which shows the structure memorize | stored in the memory | storage part of the medical paperwork apparatus of FIG. It is a block diagram which shows the outline of the processing content in the medical paperwork system which concerns on this embodiment. It is a flowchart figure which shows the item addition process performed with the process part of the medical paperwork apparatus of FIG. It is a flowchart figure which shows the frequency limit process performed in the process part of the medical paperwork apparatus of FIG. It is a flowchart figure which shows the item deletion process performed in the process part of the medical paperwork apparatus of FIG. It is a flowchart figure which shows the accounting data update process shown in FIG. 6 thru | or FIG. It is a flowchart figure which shows the image display process performed with the process part of the medical paper processing apparatus of FIG. It is a data flow figure which shows the specific example (1) of the item addition process of FIG. FIG. 8 is a data flow diagram showing a specific example (1) of the number limiting process of FIG. 7. It is a data flow figure which shows the specific example (1) of the item cancellation process of FIG. It is a data flow figure which shows the specific example (1) of the image display process of FIG. It is a data flow figure which shows the specific example (2) of the item addition process of FIG. FIG. 8 is a data flow diagram showing a specific example (2) of the number limiting process in FIG. 7. FIG. 9 is a data flow diagram showing a specific example (2) of the item cancellation processing of FIG. 8. It is a data flow figure which shows the specific example (2) of the image display process of FIG. 10 is a chart for determining the priority of the accounting data update process shown in FIGS.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 ... Medical office processing apparatus 2 ... Host computer 3 ... Reception terminal 4 ... Processing part 5 ... Memory | storage part 6 ... Display part 7 ... Item addition process part 8 ... Time limit process part 9 ... Item cancellation process part 10 ... Screen display process Part

Claims (11)

A storage unit and a processing unit;
The storage unit
Accounting data that stores medical practice-related items , including score items and dates, consisting of the contents of medical practice or treatment,
An item addition process management master in which the medical practice-related items and other medical practice-related items that can be charged for medical fees simultaneously with the medical practice-related items are stored in association with each other;
The number of times limit processing management master in which the number of time limit items including the period and the number of times that the medical practice related item and medical fee related to the medical practice related item can be claimed are stored in association with each other;
Remember
The processor is
Based on the medical practice related item included in the accounting data, the item additional process management master is searched, and if the relevant medical practice related item is included, another medical practice stored in association with this medical practice related item is stored. Extract action-related items,
Add other extracted medical practice-related items to the accounting data,
Based on the medical practice related item included in the added accounting data, the number limit processing management master is searched, and if the corresponding medical practice related item is included, this medical practice related item and this medical practice related item are included. Extract the number of limit items stored in association with the item,
Based on the extracted medical practice-related item and the number-of-times-restricted item, it is determined whether or not the medical practice-related item corresponding to the accounting data within the period is greater than or equal to the number of times, and the accounting data is updated Medical office equipment. The storage unit further stores patient-related data including patient information, and the item addition processing management master adds the other medical practice-related items to the accounting data based on the patient-related data. Additional condition data to determine whether or not
The processing unit can be added to the updated accounting data according to the additional condition data of the item additional processing management master based on each medical practice related item included in the updated accounting data and the patient related data. The medical paperwork processing apparatus according to claim 1, wherein only the medical practice related items are extracted.   The medical processing apparatus according to claim 1, wherein the storage unit stores, in the item addition process management master, insurance period data that allows a health insurance application period to be set. The storage unit further stores an item cancellation processing management master including a cancellation item including a period that cannot be charged at the same time when the medical practice related item is included in the accounting data,
The processing unit further includes:
Based on each medical practice related item included in the current accounting data, by referring to the item cancellation processing management master, a matching medical practice related item and a canceled item associated with this medical practice related item are extracted. ,
4. It is determined whether there is a medical practice related item corresponding to the accounting data within the period based on the extracted medical practice related item and cancellation item. The medical paperwork apparatus described in 1. The storage unit stores a display category for setting a display form of each medical practice related item in each master data,
A display unit for displaying current accounting data;
The said processing part further performs display control to display on the said display part according to the display classification memorize | stored in the said memory | storage part based on each medical practice related item contained in the present accounting data. The medical paperwork apparatus of any one of thru | or 4.   The medical processing apparatus according to claim 5, wherein the processing unit performs color-coded display on the display unit according to a display category stored in the storage unit. The storage unit stores a plurality of categories having different priorities as display categories,
When a certain medical practice related item has a plurality of display categories, the processing unit cancels processing other than the display category with the highest priority, and causes the display unit to display the display category with the highest priority. The medical paperwork processing apparatus according to claim 5 or 6.   Since the medical treatment-related item has a plurality of display categories, the storage unit stores an input history table in which the details of the cancellation are stored when canceling other than the high priority category. The medical paperwork processing apparatus according to claim 7. A medical paperwork method performed by a processing unit of a medical paperwork device,
Based on each medical practice-related item consisting of medical practice or treatment content included in the accounting data, the medical practice-related item and other medical practice-related items capable of requesting medical fees simultaneously with this medical practice-related item are provided. Extracting a medical practice related item that can be added to the accounting data from the item addition processing management master;
Adding the extracted medical practice-related items to the accounting data;
Based on each medical practice-related item included in the added accounting data, refer to the number-of-times restriction process management master including the number-of-times restriction item including the period and number of times that the medical practice-related item can be claimed, and the medical practice that matches Extracting a related item and a frequency limit item associated with the medical practice related item;
Determining whether there are more than the number of medical practice related items corresponding to the accounting data within the period; and
A medical paperwork method characterized by: Based on each medical practice-related item included in the accounting data, refer to the item cancellation processing management master with a cancellation item including a period that cannot be billed simultaneously when the medical practice-related item is included in the accounting data; Extracting matching medical practice related items and cancellation items associated with the medical practice related items;
Determining whether there is a medical practice related item corresponding to the accounting data within the period; and
The medical paperwork processing method according to claim 9, further comprising: A computer having storage means for storing medical chart data;
Create accounting data including medical practice related items based on the medical record data, and add the accounting data, the medical practice related items, and items including items that can request medical fees simultaneously with the medical practice related items Based on each medical practice related item included in the accounting data and a storage unit that stores the process management master, the medical practice related items that can be added to the accounting data are extracted from the item additional process management master and extracted. A medical office processing apparatus comprising a processing unit for adding the medical practice-related items to the accounting data;
A medical office processing system characterized by being connected to a network.

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