JP2016014932A - Medicine registration device and program - Google Patents

Abstract

PROBLEM TO BE SOLVED: To provide a medicine registration device and program that determine whether a medicine is billable, and can register the medicine as the billable medicine even when it is determined that the medicine is not billable.SOLUTION: A medicine registration device comprises: first input means; reading means; determination means; second input means; registration means; and output means. The first input means is configured to receive an input of identification information capable of identifying a medicine, and the reading means is configured to read information on the medicine having the identification information whose input is received from a storage unit storing information on the medicine including billable or non-billable information. The determination means is configured to determine whether information indicative of non-acceptance of billing is registered in the billable or non-billable information, and the second input means is configured to receive an input of whether to register the information indicative of the non-acceptance of billing as a medicine targeted for billing even when the information indicative of the non-acceptance of billing is registered therein. The registration means is configured to register the information on the medicine, and the output means is configured to output the information on the medicine registered by the registration means.

Description

  Embodiments described herein relate generally to a drug registration apparatus and a program.

  2. Description of the Related Art In recent years, drug registration devices have been used in order to record drugs used and amounts used in medical settings such as operating rooms and emergency treatments. The drug registration device reads a drug code from a code symbol attached to the drug, and reads drug information such as a drug name, a standard, and a capacity corresponding to the drug code from a drug database provided in the hospital. Then, the medicine registration device registers this as a used medicine record and outputs a slip. The slip in which the record of the medicine used is written is sent to the medical accounting department after the operation, and the medical accounting department charges the patient and the health insurance association for the price of the medicine based on the record.

  However, there are drugs that cannot be charged for drugs used in surgery or the like. In addition, even if the drug cannot be charged, there are cases where the authorization is wrong, or there is a case where it is desired to register as a drug that charges the price due to special circumstances.

  A problem to be solved by the present invention is to determine whether or not a drug cannot be charged, and to register a drug registration device and program that can be registered as a chargeable even if it is determined that charging is not possible Is to provide.

  The medicine registration apparatus according to the embodiment includes a first input unit, a reading unit, a determination unit, a second input unit, a registration unit, and an output unit. The first input means receives input of identification information that can identify a medicine. The reading means includes the identification information that the first input means has received from a storage unit that stores information about the medicine including billability information indicating whether or not the price of the medicine can be billed. Read information about the drug. The determination unit determines whether or not information indicating that charging is not possible is registered in the billing availability information included in the information related to the medicine. The second input means accepts an input as to whether or not to register as a medicine to be charged even when the determination means determines that information indicating that charging is not possible is registered in the billing availability information. . The registration means includes information related to the medicine that has received an input indicating that the second input means registers as a medicine to be charged, and information indicating that the determination means can be charged in the chargeability information. Information regarding the drug determined to be present. The output means outputs information related to the medicine registered by the registration means.

FIG. 1 is a block diagram illustrating a schematic configuration of a medicine management system according to an embodiment. FIG. 2 is a front view showing an appearance of the medicine registration device. FIG. 3 is a block diagram illustrating a hardware configuration of the medicine registration device. FIG. 4 is an explanatory diagram showing an example of the data format of the medicine master. FIG. 5 is an explanatory diagram showing the data structure of the billed medicine storage table. FIG. 6 is a block diagram showing a functional configuration of the medicine registration device. FIG. 7 is a flowchart showing the flow of the used medicine registration process. FIG. 8 is an explanatory diagram showing an example of a billable confirmation screen. FIG. 9 is an explanatory diagram illustrating an example of a medicine registration screen. FIG. 10 is an explanatory diagram showing an example of a used product slip. FIG. 11 is a flowchart showing the flow of the charge impossible determination process. FIG. 12 is an explanatory diagram illustrating an example of a notification screen. FIG. 13 is an explanatory diagram showing an example of a billing impossible confirmation screen. FIG. 14 is an explanatory diagram showing an example of a medicine registration screen on which a billing impossible mark is displayed. FIG. 15 is an explanatory diagram illustrating an example of a billing unknown confirmation screen. FIG. 16 is an explanatory diagram showing an example of a medicine registration screen on which an unknown claim mark is displayed.

  FIG. 1 is a block diagram illustrating a schematic configuration of a medicine management system 10 according to the embodiment. As shown in FIG. 1, the medicine management system 10 includes an electronic medical record server 11, a doctor information processing terminal device 12, a medical information processing terminal device 13, a medicine inspection device 14, a radio base station 15, The mobile information processing terminal device 18 for doctors connected to the communication network 17 through the public communication network 16, a medicine unit server 19, and a medicine registration device 20 are provided.

  The electronic medical record server 11 is a device for managing and storing the electronic medical record. The information processing terminal device 12 for a doctor is a device for performing entry and reference of an electronic medical record managed by the electronic medical record server 11. The information processing terminal device 13 for medical affairs is a device for billing a patient or a medical association etc. to which a patient is subscribed. The medicine inspection apparatus 14 is an apparatus for supporting and auditing medicine arrangement based on instruction information (for example, prescription information) included in the electronic medical record. The medicine part server 19 is an apparatus for managing medicine dispensing and the like arranged in the medicine part. Also, the medicine unit server 19 associates the medicine with the code information of the medicine or the outer surface information of the medicine (features representing the label of the medicine, features representing the state of the surface such as the color of the medicine and the surface irregularities). Drug information (name, amount, etc.) is registered. The drug registration device 20 is an apparatus for providing registration support for a drug placed in an operating room and used by a nurse during an operation, or a drug urgently used by a nurse, a pharmacist, or the like in an emergency room. It is. In the present embodiment, it is assumed that the drug registration device 20 is arranged in an operating room and is used for registration support of a drug used during surgery by a nurse.

  In the above configuration, the electronic medical record server 11, the information processing terminal device 12, the information processing terminal device 13, the medicine inspection device 14, the medicine part server 19, and the medicine registration device 20 are connected to the communication network 17.

  FIG. 2 is a front view showing the appearance of the medicine registration device 20. As shown in FIG. 2, the drug registration device 20 is roughly divided into a device main body 24 that is a control main body of the drug registration device 20, a scanner 22, and a printer 23 for printing out various information. Yes.

  The apparatus main body 24 includes a touch panel display 21 that allows a nurse as an operator to perform various operations and display various information such as a list of used medicines.

  The scanner 22 includes an image sensor such as a color CCD (Charge Coupled Device) image sensor or a color CMOS (Complementary Metal-Oxide Semiconductor) image sensor, and a light source such as an LED (Light Emitting Diode). The scanner 22 captures a nurse ID (IDentification) code symbol, a patient ID code symbol, a drug code symbol, a drug image, and the like. Frame images (captured images) sequentially captured by the scanner 22 at a predetermined frame rate are stored in a RAM (Random Access Memory) 33 (see FIG. 3) described later.

  The scanner 22 is not limited to a shape that is placed on a table as shown in FIG. 2, but may be a stand shape that is erected on the floor.

  Further, the medicine registration device 20 may include a scale for measuring the weight of the medicine, an RFID reader / writer that reads / writes data from / to an RFID (Radio Frequency IDentification) attached to the medicine.

  FIG. 3 is a block diagram showing a hardware configuration of the medicine registration device 20. As shown in FIG. 3, the medicine registration device 20 performs a communication interface operation with an MPU (Micro Processing Unit) 31, a ROM (Read Only Memory) 32, a RAM 33, and an external storage device 34 that control the entire device. A communication interface (I / F) 38 is provided in the apparatus main body 24. The ROM 32 stores various data including a control program in a nonvolatile manner. The RAM 33 functions as a work area and temporarily stores various data. The external storage device 34 is configured by a hard disk drive or SSD (Solid State Drive) capable of storing large-capacity data such as a database or a control program.

  Here, the touch panel display 21, the scanner 22, the printer 23, the communication interface 38 and the speaker 37 are connected to the bus 40 via the input / output I / O 39. An MPU 31, a ROM 32, a RAM 33 and an external storage device 34 are connected to the bus 40.

  The touch panel display 21 is mainly configured by a display 35 and a touch panel 36 which are display units.

  The speaker 37 is used when a warning sound is emitted.

  The external storage device 34 as a storage unit includes a medicine master DB, a billed medicine storage table T, and a confirmation screen display setting 341.

  The drug master DB is a drug database that stores information about drugs including whether or not it is possible to charge for a drug. Here, FIG. 4 is an explanatory diagram showing an example of the data format of the medicine master DB. The medicine master DB stores medicine identification information, a medicine name, a medicine unit, a manufacturing company, and billing availability information in association with each other. The medicine identification information is identification information such as a barcode for identifying the medicine. Alternatively, the medicine identification information is identification information that can identify a medicine such as a unique character string or a numerical value assigned to each medicine, which is attached to the barcode. Alternatively, the medicine identification information may be, for example, medicine outer surface information. The drug name is the name of the drug. The drug unit indicates the reference amount of the drug. The manufacturing company indicates the company that manufactures the drug.

  The billing availability information is information stored on the billing availability of the drug. More specifically, the billability information is registered in one of the following categories: billable, billable, or unknown. “Billable” indicates that the corresponding drug can be charged. “No billing” indicates that it is not possible to charge for the corresponding medicine. The unknown billing indicates that neither billable nor billable is registered. That is, “unclaimed” indicates that the billing availability information is empty such as “null”. It should be noted that the unknown billing may be in a form in which information indicating that the billing possibility of the corresponding drug is unknown is registered, not in an empty state.

  The requested medicine storage table T stores detailed information in which medicines for which a charge is requested are registered among the medicines used in the medical practice related to one treatment. Here, FIG. 5 is an explanatory diagram showing the data structure of the billed medicine storage table T. As shown in FIG. As shown in FIG. 5, the detailed information in the billed medicine storage table T includes detailed identification information, patient identification information, medicine identification information, usage amount, and billability information. The detail identification information is identification information that can identify the detail information. The patient identification information is identification information that can identify a patient who is charged. The medicine identification information is identification information of a billing medicine used in one treatment. The amount used is the amount that the medicine of the medicine identification information is used in one treatment. The billability information is billability information stored in the medicine master DB.

  The confirmation screen display setting 341 stores the confirmation screen display setting when registering as a billing drug in the detailed information of the billed medicine storage table T. The confirmation screen is a screen for confirming whether or not to register as a medicine to be charged. The confirmation screen display setting 341 includes a setting for always displaying the confirmation screen, a setting for displaying the confirmation screen when the billing availability information is unknown, and a setting for not always displaying the confirmation screen.

  The setting for always displaying the confirmation screen is a screen for displaying the confirmation screen regardless of the classification of the billing availability information. That is, the setting for always displaying the confirmation screen is a setting for displaying the confirmation screen regardless of whether billing is possible, billing is impossible, or billing is unknown. The setting for displaying the confirmation screen when the chargeability information is unknown is the setting for displaying the confirmation screen when the chargeability information is unknown. The setting not to always display the confirmation screen is a screen that does not display the confirmation screen regardless of the classification of the billing availability information. In other words, the setting that the confirmation screen is not always displayed is a setting that does not display the confirmation screen regardless of whether billing is possible, billing is impossible, or billing is unknown.

  Next, characteristic functions of the drug registration device 20 according to the embodiment will be described. FIG. 6 is a block diagram showing a functional configuration of the medicine registration device 20. The MPU 31 operates in accordance with a control program stored in the ROM 32 or the external storage device 34, thereby, as shown in FIG. 6, a drug information input unit 311, a drug information reading unit 312, a chargeability determination unit 313, a charge It functions as a confirmation setting unit 314, a billing confirmation input unit 315, a notification unit 316, a billing drug registration unit 317, and a billing drug output unit 318.

  The drug information input unit 311 receives input of drug identification information read from a captured image scanned by the scanner 22. Specifically, the medicine information input unit 311 accepts an input of a medicine identifier obtained by reading code information of a code symbol attached to a used medicine or all or part of external information of the medicine used. Since processing for detecting code information from a code symbol such as a bar code or a two-dimensional code is a conventional technique, a description thereof is omitted here.

  Alternatively, the medicine information input unit 311 accepts input of manually entered medicine identification information. In this case, the medicine information input unit 311 receives input of code information expressed by a character string, a numerical value, or the like from the touch panel display 21.

  The drug information reading unit 312 reads information related to the drug having the drug identification information received by the drug information input unit 311 from the drug master DB stored in the external storage device 34.

  Can the billing determination unit 313 be able to charge the price of the medicine having the medicine identification information received by the medicine information input unit 311 from the billing availability information included in the information about the medicine read by the medicine information reading unit 312? Determine whether or not. Further, when it is determined that the charge for the medicine is not chargeable, the chargeability determination unit 313 determines whether the charge is not possible or the charge is unknown.

  The billing confirmation setting unit 314 sets the confirmation screen display setting 341 of the external storage device 34 in advance. The billing confirmation setting unit 314 sets the confirmation screen display setting 341 based on the input via the touch panel display 21. Alternatively, the billing confirmation setting unit 314 may set the confirmation screen display setting 341 based on an input from the medical information processing terminal device 13 via the communication network 17.

  The billing confirmation input unit 315 displays a confirmation screen based on the determination result of the billing determination unit 313 and the confirmation screen display setting 341 of the external storage device 34, and details of the billed medicine storage table T as a medicine to be billed. An input as to whether or not to register information is accepted. The billing confirmation input unit 315 receives an input via the touch panel display 21 displaying the confirmation screen.

  More specifically, when the confirmation screen display setting 341 is set to always display the confirmation screen, the charge confirmation input unit 315 permits the display of the confirmation screen regardless of the determination result of the charge availability determination unit 313. , Accepts an input as to whether or not to register as a billing medicine. As a result, a confirmation screen is displayed regardless of whether or not the billing is possible. Therefore, the operator can perform flexible drug registration while confirming that there is no error in the billing propriety information at a medical site such as an operating room. it can. In addition, when the billing confirmation input unit 315 is configured to display the confirmation screen when the billing availability information is unknown, the billing confirmation input unit 315 permits the confirmation screen to be displayed when the billing availability information is unknown. As an input to accept or not. Accordingly, for example, by registering a drug that is desired to be determined for each case as to whether or not to charge, the operator can register the drug while determining for each case. Further, in the case where the confirmation screen is not always displayed, the billing confirmation input unit 315 prohibits display of the confirmation screen and does not accept an input as to whether or not to register as a medicine to be billed. Thereby, the operator can perform quick drug registration.

  The notification unit 316 notifies when the chargeability determination unit 313 does not determine that the cost of the medicine can be charged. More specifically, the notification unit 316 displays and notifies the touch panel display 21 of a screen indicating that registration is not possible because the drug is not a target drug. Alternatively, the notification unit 316 notifies the speaker 37 by voice.

  The requested medicine registration unit 317 registers the medicine identification information in the requested medicine storage table T as a medicine for which a charge is charged when the chargeability determination unit 313 determines that the price for the medicine can be charged. Further, the billing drug registration unit 317 registers the usage amount of the drug for which a charge is requested.

  The requested medicine output unit 318 outputs detailed information in which the medicine charged for the price registered in the requested medicine storage table T is stored. More specifically, the requested medicine output unit 318 prints out detailed information registered in the requested medicine storage table T on a slip via the printer 23. Alternatively, the requested medicine output unit 318 transmits the detailed information registered in the requested medicine storage table T to the medical information processing terminal device 13 via the communication interface 38.

  Next, the used medicine registration process executed by the MPU 31 of the medicine registration apparatus 20 according to the above-described embodiment according to the control program will be described. The medicine registration device 20 according to the embodiment scans a code symbol of a medicine used, a medicine image, and the like, and executes a medicine registration process.

  FIG. 7 is a flowchart showing the flow of the used medicine registration process executed by the MPU 31 of the medicine registration apparatus 20 according to the control program.

  The MPU 31 of the medicine registration apparatus 20 accepts an initial registration input as an initial state (step S1). Here, initial registration includes authentication of an operator such as a nurse, registration of a patient, and the like. For example, the MPU 31 of the medicine registration device 20 authenticates the operator by reading the code symbol of the nurse ID attached to the nurse's ID card through the scanner 22. Further, the MPU 31 of the medicine registration device 20 reads, for example, the code symbol of the patient ID attached to the wristband of the patient by the MPU 31 of the medicine registration device 20 via the scanner 22, and detailed information of the requested medicine storage table T Register the patient ID.

  Next, the MPU 31 of the medicine registration apparatus 20 displays a medicine registration start screen (not shown) on the display 35 (step S2). The medicine registration start screen is a screen that prompts the start of medicine registration by displaying a method for inputting medicine identification information via the scanner 22.

  Next, the MPU 31 (drug information input unit 311) of the drug registration device 20 determines whether or not drug identification information is input via the scanner 22 or the touch panel display 21 (step S3). When the drug identification information is not input (step S3; No), the MPU 31 (drug information input unit 311) of the drug registration device 20 proceeds to step S13.

  When the drug identification information is input (step S3; Yes), the MPU 31 (drug information reading unit 312) of the drug registration device 20 receives the input drug identification information from the drug master DB stored in the external storage device 34. The information regarding the medicine having is read (step S4). Next, the MPU 31 (billing availability determination unit 313) of the medicine registration device 20 determines whether or not the medicine of the inputted medicine identification information is a medicine that can be charged for the price based on the billing availability information included in the information about the medicine. Is determined (step S5).

  When it is determined that the drug cannot be charged (step S5; No), the MPU 31 of the drug registration apparatus 20 executes a charge impossibility determination process described later (step S6).

  On the other hand, when it is determined that the medicine can be charged (step S5; Yes), the MPU 31 of the medicine registration apparatus 20 allows the confirmation screen display setting 341 of the external storage device 34 to display the confirmation screen. It is determined whether or not the setting is to be performed (step S7). Here, the setting that permits the display of the confirmation screen when it is determined that the medicine can be charged is the setting that the confirmation screen display setting 341 always displays the confirmation screen.

  In the case of setting to prohibit the display of the confirmation screen (step S7; No), the MPU 31 (billed medicine registration unit 317) of the medicine registration apparatus 20 proceeds to step S11.

  On the other hand, in the case of setting to permit the display of the confirmation screen (step S7; Yes), the MPU 31 (billing confirmation input unit 315) of the medicine registration device 20 displays the billable confirmation screen G1 (step S8).

  Here, FIG. 8 is an explanatory diagram showing an example of the billable confirmation screen G1. The billable confirmation screen G1 is a confirmation screen for notifying that the billable information on the inputted medicine identification information is billable and for confirming whether or not to register as a billable medicine. The billable confirmation screen G1 displays a message “This drug / medical material is set to be billable. Do you want to register?” And asks for input. The billable confirmation screen G1 includes a yes button B11 and a no button B12. The Yes button B11 is a button to be pressed when registering the medicine with the inputted medicine identification information as a billable medicine. The No button B12 is a button that is pressed when the medicine of the inputted medicine identification information is not registered.

  The MPU 31 of the medicine registration device 20 determines whether or not pressing of the Yes button B11 on the billable confirmation screen G1 is detected (step S9). When pressing of the Yes button B11 is not detected (Step S9; No), the MPU 31 of the medicine registration device 20 determines whether pressing of the No button B12 is detected (Step S10). When pressing of the No button B12 is not detected (step S10; No), the MPU 31 of the medicine registration device 20 returns to step S9.

  On the other hand, when pressing of the No button B12 is detected (step S10; Yes), the MPU 31 of the medicine registration device 20 performs the step without registering the inputted medicine identification information in the detailed information of the requested medicine storage table T. The process proceeds to S13.

  On the other hand, when pressing of the Yes button B11 on the billable confirmation screen G1 is detected (step S9; Yes), the MPU 31 (billing confirmation input unit 315) of the medicine registration device 20 charges the inputted medicine identification information. Register in the detailed information of the medicine storage table T (step S11). Next, the MPU 31 of the medicine registration device 20 displays the medicine with the inputted medicine identification information on the medicine registration screen G2 (step S12).

  Here, FIG. 9 is an explanatory diagram showing an example of the medicine registration screen G2. The medicine registration screen G2 is a screen that displays medicines that are registered in the billing medicine storage table T and charge the patient for the input patient identification information. The medicine registration screen G2 includes a patient display area G21, a medicine display area G22, a manual input button B21, and a print button B22. The patient display area G21 is an area for displaying information related to a patient who charges for a medicine. Information related to a patient includes patient identification information, age, sex, and the like. The medicine display area G22 is an area for displaying the medicine registered in the requested medicine storage table T. The manual input button B21 is a button that enables manual input of medicine identification information. The print button B22 is a button for completing medicine registration and printing a slip.

  Next, the MPU 31 of the medicine registration device 20 determines whether or not the press of the print button B22 indicating that the medicine registration is completed is detected (step S13). When pressing of the print button B22 is not detected (step S13; No), the MPU 31 of the medicine registration device 20 returns to step S3.

  On the other hand, when pressing of the print button B22 is detected (step S13; Yes), the MPU 31 (billed medicine output unit 318) of the medicine registration device 20 prints the detailed information stored in the requested medicine storage table T. The used product slip D is output (step S14).

  Here, FIG. 10 is an explanatory view showing an example of the used product slip D. As shown in FIG. The used product slip D is a slip on which a medicine for which a charge is charged is printed. The used product slip D shown in FIG. 10 is printed with detailed information including a medicine registered as a medicine to be billed, although it has been judged that billing is impossible or billing is unknown in the billing impossible determination process described later. . The used product slip D includes a header area D1, a basic information area D2, a billing medicine area D3, and an approval column area D4. In the header area D1, a slip name is printed. The basic information area D2 is an area in which the output date and time, the treatment date and time, the issue location, the operator, and the patient ID are printed.

  The billing drug area D3 is an area in which drug information of a subject to be charged is printed. The requested medicine area D3 is printed in such a manner that the classification of the requestability information of each medicine can be identified. As a result, it is possible to call attention because it is understood that the request was not possible or the request was unknown. In the requested medicine area D3, for each medicine, a serial number, a medicine name, a medicine code, a unit for counting medicine, the number of medicines used, and a constant of medicines that are always provided at the issuing place are printed. The billing drug region D3 shown in FIG. 10 is printed in groups according to the classification of billing availability information. AAAA medicine and BBBB medicine are printed as a billable group. CCCC medicine is printed as a non-claimable group. DDDD medicine is printed as an unclear group. The approval column area D4 is an area where the approval column is printed. In the billing medicine area D3, the medicines are grouped and printed according to the billing availability information setting, but the medicines may be printed on separate slips according to the billing permission information setting. Alternatively, the classification may be performed by adding an identifier such as a mark that can identify the classification of the billability information.

  Next, the MPU 31 (billed medicine output unit 318) of the medicine registration device 20 transmits the detailed information stored in the requested medicine storage table T to the medical information processing terminal device 13 via the communication interface 38 (step S15). ).

  As described above, the MPU 31 of the medicine registration device 20 executes the medicine registration process.

  Next, the charge impossibility determination process executed by the MPU 31 of the medicine registration device 20 according to the above-described embodiment according to the control program will be described. The charge disapproval determination process is a use drug registration process in a case where it is not determined that the charge for the drug can be charged.

  FIG. 11 is a flowchart showing the flow of the charge disapproval determination process executed by the MPU 31 of the medicine registration apparatus 20 according to the control program.

  First, the MPU 31 of the medicine registration device 20 reads the medicine master DB and determines whether or not the billing availability information of the inputted medicine identification information is not billable (step S21).

  When the chargeability information is not chargeable (step S21; Yes), the MPU 31 of the medicine registration device 20 is set to allow the confirmation screen display setting 341 stored in the external storage device 34 to display the confirmation screen. It is determined whether or not there is (step S22). Here, the setting for permitting the display of the confirmation screen when it is determined that the drug cannot be charged is the setting for the confirmation screen display setting 341 to always display the confirmation screen.

  In the case of setting to prohibit the display of the confirmation screen (step S22; No), the MPU 31 (notification unit 316) of the medicine registration device 20 displays the notification screen G3 (step S23).

  Here, FIG. 12 is an explanatory diagram showing an example of the notification screen G3. The notification screen G3 is a screen for displaying and displaying a message “This drug / medical material is not a billing target and cannot be registered”. The notification screen G3 includes an OK button B31 that recognizes that the notification screen G3 is displayed and deletes the notification screen G3. Further, when displaying the notification screen G3, the MPU 31 of the medicine registration device 20 generates a warning sound or the like via the speaker 37 to notify the user. Here, the warning sound may be a buzzer sound or a sound that conveys a message such as “This drug / medical material is not a billing target and cannot be registered”.

  Next, the MPU 31 of the medicine registration device 20 determines whether or not the pressing of the OK button B31 is detected (step S24). When pressing of the OK button B31 is not detected (step S24; No), the MPU 31 of the medicine registration device 20 stands by. On the other hand, when pressing of the OK button B31 is detected (step S24; Yes), the MPU 31 of the medicine registration device 20 deletes the notification screen G3 and ends the series of processes.

  On the other hand, in the case of setting to permit the display of the confirmation screen (step S22; Yes), the MPU 31 of the medicine registration device 20 displays the billing impossible confirmation screen G4 (step S25).

  Here, FIG. 13 is an explanatory diagram showing an example of the billing impossible confirmation screen G4. The billing disapproval confirmation screen G4 is a confirmation screen for notifying that the billing propriety information of the inputted medicine identification information is not billable and for confirming whether or not to register as a billable medicine. The billing disapproval confirmation screen G4 displays a message “This drug / medical material is set so as not to be billed. Do you want to register?” And asks for input. Further, the billing disapproval confirmation screen G4 includes a yes button B41 and a no button B42. The Yes button B41 is a button to be pressed when registering the medicine with the inputted medicine identification information as a billable medicine. The No button B42 is a button that is pressed when the medicine of the inputted medicine identification information is not registered.

  Next, the MPU 31 of the medicine registration device 20 determines whether or not the pressing of the Yes button B41 on the billing impossible confirmation screen G4 is detected (step S26). When pressing of the Yes button B41 is not detected (Step S26; No), the MPU 31 of the medicine registration device 20 determines whether pressing of the No button B42 is detected (Step S27). When pressing of the No button B42 is not detected (step S27; No), the MPU 31 of the medicine registration device 20 returns to step S26.

  On the other hand, when pressing of the No button B42 is detected (step S27; Yes), the MPU 31 of the medicine registration device 20 performs a series without registering the inputted medicine identification information in the detailed information of the requested medicine storage table T. Terminate the process.

  On the other hand, when pressing of the Yes button B41 on the billing disapproval confirmation screen G4 is detected (step S26; Yes), the MPU 31 of the medicine registration device 20 uses the inputted medicine identification information as detailed information in the billing medicine storage table T. (Step S28).

  Next, the MPU 31 of the medicine registration device 20 adds the billing disapproval mark G23 to the medicine of the medicine identification information input on the medicine registration screen G2, and displays the classification of the billing propriety information in an identifiable manner (step S29). ), And a series of processing is terminated.

  Here, FIG. 14 is an explanatory diagram showing an example of a medicine registration screen G2 on which a billing impossible mark G23 is displayed. In the medicine registration screen G2 shown in FIG. 14, a billing impossible mark G23 is added to the DDDD medicine. When a drug whose chargeability information is not chargeable is registered as a chargeable drug, a charge impossible mark G23 is added, and a different display format is provided for each classification of the chargeability information. The different display formats may be a display format displayed in a different column for each chargeability information classification or a display format displayed in a different color for each chargeability information classification.

  On the other hand, when the chargeability information is not chargeable (step S21; No), the MPU 31 of the medicine registration device 20 has a setting that allows the confirmation screen display setting 341 stored in the external storage device 34 to display the confirmation screen. It is determined whether or not (step S30). Here, the case where the chargeability information is not chargeable is a case where the chargeability information is unknown. Therefore, the setting for permitting the display of the confirmation screen when it is determined that the price is a drug whose charge is unknown is the setting that the confirmation screen display setting 341 always displays the confirmation screen, or the billing availability information requests the confirmation screen. This is the setting to display when unknown.

  When the confirmation screen display setting 341 is set to prohibit the display of the confirmation screen (step S30; No), the MPU 31 (notification unit 316) of the medicine registration device 20 proceeds to step S23 and displays the notification screen G3. .

  On the other hand, when the confirmation screen display setting 341 is a setting that permits display of the confirmation screen (step S30; Yes), the MPU 31 of the medicine registration device 20 displays the billing unknown confirmation screen G5 (step S31).

  Here, FIG. 15 is an explanatory diagram showing an example of the billing unknown confirmation screen G5. The billing unknown confirmation screen G5 is a confirmation screen for notifying that the billing availability information of the input medicine identification information is unknown and requesting confirmation as to whether or not to register as a billable medicine. The billing unknown confirmation screen G5 displays a message “This drug / medical material is billed unknown. Do you want to register?” And asks for input. The billing unknown confirmation screen G5 includes a yes button B51 and a no button B52. The Yes button B51 is a button to be pressed when registering the medicine with the inputted medicine identification information as a billable medicine. The No button B52 is a button that is pressed when the medicine of the inputted medicine identification information is not registered.

  Next, the MPU 31 of the medicine registration device 20 determines whether or not pressing of the Yes button B51 on the billing unknown confirmation screen G5 is detected (step S32). When pressing of the Yes button B51 is not detected (Step S32; No), the MPU 31 of the medicine registration device 20 determines whether pressing of the No button B52 is detected (Step S33). When pressing of the No button B52 is not detected (Step S33; No), the MPU 31 of the medicine registration device 20 returns to Step S32.

  On the other hand, when pressing of the No button B52 is detected (step S33; Yes), the MPU 31 of the medicine registration device 20 performs a series without registering the inputted medicine identification information in the detailed information of the requested medicine storage table T. Terminate the process.

  On the other hand, when pressing of the Yes button B51 on the billing unknown confirmation screen G5 is detected (step S32; Yes), the MPU 31 of the medicine registration device 20 uses the inputted medicine identification information as detailed information in the billing medicine storage table T. (Step S34).

  Next, the MPU 31 of the medicine registration device 20 adds the claim unknown mark G24 to the medicine of the medicine identification information input on the medicine registration screen G2, and displays the chargeable / unusable information classification in an identifiable manner (step S35). ), And a series of processing is terminated.

  Here, FIG. 16 is an explanatory diagram showing an example of the medicine registration screen G2 on which the billing unknown mark G24 is displayed. In the medicine registration screen G2 shown in FIG. 16, the billing unknown mark G24 is added to the EEEE medicine. When a drug whose billing possibility information is unknown is registered as a billable drug, a billing unknown mark G24 is added, and a different display format for each classification of the billing possibility information can be called out. The different display formats may be a display format displayed in a different column for each chargeability information classification or a display format displayed in a different color for each chargeability information classification.

  As described above, the MPU 31 of the medicine registration device 20 executes the charge impossible determination process.

  As described above, according to the drug registration device 20 of the present embodiment, the drug information input unit 311 receives input of identification information that can identify a drug. The medicine information reading unit 312 reads information related to the medicine including the chargeability information corresponding to the input identification information from the medicine master DB stored in the external storage device 34. The requested medicine registration unit 317 registers the information related to the medicine including the read billing availability information as detailed information in the requested medicine storage table T. Then, the requested medicine output unit 318 outputs information about the medicine including the request availability information registered as the detailed information in the requested medicine storage table T. Therefore, it is possible to output in such a manner that it is possible to identify whether or not the drug can be charged. Therefore, the burden on the medical accounting department is reduced.

  Although several embodiments of the present invention have been described, these embodiments are presented by way of example and are not intended to limit the scope of the invention. These novel embodiments can be implemented in various other forms, and various omissions, replacements, and changes can be made without departing from the scope of the invention. These embodiments and modifications thereof are included in the scope and gist of the invention, and are included in the invention described in the claims and the equivalents thereof.

  In the above-described embodiment, it is described that the medicine master DB is stored in the external storage device 34 of the medicine registration apparatus 20. However, the medicine master DB may be stored in another storage device. For example, the medicine master DB may be stored in the electronic medical record server 11 or the medicine part server 19.

  In the above-described embodiment, it is described that the medicine registration device 20 registers medicine. The medicine registration device 20 may register things other than medicine as long as it is used in a medical practice related to one treatment. What is used by the medical action which concerns on one treatment is a medical device, a medical material, sanitary goods, etc., for example. In this case, what is necessary is just to memorize | store request | requirement information of what is used by the medical practice concerning one treatment in medicine master DB.

  In the above-described embodiment, the used product slip D is described as a slip on which a medicine for which a charge is charged is printed. However, a medicine that does not charge a price may be printed on the used product slip D. In this case, the person in charge who charges the price of the drug charges the price of the drug according to the group of the classification of the chargeability information printed on the used product slip D.

  The program executed by each device of the above-described embodiment or modification is provided by being incorporated in advance in a storage medium (ROM or storage unit) included in each device, but is not limited thereto. For example, an installable or executable file is recorded on a computer-readable recording medium such as a CD-ROM, a flexible disk (FD), a CD-R, or a DVD (Digital Versatile Disk). You may comprise. Furthermore, the storage medium is not limited to a medium independent of a computer or an embedded system, but also includes a storage medium in which a program transmitted via a LAN, the Internet, or the like is downloaded and stored or temporarily stored.

  Further, the program executed by each device of the above-described embodiment or modification may be stored on a computer connected to a network such as the Internet and provided by being downloaded via the network, or the Internet It may be configured to be provided or distributed via a network.

20 Drug registration device 31 MPU
311 Drug Information Input Unit 312 Drug Information Reading Unit 313 Billing Acceptability Determination Unit 314 Billing Confirmation Setting Unit 315 Billing Confirmation Input Unit 316 Notification Unit 317 Billing Drug Registration Unit 318 Billing Drug Output Unit 34 External Storage Device 341 Confirmation Screen Display Setting DB Drug Master T bill medicine storage table

JP-A-8-7014

Claims (6)

First input means for receiving input of identification information capable of identifying a medicine;
The information related to the medicine having the identification information received by the first input means is read from a storage unit that stores information related to the medicine including billability information indicating whether or not the price of the medicine can be charged. Reading means;
Determining means for determining whether or not information indicating that charging is not possible is registered in the billing availability information included in the information about the medicine;
A second input unit that accepts an input as to whether or not to register as a medicine to be charged, even when the determination unit determines that information indicating that charging is not possible is registered in the billing availability information;
Information related to the medicine that has received an input indicating that the second input means registers as a medicine to be charged, and the determination means that the information indicating that billing is possible is registered in the chargeability information A registration means for registering information about drugs;
Output means for outputting information on the drug registered by the registration means;
A drug registration device comprising: The second input means accepts an input when an input as to whether or not to register as a billing medicine is permitted,
The drug registration device according to claim 1. The second input means displays a confirmation screen for confirming whether or not to register as a medicine to be charged.
The medicine registration device according to claim 1 or 2. The output means prints out information on the medicine registered as a medicine to be billed by the registration means on a slip,
The medicine registration device according to any one of claims 1 to 3. The determination unit determines that information indicating that charging is not possible is registered in the billing availability information included in the information about the drug, and the second input unit inputs whether or not to register as a drug to be charged. In the case of prohibition, it further comprises a notification means for notifying that it cannot be registered as a billable drug,
The medicine registration device according to any one of claims 1 to 4. Computer
First input means for receiving input of identification information capable of identifying a medicine;
The information related to the medicine having the identification information received by the first input means is read from a storage unit that stores information related to the medicine including billability information indicating whether or not the price of the medicine can be charged. Reading means;
Determining means for determining whether or not information indicating that charging is not possible is registered in the billing availability information included in the information about the medicine;
A second input unit that accepts an input as to whether or not to register as a medicine to be charged, even when the determination unit determines that information indicating that charging is not possible is registered in the billing availability information;
Information related to the medicine that has received an input indicating that the second input means registers as a medicine to be charged, and the determination means that the information indicating that billing is possible is registered in the chargeability information A registration means for registering information about drugs;
Output means for outputting information on the drug registered by the registration means;
Program to function as.

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