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JPH02310670A - Medical business system - Google Patents

Medical business system

Info

Publication number
JPH02310670A
JPH02310670A JP1132216A JP13221689A JPH02310670A JP H02310670 A JPH02310670 A JP H02310670A JP 1132216 A JP1132216 A JP 1132216A JP 13221689 A JP13221689 A JP 13221689A JP H02310670 A JPH02310670 A JP H02310670A
Authority
JP
Japan
Prior art keywords
medical
master file
data
updated
modem
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
JP1132216A
Other languages
Japanese (ja)
Inventor
Takuro Kudo
工藤 卓朗
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
NEC Corp
Original Assignee
NEC Corp
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by NEC Corp filed Critical NEC Corp
Priority to JP1132216A priority Critical patent/JPH02310670A/en
Publication of JPH02310670A publication Critical patent/JPH02310670A/en
Pending legal-status Critical Current

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  • Medical Treatment And Welfare Office Work (AREA)
  • Management, Administration, Business Operations System, And Electronic Commerce (AREA)

Abstract

PURPOSE:To update the contents to be updated of a number of points master file in a short time by constituting medical system of a communication line, a MODEM and a CPU, etc. CONSTITUTION:This system is constituted by providing an on-line maintenance part 1 provided with the MODEM 11 and a buffer memory 12, and a medical business system part 2 in which the number of points master file 21 and the CPU 22 to execute system control are connected by a data bus 100. In the on-line maintenance part 1, the update data of the number of points master file 21 is inputted to the MODEM 11 through a telephone line, and is stored in the buffer memory 12. Besides, the medical business system part 2 takes in the update data of the number of points master file 21 from the buffer memory 12 through the data bus 100. Thus, the delivery of the update data to change the contents of the number of points master file to a user can be executed in a very short time.

Description

【発明の詳細な説明】 〔産業上の利用分野〕 本発明は医療事務システムに関し、特に散在する医療事
務システムの診療報酬の点数マスタファイルの更新を短
時間で行う医療事務システムに関する。
DETAILED DESCRIPTION OF THE INVENTION [Field of Industrial Application] The present invention relates to a medical administration system, and particularly to a medical administration system that updates medical fee point master files of scattered medical administration systems in a short time.

〔従来の技術〕[Conventional technology]

従来、診療報酬を算出する医療事務システムは各所に散
在している医療機関に設置されているが、診療報酬の基
準とする点数マスタファイルの内容は、法的規制などに
より定まっているもののしばしば変更されたり、新薬・
新検査法などの出現によって追加されたり削除されたり
するなど、更新されることが多い、しかも、点数更新の
施行期日が決定されると、その以前に点数マスタファイ
ルを更新しておき、施行期日前日以前の診療分と、施行
期日以降の診療分とは診療報酬を別に算出する必要があ
る。
Traditionally, medical administrative systems that calculate medical fees have been installed in medical institutions scattered across various locations, but although the contents of the point master file that serves as the basis for medical fees are determined by legal regulations, they often change. or new drugs/
Updates are often made, such as additions and deletions due to the appearance of new inspection methods, etc. Furthermore, once the enforcement date for score updates is determined, the score master file must be updated before that date. Medical fees must be calculated separately for medical treatment before the previous day and for medical treatment after the effective date.

そのため従来は、第3図に示すように、医療事務システ
ム部2は少なくともCPU22からデータバス100を
通して制御される点数マスタファイル21があり、この
中の記憶領域を2個に分割して第1の領域21Aと第2
の領域21Bとを作成している。
Therefore, conventionally, as shown in FIG. 3, the medical office system unit 2 has at least a score master file 21 controlled by the CPU 22 through the data bus 100, and the storage area in this file is divided into two. Area 21A and the second
The area 21B is created.

ここで、従来使用している点数マスタファイルが第1の
領域21Aにあるとする。ところがある日、例えばX日
以降の診療について診療報酬の点数更新の指示があった
ときは、少なくともX日以降に使用する点数マスタファ
イルを第2の領域21Bに格納しておき、X日以降の診
療に備えると共に、X日前日までは第1の領域21Aの
点数マスタファイルで算出する必要がある。
Here, it is assumed that the conventionally used score master file is located in the first area 21A. However, on a certain day, for example, when there is an instruction to update medical fee points for medical treatment after day X, the points master file to be used after day X is stored in the second area 21B, In addition to preparing for medical treatment, it is necessary to calculate using the score master file for the first area 21A up to the day before X days.

特に診療報酬の保険基金負担分はそのための請求書(以
下レセプトという)は、1箇月分の診療分をまとめて作
成する必要があるので、X日以降でも1箇月間は更新前
と更新後との点数マスタファイルを併用する必要がある
。従って、実際にはこのような運用をすると共に、X日
前日まで使う第1の領域21Aは次の点数マスタファイ
ル更新まで放置されている場合がある。
In particular, for the insurance fund share of medical fees, a bill for that purpose (hereinafter referred to as a receipt) must be created for one month's worth of medical treatment, so even after the It is necessary to use the same score master file. Therefore, in reality, while such operations are carried out, the first area 21A used until the day before X may be left unused until the next update of the score master file.

そこで、点数マスタファイルの更新のためには、保守部
4にデータバス100と接続されるフレキシブルディス
ク駆動装置42を用意しておき、比較的限られた時間内
に更新内容を収容したフレキシブルディスク41を作成
して、これを医療機関ごとに配布して各医!R機関でマ
スタファイルの更新作業をすることが通例であった。
Therefore, in order to update the point master file, a flexible disk drive device 42 connected to the data bus 100 is prepared in the maintenance section 4, and a flexible disk drive device 42 that stores the updated contents within a relatively limited time is prepared. Create this and distribute it to each medical institution to each doctor! It was customary for the R engine to update the master file.

〔発明が解決しようとする課題〕[Problem to be solved by the invention]

従って、従来の方式では比較的短時間の間に点数更新内
容を収容したフレキシブルディスクを作成し、散在して
いる医療機関に配布すると共に、医療機関の医療事務シ
ステムの点数マスタファイルの更新作業をする必要があ
るという欠点がある。
Therefore, in the conventional method, a flexible disk containing score update contents is created in a relatively short period of time, distributed to scattered medical institutions, and the work of updating the score master file of the medical administration system of the medical institution is completed. The downside is that you have to.

本発明の目的は上述した従来の欠点を解決し、点数マス
タファイルの更新内容を収容したフレキシブルディスク
のコピーと運搬を通信回線によるデータ伝送に替えると
共にその内容をメモリに一部貯え続いて点数マスタファ
イルを更新する医療事務システムを提供することにある
An object of the present invention is to solve the above-mentioned conventional drawbacks, and to replace the copying and transportation of a flexible disk containing updated content of a score master file with data transmission via a communication line, and to store a portion of the content in a memory and subsequently create a score master file. The objective is to provide a medical office system for updating files.

〔課題を解決するための手段〕[Means to solve the problem]

前記目的を達成するため、本発明の医療事務システムは
、診療報酬の点数マスタファイルを含み、少なくとも診
療を受けた患者の前記診療報酬の算出を行い、前記患者
と保険支払者とに前記診療報酬を分割した請求書を作成
し、前記請求書に対応した支払を受けなときは入金の記
録を行う医療事務システムにおいて、少なくとも前記島
式マスタファイルの更新内容を受信するモデムと前記更
新内容を格納する記憶装置とを含むオンライン保守部を
有し、前記点数マスタファイルの指定された領域のデー
タを前記記憶装置の前記更新内容で更新してなるもので
ある。
In order to achieve the above object, the medical administration system of the present invention includes a medical fee score master file, calculates the medical fee for at least a patient who has received medical treatment, and provides the medical fee to the patient and the insurance payer. In a medical office system that creates divided invoices and records the payment when payment corresponding to the invoice is not received, a modem that receives at least updated contents of the island-type master file and stores the updated contents. and an online maintenance section including a storage device for updating the data in the specified area of the score master file with the updated contents of the storage device.

〔実施例〕〔Example〕

次に、本発明について実施例を示す図面を参照して説明
する。
Next, the present invention will be described with reference to drawings showing embodiments.

(実施例1) 第1図は本発明の第1の実施例の主要部の構成を示すブ
ロック図である。
(Embodiment 1) FIG. 1 is a block diagram showing the configuration of main parts of a first embodiment of the present invention.

図において、本発明は診療報酬を算出する点数マスタフ
ァイルの内容を更新するデータを入力するモデム11及
びその内容を格納するバッファメモリ12を備えたオン
ライン保守部1と、点数マスタファイル21及びシステ
ム制御を行うCPU22がデータバス100で接続され
ている医療事務システム部2とを備えて構成されている
In the figure, the present invention comprises an online maintenance section 1 equipped with a modem 11 for inputting data for updating the contents of a points master file for calculating medical fees, a buffer memory 12 for storing the contents, a points master file 21, and a system controller. The CPU 22 is configured to include a medical office system section 2 connected to the medical office system section 2 via a data bus 100.

オンライン保守部1では、電話線(場合によるとデータ
専用回線)を通して点数マスタファ・イル21の更新デ
ータがモデム11に入力されたときは、そのデータがバ
ッファメモリ12に格納される。また医療事務システム
部2は、従来の技術による医療事務システム部と同様の
構成であり、その作動も点数マスタファイル21の更新
データをバ・ラフアメモリ12からデータバス100を
通して取込むことを除けば同一である。
In the online maintenance section 1, when update data of the score master file 21 is input to the modem 11 through a telephone line (in some cases, a dedicated data line), the data is stored in the buffer memory 12. The medical administration system section 2 has the same configuration as the conventional medical administration system section, and its operation is the same except that the updated data of the score master file 21 is fetched from the barrage memory 12 through the data bus 100. It is.

このような方式を採用すると、従来のようにフレキシブ
ルディスクを送付したり持参して、フレキシブルディス
ク駆動装置を通して医療事務システム部の点数マスタフ
ァイルの更新を行うことに比べれば、更新データのユー
ザへの引渡しが極めて短時間で可能となる。更新データ
が多い場合でも、あらかじめ少なくともオンライン保守
部11を常時待ち受けにしておけば、回線使用費用の安
い夜間に更新データの引渡しを行うことができ、更に医
療事務システム部2が稼動しない夜間に、点数マスタフ
ァイル21の更新もオンラインで可能となる。
If such a method is adopted, compared to the conventional method of sending or bringing a flexible disk and updating the score master file in the medical administration system department through the flexible disk drive device, the update data will be sent to the user more easily. Delivery can be made in an extremely short time. Even if there is a large amount of updated data, if at least the online maintenance department 11 is always on standby in advance, the updated data can be delivered at night when line usage costs are low. The score master file 21 can also be updated online.

(実施例2) 第2図は本発明の第2の実施例を示すブロック図である
(Embodiment 2) FIG. 2 is a block diagram showing a second embodiment of the present invention.

第2の実施例は第2図に示すように、点数マスタファイ
ルの内容を更新するデータを入力するモデム31と、モ
デム31の出力をフレキシブルディスク33に格納する
フレキシブルディスク駆動装置32と、このフレキシブ
ルディスク33を格納しその内容の呼び出しを行うフレ
キシブルディスク駆動装置34とを備えたオンライン保
守部3を有している。
As shown in FIG. 2, the second embodiment includes a modem 31 that inputs data for updating the contents of a point master file, a flexible disk drive device 32 that stores the output of the modem 31 in a flexible disk 33, and a It has an online maintenance section 3 equipped with a flexible disk drive device 34 that stores disks 33 and retrieves their contents.

また、医療事務システム部2は第1の実施例と同様に構
成されている。
Furthermore, the medical office system section 2 is configured in the same manner as in the first embodiment.

オンライン保守部3では、第1の実施例と同様に電話線
などを通して点数マスタファイル21の更新データをモ
デム31で受信し、フレキシブルディスク駆動装置32
中のフレキシブルディスク33に格納される。一方、医
療事務システム部2は第1の実施例と同様の構成と作動
とを有するので、CPU22で制御されたオンライン保
守部3のフレキシブルディスク駆動装置34に格納され
たフレキシブルディスク33からデータバス100を通
して、更新データが点数マスタファイル21の第1の領
域21Aまたは第2の領域21Bのうち、データが不要
となっている領域かデータのない領域に格納される。
In the online maintenance section 3, the update data of the score master file 21 is received by the modem 31 through a telephone line etc., as in the first embodiment, and the update data of the point master file 21 is received by the flexible disk drive device 32.
It is stored on the flexible disk 33 inside. On the other hand, since the medical office system section 2 has the same configuration and operation as the first embodiment, the data bus 100 is transferred from the flexible disk 33 stored in the flexible disk drive device 34 of the online maintenance section 3 controlled by the CPU 22 Through this process, the updated data is stored in the first area 21A or the second area 21B of the score master file 21 in an area where the data is no longer needed or where there is no data.

この方式によれば、更新データのユーザへの引渡しが極
めて短時間になるという第1の実施例の利点と共に従来
の技術による医療事務システムと、点数マスタファイル
21の更新データをフレキシブルディスク33に格納す
るシステムとが独立になり、相互に接続されたようなと
きに起きるトラブルがあっても影響が他に波及しないよ
うになっているものである。
According to this method, the advantage of the first embodiment is that the updated data can be delivered to the user in an extremely short time, the medical office system is based on the conventional technology, and the updated data of the score master file 21 is stored on the flexible disk 33. These systems are independent of each other, and even if problems occur when they are interconnected, the effects will not spread to other systems.

〔発明の効果〕〔Effect of the invention〕

以上詳細に説明したように本発明の医療事務システムは
、設置場所が散在する多数の医療事務システムの点数マ
スタファイルのデータの更新に際して、電話回線または
データ専用回線などによって更新データを転送しフレキ
シブルディスクなどの記憶装置に一時的に貯えると共に
、CPUの制御に従って更新データを点数マスタファイ
ルに入力し更新を実施することができる。
As explained above in detail, the medical administration system of the present invention transfers update data via a telephone line or a dedicated data line, etc. to a flexible disk when updating the data of the point master file of a large number of medical administration systems installed at scattered locations. It is possible to temporarily store the update data in a storage device such as a storage device, etc., and input the update data into the score master file under the control of the CPU to execute the update.

従って、本発明は、点数マスタファイルの内容を変更す
る更新データのユーザへの引渡しが極めて短時間で実施
できるという効果がある。
Therefore, the present invention has the advantage that update data for changing the contents of the score master file can be delivered to the user in an extremely short time.

【図面の簡単な説明】[Brief explanation of drawings]

第1図は本発明の第1の実施例の主要部の構成を示すブ
ロック図、第2図は本発明の第2の実施例の構成を示す
ブロック図、第3図は従来の技術による医療事務システ
ムの一部の構成を示すブロック図である。 1.3・・・オンライン保守部 2・・・医療事務システム部 4・・・保9部 特許出願人   日本電気株式会社 代  理  人    弁理士 菅 野   中第2図 第3図
FIG. 1 is a block diagram showing the configuration of the main parts of the first embodiment of the present invention, FIG. 2 is a block diagram showing the configuration of the second embodiment of the present invention, and FIG. 3 is a block diagram showing the configuration of the main part of the first embodiment of the invention. FIG. 2 is a block diagram showing the configuration of a part of the office system. 1.3...Online maintenance department 2...Medical administration system department 4...9th department Patent applicant NEC Corporation Representative Patent attorney Naka Kanno Figure 2 Figure 3

Claims (1)

【特許請求の範囲】[Claims] (1)診療報酬の点数マスタファイルを含み、少なくと
も診療を受けた患者の前記診療報酬の算出を行い、前記
患者と保険支払者とに前記診療報酬を分割した請求書を
作成し、前記請求書に対応した支払を受けたときは入金
の記録を行う医療事務システムにおいて、少なくとも前
記点数マスタファイルの更新内容を受信するモデムと前
記更新内容を格納する記憶装置とを含むオンライン保守
部を有し、前記点数マスタファイルの指定された領域の
データを前記記憶装置の前記更新内容で更新してなるこ
とを特徴とする医療事務システム。
(1) Includes a medical fee score master file, calculates the medical fee for at least the patient who received the medical treatment, creates a bill that divides the medical fee between the patient and the insurance payer, and creates a bill that divides the medical fee between the patient and the insurance payer; A medical office system that records the payment when a payment corresponding to the above is received, comprising an online maintenance unit that includes at least a modem that receives updated content of the score master file and a storage device that stores the updated content, A medical office system characterized in that data in a designated area of the score master file is updated with the updated contents of the storage device.
JP1132216A 1989-05-25 1989-05-25 Medical business system Pending JPH02310670A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP1132216A JPH02310670A (en) 1989-05-25 1989-05-25 Medical business system

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP1132216A JPH02310670A (en) 1989-05-25 1989-05-25 Medical business system

Publications (1)

Publication Number Publication Date
JPH02310670A true JPH02310670A (en) 1990-12-26

Family

ID=15076105

Family Applications (1)

Application Number Title Priority Date Filing Date
JP1132216A Pending JPH02310670A (en) 1989-05-25 1989-05-25 Medical business system

Country Status (1)

Country Link
JP (1) JPH02310670A (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2009215075A (en) * 2009-04-06 2009-09-24 Akira Nakamura Material control system, material control method and program

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS62177659A (en) * 1986-01-31 1987-08-04 Toshiba Corp Medical business processing system
JPH01134664A (en) * 1987-11-20 1989-05-26 Sanyo Electric Co Ltd Information processing system

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JPS62177659A (en) * 1986-01-31 1987-08-04 Toshiba Corp Medical business processing system
JPH01134664A (en) * 1987-11-20 1989-05-26 Sanyo Electric Co Ltd Information processing system

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2009215075A (en) * 2009-04-06 2009-09-24 Akira Nakamura Material control system, material control method and program

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