JP6969602B2 - Medical paperwork system - Google Patents

Description

The present invention relates to a medical office processing system that manages medical information or accounting information of a patient by converting it into electronic data.

Generally, in a medical facility such as a hospital, a medical paperwork system (see, for example, Patent Document 1) may be used to manage medical treatment, medical practice, examination, drug withdrawal, accounting, and the like. The medical office processing system is a higher-level concept such as an electronic medical record system for managing medical information of patients and a receipt computer processing system for managing accounting information of patients.

Japanese Unexamined Patent Publication No. 2005-174143

By the way, when one prescription contains a predetermined number of psychotropic drugs, the medical fee points for that prescription may be gradually reduced. Specifically, when any one of three or more types of anxiolytics, three or more types of sleeping pills, four or more types of antidepressants, or four or more types of antipsychotics is included in one prescription (hereinafter, "decreasing conditions"). The medical fee points for the prescription may be gradually reduced. For example, when the gradual decrease condition is satisfied, the medical fee points corresponding to the drug fee are gradually reduced to the points corresponding to 80/100. However, the conventional medical paperwork processing system cannot support the user to determine whether or not the gradual decrease condition is satisfied.

An object of the present invention is to provide a medical paperwork processing system capable of supporting a gradual reduction treatment of medical fee points when the number of psychotropic drugs contained in one prescription satisfies a predetermined gradual reduction condition. It is in.

The medical office processing system according to the present invention includes a specific processing unit and an output processing unit. The specific processing unit makes one prescription based on the first correspondence information in which the classification code of a specific number of digits included in the drug code for identifying the drug and the predetermined classification of the psychotropic drug are associated with each other. It is possible to specify the number of the psychotropic drugs for each of the categories contained in the corresponding prescription information. The output processing unit outputs the number of the psychotropic drug for each of the classifications specified by the specific processing unit.

According to the present invention, since the output processing unit outputs the number of the psychotropic drugs for each category, medical treatment when the number of psychotropic drugs contained in one prescription satisfies a predetermined gradual decrease condition. It is possible to support the gradual reduction of reward points. Specifically, the user refers to the number of the psychotropic drugs for each category output by the output processing unit, and the number of the psychotropic drugs contained in the prescription information satisfies the gradual decrease condition. It is possible to easily determine whether or not to do so.

By the way, if the classification of all psychotropic drugs is individually registered in the medical office processing system, the specific processing unit can specify the number of the psychotropic drugs for each classification. However, it is complicated to individually register the classification of the psychotropic drug for a large number of new drugs, which may reach several thousand kinds a year, as needed. On the other hand, it is conceivable that the specific number of digits is smaller than the total number of digits of the drug code. Thereby, if the classification of the psychotropic drug is registered for each classification code, the specific processing unit can specify the number of the psychotropic drug for each classification according to the classification code. Therefore, the labor is reduced as compared with the case where the classification is individually registered for each of the psychotropic drugs. For example, it is conceivable that the drug code is a 12-digit drug price standard listed drug code or an individual drug code (YJ code), and the classification code is the first 7 digits of the drug code.

Further, the medical office processing system can register the second correspondence information in which the drug code and the classification of the psychotropic drug are associated with each other in addition to the first correspondence information according to the operation input. It is conceivable to prepare. In this case, the specific processing unit specifies the classification of the psychotropic drug registered in the second correspondence information based on the second correspondence information, and is not registered in the second correspondence information. The classification of the psychotropic drug registered in the first correspondence information is specified based on the first correspondence information. Thereby, by arbitrarily registering the second correspondence information, it becomes possible to execute an exceptional process for the classification of the classification code included in the drug code.

Further, the medical office processing system is predetermined in order to determine that the number of the psychotropic drugs for each of the categories specified by the specific processing unit requires a gradual decrease in the medical fee points related to the prescription information. It is conceivable to further include a gradual decrease determination processing unit for determining whether or not the gradual decrease condition is satisfied. In this case, it is conceivable that the output processing unit outputs the determination result by the gradual decrease determination processing unit together with the number of the psychotropic drugs for each of the classifications specified by the specific processing unit. As a result, the user can easily recognize the cause of the determination result obtained by the gradual decrease determination processing unit.

In particular, it is conceivable that the output processing unit may display the determination result by the gradual decrease determination processing unit according to the display mode of the number of the psychotropic drug for each of the classifications specified by the specific processing unit. As a result, the user can grasp at a glance which of the classifications the number of the psychotropic drugs satisfies the gradual decrease condition.

Further, the medical office processing system includes a gradual reduction processing unit that gradually reduces the medical fee points related to the prescription information according to a preset gradual reduction rule when the gradual reduction determination processing unit determines that the gradual reduction condition is satisfied. Is possible. As a result, the medical fee points are automatically gradually reduced, so that the user's labor can be reduced.

In addition, the medical office processing system can output statistical information regarding the specific result by the specific processing unit and the gradual decrease result by the gradual reduction processing unit for the prescription information input in a preset specific period. It is conceivable to prepare. Thereby, the user can easily create, for example, a report for reporting on the administration of multiple psychotropic drugs by referring to the statistical information output by the statistical output processing unit.

Further, it is conceivable that the statistical output processing unit outputs the statistical information according to predetermined format information. As a result, for example, a report for reporting on the administration of multiple psychotropic drugs can be automatically created, and the time and effort of the user can be reduced.

Further, it is conceivable that the specific processing unit specifies the number of the psychotropic drugs for each classification included in the prescription information when the accounting treatment for the prescription information is executed. In this case, it is conceivable that the output processing unit displays the determination result by the gradual decrease determination processing unit on the first display screen displayed when the accounting process is performed. As a result, when the accounting process is performed, the user can see the first display screen and grasp the determination result by the gradual decrease determination processing unit.

Further, it is conceivable that the specific processing unit specifies the number of the psychotropic drugs for each category included in the prescription information when the prescription information is input. In this case, it is conceivable that the output processing unit displays the determination result by the gradual decrease determination processing unit on the second display screen displayed when the prescription information is input. As a result, the user can grasp the determination result by the gradual decrease determination processing unit by looking at the second display screen while inputting the prescription information. For example, the user can modify the prescription information so that the diminishing condition is not satisfied.

Further, it is conceivable that the medical office processing system includes a selection display unit for displaying an operation unit for selecting whether or not to execute the reduction by the gradual reduction processing unit on the first display screen or the second display screen. Be done. In this case, it is conceivable that the gradual reduction switching processing unit switches whether or not the gradual reduction processing unit executes the gradual reduction according to the operation of the operation unit displayed by the selection display unit.

For example, the diminishing condition is that the prescription information includes any of three or more anxiolytics, three or more hypnotics, four or more antidepressants, or four or more antidepressants. Is.

By the way, it is conceivable that the medical office work processing system according to another embodiment of the present invention includes a specific processing unit, a gradual decrease determination processing unit, and an output processing unit. The specific processing unit makes one prescription based on the first correspondence information in which the classification code of a specific number of digits included in the drug code for identifying the drug and the predetermined classification of the psychotropic drug are associated with each other. It is possible to specify the number of the psychotropic drugs for each of the categories contained in the corresponding prescription information. The gradual decrease determination processing unit sets a predetermined gradual decrease condition for determining that the number of the psychotropic drugs for each of the categories specified by the specific processing unit requires a gradual decrease in the medical fee points related to the prescription information. Determine if it is satisfied. The output processing unit outputs a determination result by the gradual decrease determination processing unit. As a result, the output processing unit outputs the determination result by the gradual decrease determination processing unit, and thus supports the gradual decrease treatment of the medical fee points when the number of psychotropic drugs contained in one prescription satisfies the gradual decrease condition. It is possible.

According to the present invention, a medical office processing system capable of supporting the gradual reduction treatment of medical fee points when the number of psychotropic drugs contained in one prescription satisfies a predetermined gradual reduction condition is realized. ..

FIG. 1 is a schematic diagram showing a schematic configuration of a medical office processing system according to an embodiment of the present invention. FIG. 2 is a block diagram showing a detailed configuration of a medical office processing system according to an embodiment of the present invention. FIG. 3 is a diagram showing an example of a drug master used in the medical office processing system according to the embodiment of the present invention. FIG. 4 is a diagram showing an example of a psychotropic drug classification master used in the medical office processing system according to the embodiment of the present invention. FIG. 5 is a diagram showing an example of a registered psychotropic drug classification master used in the medical office processing system according to the embodiment of the present invention. FIG. 6 is a flowchart showing an example of a psychotropic drug registration process executed by the medical office processing system according to the embodiment of the present invention. FIG. 7 is a diagram showing an example of a screen displayed in the medical office processing system according to the embodiment of the present invention. FIG. 8 is a diagram showing an example of a screen displayed in the medical office processing system according to the embodiment of the present invention. FIG. 9 is a flowchart showing an example of a first gradual reduction display process executed by the medical office processing system according to the embodiment of the present invention. FIG. 10 is a diagram showing an example of a screen displayed in the medical office processing system according to the embodiment of the present invention. FIG. 11 is a diagram showing an example of a screen displayed in the medical office processing system according to the embodiment of the present invention. FIG. 12 is a flowchart showing an example of a second gradual reduction display process executed by the medical office processing system according to the embodiment of the present invention. FIG. 13 is a diagram showing an example of a screen displayed in the medical office processing system according to the embodiment of the present invention. FIG. 14 is a diagram showing an example of a screen displayed in the medical office processing system according to the embodiment of the present invention. FIG. 15 is a diagram showing an example of a screen displayed in the medical office processing system according to the embodiment of the present invention. FIG. 16 is a flowchart showing an example of statistical information registration processing executed in the medical office processing system according to the embodiment of the present invention. FIG. 17 is a diagram showing an example of statistical information used in the medical office processing system according to the embodiment of the present invention. FIG. 18 is a flowchart showing an example of statistical information output processing executed in the medical office processing system according to the embodiment of the present invention. FIG. 19 is a diagram showing an example of format information used in the medical office processing system according to the embodiment of the present invention.

Hereinafter, embodiments of the present invention will be described with reference to the accompanying drawings for the purpose of understanding the present invention. It should be noted that the following embodiments are examples that embody the present invention and do not limit the technical scope of the present invention.

[Medical paperwork system 1]
As shown in FIG. 1, the medical office processing system 1 according to the embodiment of the present invention includes a server 10 and a plurality of client devices 20. The server 10 and the client device 20 can communicate with each other via a network 30 such as a LAN or the Internet.

[Server 10]
As shown in FIG. 2, the server 10 is a computer including a control unit 11, a storage unit 12, a display unit 13, an operation unit 14, a communication IF 15, a drive device 16, and the like. The server 10 is provided inside or outside a medical institution such as a hospital or a pharmacy where the server 10 is used. The server 10 has a function of an electronic medical record system that manages medical information (electronic medical record) of a patient and a medical receipt computer processing system that manages accounting information of a patient. For example, the server 10 executes a medical record editing process such as registration and update of medical information according to the operation of the client terminal 20. Further, the server 10 executes accounting processing such as registration and updating of accounting information according to the operation of the client terminal 20.

The control unit 11 has a control device such as a CPU, ROM, RAM, and EEPROM (registered trademark). The CPU is a processor that executes various arithmetic processes. The ROM is a non-volatile storage unit in which information such as a control program for causing the CPU to execute various processes is stored in advance. The RAM is a volatile storage unit, and the EEPROM is a non-volatile storage unit. The RAM and the EEPROM are used as a temporary storage memory (working area) for various processes executed by the CPU. Then, the control unit 11 uses the CPU to execute various processes according to various control programs stored in the ROM, the EEPROM, or the storage unit 12 in advance.

The storage unit 12 is a non-volatile storage unit such as a hard disk, SSD, or flash memory that stores various control programs and various data executed by the control unit 11. Specifically, the storage unit 12 has a storage area such as a program area 121, a data area 122, and a master area 123.

In the program area 121, a medical office work processing program for causing the control unit 11 to execute various processes is stored. The program area 121 also stores application programs such as an operating system (OS) and browser software.

In the data area 122, paperwork information such as medical care information and accounting information related to patient's medical care is accumulated and stored. The medical information, the accounting information, and the like are input to the server 10 in response to a user operation using, for example, the client device 20. Further, the paperwork information stored in the data area 122 is referred to and edited by a medical worker such as a doctor, a nurse, a pharmacist, and a medical office worker using the client device 20. Further, the data area 122 stores statistical information registered or updated in the statistical information registration process described later.

In the master area 123, various master information such as a drug master, a medical practice master, a material price master, a disease name master, a psychotropic drug classification master, and a registered psychotropic drug classification master are stored.

As shown in FIG. 3, the drug master stores, for example, drug classification, YJ code, common name (ingredient name), product name, standard, drug price, and the like as data related to the drug. The YJ code is a 12-digit individual drug code, and for psychotropic drugs, the first 7 digits of the YJ code indicate the classification of psychotropic drugs (anxiolytics, hypnotics, antidepressants, antipsychotics). ing. The YJ code is a code that is a more subdivided version of the drug price standard listed drug code. As will be described later, in the present embodiment, the case where the classification of the psychotropic drug is specified by using the YJ code will be described, but as another embodiment, the psychotropic drug is described by using the drug price standard listed drug code. It is also possible that the classification of is specified.

The medical practice master stores data on medical practices such as injecting a patient. In the material price master, data regarding the price of a film or the like used in X-ray photography is described as the price of a material used in medical treatment. The disease name master corresponds to the code number (ICD-10 code) indicating the disease name of the "International Statistical Classification of Diseases and Related Insurance Problems 10th Amendment" defined by the World Health Organization (WHO) and the receipt computer code. It is attached and remembered.

In addition, as shown in FIG. 4, the psychotropic drug classification master has the first 7 digits of the YJ code, the common name, the start date, and the end for each predetermined drug classified as a psychotropic drug. Table information including date and classification is registered. That is, in the psychotropic drug classification master, the classification code of the first 7 digits (specific number of digits) included in the YJ code (drug code) for identifying the drug is associated with the predetermined classification of the psychotropic drug. This is an example of the first correspondence information obtained. The psychotropic drug classification master is updated by the control unit 11 in response to a user operation on the server 10 or the client terminal 20. Further, the psychotropic drug classification master may be updated by the control unit 11 based on the information read by the drive device 16.

For example, it is known that drugs whose first 7 digits of the YJ code are "1124014" are classified as "anti-anxiety drugs", and drugs whose first 7 digits of the YJ code are "1123001" are classified as "hypnotics". I know it will be done. In addition, it is known that drugs whose first 7 digits of the YJ code are "1174004" are classified as "antidepressants", and drugs whose first 7 digits of the YJ code are "1172006" are "antipsychotic drugs". It is known to be classified as. Therefore, in the server 10, whether or not the control unit 11 corresponds to the psychotropic drug for the drug registered in the drug master based on the psychotropic drug classification master, and the classification in the psychotropic drug ( It is possible to determine anxiolytics, sleeping pills, antidepressants, antipsychotics). In this way, the control unit 11 can determine the classification of the psychotropic drug by using a 7-digit code which is less than the total number of digits of the YJ code. Therefore, in the medical office processing system 1, when a new drug is registered in the drug master, it is not necessary to individually set the classification of the new drug. The start date and the end date are information that determines the period during which the drug is treated as a psychotropic drug belonging to the above classification.

Further, as shown in FIG. 5, the registered psychotropic drug classification master has table information including a table ID, a YJ code, a generic name, a start date, an end date, a classification, and a valid flag for each drug. Is registered. That is, the registered psychotropic drug classification master is an example of the second correspondence information in which the YJ code (drug code) and the classification of the psychotropic drug are associated with each other. The registered psychotropic drug classification master is added, deleted, or edited by executing the psychotropic drug registration process (see FIG. 6) described later by the control unit 11. By the way, in the registered psychotropic drug classification master, a 12-digit YJ code is used to register the table information for each product name of a drug, but as another embodiment, the table information is registered in the unit of a common name. Therefore, a configuration in which the first 7 digits of the YJ code can be used instead of the YJ code is also conceivable.

The display unit 13 is a display unit such as a liquid crystal display or an organic EL display that displays various information according to a control instruction from the control unit 11. The operation unit 14 is an operation unit operated by a user to input various information to the server 10. Specifically, the operation unit 14 includes a keyboard and a mouse (pointing device) that accept input operations on various operation screens displayed on the display unit 13. Further, the operation unit 14 may include a touch panel that accepts touch operations for various operation screens displayed on the display unit 13, or a voice input device that accepts input of various information by voice recognition.

The communication IF 15 is a communication interface having a network card or the like that executes data communication wirelessly or by wire according to a predetermined communication protocol with an external device such as the client terminal 20 via the network 30.

The drive device 16 can read information such as the medical office processing program from a computer-readable recording medium 161 in which the medical office processing program or the like is recorded. The recording medium 161 is a CD, DVD, BD, USB memory, or the like, and the drive device 16 is a CD drive, a DVD drive, a BD drive, a USB port, or the like. Then, in the server 10, the medical office processing program read from the recording medium 161 by the control unit 11 using the drive device 16 is stored in the program area 121.

In the server 10 configured in this way, the control unit 11 includes a specific processing unit 111, a gradual reduction determination processing unit 112, an output processing unit 113, a registration processing unit 114, a gradual reduction processing unit 115, and a statistical output processing unit 116. include. Specifically, the control unit 11 executes various processes according to the medical office work processing program, so that the specific processing unit 111, the gradual reduction determination processing unit 112, the output processing unit 113, and the registration processing unit 114 , The gradual reduction processing unit 115, and the statistical output processing unit 116.

The specific processing unit 111 may specify the number of the psychotropic drugs for each classification included in the prescription information corresponding to one prescription based on the psychotropic drug classification master or the registered psychotropic drug classification master. It is possible. More specifically, the specific processing unit 111 specifies the classification of the psychotropic drug registered in the registered psychotropic drug classification master based on the registered psychotropic drug classification master, and the registered psychotropic drug. For the psychotropic drug that is not registered in the drug classification master but is registered in the psychotropic drug classification master, the classification is specified based on the psychotropic drug classification master.

The gradual decrease determination processing unit 112 determines whether or not the number of the psychotropic drugs for each of the categories specified by the specific processing unit 111 satisfies a predetermined gradual decrease condition. The output processing unit 113 outputs the number of the psychotropic drugs for each of the classifications specified by the specific processing unit 111. Further, the output processing unit 113 outputs a determination result by the gradual decrease determination processing unit 112. More specifically, the output processing unit 113 displays the number of the psychotropic drugs for each classification specified by the specific processing unit 111 together with the determination result by the gradual reduction determination processing unit 112. Further, the gradual decrease determination output 113 displays the determination result by the gradual decrease determination processing unit 112 according to the display mode (for example, red display) of the number of the psychotropic drug for each of the classifications specified by the specific processing unit 111. .. The output processing unit 113 displays only one of the number of the psychotropic drugs for each category specified by the specific processing unit 111 and the determination result by the gradual reduction determination processing unit 112. You may.

The registration processing unit 114 can register the registered psychotropic drug classification master according to an operation input. When the gradual reduction processing unit 112 determines that the gradual reduction condition is satisfied, the gradual reduction processing unit 115 gradually reduces the medical fee points related to the prescription information according to a preset gradual reduction rule. The statistical output processing unit 116 can output statistical information regarding a specific result by the specific processing unit and a gradual reduction result by the gradual reduction processing unit for the prescription information input in a preset specific period. More specifically, the statistical output processing unit 116 can output the statistical information according to format information such as a predetermined report.

[Client device 20]
On the other hand, as shown in FIG. 2, the client terminal 2 is a computer including a control unit 21, a storage unit 22, a display unit 23, an operation unit 24, a communication IF 25, a drive device 26, and the like. The client terminal 2 is provided in a hospital examination room, a dispensing room where dispensing is performed, a ward where patients are hospitalized, an accounting counter, and the like, and is used by medical professionals such as doctors, pharmacists, nurses, and clerks. It is an operation terminal.

The control unit 21 includes control devices such as a CPU, ROM, RAM, and EEPROM. The CPU is a processor that executes various arithmetic processes. The ROM is a non-volatile storage unit in which information such as a control program for causing the CPU to execute various processes is stored in advance. The RAM is a volatile storage unit, and the EEPROM is a non-volatile storage unit. The RAM and the EEPROM are used as a temporary storage memory (working area) for various processes executed by the CPU. Then, the control unit 21 uses the CPU to execute various processes according to various control programs stored in the ROM, the EEPROM, or the storage unit 22 in advance.

The storage unit 22 is a non-volatile storage unit such as a hard disk, SSD, or flash memory that stores various control programs executed by the control unit 21 and various data. Specifically, the storage unit 22 stores application programs such as an operating system (OS) and browser software. The browser software displays various operation screens and the like on the operation unit 23 by accessing the server 10 via the network 30, and also performs an input operation using the operation unit 24 on the operation unit on the server. It is application software for transmitting to 10. Specifically, when the control unit 21 inputs address information such as a URL (Universal Resource Locator) corresponding to the server 10 at a predetermined position on the operation screen displayed by the browser software, the address information The server 10 is accessed based on the above.

The display unit 23 is a display unit such as a liquid crystal display or an organic EL display that displays various information according to a control instruction from the control unit 21. The operation unit 24 is an operation unit operated by a user to input various information to the client terminal 2. Specifically, the operation unit 24 includes a keyboard and a mouse (pointing device) that accept input operations on various operation screens displayed on the display unit 23. Further, the operation unit 24 may include a touch panel that accepts touch operations for various operation screens displayed on the display unit 23, or a voice input device that accepts input of various information by voice recognition.

The communication IF 25 is a communication interface having a network card or the like that executes data communication wirelessly or by wire according to a predetermined communication protocol with an external device such as the server 10 via the network 30.

The drive device 26 can read information such as the OS or the browser software from a computer-readable recording medium 261 in which the OS or the browser software is recorded. The recording medium 261 is a CD, DVD, BD, USB memory, or the like, and the drive device 16 is a CD drive, a DVD drive, a BD drive, a USB port, or the like. In the client terminal 2, the OS or the browser software read from the recording medium 261 by the control unit 21 using the drive device 26 is stored in the program area 221.

In the medical office processing system 1, the server client system is configured by the server 10 and the client terminal 20, and the server 10 displays, records, and prints various information according to the user operation of the client terminal 20. Etc. are executed. That is, the "display", "operation", "selection", "input" and the like described below are performed using the display unit 23 and the operation unit 24 of the client terminal 20.

By the way, when one prescription contains a predetermined number of psychotropic drugs, the medical fee points for that prescription may be gradually reduced. Specifically, when any one of three or more types of anxiolytics, three or more types of sleeping pills, four or more types of antidepressants, or four or more types of antipsychotics is included in one prescription (hereinafter, "decreasing conditions"). The medical fee points for the prescription may be gradually reduced. For example, when the gradual decrease condition is satisfied, the medical fee points corresponding to the drug fee are gradually reduced to the points corresponding to 80/100. However, in the conventional medical office processing system, the necessity of the diminishing condition could not be determined. On the other hand, in the medical paperwork system 1, it is possible to support the gradual reduction of the medical fee points when the number of psychotropic drugs contained in one prescription satisfies a predetermined gradual reduction condition.

[Psychotropic drug registration process]
First, the psychotropic drug registration process executed by the control unit 11 of the server 10 will be described with reference to FIG. The psychotropic drug registration process is executed by the control unit 11 when, for example, a psychotropic drug registration start request is input to the server 10 in response to a user operation of the operation unit 24 of the client terminal 20 or the like. NS. The psychotropic drug registration process is executed by the registration process unit 114 of the control unit 11.

<Steps S101 to S103>
First, the control unit 11 causes the client terminal 20 to display a psychotropic drug registration screen D1 for registering a psychotropic drug in the registered psychotropic drug classification master (S101). Here, FIG. 7 is a diagram showing an example of the psychotropic drug registration screen D1. As shown in FIG. 7, the psychotropic drug registration screen D1 is provided with a drug search column D11 for searching for a drug to be maintained. Then, when the search character is input to the drug search field D11 and the search key is operated by the operation of the client terminal 20 (S102: Yes), the control unit 11 transfers the drug stored in the drug master. Among them, a list of chemicals containing the search character is extracted and displayed on the client terminal 20 (S103).

Here, on the psychotropic drug registration screen D1, the name column D12 in which the name of the drug is displayed, the drug efficacy classification column D13 in which the drug efficacy classification is displayed, and the drug efficacy classification are displayed as information on the drug including the search character. The Ministry of Health, Labor and Welfare registration column D14 is displayed, which indicates whether or not is specified based on the psychotropic drug classification master.

Specifically, in the drug efficacy classification column D13, the first 7 digits of the YJ code of the drug are registered in the psychotropic drug classification master, and the YJ code of the drug is registered in the registered psychotropic drug classification master. If so, the edit screen D2 displays the classification of the psychotropic drug customized and registered in the registered psychotropic drug classification master. If the first 7 digits of the YJ code of the drug are registered in the psychotropic drug classification master and the YJ code of the drug is not registered in the registered psychotropic drug classification master, the psychotropic drug The classification of the psychotropic drug registered in the classification master is displayed in the medicinal effect classification column D13. If the first 7 digits of the YJ code of the drug are not registered in the psychotropic drug classification master and the YJ code of the drug is not registered in the registered psychotropic drug classification master, the drug efficacy. A blank is displayed in the classification column D13.

Further, in the registration column D14 of the Ministry of Health, Labor and Welfare, the first 7 digits of the YJ code of the drug are registered in the psychotropic drug classification master, and the YJ code of the drug is registered in the registered psychotropic drug classification master. If not, a check mark (●) is displayed. On the other hand, when the YJ code of the drug is registered in the registered psychotropic drug classification master, a blank is displayed in the registration column D14 of the Ministry of Health, Labor and Welfare. This makes it possible to easily confirm whether or not each drug containing the search character is registered in the registered psychotropic drug classification master, that is, whether or not the efficacy classification is customized. be.

<Step S104>
In step S104, the control unit 11 waits for an editing start operation for any of the chemicals displayed in step S103 (S104: No). For example, the control unit 11 performs the editing start operation when the operation key corresponding to "classification editing" is operated with any of the drugs selected on the psychotropic drug registration screen D1. Judge. Then, when the editing start operation is performed (S104: Yes), the control unit 11 shifts the process to step S105.

<Step S105>
In step S105, the control unit 11 causes the client terminal 20 to display an edit screen D2 for editing information on the drug corresponding to the edit start operation. Here, FIG. 8 is a diagram showing an example of the editing screen D2. At this time, if the drug is not registered in the registered psychotropic drug classification master but is registered in the psychotropic drug classification master, the edit screen D2 is displayed with the contents input. .. Further, when the drug is already registered in the registered psychotropic drug classification master, the edit screen D2 is displayed with the content input. If the drug is not registered in either the psychotropic drug classification master or the registered psychotropic drug classification master, the edit screen D2 is displayed with the contents of the drug master input. ..

As shown in FIG. 8, on the editing screen D2, the product name, the drug manufacturer, the standard, the YJ code, the common name, and the like of the drug read from the drug master are displayed. Further, on the editing screen D2, one of anxiolytic drug, hypnotic drug, antidepressant drug, and antipsychotic drug can be selectively selected as the classification category indicating the classification of the drug. Further, on the edit screen D2, an expiration date (FROM), which is an expiration date for classifying the drug into an anxiolytic drug, a hypnotic drug, an antidepressant drug, or an antipsychotic drug, and an expiration date (TO), which is the expiration date thereof, are displayed. It is possible to enter. The expiration date (FROM) corresponds to the "start date" in the psychotropic drug classification master and the registered psychotropic drug classification master, and the expiration date (TO) corresponds to the psychotropic drug classification master and the registered psychotropic drug classification master. Corresponds to the "end date" in the drug classification master. Further, on the edit screen D2, a check box for switching between valid and invalid use of the table information corresponding to the chemical set on the edit screen D2 is displayed. When the check box is checked, the valid flag of the table information is set to "1" indicating valid, and when the check box is not checked, the valid flag of the table information is valid. The flag is set to "0" to indicate invalidity.

<Step S106>
Then, in step S106, the control unit 11 waits for the operation of registering the information of the drug (S106: No). For example, the control unit 11 determines that the registration operation has been performed when the operation key corresponding to the "registration" on the edit screen D2 is operated. Then, when the registration operation is performed (S106: Yes), the control unit 11 shifts the process to step S107.

<Step S107>
In step S107, the control unit 11 registers the content input to the edit screen D2 in the registered psychotropic drug classification master as table information corresponding to the drug, and ends the psychotropic drug registration process. If the table information corresponding to the drug is already registered in the registered psychotropic drug classification master, the table information is overwritten and saved. Here, the duplication of the table information is determined based on, for example, the table ID or the YJ code included in the table information. The psychotropic drug registration process is also terminated when an operation key corresponding to "close" or "cancel" displayed on the psychotropic drug registration screen D1 described later is operated, for example.

[1st gradual display processing]
Next, with reference to FIG. 9, the first gradual reduction display process executed by the control unit 11 of the server 10 will be described. The first gradual display process is performed when an electronic medical record editing request for executing a patient's medical information editing process is input to the server 10 in response to a user operation of the operation unit 24 of the client terminal 20 or the like. , Is executed by the control unit 11. For example, when the electronic medical record program included in the medical office work processing program is activated, the control unit 11 starts the first gradual reduction display processing. When the request to start editing the medical information is input to the server 10, the control unit 11 causes the client terminal 20 to display the electronic medical record editing screen D3 for editing the medical information of the patient. Then, the control unit 11 executes the editing process and the recording process of the patient's medical information according to the user operation on the electronic medical record editing screen D3 displayed on the client terminal 20, separately from the first gradual decrease display process. However, the detailed description thereof will be omitted.

Here, FIG. 10 is a diagram showing an example of the electronic medical record editing screen D3. As shown in FIG. 10, the electronic medical record editing screen D3 displays a past medical record area D31 in which past medical record information is displayed, a current medical record area D32 in which medical information currently being input is displayed, and basic patient information. The patient information area D33 to be used and the keypad area D34 to which the keypad used for editing the medical information are displayed are displayed. In the electronic medical record relating to one medical treatment, medical information classified into each item of "S", "O", "A", "P", and "guidance" is recorded. Here, "S" is subjective information (Subjective Information), which is information related to a symptom or the like that the patient is subjectively feeling. "O" is objective information, which is information related to the doctor's clinical findings and laboratory findings. "A" is evaluation information (Assessment Information), which is information related to the evaluation and judgment of a doctor. "P" is plan information (Plan Information), which is information related to medication, treatment plan, and the like. "Instruction" is instruction information, and is information on education and instruction to patients.

<Step S201>
First, in step S201, the control unit 11 waits for the operation of the medication instruction (S201: No). For example, the control unit 11 right-clicks the mouse of the operation unit 24 to select a medication instruction while the prescription information regarding the medication is input to the current medical record region D32 on the electronic medical record editing screen D3. If, or when a key for a medication instruction (not shown) is selected in the keypad area D34, it is determined that the operation of the medication instruction has been performed. Then, when the control unit 11 determines that the operation of the medication instruction has been performed (S201: Yes), the process shifts to step S202.

<Step S202>
In step S202, the control unit 11 sequentially selects each of the prescription drugs contained in the prescription information currently input on the electronic medical record editing screen D3 each time the step S202 is executed, and processes the process in step S203. Migrate.

<Step S203>
In step S203, the control unit 11 determines whether or not the prescription drug is registered in the registered psychotropic drug classification master (see FIG. 5). Here, when the control unit 11 determines that the prescription drug is registered in the registered psychotropic drug classification master (see FIG. 5) (S203: Yes), the process shifts to step S204. Further, when the control unit 11 determines that the prescription drug is not registered in the registered psychotropic drug classification master (see FIG. 5) (S203: No), the process shifts to step S231.

<Step S204>
In step S204, the control unit 11 determines whether or not the use of the table information corresponding to the prescription drug is effective in the registered psychotropic drug classification master. Specifically, the control unit 11 corresponds to the period between the start date and the end date in which the current date and time is registered in the table information corresponding to the prescription drug in the registered psychotropic drug classification master (see FIG. 5). If the valid flag registered in the table information is "1", it is determined that the use of the table information is valid. When only the start date is set for the start date and the end date, it is determined whether or not the current date and time is after the start date, and only the end date is set. Is determined whether or not the current date and time is before the end date. Further, when the start date and the end date are not set, the use of the table information is not invalidated according to the current date and time.

Then, when the control unit 11 determines that the use of the table information corresponding to the prescription drug is effective (S204: Yes), the process shifts to step S205. Further, when it is determined that the use of the table information corresponding to the prescription drug is not effective (S204: No), the process is shifted to step S231. That is, even if the prescription drug is registered in the registered psychotropic drug classification master, if the current date and time does not correspond to the period between the start date and the end date, or it is registered in the table information. If the valid flag is "0" indicating invalidity, the prescription drug is processed so as not to use the table information of the registered psychotropic drug classification master.

<Step S205>
If the prescription drug is registered with the Registered Psychotropic Drug Classification Master, the prescription drug is a psychotropic drug. Therefore, in step S205, the control unit 11 specifies the classification of the prescription drug based on the registered psychotropic drug classification master. As described above, the control unit 11 preferentially uses the registered psychotropic drug classification master over the psychotropic drug classification master to specify the classification of the prescription drug.

For example, in the example shown in FIG. 5, the current date and time is within the period between January 1, 2013 and January 1, 2015, and the prescription drug is "cloxazolam" of YJ code "1124014B1036". If so, the classification of the psychotropic drug is specified as "anti-anxiety drug". If the current date and time is not within the period between January 1, 2013 and January 1, 2015, even if the prescription drug is "cloxazolam" of YJ code "1124014B1036", the above-mentioned The classification of the psychotropic drug is specified based on the psychotropic drug classification master in step S241 described later instead of the registered psychotropic drug classification master. Similarly, when the prescription drug is "bromovaleryl urea" of YJ code "1121001X1018", it is a "hypnotic drug", and when the prescription drug is "chlorpromazine hydrochloride" of YJ code "1174002F1029", it is an "antidepressant drug". , When the prescription drug is "chlorpromazine hydrochloride" of YJ code "1171001F2185", it is specified as an "antipsychotic drug".

<Step S231>
On the other hand, the prescription drug is also a psychotropic drug even when the prescription drug is registered in the psychotropic drug classification master. Therefore, in step S241, the control unit 11 specifies the classification of the prescription drug based on the psychotropic drug classification master (see FIG. 4). If the prescription drug is not registered in the psychotropic drug classification master, the prescription drug is not the psychotropic drug. Therefore, in step S241, the classification of the psychotropic drug for the prescription drug is performed. Not specified.

For example, in the example shown in FIG. 4, when the first 7 digits of the YJ code of the prescription drug is "1124014", the prescription drug is a psychotropic drug having the common name "cloxazolam", and the classification is "anti-anti-psychotropic drug". Identified as an anxiety drug. When the first 7 digits of the YJ code of the prescription drug is "1123001", it is specified that the prescription drug is "chloral hydrate" and "hypnotic", and the first 7 digits of the YJ code of the prescription drug. Is "1174004", the prescription drug is identified as "lofepramine hydrochloride" and "antidepressant", and when the first 7 digits of the YJ code of the prescription drug is "1172006", the above Prescription drugs are identified as "perphenazine" and "antipsychotics".

Further, also in step S241, the control unit 11 has a current date and time between the start date and the end date registered in the table information corresponding to the prescription drug in the psychotropic drug classification master (see FIG. 4). If the period does not apply, the classification of the psychotropic drug for the prescription drug is not specified. When only the start date is set for the start date and the end date, it is determined whether or not the current date and time is after the start date, and only the end date is set. Is determined whether or not the current date and time is before the end date. Further, when the start date and the end date are not set, the use of the table information is not invalidated according to the current date and time.

<Step S206>
In step S206, the control unit 11 counts the number of each classification of the psychotropic drug contained in the prescription information based on the classification of the psychotropic drug specified in step S205 or step S241. As described above, in steps S202 to S206, the number of the psychotropic drugs for each category included in the prescription information corresponding to one prescription is specified. That is, the steps S202 to S206 are executed by the specific processing unit 111 of the control unit 11.

The number of each category of the psychotropic drug counted in step S206 needs to be calculated by the common name of the drug belonging to the category. Therefore, when the control unit 11 counts the number of each category of the psychotropic drug in the step S206, for example, when two kinds of drugs having the same common name exist in the prescription information, the count is not two. Process as 1 count.

<Step S207>
In step S207, the control unit 11 determines whether or not the classification has been specified for all the prescription drugs in the prescription information. Here, when the control unit 11 determines that the classification has been specified for all the prescription drugs in the prescription information (S207: Yes), the process shifts to step S208. On the other hand, when the control unit 11 determines that the classification has not been specified for all the prescription drugs in the prescription information (S207: No), the process is shifted to the step S202 and the same process is repeated. ..

<Step S208>
In step S208, the control unit 11 determines whether or not the gradual decrease condition is satisfied according to the number of the psychotropic drug included in the prescription information counted in step S206 for each classification. Specifically, the control unit 11 includes, in the prescription information, any one of three or more kinds of anxiolytics, three or more kinds of sleeping pills, four or more kinds of antidepressants, or four or more kinds of antipsychotic drugs. If this is the case, it is determined that the gradual decrease condition is satisfied. Here, the step S208 is executed by the gradual decrease determination processing unit 112 of the control unit 11.

<Step S209>
In step S209, the control unit 11 displays the dosing instruction screen D4 corresponding to the operation of the dosing instruction. Here, FIG. 10 shows an example of the dosing instruction screen D4. The medication instruction screen D4 is an example of a second display screen displayed when the prescription information is input. As shown in FIG. 10, the medication instruction screen D4 has a prescription display area D41 on which the prescription information currently input on the electronic medical record editing screen D3 is displayed, and a direction included in the prescription information. The psychotropic drug area D42, which displays the number of each category of psychotropic drug, is displayed.

In particular, the control unit 11 determines whether or not the gradual decrease condition is satisfied in the psychotropic drug region D42, and the psychotropic drug for each category specified in steps S202 to S206. Display the number. Here, the process of step S209 is executed by the output processing unit 113 of the control unit 11. Thereby, the user can easily recognize whether or not the prescription information is subject to the gradual reduction of the medical fee points due to the number of the psychotropic drugs, and the reason thereof.

Specifically, the control unit 11 displays the determination result in step S208 according to the display mode of the number of the psychotropic drug for each of the categories specified in steps S202 to S206. For example, the classification of the psychotropic drug that satisfies the diminishing condition is displayed in a predetermined first specific color character such as red, and the classification of the psychotropic drug that does not satisfy the diminishing condition is displayed in advance. It is displayed in the characters of the second specific color such as the specified black color. As a result, the user can grasp at a glance which of the classifications the number of the psychotropic drugs satisfies the gradual decrease condition. The display mode is not limited to the color of the characters, and for example, the size of the characters, the background color of the characters, the presence or absence of blinking of the characters, and the like can be considered as other display modes. In addition, the control unit 11 displays that the gradual reduction condition is satisfied with a message such as "Since the number of anxiolytics is 3 or more, the medical fee points are gradually reduced." May be good.

As described above, in the first diminishing display process, when the prescription information is input at the time of registration of the medical information, whether or not the prescription information satisfies the diminishing condition and the classification of the psychotropic drug. The number for each is displayed on the medication instruction screen D4. Thus, for example, the user can modify the prescription information so that the diminishing condition is not satisfied. Not limited to the medication instruction screen D4, for example, whether or not the prescription information satisfies the diminishing condition on the electronic medical record editing screen D3 (an example of the second display screen), and for each classification of the psychotropic drug. The number of may be displayed.

By the way, as another embodiment, for example, between the step S201 and the step S202, the control unit 11 determines whether or not the automatic gradual reduction function is effectively set, and the medication instruction screen D4. It is also conceivable to switch the display of the number for each category of the psychotropic drug. The automatic gradual reduction function is a function in which the control unit 11 determines whether or not the gradual reduction condition is satisfied, and automatically reduces the medical fee points. For example, the control unit 11 switches between enabling and disabling the automatic gradual reduction function according to a user operation on the initial setting screen D5 for performing the initial setting of the server 10. Here, FIG. 11 is a diagram showing an example of the initial setting screen D5. In the example shown in FIG. 11, on the initial setting screen D5, either "0: perform automatic calculation" or "1: do not perform automatic calculation" can be selected from the pull-down menu of the item of "psychiatric drug gradual reduction processing". The automatic gradual reduction function setting area D51 is displayed. The control unit 11 switches between enabling and disabling the automatic gradual reduction function according to the selection content in the automatic gradual reduction function setting area D51. Then, the control unit 11 displays the number of each category of the psychotropic drug on the medication instruction screen D4 when the automatic diminishing function is effective, and when the automatic diminishing function is invalid. Is considered not to display the number of each category of the psychotropic drug on the medication instruction screen D4.

Further, as another embodiment, it is conceivable that the control unit 11 determines whether or not the psychotropic drug type number display function is effectively set, for example, between the step S201 and the step S202. Be done. In this case, when the control unit 11 determines that the psychotropic drug type number display function is effectively set, the process shifts to the step S202, and the psychotropic drug type number display function is invalidated. If it is determined that the setting is made, the process shifts to the step S221. The psychotropic drug type number display function is a function in which the control unit 11 displays the number of each psychotropic drug type included in the prescription information. For example, the control unit 11 switches between enabling and disabling the psychotropic drug type number display function according to a user operation on the initial setting screen D5. Specifically, in the example shown in FIG. 11, on the initial setting screen D5, either "0: not displayed" or "1: displayed" is selected from the pull-down menu of the item "number of psychotropic drug prescription types". The number of possible types display setting area D52 is displayed. Then, the control unit 11 switches between enabling and disabling the psychotropic drug type number display function according to the selection content in the type number display setting area D52. Then, even if the automatic diminishing function is effective, the control unit 11 doubles that the psychotropic drug type number display function is invalid, and the number for each classification of the psychotropic drug on the medication instruction screen D4. Is not displayed. When both the automatic diminishing function and the psychotropic drug type number display function are effective, the control unit 11 displays the number of each psychotropic drug category on the medication instruction screen D4. Can be considered.

[Second gradual display processing]
Next, with reference to FIG. 12, the second gradual reduction display process executed by the control unit 11 of the server 10 will be described. In the second gradual reduction display process, an accounting start request for executing accounting processing for each patient in which the medical practice is registered is input to the server 10 in response to a user operation of the operation unit 24 of the client terminal 20 or the like. If so, it is executed by the control unit 11. For example, when the accounting processing program included in the medical office work processing program is activated, the control unit 11 starts the second gradual reduction display processing. In addition to the second gradual reduction display processing, the control unit 11 executes accounting processing related to patient's medical information according to a user operation on the accounting screen D6 displayed on the client terminal 20. Detailed explanation will be omitted.

<Step S301>
First, in step S301, the control unit 11 waits for the selection of medical information of the patient to be accounted for (S301: No). For example, the control unit 11 waits for the selection of the medical information of a specific patient on the list screen in which the list of the medical information of the unpaid patient into which the medical information is input is displayed. Then, when the control unit 11 determines that the medical information of the patient to be accounted for has been selected (S301: Yes), the process shifts to step S302.

<Step S302>
In step S302, the control unit 11 determines whether or not the automatic diminishing function is effectively set. As described above, the automatic gradual reduction function is a function in which the control unit 11 determines whether or not the gradual reduction condition is satisfied and automatically reduces the medical fee points, and the control unit 11 is the control unit 11. The automatic diminishing function setting area D51 on the initial setting screen D5 (see FIG. 11) is switched between enabling and disabling the automatic diminishing function according to the user operation. Here, if it is determined that the automatic diminishing function is enabled (S302: Yes), the process proceeds to step S303, and it is determined that the automatic diminishing function is disabled (S302: Yes). S302: No), the process proceeds to step S321.

<Step S303>
In step S303, the control unit 11 sequentially selects each of the prescription drugs contained in the prescription information input as the medical information of the patient each time the step S303 is executed, and shifts the process to step S304. ..

<Step S304>
In step S304, the control unit 11 determines whether or not the prescription drug is registered in the registered psychotropic drug classification master (see FIG. 5). Here, when the control unit 11 determines that the prescription drug is registered in the registered psychotropic drug classification master (see FIG. 5) (S304: Yes), the process shifts to step S306. Further, when the control unit 11 determines that the prescription drug is not registered in the registered psychotropic drug classification master (see FIG. 5) (S304: No), the process shifts to step S341.

<Step S305>
In step S305, the control unit 11 determines whether or not the use of the table information corresponding to the prescription drug is effective in the registered psychotropic drug classification master, as in step S204. Then, when the control unit 11 determines that the use of the table information corresponding to the prescription drug is effective (S305: Yes), the process shifts to step S306. Further, when it is determined that the use of the table information corresponding to the prescription drug is not effective (S305: No), the process is shifted to step S341.

<Step S306>
In step S306, the control unit 11 identifies the classification of the prescription drug based on the registered psychotropic drug classification master, similarly to step S205.

<Step S341>
On the other hand, in step S341, the control unit 11 specifies the classification of the prescription drug based on the psychotropic drug classification master (see FIG. 4) in the same manner as in step S231. If the prescription drug is not registered in the psychotropic drug classification master, the classification of the prescription drug is not the psychotropic drug, and therefore the classification of the prescription drug is not specified in step S341.

<Step S307>
In step S307, the control unit 11 counts the number of each classification of the psychotropic drug contained in the prescription information based on the classification specified in the step S306 or the step S341, similarly to the step S206. do. As described above, in steps S303 to S307, the number of the psychotropic drugs for each category included in the prescription information corresponding to one prescription is specified. That is, the steps S303 to S307 are executed by the specific processing unit 111 of the control unit 11.

<Step S308>
In step S308, the control unit 11 determines whether or not the classification has been specified for all prescription drugs in the prescription information. Here, when the control unit 11 determines that the classification has been specified for all the prescription drugs in the prescription information (S308: Yes), the process shifts to step S309. On the other hand, when the control unit 11 determines that the classification has not been specified for all the prescription drugs in the prescription information (S308: No), the process is shifted to the step S303 and the same process is repeated. ..

<Step S309>
In step S309, the control unit 11 determines whether or not the gradual decrease condition is satisfied according to the number of the psychotropic drug included in the prescription information counted in step S307 for each classification. Here, the control unit 11 when executing the processing is an example of a gradual reduction determination processing unit. Specifically, the control unit 11 includes, in the prescription information, any one of three or more kinds of anxiolytics, three or more kinds of sleeping pills, four or more kinds of antidepressants, or four or more kinds of antipsychotic drugs. If this is the case, it is determined that the gradual decrease condition is satisfied.

Here, when the control unit 11 determines that the diminishing condition is satisfied (S309: Yes), the process shifts to step S310, and when it is determined that the diminishing condition is not satisfied (S309: No), the process is performed in step S321. To migrate to.

<Step S310>
In step S310, the control unit 11 calculates medical fee points for the medical treatment information of the patient selected in step S301 according to a preset gradual reduction rule. Specifically, in step S310, when the control unit 11 calculates the medical fee points based on the medical information, the medical fee points related to the prescription fee, the drug material, the prescription fee, etc. are higher than usual according to the gradual decrease rule. Is calculated so that it becomes a low value.

For example, the gradual reduction rule stipulates that the medical fee points of the prescription fee are gradually reduced to 20 points when the medical fee points of the normal prescription fee are 42 points. In addition, the gradual reduction rule stipulates that the medical fee points of the drug material should be gradually reduced to 80/100 of the usual amount. Further, the gradual reduction rule stipulates that when the medical fee points of the normal prescription fee are 68 points, the medical fee points of the prescription fee are gradually reduced to 30 points.

<Step S321>
In the present embodiment, the case where the medical fee points are gradually reduced due to the administration of the psychotropic drug polypharmacy will be mainly described, but in the medical office processing system 1, the prescription information is provided by the control unit 11. Even when seven or more kinds of internal medicines are contained in the drug, the medical fee points can be gradually reduced (see, for example, Patent Document 1). Therefore, even when the automatic gradual reduction function of the 7 kinds of internal medicines that gradually reduces the medical fee points due to the administration of multiple psychotropic drugs is disabled (S302: No), the control unit 11 continues in step S321. In the above, it is determined whether or not the automatic diminishing function of the 7 kinds of oral medications is effectively set.

Specifically, on the initial setting screen D5, one of "0: perform automatic calculation" and "1: do not perform automatic calculation" can be selected from the pull-down menu of the item "gradual decrease of 7 kinds of internal medicines". The automatic diminishing function setting area D53 is displayed. The control unit 11 switches between enabling and disabling the automatic diminishing function of the 7 kinds of oral medications according to the selection content in the automatic diminishing function setting area D53. Then, in step S321, when it is determined that the internal 7-drug automatic diminishing function is effectively set (S321: Yes), the process shifts to step S322, and the internal 7-drug automatic diminishing function is activated. If it is determined that the setting is invalid (S321: No), the process proceeds to step S324.

<Step S322>
In step S323, the control unit 11 determines whether or not the prescription information includes seven or more types of internal medicines. Here, if it is determined that the prescription information contains 7 or more types of internal medicine (S322: Yes), the process proceeds to step S323, and the prescription information does not include 7 or more types of internal medicine. If it is determined (S322: No), the process proceeds to step S324.

<Step S323>
In step S323, the control unit 11 calculates the medical fee points for the medical treatment information of the patient selected in step S301 according to the gradual reduction rule set in advance corresponding to the automatic gradual reduction function of the 7 kinds of oral medications. Specifically, in step S322, when the control unit 11 calculates the medical fee points based on the medical information, the prescription fee, the drug material, and the prescription fee, the drug material, according to the diminishing rule corresponding to the automatic diminishing function of the 7 kinds of internal medicines. Calculate so that the medical fee points for prescription fees, etc. will be lower than usual.

For example, in the diminishing rule corresponding to the automatic diminishing function of the 7 kinds of internal medicines, it is stipulated that the medical fee points of the prescription fee are gradually reduced to 29 points when the medical fee points of the normal prescription fee are 42 points. Will be. In addition, the gradual reduction rule corresponding to the automatic gradual reduction function of the 7 kinds of internal medicine stipulates that the medical fee points of the drug material should be gradually reduced to 90/100 of the usual amount. Further, in the gradual reduction rule corresponding to the automatic gradual reduction function of the 7 kinds of internal medicines, it is stipulated that the medical fee points of the prescription fee are gradually reduced to 40 points when the medical fee points of the normal prescription fee are 68 points. Will be.

<Step S324>
On the other hand, in step S324, the control unit 11 calculates the medical fee points based on the medical information of the patient selected in step S301, and does not gradually reduce the medical fee points.

<Step S311>
In step S311 the control unit 11 determines whether or not the psychotropic drug type number display function is effectively set. As described above, the control unit 11 displays the number of each category of the psychotropic drug included in the prescription information, and the control unit 11 displays the number of psychotropic drug types. , The enable / disable of the psychotropic drug type number display function is switched according to the user operation of the type number display setting area D52 on the initial setting screen D5 (see FIG. 11). Here, when it is determined that the psychotropic drug type number display function is effectively set (S311: Yes), the process proceeds to step S312, and the psychotropic drug type number display function is disabled. If it is determined to be (S311: No), the process proceeds to step S313.

<Step S312>
In step S312, the control unit 11 displays the accounting screen D6 for executing the accounting process. Here, FIG. 13 shows an example of the accounting screen D6. The accounting screen D6 is an example of a first display screen displayed when the accounting process is performed.

Here, FIG. 13 is a diagram showing an example of the accounting screen D6. As shown in FIG. 13, the accounting screen D6 has a prescription display area D61 in which the prescription information is displayed, a gradual decrease display area D62 in which the gradual decrease in the medical fee points for the prescription information is displayed, and a gradual decrease display area. D63 and the classification number display area D64 in which the number of each classification of the psychotropic drug included in the prescription information is displayed are displayed. In the example shown in FIG. 13, it is displayed in the diminishing display area D62 that the medical fee points of the drug material are gradually reduced to 80/100, and the medical fee points of the prescription fee are reduced to 20 in the diminishing display area D63. It is displayed that it is gradually reduced. When the prescription fee is incurred, it is displayed in the gradual decrease display area D62 that the medical fee points of the prescription fee are gradually reduced to 30.

Further, when the step S312 is executed, since the psychotropic drug type number display function is effectively set, the control unit 11 performs the gradual decrease according to the step S309 in the classification number display area D64. Along with the determination result of whether or not the condition is satisfied, the number of the psychotropic drug for each of the classifications specified in steps S303 to S307 is displayed. Here, the process of step S312 is executed by the output processing unit 113 of the control unit 11. Thereby, the user can easily recognize whether or not the prescription information is subject to the gradual reduction of the medical fee points due to the number of the psychotropic drugs, and the reason thereof.

Specifically, the control unit 11 displays the determination result in step S309 according to the display mode of the number of the psychotropic drug for each of the categories specified in steps S303 to S307. For example, the classification of the psychotropic drug that satisfies the diminishing condition is displayed in a predetermined first specific color character such as red, and the classification of the psychotropic drug that does not satisfy the diminishing condition is displayed in advance. It is displayed in the characters of the second specific color such as the specified black color. As a result, the user can grasp at a glance which of the classifications the number of the psychotropic drugs satisfies the gradual decrease condition. The display mode is not limited to the color of the characters, and for example, the size of the characters, the background color of the characters, the presence or absence of blinking of the characters, and the like can be considered as other display modes. In addition, the control unit 11 displays that the gradual reduction condition is satisfied with a message such as "Since the number of anxiolytics is 3 or more, the medical fee points are gradually reduced." May be good.

<Step S313>
On the other hand, in step S313, the control unit 11 displays the accounting screen D6 for executing the accounting process in the same manner as in step S312. However, when the step S313 is executed, since the psychotropic drug type number display function is disabled, the control unit 11 sets the classification number display area D64 for each classification of the psychotropic drug. Do not display the number of.

By the way, on the accounting screen D6, the operation key K61 corresponding to the "accounting editor" for editing the content of the accounting information corresponding to the medical care information is displayed, and when the operation key K61 is operated, the operation key K61 is displayed. The control unit 11 displays an accounting editor screen D7 for editing the contents of the medical information. Here, FIG. 14 is a diagram showing an example of the accounting editor screen D7.

As shown in FIG. 14, on the accounting editor screen D7, an operation key K71 for enabling the gradual decrease related to psychotropic drug multiple drug administration and an operation key for invalidating the gradual decrease related to psychotropic drug multiple drug administration are displayed. K72 and K73 are displayed. The operation key K71 is used as an operation key for enabling both the automatic diminishing function and the automatic diminishing function of the 7 kinds of internal medicines. The operation key K72 is an operation key for disabling the automatic gradual reduction function and enabling the automatic gradual reduction function for the 7 kinds of internal medicines. Further, the operation key K73 is an operation key for disabling both the automatic diminishing function and the automatic diminishing function of the 7 kinds of internal medicines.

Then, when the operation key K71 is operated, the control unit 11 performs both the automatic gradual reduction function and the automatic gradual reduction function of the 7 kinds of internal medicines in relation to the calculation of the medical fee points for the medical treatment information this time. Set to enable. Specifically, when the operation key such as "decision" on the accounting editor screen D7 is operated, the control unit 11 has the automatic diminishing function and the internal use 7 when the operation key K71 is operated. After both the seed drug automatic gradual reduction function are enabled, the processing after step S302 in the second gradual reduction display processing is executed again. As a result, when the gradual decrease condition is satisfied (S309: Yes), the medical fee points are calculated according to the gradual decrease rule (S310), and the accounting screen D5 is redisplayed (S312 or S313). On the other hand, even when the gradual reduction condition is not satisfied (S309: No), when the prescription information includes 7 or more kinds of internal medicines (S322: Yes), the automatic gradual reduction function of the 7 kinds of internal medicines is supported. The medical fee points are calculated according to the gradual reduction rule (S323), and the accounting screen D5 is redisplayed (S312 or S313).

On the other hand, when the operation key K72 is operated, the control unit 11 disables the automatic gradual reduction function in calculating the medical fee points for the medical treatment information this time, and automatically takes the 7 kinds of internal medicines. Enable the gradual reduction function. Specifically, the control unit 11 disables the automatic gradual reduction function when the operation key K72 such as "decision" on the accounting editor screen D7 is operated. Then, after the automatic gradual reduction function of the 7 kinds of internal medicines is effectively set, the processing after step S302 in the second gradual reduction display processing is executed again. As a result, when the prescription information includes 7 or more kinds of internal medicines (S322: Yes), the medical fee points are calculated according to the gradual reduction rule regarding the automatic gradual reduction function of the 7 kinds of internal medicines (S323), and the accounting screen. D5 is redisplayed (S312 or S313).

Further, when the operation key K73 is operated, the control unit 11 performs both the automatic gradual reduction function and the automatic gradual reduction function of the 7 kinds of internal medicines in relation to the calculation of the medical fee points for the medical treatment information this time. Set to invalid. Specifically, when the operation key such as "decision" on the accounting editor screen D7 is operated, the control unit 11 has the automatic diminishing function and the internal use 7 when the operation key K73 is operated. After disabling both of the seed drug automatic gradual reduction functions, the processing after step S302 in the second gradual reduction display processing is executed again. As a result, even if the gradual decrease condition is satisfied, or even if the prescription information includes seven or more types of internal medicines, the medical fee points are calculated as usual (S324), and the accounting screen D5 is displayed again. It is displayed (S312 or S313).

That is, even when the automatic diminishing function and the automatic diminishing function of the 7 kinds of internal medicines are set to be enabled or disabled by the initial setting screen D5 or the like, the user can use the accounting editor screen D7 to perform the medical treatment this time. Only when calculating the medical fee points for information, it is possible to easily switch between the validity and invalidity of the automatic diminishing function and the automatic diminishing function of the 7 kinds of internal medicines by using the operation keys K71 to K73.

<Usage example of operation keys K72 and K73>
Here, an example of using the operation keys K72 and K73 will be described. For example, in the following cases, even if it is determined by the automatic diminishing function that the diminishing condition is satisfied, it is conceivable that the medical fee points will not be diminished. First, as the first case, on the day when the patient first sees an insurance medical institution in which the medical paperwork system 1 is used for the treatment of a mental illness, a psychiatric drug has already been taken by another insurance medical institution. It is conceivable that multiple drug administration is performed (when the gradual decrease condition is satisfied). In addition, as a second case, the patient's symptoms are not sufficiently or not improved, and it is necessary to switch the drug. Therefore, the already administered drug and the newly introduced drug may be temporarily used in combination. Conceivable. Further, as a third case, it is considered that the prescription information corresponds to the case of temporary administration (when the continuous administration period is within 2 weeks or 14 times or less). In the medical office processing system 1, even in such a case, the operation keys K72 or K73 are operated on the accounting editor screen D7 at the discretion of the user, so that the medical fee points are exceptionally gradually reduced. It is possible not to.

By the way, it is conceivable that the operation keys K71 to K73 are displayed on the electronic medical record editing screen D3 or the medication instruction screen D4. In this case, the control unit 11 determines the effectiveness and invalidity of the gradual decrease in the administration of the psychotropic drug multidrug with respect to the medical information displayed on the electronic medical record editing screen D3 in response to the operation of the operation keys K71 to K73. Switch. Thereby, for example, when the doctor wants to perform an exceptional process different from the automatic diminishing function, the operation keys K71 to K73 can be easily operated on the electronic medical record editing screen D3 to easily relate to the administration of multiple psychotropic drugs. It is possible to switch between valid and invalid of the gradual decrease.

<Comment input function>
By the way, when it is determined by the automatic diminishing function that the diminishing condition is satisfied, it is originally necessary to gradually reduce the medical fee points, so the diminishing is invalidated by operating the operation keys K72 or K73. If so, it is conceivable to record the reason and so on. For example, the control unit 11 displays a predetermined comment input screen D8 when the gradual reduction of the medical fee points is set to be invalid by operating the operation keys K72 or K73. It is also conceivable that the control unit 11 may display the comment input screen D8 when the gradual reduction of the medical fee points is effectively set by operating the operation key K71.

Here, FIG. 15 is a diagram showing an example of the comment input screen D8. As shown in FIG. 15, the comment input screen D8 reflects the medical information, and a comment field D81 in which an arbitrary comment can be input is displayed. Then, the control unit 11 records the comment input to the comment field D81 by the user operation in the data area 122 in association with the medical information. For example, in the case of the first case in which the operation key K72 or K73 is operated, the content of the comment is the day when the medical institution in which the medical paperwork system 1 is used is first visited (first medical examination day). ) Is entered. Further, in the case of the second case, as the content of the comment, the start date of drug switching, the name of the drug to be switched, and the name of the newly introduced drug are input. Further, in the case of the third case, the start date of the temporary administration is input as the content of the comment. It is conceivable that the control unit 11 also prints the comment input in the comment column D81 in the summary column of the medical fee statement corresponding to the medical information.

<Other examples of operation key K71>
In addition, another example of the said operation key K71 will be described. For example, in one area, the use of antipsychotics is considerably higher than in other areas, so instead of the diminishing condition that one prescription contains four or more antipsychotics, three or more in one prescription. If the antipsychotic drug is included, it may be exceptionally stipulated that the medical fee points will be gradually reduced. Further, in the automatic diminishing function, as described above, when counting the number of each category of the psychotropic drug, the drug having the same common name is counted as one. On the other hand, in a certain area, when counting the number of each category of the psychotropic drug, it is conceivable that the number of drugs having the same common name is individually counted as one.

Therefore, as another embodiment, even when the control unit 11 does not satisfy the gradual decrease condition regarding the administration of the psychotropic drug polypharmacy, the operation key K71 is displayed on the accounting editor screen D7 at the user's discretion. When is manipulated, it is considered that the gradual decrease of the medical fee points is exceptionally decreased according to the gradual decrease rule regarding the administration of multiple psychotropic drugs. Thereby, for example, when the doctor wants to perform an exceptional process different from the automatic diminishing function, the operation key K72 or K73 can be easily operated on the electronic medical record editing screen D3 to easily relate to the administration of multiple psychotropic drugs. It is possible to switch between valid and invalid of the gradual decrease. Further, it is conceivable that a forced gradual reduction operation key for forcibly reducing the medical fee points is provided separately from the operation key K71.

[Statistical information registration process]
Subsequently, with reference to FIG. 16, the statistical information registration process executed by the control unit 11 of the server 10 will be described. In the server 10, the statistical information registration process is executed by the control unit 11, so that the data area 122 of the storage unit 12 contains the number of the psychiatric drugs for each of the prescription information and the number of the psychotropic drugs. Table information regarding whether or not the medical fee points are gradually reduced is stored as statistical information.

Here, FIG. 17 is a diagram showing an example of the statistical information. As shown in FIG. 17, the statistical information includes patient ID, patient name, consultation date, consultation time, multidrug administration, number of anxiolytics, number of hypnotics, number of antidepressants, and number of antipsychotics. , Multi-drug administration gradual decrease, and table information including each item such as the name of the main disease are registered. In the item of multi-drug administration, information on whether or not the prescription information corresponding to one prescription satisfies the diminishing condition is registered. Further, in the item of gradual decrease in multi-drug administration, information on whether or not the medical fee points have been gradually reduced at the time of accounting processing for the prescription information is registered. Further, the items of the number of types of anxiolytics, the number of types of hypnotics, the number of types of antidepressants, and the number of types of antipsychotics include each classification of the psychotropic drug counted in the second gradual reduction display process. The number of is registered.

<Step S401>
First, in step S401, the control unit 11 waits for the end of the accounting process (S401: No). For example, the control unit 11 determines that the accounting process of the medical information displayed on the accounting screen D6 has been completed in response to the operation of the operation key such as "payment" on the accounting screen D6. Then, when the control unit 11 determines that the accounting process has been completed (S401: Yes), the control unit 11 shifts the process to step S402. Further, in step S401, it is determined that the accounting process is completed even when the data update process after the accounting process is executed after the accounting process is completed once.

In this embodiment, the case where the statistical information is updated at the end of the accounting process will be described as an example, but as another embodiment, the timing at which the accounting work for one day is completed is predetermined. It is also conceivable that the statistical information in the statistical information registration process is registered at the same timing.

<Step S402>
In step S402, the control unit 11 deletes the table information when the table information corresponding to the medical care information already exists in the statistical information stored in the data area 122. For example, after the accounting process for the medical information is completed once, when the data after the accounting process is changed, the table information registered in the statistical information based on the medical information before modification is deleted. , The table information is newly registered in the statistical information based on the corrected medical information. The presence or absence of the table information corresponding to the medical information is determined based on the patient ID (or patient name), the medical examination date, and the medical examination time included in both the medical information and the table information of the statistical information. NS.

<Step S403>
In step S403, the control unit 11 determines whether or not the prescription information included in the medical information includes the psychotropic drug. For example, when any one of the numbers for each classification of the psychotropic drug counted in the step S307 in the second gradual reduction display process is 1 or more, the control unit 11 indicates the psychotropic drug in the prescription information. Judge that the drug is included. The control unit 11 may determine whether or not the prescription information includes the psychotropic drug based on the psychotropic drug classification master and the registered psychotropic drug classification master.

Here, when the control unit 11 determines that the prescription information includes the psychotropic drug (S403: Yes), the process shifts to step S404. On the other hand, when the control unit 11 determines that the prescription information does not include the psychotropic drug (S403: No), the control unit 11 ends the statistical information registration process. That is, the medical information that does not include the psychotropic drug in the prescription information is not reflected in the statistical information.

<Step S404>
In step S404, the control unit 11 determines whether or not the prescription information satisfies the gradual decrease condition. For example, in step S404, the control unit 11 can use the determination result of step S309. Further, in step S404, the same determination process as in step S309 may be executed. Here, when the control unit 11 determines that the prescription information satisfies the diminishing condition (S404: Yes), the process shifts to step S405. On the other hand, when the control unit 11 determines that the prescription information does not satisfy the gradual decrease condition (S404: No), the process shifts to step S441.

<Step S405>
In step S405, the control unit 11 registers the contents of the medical information in the statistical information. Specifically, the control unit 11 registers each item of the table information of the statistical information (see FIG. 17) as the statistical information based on the medical information. In particular, here, since the prescription information satisfies the gradual decrease condition, “Yes” is registered in the item of multidrug administration in the table information in the step S405. Further, in the accounting process, when the medical fee points are gradually reduced for the prescription information, "Yes" is registered in the item of the multi-drug administration gradual reduction in the statistical information. If the medical fee points are not gradually reduced for the prescription information in the accounting process, "None" is registered in the item of the multi-drug administration gradual reduction in the statistical information.

<Step S441>
On the other hand, also in step S441, the control unit 11 registers the contents of the medical care information in the statistical information as in the step S405. However, here, since the prescription information does not satisfy the diminishing condition, in step S441, "None" is registered in the multidrug administration item in the table information, and the multidrug administration diminishing in the statistical information. "None" is also registered in the item.

[Statistical information output processing]
Hereinafter, the statistical information output process executed by the control unit 11 of the server 10 will be described with reference to FIG.

<Step S501>
First, in step S501, the control unit 11 waits for an output request for the statistical information (S501: No). The output request of the statistical information is input to the server 10 together with the calculation period when the client terminal 20 is subjected to the operation of designating the calculation period of the statistical information and the request execution operation. For example, the calculation period may be a specific day, month, year, or any designated period (days, weeks, months, years). Here, when it is determined that the output request for the statistical information has been made (S501: Yes), the control unit 11 shifts the process to step S502.

<Step S502>
In step S502, the control unit 11 extracts information corresponding to the calculation period (hereinafter referred to as “extracted statistical information”) from the statistical information registered in the statistical information registration process. As described above, since the statistical information already registered in the statistical registration process is used, the process of step S502 can be performed quickly.

Further, in the statistical information registration process, the corresponding statistical information is individually registered for each predetermined calculation period, and in the statistical information output process, the calculation period is selected to correspond to the calculation period. The statistical information to be used may be extracted. Further, in the present embodiment, a case where the statistical information registered in advance by the statistical information registration process is output in the statistical information output process will be described as an example, but as another embodiment, the statistical information will be described. In the output process, it is also conceivable to acquire the statistical information by referring to the history of the medical information stored in the data area 122.

<Step S503>
In step S503, the control unit 11 causes the client terminal 20 to display the extracted statistical information. For example, the extracted statistical information is listed in a display mode as shown in FIG. As a result, the user can easily create a predetermined report while referring to the extracted statistical information. Further, the control unit 11 can print the list of the extracted statistical information as it is according to the user operation.

<Step S504>
In step S504, the control unit 11 determines whether or not the file output request for the extraction statistical information has been made. The file output request is made, for example, in response to an operation of a predetermined operation key displayed on the display screen of the extraction statistical information. Here, when the control unit 11 determines that the file output request has been made (S504: Yes), the process shifts to step S505, and if the file output request has not been made (S504: No), the process is performed. To step S506.

<Step S505>
In step S505, the control unit 11 executes an output process of transmitting the extraction statistical information to the client terminal 20 in a predetermined file format such as CSV. As a result, the user can effectively utilize the extracted statistical information.

<Step S506>
In step S506, the control unit 11 determines whether or not a report printing request regarding the extracted statistical information has been made. The report print request is made, for example, in response to an operation of a predetermined operation key displayed on the display screen of the extracted statistical information. Here, when the control unit 11 determines that the report print request has been made (S506: Yes), the process shifts to step S507, and if the report print request has not been made (S506: No). , The process shifts to step S504. When the operation of closing the display screen of the extracted statistical information is performed, the display screen is closed and the statistical information output process ends.

<Step S507>
In step S507, the control unit 11 prints out the extracted statistical information based on predetermined format information. Specifically, the control unit 11 creates the report based on the format information corresponding to the predetermined report, and the report is connected to the medical office processing system 1 (not shown) printer. Print using. This reduces the time and effort of the user who creates the report based on the extracted statistical information. It is also conceivable that the control unit 11 outputs the report as electronic data.

Here, FIG. 19 is a diagram showing an example of the report. The report shown in FIG. 19 includes a first description area A91, a second description area A92, and a third description area A93. In the first described area A91, the number of patients receiving psychotropic drugs, the number of patients receiving multiple psychotropic drugs, the number of patients receiving three or more types of anxiolytics, and sleeping pills. The number of patients receiving 3 or more types of administration, the number of patients receiving 4 or more types of antidepressant drugs, and the number of patients receiving 4 or more types of antipsychotic drugs are included. Further, in the second described area A92, the number of patients receiving multiple psychotropic drugs, the number of patients with depression, the number of patients with schizophrenia, the number of patients with anxiety disorder, and the number of patients with other diseases Is included. Further, in the third described area A93, the number of patients receiving the psychotropic drug multi-drug administration, the number of patients already receiving the psychotropic drug multi-drug administration at other health care institutions, and the drug switching are suitable. This includes the number of patients receiving multiple psychotropic drugs and the number of patients receiving multiple psychotropic drugs for temporary administration. Then, the control unit 11 counts the number of patients required for the first description area A91, the second description area A92, and the third description area A93 of the report based on the extraction statistical information. The report is printed with the number of patients entered in the first description area A91, the second description area A92, and the third description area A93.

In the present embodiment, the case where the server 10 alone is the medical office processing system according to the present invention has been described as an example, but the processing executed by the server 10 described in the present embodiment is performed by the server 10. It is also conceivable that the client terminals 20 may be distributed and executed. In this case, the server 10 and the client terminal 20 constitute the medical office processing system.

It is also conceivable that the client terminal 20 alone functions as the medical office processing system according to the present invention. Specifically, a part or all of the medical office work processing program is installed in the client terminal 20, and the control unit 21 of the client terminal 20 appropriately acquires necessary information from the server 10 and various types. It is conceivable to perform processes such as displaying, recording, and printing information.

Further, in the present embodiment, the case where the server 10 has the functions of a medical receipt computer processing system for managing accounting information and an electronic medical record system for managing medical information has been described as an example. On the other hand, it is conceivable that the medical office processing system 1 individually includes the server 10 that functions as a medical receipt computer processing system that manages accounting information, and the server 10 that functions as an electronic medical record system that manages medical information. .. That is, the server 10 may have only one of the functions of the receipt computer processing system and the electronic medical record system.

1: Medical office processing system 10: Server 11: Control unit 12: Storage unit 13: Display unit 14: Operation unit 15: Communication IF
16: Drive device 161: Recording medium 20: Client terminal 21: Control unit 22: Storage unit 23: Display unit 24: Operation unit 25: Communication IF
26: Drive device 261: Recording medium 30: Network

Claims (5)

A specific processing unit capable of specifying the number of types of the psychotropic drug for each predetermined classification of the psychotropic drug included in the prescription information corresponding to one prescription, and
For the number of types of the psychotropic drug specified by the specific processing unit for each category , it is determined whether or not the predetermined gradual reduction condition is satisfied in order to determine that the medical fee points for the prescription information need to be gradually reduced. The gradual reduction judgment processing unit and
An output processing unit that displays a determination result by the gradual decrease determination processing unit according to a display mode of the number of types of the psychotropic drug for each category determined to satisfy the gradual decrease condition.
To prepare
Medical paperwork system. The output processing unit displays the determination result by the gradual decrease determination processing unit according to the number of types of the psychotropic drug specified by the specific processing unit or the display mode of the psychotropic drug.
The medical paperwork system according to claim 1. A specific processing unit capable of specifying the number of types of the psychotropic drug for each predetermined classification of the psychotropic drug included in the prescription information corresponding to one prescription, and
An output processing unit that outputs the number of types of the psychotropic drug for each of the classifications specified by the specific processing unit.
Whether or not the number of types of the psychotropic drug for each of the classifications specified by the specific processing unit satisfies the predetermined gradual reduction condition for determining that the medical fee points for the prescription information need to be gradually reduced. Gradual reduction judgment processing unit for judgment and
Equipped with
The output processing unit displays the determination result by the gradual decrease determination processing unit according to the display mode of the psychotropic drug for each of the classifications specified by the specific processing unit.
Medical paperwork system. A specific step that can specify the number of types of the psychotropic drug for each predetermined classification of the psychotropic drug included in the prescription information corresponding to one prescription, and
For the number of types of the psychotropic drug specified by the specific step for each category, it is determined whether or not the predetermined gradual reduction condition is satisfied in order to determine that the medical fee points for the prescription information need to be gradually reduced. Gradual reduction judgment step and
An output step for displaying the determination result by the gradual decrease determination step according to the display mode of the number of types of the psychotropic drug for each category determined to satisfy the gradual decrease condition.
A medical paperwork program to get your computer to run. A specific step that can specify the number of types of the psychotropic drug for each predetermined classification of the psychotropic drug included in the prescription information corresponding to one prescription, and
An output step that outputs the number of types of the psychotropic drug for each of the categories specified by the specific step, and an output step.
It is determined whether or not the number of types of the psychotropic drug for each of the classifications specified by the specific step satisfies the predetermined diminishing condition for determining that the medical fee points for the prescription information need to be diminished. The gradual reduction judgment step and
Is a medical paperwork program that allows a computer to execute
In the output step, the determination result by the gradual decrease determination step is displayed according to the display mode of the psychotropic drug for each of the categories specified by the specific step.
Medical paperwork program.

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