Development of RDB application software of medical claim data and report of the process improvement example

Abstract

This paper proposes the relational database based on the system method, and attempts to clarify past and present problems in utilizing receipt claim data.

Health insurance claim is now submitted online using an electronic medical receipt data. The online medical receipt data structure is difficult to be used secondarily, but they store important data of the patient same as “DPC data” and “Electronic medical record data”.

In this case report, application efficiency was improved by relational database, and the secondary use of medical receipt data was possible including searches and analyses.