JP2009069944A - Medical examination information registration device - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To accurately input drugs which are easily mistaken due to their different specifications. <P>SOLUTION: This medical examination information registration device is provided with: a medical examination information file for storing the medical examination information of patients; a drug master file for storing unique codes, designations, and data for retrieval of every drug; a retrieval means for retrieving the drug master file based on retrieval instruction data input by an input means, and for reading the matched drug data; a list display means for displaying the retrieved drug data as a list at the display means; and a prescription input screen display means for displaying a prescribed input screen with the drugs selected and instructed by the user from the displayed list as objects of registration. The master file further stores specification information for associating the mutual drugs whose unique component content is different, and whose specifications are different. and the prescribed input screen display means outputs information showing that there exists the drugs whose specifications are different by associating it with the drugs by referring to the specification information. <P>COPYRIGHT: (C)2009,JPO&INPIT

Description

  The present invention relates to a medical care information registration device such as an insurance claim office computer or an electronic medical record, and more particularly to the same device that allows a medicine with a similar name or a medicine with a different standard to be input accurately.

  When a prescription is handed over to a patient at a pharmacy or medical institution, the contents of the prescription are written in a dispensation remuneration statement or medical remuneration statement (hereinafter referred to as a receipt) for each patient and submitted to an insurance institution. Claim medical fees. Devices for creating and issuing such receipts, such as dispensing fee calculators in insurance pharmacies and medical office calculators in medical institutions, are widespread. Conventionally, when inputting prescription contents into these devices, at least the medicine used, its quantity and number of times, and usage have been input from a keyboard. At that time, it is cumbersome to enter the name of the drug one by one, so give each insurance drug a unique several letter code that combines numbers and letters, and associate that code with the drug name, drug price and unit A registered database was prepared in advance and entered with that code. Since the code should be easy for the operator to remember, it is often the case that several characters are taken from the top of the drug name to make the code. And in case of forgetting the exact code, it was possible to search for similar drugs by the name or part of the code and display a list. Similarly, in a medical assistance device such as an electronic medical record, a medicine can be input in the same manner.

For example, Patent Document 1 discloses a method in which a part of a medicine name is input and collation is instructed to read out a record of medicine names that meet the conditions from a database and display a list.
JP-A-9-97283

  Thus, conventionally, it has been possible to search and display a list of drugs by a part of the name or code, and to select and input a desired drug from the displayed list. However, it was easy to make mistakes when selecting the same drugs with different standards, or with different drugs with similar names. For example, “Alinamin F sugar-coated tablets 5 mg” and “Alinamin F sugar-coated tablets 25 mg”, which indicate the difference in the content of active ingredients with numbers, are available as different standards. Therefore, the present application provides a medical information registration apparatus that allows a user to know when there is such an easily mistaken drug and displays a list of easily mistaken drugs so that an erroneous input can be easily corrected. Is to provide.

  The present invention is a medical information registration apparatus that includes an input unit, a display unit, and a storage unit, and inputs and registers patient medical information. The medical information that holds patient medical information and is stored in the storage unit A drug master file that stores at least a file, a unique code for each medicine, a name, and search data and is stored in the storage means, and a search instruction data input by the input means. Search means for searching and retrieving matching drug data, list display means for displaying the searched drug data in a list on the display means, and a prescription input screen for a drug selected and designated by the user from the displayed list Prescription input screen display means for the drug, and the drug master file is a rule relating different drugs with different contents of specific components. The prescription input screen display means refers to the standard information, and if there is a drug with a different standard in the drug, information indicating that a drug with a different standard exists corresponds to the drug. The above problem is solved by further outputting.

  According to the medical information registration apparatus of the present invention, when there is a difference in standards or similar names when a medicine is searched, the presence of them is displayed on a list to alert the user. As a result, the user carefully selects a drug from the list, and can input the drug more accurately.

  FIG. 1 shows the configuration of a medical information registration apparatus according to an embodiment of the present invention. In the figure, 1 is a control device having a CPU and a memory, 2 is a file device composed of auxiliary storage means such as a hard disk device, and 3 is an input device as data input means composed of a pointing device such as a keyboard and a mouse. Is a display device as an information display means constituted by an LCD or the like, and 5 is a printing device as a printing means constituted by an LBP or the like.

  The control device 1 has a function of receiving input from the input device 3, a function of controlling display on the display device 4, a function of controlling print output by the printing device 5, a function of controlling file input / output of the file device 2, and a device. It has a function to control the whole. The keyboard and pointing device function as selection instruction means in the following description.

  The medical information registration apparatus can use a general computer such as a personal computer as basic hardware. A program (not shown) having functions specific to the apparatus is installed in the file device 2 in advance, and the control apparatus 1 introduces and executes the program, so that functions specific to the apparatus can be achieved. Demonstrate. The control device 1 accepts input of information by the user from the input device 3 via the input control unit, and displays a screen for information input and a screen showing the processing result on the display screen of the display device 4 via the display control unit. indicate. Further, processing is performed on information input using data of various files stored in the file device 2, and the results are stored and controlled in the memory and the file device 2.

  The file device 2 stores a medical information file, a medicine master file, and a usage master file. The file device 2 has a directory structure having a hierarchical structure similar to a general personal computer, and has various files and directories necessary for operation, but the description thereof is omitted here.

  The medical information file is a file that stores information on medical treatments and prescription medicines received by patients.

  As shown in FIG. 2, the drug master file includes a “drug code” unique to each drug, a “name” of the drug, a “reading” for search, a “measurement unit”, and a unit amount. Basic information of “insurance score” and “classification”, “standard information” indicating that there is another drug with a different standard, and another drug with a similar name that is likely to be mistaken “ It is a file that stores “similar name information” in association with each other. Here, drugs with different specifications refer to drugs that have the same basic composition but differ in the content of specific active ingredients. In many cases, the number at the end of the name indicates the difference in content. . For example, there is a relationship between “XX tablet 5 mg” and “XX tablet 10 mg”. The standard information registers unique data represented by numbers and symbols for each group in order to relate such drugs with different standards as one group. Drugs in which the same data is stored in the standard information, that is, drugs with different specifications from each other. When the standard information is zero, it indicates that there is no drug with a different standard.

  In addition, as another medicine having a similar name, for example, there is a relationship between “Elsamet” and “Hermesat”. The similar name information registers unique data represented by numbers and symbols for each group in order to relate drugs having similar names as a group. When the similar name information is zero, it indicates that there is no drug with a similar name.

  The “name” of the drug is a name given by a pharmaceutical company, which is listed in the drug price standard table, and is an original name written in so-called kana-kanji. “Reading” is reading of kana in which the reading of the name is written, that is, reading kana data, and is used for the search. This can be set by the user and is usually composed of the first few letters of the name, so the reading may be the same as other drugs.

  FIG. 4 shows a specific registration example of the medicine master file. It can be seen that there are three types of differences in specifications for “Alinamin F Dragee”. These three drugs have the same “Arinami” reading. The same “100” is stored in the standard information in order to group these three drugs into groups with different standards. Elsamet and Elmesat store “1”, which is common to similar name information.

  As shown in FIG. 3, the usage master file relates a “usage code” unique to each usage and “instructions” in which usage is recorded in text when using a medicine such as “after dinner / before going to bed”. It is a file to attach.

  Next, the flowcharts of FIGS. 7 to 9 and the operation of the embodiment will be described. Although the user can directly specify the medicine by inputting the medicine code on the prescription input screen, in the embodiment, a search function by reading is also provided. Therefore, for example, the user inputs “Alina” in the reading field to instruct search (step S70). The control device 1 searches the drug master file with the reading and creates a display list on the memory (S72). In this case, a record having a reading that matches the input “Alina” is searched. Then, referring to the standard information of the retrieved record, if it is not zero, that is, if there is a drug with a different standard (S73: Yes), the list created on the memory is associated with the drug, for example, “Standard Sentences that call attention are inserted (S74). Furthermore, referring to the similar name information of the retrieved record, if it is not zero, that is, if there is a drug with a similar name that is easy to be mistaken (S75; yes), it is associated with the drug in the display list, for example, “ A sentence that calls attention such as “there is a similar name” is inserted (S76). Then, the created medicine list is displayed on the display device 4 (S77).

  FIG. 5 shows a display example of the list searched for the reading “Alina”. The medicines with the readings “Arinanami” and “Arina” that match the front are displayed. Among them, Alinamin F sugar-coated tablets have three types of standard differences, and a remarks column with a “standard difference” is displayed. At this time, the control device 1 may further draw the attention of the user by displaying the caution text in a color different from the outside character string, for example, red color, highlighting, or blinking. Is.

  Further, FIG. 6 shows a display example when searching for the reading “L”. The four drugs whose phonetic data has a forward match are listed. Among them, as Elsamet and Hermesat have a common 1 stored in the similar name information as shown in FIG. 4, the control device 1 displays a warning message “There is a similar name” in the remarks column. Yes.

  When the list is displayed, the user instructs to select a desired medicine with a mouse or the like (step S80). In response to this, when the selected medicine has a different standard (S81; Yes), the control apparatus 1 searches the medicine master file for the medicine having the standard information common to the medicine, and the medicine. And stored in the memory (S82). If the selected drug has a similar name (S83; Yes), a drug having similar name information common to that drug is retrieved from the drug master file and stored in the memory in association with the drug. (S84). Then, a prescription input screen is displayed, and the name of the selected drug is displayed as a prescription drug (S85), and a drug with a different standard or a drug with a similar name can be identified as, for example, a symbol or The mark is further displayed (S87, S87), and the display mode is changed.

  FIG. 10 shows a display example of the prescription input screen. A mark “●” indicating that there is a difference in standard is displayed on the second row of arinamin F sugar-coated tablets, and a mark “■” indicating that there is a similar name is displayed in a prominent color such as red in the fifth row. Here, a symbol for one character is used because of the limitation of the size of the display screen, but the present invention is not limited to this. For example, “Note: Standard” may be displayed, the drug name itself may be displayed in a different color, an underline may be added, or “There is a difference in standard” may be displayed in a balloon. In short, what is necessary is just to display and output so that the user can know that there are different standards or similar names for the medicine.

  Then, when the user designates the drug name with the mark or the mark on the prescription input screen with the mouse (step S90), the control device 1 correspondingly stores the list of different standards stored in the memory in association with the drug. Alternatively, a list of similar names is read (S91) and displayed as a list as illustrated in FIG. 11 (S92). If the user notices an error, the user can select and specify the correct medicine from the displayed list with the mouse (S93: Yes). In response to this, the control device 1 reflects and displays the selected medicine on the prescription input screen (S94), and replaces the original medicine.

  As a result, since the correct medicine desired by the user is displayed on the prescription input screen, the registration button may be indicated with the mouse. Thereby, the control apparatus 1 registers the drug information related to the patient displayed on the prescription input screen in the medical information registration apparatus.

It is a figure which shows the structure of the medical treatment information registration apparatus of embodiment. It is a figure which shows the record structure of a chemical | medical agent master file. It is a figure which shows the record structure of a usage master file. It is a figure which shows the example of registration of a chemical | medical agent master file. It is a figure which shows the example of a display of the list of search results. It is a figure which shows the example of a display of the list of search results. It is a flowchart which shows the operation | movement procedure of embodiment. It is a flowchart which shows the operation | movement procedure of embodiment. It is a flowchart which shows the operation | movement procedure of embodiment. It is a display example of the prescription input screen of the embodiment. It is an example of a display of the name list which is easy to make mistakes of the embodiment.

Explanation of symbols

DESCRIPTION OF SYMBOLS 1 Control apparatus 2 File apparatus 3 Input apparatus 4 Display apparatus 5 Printing apparatus

Claims (3)

  A medical information registration apparatus comprising an input means, a display means, and a storage means for inputting and registering patient medical information, a medical information file that holds patient medical information and is stored in the storage means, and a medicine Each drug master file stored in the storage means that stores at least the unique code, name, and data for search for each drug is searched and matched with the search instruction data input by the input means. Search means for reading out drug data to be performed, list display means for displaying the searched drug data in a list on the display means, and a prescription input screen for displaying a prescription input screen for registering a drug selected and designated by the user from the displayed list Display means, and the drug master file updates standard information relating drugs of different specifications having different specific component contents. The prescription input screen display means refers to the standard information, and if there is a drug with a different standard in the drug, information indicating that there is a drug with a different standard is further associated with the drug. A medical information registration apparatus characterized by outputting.   The medical information registration apparatus according to claim 1, wherein the list display means refers to the standard information, and if there is a drug with a different standard in the searched medicine, information indicating that there is a drug with a different standard exists. A medical information registration apparatus characterized by further outputting to a list in correspondence with   The medical information registration apparatus according to claim 1 or 2, wherein the prescription input screen display means displays and outputs a symbol for one character as information indicating that a drug with a different standard exists. Medical information registration device.