JP5245868B2 - Data selection support program, data selection support device, and data selection support method - Google Patents

Description

  The present invention relates to a data selection support program, a data selection support device, and a data selection support method.

  In recent years, as one method for effectively utilizing information accumulated in an electronic medical record, a Knowledge Set (registered trademark) function is known in which a pattern previously administered to a patient is referred to when other patients are administered.

For example, a method is known in which past prescription data stored in a prescription database is extracted using the ID of the patient as a search key and the extracted prescription data is displayed.
Also, a method is known in which disease name drug information combining a disease name and a drug for the disease name is registered in a database, and a list of drugs that can be prescribed for the disease name in the database is displayed using the patient's disease name as a search key. ing.

  In general, “patient” refers to a sick person or an injured person. However, in the description in this specification, it includes a healthy person such as a pregnant woman or a person who has received a medical examination. The persons are collectively referred to as “patients” for convenience of explanation.

JP 2004-318520 A JP2007-272751

When examining an emergency patient, the attending physician may need to administer medication in an initial procedure in a non-specialty area.
In emergency medicine, there are patients with various symptoms, so refer to past medication patterns using the electronic medical record system and refer to past medication in the department or emergency department to which the doctor in charge belongs. It is desirable to refer to the dosage pattern of all department physicians, not just the pattern.

  In other words, it is preferable to refer to all know-how accumulated in each department in the initial treatment that is the basic of emergency, so that it is possible to refer to the dosage pattern comprehensively without specifying the department. In the initial treatment of various cases, an appropriate response can be made.

  In an emergency outpatient, initial medical treatment and initial treatment are often performed for the first visit patient, so it is preferable to display prescription data narrowed down to medication at the first visit. However, some medications at the initial treatment include those for which the efficacy is insufficient for the patient.

  The present invention has been made in view of the above points. Appropriate data is obtained by referring to not only the dosage pattern at the initial treatment at the first visit but also information on the dosage pattern of the treatment performed at the second visit. An object of the present invention is to provide a data selection support program, a data selection support device, and a data selection support method that can extract and provide data.

  In order to achieve the above object, a data selection support program is provided. This data selection support program causes a computer to function as input receiving means, extracting means, and display means.

The input receiving means receives input of drug information.
The extraction means includes medicines received by the input reception means from a database storing medication patterns prescribed for a plurality of examinees, and the medication days are equal to or less than the medication days at the first visit of the same examinee. A certain dosing pattern is extracted.

The display means displays the medication pattern extracted by the extraction means.
According to such a data selection support program, when input of medicine information is received by the input receiving means, the input means accepts input from a database storing medication patterns prescribed for a plurality of examinees. A medication pattern is extracted that includes the medicine for which input is received by the means and whose medication days are equal to or less than the medication days at the first visit of the same examinee. The medication pattern extracted by the extraction means is displayed by the display means.

  According to the disclosed data selection support program, a highly reliable dosing pattern can be provided.

It is a figure which shows the outline | summary of the data selection assistance apparatus of embodiment. It is a figure which shows the electronic medical chart system of embodiment. It is a figure which shows the hardware structural example of a client apparatus. It is a block diagram which shows the function of a server apparatus. It is a figure which shows the data structure of a doctor management table. It is a figure which shows the data structure of a patient management table. It is a figure which shows the data structure of a medication history management table. It is a figure which shows the data structure of a medication history management table. It is a block diagram which shows the function of a client apparatus. It is a block diagram which shows the function of an application execution part. It is a figure which shows a medication order instruction | indication screen. It is a figure which shows an example of a medication pattern display screen. It is a flowchart which shows the whole process of an electronic medical chart system. It is a flowchart which shows a 1st medication pattern display process. It is a flowchart which shows a 1st medication pattern display process. It is a flowchart which shows a 1st medication pattern display process. It is a figure which shows the data table stored in the pattern extraction base DB at the time of completion | finish of the medication pattern base data extraction process of a specific example. It is a flowchart which shows a 2nd medication pattern display process. It is a flowchart which shows a 2nd medication pattern display process.

Hereinafter, embodiments will be described in detail with reference to the drawings.
First, the data selection support device of the embodiment will be described, and then the embodiment will be described more specifically.

FIG. 1 is a diagram illustrating an outline of a data selection support device according to an embodiment.
The data selection support program according to the embodiment causes a computer (data selection support apparatus) 1 to function as an input reception unit 2, an extraction unit 3, and a display unit 4.

The input receiving means 2 receives, for example, input of information for specifying a medicine to be administered to a doctor's examinee.
The extraction means 3 includes the medicine received by the input receiving means 2 from the database 5 storing the medication patterns prescribed for a plurality of examinees, and the medication at the first visit of the examinees having the same medication days Extract medication patterns that are less than the number of days.

Such extraction processing is performed for the following reason.
If the medication at the first visit does not show sufficient efficacy, a medication different from that at the first visit will be administered at the re-examination, and the efficacy of the other medication will be determined. Generally, it is set to not more than the same dosing days as the initial dosing. On the other hand, when the optimal medication for the patient is determined and the treatment policy is determined, longer-term medication is performed.

  For example, for a patient with a certain symptom, if the drug A does not show efficacy even if the drug A is administered for 5 days at the first visit, the drug B is administered for 3 days at the re-examination. If this medicine B does not show any effect, medicine C is administered for 3 days instead of medicine B. When it is confirmed that this medicine C shows a medicinal effect, the medicine C is administered for a longer period, for example, 10 days, at the next dose.

  If there is such a history of medication, if it is possible to comprehensively present medicines B and C as well as medicine A as a candidate for other patients with similar symptoms, appropriate medication will be given. Help to decide.

  From this point of view, the extraction process does not simply determine the drug administered at the first visit as a drug candidate, but is a drug administered at the re-examination and different from the drug administered at the first visit. However, if the dosage pattern is less than or equal to the number of days of medication at the first visit (that is, used for determining the drug efficacy), this is also extracted to comprehensively extract the dosage pattern candidates.

In addition, it is preferable that the extraction means 3 extracts the dosage pattern of the same medical department as the medical department of the doctor regardless of the number of days of medication.
In FIG. 1, it is assumed that the medical department of the doctor is an emergency department. Therefore, a medication pattern in which the department is an emergency department is extracted regardless of the number of medication days.

The database 5 shown in FIG. 1 stores medication patterns prescribed for the examinee A, the examinee B, and the examinee C.
The examinee A performs an initial examination at the emergency department, and medicines A and B are prescribed for 3 days. Thereafter, a re-examination is carried out at the emergency department, and medicines A and C are prescribed for 6 days (a number of days greater than the number of medication days at the first visit).

  Patient B performs an initial examination at internal medicine, and medicines A and D are prescribed for 3 days. Thereafter, a re-examination is carried out in the internal medicine, and medicine A and medicine E are prescribed for 3 days (for days equal to or less than the number of medication days at the first visit).

  The examinee C makes an initial examination at the internal medicine, and medicines A and F are prescribed for three days. Thereafter, a re-examination is carried out at the internal medicine, and medicines A and G are prescribed for 7 days (a number of days more than the number of medication days at the first visit).

  The extraction means 3 extracts the medication pattern including the medicine A and the medicine B of the examinee A because they are emergency departments. In addition, a medication pattern including medicine A and medicine C of the examinee A is also extracted because it is an emergency department.

  Next, the medication pattern including medicine A and medicine D of the examinee B is extracted because it is the first visit. In addition, the dosing pattern including the medicine A and the medicine E of the examinee B is also revisited, but is extracted because the number of dosing days is equal to or less than the number of dosing days at the first visit.

  Next, a medication pattern including medicine A and medicine F of the examinee C is extracted because it is the first examination. However, the dosing pattern including the medicine A and the medicine G of the examinee C is a revisit and is not extracted because the number of dosing days is more than the number of dosing days at the first visit.

The display unit 4 displays the medication pattern extracted by the extraction unit 3.
According to such a computer 1, the initial treatment medication administered at the first visit does not show an effect, and the medication pattern in which the initial medication is performed by changing the medication pattern at the second visit can be extracted and displayed. Thereby, for example, a highly reliable dosing pattern can be provided even for a doctor who prescribes a medicine that has not been prescribed in the past at the first visit.

Hereinafter, the embodiment will be described more specifically.
FIG. 2 is a diagram illustrating the electronic medical record system according to the embodiment.
The electronic medical chart system 100 includes server devices 10, 30, and 40 and a plurality of (two in FIG. 2) client devices 20, 20,.

The server device 10 is a server that manages an electronic medical record of each medical department.
The server device 10 stores a medication (prescription) pattern for each patient, data for identifying a patient and a doctor, and the like, and sends the data to each client device 20 as necessary. Also, these data are shared with the server devices 30 and 40.

  Each client device 20 includes an electronic medical record application used when a doctor creates a prescription or explains a medical condition to a patient. The electronic medical record application displays an electronic medical record and a medication pattern prescribed in the past by the doctor or another doctor in order to support creation of the medical chart on an attached monitor according to the operation of the doctor. At that time, a more reliable dosage pattern is displayed in consideration of whether or not the department is an emergency department, whether or not the first visit or revisit, and whether or not the number of medication days at the second visit is less than or equal to the number of medication days for the first visit.

The server device 30 and the server device 40 are servers that manage information of other departments (for example, a dispensing department and an accounting department).
For example, a pharmacist can dispense by referring to a prescription created by a doctor by accessing the server device 30 from a terminal device (not shown). Further, the accounting staff can calculate the accounting amount by referring to the prescription created by the doctor by accessing the server device 40 from a terminal device (not shown).

FIG. 3 is a diagram illustrating a hardware configuration example of the client device.
The entire client device 20 is controlled by a CPU (Central Processing Unit) 201. A random access memory (RAM) 202, a hard disk drive (HDD) 203, a graphics processing device 204, an input interface 205, an external auxiliary storage device 206, and a communication interface 207 are connected to the CPU 201 via a bus 208. Yes.

  The RAM 202 temporarily stores at least part of an OS (Operating System) program and application programs to be executed by the CPU 201. The RAM 202 stores various data necessary for processing by the CPU 201. The HDD 203 stores an OS and application programs. A program file is stored in the HDD 203.

  A monitor 204 a is connected to the graphic processing device 204. The graphic processing device 204 displays an image on the screen of the monitor 204a in accordance with a command from the CPU 201. A keyboard 205 a and a mouse 205 b are connected to the input interface 205. The input interface 205 transmits a signal sent from the keyboard 205a or the mouse 205b to the CPU 201 via the bus 208.

  The external auxiliary storage device 206 reads information written on the recording medium and writes information on the recording medium. Examples of the recording medium that can be read and written by the external auxiliary storage device 206 include a magnetic recording device, an optical disc, a magneto-optical recording medium, and a semiconductor memory. Examples of the magnetic recording device include an HDD, a flexible disk (FD), and a magnetic tape. Examples of the optical disc include a DVD (Digital Versatile Disc), a DVD-RAM (Random Access Memory), a CD-ROM (Compact Disc Read Only Memory), and a CD-R (Recordable) / RW (ReWritable). Examples of the magneto-optical recording medium include MO (Magneto-Optical disk).

  The communication interface 207 is connected to the network 70. The communication interface 207 transmits / receives data to / from other computers via the network 70.

  With the hardware configuration as described above, the processing functions of the present embodiment can be realized. 3 shows the hardware configuration of the client device 20, the server devices 10, 30, and 40 can also be realized with the same hardware configuration. In the electronic medical chart system 100 having such a hardware configuration, the following functions are provided in the server device 10 and each client device 20.

<Server device>
FIG. 4 is a block diagram illustrating functions of the server device.
The server device 10 includes a data transmission / reception unit 11, a control unit 12, and an electronic medical record processing data storage unit 13.

The data transmitter / receiver 11 has a function of transmitting / receiving data to / from each client device 20.
The control unit 12 has an authentication function when each client device 20 logs in to the electronic medical record application.

  Specifically, authentication is performed in response to a user authentication request from each client device 20, and after authentication, data stored in the electronic medical record processing data storage unit 13 in response to a data transmission request from each client device 20 Is transmitted to the client device 20.

The data stored in the electronic medical record processing data storage unit 13 is updated in response to a data update request from the client device 20.
The electronic medical record processing data storage unit 13 stores data used when the electronic medical record application of each client device 20 is executed. Specifically, it has a doctor DB 131, a patient DB 132, a medication history (medication history) DB 133, a medicine master 134, and an electronic medical record DB 135.

The doctor DB 131 stores basic information of doctors (for example, name, department, occupation, etc.) in a predetermined format.
The patient DB 132 stores basic patient information.

In the medication history DB 133, information on medications (medication patterns) that have been administered to the patient in the past is stored in association with the doctor instructing the medication, the number of medication days, and the like.
The medicine master 134 stores general information about medicines.

The electronic medical record DB 135 stores an electronic medical record for each patient in a predetermined format.
Hereinafter, the data structure of each DB will be described.

<Doctor DB>
Data is tabulated and stored in the doctor DB 131.
FIG. 5 is a diagram illustrating a data structure of the doctor management table.

  The doctor management table 131a includes columns for a doctor code, a doctor name, a doctor license acquisition date, a department code, and a department, and information arranged in the horizontal direction of each column is associated with each other. .

In the doctor code column, a number for identifying the doctor (the doctor) stored in the doctor name column is stored.
In the doctor name column, the name of the doctor is stored.

The doctor license acquisition date column stores the doctor license acquisition date of the doctor.
In the department code column, a code for identifying the department to which the doctor belongs is stored.
The name of the department to which the doctor belongs is stored in the department column.

<Patient DB>
Data is tabulated and stored in the patient DB 132.
FIG. 6 is a diagram illustrating a data structure of the patient management table.

The patient management table 132a includes columns for patient ID, patient name, sex, and date of birth, and information arranged in the horizontal direction of each column is associated with each other.
A number (ID) for identifying a patient is stored in the patient ID column.

The name of the patient is stored in the patient name column.
The sex column stores the sex of the patient.
In the birth date column, the date of birth of the patient stored in the patient name column is stored.

<Medication history DB>
In the medication history DB 133, data is tabulated and stored.
7 and 8 show the data structure of the medication history management table. 7 and 8 constitute one table.

  The medication history management table 133a includes a patient ID, a patient name, a medical treatment category, a medical department code, a medical department name, a doctor code, a doctor name, a medication start date, an order number, item attributes, item attribute names, item codes, and item names. Item quantity and item unit name fields are provided, and information arranged in the horizontal direction of each field is associated with each other.

A number (ID) for identifying a patient is stored in the patient ID column.
The name of the patient is stored in the patient name column.
Information for identifying a first visit or a revisit is stored in the medical treatment section column.

In the medical department code field, a number for identifying the medical department stored in the medical department name field is stored.
The medical department name column stores the medical department to which the doctor stored in the doctor name column belongs.

In the doctor code column, a number for identifying the doctor stored in the doctor name column is stored.
The doctor name column stores the name of the doctor who prescribed the medicine for the patient stored in the patient name column.

The date when the medication order is issued is stored in the medication start date column.
In the order number column, a unique identification number provided for each medication order is stored. The order information (information for one column of the medication history management table 133a) to which the same order number is assigned constitutes one order unit (medication pattern) (a pattern comprising a combination of medicines to be administered and an internal use method). Means that In the present embodiment, the order date is newer as the order information has a larger number of order numbers.

  In the item attribute column, an identifier indicating the attribute of the order information is stored. “D” indicates that the attribute of the order information is medicine, and “Y” indicates that the attribute of the order information is usage.

In the item attribute name column, “medicine” is stored when the item name column is a drug name, and “usage” is described when it is a usage.
In the item code column, for items whose item attribute is “D”, an identification number for identifying a medicine name prefixed with “D” is stored. For items whose item attribute is “Y”, an identification number for identifying a pattern for each internal use method having “Y” at the head is stored.

  In the item name column, for the item whose item attribute is “D”, the medicine name and the amount of a specific medication order are stored. For items whose item attribute is “Y”, the internal use method is stored.

  In the item quantity column, for items whose item attribute is “D”, the number of oral doses per day is stored, and for items whose item attribute is “Y”, the date indicating the number of days of medication is stored. Yes.

  In the item unit name column, “pack” or “lock” is stored for the item whose item attribute is “D”, depending on the drug name of the item name, and for the item whose item attribute is “Y”. , “Day” is stored.

Next, functions of the client device will be described.
FIG. 9 is a block diagram illustrating functions of the client device.
The client device 20 includes an input reception unit 21, an interface unit 22, an application storage unit 23, and an application execution unit 24.

  The input receiving unit 21 receives an input operation (hereinafter simply referred to as a “doctor's operation”) using a doctor's keyboard 205a, a mouse 205b, or the like, such as input of information on a medicine to be administered to a patient.

The interface unit 22 is an interface for exchanging data with the server device 10. In FIG. 9, the data transmission / reception unit 11 and the control unit 12 are not shown.
The application storage unit 23 stores an electronic medical record application.

  The application execution unit 24 calls the electronic medical record application stored in the application storage unit 23 in response to the start request of the electronic medical record application by the operation of the doctor received by the input reception unit 21, and monitors the login screen of the electronic medical record application 204a is displayed.

  The application execution unit 24 performs an authentication process when a doctor's doctor code, a unique password, and the like are input by a doctor's operation and a login button (not shown) is selected (pressed).

  Specifically, the application execution unit 24 transmits an authentication request together with a login name and a password to the server device 10 via the interface unit 22. If authenticated by the control unit 12 of the server device 10, it is possible to log in to the electronic medical record application.

When logging in to the electronic medical record application, the application execution unit 24 displays various tools for managing the electronic medical record on the monitor 204a.
When a medication instruction tool is selected by a doctor's operation, the application execution unit 24 activates the medication instruction tool.

When the medication pattern display tool is selected by the operation of the doctor, the application execution unit 24 displays a medication order instruction screen described later on the monitor 204a.
The application execution unit 24 performs a medication pattern display process by a doctor's operation on the medication order instruction screen.

  By this processing, the application execution unit 24 displays on the monitor 204a a medication pattern display screen that displays a list of medication patterns including the currently selected medicine from the medication orders stored in the medication history management table 133a.

FIG. 10 is a block diagram illustrating functions of the application execution unit.
The application execution unit 24 includes a medication pattern extraction unit 241, a pattern extraction base DB 242, a medication pattern compression processing unit 243, a medication pattern display processing unit 244, and a data transmission unit 245.

  The medication pattern extraction unit 241 reads the medication pattern including the medicine selected this time from the medication history management table 133a one by one. And the medication pattern displayed on a medication pattern display screen is extracted by the process mentioned later.

The pattern extraction base DB 242 has an area for temporarily storing the medication pattern extracted by the medication pattern extraction unit 241.
The medication pattern compression processing unit 243 collects overlapping patterns among the medication patterns stored in the pattern extraction base DB 242 after the extraction of the medication pattern extraction unit 241 is completed.

The medication pattern display processing unit 244 creates a medication pattern display screen including the medication patterns collected by the medication pattern compression processing unit 243 and displays the medication pattern display screen on the monitor 204a.
The data transmission unit 245 transmits the patient's electronic medical chart to the server device 10 when closing the electronic medical chart.

  Thereby, the server apparatus 10 transmits the medication pattern described in the prescription column of the received electronic medical record to the server apparatuses 30 and 40 as a medication order. Also, the contents of the medication history management table 133a are updated.

Next, the medication order instruction screen will be described.
FIG. 11 is a diagram showing a medication order instruction screen.
On the medication order instruction screen 60, a patient ID display unit 61, a patient name display unit 62, a medication order slip selection unit 63, an end button 64, and a search unit 65 are displayed.

The patient ID display unit 61 displays the patient ID acquired from the patient management table 132a.
The patient name acquired from the patient management table 132a is displayed on the patient name display unit 62.

  The medication order slip selection unit 63 is provided with a button 631 for selecting an in-hospital prescription and an out-of-hospital prescription, a prescription date display unit 632 for displaying a date for prescription of a medicine, and a medical department display unit 633 for displaying a medical department. Yes. The prescription date display unit 632 displays the date for prescribing the medicine, which is called from a timer provided in the client device 20 and displayed. In the medical department display unit 633, the medical department selected by the doctor (emergency department in FIG. 11) is called and displayed.

When the end button 64 is selected, the application execution unit 24 ends the display of the medication order instruction screen 60.
The search unit 65 includes a drug tab 651 for searching for a drug, a usage tab 652 for searching for a usage, a comment tab 653 for searching for a comment, and a decoction tab 654 for searching for a decoction.

In FIG. 11, the medicine tab 651 is selected by the operation of the doctor.
When the drug tab 651 is selected, a drug search unit 65a is displayed.
The drug search unit 65a is provided with a drug search tab 651a for searching for drugs, a drug search tab 651b for searching for drug effects, and a frequent drug search tab 651c for searching for frequently used drugs (drugs that are frequently used). .

When the medicine search tab 651a is selected by a doctor's operation, a medicine search screen 651d is displayed.
The same screen is displayed when another selection tab is selected.

On the medicine search screen 651d, a medicine name input unit 651e, a search button 651f, and a search result display unit 651g are displayed.
The medicine name input unit 651e accepts input of part or all of the medicine name to be searched.

When the search button 651f is selected by the operation of the doctor, the application execution unit 24 searches the medicine master 134 with the content input to the medicine name input unit 651e.
When the search button 651f is selected by a doctor's operation, the search result display unit 651g displays a search drug list including a drug name at least partially matching the drug name input to the drug name input unit 651e and its amount. indicate.

  In FIG. 11, “Mars”, which is a part of the drug name “Marslen”, is input to the drug name input unit 651 e by the operation of the doctor. As a result of the selection of the search button 651f, “Marslen S granule 0.5g packet” is displayed in the search result display portion 651g.

  Then, when the cursor is placed on the part where the search medicine in the list of search medicines is displayed by the operation of the doctor (the part where “Marslen S granule 0.5 g packet” is displayed in FIG. 11), the medication pattern display process And a medication pattern display screen 651h is displayed.

FIG. 12 is a diagram showing an example of a medication pattern display screen.
The medication pattern display screen 651h includes the name of the medicine to which the cursor is placed (including “Marslen S granule 0.5g” in FIG. 11), and other departments (other than emergency departments) from the medication pattern of the medication history management table 133a. The initial dosing pattern and the initial coping pattern at the re-examination are displayed in all departments including the department.

Next, processing of the electronic medical chart system will be described.
FIG. 13 is a flowchart showing the overall processing of the electronic medical chart system.
First, the application execution part 24 calls an electronic medical chart application according to a doctor's operation. Further, the application execution unit 24 performs an authentication process with reference to the doctor management table 131a in response to the input of the login name and password by the operation of the doctor and the selection of the login button (step S1).

  After logging in, the application execution unit 24 acquires and opens the patient's electronic medical record stored in the electronic medical record DB 135 according to the designation of the patient and the patient's department by the operation of the doctor (step S2). Moreover, the patient information stored in the patient management table 132a is acquired.

Thereafter, when a medication instruction tool is selected by a doctor's operation, the application execution unit 24 activates the medication instruction tool (step S3).
Next, when a medication order menu in the medication instruction tool is selected by a doctor's operation, the application execution unit 24 activates the medication order instruction screen 60 (step S4).

Next, when the medicine tab 651 in the medication order instruction screen 60 is selected by a doctor's operation, the medicine search unit 65a is activated (step S5).
Next, when one of the medicine search tab 651a, the medicinal effect search tab 651b, and the frequent medicine search tab 651c is selected by the operation of the doctor, the application execution unit 24 performs a medication pattern display process (step S6).

  When the end button 64 is selected by the operation of the doctor, the application execution unit 24 ends the display of the medication order instruction screen 60. If the end of the medication instruction tool is selected by the operation of the doctor, the medication instruction tool is terminated (step S7).

When closing of the electronic medical record is selected by the operation of the doctor, the application execution unit 24 closes the electronic medical record of the patient (step S8).
Thereafter, the data transmission unit 245 transmits the electronic medical record of the patient to the server device 10. Thereby, the content of the medication history management table 133a is updated.

  When logout from the electronic medical record application is selected by the operation of the doctor, the application execution unit 24 logs out from the electronic medical record application (step S9). Thereby, the process is terminated.

Next, the medication pattern display process will be described.
<First medication pattern display process>
14 to 16 are flowcharts showing the first medication pattern display process.

First, the medication pattern extraction unit 241 receives an input of a medicine name for searching for a medication pattern (step S11).
Next, the medication pattern extraction unit 241 determines whether or not the patient's department is the emergency department (the department selected by the doctor) (step S12).

When the patient's department is not the emergency department (No in step S12), the process proceeds to step S25 described later.
On the other hand, when the patient's department is an emergency department (Yes in step S12), the medication pattern extraction unit 241 uses the emergency department and the search drug name as keywords (search keys) for searching the medication history management table 133a. set. Then, the medication history management table 133a is searched using the set search medicine name as a key (step S13).

Next, the medication pattern extraction unit 241 determines whether or not a corresponding medication pattern exists (step S14).
If the corresponding medication pattern exists (Yes in step S14), the medication pattern is stored in the pattern extraction base DB 242 (step S15). Thereafter, the process proceeds to step S13, and the processes after step S13 are repeated.

It should be noted that in the second and subsequent searches in step S13, the medication pattern corresponding to the search once is ignored.
On the other hand, when the corresponding medication pattern does not exist, that is, when the retrieval of all the medication patterns in the medication history management table 133a is completed (No in step S14), the search key of the medication history management table 133a is other than the patient department. Set the family. Then, the medication history management table 133a is searched using the set search medicine name as a key (step S16 in FIG. 15).

Next, the medication pattern extraction unit 241 determines whether or not the corresponding medication pattern exists (step S17).
When there is no corresponding medication pattern (No in step S17), the process proceeds to step S26 described later.

On the other hand, if there is a corresponding medication pattern (Yes in step S17), it is determined whether or not the medical treatment category of the medication pattern is the first visit (step S18).
When the medical treatment classification of the medication pattern is the first visit (Yes in step S18), the medication pattern is stored in the pattern extraction base DB 242 (step S19). Thereafter, the process proceeds to step S16, and the processes after step S16 are repeated.

  On the other hand, when the medical treatment classification of the medication pattern is not the first visit (Yes in step S18), the medication history management table 133a is referred to search for the medication pattern at the first visit in the same department of the patient (step S20).

Next, the medication pattern extraction unit 241 determines whether or not the corresponding medication pattern exists (step S21).
When there is no corresponding medication pattern (No in step S21), the process proceeds to step S16, and the processes after step S16 are repeated.

  On the other hand, when the corresponding dosing pattern exists (Yes in step S21), the number of days of dosing of the corresponding dosing pattern is compared with the number of days of dosing of the dosing pattern at the first visit in the patient of the corresponding dosing pattern (step S22).

Next, in step S21, it is determined whether or not the number of administration days of the corresponding administration pattern is equal to or less than the number of administration days of the administration pattern at the first visit (step S23).
If the dosing days of the corresponding dosing pattern is not less than or equal to the dosing days of the dosing pattern at the first visit (No in step S23), the process proceeds to step S16, and the processes after step S16 are repeated.

  When the dosing days of the corresponding dosing pattern is equal to or less than the dosing days of the dosing pattern at the first visit (Yes in step S23), the dosing pattern is stored in the pattern extraction base DB 242 (step S24). Thereafter, the process proceeds to step S16, and the processes after step S16 are repeated.

  In the second and subsequent searches in step S16, the dosing pattern corresponding to the search once is ignored, and when all the dosing patterns are searched through, the iterative process is terminated (No in step S17).

In step S12, when the patient's department is not the emergency department (No in step S12), department-specific medication pattern display processing other than the emergency department is performed (step S25 in FIG. 16).
In this process, for example, if the patient's department is internal medicine, the internal medicine is set in the search key of the medication history management table 133a. Then, the medication history management table 133a is searched using the set search medicine name as a key.

  Next, the medication pattern extraction unit 241 determines whether or not a corresponding medication pattern exists. If there is a corresponding medication pattern, the medication pattern is stored in the pattern extraction base DB 242.

Next, the medication pattern compression processing unit 243 refers to the pattern extraction base DB 242 and collects the same medication pattern (step S26).
Next, the medication pattern display processing unit 244 displays the medication pattern display screen 651h on the monitor 204a (step S27).

Next, it is determined whether or not a doctor selects a medication pattern (step S28).
When selection of a medication pattern is accepted (Yes in step S28), the accepted medication pattern is reflected in the prescription column of the patient's electronic medical record (step S29). Thereafter, the process ends.

On the other hand, if no medication pattern has been selected (No in step S28), the process ends.
<Specific example>
Next, a specific example of the medication pattern display process will be described using each table described above.

Hereinafter, in the first specific example, a specific example will be described in which a doctor examines a patient in an emergency department and searches for “Marslen S granule 0.5 g packet”.
First, the medication pattern extraction unit 241 receives an input of a medicine name “Marslen S granule 0.5 g packet” by a doctor.

Next, the medication pattern extraction unit 241 acquires the patient's department “emergency department” input by the doctor.
Since the medical department “emergency department” has been acquired, the medication pattern extraction unit 241 searches the medication history management table 133a and reads a medication pattern including “Marslen S granule 0.5 g packet”. In this specific example, first, the dosing pattern of the order number “00000060” (“Patent Hanako”) is read.

  Next, the medication pattern extraction unit 241 determines whether or not the medical department of the medication pattern of “Patent Hanako” is an emergency department. In this specific example, since it is an emergency department, the medication pattern extraction unit 241 stores this medication pattern in the pattern extraction base DB 242.

  Next, the dosing pattern extraction unit 241 searches the dosing history management table 133a, and the dosing pattern including the next “Marslen S granule 0.5 g packet”, that is, the dosing with the order number “00000070” (“Kojiro”). Read the pattern.

  Next, the medication pattern extraction unit 241 determines whether or not the medical department of the medication pattern of “Koji Jiro” is an emergency department. In this specific example, since it is an emergency department, the medication pattern extraction unit 241 stores this medication pattern in the pattern extraction base DB 242.

Note that the subsequent dosing patterns do not hit the search because the name of the department is not emergency department.
Next, the medication pattern extraction unit 241 searches the medication history management table 133a, and reads a medication pattern including “Marslen S granule 0.5 g packet” in a department other than the emergency department.

In this specific example, first, the dosing pattern of the order number “00000100” (“Patent Goro”) is read.
Next, it is determined whether or not the medical treatment classification of the medication pattern is the first visit. In this specific example, since the medical treatment category is not the first medical examination, a medication pattern at the time of the most recent medical examination of the same department (internal medicine) is searched.

Then, a dosing pattern with the order number “000000008” is found.
Next, the dosing days of the dosing pattern of the order number “00000100” and the dosing days of the dosing pattern of the order number “00000088” are compared.

  Since the dosing days of the dosing pattern with the order number “00000100” is equal to or less than the dosing days of the dosing pattern with the order number “00000088”, the dosing pattern extraction unit 241 stores this dosing pattern in the pattern extraction base DB 242.

Next, a dosing pattern of order number “00000110” (“Takuya Takuya”) is read.
Next, it is determined whether or not the medical treatment classification of the medication pattern is the first visit. In this specific example, since the medical treatment category is the first visit, the medication pattern extraction unit 241 stores this medication pattern in the pattern extraction base DB 242.

  Note that the dosing pattern of the order number “00002000” (“Patent Saburo”) and the dosing pattern of the order number “000000343” (“Patent Yoshiko”) do not include a marslen in the item name, and therefore do not hit the search.

Next, the dosing pattern of the order number “000000362” (“Patent Keiko”) is read.
Next, it is determined whether or not the medical treatment classification of the medication pattern is the first visit. In this specific example, since the medical treatment category is not the first medical examination, a medication pattern at the time of the most recent medical examination of the same department (internal medicine) is searched.

Then, a dosing pattern with an order number “00000333” is found.
Next, the dosing days of the dosing pattern of the order number “000000362” and the dosing days of the dosing pattern of the order number “000043” are compared.

  The dosing pattern of the dosing pattern with the order number “000000362” is not less than or equal to the dosing days of the dosing pattern with the order number “0000433”, so this dosing pattern is not stored in the pattern extraction base DB 242.

This completes the medication pattern base data extraction process.
FIG. 17 is a diagram illustrating a data table stored in the pattern extraction base DB at the end of the specific medication pattern base data extraction process.

Next, the dosing pattern compression processing unit 243 collects the same dosing patterns among the dosing patterns stored in the data table 242a.
In this specific example, the dosage pattern of the order number “00000070” and the dosage pattern of the order number “00000100” are both in the column of item name “Marslen S granule 0.5 g capsule”, “Loxonin tablet 60 mg”, “Internal use 1 Since it is “3 times a day, morning, evening, and dinner before meals”, the order date is put together in a dosage pattern with a new order number “00000100”.

  There is no other identical dosing pattern. Accordingly, the medication pattern display processing unit 244 displays the medication pattern display screen 651h on which the medication patterns of the order numbers “00000060”, “00000100”, and “00000110” are displayed on the monitor 204a. Thereby, the medication pattern display screen 651h shown in FIG. 12 is displayed.

Thereafter, when the doctor selects a medication pattern displayed on the medication pattern display screen 651h, the selected medication pattern is reflected in the prescription column of the patient's electronic medical record.
As described above, according to the electronic medical record system 100, when the emergency department is selected, the dosage pattern extraction unit 241 searches for a dosage pattern for all departments and extracts a dosage pattern corresponding to the condition. did. Thereby, a more reliable dosage pattern prescribed by a specialist can be extracted.

  In addition, the medication pattern extraction unit 241 extracts the medication pattern at the first visit. In emergency outpatients, there are many cases where treatment is performed for patients who are first diagnosed. Therefore, a more reliable dosing pattern can be obtained by extracting the dosing pattern prescribed at the first visit.

  In addition, the dosing pattern extraction unit 241 extracts a dosing pattern that is considered to be equivalent to the dosing pattern at the first visit even at the second visit based on the number of days of dosing at the first visit. As a result, the initial treatment dosing administered at the first visit does not show an effect, and the initial dosing pattern in which the medication is changed at the reexamination can be extracted. Therefore, a more reliable dosing pattern can be obtained.

<Second medication pattern display process>
Next, the second medication pattern display process will be described.
Hereinafter, the description will focus on the parts different from the first medication pattern display process, and the description of the same parts will be omitted.

18 and 19 are flowcharts showing the second medication pattern display process.
In the second dosing pattern display process, when the medical treatment classification is not the first visit in step S18 (No in step S18 in FIG. 18), the dosing days of the dosing pattern are set to the comparison reference dosing days used in the process (FIG. 19 step S20a).

  Next, referring to the medication history management table 133a, the previous medication pattern in the same department of the patient when the medication pattern of the medication days set in the comparison standard medication days is used as a reference (step S20b). .

Next, the medication pattern extraction unit 241 determines whether or not the corresponding medication pattern exists (step S21).
When there is no corresponding medication pattern (No in step S21), the process proceeds to step S16, and the processes after step S16 are repeated.

  On the other hand, when the corresponding dosing pattern exists (Yes in step S21), the comparison reference dosing days are compared with the dosing days of the previous dosing pattern in the same department of the patient (step S22a).

Then, it is determined whether or not the comparison reference dosing days is equal to or less than the dosing days of the previous dosing pattern in the same department of the patient (step S23a).
If the comparison reference dosing days are not less than or equal to the dosing days of the previous dosing pattern in the same department of the patient (No in step S23a), the process proceeds to step S16, and the processes after step S16 are repeated.

  On the other hand, when the comparison reference dosing days is not more than the dosing days of the previous dosing pattern in the same department of the patient (Yes in step S23a), the previous dosing pattern in the same department of the patient is the It is determined whether it is a medication pattern (step S23b).

  When the previous dosing pattern in the same department of the patient is not the dosing pattern at the first visit (No in step S23b), the number of dosing days of the previous dosing pattern is set as the comparison reference dosing day (step S23c). . Thereafter, the process proceeds to step 20b, and the processes after step S20b are repeated.

  On the other hand, when the previous dosage pattern in the same department of the patient is a dosage pattern at the first visit (Yes in step S23b), the dosage pattern is stored in the pattern extraction base DB 242 (step S24). Thereafter, the process proceeds to step S16, and the processes after step S16 are repeated.

This is the end of the description of the second medication pattern display process.
According to the second medication pattern display process, when there are a plurality of medication patterns at the revisit, only the medication pattern at the first revisit can be extracted and displayed.

  Note that the processing performed by the client device 20 may be distributedly processed by a plurality of devices. For example, another device may extract a medication pattern and store it in the pattern extraction base DB 242, and the client device 20 may display it on the monitor 204a using the medication pattern.

  Moreover, in this Embodiment, based on the medical treatment division set to the medication history management table 133a, it was judged whether it is a first visit or a reexamination, but the judgment whether it is a first visit is not limited to this. For example, if there is no previous dosing pattern for a patient with respect to a certain dosing pattern, the dosing pattern may be determined to be the dosing pattern at the first visit.

  Further, in the present embodiment, the dosing pattern that is considered to be equivalent to the dosing pattern at the first visit and the dosing pattern at the first visit are displayed even at the revisit, but the present invention is not limited to this. For example, instead of displaying the dosing pattern at the first visit, only the dosing pattern considered to be equivalent to the dosing pattern at the first visit at the revisit may be displayed.

  As a result, if the prescription is considered to be the first visit at the time of revisiting when there is no effect on the dosage pattern at the first visit, the dosage pattern at the first visit may not be helpful, so this dosage pattern is excluded. By doing so, only a more reliable dosage pattern can be displayed on the monitor 104a.

  As described above, the data selection support program, the data selection support device, and the data selection support method of the present invention have been described based on the illustrated embodiment, but the present invention is not limited to this, and the configuration of each unit is as follows. Any structure having a similar function can be substituted. Moreover, other arbitrary structures and processes may be added to the present invention.

In addition, the present invention may be a combination of any two or more configurations (features) of the above-described embodiments.
In the above-described embodiment, each function of the electronic medical record system 100 has been described by taking a case where a doctor examines an emergency patient as an example. However, the present invention is not limited to this. The present invention can also be applied to cases where patients in other departments are examined such as when treatment is performed. This makes it possible to refer to the dosing pattern at the reexamination in addition to the dosing pattern at the initial treatment when it is necessary to examine a patient at another department other than the specialty.

  The above processing functions can be realized by a computer. In that case, a program describing the processing contents of the functions of the client device 20 is provided. By executing the program on a computer, the above processing functions are realized on the computer. The program describing the processing contents can be recorded on a computer-readable recording medium. Examples of the computer-readable recording medium include a magnetic recording device, an optical disk, a magneto-optical recording medium, and a semiconductor memory. Examples of the magnetic recording device include a hard disk device (HDD), a flexible disk (FD), and a magnetic tape. Examples of the optical disc include a DVD (Digital Versatile Disc), a DVD-RAM (Random Access Memory), a CD-ROM (Compact Disc Read Only Memory), and a CD-R (Recordable) / RW (ReWritable). Examples of the magneto-optical recording medium include MO (Magneto-Optical disk).

  When distributing the program, for example, a portable recording medium such as a DVD or a CD-ROM in which the program is recorded is sold. It is also possible to store the program in a storage device of a server computer and transfer the program from the server computer to another computer via a network.

  A computer that executes a data selection support program stores, for example, a program recorded on a portable recording medium or a program transferred from a server computer in its own storage device. Then, the computer reads the program from its own storage device and executes processing according to the program. The computer can also read the program directly from the portable recording medium and execute processing according to the program. In addition, each time the program is transferred from the server computer, the computer can sequentially execute processing according to the received program.

  Regarding the above embodiment, the following additional notes are disclosed.

DESCRIPTION OF SYMBOLS 1 Computer 2 Input reception means 3 Extraction means 4 Display means 5 Database 10, 30, 40 Server apparatus 11 Data transmission / reception part 12 Control part 13 Data storage part for electronic medical chart processing 20 Client apparatus 21 Input reception part 22 Interface part 23 Application storage part 24 application execution unit 60 medication order instruction screen 61 patient ID display unit 62 patient name display unit 63 medication order slip selection unit 64 end button 65 search unit 65a drug search unit 100 electronic medical record system 131 doctor DB
131a Doctor management table 132 Patient DB
132a Patient management table 133 Medication history DB
133a Medication History Management Table 134 Drug Master 135 Electronic Medical Record DB
241 Dosing pattern extraction unit 242 Pattern extraction base DB
242a Data table 243 Medication pattern compression processing unit 244 Medication pattern display processing unit 245 Data transmission unit 631 Button 632 Prescription date display unit 633 Medical department display unit 651 Drug tab 651a Drug search tab 651b Drug search tab 651c Common drug search tab 651d Drug search Screen 651e Drug name input part 651f Search button 651g Search result display part 651h Medication pattern display screen 652 Usage tab 653 Comment tab 654 Decoction tab

Claims (7)

Computer
Input accepting means for accepting input of chemical information;
Refers to a database in which information on a person to be examined, information on a medication pattern, information on a first visit or revisit, and a number of days of medication are stored in association with each other and includes the medicine received by the input accepting means, and at the time of revisit extracting means for dosing days to extract the dosage pattern is below dosing days at the first visit of the same examinee,
Display means for displaying the medication pattern extracted by the extraction means;
A data selection support program characterized by functioning as 2. The data selection according to claim 1, wherein the extraction unit refers to the database , includes the medicine received by the input reception unit, and further extracts the medication pattern at the first visit. Support program. Causing the computer to function as a clinical department input receiving means for receiving an input of a department to which the user who uses the computer belongs,
The medication pattern includes information on the medical department of the examinee,
2. The data selection support program according to claim 1, wherein the extraction unit extracts the dosing pattern when the department to which the user belongs and the department to which the examinee does not match. 3. A dosage pattern selection receiving means for receiving selection of the dosage pattern displayed by the display means;
Storage means for storing the dosage pattern received by the dosage pattern selection receiving means in the database as a new dosage pattern;
The data selection support program according to claim 1, wherein: It said dosing pattern of the same examinees said dosage pattern is not present previously, according to claim 2, wherein the data selection support program, wherein Ru said dosage pattern der during the first visit. An input reception unit for receiving input of chemical information;
Testee information, dosing patterns, with reference information indicating the initial visit or return-visit, and a database that stores in association with each dosing days, including the drug, the input of which is accepted by the input accepting unit, and, upon re-examination An extraction unit for extracting the dosing pattern in which the dosing days are equal to or less than the dosing days at the first visit of the same patient;
A display unit for displaying a medication pattern extracted by the extraction unit;
A data selection support device characterized by comprising: The computer has,
The input acceptance means accepts input of drug information,
The extraction means includes the medicine received by the input accepting means with reference to a database in which the information on the examinee, the medication pattern, the information indicating the first visit or revisit, and the database storing the number of medication days are associated with each other ; and , extracts the dosage pattern dosing days during revisit is below dosing days at the first visit of the same examinee,
The display means displays the medication pattern extracted by the extraction means;
A data selection support method characterized by the above.

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